2012-07 Northern Colorado Medical & Wellness Magazine and PVHS Physician Directory by Style Media & Design, Inc.

2012 | 2013

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Northern Colorado Medical & Wellness 2012

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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 w w w. m e d i c a l a n d w e l l n e s s . c o m Publisher Lydia Dody | lydia@stylemedia.com Managing Editor Angeline Grenz angie@stylemedia.com creative director Scott Prosser Senior Designer Lisa Gould digital director Austin Lamb | austin@stylemedia.com Digital/Editorial Assistant Logan Martinez Advertising Sales EXECUTIVES Jon Ainslie (970) 219-9226 Lydia Dody (970) 227-6400 David Knight (970) 619-9846 Saundra Skrove (970) 217-9932 Office Manager/About Town Editor Ina Szwec | ina@stylemedia.com Accounting Manager Karla Vigil Circulation manager Trisha Milton Copy editor Corey Radman Contributing Writers Heidi Kerr-Schlaefer, Elissa J. Tivona, Sarah Maurer, Marty Metzger, Corey Radman, Kay Rios, Carl Simmons, Tracee Sioux, Michelle Venus PhotographerS Marcus Edwards, Don Hajicek, Affiliations Fort Collins Area Chamber of Commerce Loveland Chamber of Commerce & Visitors Center 2012 Style Magazines January-Northern Colorado Medical & Wellness Magazine and McKee Medical Center & North Colorado Medical Center Physician Directory February-Style March-Northern Colorado Medical & Wellness April-Style May-Northern Colorado Medical & Wellness June-Style July-Northern Colorado Medical & Wellness Magazine and University of Colorado Health Physician Directory August-Style September-Womenâ&#x20AC;&#x2122;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 $25/year and a two year subscription is $45/year. Free magazines are available at over 236 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) 2266400, ext. 208. Fax (970) 226-6427. E-Mail: ina@StyleMedia.com ÂŠ2012 Style Media and Design Inc. All rights reserved. The entire contents of Style Magazine are 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.

Northern Colorado Medical & Wellness 2012

Important Message for Dog Owners

Thank Yous

Dear Angie, You did a simply wonderful job of telling “Bruno’s Story” (March 2012 Northern Colorado Medical & Wellness). Who could not have become engaged in this drama of a devastating injury that was transformed into the chance for a dog to eventually lead a healthy and happy life with the help of Dr. Jessica Rychel and her dedicated staff. The advances in treatments for animals, and especially the use of physical therapy, are just incredible. The cream on top was having Dr. Rychel’s husband feel that the best home for Bruno was their own! While this story had a very happy ending, I feel compelled to say that while I have lived in many places, I have been upset to see how many people travel around the Fort Collins area with their beloved dogs in the back of their pickup truck, which was the original injury for Bruno when he fell out of his owner’s truck. I see fewer cases of this happening now than when we moved here 14 years ago, but every time I see a nervous dog pacing back and forth in the bed of a pickup truck, I become very agitated and worried as it is an accident about to happen. The owner of Countryside Animal Hospital, Dr. Catharine Speights, gave me permission to quote her should I ever have an occasion to write about this subject. “If people could see grown men cry, as I have, when I’ve had to euthanize the dogs they loved due to such horrific injuries, no one would place a dog in the back of a pickup truck unless it was in a crate that was securely anchored.” My sentiments exactly. If you love a pet, how can you put it in harm’s way? All stories do not end happily. Respectfully submitted by,

Dear Lydia, I wanted to thank you so much for including Fort Collins Rowing Association in your May 2012 Northern Colorado Medical & Wellness issue. Sarah Maurer was able to pack a whole lot of info about our little rowing club into the article. I’m sure because of it we will see new people out on the water! Again, thank you,

Laurie Beals Fort Collins

Lyme Disease Awareness

Hi Lydia, I just want to say thanks for having an article in your publication about Lyme disease. My family has the disease and we moved here from Ohio. My Colorado insurance and physicians do not believe in Lyme disease and I have to pay for all of my care out of my pocket. Thanks again – we need more awareness in our state!! Sincerely,

Cindy Bolton, RN Breast Diagnostic Center, UCH

Patricia Bell The Eyes Have It Fort Collins Rowing Association

Dear Lydia, I want to thank you very much for the wonderful article, “Teeth May Provide Stem Cell Salvage,” in the May issue of Northern Colorado Medical & Wellness. The article was very well done and I appreciate your kindness and the opportunity to participate in the magazine. I enjoyed working with your staff. Thank you very much,

James B. Troxell, DDS, MS, PLLC Oral and Maxillofacial Surgery, Fort Collins

LOVED THE COVER

Lydia, Just wanted you to know how much I enjoyed the May issue of Northern Colorado Medical & Wellness. And, the adorable pregnant mom and son cover was exceptional and my favorite cover of all time. Thank you,

Kathy Duchen-Smith Fort Collins

we love to hear from readers. send your comments and suggestions to:

angie@stylemedia.com Phone: 970.226.6400, ext.215 Fax: 970.226.6427 www.stylemagazinecolorado.com

Northern Colorado Medical & Wellness 2012

northern colorado

MEDICAL W E L L N E S S &

2012 | 2013

Featuring

U n i v e r s i t y o f C o l o r a d o H e a lt h

Physician

Directory

TABLE On the cover: The Air Link medical flight team stands at the ready at Medical Center of the Rockies. Cover photo by Marcus Edwards.

Medical Magazine & Directory

for

PVH

and

MCR

CONTENTS

Wellness Magazine & Directory 74

Bike Helmets: Straight, Strap, Snug AND Snap!

Get Fit, Give Back Calendar – Keep Your Hands Cool Ice Baths Reduce Soreness after Workouts Vegetable of the Moment: Zucchini

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

Family Focus – Healthy School Lunches Swim Safety Kid Friendly Events in Northern Colorado

Programs Support Community Wellness

PVHS Steps into Future

Wellness Directory

Air Link: Critical Care Takes Flight

Biodynamic Farming

Patient Navigators – Charting a Course for Health

Orthodontic Mouth Guards: An Ounce of Prevention

Patient Documents TrueBeam Experience

Physician Directory

Introduction Letter

Six Good Reasons to Get your Thyroid Checked

Healthy Hearts, Healthy Kids

Earbuds: Hazardous to your Hearing

Something is Blooming at Poudre Valley Hospital

From Our Readers

Publisher’s Letter

Introduction Letter

Rulon F. Stacey, Ph.D., President, University of Colorado Health

Introduction Letter

Russ Branzell, Chief Executive Officer, Colorado Health Medical Group

Style Magazine offers these editorials for your general knowledge and not as a subsititue for medical advice or treatment. If you have any questions or concerns about your health, please contact your doctor or healthcare provider.

Northern Colorado Medical & Wellness 2012

Publisher’s Letter

Visionary Healthcare It is with a great deal of pride that we publish our 14th annual medical magazine with its focus on University of Colorado Health and featuring the Physicians and Surgeons Directory of professionals serving Poudre Valley Hospital and Medical Center of the Rockies. Over the years we have followed the leadership of Rulon Stacey, Kevin Unger, George Hayes and their executive teams, and admired their vision for our region’s future healthcare needs. Today that vision has manifested into a dynamic partnership with the University of

Colorado Hospital to form a new and unique healthcare system: University of Colorado Health. You will notice the new branding throughout this issue. As Rulon Stacey elaborates in his letter in this issue, “Because of the exceptional talent assembled in the new system, we can collectively accomplish patientcare outcomes that may be unachievable if either of our organizations moved forward alone.” Although all the benefits of this partnership are yet to be revealed, we can assume that the intent is to continue to provide the citizens of Northern Colorado world-class healthcare. Perhaps the day of seeking a particular specialist not available in our community is over and that specialist will now be available here in Northern Colorado through the talent pool available at the Anschutz Medical Campus. Additionally, because of the prestige of the University of Colorado’s academic reputation, Kevin Unger, CEO at Poudre Valley Hospital, feels that together the institutions will attract more research funding and will host more clinical trials, thus improving healthcare through innovation, a definite opportunity for patients. Improving the outcome of patients is at the heart of the recent addition of the Air Link helicopter service. The pilot and crew of critical care nurses and paramedics are featured on our cover and in the article, “Air Link: Critical Care Takes Flight.” Learn about how this well trained team mobilizes to respond to an emergency to save lives within a 200-mile radius of MCR. And, meet Jenny Pierre, the only woman on the team, in “Life as a Flight Nurse.” Another significant improvement to patient care has been the addition of patient navigators. I recall when I was battling breast cancer, the whole process was overwhelming and there was no one helping me through the maze of appointments, scheduling, administrative

details and paperwork. It became a full time job to just attend to healing. Read “Patient Navigators – Charting a Course for Health” to learn of the implementation of this exceptional benefit to patients in three service lines: oncology, bariatrics and women and family services. Gain insight by reading the touching stories of patients to learn how they benefitted from patient navigator services. The most recent important equipment addition to world-class patient care at Poudre Valley Hospital Radiation Oncology at the Harmony Campus is the TrueBeam STx linear accelerator. Read a patient’s personal experience in receiving treatment for 9 weeks in “Patient Documents TrueBeam Experience.” At the forefront of good healthcare is the increasing emphasis on lifestyle and prevention by physicians and insurance companies. This issue has a wellness section with many interesting and informative articles and a wellness directory that focuses on staying healthy and keeping our families healthy. Be sure you look at these for some good information and health tips. We hope you enjoy reading this annual medical and wellness magazine and learn useful information about your health. This issue has an easy-to-use Physician Directory which is divided by specialty and physician name. In addition, the magazine and directory is available on our website, www.medicalandwellness.com along with previous annual issues. Keep this issue for reference or pass it along to a friend. Our hope is that it will support you and your loved ones in maintaining good health. Wishing each of you good health, lydia@stylemedia.com

MAXIMIZING CARE THROUGH ACCURATE DIAGNOSIS

Christopher Bee, MD

Arlene Libby, MD

Cory Dunn, MD

Richard Halbert, MD

Wentzell Hamner, MD Thomas Neuhauser, MD

Michael Walts, MD

Carrie Pizzi, MD

w w w. s u m m i t p a t h o l o g y. c o m Northern Colorado Medical & Wellness 2012

U N I V E R S I T Y O F C O L O R A D O H E A LT H

New Health System Important for Northern Colorado

Rulon F. Stacey, Ph.D., FACHE President University of Colorado Health

Dear Reader: You may have heard by now that Poudre Valley Health System and the University of Colorado Hospital in Aurora created a new, unique health system: University of Colorado Health. We fully expect that the new organization will become the most dynamic, high-quality provider of patient care in Northern Colorado and throughout the rest of the state and Rocky Mountain Region. We also have the realistic expectation that the new system will become a leader in remaking America’s healthcare industry. In selecting the University of Colorado Health name, we conducted extensive research that determined this name has the highest appeal to patients we serve. In addition, the name makes the most sense when we take into account the much broader patient base that the new health system will serve: all of Colorado and possibly adjacent states. Our goal is vigorous, ambitious and extremely important to the healthcare of patients in Fort Collins, Loveland, Greeley and elsewhere. The new health system integrates the University of Colorado Hospital, the best academic medical center in the nation, with PVHS, one of the best community health systems in the United States. Because of the exceptional talent assembled in the new system, we can collectively accomplish patient-care outcomes that may be unachievable if either of our organizations moved forward alone. Our local hospitals – Poudre Valley Hospital and Medical Center of the Rockies – will retain their names and also be identified as part of University of Colorado Health. Here’s what you can expect from University of Colorado Health: The quality of local patient care in our community will be enhanced. Community members will still be treated locally. The new organization will be robust and we anticipate increasing local employment numbers for the healthcare professional and support industries. Our new organization will be far better for our local patients, physicians, staff members and communities. I want to thank you for your important support. We have developed a new website at universityofcoloradohealth.org where you can learn more information. With warmest regards,

Rulon F. Stacey, Ph.D., FACHE President University of Colorado Health

Northern Colorado Medical & Wellness 2012

U N I V E R S I T Y O F C O L O R A D O H E A LT H

Dear Medical & Wellness Magazine Reader:

George Hayes President and CEO Medical Center of the Rockies

We take great pride in knowing that Poudre Valley Hospital and Medical Center of the Rockies offer our communities the best in service and patient care. Independent organizations in the healthcare industry have repeatedly applauded both hospitals for our care and service. Here are three examples: In 2012, MCR was selected as the recipient of the Overall Best Performer Award by Avatar International, a private company that tracks patient satisfaction at over 500 hospitals throughout the nation. The award is presented to the top facilities in Avatar’s national database with the highest overall combined score for inpatient, outpatient, emergency department and ambulatory services. That puts MCR in the top 5 percent of Avatar’s database. This was the fifth consecutive year that MCR was a recipient of the award. Earlier in 2012, PVH was named one of 100 Top Hospitals in the U.S. by Thomson Reuters, the nation’s leading independent organization that annually evaluates the performance of 3,000 healthcare companies. Also in 2012 the American Nurses Association announced that PVH received a national award for achieving and sustaining outstanding nursing quality that improves patient care and safety. What do these and the many other accolades that our hospitals have received mean for all of us living in this region? They are measures of great success. They mean, quite simply, that we have easy access to world-class care, a benefit that few other communities can boast. We hope that you feel the pride that we do when we hear about Medical Center of the Rockies and Poudre Valley Hospital. The physicians, the staff and the volunteers are there for all of us.

George Hayes President and CEO Medical Center of the Rockies

Kevin Unger President and CEO Poudre Valley Hospital

Northern Colorado Medical & Wellness 2012

medical

uch

PVHS Steps into Future University of Colorado Health is a new name in town, but none of the local faces behind it have really changed. Poudre Valley Health System has officially joined operations with University of Colorado Hospital, thus founding a new entity, University of Colorado Health (UCH). 18

UCH is represented by an 11-member board of directors and is led by the former CEOs of their respective non-profit systems, President Rulon Stacey and CEO Bruce Schroffel. The new organization expects to receive official 501(c)3 status in September. It now has approximately 10,000 employees, making it one of the largest employers in the state. If PVHS was nationally recognized for its excellence, the question does linger, ‘Why was change needed at all?’ For three years running, PVHS garnered Magnet nursing designations by the American Nursing Credentialing Center, was ranked as a top 100 hospital by U.S. News & World Report, and even received the Malcolm Baldridge Award for innovation and performance excellence. The answer to that question boils down to economy of scale. In other words, size matters.

An aerial shot of Medical Center of the Rockies.

by Corey Radman

The UCH website explains, “It has been evident for the last several years that the dwindling list of independent hospitals would probably not be able to sustain in the marketplace. It is clear that network, geography, size, scope, market power, cost and quality are the key drivers for healthcare in the future.” Kevin Unger, CEO at Poudre Valley Hospital (PVH), adds, “We’re hearing from the bond rating agencies like Moody’s and S&P that they are a little leery of independent hospitals in terms of lending money for future financing.” Unger confirms that healthcare reform plays into the long-range plan as well. Experts are expecting Medicare and Medicaid reimbursements to drop significantly. “We’re going to have to do more with less,” Unger says. It’s about economies of scale, geographic

Nationally, organizations in healthcare are having to become bigger to remain viable. George Hayes, CEO Medical Center of the Rockies

We hope to attract more research funding, host more clinical trials and improve health through innovation. Kevin Unger, CEO Poudre Valley Hospital

presence and diversity, and access to capital, George Hayes, CEO of Medical Center of the Rockies (MCR), sums up. “Nationally, organizations in healthcare are having to become bigger to remain viable.” But, he adds, theirs is the best situation possible. “As an organization, we put a lot of energy and effort into looking at what we wanted to be when we grew up. Our board has historically been very committed to retaining our independence.” He explains that this agreement isn’t a merger with one party acquiring the other. “This allowed us to retain a strong presence and independence as part of a new, larger, Coloradobased, locally-owned organization. ”

Partnership of Equals Ranked as one of the best academic medical centers in the country, University of Colorado

Northern Colorado Medical & Wellness 2012

Hospital brings a lot to the table as well. It too garnered top hospital listing from U.S. News & World Report, multiple Magnet nursing designations, and probably most attractive, is their teaching program. With campuses around the state and a heavy concentration of specialists at the Anschutz Medical Campus in Aurora, the University of Colorado Hospital is probably known best for innovative care by some of the best in the business. Those experts are training their successors, today’s crop of residents and fellows. Hayes anticipates better access to newly graduated doctors who, because they trained inside UCH, will already know the system. “We hope to be able to tap into that supply of physician talent.” The hope is this joint agreement will present more residents and fellows with an opportunity to do rotations at PVH and MCR, who, upon

graduation, may decide to become part of our medical community. Plus, there’s a flip side; UCH physicians in training will have access to one of PVHS’s biggest assets: a huge patient population in Northern Colorado. PVHS’s over 20,000 annual patient admissions nearly doubles the number of people available for residents and fellows to treat. Additionally, the former PVHS system will be migrating to a new electronic health records (EHR) system that will be the same for all facilities system-wide through UCH. One more reason new doctors will find it easy to work in Northern Colorado. Says Hayes, “The EHR allows us to use more evidence-based medicine. It makes it very easy for physicians to do the right thing and will help standardize the delivery of care throughout the system.” Unger adds that this svelte new organization

is highly attractive to research funders. “We hope to be attracting more research funding, hosting more clinical trials and improving health through innovation.”

The Patient Perspective Unger explains that for Northern Colorado patients, the changes will be minimal in terms of day-to-day services, but valuable nonetheless. “Healthcare is still a local producer. Patients will still have the same doctors; the hospitals will retain their local control. But we will have UCH to help with rare services. I anticipate that we’ll have a lot more sub-specialists available.” Unger indicates that talks are in process to arrange clinic days for Denver specialists to travel to the region, rather than patients having to drive south. “We are looking at trying to develop an insurance offering that would make using PVH or MCR the same as using University of Colorado Hospital in Denver.” “We’re talking about the rare services like transplant evaluations,” adds Hayes. “Clearly the intent is to allow patients to remain as close to home as possible.” Overall, Unger is excited about the way the EHR system will alleviate frustration for patients. “I think it’s pretty powerful,” he says. “Free-flowing information will reduce redundancy and stress for patients.” Imagine never again requesting your charts, scans or lab results, for any appointment at any facility within the system. “All patients will have to do is show up,” he says.

Positioning Branding and marketing changes are slowly evolving. Northern Colorado residents have probably noticed that the system logo changed from green to red, sitting alongside the UCH name. The individual hospital names will remain Poudre Valley Hospital and Medical Center of the Rockies. Unger reports that rather than taking a backseat to the new system, residents will see an increased presence in advertising for the individual hospitals. And while the ink is still drying on the joint agreement between UCH and PVHS, system officials are giving hints that expansion is imminent. Talks with Memorial Health System in Colorado Springs have warmed up, and a formal proposal to partner was released in June, adding a possible southern hub to this Front Range healthcare network. The proposal is worth $1.8 billion in healthcare capital investments and infrastructure in Colorado Springs.

The Economy At the same time that UCH is embarking upon this joint operating agreement, economic forces are still driving the train. Unger says the former PVHS system is not planning to reduce any employment positions as a result of the agreement with UCH. However, “We know that healthcare reform is forcing change upon us. We are focusing on streamlining. We anticipate that we’ll have to break even at Medicare rates,” which are anticipated to drop steeply. Meaning that over the next five years, the former PVHS will need to find a savings of $250 million. “Either through cost control or revenue enhancement. We’re looking at everything from devices to redundancies,”

Unger says. Hayes agrees, “We are really hoping to do a lot of that [savings] through use of our EHR, clinical protocols, LEAN, and pursuit of other operational efficiencies.” Unger explains that PVHS has begun using Toyota’s LEAN manufacturing process to evaluate processes and find efficiencies, which includes actively incorporating employee input and ideas in the process. LEAN was pioneered to shift the focus from individual machines and their utilization to the flow of the product through the total process. Today LEAN concepts are used throughout the world in business, government and healthcare. “We are trying to drive out waste, eliminate steps and reduce duplication of services within the system. Through this process we have been able to find cost savings within PVHS,” Unger says. Hayes adds that LEAN maintains the staff culture and relies on input from staff. “This is never easy or painless, but this does engage the staff. It supports the culture that we’ve built.” With a new name, new processes and systems, and substantial backing, the former Poudre Valley Health System appears to be fit for anything... ready to weather whatever changes the coming years bring. Corey Radman is an award-winning writer and regular contributor to Northern Colorado Medical & Wellness. She can be reached via her website, www.fortcollinswriter.com.

Northern Colorado Medical & Wellness 2012

medical

Air link

University of Colorado Health’s Air Link helicopter and medical flight team began operations in March 2012.

Air Link: Critical Care takes Flight

by Heidi Kerr-Schlaefer

Time is the most important factor in a critical medical situation, and air support can play a vital role in saving a life. In fact, helicopters reduce mortality rates by 24 percent. On March 26, 2012, University of Colorado Health (UCH, formerly Poudre Valley Health System) launched Air Link at Medical Center of the Rockies. 22

The decision by UCH to add air services to their repertoire was not taken lightly. Dr. Timothy J. Hutchison, M.D., FACEP, is the medical director and founder of the program. With 23 years of experience in Helicopter Emergency Medical Services (HEMS), Dr. Hutchison believes Air Link will play a further part in impacting patient outcomes and enhancing the role of MCR as a true regional medical center. UCH took into account that Colorado has fewer helicopters per million residents than surrounding states, with 3.2 helicopters per million people. That number is 10 helicopters per million in Arizona, eight per million in New Mexico and six per million in Nebraska. The decision to implement air service led UCH on a search for a helicopter that would complement the others in the area. No other helicopter in Northern Colorado had high altitude capabilities, so the Air Link program at UCH chose to go with the AS350 B3 provided by EagleMed, LLC. With a small cabin, high horsepower and ability to brace strong winds, the B3 aircraft handles well over rural plains and maneuvers easily at altitudes of up to 23,000 feet. “We were looking for a niche and our entire focus was to fill that, so we don’t feel like we’re duplicating services,” says Dr. Hutchison. “Instead of true competitors we look at other flight programs as cooperative colleagues. We truly believe that the closest helicopter to the scene should be called and the patient should be taken to the closest

The Air Link helicopter is designed with a smaller cabin and high horsepower to allow it to reach altitudes of up to 23,000 feet. From our front cover: The Air Link Flight team – (back row) Robert Hernandez, RN; Duane Rorie, Chief Flight Nurse; (front) Jesse Simkins, EMT-P; Dr. Tim Hutchison, Medical Director; Ryan Bushmaker, RN; Greg Clark, RN; Pilot Jake White-Diemand; Nate Hinze, RN; Jenny Pierre, RN; Matt Carter,EMT-P; Pilot Mike Tucker; Kris Schott, EMT-P; Tim Shannon, Mechanic

appropriate facility.” The B3 is piloted by four different pilots, all with thousands of hours of flight time, and three with prior military flight experience. Flying a helicopter in the military is one of the few ways a pilot can gain enough flight time to fly for EagleMed. On Air Link flights, one pilot is accompanied by a medical team of two. Eight of the 11 crew members are critical care nurses and two of those individuals are also paramedics. The last two crew members are paramedics. Jenny Pierre, a critical care nurse, is the only female on the flight crew, but this doesn’t bother her. In fact, she calls the crew her “family away from home.” “They are all like my brothers,” she says. The flight crew members work 12-hour shifts and each day starts out with safety checks. Everything in the helicopter is accounted for, right down to each alcohol wipe, and every medical device is tested to make sure it is in working order. After safety checks, the crew does a briefing with the pilot, checking on weather

Northern Colorado Medical & Wellness 2012

patterns and other risk factors regarding helicopter operations. Chief flight nurse Duane Rorie, RN, who had previously worked with Dr. Hutchison in another HEMS program, helped implement Air Link. “Rorie was important to the program because of his extensive knowledge. He brings that volume of experience that was so key to getting this program up and running,” says Dr. Hutchison. After participating in a ride along on a medical helicopter transport in St. Louis, Rorie carved out a career path that would give him the right kind of education, including search and rescue training, to work in HEMS. Now a 22-year veteran of nursing, Rorie has a background in fixed wing transport, ground transport and rotor experience. It has all added up to a leadership role at Air Link. “The best part of my job is the variety. We do such a wide range here from pediatrics to geriatrics, cardiac and trauma. I also love getting to meet new people and making connections, and I enjoy being able to use my brain outside

of the confines of the hospital,” says Rorie. After going over the day with the pilot, the crew assesses one another. They want to make sure everyone is feeling well physically and mentally. Flight crews must be tight knit and working side-by-side in high stress situations requires complete trust. A flight nurse needs to have three to four years of ICU or ER experience, and keeping up on those skills is tremendously important. The Air Link flight crew carries pagers while in-house at MCR and responds to any rapid response or critical trauma activations. “I think there are key advantages to what a helicopter can do as a machine, but it’s just a machine. To me, the real difference is made in the training of the crews that are delivering care in the aircraft,” says Hutchison. When the crew isn’t working on safety checks, briefings or helping out in the hospital they are working on scenarios, so that they can stay on top of their game out in the field. Since March, Air Link has averaged one call out per day; 35 percent are scene calls, while the rest are

Life as a Flight Nurse

by Heidi Kerr-Schlaefer

Nurses are not superheroes, but sometimes it feels like they are superhuman, especially when they help save your life. Jenny Pierre has been a critical care nurse for nine years, and today she is the only female on the new Air Link helicopter crew at Medical Center of the Rockies, a Level II trauma center in Loveland, Colorado. As one of eight children growing up in Nebraska, nursing came naturally to Pierre, but a significant factor played a part in her decision to become a nurse. When she was still a child, Pierre’s baby brother passed away due to premature lungs. “I really admired the relationship, and the care and comfort those nurses at Children’s Hospital gave to my mom,” says Pierre. As the single-mother of two girls, Pierre has worked as a nurse in a neurological ICU, an open heart unit and in the ER. She also worked at a burn center at a Level One trauma center in Washington D.C. For a year Pierre worked at Air Link One in Scottsbluff, Nebraska, the sister-program of MCR’s Air Link Two. She enjoyed the work, but decided to move to Washington D.C. to attend Nurse Anesthesia School at Georgetown University. Pierre soon discovered the work of a nurse anesthetist was not a good fit for her. After all, the patients were all asleep, and patient contact was what she loved the most about being a nurse. When she learned about a new Air Link program starting in Colorado, Pierre applied for a flight crew position and got the job.

Air Link officially launched on March 26, 2012, and since then Pierre’s 12-hour shifts are filled with standard procedures and routine safety checks, as well as flights to scenes that are never the same. “I’m a single mom and my kids depend on me. Everyone I work with has a family of some sort, so my goal every day is to make sure we come back to our families,” says Pierre. With a tremendous amount of training, and policy and medical procedures under her belt, Pierre’s favorite part of the job is the autonomy she has while on a scene to make a quick assessment and diagnosis. Pierre sees the people she transports as more than just patients; they are a person with a story and a family who loves them. Before the crew departs a scene, Pierre makes sure her patient has contact with their family, because that crucial kiss goodbye can make all the difference. Her own girls pray every day for God to bless the helicopter and their mother, but they also realize the importance of Pierre’s job and they think she’s pretty cool. Pierre’s youngest sometimes dresses up in her mom’s flight suit and practices CPR on dolls. “I’m very blessed to have my daughters and a career. I am blessed to be able to show them that they can be strong women and do whatever they set their minds and hearts to do,” says Pierre. “I’m really glad to be back in the helicopter industry because this is where my passion is – this is where my heart is.”

inter-facility transportation flights. Dr. Hutchison and his staff attribute the early success of the program to the reputations of MCR and UCH, as well as the relationships they’ve already established with first responders. Pierre has developed mentoring groups that connect the flight crew with first responders because she knows that handing off a patient is a very personal thing; her goal is for the Air Link crew to really get to know the first responders on an individual level. “Developing those relationships is key. These organizations have to be confident, not only that the helicopter will get there in a timely manner, but that the crew on board will have the skill set necessary to get the patient transported to the hospital. Trust is earned and we’re earning that trust,” says Pierre. Once Air Link’s B3 lands at a scene the goal is to be off the ground and heading to a hospital in less than 10 minutes. Before they land at a scene the flight crew has a plan, and Rorie equates this type of team work to that of a NASCAR pit crew. There are multiple reasons a helicopter is called to a scene, but often it is because it can transport the patient much more quickly than ground transport. For example, in a case of a cardiac arrest or traumatic injury, if an ambulance is more than 30 minutes away, a helicopter will be called. Air Link serves a 200-mile radius around Loveland. Much of this area is rural; there are no paramedics or drugs available, and the first responders to the scene are frequently fire department volunteers. Therefore, when called, Air Link is often the first Advance Life Support (ALS) on the scene. Landing coordinates have been preset around the region, so when called to the Poudre Canyon, for instance, the helicopter has predesignated landing zones along Hwy 14. At the writing of this article Air Link had responded to 51 calls, and had already flown into a variety of scenes. Several times the flight

Air Link serves a 200-mile radius around Loveland.

crew has utilized onboard cardiac cooling to help keep cardiac arrest patients cool in route to the hospital. Studies show that if a heart attack patient is kept at 32 to 34 degrees centigrade for 24 hours it will improve their neurological functional outcomes by 20 percent. “Twenty percent is a high number,” says Dr. Hutchison. Pierre recalls a recent flight where she was able to comfort an elderly patient while in transport. “I felt like just being there, rubbing his shoulders and telling little jokes helped more than anything else we had done in the helicopter. Even though all the critical drugs were used, it was that level of comfort and care we were able to give him that really mattered,” says Pierre. “The calls don’t always have happy endings, but we do everything we can and hopefully we’re remembered for that and hopefully we’ll make a difference in someone’s life along the way,” she adds. Patient care is at the heart of what UCH is all about, and if a patient is transported via Air Link the flight crew becomes the first touch along the way – and every touch potentially affects the final patient outcome. Being on a flight crew is a tough job, and the members of this team must be able to adapt quickly to situations that are never exactly the same. It takes a certain type of individual to join a flight crew, a person who loves a daily challenge, but also someone who never loses sight of what their job is really all about – saving the lives of fellow human beings. You can meet the Air Link flight crew and learn more about the B3 helicopter at www. PVHS.org/airlink.

Heidi Kerr-Schlaefer is a journalist and freelance writer. She is also the Mayor of HeidiTown.com, a blog about festivals, events and destinations around Colorado.

Northern Colorado Medical & Wellness 2012

medical

Patient Navigators

Women and Family Services Patient Navigator Kelly Housel works with Matthew, an autistic pediatric patient, and his mother to help ease the complexity of scheduling his multiple medical appointments within the University of Colorado Health system.

Patient Navigators â&#x20AC;&#x201C;

Charting a Course for Health

by Corey Radman

Going into the hospital is never simple. Being sick or having surgery, staying at the hospital, not to mention working through insurance companies to pay for it is downright daunting. Most people say they would rather do their taxes, frankly speaking. 26

For some areas of healthcare, the administrative details of a single patientâ&#x20AC;&#x2122;s path to health are actually a full-time job. In reality, it takes an expert with insider relationships to figure out all the details. Which is why the concept of patient navigators took hold across three subspecialties at Poudre Valley Hospital.

Born in the oncology world, the patient navigator concept was founded in 1990 by Harold P. Freeman as a way to eliminate barriers to timely cancer screening and treatment for his indigent patients in Harlem. Especially in oncology, the window of opportunity for effective treatment is narrow... during which time an average person can literally grow sicker while waiting on hold with the insurance company. At Poudre Valley Hospital, patient navigator nurses have been assisting patients through the maze of healthcare in three different service lines: oncology, bariatrics and women and family services. These three specialties have a larger than average need for multiple specialists who all treat for different symptoms and need various pre and post-operative appointments. All of those professionals bill separately, which, of course, complicates the payment process. The nurse navigators take that snarl of dates, times and requirements, and knit it into a neat schedule, complete with notes, for patients to absorb at their own rate, all without cost to their patients. Here are the stories of three nurse navigators and some of the patients who they have helped.

Oncology Anna Aughenbaugh is a sweet, 73-year-old woman who has had the year from Hell, though she would never describe it with such salty language. In January 2012, her daughter-inlaw, Joann, died of breast cancer and before Anna could take a breath, she was diagnosed with the same invasive breast cancer, right on her 56th wedding anniversary. “It was really hard to tell the kids just two weeks after Joann died,” she says. Aughenbaugh says she has known many people in her life with cancer, “But I never understood what they were really going through until I experienced it myself. You just can’t know how hard it is, how exhausting it is, without feeling it yourself.” Just those circumstances were enough of a load for Aughenbaugh and her husband, Allen. The task of attending all the different appointments, taking notes and scheduling follow-ups with so many different specialists was overwhelming. So when the oncology nurse navigator, Patti Frelund, RN, called, Aughenbaugh was incredibly relieved. She is deeply grateful for Frelund’s support and assistance. “Patti [Frelund] was always there to help or just to give us a hug. We could always call and say hey, what do I do here?”– not something one can typically expect from a surgeon. Shelley Nielsen, RN, is the supervisor of the oncology patient navigator program at PVH. She was the person who connected Frelund and Aughenbaugh. She explains, “We [as nurse navigators] take patients from initial diagnosis to the end of the process. We try to plug them into resources they need, help them get over the shock, get a plan,” Nielsen says. She often helps people find resources to finance treatment if they have little or no insurance.

Northern Colorado Medical & Wellness 2012

Shelley Nielsen, RN, Supervisor of the Oncology Patient Navigator Program

Kelly Housel, RN, Women and Family Services Nurse Navigator

Nielsen is one of four oncology nurse navigators working at PVH, which has been growing steadily since 2005. The nurses in their program are all certified oncology nurses who work with specific types of cancer, so they have an opportunity to become subject-matter experts in their niche. She says, “This is my retirement job; I’ve worked my whole career to reach this point. It can be demanding, but it is so rewarding, so life-affirming. The patients are so real – they don’t have time for phony. It’s humbling. Oncology helps you see what matters most. We really do change our patients lives.”

with each company, but most patients need a BMI [body mass index] of 35 to 40 with a co-morbid condition like high blood pressure or diabetes, or a BMI of 40 or greater with no co-morbidity. The biggest thing they want to see is a weight loss program and behavioral modification, prior to surgery. They want to see lifestyle change.” The hospital bariatric program includes intensive nutritional counseling and weight loss programs, into which Carpenter steers patients. Carpenter explains that people worry about the stigma of choosing weight loss surgery. “While there are some people who could loose the weight strictly through lifestyle changes, it’s not possible for everyone. Right at a BMI of 40 (typically about 100 lbs. overweight) there is a change. At that weight, only 3 percent of the population can lose their weight by diet and exercise alone.” Understanding the shame and stigma attached to obesity is one of the soft skills that Carpenter brings to her patients. Her deep blue eyes grow teary recalling the calls she has had with potential patients whose insurance didn’t have a benefit for the surgery. A fierce advocate for her patients, Carpenter explains,

Bariatrics The urgency of weight loss surgery is probably less immediate than oncology. However, because it is considered an elective procedure, the hoops that insurance companies require patients to jump through are high and many. Michelle Carpenter, RN, CBN, is the Bariatric Patient Navigator at PVH. She explains that her role was created about two and a half years ago because of the load being placed on the surgeons and their administrative staff to help patients qualify for the procedure. “The process is cumbersome. The requirements are different

“Some people have lost hope. It’s so daunting; they’re so ashamed. It is a privilege to talk to them and listen to them because they are never listened to by anybody. Obesity is the last acceptable social stigma.” Shelly Seaton, who had a gastric bypass procedure at PVH two years ago, has experienced that discrimination firsthand. “Not everyone who is fat is going home with a half gallon of ice cream and a bag of potato chips and eating it all in one sitting.” Seaton was a Type I diabetic her whole life and almost never ate sugar. She says that losing weight became impossible because the medications for her diabetes created a viscious cycle of insulin resistance. When her endocrinologist recommended more medicines to help her body handle the initial meds, she refused and started researching surgical options. Seaton and Carpenter met at a patient orientation where, “Michelle answered all my questions,” Seaton smiles. “She takes the hassle out of going through this. She contacted the insurance, did all the groundwork that makes frustration for patients. Then she just called and said, ‘You’re ready to go!’” Since Dr. Robert Quaid performed her surgery in April of 2010, Seaton has lost 117 pounds. Down from 300, Seaton is clearly very proud of her progress. “I can say it gave me my life back.” She tears up as she remembers what life used to be like. “You start feeling bad so gradually, you accept it. You just don’t realize how bad you felt, until you feel good.” “Now I have determination. I feel pretty for the first time. I can wear normal clothes!” She went from size 24 to 14, and looks sharp. Carpenter listens to Seaton talk and glows with pleasure. “This is what I aim to do,” says the nurse. “It has been so rewarding for me to meet so many wonderful people along the way.”

Women and Family Services In the women and family services department, it can be hard to imagine what could be extremely complicated about delivering babies until you factor in the possibility of a premature infant. PVH has a Level IIIA Neonatal Intensive Care Unit [NICU] and MCR has a Level IIB [Special Care Nursery], which allows PVH to care for infants as early as 28 weeks gestation and MCR to care for infants as early as 34 weeks. Premature infants require a variety of specialists who are there to support the care of these fragile infants. At the same time, parents are typically overwhelmed and exhausted and need supportive care themselves. This is why Women and Family Services now has Nurse Navigator, Kelly Housel, RN. Her role, brand new since last October, is both to help families coordinate care as well as develop programs that support patients and families. She says, “Even after discharge, families going home from NICU or SCN will need extensive care coordination. From neurology, urology, pediatric eye exams, labs, primary care pediatricians... it’s a lot.” Housel’s job is to stay in touch with families whose care requires months to years of CONTINUED ON PAGE 66

Northern Colorado Medical & Wellness 2012

medical

Innovation

Patient â&#x20AC;&#x153;Kentâ&#x20AC;? is ready to film his TrueBeam STx radiation treatment, wearing a ski helmet with a GoPro camera set up he borrowed from Dr. Petit. The camera captures a 180-degree view.

Patient Documents

TrueBeam Experience by Angeline Grenz

It may sound contrary to instinct, but ongoing medical procedures occasionally get a little, well, boring. At least that is what patient Kent* found out during his 9 weeks of daily radiation treatment at Poudre Valley Hospital Radiation Oncology (PVHRO), located on the University of Colorado Health’s (UCH) Harmony Campus.

Boredom, or the potential for it, got Kent thinking. He had waited five months for the health system’s state-of-the-art TrueBeam STx linear accelerator to be ready for patients. He and another patient, both being treated for prostate cancer, were the first patients to receive treatment with the new technology in March. The TrueBeam STx meant that his treatment would be faster and more precise. Kent was two weeks in to his treatment and had a light bulb moment: what if he documented his experience with the TrueBeam to give others an idea of the relative quickness and non-invasive nature of the procedure? Maybe wear one of those helmet cameras throughout the procedure? He mentioned the idea to his doctor, Joshua Petit, M.D., who is also medical director for PVHRO. Not only did Dr. Petit like the idea, he already owned a critical piece of the puzzle. “I had been skiing with my family all winter and had just purchased a brand new helmet camera,” recalls Dr. Petit. He says he is not

Northern Colorado Medical & Wellness 2012

sure if a helmet cam has been used in a medical setting before, but this would be the first time in his experience. They strapped the camera onto Kent and he wore it during several of his treatments, often narrating the experience. Treatments typically lasted between 13 to 15 minutes for the entire process, though the actual radiation was only about two minutes of that time. The remaining time was to allow the high precision imaging system to localize his prostate for each treatment. For Kent, boring was a good thing. This meant there were few surprises during his nine weeks of treatment. He wrapped up his last treatment in the beginning of June. “Everything went so smoothly and the treatments themselves were pretty uneventful,” says Dr. Petit. “His experience was quick and easy, with no significant side effects. We were so pleased.” For Kent, this opportunity was about helping others – while alleviating a little boredom. “This gives people the option of seeing another choice in treatment,” he says. After considering the options, Kent chose radiation treatment. His alternatives were to use the existing linear accelerator or wait for the installation of the new one. For him it was a no-brainer.

The TrueBeam STx can perform a full diagnosticquality CAT scan before each treatment. Here, Dr. Petit reviews CAT scans before delivering one of “Kent’s” radiation treatments.

Now he wants others to understand the ease of treatment with the TrueBeam. “Everybody is so visual, now they can see what they may need to go through and the fact that it is nothing to be afraid of; it is easy and simple,” he says. “He was really happy to help educate other patients,” says Dr. Petit. “This way he can help take away the uncertainty or hesitancy others might have.” The TrueBeam STx is part of a $7.1 million expansion to the radiation oncology department at the Harmony Campus, and it is the first and only TrueBeam STx currently available in Colorado. TrueBeam performs precise image-guided radiosurgery that can surpass the functions of similar technology, like CyberKnife, which does not have soft tissue imaging capabilities. If desired, TrueBeam can perform a full diagnostic-quality CAT scan to precisely localize a tumor every single day, says Dr. Petit. “This machine does everything the CyberKnife can do and more, and with submillimeter accuracy,” says Dr. Petit. He was instrumental in bringing the technology to the health system, having worked with it during his training in the Harvard Radiation Oncology Program. TrueBeam can be used to treat most types of cancers in most areas of the body. The CONTINUED ON PAGE 68

Northern Colorado Medical & Wellness 2012

PHYSICIAN I

Northern Colorado Medical & Wellness 2012

SURGEON T

Y 35

Northern Colorado Medical & Wellness 2012

U N I V E R S I T Y O F C O L O R A D O H E A LT H

Physician Group Focused on Quality

Russ Branzell, Chief Executive Officer Colorado Health Medical Group

Dear Community Member: While the politics of healthcare reform are uncertain, what is clear is how proactive University of Colorado Health is being to make sure our community gets choice and access to the care it needs. Poudre Valley Health System, which is now called University of Colorado Health (UCH), embarked on a quest in 2001 to create our own healthcare reform. Our early efforts resulted in receiving the Malcolm Baldrige National Quality Award, a Congress-created honor presented by the president to recognize the nation’s top-performing leaders in industry, education and healthcare. After receiving that enormous honor, we built upon our efforts and forged a path for improvements necessary to continue providing world-class care. One of our most important efforts – this back in 2009 – was to create Poudre Valley Medical Group, designed to be comprised of family medicine and multi-specialty physician groups from throughout the region. In early summer 2012, the organization changed its name to Colorado Health Medical Group. CHMG is physician-led, an important feature. The idea is that doctors, in collaboration with administrators, are instrumental in making medical and strategic decisions. Aligning local physicians into CHMG is strategically important because it helps UCH coordinate care, contain costs and improve quality. CHMG also helps UCHealth prepare for changes in payment structures that will come about in the near future. Our intention is to assist UCHealth efforts so local healthcare can continue to improve beyond its already high level of quality. CHMG’s goal is to have physicians and healthcare services everywhere you might be, whether it’s in Fort Collins, Loveland, Windsor, Greeley, Cheyenne or elsewhere. More than two dozen physicians groups have joined the organization. We’re moving ahead to accomplish collaboration and other successes in healthcare. Our promise to you is high-quality care. With my best regards, Russ Branzell Chief Executive Officer Colorado Health Medical Group

university of colorado health *Physician and surgeon list provided by UCH. This list is current as of 6/15/2012. Address locations are in Fort Collins unless otherwise indicated.

ALLERGY/IMMUNOLOGY

PHYSICIAN 2012 | 2013 &SURGEON directory for PVH & MCR*

Pace, R. Scott, MD 6801 W. 20th Street, Ste. 206 (Greeley). ......................................353.0155

Cochran, Thomas S., Jr., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Krohn, Douglas D., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

George, Anna, MD 608 E. Harmony Rd., Ste. 101 .......498.9226

ANESTHESIOLOGY

Deringer, Michael A., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Lichon, Amy M., DO 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Gogate, Shaila U., MD 2121 E. Harmony Rd., Ste. 350 .....221.2370

Adams, Ryan S., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Derrisaw, James, MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Marks, Sandy C., III, MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Alessi, Richard D., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page, page 99, page 100

Dunn, Duane L., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Markus, Jennifer L., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Bindseil, Richard, DO 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Eisenmenger, Michael J., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Martinez, Alice, MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Lanting, William A., MD 1029 Robertson St .......................227.4611

Bobo, Russell W., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Fife, Jason D., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Miller, Justin D., MD 1236 E. Elizabeth St., Ste. 1 ..........224.2985 See ad on this page

Murthy, Krishna C., MD 2121 E. Harmony Rd., Ste. 350 .....221.2370 See ad on page 33

Carline, Marylida, MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Ford, Troy A., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Moss, William E., DO 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Fortner, Corwyn, MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Muncy, Travis R., DO 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Fortner, Sandra T., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Neff, William A., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Harrison, William L., MD 1236 E. Elizabeth St., Ste.1 ..........224.2985 See ad on this page

Olsen, Kimberlee J., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Hodges, Kathleen A., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Perschau, Erik R., DO 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Horne, Stephen G., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Raymond, Jeffrey D., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Jennings, James, MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Richardson, Emily C., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Keate, Tyler L., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Roman, Kathleen D., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Kirsch, Timothy E., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Salimbeni, Julio C., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Koepp, Jeffrey, MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Serell, Sean M., MD 1236 E. Elizabeth St., Ste.1 ...........224.2985 See ad on this page

Culver, William G., MD 608 E. Harmony Rd., Ste. 101 .......498.9226

Gondalia, Lakhman L., MD Cheyenne, WY .......................307.778.2015 James, John M., MD 1136 E. Stuart St., Bldg. 3-200 .....221.1681 Kailasam, Velusamy, MD 2121 E. Harmony Rd., Ste. 350 .....221.2370 See ad on page 33

Soma, Thomas D., MD 1236 E. Elizabeth St., Ste.1 .........224.2985 See ad on page 40

Johnson, C. Timothy, MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Stenbakken, Gelerie D., MD 1236 E. Elizabeth St., Ste.1 .........224.2985 See ad on page 40

Kiser, Robert H., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Velasco, Stephen E., MD 1236 E. Elizabeth St., Ste.1 .........224.2985 See ad on page 40

Larson, Dennis G., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Vizena, Annette S., MD 1236 E. Elizabeth St., Ste.1 .........224.2985 See ad on page 40

Luckasen, Gary J., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Wagner, Jan Gillespie, MD 1175 58th Avenue, Ste. 202 (Greeley) ..495.0300

Miller, William E., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Watrous, Dwain D., MD 1236 E. Elizabeth St., Ste.1 .........224.2985 See ad on page 40 Weiner, Kelli L., MD 1236 E. Elizabeth St., Ste.1 .........224.2985 See ad on page 40 Williams, Daniel K., MD 1236 E. Elizabeth St., Ste.1 .........224.2985 See ad on page 40 Williams, Wendy M.H., MD 1236 E. Elizabeth St., Ste.1 .........224.2985 See ad on page 40

CARDIOLOGY Ashmore, Roger C., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54 Austin, Wendy J., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54 Baker, William B., MD 940 Central Park Dr., Ste. 290 Steamboat Springs ......................970.870.1035 Doing, Anthony H., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54 Dow, Tristan J., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54 Downes, Thomas R., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54 Green, C. Patrick, MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54 Heath, Russell R., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Myers, Gerald I., MD 940 Central Park Dr., Ste. 290 Steamboat Springs ......................970.870.1035

West, B. Lynn, MD 3726 S. Timberline Rd., Ste. 101 ..221.5795

EAR, NOSE & THROAT (OTOLARYNGOLOGY)

Green, Jason T., DO 1024 S. Lemay Ave. .....................495.7000 Hallahan, Tara A. DO 1024 S. Lemay Ave. .....................495.7000

Conlon, William Sean, MD 1032 Luke St. .....................................484.8686

Hermstad, Erik L., MD 1024 S. Lemay Ave. .....................495.7000

Dellota, Maria S., MD 1006 Centre Ave. ...............................482.9001

Hutchison, Timothy J., MD 1024 S. Lemay Ave. .....................495.7000

Eriksen, Christopher M., MD 1120 E. Elizabeth St., F-101 ........221.1177 See ad on page 42, page 99 and page 100

Johnston, P. Scott, MD 1024 S. Lemay Ave. .....................495.7000

Gill, Sarvjit “Sarge”, MD 3820 N. Grant Ave. (Loveland) ....593.1177 See ad on page 42 Gupta, Sanjay K., MD 6500 29th Street, Ste.106 (Greeley) .330.5555 See ad on page 73

Purvis, Matthew T., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Loury, Mark C., MD 2001 S. Shields St., Bldg. E-101 ..493.5334 See ad on page 37, page 99 and page 100

Sammond, William H., MD 1000 Lincoln St., Ste. 207 Fort Morgan ................................970.867.7900

Robertson, Matthew L., MD 1120 E. Elizabeth St., F-101 ........221.1177 See ad on page 42

Stoltz, Chad L., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Runyan, Brad, MD 2121 E. Harmony Rd., Ste. 350 ...212.0169 See ad on page 99 and page 100

Strote, Justin A., MD 2121 E. Harmony Rd., Ste. 100 ..221.1000 See ad on page 54

Sabour, Sarmad, MD 6500 29th Street, Ste.106 (Greeley) .330.5555 See ad on page 73

Treat, Stephen A., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Smith, Bruce M., MD 2121 E. Harmony Rd., Ste. 350 ...484.6373 See on page 99 and page 100

DERMATOLOGY

Green, Gabriel E., DO 1024 S. Lemay Ave. .....................495.7000

Chen, Arthur F., MD 5881 W. 16th Street (Greeley). ...313.2740

Oldemeyer, John Bradley, MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Whitsitt, Todd B., MD 2121 E. Harmony Rd., Ste. 100 ...221.1000 See ad on page 54

Farstad, David J., MD 1024 S. Lemay Ave. .....................495.7000

Luttrell, Matthew, MD 1024 S. Lemay Ave. .....................495.7000 Mosiman, Robert J., MD 1024 S. Lemay Ave. .....................495.7000 Olsen, Eric B., MD 1024 S. Lemay Ave. .....................495.7000 Patrick, Kenneth M., DO 1024 S. Lemay Ave. .....................495.7000 Philbeck, G. Ken, MD 1024 S. Lemay Ave. .....................495.7000 Solley, Matthew C., MD 1024 S. Lemay Ave. .....................495.7000 Springfield, Tracy J., MD 1024 S. Lemay Ave. .....................495.7000 Teumer, James K., DO 1024 S. Lemay Ave. .....................495.7000 Tremblay, Darren E., DO 1024 S. Lemay Ave. .....................495.7000 Wideman, Eric W., DO 1024 S. Lemay Ave. .....................495.7000

Wold, Stephen M., MD 1120 E. Elizabeth St., F-101 ........221.1177 See ad on page 42

Wood, Ian O., DO 1024 S. Lemay Ave. .....................495.7000

Zacheis, David H., MD 3820 N. Grant Ave. (Loveland) ...593.1177 See ad on page 42

ENDOCRINOLOGY Hughes, Gregory B., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) ...........224.3636

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

EMERGENCY MEDICINE

Blattner, Mary A., MD 5881 W. 16th Street (Greeley) ....313.2734

Apostle, Michael J., MD 1024 S. Lemay Ave. .....................495.7000

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

Arguelles, Carlos A., MD 1024 S. Lemay Ave. .....................495.7000

Kalajian, Andrew H., MD 1120 E. Elizabeth St., Bldg. G2 ...484.6303

Campain, James J., MD 1024 S. Lemay Ave. .....................495.7000

FAMILY MEDICINE

Kornfeld, Bruce W., MD 1006 Centre Ave. ........................482.9001

Dellota, Kriss, MD 1024 S. Lemay Ave. .....................495.7000

Abrahamson, Lara, MD 1113 Oakridge Dr. .............................225.0040

Northern Colorado Medical & Wellness 2012

Izon, Meriam P., MD 2121 E. Harmony Rd., Ste. 300 ...295.0010 Widom, Barbara, MD 1106 E. Prospect Rd., Ste. 100 ....224.3636

Anderson, Emily R., MD 1455 Main St., Ste.100 (Windsor) .686.3950 See ad on page 34 Askew, Crystal D., MD 1918 S. Lemay Ave., Ste. A ....................494.4531 Bailey, Austin G., Jr., MD 1025 Pennock Pl. .................................495.8800 Bakanauskas, Egle A., MD 1455 Main St., Ste.100 (Windsor) ...686.3950 See ad on page 34 Bender, John L., MD 4674 Snow Mesa Dr., Ste. 140 .............482.0213 Bermingham, Roger P., MD 1025 Pennock Pl. .................................495.8800

Broman, Steven D., MD 1107 S. Lemay Ave. Ste. 200 .................484.1757 Burnham, Linda A., MD 4674 Snow Mesa Dr., Ste. 140 .............482.0213 Butler, Lisa R., DO 1212 E. Elizabeth St. ............................482.2791 Carey, Michael V., MD 1455 Main St., Ste.100 (Windsor) ....686.3950 See ad on page 34 Carroll, Cory D., MD 1040 E. Elizabeth St., Ste.102 ...............221.5858 Cawley, John C., MD 2025 Bighorn Dr. ..................................229.9800

Bethards, Kelby F., MD 2127 E. Harmony Rd. ...........................297.6250

Charnecki, Sara E., MD 620 Iris Dr. (Sterling) .....................970.522.7266

Birnbaum, Bernard J., MD 1025 Pennock Pl. .................................495.8800

Clingenpeel, Michele, MD 3850 N. Grant Ave., Ste.100 (Loveland) ...624.5150

Bradley, Robert C., III, MD 1455 Main St., Ste.100 (Windsor) ....686.3950 See ad on page 34

Coburn, Thomas C., MD 3810 N. Grant Ave. (Loveland) ..............669.8881

Brewington, Flora H., MD 1124 E. Elizabeth St., Bldg. C ..............484.0798

Corona, Joseph A., MD 5881 W. 16th Street (Greeley) .........313.2700 See ad on page 34

Brickl, Ian D., MD 1455 Main St., Ste.150 (Windsor) ........686.0124

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

Davies, Ann T., MD 1625 Foxtrail Dr. (Loveland) ............619.6900 See ad on page 34 DeYoung, Douglas B., DO 1014 Centre Ave ..................................482.8881 Duran, Matthew G., MD 1212 E. Elizabeth St. ............................482.2791 Felix, Kevin A., DO 3850 N. Grant Ave., Ste. 100 (Loveland) .........................................624.5170 See ad on page 34

Gray, April K., MD 1918 S. Lemay Ave., Ste. A . ..................494.4531 Guiroy, Jessica A., MD 1113 Oakridge Dr. ................................225.0040 Haldy, Megan E., DO 3000 S. College Ave., Ste. 210 ..............266.8822 Henderson, Sandra E., MD 2025 Bighorn Dr. ..................................229.9800 Hill, Karen D., DO 2127 E. Harmony Rd. ...........................297.6250

Ferguson, David R., MD 3000 S. College Ave., Ste. 210 ..............266.8822

Hoenig, Mark W., MD 2362 E. Prospect Rd., Ste. A .................495.0999

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

Jinich, Daniel B., MD 2001 S. Shields St., Bldg. E-201 ............221.9991

Fox, Judith B., MD 3850 N. Grant Ave., Ste. 100 (Loveland) ..624.5150

Johns, Stacie L., MD 1635 Blue Spruce Dr. ............................494.4040

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

Kauffman, Jeffrey N., MD 1124 E. Elizabeth St., Bldg. C ...............484.0798

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

Kesler, James M., MD 3519 Richmond Dr. ..............................204.0300

Goacher, C. Lee, MD 2127 E. Harmony Rd. ...........................297.6250

Klingner, Susan K., MD 2025 Bighorn Dr. ..................................229.9800

Grauerholz, Brent D., MD 1900 16th Street-Urgent Care (Greeley) ..350.2454

Lembitz, Deanne D., MD 4630 Royal Vista Cir., Ste.7 (Windsor) ...530.0575

Lesage, Margaret R., MD 1455 Main St., Ste. 150 (Windsor) ......686.0124

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

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

Dunphy, Rebecca C., MD 3702 S. Timberline Dr., Bldg. A ....207.9773

Levine, Pamela R., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) ............................203.7180

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

Taliaferro, Peyton, MD 1327 Eagle Dr. (Loveland) ..............619.6450 See ad on page 34

Durkan, Mark N., MD 3702 S. Timberline Dr., Bldg. A ....207.9773

Ley, James W., MD 5881 W. 16th Street (Greeley). .......313.2700 See ad on page 34 Link, David W., MD 2127 E. Harmony Rd. .........................297.6250 Litel, Alexa L., MD 1025 Pennock Pl., Ste. 121 .................495.8980 Lockwood, Stephanie R., MD 3519 Richmond Dr. ............................204.0300 Loeb, Mark H., MD 2127 E. Harmony Rd. .........................297.6250 Lopez, Joseph M., MD 1136 E. Stuart St., Ste. 4202. ..............221.5925 Lowther, Kelly H., MD 1014 Centre Ave ................................482.8881 Loy, Brienne J., MD 1106 E. Prospect Rd., Ste. 100 ...........495.7410

Noordewier, Edwin R., MD 1900 16th Street-Urgent Care (Greeley) .............................................350.2454

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

Nystrom, Robert R., DO 1900 16th Street (Greeley) .................350.2471

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

Oligmueller, William J., MD 5881 W. 16th Street (Greeley) .......313.2700 See ad on page 34

Towbin, Michael M., MD 1217 Riverside Ave. ............................482.7800

Orozco-Peterson, Marilu, MD 811 E. Elizabeth St. ............................224.1596 Ottolenghi, David R., MD 2121 E. Harmony Rd., Ste. 310 ...........221.3855 Palagi, Patricia C., MD 3000 S. College Ave., Ste. 210 ............266.8822 Podhajsky, Tim P., MD 2025 Bighorn Dr. ................................229.9800 Ptaszkiewicz, Matt J., MD 3000 S. College Ave., Ste. 210 ............266.8822

Van Farowe, Cynthia K., MD 3519 Richmond Dr. ............................204.0300

McElwee, Hugh P., MD 3702 S. Timberline Dr., Bldg. A ....207.9773

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

North, Crystal M., DO 2555 E.13th Street, Ste. 220 (Loveland) ..................................669.5432

Weiskittel, Deborah A., MD 1113 Oakridge Dr. ..............................225.0040 Wideman, JD, DO 3519 Richmond Dr .............................204.0300 Wilson, Fiona A., MD 1107 S. Lemay Ave. Ste. 200 ...............484.1757

Marchant, David R., MD 1025 Pennock Pl. ...............................495.8800

Reichert, Bryan K., MD 4674 Snow Mesa Dr., Ste. 140 ...........482.0213

Mason, R. Anthony, MD 4630 Royal Vista Cir., Ste. 7 (Windsor) ..530.0575

Rivera, Kristine M., DO 1212 E. Elizabeth St ...........................482.2791

Mayer, Paul T., MD 1025 Pennock Pl., Ste. 121 .................495.8980

Robinson, Anne L., MD 1107 S. Lemay Ave. Ste. 200 ...............484.1757

McCarthy, Victoria A., MD 2001 S. Shields St., Bldg. I ..................221.5255

Rodriguez, Juan B., DO 4674 Snow Mesa Dr., Ste. 140 ...........482.0213

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

Rotman, Mark F., MD 2001 S. Shields St., Bldg. I ..................221.5255

McIntosh, Deric D., MD 1625 Foxtail Dr. (Loveland) ............619.6900 See ad on page 34

Samuelson, Scott J., MD 1124 E. Elizabeth St., Bldg. C .............484.0798

Sachtleben, Thomas R., MD 2500 E. Prospect Rd. ...................493.0112 See ad on page 9

Schmalhorst, Brian K., MD 5881 W. 16th Street (Greeley). .......313.2700 See ad on page 34

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

Schmidt, David S., MD 2001 S. Shields St., Bldg. I ..................221.5255

Yemm, Stephen J., MD 2500 E. Prospect Rd. ...................493.0112 See ad on page 9

Merkel, Lawrence A., MD 2121 E. Harmony Rd., Ste. 370 ...........221.2290 Miller, Laurie A., MD 1635 Blue Spruce Dr. ..........................494.4040 Montes, Sharon D., MD 3850 N. Grant Ave., Ste. 100 (Loveland) ..........................................624.5150

Wozniak, Janell R., MD 1025 Pennock Pl. ...............................495.8800

FAMILY MEDICINE/SPORTS MEDICINE Abrahamson, Bradley S., MD 1107 S. Lemay Ave. Ste. 200 ..............484.1757 Ross, Vincent J., MD 2500 E. Prospect Rd. ...................493.0112 See ad on page 9

Siple, Anne I., MD 2025 Bighorn Dr ................................229.9800 Stephens, Floyd V., Jr., MD 3519 Richmond Dr. ............................204.0300

Northern Colorado Medical & Wellness 2012

Nosler, Michael J., MD 1107 S. Lemay Ave., Ste. 240 ......495.7421 Sears, Stephen R., MD 2555 E.13th Street, Ste. 220 (Loveland) ..................................669.5432 Simmons, Robert A., MD 3702 S. Timberline Dr., Bldg. A ....207.9773 Strong, Lewis R., MD 2555 E.13th Street, Ste. 220 (Loveland) ..................................669.5432 Witt, Peter C., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) ...........203.7010

HEMATOLOGY/ONCOLOGY Fangman, Michael P., MD P.O. Box 271040 ................................217.5160 Kanard, Anne M., MD 2121 E. Harmony Rd., Ste. 150 ..........493.6337 Kemme, Douglas J., MD 1675 18th Ave., Ste. 3 (Greeley) .........347.5780 Lininger, Thomas R., MD 1675 18th Ave., Ste. 3 (Greeley) .........347.5780 Marschke, Robert F., Jr., MD 2121 E. Harmony Rd., Ste. 330 ...........297.6150

Seeton, James F., MD 2211 S. College Ave., Ste. 300 ............237.6339 Serrano-Toy, Monica T., MD 2121 E. Harmony Rd., Ste. 370 ...........221.2290

Kading, Steven O., MD 1900 16th Street (Greeley) .........350.2740 Langer, Daniel A., MD 2555 E.13th Street, Ste. 220 (Loveland) ..................................669.5432

Rangel, Keith A., MD 1455 Main St., Ste.100 (Windsor) ..686.3950 See ad on page 34

Mercer, Jeannette Y., MD 2555 E. 13th Street, Ste. 110 (Loveland) ..........................................461.6140

Jenkins, Joseph X., MD 3702 S. Timberline Dr., Bldg. A ....207.9773

Unger, Mark S., MD 1113 Oakridge Dr. ..............................225.0040

MacDonald, Nola A., DO 315 Canyon Ave., Ste. 3 .....................472.8008

McLaughlin, Keith C., MD 1025 Pennock Pl., Ste. 121 .................495.8980

Holland, Rodney R., MD 3702 S. Timberline Dr., Bldg. A ....207.9773

GASTROENTEROLOGY Compton, Rand F., MD 3702 S. Timberline Dr., Bldg. A ....207.9773 Dowgin, Thomas A., MD 7251 W. 20th Street, Bldg. J (Greeley) ....................................378.1414

McFarland, Ross W., MD 2315 E. Harmony Rd., Ste. 110 ...........212.7600 Medgyesy, Diana C., MD 2315 E. Harmony Rd., Ste. 110 ..........212.7600 Moore, James C., MD 2315 E. Harmony Rd., Ste. 110 ...........212.7600

Romero, Paolo, MD 2121 E. Harmony Rd., Ste. 150 ...........493.6337 Scott, Miho Toi, MD 2121 E. Harmony Rd., Ste. 150 ...........493.6337 Shelanski, Samuel A., MD 2975 Ginnala Dr., Ste. 120 (Loveland) ..667.7870 Sorensen, Matthew D., MD 2121 E. Harmony Rd., Ste. 150 ............493.6337 Stone, Michael D., MD 1675 18th Ave., Ste. 3 (Greeley) ...........347.5780 Stroh, Ann L., DO 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) .....................203.7080

INFECTIOUS DISEASES Cobb, David K., MD 2121 E. Harmony Rd., Ste. 380 .....224.0429

Demacopoulos, Nicola D., MD 4674 Snow Mesa Dr., Ste. 100 .....482.3712 See ad on page 34 Ebens, John B., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) .....................................203.7050 See ad on page 34 Ellis, Robert H., MD 1024 S. Lemay Ave. ..............................495.7000 Hendrick, James D., MD 1939 Wilmington Dr., Ste. 102 .............980.6024

Thompson, Keith S., MD 2500 Rocky Mountain Ave. N. Medical Office Building (Loveland) .....................................203.7050 See ad on page 34

Drysdale, Christopher R., MD 4674 Snow Mesa Dr., Ste. 120 ......266.3650

Tryggestad, David I., MD 1900 16th Street (Greeley) ...........350.2438 See ad on page 34

Simmons, Mark S., MD 4674 Snow Mesa Dr., Ste. 120 ......266.3650

Zenk, Daniel R., MD 2500 Rocky Mountain Ave. N. Medical Office Building (Loveland) ....................................203.7050 See ad on page 34

Hendrick, Jennifer M., MD 4674 Snow Mesa Dr., Ste. 100 ......482.3712 See ad on page 34

INTERNAL MEDICINE/ HOSPITALISTS

Herrera, Xavier, MD 1100 Poudre River Dr. ..........................224.9508

Austin, William Bennett, DO 2121 E. Harmony Rd., Ste. 300 .....224.9102

Hess, Eric J., MD 1106 E. Prospect Rd., Ste. 100 ......495.7410 See ad on page 34

LiaoOng, Jacob C., MD 2121 E. Harmony Rd., Ste. 380 .....224.0429

Homburg, Robert C., MD 1100 Poudre River Dr. ..........................224.9508

Peskind, Robert L., MD 2121 E. Harmony Rd., Ste. 380 .....224.0429

Juhala, Robert J., MD 4674 Snow Mesa Dr., Ste. 100 ......482.3712 See ad on page 34

Clipsham, Victoria A., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102 Filipowski, Piotr J., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102 Johnston, Christine G., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102 Knepper, Katherine L., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102

Khera, Sukhjinder K., MD 1106 E. Prospect Rd., Ste. 100 ......495.7410 See ad on page 34

Lampman, Robert W., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102

Abbey, David M., MD 1100 Poudre River Dr. ..........................224.9508

Lamb, Richard C., MD 620 Iris Dr. (Sterling) .....................970.522.7266

LumLung, Christine M., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102

Agrama, Susan D., MD 1327 Eagle Dr. (Loveland) ............619.6450 See ad on page 34

Lopez, William, Jr., MD 2500 Rocky Mountain Ave. N. Medical Office Building (Loveland) .....................................203.7050 See ad on page 34

Mack, Adam G., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102

INTERNAL MEDICINE

Asadi, S. Daniel, DO 4401A Union St. (Johnstown) ...............619.3656 Berntsen, Mark F., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) .....................................203.7050 See ad on page 34 Brown, Regina J., MD 2121 E. Harmony Rd., Ste. 150 .............493.6337 Cash, Robert L., MD 1900 16th Street (Greeley) ..........350.2438 See ad on page 34 Christiansen, Dana L., MD 1900 16th Street (Greeley) ..........350.2438 See ad on page 34 Copple, Sheila A., DO 2500 Rocky Mountain Ave. N. Medical Office Building (Loveland) .....................................203.7050 See ad on page 34

Lynch, Michael J., DO 1101 Oakridge Dr., Ste. B .....................223.1199 Nowak, Bonnie, MD 1106 E. Prospect Rd., Ste. 100 ......495.7410 See ad on page 34 Ow, Cathy L., MD 4674 Snow Mesa Dr., Ste. 100 ......482.3712 See ad on page 34 Randle, Michael T., MD 2500 Rocky Mountain Ave. N. Medical Office Building (Loveland) .....................................203.7050 See ad on page 34

Maller, Nancy T., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102 Osborn, Michael D., DO 2121 E. Harmony Rd., Ste. 300 .....224.9102 Reghitto, Charmaine D., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102 Spannring, Mary M., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102 Tadikonda, Sandhya, MD 2121 E. Harmony Rd., Ste. 300 .....224.9102 Woelk, Jennifer L., MD 2121 E. Harmony Rd., Ste. 300 .....224.9102 Yoder, Elizabeth Anne, MD 2121 E. Harmony Rd., Ste. 300 .....224.9102

Lang, Christina, MD 4674 Snow Mesa Dr., Ste. 120 ......266.3650

MATERNAL & FETAL MEDICINE Heyborne, Kent D., MD 2055 High St. (Denver) ..........303.860.9990 Porreco, Richard P., MD 2055 High St. (Denver) ..........303.860.9990 Stettler, R. William, MD 2055 High St. (Denver) ..........303.860.9990

NEONATOLOGY Delaney, Cassidy A., MD 13123 E. 16th Avenue, B070, Neonatology (Aurora) ................................303.724.2840 Kinsella, John P., MD 13123 E. 16th Avenue, B070, Neonatology (Aurora) ................................303.724.2840 MacRitchie, Amy N., MD PVH, 1024 S. Lemay Ave. ..............495.8280 Paisley, Jan E., MD PVH, 1024 S. Lemay Ave. ..............495.8280 Satterwhite, Daniel J., MD PVH, 1024 S. Lemay Ave. ..............495.8280 Thilo, Elizabeth H., MD 13123 E. 16th Avenue, B070, Neonatology (Aurora) ................................303.724.2840 Wilkening, Randall B., MD 13123 E. 16th Avenue, B070, Neonatology (Aurora) ................................303.724.2840

NEPHROLOGY Ahuja, Nilesh H., MD 1600 Specht Point Rd., Ste. 127 ....493.7733 Merritt, Jason L., MD 1600 Specht Point Rd., Ste. 127 ....493.7733 Muelken, Kevin D., MD 1600 Specht Point Rd., Ste. 127 ....493.7733 Rademacher, Donald R., MD 1900 16th Street (Greeley) ..........350.2438

Reimer, Christina M., MD 4674 Snow Mesa Dr., Ste.100 ......482.3712 See ad on page 34

INTERNAL MEDICINE/PEDIATRICS

Simmons, Richard E., MD 1600 Specht Point Rd., Ste. 127 ....493.7733

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

Capes, Geoffrey G., MD 4674 Snow Mesa Dr., Ste. 120 ......266.3650

Singer, James R., MD 1600 Specht Point Rd., Ste. 127 ....493.7733

Teruel, Mark A., MD 1600 Specht Point Rd., Ste. 127 ..493.7733

NEUROLOGY Allen, Timothy J., MD 2121 E. Harmony Rd., Ste. 270 ...221.1993 Curiel, Michael P., MD 2121 E. Harmony Rd., Ste. 270 ...221.1993 Friedman, Sheri J., MD 2500 Rocky Mountain Ave., N. Medical Office Building, Ste. 310 (Loveland) ................667.7664 Himes, Terry M., DO 2500 Rocky Mountain Ave.,S. Medical Office Building Ste. 310 (Loveland) .....619.6000 Katuna, Bruce A., MD 2217 Harvard Ct. (Longmont) ......303.776.5298 McIntosh, Gerald C., MD 1106 E. Prospect Rd., Ste. 100 ...........482.4373 Meredith, Lawrence A., MD 2500 Rocky Mountain Ave., N. Medical Office Building, Ste. 310 (Loveland) ....667.7664 Miller, Tamara A., MD 2121 E. Harmony Rd., Ste. 180 ...226.6111 See ad on page 59

Nash, Jerry D., MD 2121 E. Harmony Rd., Ste. 180 ...226.6111 See ad on page 59 Strader, Scott B., MD 1106 E. Prospect Rd., Ste. 100 ...........482.4373

OBSTETRICS/GYNECOLOGY

Hoffman, Mark F., MD 1136 E. Stuart St., Ste. 2100 ..............493.5904

Roberson, Nicole M., MD 1107 S. Lemay Ave. Ste. 300 ...............493.7442

James, Warren K., MD 1107 S. Lemay Ave. Ste. 300 .......493.7442 See ad on page 99 and on page 100

Serniak, Elizabeth K., MD 1107 S. Lemay Ave. Ste. 300 .......493.7442 See ad on page 99 and on page 100

Jeffrey, R. Lee, MD 1107 S. Lemay Ave. Ste. 300 ...............493.7442

Skorberg, Christine F., MD 1006 Luke St. .....................................419.1111 Stern, J. Bradley, MD 1107 S. Lemay Ave. Ste. 300 .......493.7442 See ad on page 99 and on page 100

Beresford, Kaea N., MD 1107 S. Lemay Ave. Ste. 300 ...............493.7442

King, Angela K., MD 1107 S. Lemay Ave. Ste. 300 .......493.7442 See ad on page 99 and on page 100

Burket, Charles R., MD 1900 16th Street (Greeley) .................350.2403

Kiser, Rick E., MD 1900 16th Street (Greeley) .................350.2403

Tool, Kevin J., MD 1107 S. Lemay Ave. Ste. 300 .......493.7442 See ad on page 99 and on page 100

Carter, Susan D., MD 1800 15th Street, Ste. 220 (Greeley) ..353.1335

Kozak, Susan H., MD 1107 S. Lemay Ave. Ste. 300 .......493.7442 See ad on page 99 and on page 100

Vance, Maude M., MD 1107 S. Lemay Ave. Ste. 300 .......493.7442 See ad on page 99 and on page 100

Cloyd, David G., MD 1136 E. Stuart St., Ste. 2100 ..............493.5904 Donnelley, Beverly E., MD 1107 S. Lemay Ave. Ste. 300 .......493.7442 See ad on page 99 and on page 100 Geraghty, Kyra L., MD 1025 Pennock Pl. ...............................495.8800

Ludwin, Gary A., MD 1107 S. Lemay Ave. Ste. 300 ...............493.7442 Micetich, Kara L., MD 1107 S. Lemay Ave. Ste. 300 .......493.7442 See ad on page 99 and on page 100

Hayes, Karen E., DO 1224 E. Elizabeth St. ..........................221.4977

Priebe, Philip N., MD 1107 S. Lemay Ave. Ste. 300 .......493.7442 See ad on page 99 and on page 100

Hayes, Kimberly W., MD 1136 E. Stuart St., Ste. 2100 ..............493.5904

Reeve, Jennifer L., MD 1107 S. Lemay Ave. Ste. 300 ..............493.7442

Northern Colorado Medical & Wellness 2012

Worford, Cherie L., MD 1006 Luke St. .....................................419.1111 Yeh, Eric M., MD 1107 S. Lemay Ave. Ste. 300 ...............493.7442

OBSTETRICS/GYNECOLOGY/ INFERTILITY Bachus, Kevin E., MD 1080 E. Elizabeth St. ...................493.6353 See ad on page 99 and on page 100

OCCUPATIONAL MEDICINE Charbonneau, John D., MD 1900 16th Street (Greeley) .................350.2471 Holthouser, Michael G., MD 4674 Snow Mesa Dr., Ste. 200 ...........495.8450 O’Connell, Kevin T., MD 4674 Snow Mesa Dr., Ste. 200 ...........495.8450 O’Toole, Kevin J., DO 4674 Snow Mesa Dr., Ste. 200 ...........495.8450 Stefanon, Tracey L., DO 4674 Snow Mesa Dr., Ste. 200 ...........495.8450 Yanagi, Ann K., MD 4674 Snow Mesa Dr., Ste. 200 ...........495.8450

OPHTHALMOLOGY Arnold, Patrick D., MD 1725 E. Prospect Rd. ............................221.2222 Bashford, Kent P., DO 1725 E. Prospect Rd. ............................221.2222 Crews, Kent R., MD 1725 E. Prospect Rd. ............................221.2222 Foster, Gary J., MD 1725 E. Prospect Rd .....................221.2222 See ad on page 45 Korotkin, Arthur, MD 1725 E. Prospect Rd .............................221.2222 Norris, Andrew M., MD 2121 E. Harmony Rd., Ste. 190 .............224.2020 Olsen, Karl E., MD 1725 E. Prospect Rd ......................221.2222 See ad on page 45 Reistad, Chet E., MD 1725 E. Prospect Rd. .....................221.2222 See ad on page 65 Robinson, Matthew J., MD 1725 E. Prospect Rd. .....................221.2222 See ad on page 45 Smith, Randall W., MD 1725 E. Prospect Rd. .....................221.2222 See ad on page 45

Nicholas, Kenton C., DDS 1900 16th Street (Greeley) ...................350.2458 Orr, Mark F., DDS, MD 2014 Caribou Dr., Ste. 100 ...................225.9555 Reynolds, Ralph R., DMD, MD 3520 E. 15th Street, Ste. 102 (Loveland) ...663.6878 Thurgood, David B., DDS 4609 S. Timberline Rd., Ste. 104B .........498.0196 Troxell, James B., DDS 1120 E. Elizabeth St., Ste. G3 .......482.6811 See ad on page 21

ORTHOPEDICS Baer, Robert M., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9 Beard, David A., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9 Beard, Douglas W., MD 1313 Riverside Ave. ......................493.1292 See ad on page 36, page 99 and page 100

Grossnickle, Mark D., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) ..............................203.7100 Hartman, Ryan L., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9 Houghton, Michael J., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9 Hunter, Brett P., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) ..............................203.7100 Jackson, Wesley P., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9 Javernick, Matthew A., MD 2500 E. Prospect Rd. ............................493.0112

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

Chamberlain, Satoru T., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

Nelson, Garth C., MD 1020 Luke St. .......................................493.2102

Durbin, Mark B., MD 2500 E. Prospect Rd. . ...................493.0112 See ad on page 9

Pettine, Kenneth A., MD 3810 N. Grant Ave. (Loveland) ..............669.8881 Rusnak, Michael P., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9 Seiler, Steven J., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

Hamner, H. Wentzell, MD 5802 Wright Dr. (Loveland) ..........212.0530 See ad on page 13 Libby, Arlene L., MD 5802 Wright Dr. (Loveland) ..........212.0530 See ad on page 13 Mattoch, Ingerlisa W., MD 5802 Wright Dr. (Loveland) ..................212.0530 Neuhauser, Thomas S., MD 5802 Wright Dr. (Loveland) ..........212.0530 See ad on page 13 Pizzi, Catherine C., MD 5802 Wright Dr. (Loveland) ..........212.0530 See ad on page 13 Walts, Michael J., MD 5802 Wright Dr. (Loveland) ..........212.0530 See ad on page 13

PEDIATRICS

Sobel, Roger M., MD 2500 E. Prospect Rd. ............................493.0112

Anderson, Carole M., DO 1200 E. Elizabeth St .............................267.9510

Young, Eric E., MD 3830 N. Grant Rd. (Loveland) ...............776.3222

Archer, Deborah M., MD 1635 Blue Spruce Dr. ............................494.4040

Grant, Lee B., MD 2500 E. Prospect Rd. ...........................493.0112

Bley, Justin C., DMD 1707 61st Avenue, Ste. 102 (Greeley) ..............................................506.0350

Grant, Michael P., MD 3810 N. Grant Ave. (Loveland) ..............669.8881

ORTHOPEDICS/SPORTS MEDICINE

Grey, Sean G., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

Trumper, Rocci V., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

Bee, Christopher S., MD 5802 Wright Dr. (Loveland) ..........212.0530 See ad on page 13

Snyder, Joshua T., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) ..............................203.7100

ORAL/MAXILLOFACIAL

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

PATHOLOGY

Halbert, Richard E., MD 5802 Wright Dr. (Loveland) ..........212.0530 See ad on page 13

McFerran, Mark A., MD 3470 E. 15th Street (Loveland) ....663.3975 See ad on page 9

Duncan, Kenneth H., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

Sisson, Charles B., MD 2802 Madison Square Dr. (Loveland) ....221.9451

Kindsfater, Kirk A., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

Biggs, William D., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

Donner, E. Jeffrey, MD 3810 N. Grant Ave. (Loveland) ..............669.8881

Girardi, George E., MD 3744 S. Timberline Rd., Ste. 102 ...495.0506 See ad on page 47

Dunn, Cory D., MD 5802 Wright Dr. (Loveland) ..........212.0530 See ad on page 13

Martin, Dale R., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

Dhupar, Scott K., MD 1624 17th Avenue (Greeley) ................353.5959

Columbus, David J., DO 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) ..............................203.7000

Kaiser, Dale C., MD 2500 E. Prospect Rd. ............................493.0112

Benz, Robert J., MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

Clark, C. Dana, MD 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

PAIN MANAGEMENT

Bailey, Amy C., MD 1200 E. Elizabeth St .............................267.9510 Ballard, Elizabeth A., MD 1200 E. Elizabeth St. ............................267.9510 Booth, Richard R., MD 1330 Oakridge Dr., #100 ..............484.4871 See ad on page 81

Brockway, Julie M., MD 1200 E. Elizabeth St. ..........................267.9510 Crawford, Deborah D., MD 1635 Blue Spruce Dr. ..........................494.4040 Driscoll, Amy B., MD 5881 W. 16th Street (Greeley) ....313.2700 See ad on page 34 Grunloh, Melissa M., MD 1330 Oakridge Dr., #100 ............484.4871 See ad on page 81 Guenther, John P., MD 1200 E. Elizabeth St. ..........................267.9510 Hanson, Vaughn W., MD 1200 E. Elizabeth St. ..........................267.9510 Kolanz, M. Meshelle, MD 5881 W. 16th Street (Greeley) ....313.2700 See ad on page 34 Markley, Jennifer L., MD 1330 Oakridge Dr., #100 ............484.4871 See ad on page 81 McGinnis, James G., MD 1200 E. Elizabeth St. ..........................267.9510 Moore, Christopher P., MD 5881 W. 16th Street (Greeley) ....313.2700 See ad on page 34 Oâ&#x20AC;&#x2122;Brien, Barry G., MD 1200 E. Elizabeth St. ..........................267.9510 Pedersen, Robert L., MD 5881 W. 16th Street (Greeley) ....313.2700 See ad on page 34 Ryan, Joseph P., MD 5881 W. 16th Street (Greeley) ....313.2700 See ad on page 34 Sampera, Kirsten M., MD 1200 E. Elizabeth St. ..........................267.9510 Schaffer, Michael S., MD 13123 E. 16th Avenue, B100-Ped Cardiology (Aurora) ......................................720.777.2942 Seidman, Marc H., MD 1635 Blue Spruce Dr. ..........................494.4040 Whitman, Douglas W., MD 1635 Blue Spruce Dr. ..........................494.4040

PEDIATRIC/DENTISTRY Evans, Gregory D., DDS 3221 Eastbrook Dr. ............................407.1020 Galm, Katherine S., DDS 2800 Madison Sq. Dr., Ste.1 (Loveland) ...................................669.7711 See ad on page 83

Northern Colorado Medical & Wellness 2012

Guido, Joseph A., DDS 3600 Mitchell Dr. ...............................224.3600 Hargleroad, Jennifer K., DDS 2105 Bighorn Rd., Ste. 202 ................493.2254 Shonka, Jill M., DDS 1299 W. Main St., Ste. C (Windsor) ....674.3247

PHYSICAL MEDICINE & REHABILITATION Bender, John D., DO 1300 Oakridge Dr., Ste. 130 ...............377.9555 Jacob, Joseph P., MD 1900 16th Street (Greeley) ..........353.1551 See ad on page 34 Laney, Samuel K., MD 1106 E. Prospect Rd., Ste. 100 .............495.8490 Lockwood, Bruce A., MD 1300 Oakridge Dr., Ste. 130 .................377.9555 Martin, Rebekah L., MD 2032 Lowe St., Ste. 101 .......................221.1919

Hunt, Nathan A., DPM 2500 E. Prospect Rd. .....................493.0112 See ad on page 9 Knutsen, Chad M., DPM 2001 S. Shields St., Bldg. F ...................493.4660 Oâ&#x20AC;&#x2122;Halloran, William D., DPM 1301 Riverside Ave. ..............................482.3668 Overman, Jared L., DPM 1355 Riverside Ave., Ste. C ...................484.4620 Schulte, Robert C., DPM 2001 S. Shields St., Bldg. F ...................493.4660 Schultz, Peter D., DPM 1440 N. Boise Ave. (Loveland) ..............278.1440 Thomas, Michael I., DPM 1355 Riverside Ave., Ste. C ...................484.4620 Vaardahl, Michael D., DPM 1931 65th Ave., Ste. A (Greeley) ..........351.0900 Webb, Emily Huang, DPM 1927 Wilmington Dr., Ste. 102 .............416.9009

PULMONOLOGY Breyer, Diana M., MD 2121 E. Harmony Rd., Ste. 300 ............224.9102 DePriest, Kirk L., DO 2121 E. Harmony Rd., Ste. 300 ............224.9102 Gunstream, Stanley R., MD 2121 E. Harmony Rd., Ste. 300 .............224.9102 Hatzis, Christopher E., MD 2121 E. Harmony Rd., Ste. 300 ............224.9102 Hoyt, James D., MD 2121 E. Harmony Rd., Ste. 300 .............224.9102 Kukafka, David S., MD 2500 Rocky Mountain Ave., S. Medical Office Building, Ste. 300 (Loveland) ................619.6100 Milchak, Richard J., MD 2500 Rocky Mountain Ave., S. Medical Office Building, Ste. 300 (Loveland) ................619.6100 Neagle, Mark B., MD 2121 E. Harmony Rd., Ste. 300 .............224.9102 Peters, Brent T., MD 2500 Rocky Mountain Ave., S. Medical Office Building, Ste. 300 (Loveland) ................619.6100

Nieves, Ricardo A., MD 1437 Riverside Ave. ..............................692.5550

PSYCHIATRY

Pouliot, Matthew D., DO 3810 N. Grant Ave. (Loveland) ..............669.8881

Gottfried, Joseph M., MD 4601 Corbett Dr. ..................................207.4857

Primack, Scott J., DO Greenwood Village .......................720.875.0551

Heacock, Craig R., MD 4601 Corbett Dr. ..................................207.4857

Wilson, Daniel R., MD 1106 E. Prospect Rd., Ste. 100 .............495.8490

Ivanovic, Zeljko M., MD 120 Bristlecone Dr. ...............................224.5209

Stevens, Eric E., MD 2500 Rocky Mountain Ave., S. Medical Office Building, Ste. 300 (Loveland) ................619.6100

Wunder, Jeffrey A., MD 7251 W. 20th St, Bldg. F, Ste. C (Greeley) ..............................................356.4066

Moreno, Hermann A., MD 4601 Corbett Dr. ..................................207.4857

Vassaux, Carlos R., MD 2121 E. Harmony Rd., Ste. 300 .............224.9102

Nagel, John K., MD 4601 Corbett Dr. ..................................207.4857

Wallick, Kristin A., MD 2121 E. Harmony Rd., Ste. 300 .............224.9102

PODIATRY Anderson, James C., DPM 1355 Riverside Ave., Ste. C ...................484.4620 Atherton, Stacy M., DPM 1305 Summer St., Ste. 200 (Longmont) ...................................303.772.3232 Bogin, Staci E., DPM 1927 Wilmington Dr., Ste. 102 ..............416.9009 Burns, Michael J., DPM 2001 S. Shields St., Bldg. F ...................493.4660 Hatch, Daniel J., DPM 1931 65th Ave., Ste. A (Greeley) ...........351.0900 Hecker, Thomas M., DPM 2500 E. Prospect Rd. .....................493.0112 See ad on page 9

Oddy, Richard A., MD 2627 Redwing Rd., Ste. 220 ................622.0588 Pearson, Glenn E., MD 4601 Corbett Dr. ..................................207.4857 Sehr, David S., MD 4601 Corbett Dr. ..................................207.4857

Petrun, Mark D., MD 2121 E. Harmony Rd., Ste. 300 .............224.9102 Saliman, Joshua A., MD 2500 Rocky Mountain Ave., S. Medical Office Building, Ste. 300 (Loveland) ................619.6100

RADIATION ONCOLOGY Lisella, Gwen H., MD 1024 S. Lemay Ave. ..............................482.3328

Watanabe, Kenneth S., MD 4601 Corbett Dr. ..................................207.4857 Woodard, Timothy W., MD 4601 Corbett Dr. ..................................207.4857

Craven, Winfield M., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Desruisseau, Richard P., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Dunphy, Thomas R., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Esola, Christine C., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Fleener, Christopher M., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Florant, Tracy H., MD 2127 E. Harmony Rd., Ste. 130 .....207.4700 See ad on page 27 Fuller, Samuel E., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Geis, J. Raymond, MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Geraghty, Michael J., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Gunderson, Deborah Z., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Hayes, Amy S., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Jess, Sarah J., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27 Johnson, Paul W., MD 2008 Caribou Dr. ...........................484.475 See ad on page 27

Petit, Joshua H., MD 2121 E. Harmony Rd., Ste. 160 .............482.3328

Koplyay, Peter D., MD 2008 Caribou Dr. ...........................484.475 See ad on page 27

RADIOLOGY

Luttenegger, Thomas J., MD, FACR 2008 Caribou Dr. ..........................484.4757 See ad on page 27

Berkowitz, Bruce A., MD 2008 Caribou Dr. ...........................484.4757 See ad on page 27

Markel, Curtis L., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27

Bodenhamer, John R., MD 2008 Caribou Dr. ...........................484.4757 See ad on page 27

Mills, Andrew D., MD 2008 Caribou Dr. ...........................484.475 See ad on page 27

Straumanis, Eric J., MD 1762 Hoffman Dr. (Loveland) ...............663.3030 Udupa, Usha R., MD 4601 Corbett Dr. ..................................207.4857

Contreras, Jaime H., MD 2008 Caribou Dr. ..........................484.4757 See ad on page 27

Pacini, Richard J., MD 2008 Caribou Dr. .........................484.4757 See ad on page 27 Paquelet, Jean R., MD 2008 Caribou Dr. .........................484.4757 See ad on page 27 Peck, Steven H., MD 2008 Caribou Dr. .........................484.4757 See ad on page 27 Peet, Gary J., MD 2008 Caribou Dr. .........................484.4757 See ad on page 27 Reese, Mark F., MD 2008 Caribou Dr. .........................484.4757 See ad on page 27 Singer, Charles J., MD 2008 Caribou Dr. .........................484.4757 See ad on page 27 Weinstein, Stanley W., MD 2008 Caribou Dr. .........................484.4757 See ad on page 27 Weissmann, Jeffrey R., MD 2008 Caribou Dr. .........................484.4757 See ad on page 27

Ludwin, Gary A., MD 1107 S. Lemay Ave. Ste. 300 ...............493.7442 Tutt, George O., Jr. MD 1024 S. Lemay Ave .............................495.7000

SURGERY/CARDIOVASCULAR Douthit, Mark B., MD 2500 Rocky Mountain Ave., S. Medical Office Building, Ste. 100 (Loveland) ...................................624.1800 See ad on page 54 Guadagnoli, Mark D., MD 2500 Rocky Mountain Ave., S. Medical Office Building, Ste. 100 (Loveland) ...................................624.1800 See ad on page 54 Matthew, Thomas L., MD 2500 Rocky Mountain Ave., S. Medical Office Building, Ste. 100 (Loveland) ...................................624.1800 See ad on page 54 Stanton, Michael W., MD 2500 Rocky Mountain Ave., S. Medical Office Building, Ste. 100 (Loveland) ...................................624.1800 See ad on page 54

RHEUMATOLOGY Levine, James W., DO 1675 18th Avenue (Greeley) ...............350.2433 Mayer, Patricia A., MD 2121 E. Harmony Rd., Ste. 361 ...........267.9799 Murray, Garvin C., MD 1675 18th Avenue (Greeley) ...............350.2433 Thakor, Michael S., MD 2121 E. Harmony Rd., Ste. 361 ...........267.9799 Thompson, John Stephen, MD 1675 18th Avenue (Greeley) ...............350.2433

SURGERY CENTERS Harmony Surgery Center, LLC 2127 E. Harmony Rd., Ste. 200 ...........297.6300 Surgery Center of Fort Collins 1100 E. Prospect Rd. ...................494.4800 See ad on page 99 and on page 100

SURGERY/ASSIST Grant, Lee B., MD 2500 E. Prospect Rd. ..........................493.0112 Kaiser, Dale C., MD 2500 E. Prospect Rd. ..........................493.0112

Dubs, Steven M., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) ............................203.7250 Dunn, Julie A., MD 2315 E. Harmony Rd., Ste. 130 ...........221.5878 Fraser, Lesley A., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) ............................203.7250 Heisel, Kaitlin W., MD 2315 E. Harmony Rd., Ste. 130 ..........221.5878 Hunter, John M., MD 2315 E. Harmony Rd., Ste. 130 ..........221.5878

Keeler, Bradford R., MD 1900 N. Boise Ave., Ste. 420 (Loveland) ...................................669.3212 See ad on page 29 Livengood, Joseph C., MD 2500 Rocky Mountain Ave., N. Medical Office Building (Loveland) ............................203.7250 Marty, Terri L., MD 2315 E. Harmony Rd., Ste. 130 ...........221.5878 Metzler, Michael, III, MD 2315 E. Harmony Rd., Ste. 130 ..........221.5878 Oâ&#x20AC;&#x2122;Holleran, Lawrence W., MD Cheyenne, WY ............................307.637.5600

Bauling, Paulus C., MD 1025 Garfield St., Ste. B .....................482.2866

Parsons, Sally A., MD 2315 E. Harmony Rd., Ste. 130 ...........221.5878

Blomquist, Thomas M., MD 1900 N. Boise Ave., Ste. 420 (Loveland) ...................................669.3212 See ad on page 29

Pettine, Stefan M., MD 2121 E. Harmony Rd., Ste. 250 ...482.6456 See ad on page 37

Clear, Craig R., MD 2121 E. Harmony Rd., Ste. 250 ...482.6456 See ad on page 37 Collins, Jerome S., MD 1900 N. Boise Ave., Ste. 420 (Loveland) ...................................669.3212 See ad on page 29 Collins, John A., MD 2315 E. Harmony Rd., Ste. 130 ...........221.5878 Cribari, Chris, MD 2315 E. Harmony Rd., Ste. 130 ...........221.5878 Davis, Lawrence G., MD 2315 E. Harmony Rd., Ste. 130 ...........221.5878 Dickinson, James M., MD 2121 E. Harmony Rd., Ste. 250 ...482.6456 See ad on page 37

Northern Colorado Medical & Wellness 2012

Turner, Donn M., MD 1313 Riverside Ave. ....................493.1292 See ad on page 36, on page 99 and page 100 Widdel, Lars, MD 1107 S. Lemay Ave., Ste. 240 .............495.7421 Wieder, Brian H., MD 1800 15th Street, Ste. 130 (Greeley). ..350.5996 Wirt, Timothy C., MD 1313 Riverside Ave. ....................493.1292 See ad on page 36, on page 99 and page 100

Kaufman, Steven L., MD 1136 E. Stuart St., Ste. 4102 ..............498.8346

SURGERY/GENERAL

Chiavetta, Thomas G., MD 2121 E. Harmony Rd., Ste. 250 ...482.6456 See ad on page 37

Lillehei, Kevin O., MD 1107 S. Lemay Ave., Ste. 240 .............495.7421

Quaid, Robert R., MD 2121 E. Harmony Rd., Ste. 250 ...482.6456 See ad on page 37 Roller, Michael D., MD 2121 E. Harmony Rd., Ste. 250 ...482.6456 See ad on page 37 Schiefen, James C., DO 1900 16th Street (Greeley). ................350.2426 Schmidova, Karin, MD 1900 N. Boise Ave., Ste. 420 (Loveland) ...................................669.3212 See ad on page 29

SURGERY/OPHTHALMIC/ FACIAL PLASTIC/ RECONSTRUCTIVE Reistad, Chet Erik, MD 1725 E. Prospect Rd. ...................221.2222 See on page 65 Willoughby, Brian J., MD Denver ........................................303.320.5700

SURGERY/PLASTIC/ RECONSTRUCTIVE Boustred, A. Mark, MD 2315 E. Harmony Rd., Ste.160 ...........493.8800 Brewster, Amy H., MD 2020 Lowe St., Ste. 202 .....................266.0456 Chapman, Jeffrey K., MD 2315 E. Harmony Rd., Ste.160 ....493.8800 See ad on page 99 and page 100 Duncan, Diane I., MD 1701 E. Prospect Rd. ..........................493.7445 Gonyon, Denis L., Jr., MD 4450 Union St., Ste. 100 (Johnstown) ..624.7979 Schutte, Warren P., MD 2500 Rocky Mountain Ave., N. Medical Office Building, Ste. 2130 (Loveland) ...................................372.2310 See ad on page 5 Tsoi, Christopher M., MD 2315 E. Harmony Rd., Ste.160 ....493.8800 See ad on page 99 and page 100

SURGERY/NEURO Coester, Hans C., MD 1107 S. Lemay Ave., Ste. 240 ..............495.7421 Finn, Michael A., MD 1107 S. Lemay Ave., Ste. 240 . ............495.7421

UROLOGY Eddy, Michael J., MD 3520 E. 15th Street, Ste. 200 (Loveland) ..........................................669.9100

Girdler, Benjamin J., MD 2315 E. Harmony Rd., Ste.140 ...........484.6700 Goodman, Gary R., MD 1900 16th Street (Greeley) .................350.2491 Lee, Michael R., DO 2315 E. Harmony Rd., Ste.140 ...........484.6700 Malcom, Troy J., DO 1925 W. Mountain View Ave. (Longmont) .................................303.776.1234 Manion, Sean P., MD 1925 W. Mountain View Ave. (Longmont) .................................303.776.1234 Nasseri, Kevin K., MD 2315 E. Harmony Rd., Ste.140 ...........484.6700 Phillips, George H., MD 3520 E. 15th Street, Ste. 200 (Loveland) ..................................669.9100 Soper, Timothy H., MD 2315 E. Harmony Rd., Ste.140 ...........484.6700 Wisner, Benjamin P., MD 2315 E. Harmony Rd., Ste.140 ...........484.6700 *The Physician list is provided by UCH and is current as of 6/15/2012.

medical

thyroid

Six Good Reasons to get

your Thyroid Checked

by Sarah Maurer

If you’ve been feeling tired or down in the dumps, you might assume your symptoms are a natural part of getting older. But depression and fatigue are both prominent symptoms of hypothyroidism, a common condition that affects one out of every 10 to 20 Americans. Thyroid disease is notoriously difficult to recognize because its most common symptoms are shared by so many other conditions. In fact, it’s not unusual to have a thyroid condition for months or even years without noticing any symptoms at all. Often, thyroid problems are only diagnosed by accident when you’re tested for a different condition. Left untreated, thyroid problems can take a toll on your quality of life. In rare cases, they may even become life threatening. The good news is that with proper diagnosis and treatment, most patients continue to live healthy, productive lives.

Thyroid 101 Your thyroid is a butterfly-shaped gland that sits at the base of your throat, just below your Adam’s apple. Hormones secreted by your thyroid gland regulate a number of important processes in your body, including growth and metabolism. In about 4 to 10 percent of the population,

Northern Colorado Medical & Wellness 2012

the thyroid produces too little thyroid hormone, resulting in a condition called hypothyroidism. The most common cause is Hashimoto’s disease, an autoimmune disorder in which the immune system attacks the thyroid. Hypothyroidism can also be caused by certain kinds of radiation treatments, surgeries and medications. While hypothyroidism occurs in children and even in infants, the risk of developing the condition increases with age. Hypothyroidism is up to eight times more common in women than in men. Too much thyroid hormone can be even more problematic than too little. Overactive thyroid, or hyperthyroidism, is a relatively rare condition affecting less than 1 percent of Americans. Most cases are caused by the autoimmune disorder Graves’ disease. Like hypothyroidism, it’s often confused with other health problems. Left untreated, it can result in life-threatening complications, including heart problems.

The thyroid gland can also develop growths and nodules. These may be harmless or may cause or aggravate other thyroid conditions. A small percentage of thyroid nodules are malignant, though these cancers are often quite treatable.

When should I see my doctor? Hypothyroidism and hyperthyroidism tend to affect the same body systems in opposite ways. In general, you should see your primary care physician for a thyroid screening if you notice: 1.

Fatigue. Both hypothyroidism and hyperthyroidism can cause feelings of sluggishness. If you’re tired after 8 to 10 hours of sleep or need a nap to make it through the day, see your doctor as soon as possible. “Fatigue can be the number one symptom of hypothyroidism, but it can also mean a multitude of other things,” says Sheila Copple, D.O., an internist

and nails and hair loss, particularly a thinning at the outer edges of the eyebrows. People with hyperthyroidism may experience redness or itching of the skin and may sweat more than usual. Hair changes, including hair loss, can also signal too much thyroid hormone.

Dr. Sheila Copple, Medical Clinic at Centerra

at Colorado Health Medical Group’s Medical Clinic at Centerra in Loveland. Your primary care physician can screen you for thyroid problems and help to rule out more serious conditions like coronary artery disease. 2.

Moodiness. Consider getting your thyroid checked if you feel sad or irritable on most days or if you’ve lost interest in activities you used to enjoy. People with untreated hypothyroidism may feel down or depressed, even when they’re being treated with antidepressant medication or cognitive-behavior therapy. Unusual anxiety or feelings of panic may be symptoms of hyperthyroidism.

Weight gain or loss. If you’ve tried everything to slim down only to find yourself at the same weight or heavier, the problem really might be your hormones. People with hypothyroidism tend to put on weight due to their decreased metabolism. Conversely, people with hyperthyroidism may experience abrupt weight loss, even though they feel hungrier and eat more than usual.

Skin and hair problems. Dry, scaly skin and a pale, puffy face are common signs of hypothyroidism. Other red flags include brittle hair

Haywire cholesterol levels. Take heed if your cholesterol screening comes back significantly higher or lower than usual, especially if you haven’t changed your diet or exercise regimen. High cholesterol levels that don’t respond to treatment with medication or lifestyle change may be a sign of hypothyroidism, while an overactive thyroid may cause your levels to dip sharply.

Swelling or fullness in the neck. Thyroid nodules and hormone imbalances force your thyroid gland to work extra hard. Over time, the gland may puff up, causing a swelling known as a goiter. This usually looks like a lump or fullness at the base of your throat, just below the Adam’s apple. A goiter may also cause tightness in the throat, coughing or hoarseness. In some cases, goiters can make it difficult to breathe or swallow.

Other signs of a thyroid problem include irregular menstrual periods, constipation, frequent bowel movements, bone or joint pain, intolerance to heat or cold, rapid or sluggish heartbeat, hand tremors, eye problems and difficulty getting pregnant. Thyroid issues tend to flare up during pregnancy, so women should be especially vigilant for symptoms during this time. “Often someone who might be thought to have postpartum depression or postpartum anxiety could actually have a thyroid problem,” says Barbara Widom, M.D., with Colorado Health Medical Group’s Endocrinology Consultants of Northern Colorado.

or have other risk factors. If your test results indicate hypothyroidism, your physician will prescribe synthetic thyroid hormones to raise your hormone levels. These medications can be taken by mouth, are relatively inexpensive and have almost no side effects. “Most cases are very straightforward and can be handled in the primary care setting,” Dr. Copple says. Patients diagnosed with hyperthyroidism or thyroid nodules may be referred to an endocrinologist for additional tests and treatment. During thyroid hormone replacement therapy, your doctor will repeat your blood work every few weeks. While levels can take four to six months to stabilize, Dr. Copple says most patients can expect a very normal quality of life once their doses have been regulated. Many patients even learn to recognize when their thyroid medications need an adjustment. “They’ll get to a point where they’ll come in and say, ‘I think you need to check my thyroid because I think it’s a little low again,’” says Dr. Copple. “And a lot of times they’re right. Patients know their bodies.” Sarah Maurer is a Denver-based freelance writer specializing in health and wellness topics. Learn more about her work at www.sarah-maurer.com.

Checking up on your thyroid No one symptom indicates a thyroid problem, and some common thyroid symptoms could also indicate a more serious condition. If you have concerns about your thyroid, always discuss them with your primary care physician. Thyroid problems are typically diagnosed by measuring your blood level of thyroid-stimulation hormone (TSH). This simple blood test can be performed in your primary care physician’s office or even at a health fair. Your doctor may also order an ultrasound of your thyroid to check for growths or nodules. Dr. Widom cautions that ads for unnecessary thyroid tests abound on the Internet. “You can read a lot in the lay literature that says you need other tests to screen for hypothyroidism, but the TSH test is sufficient for most people,” she says. Even if you’re not experiencing symptoms, talk to your doctor to find out if you should be screened regularly for thyroid problems. Some physicians, including Dr. Copple, include thyroid tests in their preventative care regimen, while others screen only at-risk patients or people who experience symptoms. Preventative screening may be especially important if you have a personal or family history of thyroid problems or autoimmune disease, a history of radiation treatments, take certain medications

Dr. Barbara Widom, Endocrinology Consultants of Northern Colorado

Northern Colorado Medical & Wellness 2012

medical

heart health

Healthy Hearts,

Healthy Kids

by Kay Rios

At the genesis of the healthy hearts for kids program in 1992, founder Gary Luckasen, M.D., had two goals in mind. The Cardiac School Health Opportunity Program (CSHOP), as it was called, would first teach kids healthy habits and, second, identify kids at risk for heart disease by looking at weight, blood pressure and cholesterol.

Northern Colorado Medical & Wellness 2012

Twenty years later, that effort continues as the Healthy Heart Club and those initial goals remain in place. But there has been one substantial change. A collaboration between the Healthy Heart Club and Colorado State University (CSU) Department of Health and Exercise Science provides the means for analyzing data collected from all those years, offering quantifiable evidence regarding kids and heart disease. Tracy Nelson, Ph.D., M.P.H. and CSU Associate Professor, became involved in 2010 when she took the data and pulled it together into a workable form. “It was a cross sectional look over 20 years at 4th and 5th graders in the program,” says Nelson, who is also associate director of the Colorado School of Public Health at CSU. The results are telling, according to the report, which was featured at the American Heart Association’s Epidemiology and Prevention/Nutrition, Physical Activity and Metabolism Scientific Sessions in March of this year. It says that Northern Colorado children as young as 4th grade are exhibiting multiple risk factors that could put them at risk for cardiovascular disease. The analysis was based on surveys filled out by the parent and/or legal guardian and included questions about diet and physical activity of the child as well as the behaviors and risk factors among family members. The results indicate that many of the children who face risk factors of cardiovascular disease such as high cholesterol,

high blood pressure and obesity come from homes where adults are also at risk. Of the students screened, 21 percent had a body mass index (BMI) over the 85th percentile for age and sex. (BMI is a measure of body fat based on height and weight.) Interestingly, of those with zero risk factors, 25 percent reported a family member being overweight while among those children who exhibited five risk factors, 68 percent reported a family member who was overweight. “We definitely see trends with cardiovascular risk factors. If you have high risk factors as a child, you are likely to have high risk factors as an adult. The clinical relationship is huge,” Dr. Nelson says. The work that Dr. Luckasen and the Healthy Heart Club accomplished has proven extremely important, she says. “The National Heart Lung and Blood Institute (NHLBI) now recommends that all 4th graders be screened for cholesterol. But no one talked about testing kids back then. He was a pioneer.” Dr. Luckasen, who practices at Heart Center of the Rockies, says there was strong evidence that heart disease started in childhood. “When they did autopsies on young soldiers who died in Vietnam, they found there was already plaque and hardening of the arteries and it had started when they were young. There were also isolated cases of that in three- to five-year-old kids so I thought it was important to identify these kids early. The idea was to help them develop healthy lifestyles

Laura Dvorak, RN, Healthy Hearts Club Coordinator

Dr. Tracy Nelson, Associate Professor, CSU’s Department of Health and Exercise Science

Dr. Gary Luckasen, Heart Center of the Rockies

so as they got older, they would be less at risk.” Dr. Nelson’s analysis reinforced Dr. Luckasen’s belief that it would take family changes to turn the statistics around. And, based on the findings, a new effort is now underway to design an intervention program to help not just the children, but whole families at risk for cardiovascular disease. The Healthy Hearts Club and the Department of Health and Exercise Science have received a grant from the U.S. Department of Agriculture, CSU Agricultural Experiment Station to design an intervention program for families. As part of that, focus groups were convened, says Laura Dvorak, RN, BSN, Healthy Hearts Club coordinator. “They were made up of families whose 4th graders participated in the Healthy Hearts Club. We asked them, ‘what kind of intervention would work for you?’” The parents defined two major components, she says. “One, they don’t want anything that takes a lot of time. Two, they want the school to be the center of the program because that makes it easy to get to.” For the grant, Dr. Nelson says, the past year was for the focus groups and the planning. “This year’s effort is to design and pilot a new program at Lopez elementary. It will have the same focus on the kids with the hope that, in turn, families will be affected.” “It will be our Healthy Heart Club for 5th graders who participated in 4th grade,” Dvorak adds. “They will participate in a lifestyle club which includes exercise, eating healthy and not smoking. We are hoping to build a mentoring relationship between the 4th and 5th grade kids. We want to use those kids who naturally seek healthy lifestyles and pair them with someone at risk.” Dr. Luckasen says the idea is that by educating the kids, they will become invested in their own health. “We want a peer to peer interaction. That means a classmate works out with you, eats

lunch with you or texts ‘how are you doing?’ The hope is that they will take that home to the family and that they will be the agent of change in the family: ‘Let’s go for a walk and let’s eat this.’” He says that will more likely work than having an outsider go in and try to tell parents what they need to do. “It’s like learning to ski. It’s a lot easier when you are young. Kids learn it quickly and like it. The older you are, the more resistant you may be.” The new pilot program will be built on the successful effort of the current Healthy Hearts Club, Dvorak says. “Each day builds on the last. We will also have pre and post tests for knowledge growth. And, with parental permission we’ll collect information on cholesterol and BMI.” The current structure is built on a four-day curriculum in the elementary schools in partnership with the Healthy Kids Club. The first day, students are taught about the cardiovascular system, HDL and LDL cholesterol, and healthy lifestyle changes. The second day is about nutrition, the third day is exercise and the fourth day is the screening. “Every school we go into, we get at least 60 percent who participate in the screening,” Dvorak says. “We also do a behavioral risk survey with both the elementary and high school students. ‘How many fruits and vegetables do you eat? Are you motivated to exercise and how many minutes a day do you exercise? Do you smoke? Are you eating breakfast?’ Our high school program has a one-day presentation with the second day being the screening day. We sometimes recapture students we had in the Healthy Hearts Club in 4th grade.” The healthy heart effort is even more critical with today’s younger generations, Dr. Luckasen says. “In the past 20 years, we’ve seen an increase in obesity. They are becoming less active. Activity has decreased markedly because of computer games, texting and cell phones. There’s also

been a significant decrease in physical education in the schools. You look back at the ‘60s and the President’s physical fitness tests: that has all gone by the wayside. Kids may now do club sports but some kids don’t have the funds or the transportation.” Exercise has to be a regular part of every day life, he says. “If you are not burning off calories then the bad diet becomes worse. So we want to give them information about why that is important. Some of these kids already have amazingly high cholesterol and a lot of that is lifestyle.” And it often comes from the parents’ choices, he explains. “If you are in a home where parents smoke, if they are overweight and have unhealthy habits, the kids will follow that. We need to get these kids started on a healthy lifestyle.” In working on that particular goal, the collaborative effort between the Heart Center of the Rockies and CSU will continue, Dr. Nelson says. “We are preparing to apply for an NIH (National Institutes of Health) grant. It would take the Lopez pilot and use it on a larger scale in rural Colorado. We will propose using pre and post tests to register knowledge gained and use screening, adding in a potential for following them into high school.” This would create a program that could be replicated in other areas, she says. “We want to make it low-cost and sustainable by incorporating the lessons into the curriculum. There is so little evidence about cardiovascular risk in rural areas in general so this would allow us to assess the risks and then develop an intervention.” Dr. Luckasen adds, “We know that, at some point, grant money goes away so we want to build something that is self-sustaining so that the impact continues.”

Kay Rios, Ph.D., is a freelance writer in Fort Collins.

Northern Colorado Medical & Wellness 2012

medical

Prevention

Earbuds:

Hazardous to Your Hearing

by Carl Simmons

Parents who’ve been begging their earbud-wearing kids to “turn down the noise” on their mp3 players now have good reasons to do so. And this warning may well apply to those parents, too. According to the National Institute on Deafness and Other Communication Disorders (NIDCD), an estimated 12.5 percent of children 6 to 19 years, and 17 percent of adults from ages 20 to 69 – more than 30 million people overall – have suffered permanent damage to their hearing from excessive exposure to noise. In addition, approximately 4,000 new cases of sudden deafness in one or both ears occur each year in the U.S. Of course, these figures include not only music, but other loud noises such as those caused by guns and machinery. But because of the easy access to music, and the desire to “crank it up,” it’s that much easier for earbud users both young and old to cause themselves permanent

hearing loss. “Kids have them in their ears all the time, and they like them louder and louder,” says Noel Dice, Au.D., audiologist at Peakview Medical Center Ear, Nose and Throat in Greeley and the Medical Clinic at Centerra in Loveland. “Eventually, they’ll reach a damaging level; when turned up all the way, anything over 30 minutes can cause permanent damage.” “The length of the sound is as big a factor as volume,” adds Christopher Eriksen, M.D., otolaryngologist and founder of Alpine Ear Nose & Throat, in Fort Collins and Loveland. “The problem is, people have easy access to iPods and can play them as long as they like,” Dr. Eriksen says. “At 100 dB (decibels), you can’t listen for

more than two hours without running the risk of permanent damage. In fact, at the 115 dB maximum offered by some iPods, permanent hearing damage could occur in less than a minute. Once that damage occurs, it’s irreversible; there’s no way to repair it.” And the convenience and privacy of earbuds also presents their biggest danger. “They get sound closer to the eardrum, so you don’t have to deal with as much environmental noise,” says Dr. Dice, “and because it’s closer to the eardrum, you don’t need as much volume for it to get really, really loud.” Dr. Eriksen adds, “The buds don’t block out all ambient noise, so people turn it up when they’re using the lawnmower, or to drown out

Dr. Christopher Eriksen, Alpine Ear Nose & Throat

traffic noises.” Another thing to consider is that people have different levels of susceptibility to hearing loss. The problem is, you don’t know what your threshold is until you’ve crossed it. “It varies from person to person,” Dr. Dice says. “Genetics play a role. How often you’re exposed to noise and at what level matters, too. One person can have a firearm go off next to their ear once and have permanent damage; other people can be exposed to industrial noise for their whole careers and not have damage. Some people just have stronger ears, and stronger bones and muscles inside the ear; others are more susceptible.” In addition, smokers – and even people exposed to secondhand smoke – have a higher incidence of hearing loss. The Journal of the American Medical Association reports that those exposed to cigarette smoke nearly double their chances of experiencing hearing loss; cigarette smoking decreases circulation to the ear, and also damages antioxidant activity in the ear, thus leaving people more susceptible to damage. Signs of hearing damage include ringing in the ears, temporary (or permanent) decrease in hearing, problems hearing against background noises, and pressure in the ears. And again, once damage happens, it can’t be reversed. “Usually the first sign that you have hearing loss is ringing in the ears,” Dr. Dice says. “It may go away after a few days, but it’s usually a sign that you’ve done some damage.” There are ways for earbud users to prevent hearing loss before it happens, however. The most obvious one: Turn it down.

Northern Colorado Medical & Wellness 2012

One method to prevent hearing damage to young headphone wearers is to use volume safe earbuds.

“The best thing is just to keep it at a reasonable level,” says Dr. Dice. “A good rule of thumb is that if people next to you can hear you, it’s too loud. If you don’t play your iPod or mp3 player at more than 60 percent of volume level, you’re usually OK.” Dr. Eriksen agrees, and adds a few more suggestions: “If you listen to your music quite loud, don’t listen to it for more than two hours a days; take a rest. If you can, use noise-cancelling headphones, they block out the ambient noise. For that matter, consider using speakers instead of earbuds or headphones, when that’s an option. “However, if you really love your earbuds, we can make customized earbuds that block out a lot more ambient noise; this way you can turn it down and enjoy it longer.” Even if you’ve already experienced some degree of hearing loss, there are ways to prevent further loss, as well as slow down some of the natural hearing loss that comes with age. Dr. Eriksen recaps: “Stop smoking; turn down the volume; switch to headphones or speakers; wear headphones while cutting the grass; take a break. Earplugs are useful, headphones are better; using both is best. “And when it comes to music, you don’t have to turn it off – you just have to turn it down,” he says.  Carl Simmons is a freelance writer and editor in Loveland, and author of the six-book Bible-study series Growing Out: From Disciples to Disciplers (Group Publishing). Find out more about Carl at carlsimmonslive.com.

Northern Colorado Medical & Wellness 2012

medical

PVH

Jo zumBrunnen, director of Surgical/Specialty Services at Poudre Valley Hospital, was instrumental in the creation of The Garden at PVH.

Something is Blooming at

Poudre Valley Hospital

For 25 years, Jo zumBrunnen walked past a patch of grass on the east side of Poudre Valley Hospital (PVH) and never really saw it. “I noticed the trees because of the changing colors,” she said of the 264’ x 50’ space adjacent to the parking lot. “But I had no idea there was that much space out there that could be turned into a garden.” 62

by Michelle Venus

And that’s exactly what’s happening. According to zumBrunnen, Director of Surgical/Specialty Services at the hospital, as well as one of the project’s committee chairs, the idea of a garden space started to come to life four or five years ago, but it didn’t really pick up momentum. Then Kim Ewy, a PVH employee who recently earned her Master’s degree in Horticulture, revitalized interest in building a garden. She and a group of other employees thought having a tranquil and beautiful outdoor space would complement healing and therapeutic practices already taking place at PVH.

Then the steam started to build. A campaign was instituted allowing employees to donate paid time off that was boosted by matching funds from University of Colorado Health. Flyers posted about the hospital garnered contributions from suppliers and patients’ families. But it was the volunteers who really jumpstarted funding with orchid sales and burritos made to order by dining room workers, with all the proceeds going towards the garden. Grants and other funding raised the $200,000 needed to complete Phase I. Another $235,000 needs to be raised before Phase II can start. The garden is intended to be a place where people can go to get away from the stress that’s often associated with illness and injuries. “Except for new babies, most people are here [at PVH] because of a traumatic event in their lives,” stated zumBrunnen. “We realized we had no really

Northern Colorado Medical & Wellness 2012

quiet places to go to get away from it all, except for a small chapel. The garden will give that to patients and their families, and to employees as well. Working in a hospital can be very stressful.” Phase I, the infrastructure and hardscaping, was completed in mid-May. A few anchoring shrubs and ornamental grasses were also planted; the rest will be planted in the next phase. Even though there is no seating (part of Phase II), people are making use of the space. They perch on low walls or on the bridge that is slung over a future water feature to take advantage of the peacefulness of the new garden. zumBrunnen pointed out the different surfaces of the walkway that winds the length of the garden, “This is good for patients who have difficulty walking. It helps them in therapy sessions to have a variety of surfaces that also feature level changes.” Features not found in more traditional commercial or residential landscape designs had to be included. For instance, systems that will support intravenous pumps, benches with higher weight-load capacities and shading structures for patients whose medications may make them especially photosensitive. Wheelchair accessible ramps are placed throughout the entire garden. zumBrunnen chuckled when she talked about the name of the new garden. “There was a lot of discussion about that,” she said. “We thought about calling it the Healing Garden or the Therapy Garden, but we didn’t want to pin any specific purpose to it. So we call it The Garden at PVH, and that’s exactly what it is.” Yes, something is just starting to bloom at Poudre Valley Hospital and will continue to do so for years to come. Michelle Venus is a freelance writer who works and lives in Fort Collins with her children.

Phase 1 of The Garden was completed in May and included all of the hardscape. A second phase will add in more plantings and seating.

Northern Colorado Medical & Wellness 2012

CONTINUED FROM PAGE 29

Shelly Seaton, who had gastric bypass two years ago, says the help of her patient navigator was invaluable.

ongoing appointments with specialists, and to make sure they have what they need to care for their children. Additionally, Housel has discovered another patient population, who until now were managing the myriad of multiple specialists by themselves. Children and adolescents with special needs combined with developmental delays can find even routine dental cleanings very scary indeed. As they grow into adult-sized bodies, it becomes unsafe for everyone involved to do routine healthcare without sedation. Imagine having to go under anesthesia for every shot and blood draw, every dental cleaning and wart removal, and you can see why the little things get put off. Some families have found that scheduling one day per year in the outpatient surgical center to receive anesthesia solves that problem. That’s what Karyn Madison was attempting to pull together for her son, Matthew, when she discovered Housel. Matthew, age 14, with Fragile X syndrome, also has autism. His mom estimates his cognitive age to be about 5 years old. He doesn’t speak, needs assistance with toileting, loves Doritos, and National Geographic Magazine and O Magazine (“because of all the bright colors,” smiles Madison). Madison recalls, “Matthew’s dentist requested that we sedate him once a year for cleanings and fillings because it was just getting

Michelle Carpenter, RN, CBN, Bariatric Patient Navigator

too hard. To a parent of a typical kid, getting molars filled sounds benign, but we’re talking about a kid that can’t understand what’s happening. He’s not trying to be uncooperative; he’s scared.” “I was trying to coordinate the services he needed from the different specialists when Kelly [Housel] popped up and took care of everything. She kind of took the ball and ran with it, which made it so much easier for me.” On the day Matthew visited the outpatient center at PVH, he had two molars filled, a thorough dental cleaning, blood drawn for the pediatrician’s test, lab work and a hearing test. “Everyone comes to the party,” says Madison about Matthew’s care providers. “We plan on doing this once every year.” Healthcare becomes more complicated every day due to economic pressure, governmental change and overall stress on the system. Patient navigation is a concept whose time has arrived to help build a bridge over all that and make sure that the most vulnerable among us get the help they need.

Corey Radman is an award-winning writer and regular contributor to Northern Colorado Medical & Wellness. She can be reached via her website, www.fortcollinswriter.com.

Northern Colorado Medical & Wellness 2012

CONTINUED FROM PAGE 33

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ultra-precise nature of the technology allows even the most complex and advanced cancers to be treated. The machine allows for pinpoint radiation beam delivery – meaning that tumors are targeted with less damage to nearby healthy tissue. And the high-tech imaging can account and compensate for tumor motion and organ movement due to breathing. Prostate cancers by nature are complex cases for doctors, with escalating doses of radiation required for optimal outcomes. “A high amount of precision is needed,” says Dr. Petit. The imaging benefits of the TrueBeam allowed Dr. Petit the ability to see high-resolution images of the tumor, enabling him to hit the tumor but avoid adjacent tissue and reduce the danger of damaging the urinary tract or bowel functions. Though prostate cancer is complex, it is just one in an array of cancer and non-cancer conditions that can benefit from the unique capabilities of the TrueBeam. Other high complexity tumors in the brain, lung, spine and other parts of the body can be treated with a higher degree of accuracy using the TrueBeam. This technology is also being used to treat a number of non-cancerous conditions in the brain. One such condition is trigeminal neuralgia, a painful nerve disorder that affects the face. The TrueBeam is able to deliver radiation to the actual nerve causing the problem – “a structure that is the size of a pencil point,” says Dr. Petit, who performed the first treatment for this condition with the TrueBeam in June. Another condition is arterio-venous malformation (AVM), an abnormal blood vessel in the brain that can be fatal if the blood vessel bursts. For years the standard treatment for both AVM and trigeminal neuralgia has been open brain surgery. The TrueBeam offers an effective, non-surgical alternative for patients with these benign conditions. “With benign conditions, precision is key and the bar is even higher to minimize the amount of radiation exposure,” says Dr. Petit. For Kent, the benefits of treatment with the TrueBeam were compelling. Treatment was faster, more accurate and minimized damage to healthy tissue. But the TrueBeam also presented the busy professional the best care available close to home. “I only run on one speed: fast. I work outside most of the time and have many different responsibilities with my time,” he says. “Forty-five trips to Denver and back for this treatment would have been mind boggling. Having leading-edge technology available in this community – that is wonderful.” To see Kent’s TrueBeam experience, visit the video at http://pvhs.org/truebeamstx. *patient’s name has been changed to protect his privacy.

Angeline Grenz is managing editor for Northern Colorado Medical & Wellness magazine.

Northern Colorado Medical & Wellness 2012

WELLNESs D

Northern Colorado Medical & Wellness 2012

magazine & T

Y 71

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Northern Colorado Medical & Wellness 2012

WELLNESS

bike safety

Dr. Bernie Birnbaum, with Family Medicine Center Fort Collins, credits his bike helmet with saving his life after a cycling accident on his way home from work.

Bike Helmets: Straight, Strap,

Snug AND Snap!

In Northern Colorado, bicycle riders enjoy easy access to choice cycling locations on some 30 miles of trails and 280 miles of city-maintained bike lanes. Road bikers cruise dozens of connecting roads to outlying communities; the more adventurous tackle mountain trails crisscrossing open spaces and state parks. And, cycling weather doesn’t get much better, with 237 reported days of sunshine annually. 74

by Elissa J. Tivona

But here’s an even more impressive fact: some of the smartest bicycle riders in the state live here. In Northern Colorado, bike enthusiasts, young and old, snap on properly fitted helmets for protection before going out for a pedal. Recent accounts of resident riders reinforce this point. Bernie Birnbaum, M.D., a physician with Family Medicine Center Fort Collins, tells how he owes his life to his bike helmet. On June 21, 2008, Dr. Birnbaum was riding his regular route home. “I was going fast down the steep hill where Mason Street trail meets Spring Creek trail. I jumped the curb to get on the road,

and the quick-release on my front wheel came loose. The tire just fell out. I was thrown over the handlebars and landed right on the top of my head.” The outcome could have been disastrous. Dr. Birnbaum reports, “The helmet shattered. But I never lost consciousness. I broke two vertebrae in my back, but I honestly believe if I didn’t have a helmet on I would have serious traumatic brain injury. Needless to say, I’m a helmet fanatic.” Like Dr. Birnbaum, one wise Fort Collins youngster and her family need no reminders to buckle up bike helmets. Last April, 11-year-old Maryam Aboellail and her brother were enjoying a school holiday by riding bikes to their sister’s house. As they rode northbound across the intersection where Shields intersects Horsetooth, a westbound truck failed to see her in the crosswalk. The impact threw the girl from her bike into the path of an oncoming car in the next lane. Aishah Islam, Maryam’s mom, reports, “The ER doctor said she would have died instantly if it hadn’t been for that helmet. Even the paramedics said ‘Thank you for putting a good quality bicycle helmet on your kids.’” Aishah adds that owning the helmet is not enough. “You have to go into a bike shop and have it fitted properly. Then you have to put it on every time you ride.” Dr. Birnbaum supports that thought. “Accidents happen when you least expect it. That’s why they’re called accidents. They can happen anywhere – around the corner from your house, on the sidewalk, on the bike trail. The trail is concrete so if you aren’t wearing a helmet, you’re still going to get seriously messed up. There’s just no excuse not to wear a helmet.” Today, Maryam is making a full recovery. Three weeks after the accident, she started back to school at Johnson Elementary. The family credits the school’s counselor with helping classmates empathize with Maryam. Mr. Conti engaged the entire 5th grade in discussions about bicycle safety, and after their friend’s brush with disaster, students pledged to keep helmets on – even when they ride out of sight of parents. Nicknamed M&M by friends, Miracle Maryam does not mince words with her peers. “If you think helmets are dorky, all I can say is better dorky than dead.” Peyton Taliaferro, M.D., a physician with PVMG Primary Care South Loveland, shares this passion for bicycle safety. Early in his career, he recognized the need to teach children about bike helmets in terms they easily understand. With Safe Kids Larimer County, he developed innovative programs for 3rd graders in Poudre and Thompson Valley school districts. His message? The brain is no match for concrete! Most head injuries are irreversible. “I tell kids that there are lots of other injuries doctors can fix. A broken arm or leg will heal. But, we can’t fix the brain. So we have to protect it.” Although unconventional, Dr. Taliaferro’s teaching methods are effective. He is known to begin safety demos by juggling eggs, some encased in protective foam and others not. When the eggs drop, the results are self-evident. He might bring homemade Jell-O brains into the classroom. To youngsters’ awe, helmet-clad brains fare much

Northern Colorado Medical & Wellness 2012

Follow these steps from Dr. Taliaferro and the National Highway Traffic Safety Administration (www.nhtsa.gov) for a properly fitted helmet. 1

STRAIGHT The helmet should sit level on your head and not too low on your forehead – one or two finger-widths above your eyebrow. Think of a salute – your helmet should be right above your hand.

STRAP Adjust the slider on both side straps to form a “V” shape under and slightly in front of the ears. Lock the slider if possible.

SNUG Get a safety certified helmet that fits your head now, not one to “grow into.” It should feel snug without rocking forward and back or side-to-side.

SNAP Always buckle the chinstrap! Tighten the strap so that no more than one or two fingers fit under the strap. Open your mouth wide... big yawn! The helmet should pull down on your head.

For more information on bike resources in Larimer County go to the Bicycle and Pedestrian Education Coalition (BPEC) website at www.bpeclarimer.wordpress.com. Check out the latest events and information:

• 2012 Bicycle Ambassador Program • Safe Routes to School • Neighborhood Open Garages • Bike Events Calendar • Back on a Bike – Senior Social Cycling Club in Fort Collins 75

Dr. Peyton Taliaferro, with Primary Care South Loveland, has a passion for bicycle safety and advocates proper helmet fit for youngsters and adults alike.

better when they hit the floor than unprotected brains in zip-lock bags. These see-for-yourself demonstrations make lasting impressions on youngsters, helping them develop lifelong safe biking habits. Once he has their full attention, Dr. Taliaferro follows up with careful instructions on proper fit, placement and use of bike safety helmets. Today his Straight, Strap, Snug AND Snap video is finding a growing audience on YouTube. To convince adults, Dr. Taliaferro adds the hard data. He cites 2009 research by Thompson, Rivara and Thompson. The study, Helmets for Preventing Head and Facial Injuries in Bicyclists, concludes, “Helmets provide a 63 to 88 percent reduction in the risk of head, brain and severe brain injury for all ages of bicyclists.” “People need to understand that the literature on this is very clear,” Dr. Birnbaum says. Scott Pringle, Loveland’s Deputy Fire Marshall and President of Safe Kids Larimer County, also cites statistics. “Helmets could prevent an estimated 75 percent of fatal head injuries and up to 45,000 head injuries to children who ride bikes each year.” Even with hard evidence backing them up, bikehelmet ambassadors report a major pet peeve. They still see biking families where parents put helmets on the kids but not on themselves. “What kind of message does that send?” asks Aishah. She addresses parents directly, “Your kids look up to you and will do what you do, so please, please wear a helmet. Your kids need you, and they need you whole!” Dr. Taliaferro agrees. Radiating enthusiasm, he says the best way to teach children is by modeling good practices every time you ride. “My son wore a helmet since he started riding a tricycle. We wanted him to know that wheels and helmets just go together. Just like buckling a seat belt when you get in the car.” Dr. Birnbaum believes that bike helmets, like seat belts, protect public health. He takes this responsibility to heart, emphasizing, “Helmets are cool because it’s nice to be able to think!“ So think smart the next time you ride – join the experts with helmets on – straight, snug, strapped and snapped! Elissa Tivona is a writer in Fort Collins. She resides online and in social media as the Peace Correspondent at www.thepeacecorrespondent.com.

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Ice baths after workouts By Logan martinez

Keep your Hands Cool By Logan Martinez

Exercise benefits from having cold hands while working out. Hot and sweaty. That is usually what comes with any workout routine. However, a study shows retaining cool hands while exercising helps one to work out longer and retain a better exercise heart rate. The study was presented at the 2012 American Heart Association (AHA) Epidemiology and Prevention/Nutrition, Physical Activity and Metabolism meeting in San Diego. In the study 24 women, aged 30 to 45 who were considered obese based on their body mass index (BMI), held either the cooling device or

Vegetable of the Moment: Zucchini What is 95 percent water and a great substitute for a potato on the side? You may have guessed it: zucchini. This slender vegetable is actually botanically considered a fruit and holds 25 calories. When comparing it to a baked potato that has 130 calories, you might see it more as a diet food, but it is a great healthy substitute this season. The word “zucchini” actually originates from the Italian word for squash, or “zucca.” It has been speculated that the zucchini either originated from Italy or Mexico, then spread to the rest of the world. Zucchini is grown on vines, like many other types of squash, and can grow up to a meter in length. It is harvested long before it grows that large because the smaller zucchini actually have the most flavor. It is best harvested at about 12 inches or less in length. The flower of the zucchini plant is also edible; squash blossoms are considered a delicacy. Zucchini is high in vitamin C, is fat free, saturated fat free, cholesterol free and a good source of manganese and molybdenum. It also is said to have more potassium than a banana. When storing zucchini, place it in a plastic bag in the refrigerator for up to four or five days; however, do not wash the zucchini until you are ready to prepare it.

the lukewarm comparison device while they exercised over a 12-week period. Those who held the cooling device were found to have a lower resting blood pressure and had a greater exercise heart rate. According to an article on WebMD, hands are considered an internal thermostat for the rest of the body. Thus “by cooling the hands, you cool the rest of the body,” says Jerrold Petrofsky, Ph.D., in the article. Though there is a cooling device called the AVAcore CoreControl, which cools the palms, pulls heat from the body and sells for about $3,000, the article says freezing a full water bottle and holding it during exercise gives a similar outcome. Next time you head out for a workout, test out this theory and see if cool hands can help lengthen your exercise session.

Try this healthier take on potato gratin:

ZUCCHINI GRATIN • • • •

2 pounds zucchini, sliced in 1/4-inch thick rounds (about 4 medium)   Salt and pepper   1/2 cup freshly grated Parmesan cheese 2 tablespoons butter, melted

Butter a 10-inch pie plate or quiche pan and pre heat oven to 400 degrees. Put the sliced zucchini in a medium pot and cover with water. Bring to a boil and cook for 2 minutes; drain and rinse with cold water to stop the cooking. Arrange the zucchini in the pie plate in an overlapping circular pattern. Season with salt and pepper between the layers. Top with the Parmesan cheese and drizzle with the melted butter. Bake at 400 degrees for 30 minutes, then increase heat to 475 degrees and bake for another 10 minutes until golden brown. Makes 8 servings and can be frozen. Per Serving: 73 Calories; 5g Fat; 4g Protein; 3g Carbohydrate; 1g Dietary Fiber; 2g Net Carbs www.genaw.com

After a hard workout, sometimes a cool down isn’t enough to avoid the sore muscles 24 to 48 hours later. Ice baths help to reduce that pain. Though an ice bath sounds intimidating, it might be worth it to sit for 8 to 10 minutes to relieve up to 20 percent of post-workout pain, according to an article on WebMD. “It helps mask pain,” says Darrel Martin, MSPT, ATC, of Proactive Physical Therapy & Sports Medicine of Greeley. “There is a great deal of vascular response to help bring blood flow to an injured site.” Ice baths, or “cryotherapy,” are thought to constrict blood vessels and decrease metabolic activity, which can reduce swelling and the small tears that occur in muscles during exercise. Runners, in particular, are fond of ice bath therapy after long runs. If you are one who shivers at the thought of sitting in an ice bath between 50 and 59 degrees Fahrenheit, rest assured other pain relief remedies provide similar benefits, including: •

Alternating hot and cold pads or baths

•

Take an ibuprofen

•

Light jogging

•

Compression stockings

•

Warm baths

But if an ice bath, particularly in hot weather, sounds like your kind of pain relief method, Martin recommends taking an ice bath within 15 to 20 minutes after the cool down section of one’s workout, though he expresses caution to those who are hypersensitive to cold temperatures. “Some people have thermal issues or are hypersensitive to ice, so make sure to be careful,” Martins says. He also recommends “Make sure you are using a clean tub, and clean it before use and afterwards. If you have open wounds, I would avoid immersion.” So, to the brave, try this method to reduce post workout pain.

G e t F i t, G i v e B a ck C a l e n d a r

1 4 – F o re F u r r y F r i e n d s C h a r i t y G o l f To u r n a m e n t , 7 a . m . , T h e O l d e C o u r s e , Loveland, benefitting Half Moon Arts and Fort Collins Cat Rescue & Spay/Neuter C l i n i c , w w w. f o r t c o l l i n s c a t re s c u e . o r g 14 – Running for Global Health and the Environment, 8 a.m., The Oval, Colorado State University, Fort Collins, benefitting S o c i e t y o f G l o b a l H e a l t h R e s e a rc h e r s i n A c t i o n , w w w. s o g h r. o r g

RUN FOR HOPE

Run for Hope 5K, August 4 at 8 a.m., City Park, Fort Collins, benefitting cancer research in Northern Colorado, www.runforhope.net Over 1,000 participants will run for the cause on August 4. The 5K features a bagpiper, a live band, a group of talented musicians (physicians) called The Outcall, massage therapists and Elvis to cheer each participant on at the first turn of the race. Come out to help raise awareness of carcinoid cancer, and raise money for carcinoid cancer research, the Fort Collins Cancer Center and bring education to the community from specialists in the field of neuroendocrine cancer.

Run, run, run as fast as you can t o g e t i n v o l v e d i n t h e s e g re a t events that get you active over the warm summer and give b a c k t o n o n p ro f i t s o f N o r t h e r n Colorado. July 4 – R a c e A g a i n s t C a n c e r, 7 : 1 5 a . m . , 1500 10th Ave., Greeley, www.unco.edu 4 – F i re K r a c k e r 5 K , 8 a . m . , C i t y P a r k , Fort Collins, www.footoftherockies.com 4 – 4 t h o f J u l y 4 K 4 - l e g g e d R u n / Wa l k , 8 a . m . , B o a rd w a l k P a r k , W i n d s o r, w w w. w i n d s o r g o v. c o m 4 – L o v e l a n d L i b e r t y 5 K R u n / Wa l k , 8 a . m . , G r i m m B ro t h e r s B re w h o u s e , L o v e l a n d , w w w. l o v e l a n d ro a d r u n n e r s . c o m 1 3 – P h i l o ’s 7 t h A n n u a l Wo m e n ’s A m a t e u r G o l f To u r n a m e n t , 7 : 3 0 a . m . , M a r i ana Butte Golf Course, Loveland, benefitting need-based technical or vocat i o n a l s c h o l a r s h i p s f o r l o c a l re s i d e n t s , w w w. p h i l o l o v e l a n d . o r g

Northern Colorado Medical & Wellness 2012

1 5 – K R F C R a d i o F l y e r 5 K , 8 a . m . , Av o gadro’s Number, Fort Collins, benefitting K R F C 8 8 . 9 F M , w w w. f o o t o f t h e ro c k i e s . com 15 – New Belgium Brewing Urban Assault Ride, 9 a.m., New Belgium Brewing Com p a n y, F o r t C o l l i n s , b e n e f i t t i n g C i c l i s m o Yo u t h F o u n d a t i o n , w w w. u r b a n a s s a u l tride.com 20 – Relay for Life of Estes Park, 4 p.m., Estes Park High School Stadium, Estes Park, benefitting the American Cancer S o c i e t y, w w w. re l a y f o r l i f e . o r g 21 – Loveland Classic, 7 a.m., Davids o n - G e b h a rd t , L o v e l a n d , b e n e f i t t i n g T h o m p s o n Va l l e y P re s c h o o l , w w w. l o v e landclassic.com 22 – Red Mountain Run, 7 a.m., Red Mountain Open Space, North of Fort C o l l i n s , b e n e f i t t i n g A t h l e t e s i n Ta n d e m , w w w. a t h l e t e s i n t a n d e m . o r g 2 7 – R e l a y f o r L i f e o f W i n d s o r, 2 p . m . , E a s t m a n P a r k , W i n d s o r, b e n e f i t t i n g t h e A m e r i c a n C a n c e r S o c i e t y, w w w. re l a y forlife.org 28 – 29th Annual Fort Collins Human R a c e 5 K / 1 0 K , 7 a . m . , O l d To w n S q u a re , Fort Collins, www.thelastmileracing.com 2 9 – L i t t l e S p r i n t Tr i a t h l o n , 8 a . m . , Mountain View High School, Loveland, benefitting KidSelf Pediatric Therapy Program at McKee Medical Center, www. mckeefoundation.com August 3 – 9 t h A n n u a l W i l d We s t R e l a y, 5 a . m . , B u d w e i s e r To u r C e n t e r, F o r t C o l l i n s , w w w. w i l d w e s t re l a y. c o m

4 – SuperStars Sports Challenge, 8 a.m., Loveland Sports Park, Loveland, benefitt i n g P a r t n e r s M e n t o r i n g Yo u t h , w w w. partnersmentoringyouth.org 9 – 2 0 1 2 M o u n t a i n Av e n u e M i l e , 6 : 3 0 a . m . , O l d To w n S q u a re , F o r t C o l l i n s , w w w. m o u n t a i n m i l e . c o m 1 7 – Va l l e y 5 0 0 0 5 K R a c e , 7 p . m . , O l d Fair Grounds, Loveland, Benefitting H o u s e o f N e i g h b o r l y S e r v i c e s , w w w. honservice.org 18 – Peachy Cheeks on the Move 5K Wa l k / R u n , 8 a . m . , S t . M i c h a e l ’s To w n S q u a re , G re e l e y, b e n e f i t t i n g H o s p i c e o f N o r t h e r n C o l o r a d o , w w w. h o s p i c e o f northerncolorado.com 1 9 – H o r s e t o o t h O p e n Wa t e r S w i m , 7 a.m., Horsetooth Reservoir, Fort Collins, b e n e f i t t i n g Te a m F o r t C o l l i n s , w w w. horsetoothswim.com 25 – Peach Festival 5K Run/Walk and Kids Fun Run, Hughes Stadium, Fort Collins, 8 : 3 0 a . m . , w w w. f o r t c o l l i n s p e a c h f e s t i val.com 2 6 – F o s s i l F re n z y 5 K , 8 a . m . , F o s s i l C re e k P a r k , F o r t C o l l i n s , w w w. f c g o v. com/specialevents September 3 – L a b o r D a y 5 K R u n / Wa l k , 7 : 3 0 a . m . , B o a rd w a l k P a r k , W i n d s o r, w w w. w i n d s o r g o v. c o m 9 – F o r t C o l l i n s Tr i a t h l o n & D u a t h l o n , 1 8 0 1 R i v e r s i d e Av e . , F o r t C o l l i n s , w w w. fortcollinsclub.net/events/triathlon 9 – Mud Brigade 5K, gates open at 7 a.m., The Ranch, Loveland, benefitting Larimer County Explorer Programs, www. mudbrigadenoco.com 9 – Horsetooth Rock Race, 7 a.m., Horsetooth Mountain Park, Fort Collins, b e n e f i t t i n g A t h l e t e s i n Ta n d e m , w w w. athletesintandem.org 1 5 – Wa l k t o E n d A l z h e i m e r ’s , 9 : 3 0 a . m . , 5 0 1 N . 1 4 t h Av e . , G re e l e y, b e n e f i t t i n g A l z h e i m e r ’s A s s o c i a t i o n , h t t p : / / act.alz.org

4 – S a f e H a r b o r 1 0 K R u n / 5 K R u n - Wa l k , 7 : 3 0 a . m . , L i f e C a re C e n t e r o f G re e l e y, G r e e l e y, b e n e f i t t i n g t h e A l z h e i m e r ’s A s s o c i a t i o n , w w w. a c t i v e . c o m / r u n n i n g / g re e l e y - c o

1 6 – C ro s s ro a d s H a l f M a r a t h o n & 5 K , 8 a.m., Buckingham Park, Fort Collins, b e n e f i t t i n g C ro s s ro a d s Wo m e n ’s S a f e h o u s e , w w w. f o o t o f t h e ro c k i e s . c o m

4 – Run for Hope 5K, 8 a.m., City Park, Fort Collins, benefitting cancer research in Northern Colorado, www.runforhope.net

22 – Running of the Bulls, 10 a.m., Lake Estes Marina, Estes Park, benefitt i n g P a r t n e r s M e n t o r i n g Yo u t h , w w w. partnersmentoringyouth.org

family f o cu s summer is also an excellent and fun way to educate them about food. As a bonus, if your child has planted, watered and watched a garden grow, he or she will be excited to eat the produce when harvest time comes. If you’d like to try some of UCH’s healthy sack lunch ideas go to www.PVHS.org/healthy-sacklunch-recipes. You can also like them on Facebook at PoudreValleyHealthSystem, and watch for recipes to be posted. Lastly, you can follow them on Twitter at @PVHSNews.

Healthy

Alexander the Great Veggie Pita Pocket

School Lunches By Heidi Kerr-Schlaefer

As parents strive to make healthy decision for their families, packing a school lunch is one way to ensure your child is getting the proper nutrition. It can also be an opportunity to bond with your children and introduce them to cooking and new food styles. In August of 2011, University of Colorado Health (UCH) launched their healthy sack lunch program. It was prompted by employees at UCH who felt like school lunches weren’t always the healthiest option for their children. As these parents began to talk with other parents who voiced the same concerns they realized there were very few resources available for information on healthy sack lunches. The sack lunch menus were developed by nutritionists at UCH and the Coalition for Activity and Nutrition to Defeat Obesity, more commonly known as CanDo. Each day, UCH offers healthy sack lunch ideas on Facebook and through their Twitter account. Some of the ideas presented in the fall semester are recycled in the spring, but most of the sack lunch options are new, and always healthy. All the lunch menus are available through UCH online. Parents are also encouraged to submit their own recipes to UCH through Facebook and email, and once reviewed, these will be added to the online menus. “I got recipes from our nutritionists, and I got a lot of recipes from creditable Internet sources like WebMD, and we tweaked them a little,” says Gary Kimsey, marketing specialists at UCH. The lunch ideas on the UCH website are put

into categories such as Easy & Quick, Sandwiches, Salads, Healthy Sides, and there is a new section entitled Fun Learning Opportunities. This section includes things like the Alexander the Great veggie pita pocket. Click on the link to get the recipe for a delicious Mediterranean style lunch, as well as the history of the pita. Did you know the popularity of the pita pocket outside of ancient Greece may be attributable to Alexander the Great? As he conquered places across the Middle East, he brought along foodstuff from his homeland, such as the pita. Making this healthy sack lunch with your child is the perfect opportunity to discuss the history of this famous and ancient food product. “A healthy lunch is really important for a child to grow well and to learn well,” says Virginia Clark, obesity prevention supervisor at CanDo. “So whether parents are making a healthy lunch at home or children are choosing healthy options at school, it’s really important that they are getting healthy nutrients.” “It’s most important that parents are a role model at home meals,” she added. Children do not get enough fruits and vegetables in their diet, and many parents are concerned about their kids throwing these items away at school. Clark recommends making your child part of the entire process, from shopping at the grocery store to packing their lunch. When parents include their children in meal planning and preparation the child becomes invested in the project, and it is much more likely that the child will eat the healthy sack lunch. Letting your child help with the gardening this

Swim

Safety By Angeline Grenz

Nothing feels like summer quite so much as a thick layer of sunscreen and the smell of chlorine. If your child is a pool rat, or even if you are gearing up for that lake camping trip, swim safety should go hand-in-hand with SPF 30.

•

½ Cup Low Fat Cream Cheese

•

1 Tsp. Chopped Chives, Parsley, Basil or Rosemary (or other herbs that your child likes)

•

A Package of Pita Pockets

•

Olive Oil

•

Vegetables your child likes

•

Half of an Apple or Pear (optional)

This is a lunch that your child will like but it is also tasty for you and others in your family. So you’ll want to use the excess herbal cream cheese mix for more pita pockets. Directions: Mix a ½ cup of low-fat cream cheese and a teaspoon each of chopped chives, parsley, basil or rosemary in a food processor. Keep pulsing until you’re sure the herbs are distributed throughout the cheese. Spread the mixture inside a pita, about two tablespoons per pita. Grill up veggies in olive oil: carrots, cauliflower, celery, broccoli, onions... whatever your child likes. To give the pita pocket a little sweet taste, chop up about a half of an apple or pear and add them into the grilling. Stuff each pita evenly with the grilled veggies and fruit. You can keep the completed pita pockets on hand in a refrigerated, tightly sealed container. Your child can heat them up if there is a microwave available at school. If there’s not ... they taste good cold. Heidi Kerr-Schlaefer is a journalist and freelance writer. She is also the Mayor of HeidiTown.com, a blog about festivals, events and destinations around Colorado.

Drowning is one of the leading causes of death for children nationally and the second leading cause in Colorado, with 750 annual deaths from drowning of children age 14 or younger and another 5,000 near-drownings. Drowning deaths also increase 89 percent in the summer months. KidsHealth.org reports that it can take less than two minutes after a child goes under the water to drown, so putting precautions in place at home or at a public pool is vital. Safe Kids Larimer County, in partnership with Mackenzie’s Mission, a nonprofit drowning prevention organization, suggests these life-saving

kids • play • fun • health • activities

Northern Colorado Medical & Wellness 2012

tips for pool safety: • Keep your eyes on your children at all times. It takes just seconds for children to get into trouble in the water. Active supervision is vital; you must be where you can see, hear and reach kids in the water.

• Use flotation devices that are Coast Guard approved. Inflatable toys should never be used in place of these devices. • Learn infant and child CPR. Contact your local hospital, fire department or recreation department for information on classes.

• Never swim alone. • Discourage children from prolonged breath holding and breath holding contests/games. These have caused drowning and sudden death from passing out in the water (called Shallow Water Blackout). Physical exertion and repeated hyperventilation can also increase the risk of Shallow Water Blackout. • Keep gates around pools securely locked whenever there is no lifeguard or adult present. Pools and spas should be surrounded on four sides by a fence at lease four feet high. • Teach children the dangers of swimming around drains and suction outlets. Make sure drains have compliant anti-entrapment drain covers and back up devices. • Know how to swim and enroll your kids in swim lessons.

• Learn how to use rescue equipment and keep it and emergency phone numbers nearby. KidsHealth.org adds these reminders: • Teach your children to pay attention to depth markers. Allow them to dive only off of the diving board and never allow them to dive in too shallow water. • Check water temperature before plunging in; cold water can shock the body and cause you to breath in cold water. It also slows the muscles, making it harder to swim. • Teach your children to obey pool rules.

When swimming in lakes and ponds, Kids Health also suggests that children should always wear something to protect their feet. If weeds and grass are present and a swimmer becomes tangled, shake and pull arms and legs slowly away to work lose; do not panic and try to yank free. Life jackets should always be worn on boats, even on good swimmers. Mackenzie’s Mission will be setting up water safety booths at area Fort Collins pools throughout the summer. On July 29 from noon to 5 p.m., they will partner with Edora Pool Ice Center’s (EPIC) 25th anniversary celebration, offering a Water Safety Relay for kids and pool safety information. Visit their website for more information. Safe Kids Larimer County and KidsHealth both advise adults to take turns as a designated “Water Watcher,” pledging your undivided attention to children in the water. Visit www. safekids.org to download a free Water Watcher badge. For additional water safety, visit the Safe Kids Larimer County website or www. macksmission.org.

• No running around the pool area. • If your child is learning to swim, limit them to the shallow end.

Try something new with these familyfriendly activities in Northern Colorado.

Angeline Grenz is managing editor for Northern Colorado Medical & Wellness Magazine.

13 – Assassins, Assassins is the ultimate night game of Jason Borne meets James Bond, Council Tree Library, Fort Collins, 7 p.m., grades 9-12, fee: $10, www.fcgov.com/events 13 – Family Camp Out: Boardwalk Park, Windsor, 6 p.m., www.windsorgov.com/calendar

events in northern colorado july 3 - 8 – University of Northern Colorado 3-Day Volleyball Camp, grades 4-12, University of Colorado, Greeley, rates between $225 and $300 per child, other registration dates available, www.uncvolleyballcamps.sportscampzone. com/camps/224 9, 11, 16 & 18 – Funergy: Energy Exploration Sessions, ages not specified, Youth Center, Estes Park, 9 a.m. to 10 a.m., Registration open from May 2 to July 5, www.estesvalleyrecreation.com 9 - 13 – Art in the Garden II Summer Camp, ages 6 to 11, Gardens at Spring Creek, Fort Collins, 9 a.m., $125 per week session, pre-registration in person or by phone required, www.fcgov. com/gardens

9 - 13 – Skyhawks Basketball Camp, 9 a.m. to 12 p.m., ages 6 to 12, Skyhawks, Loveland, $119, register at their website, www. register.skyhawks.com 10 - 12 – Draw, Paint, Create, 11 a.m. to 3 p.m., grades 7-12, $75, Loveland Museum/ Gallery Sequel Building, pre-register prior by phone, www.ci.loveland.co.us

16 - 20 – Winged Wonders Summer Camp, ages 6 to 11, Gardens at Spring Creek, Fort Collins, 9 a.m., $125 per week session, pre-registration in person or by phone required, www.fcgov. com/gardens 16 - 20 – Skyhawks Sports Camp, mini-Hawk, ages 4 to 7, 9 a.m. to 12 p.m., Skyhawks, Loveland, $119, register at their website, www. register.skyhawks.com 22 – Amazing Race – Family Edition: Spring Canyon Park, 1 p.m., inspired by the Amazing Race TV show, family teams with children in grades K-8 compete in a series of fun challenges together. Awards given to the first place finishers. All teams receive commemorative T-shirts and will be entered in a drawing for special prizes! See details on website: www.fcgov.com/events

10 - 15 – Rooftop Rodeo, 5:30 p.m., Stanley Park Fairgrounds, Estes Park, www.rooftoprodeo.com

23 - 27 – Skyhawks Flag Football Camp, 9 a.m. to 12 p.m., ages 6 to 12, Skyhawks, Loveland, $119, register at their website, www.register. skyhawks.com

12 – Nature Nuggets – Coyote: Song Dog of the Prairie: Bobcat Ridge Natural Area, 10 a.m., www.fcgov.com/naturalareas

23 - 27 – Insect Investigations Summer Camp, ages 6 to 11, Gardens at Spring Creek, Fort Collins, 9 a.m., $125 per week session, CONTINUED ON PAGE 95

kids • play • fun • health • activities PRESCHOOL/PREKINDERGARTEN SUMMER CAMPS To learn & explore pick from 6 t wo week thematic camps SCHOOL-AGE SUMMER CAMPS To have fun & learn pick from 12 one-week thematic camps

FOR INFORMATION & TO REGISTER CALL LOVELAND: 2755 North Garfield, Loveland, CO 80538 • 970-663-0754

FORT COLLINS: 1100 Rocky Mtn. Way, Fort Collins, CO 80526 • 970-223-5437 3506 Lockwood Drive, Fort Collins, CO 80525 • 970-223-3888 4703 McMurry Ave., Fort Collins, CO 80525 • 970-377-0407 4755 Royal Vista Circle, Fort Collins, CO 80528 (Windsor exit) • 970-223-0056

Northern Colorado Medical & Wellness 2012

WELLNESS

community programs

University of Colorado Health provides a wealth of health-related programs to the community.

Programs Support

Community Wellness

by Tracee Sioux

University of Colorado Health (UCH) is dedicated to improving the overall health of the community by providing free or low cost services to enhance play, health and safety.

UCH and its collaborative partners, work to solve problems, create an environment of health and wellness, and provide the community with much-needed health-related services to enhance the quality of life in Northern Colorado. Healthy food, an active lifestyle, education and awareness are preventative medicine, and that’s what UCH’s community health programs are all about. “Our community programs add to our nonprofit structure. When you get right down to it, it’s our duty as a local healthcare provider to offer these types of tools to the community,” explains Grace Taylor, senior director, UCH. “The community health programs we have run the gamut from expectant mothers to senior services.”

Healthy Kids Club Programs • Healthy Kids Club encourages kids and families to be more physically active, eat healthy foods and have fun together. Healthy Kids Club has a strong presence

Families enjoy a wealth of fun activities at this year’s Fit Families on the Move kick-off picnic event in Windsor in June.

in community schools, sponsoring events and providing education. Communitywide services encourage residents to play hard and eat well. To get an overview of programs in the Healthy Kids Club, visit www.pvhs.org/healthykidsclub. • Fit Families on the Move negotiates with recreational facilities all over Northern Colorado for reduced-price and freeadmission days for its members. It’s a summer jam-packed with frugal or free summer fun. Daily activities include $1 admission to Fort Collins City Park pool, discounted laser tag, climbing walls, Pump It Up!, bowling and hikes. To register log onto www.pvhs.org/fitfamilies and mail in the registration form with the $5 per person registration fee; includes a free blanket or tote and families who complete 10 activities are entered into a drawing for prizes. (Children not required to participate.) • Healthy Kids Run Series is a series of nine one-mile runs for 5- to 12-year-olds; if they run four races they earn a prize, enter at www.pvhs.org/runseries. • Fit.Teen Run Series is a series of nine local 5K runs, which teens can enter at

Northern Colorado Medical & Wellness 2012

a discount. Teens also win a prize if they log at least four races, enter at www. pvhs.org/runseries. • HomeGrown brings fresh produce to low-income neighborhoods. It now has four gardens, which supply four low-income neighborhoods with fresh produce at free farmers’ markets July through October.

CanDo • The Coalition for Activity and Nutrition to Defeat Obesity, CanDo’s goal is to support healthy lifestyles in the school and work environments; increase the availability, affordability and consumption of healthy food; and ensure that city planning policies create environments that foster health in the community. • Fort Collins Well City Initiative, an initiative of CanDo, aims to earn Fort Collins the coveted Well City designation in the nation. The award is prestigious and Fort Collins would be only the tenth city to earn it. Well City designation requires 20 percent of the workforce to work for a Well Workplace company. Contact Virginia Clark at (970) 495-7517 or ve2@pvhs.org for Well Workplace training and resources.

Healthy Families & Safety • Healthy Families is a free program connecting new families to health resources. Through free newsletters, seminars and workshops, they provide health and safety information about allergies, carbon monoxide poisoning, sports safety and other relevant topics. Visit www.pvhs.org/ healthyfamilies to register. • Bright Beginnings provides free education about development, health and safety for parents of babies and toddlers from birth to 36 months, through in-home visits and small groups. They also assist parents with insurance resources. Register at www.pvhs. org/brightbeginnings. • Safe Kids is an injury prevention program for kids, birth to 14 years old. In collaboration with 36 Larimer County agencies including fire, EMS, law enforcement and private corporations, the program works to prevent unintentional injury of children. The top three prevention programs are motor vehicle safety, bike safety and pedestrian safety. • Comprehensive car seat program, also part of Safe Kids, is a grant-funded program that assists parents with the proper

installation of car seats. The program also supplies families in need with a onehour class on car seat safety and supplies them with a car seat for a nominal $20 donation. UCH also takes special care to ensure that infants leaving the hospital after delivery are safely transported home with properly installed car seats. Visit www.safekidslcc.org. • Bike Pedestrian Education Coalition (BPEC) provides bike education to 85 percent of all third graders in Larimer County, in partnership with Safe Routes to School. The coalition educates kids on the safety rules of the road, proper helmet fit and use, and the consequences of brain damage from bike-related head injuries. • Safe Routes to School and Healthy Families provide pedestrian safety messages in schools and sponsor National Walk to School Day. Walkability surveys are conducted to find out if there are environmental issues (aggressive dogs, bullies, hazardous road conditions) that prevent kids from walking to school; the organization works with schools and communities to address and resolve walkability issues.

Living Well • Enhance Wellness is a six-month comprehensive health and wellness program which assists participants with disease management, wellness and exercise. Participants have access to a six-week Living Well With Chronic Conditions program (see below), joint-specific adaptive exercise classes, bi-monthly counseling with a registered nurse, and up to two visits with a dietician, behavioral counselor or a fitness coach. The cost is only $100, or $50 if participants opt out of the chronic disease or exercise portion of the program. Call for more information, (970) 495-8560, www.pvhs.org/ enhancewellness. • Pathways to Wellness is an eight-week program offering support as participants jump start a lifestyle change to improve their health. The program establishes a baseline with health and physical assessments, which are used to establish health-related goals. Participants receive individual counseling sessions with a registered nurse and fitness coach. • Living Well With Chronic Conditions is a free six-week course, which helps participants learn skills and develop tools to manage their chronic illness. Participants set goals to change nutritional, physical activity and emotional habits that keep them feeling poorly, as well as to manage symptoms with effective techniques and tools. Participants report a drop in medication use, ER and doctor visits, and an improvement in their quality of life. Call for more information, (970) 495-8560.

• Living Well with Diabetes & Living Well with Chronic Pain, courses similar to the above, are offered to help participants with diabetes or chronic pain learn to self-manage their symptoms, pain and restrictions. • Living Well with Cancer is accepting 40 participants who will be part of a study to establish the effectiveness of this pilot program. Those who participate will be placed in either a control group or a research group. This summer will have two sessions of weekly meetings: July 10 - Aug. 21 and July 11 Aug. 22, call for more information, (970) 495-8560.

Aspen Club • Aspen Club is a senior services organization, which provides an array of comprehensive health and lifestyle services. Aspen Club offers blood tests; skin cancer screenings; lung function tests; shots for flu and pneumonia; bone density tests; skin cancer; eye and hearing screenings; blood pressure clinics; exercise classes; personal wellness assessments and consultations; legal services involving health matters; free financial consultations; $1 per minute drop-in therapeutic massage; discounts for hospital and community services; and much more. Call for more information, (970) 495-8560, www. pvhs.org/aspenclub. • Strong Women/Strong Bones Class is one of several Aspen Club group exercise courses. This particular course is designed to keep osteoporosis at bay, reducing the risk of bone breaks in senior women. Other group classes include Zumba, beginning exercise, core strength, balancing and yoga. • Medicare Counseling makes the gobbledegook of Medicare understandable and functional for participants. Trained counselors will answer questions and assist participants in determining which plan is most appropriate for them. • Medication Review Program prevents accidental overdosing and drug interactions; members bring their medications and supplements in for a pharmacist review. “Our goal is to meet the health and wellness needs of our community, and reduce the burdens of most emergent health needs in our community,” says Taylor. “We want to keep the people in our community healthy and well, we want to encourage healthy eating and movement, and we’re giving people the tools they need to be healthy.” More comprehensive information about UCH community programs can be found at www.pvhs. org/community. Tracee Sioux is a Northern Colorado writer and author of Love Distortion: Belle, Battered Codependent and Other Love Stories. She can be found at www.twitter.com/traceesioux and www.thegirlrevolution.com.

Northern Colorado Medical & Wellness 2012

2012 Childcare/Preschool ::

Dentistry/Orthodontic ::

KinderCare Learning Centers 1100 Rocky Mtn. Way (FC) �� 970.223.5437 3506 Lockwood Dr. (FC) �� 970.223.3888 4703 McMurry Ave. (FC) �� 970.377.0407 4755 Royal Vista Cir. (FC) �� 970.223.0056 2755 N. Garfield (Loveland) �� 970.663.0754 www.kindercare.com See ad on page 83

Mark D. Crane, DDS, MS-PC Craig Seager, DDS-MSD 4144 S. Timberline Rd. (FC) �� 970.226.6443 3520 E. 15th Street (Loveland) �� 970.663.4871 www.drcraneorthodontics.com See ad on page 60

Chiropractic :: Spine Correction Center of the Rockies 1101 Oakridge Dr., Ste. A (FC) �� 970.226.1117 www.spinecorrectioncenter.com See ad on page 81

Continence Therapy :: Continence Center of Northern Colorado 1721 W. Harmony Rd., Ste. 102 (FC) ��970.223.1773 www.continencehealth.com See ad on page 68

Counselor :: Reed Counseling, LLC Jennifer Reed, MA, MA �� 970.217.1792 www.reedcounselingllc.com See ad on page 28

Dentistry/Cosmetic/General :: Family & Cosmetic Dentistry of the Rockies Travis R. Willey, DDS Steven J. Koehler, DMD 4745 Boardwalk Dr., Ste. D102 (FC) ��970.223.6101 www.smilefortcollins.com See ad on page 86 Overton Center for Dental Arts, P.C. Thomas F. Overton, DDS 1220 Oak Park Dr. (FC) �� 970.223.6677 www.overtoncenter.com See ad on page 72

Dentistry/Endodontics :: Center for Endodontic Care Anthony Girardi, DDS Kelly Jones, DDS, MS Amber Severin, DDS, MS 1331 E. Prospect Rd., Bldg. B-1 (FC) �� 970.232.3750 516 W. Eisenhower Blvd. (Loveland) 970.232.3757 4669 W. 20th Street Rd. (Greeley) ��970.232.3755 See ad on page 63

Dentistry/Oral Surgery :: Summit Oral & Implant Surgery, PLLC Zachary A. Owen, DDS 2998 Ginnala Dr., Ste. 102 (Loveland) �970.669.4802 www.summitoralsurgery.com See ad on page 93 James B. Troxell, DDS, MS, PLLC 1120 E. Elizabeth St., G#3 (FC) �� 970.482.6811 See ad on page 21

Orthodontics Associates of Greeley, P.C. Burdett R. Edgren, DDS, MS Bradford N. Edgren, DDS, MS 3400 W. 16th Street, Bldg. 4-V (Greeley) ��970.356.5900 www.dredgren.com See ad on page 31 David L. Way, DDS, MS 1424 E. Horsetooth Rd., Ste. 1 (FC) �� 970.223.8080 www.orthoway.com See ad on page 81

Dentistry/Pediatric :: Pediatric Dentistry of Loveland Louis R. Gerken, DDS Katherine Galm, DDS 2800 Madison Square Dr., Ste. 1 (Loveland) �� 970.669.7711 www.tropicalteeth.com See ad on page 83

Dentistry/Periodontics :: Associates in Periodontics Richard W. Lindeberg, DDS, MS David Clark Johnson, DDS, MS Jennifer Merritt, DDS 1120 E. Elizabeth St., Ste. G4 (FC) ��970.221.5050 2996 Ginnala Dr., Ste. 101 (Loveland) �970.221.5050 www.periofortcollins.com See ad on page 69

Education ::

Home Instead Senior Care Northern Colorado �� 970.494.0289 www.homeinstead.com/northerncolorado See ad on page 50

Hospice :: Hospice of Northern Colorado 2726 W. 11th Street Rd. (Greeley) ��970.352.8487 www.hospiceofnortherncolorado.org See ad on page 33 Pathways Hospice 305 Carpenter Rd. (FC) �� 970.663.3500 1580 Main St., Ste. 2 (Windsor) �� 970.674.9988 www.pathways-care.org See ad on page 65

Insurance :: Chip Beake-State Farm 106 E. Olive St. (FC) �� 970.482.1936 www.chipbeake.com See ad on page 20

Kids Activities :: Chipper’s Lanes Horsetooth Center (FC) �� 970.226.6327 College Center (FC) �� 970.484.4777 Greeley Center �� 970.353.4275 Estes Park Center �� 970.586.8625 www.chipperslanes.com See ad on page 64

Animals in Motion Kara Keesling, DVM, CCRP, CVA 3200 E. Mulberry St. (FC) �� 970.232.3427 www.coloaim.com See ad on page 59 Moore Animal Hospital Douglas E. Leidholt, DVM Maura C. Buckner, DVM Melanie J. Emory, DVM 2550 Stover St., Bldg. H (FC) �� 970.416.9101 See ad on page 67

Pharmacy/Medical Supplies :: City Drug 209 N. College Ave. (FC) �� 970.482.1234 See ad on page 69

Senior Living Residences :: Fort Collins Health Care Center 1000 S. Lemay Ave. (FC) �� 970.482.7925 Spring Creek Health Care 1000 E. Stuart St. (FC) �� 970.482.5712 See ad on page 93 Grace Pointe 1919 68th Ave. (Greeley) �� 970.304.1919 www.gracepointegreeley.com See ad on page 95

Mountain Kids 419 E. Stuart St. (FC) �� 970.482.3118 www.mountian-kids.com See ad on page 83

The Hillcrest 535 N. Douglas Ave. (Loveland) �� 970.593.9800 www.hillcrestofloveland.com See ad on page 27

Maid Service ::

Spa Services ::

IBMC Northern Colorado �� 800.495.2669 www.ibmc.edu See ad on page 81

Molly Maid 5112 S. College Ave., Unit D (FC) � 970.282.7707 www.mollymaid.com See ad on page 28

Eyecare ::

Med Spa ::

Advanced Eyecare 162 S. College Ave. (FC) �� 970.498.8388 www.aecfortcollins.com See ad on page 61

Allura Skin Laser & Wellness Clinic 2032 Lowe St., Ste. 103 (FC) �� 970.223.0193 4450 Union St., Ste. 201 (Johnstown) �970.223.0193 www.alluraclinic.com See ad on page 57

Hearing Healthcare ::

Pet Care ::

Pure Lipo Sculpt Center 1601 Pelican Lakes Point, Ste. 101B (Windsor) �� 970.545.3399 www.pureliposculpt.com See ad on page 76

Speech/Language Therapy :: Speech & Language Stimulation Center, Inc. 317 N. Meldrum St. (FC) �� 970.495.1150 www.speech-language-voice.com See ad on page 67

Advanced Hearing Services, LLC Susan Baker, BS, BC-HIS 2001 S. Shields St., Bldg. J2 (FC) �� 970.221.5249 www.bakerhearing.net See ad on page 60

Twenty Three Trees Medical & Wellness Spa 1107 S. Lemay Ave. (FC) �� 970.495.8400 www.twentythreetrees.org See ad on page 89

Stress Relief ::

Home Healthcare ::

Music Instruction ::

Yoga ::

Caring Hearts Home Healthcare Northern Colorado �� 970.378.1409 www.caringheartshh.com See ad on page 57

Philomusica 2105 S. College Ave. (FC) �� 970.419.8801 www.philomusica.com See ad on page 81

Mindstream Yoga, Inc. 2733 Council Tree Ave., #129 (FC) � 970.266.9642 www.mindstreamyoga.com See ad on page 87

Mary Zimmerman- Vocal Lessons sockembop2@aol.com �� 970.231.4265 See ad on page 31

Northern Colorado Medical & Wellness 2012

Wellness

Farming

The Brandt-Feldenkirchen family takes a break together outside of their Red Barn Farm Store. The Brandt-Feldenkirchens run their farm based on biodynamic farming practices.

Biodynamic Farming Imagine abandoning long-held, rigid habits in favor of a sacred union that produces a healthy, fruitful quality of life. Marriage, you say? Well, yes. But rather than human-tohuman, this is human-to-BiodynamicÂŽ farming practices.

Northern Colorado Medical & Wellness 2012

by Marty Metzger

In 1924, Austrian scientist and philosopher Rudolph Steiner gave a series of eight lectures at the request of European farmers. Theyâ&#x20AC;&#x2122;d sought his assistance after noticing a sudden decline in seed, crop and animal vitality. Based on Steinerâ&#x20AC;&#x2122;s teachings, a co-operative was formed in 1927 to market Biodynamic produce. The following year, the Demeter symbol and initial standards were introduced to keep the farming methods uniform. No alliance can robustly thrive if one member ignores the importance and contributions of the others. Biodynamic farming sees soil, plants, animals and the farmer as one organism. Each of these aspects plays a vital, essential role in the whole. Green manure, minerals and fermented

herbs are applied to soil to improve its fertility. No artificial chemicals are ever used. A method of organic farming, this consummate mode of sustainable agriculture focuses on diverse crops grown from open pollinated seeds of locally developed varieties. Beesâ&#x20AC;&#x2122; contributions are also critical to this complex, verdant relationship. Nature itself gives hints, clues and rebukes to modern farming systems, which have seemingly devolved from ancient, common sense partnering with the earth to a high-tech force against it. For example, consider noxious and prolific thistles.

Rather than spraying a toxic chemical cocktail on them (and into the air), Biodynamic weed control serves up a thistle “tea,” a brew of thistles to kill specific plant-choking thistles without harming any other organism. Animal welfare is crucial in Biodynamic farming. Just a few of its regulations include that housing be unrestrained and protected from dust, heat, high humidity and harmful gases (i.e. ammonia). No poultry cages are permitted and the birds must be provided a soft, dry and insulated area in which to nest and roost, with outdoor access and free-range forage. All methods of de-horning, de-beaking, wing clipping, tail docking or cutting are prohibited. No antibiotics are allowed and homeopathic remedies rather than vaccines are urged. Into this homeopathic arena of sowing and reaping jumped Olli and Jessi Brandt-Feldenkirchen. The pair first met at the Munich, Germany, airport while on their separate ways to the U.S., where they each have been living for several years already. They quickly discovered they’d both grown up in rural Hanover, Germany, and had far more than that in common. Emails, texts and visits followed. Jessi eventually joined Olli in Colorado and the couple married. Self-declared foodies, the Brandt-Feldenkirchens immediately sought an edible way in which they could benefit their community and originally considered opening a restaurant. Even with no personal farming experience, they settled on a small acreage where they could grow their own produce. Then they were introduced to a Loveland Biodynamic farming couple, Lawrence and Ursula Holmes. Like the Brandt-Feldenkirchens, Ursula is German (and Lawrence lived there for 30 years). Olli and Jessi were so inspired by the methodology that they moved onto the Holmes’ property as apprentices in the North American Biodynamic Apprenticeship Program (NABDAP), a two-year, on-farm training program consisting of intense classes and hands-on experience. When the Holmses retired, Olli and Jessi took on their operation, called Cresset Community Farm, in the Loveland/Johnstown area. When the farm’s lease was up, the Brandt-Feldenkirchens leased 115 north Fort Collins acres in February 2012. Olli and Jessi are certain that everything about finding the property was providential, including that another Biodynamic apprentice who had been farming the land chose, at that exact time, to move on to another region of the country. And so Cresset Farm Fort Collins found its new home. “We now have a long-term lease on the acreage from a very supportive and encouraging land owner,” says Olli. Besides raising produce and animals, 42-yearold Olli and Jessi, 39, are bringing up their three children. Ben and Carli, 8-year-old twins, and 6-year-old Dominick are learning early-on the natural ways of growing food. The Brandt-Feldenkirchens state a clear vision for their venture: “The goal of Cresset Farm is to continue to grow a well-rounded, sustainable farm following organic and Biodynamic practices and to obtain those certifications.” The two certifications to which they refer are “Organic,” through the U.S. Department

Northern Colorado Medical & Wellness 2012

of Agriculture, and “Biodynamic®,” through Demeter. Says Jessi, “We are in our second year and lucky to already have our own farm!” But she happily acknowledges that she and Olli continue to seek advice, as needed, from mentor farmers, especially other biodynamic farmers like Happy Heart Farm in Fort Collins and Angelic Organics in Rockford, Illinois. Cresset Farm offers opportunities to share in its risks and rewards. Community Supported Agriculture (CSA) allows shareholders to intimately pool interests and resources within a true community atmosphere. Cresset Farm shareholders, who buy seasonal shares, receive vegetables based on yields and can even go to the acreage to pick their own produce, dig in the dirt and attend private, family-friendly events. Participation is welcomed and encouraged. For example, a shareholder brought in some of Cresset’s hardworking honeybees. Eager proponents quickly snapped up all of Cresset’s available 2012 spring and summer CSA memberships. Olli and Jessi intend to grow their farm at a reasonable, manageable pace rather than going full steam ahead simply to increase volumes. They place quality over quantity as they strive to produce optimum flavor and the best nutrients possible. Shortly after moving Cresset’s operation to its present location, Olli broke his foot. Bravely hobbling about the farm on crutches for months wasn’t particularly conducive to tackling complex new construction. However, he and Jessi persevered with the help of volunteers and farmhands. The reward is a completed 4,200-square-foot, double-arched greenhouse fabricated almost totally from recycled materials. Spring seedlings can now be started, and 130 varieties of produce grown year-round in the weather-resistant, expansive structure. Greenhouse project manager, Josh Chance, previously a volunteer, gave up his job in Denver to be the first full-time apprentice. His girlfriend Jessie Arian started the bakery on site. The Brandt-Feldenkirchens realize that Biodynamic practices can be seen as suspect compared to more familiar, mainstream ones such as use of chemical fertilizers. Biodynamic methods instead include implementation of fermented herbal and mineral preparations adjusted accordingly for fields and compost to bring terrestrial and cosmic forces into the soil. An astronomic calendar for sowing and planting is followed (but tweaked for regional anomalies and fluctuating weather events). “Some say it is a strange magic, pseudoscience, occultish or dogmatism,” Olli admits of many commonly held perceptions of Biodynamic farming. In actuality, it employs much old-time, Farmers’ Almanac-like wisdom. Planting by phases of the moon extends back to farming’s origins, as does the use of purely organic methods of soil prep and pest abatement. The Brandt-Feldenkirchens blend in Cresset Farm CSA memberships to produce a bountiful communal crop of fellowship as well.

Fort Collins resident Marty Metzger has been a freelance writer since 1987.

The Red Barn Farm Store

A big, red barn stands tall and proud among the rolling, green fields and pastures on East County Road 52. The rustic structure is the site of Cresset Farm’s new Red Barn Farm Store, where Olli and Jessi Brandt-Feldenkirchen have a plethora of local products for sale. Their own produce, eggs, all-natural grass fed beef and pork, on-site baked goods and fermented vegetables will be available. Other area farmers who Olli and Jessi trust will bring their honey, jams, dairy products, mushrooms, herbs, flowers, fruits, vegetables and soaps. The wide variety of Cresset’s baked goods (many are German recipes) contain freshly milled grains, some with spelt, which is easier than wheat to digest and appropriate for people dealing with wheat allergies. Fresh milled flour ensures that the grains retain their peak level of nutrients. In an age when most people can only guess where their food comes from (and wonder what it’s gone through before getting to them), here’s a great opportunity to meet your local farmers. Within the barn’s broad shadow, a children’s playground with swings, a slide, climbing equipment, sand and mud areas, and a small petting zoo will delight youngsters. Adults can enjoy a restful break and pleasant conversation in a shaded coffee/tea area. Besides beverages, there will be home-baked goods and a chance to relax in a pleasant, rural spot with beautiful mountain views. The Red Barn Farm Store is open every day, rain or shine, from 9 a.m. to 9 p.m. For more information call (970) 744-2297, or visit www.cressetfarm.com for details.

CONTINUED FROM PAGE 82

pre-registration in person or by phone required, www.fcgov.com/gardens

23 - 27 – Skyhawks Indoor Volleyball Camp, 9 a.m. to 12 p.m., ages 7 to 14, Skyhawks, Loveland, $119, register at their website, www. register.skyhawks.com

31 – Estes Park Treasure Hunt, 9:30 a.m., Estes Park Visitor Center, ages 9 to 13, $10/child, www.rmna.org

26 – Nature Nugget – Beyond Dirt: Bobcat Ridge Natural Area, off CR 27, south of Masonville, 10 a.m., free, no registration required, ages 3 to 7, www.fcgov.com/naturalareas

August

27 - 29 – Weld County Fair, 10 a.m. to 4 p.m., Centennial Village Museum, Greeley, www. greeleygov.com

4 – Puppets on Patrol, 9 a.m., Bobcat Ridge Natural Area, all ages, free, no registration required, www.fcgov.com/naturalareas

28 - 29 – 34th Annual Greeley Arts Picnic, 9 a.m. to 5 p.m., Lincoln Park, Greeley, www. greeleygov.com

4 - 5 – Schoolhouse Rock, 7:30 p.m. Saturday and 2 p.m. Sunday, Estes Park High School Auditorium, Estes Park, Adults are $8, under 18 is $4, family of 4 is $20, www.fineartsguild.com

29 – EPIC’s 25th Anniversary Celebration, EPIC, 12 p.m., fee: $1, www.fcgov.com/events 29 – Little Sprint Triathlon, 8 a.m., Mountain View High School, Loveland, benefitting KidSelf Pediatric Therapy Program at McKee Medical Center, www.mckeefoundation.com 30 - Aug. 3 – Backyard Adventures Summer Camp, ages 6 to 11, Gardens at Spring Creek, Fort Collins, 9 a.m., $125 per week session,

1 – Art Adventures, 9 a.m. to 12 p.m., Lily Lake, Estes Park, $15/child, www.rmna.org

6 - 10 – “Dirt” Camp Summer Camp: Monday - Friday, 9 a.m. - noon, $125 per session ($15 discount with Family Membership), ages 6 to 11, Spring Creek Gardens, Fort Collins, Preregistration required. www.fcgov.com/gardens 8 - 19 – Pets ‘n’ Popsicles, Plumb Farm, Greeley, 10 a.m. to 2 p.m., ages 2+, $2 on weekdays or $3 on Saturdays, $1 hay rides, www.greeleygov.com

10 – Movie in the Park and Teen Bonfire, playing Big Miracle (PG), Boardwalk Park, Windsor, 8 p.m. to 10:30 p.m., free, www. windsorgov.com 10 - 12 – New West Fest: Mountain Avenue, Fort Collins, 5:30 p.m. Friday, 10 a.m. Sat.Sun., www.downtownfortcollins.com/festivals 13 - 17 – Gardeners and Chefs II Summer Camp: Monday - Friday, 9 a.m. - noon $125 per session ($15 discount with Family Membership), ages 6 to 11, Spring Creek Gardens, pre-registration required. www. fcgov.com/gardens 16, 17, 18, 23, 24, 25, 30, 31 – Shakespeare at Sunset Presents: “The Comedy of Errors,” University Theatre, University Center for the Arts, Fort Collins, 7 p.m., www.sota.colostate.edu 18 & 19 – Heritage Festival, 10 a.m. to 5 p.m., Bond Park, Estes Park, www.epheritagefestival.org 24 – Movie in the Park, playing Adventures of Tintin (PG), Boardwalk Park, Windsor, 8:30 p.m., www.windsorgov.com 25 – Fort Collins Peach Festival, Hughes Stadium, Fort Collins, 8:30 a.m., www.fcpeachfestival.com

SE N IO R S • S ENIORS • SENIORS • S ENI O R S • S ENI O R S • S ENI O R S • S ENI O RS • SE N IORS

Northern Colorado Medical & Wellness 2012

WELLNESS

dentistry

David L. Way, DDS, orthodontist in Fort Collins, and Greg Evans, DDS, owner of Big Grins in Fort Collins, explain the importance of mouth guards when treating teeth grinding or to protect teeth during sports.

Orthodontic Mouth Guards:

An Ounce of Prevention

by Elissa Tivona

A bright outlook on life can be as simple as a good night’s sleep. But that can be a tricky proposition for sufferers of a condition called “bruxism,” better known as teeth grinding. Estimates of the incidence of teeth grinding among Americans are hard to come by because most experts agree that over 80 percent of bruxers don’t realize they suffer from the condition until it reaches an acute stage. 96

Several common indications of regular teeth grinding at night include facial, head, neck or shoulder pain on awakening, frequent daytime jaw clenching or clicking, and, in some extreme cases, worn, chipped or cracked teeth. But perhaps the most reliable evidence comes from irritable bed partners who complain of grating noise that interferes with their own rest. Orthodontic specialist David L. Way, DDS, M.S., in Fort Collins, offers a variety of remedies depending on the underlying cause of the problem. “Splints, night guards, orthotics, MAGOs (maxillary anterior guided orthotic) and sometimes mouth guards are all terms used to describe oral appliances used to protect teeth and jaw joints in addition to preventing breakdown of periodontal tissues (gums and bone that support the teeth),” says Dr. Way. For the surest and quickest relief of symptoms Dr. Way advises sufferers get a diagnosis and a patient-specific treatment plan from a qualified professional. An appliance can then be custom fabricated for each individual based on the indicated need. Dr. Way explains in more scientific terms, “The purpose of an oral guard is not only to prevent excessive tooth wear, but to unload the jaw joint and to help find a comfortable, repeatable jaw joint position. In other words, coordinating the bite with each individual’s best ball, socket and disc position during function.” As yet, scientific studies have failed to isolate a definitive cause of Bruxism. Many experts consider physical and emotional stress to be contributing factors and recommend a variety of proven relaxation techniques such as biofeedback, progressive

muscle relaxation, calming pre-bedtime rituals, even hypnotherapy. Many also suggest keeping caffeine and alcohol consumption, especially in the evening, to a minimum. Some data lead professionals to believe teeth grinding is genetically transmitted. Regardless of the cause, excessive grinding may exert as much as 1,200 pounds of pressure on the crowns and roots of teeth and overburden the temporal mandibular joint (TMJ). As a consequence, orthodontists continue to refine and improve treatment options. Although oral guards do not “cure” teeth grinding per se, Dr. Way reports with confidence, “Splint therapy in conjunction with physical therapy most often results in a very significant reduction or even complete resolution of the muscle pain associated with this disorder.” In the case of youngsters, board certified pediatric dentist, Greg Evans, discusses another practical reason for recommending custommade mouth guards to patients of his Big Grins dental practice in Fort Collins. “I began to appreciate custom made or dentist made mouth guards when my kids got into sports. Mouth guards are like shock absorbers that take unexpected concussive force and spread it out over the entire jaw, thereby avoiding injury to the teeth or jaw joints.” One evening following his Lacrosse practice, Dr. Evans’ son jabbered happily all the way home never realizing his mouth guard was still in place. Following this experience Dr. Evans reports, “I

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became a believer that custom mouth guards were superior to generic or non-custom guards.” Dr. Evans emphasizes the major difference between expensive, commercially produced mouth guards on display in the sporting goods stores and ones crafted professionally to fit comfortably in a child’s mouth. “For me, it all comes down to whether the mouth guard is in place when an accident occurs. I have come to believe that if a kid can talk in their mouth guard, they will wear them. If they cannot talk comfortably, the mouth guard will be in and out or chewed on. That’s why I have begun advocating for dentist made mouth guards,” says Dr. Evans. Also Dr. Evans points out that the technique to make mouth guards has advanced. Now they can be made right in the dental office lab, bringing the cost down and making them comparable to store-bought mouth guards designed for use in contact sports. He does add that pediatric teeth grinding presents a more complicated challenge and in those cases he refers families to an orthodontist. “There is some evidence to show that night time mouth guards will slow but not stop childhood bruxism. Various splints are available but nothing is right for every person, so an orthodontist should be consulted.” Both dentists stress the importance of getting the right appliance for the right circumstance. A properly fitted mouth guard, whether to mitigate the worst symptoms of teeth grinding

Professionally crafted children’s mouth guards can act like shock absorbers to protect teeth during sports practice. Provided by Big Grins.

This mouth guard, or splint, can help prevent tooth damage from continual grinding, also called bruxism. Splint provided by David L. Way, DDS.

or to dissipate the force of a sudden blow to the head during athletic competition, may very well be the “ounce of prevention” that offsets a subsequent “pound of cure.” Elissa Tivona is a writer in Fort Collins. She resides online and in social media as the Peace Correspondent at www.thepeacecorrespondent.com.

Building Northern Colorado

Amazing

Small space transformation

When this family outgrew their small, confined backyard they wanted an outdoor retreat that would provide plenty of year-round color, an outdoor living area and a lap pool. Hurr’s challenge was to incorporate the entire family’s vision into the small area. To accomplish this, Hurr’s landscape experts added accent boulders, low lying perennials that wouldn’t block the amazing views and strategicallyplaced evergreens to provide a buffer between them and the neighbors. The result? A space that is entirely functional, very colorful and fulfilled this family’s dreams of a great landscape Call Hurr today and let them help make your dream landscape a reality.

970.613.0225 | www.hurrcolorado.com

Richard Alessi, MD

Kevin Bachus, MD

Christopher Eriksen, MD

Warren James, MD

Kara Micetich, MD

Philip Priebe, MD

J. Bradley Stern, MD

Kevin Tool, MD

Jeffrey Chapman, MD

Beverly Donnelley, MD

Angela King, MD

Susan Kozak, MD

Mark Loury, MD

Brad Runyan, MD

Elizabeth Serniak, MD

Bruce Smith, MD

Douglas Beard, MD

Christopher Tsoi, MD

Donn Turner, MD

Maude Vance, MD

Tim Wirt, MD

1100 E. Prospect Rd. • Fort Collins, CO 80525 • 970.494.4800

Northern Colorado Medical & Wellness 2012

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