2013-07 Northern Colorado Medical & Wellness Magazine and PVHS Physician Dire by Style Media & Design, Inc.

2013 | 2014

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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 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, Corey Radman, Kay Rios, Carl Simmons, Tracee Sioux, Elissa J. Tivona, Michelle Venus PHOTOGRAPHERS Marcus Edwards, Harper Point Photography AFFILIATIONS Fort Collins Area Chamber of Commerce Greeley Chamber of Commerce 2013 STYLE MAGAZINES January-Northern Colorado Medical & Wellness Magazine and McKee Medical Center & North Colorado Medical Center Medical 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 Medical Directory August-Style September-Women’s Health & Breast Cancer October-Northern Colorado Medical & Wellness November/December-Holiday Style Style Media and Design, Inc. magazines are free monthly publications direct-mailed to homes and businesses in Northern Colorado. Elsewhere, a one year subscription is $25/year and a two year subscription is $45/year. Free magazines are available at more than 275 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 ©2013 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.

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MEDICAL W E L L N E S S &

2013 | 2014

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

T A B L E

O F

for

PVH

and

MCR

C O N T E N T S

On the Cover: Follow PVH paramedic Rob Collett through his daily journey responding to emergencies and dispensing care with skill and compassion. Cover photo by Marcus Edwards.

Medical Magazine & Directory

Wellness Magazine & Directory

Publisher’s Letter

Blood Tests Can Help Determine Future Health

Introduction Letter

Alternative Help for Allergies/ Making Homemade Yogurt

Get Fit, Give Back Calendar

Family Focus: First Aid For Families

Family Focus: Picky Eater? Try This…

Keep Your Pet Moving

Wellness Directory

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

New Cancer Center in Fort Collins

Cancer Care Focusing on the Mind, Body & Soul

Medical Records Conversion – Safer & Cost Efficient

A Day in the Life of a Paramedic

PVH EMS Expands Service Area to Weld County

The Importance of Wound Care

Physician Directory

Men’s Health: What You Don’t Know Can Hurt You

From Acute Injury Back to Everyday Life

SmartMove Helps Users to Move It, Move It

Dental Appliances for Sleep Apnea 10

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.

Publisher’s Letter

HEALTHCARE EXPANSION We are very proud to publish this 15th annual Northern Colorado Medical and Wellness Magazine and Directory in partnership with Poudre Valley Health System, now called University of Colorado Health. It features an easy-to-use Directory of the physicians and surgeons with privileges at Poudre Valley Hospital and Medical Center of the Rockies, alphabetically and by specialty. Through the years this annual issue has given us the opportunity to revisit the leadership of Rulon Stacey, Kevin Unger, George Hayes and their executive teams, and we continue to admire their vision and commitment to provide world-class quality healthcare to Northern Colorado. Today that vision has evolved into an

expansive partnership with the University of Colorado Hospital, which also now includes Memorial Health System in Colorado Springs and Ivinson Memorial Hospital in Laramie. With the System’s expanded hospital coverage and widely expanded physician base, residents can count on the availability of more resources, expertise and clinical trial availability for continuing quality healthcare. As Kevin Unger, President and CEO of Poudre Valley Hospital, and George Hayes, President and CEO of Medical Center of the Rockies, stress in their letter in this issue, “Quality has become an important tradition. Year after year, the quality of care and services… has been recognized by respected independent organizations that monitor the nation’s healthcare industry.” Read their letter, which enumerates an impressive list of these awards given to our local hospitals. Improving the patient’s experience is at the heart of the decision to build a cancer center at the Harmony Campus in order to have all cancer services under one roof. Construction is under way and expected to be complete by summer 2014. Read “New Cancer Center in Fort Collins” to learn about the increased collaboration planned in an improved multidisciplinary team approach to cancer care and treatment. An aspect of patient care we all take for granted is the comfort of knowing we have emergency services available when a medical crisis occurs. Our writer and photographer rode along with them to get a sense of their work demands. Although the calls were not catastrophic, they certainly pointed out the importance of this very skilled group of professionals. Read “A Day in the Life of a Paramedic” to better appreciate the real work of the emergency crew. Thank you, paramedic Rob Collett, for being our cover professional. Also, in “PVH EMS Expands Service Area to Weld County,” read

about how residents in Milliken, Johnstown and Windsor are now being served by PVH EMS teams. At the forefront of good healthcare is the increasing emphasis on lifestyle, prevention and early detection. This is an issue that UCHealth is addressing with men specifically by creating an event called March MAN-ness to help men understand medical issues and the importance of paying attention to their health screenings. Since early diagnosis can mean a more likely chance of survival, it is important that men not ignore symptoms. Read “Men’s Health: What You Don’t Know Can Hurt You” and better yet, pass this issue along to other men you know. One very interesting preventative diagnostic tool for current and future health issues is now available through Restore Health Clinic. Our editor, Angie Grenz, had an in-depth blood test resulting in a very informative multipage report, which opened her eyes to potential future health concerns. Being proactive and paying attention to lifestyle can significantly prevent serious health issues. Read “Blood Tests Can Help Determine Future Health” for more information on this interesting topic. We hope you enjoy this annual medical and wellness magazine and learn useful information about your health and healthcare services available through UCHealth. This issue has an easy-to-use Physician Directory which is divided by specialty and physician name. Also, access the magazine and directory on our website, www.medicalandwellness.com along with previous annual issues. Keep this issue for reference or pass it along to a friend. In good health, lydia@stylemedia.com

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: Thank you for reading this annual edition of Northern Colorado Medical & Wellness magazine. As we have in previous editions, we want to offer you a view of the healthcare provided by Poudre Valley Hospital, Medical Center of the Rockies, Colorado Health Medical Group and other University of Colorado Health services, as well as local independent physicians and practitioners.

• MCR was accredited as an American Heart Association’s Mission: Lifeline Heart Attack Receiving Center. The accreditation recognizes centers that meet or exceed patient-care quality measures for people experiencing severe heart attacks.

To summarize: Patients continue to receive excellent care in Northern Colorado. Quality is an important tradition for our organization. Year after year, the qualities of care and services offered by our employees and doctors have been recognized by respected independent organizations that monitor the nation’s healthcare industry. In the last year: • PVH was named one of the nation’s 100 Top Hospitals by Truven Health Analytics, the leading organization that evaluates the performance of 3,000 U.S. hospitals. This was the eighth year since 2001 that PVH made the 100 Top Hospital list. • For the sixth consecutive year, MCR was named the nation’s best in providing care beyond patient expectations. This honor came from Avatar International, which tracks patient satisfaction among the nation’s hospitals. • MCR’s surgical intensive care unit earned the Beacon Award for Excellence, which recognizes units that successfully improve patient outcomes and align practices for a healthy work environment. The award – one of the highest honors a critical care program can receive – was presented by the American Association of Critical-Care Nurses. This is the third year in a row for this award for MCR. • Poudre Valley Health System was named among the nation’s 15 top health systems for clinical outcomes, performance, improvement, quality and efficiency. This was the second year in a row that Poudre Valley Health System received the recognition from Truven Health Analytics. • The Rocky Mountain Performance Excellence program recognized Poudre Valley Health System with the annual Peak Award, the highest regional honor for performance excellence. This was the third time since 2004 that Poudre Valley Health System received the award. Rocky Mountain Performance Excellence is the regional version of the Malcolm Baldrige National Quality Program, which annually presents awards to the nation’s top-performing organizations. Poudre Valley Health System was the only healthcare organization to receive the Baldrige Award in 2008. Just so you know, Poudre Valley Health System was the parent company of MCR, PVH, Harmony Campus in Fort Collins, and other affiliated northern Colorado services. In 2011, Poudre Valley Health System and University of Colorado Hospital agreed to form a joint operating company that created the University of Colorado Health system, which now also includes Memorial Health System, Colorado Springs, and Ivinson Memorial Hospital, Laramie. Although some may still refer to our Northern Colorado operations as Poudre Valley Health System, the name “Poudre Valley Health System” is no longer officially used publicly – we refer to our services as University of Colorado Health.

• At our Harmony Campus in Fort Collins, construction began in spring 2013 on an $11-million, 30,000-square-foot cancer center. To be completed in 2014, the center is designed to have all aspects of care in one location rather than multiple sites. For Northern Colorado residents with cancer, this means less stress because they will have one-door access to diagnosis, high-quality cancer treatment and technology, research, and support and survivorship services. • We undertook initiatives that helped us contain costs without compromising quality. These initiatives and additional efforts to save on costs will continue into the future. • Quality indicators for core measures in patient-care areas continued to improve. Even though we already provide high-quality care, we are committed to keep improving on what we do. For all of our patients, the ongoing development of University of Colorado Health – with PVH and MCR as major hospitals in the system – means more opportunities for care, improved access to clinical trials and new services. With these thoughts in mind, we wish you a healthy and well year. Remember that PVH, MCR and all of our University of Colorado Health services are here to provide you excellent care. With warm regards,

George Hayes President and CEO Medical Center of the Rockies

As we move forward in developing University of Colorado Health, we continue to develop new programs and make improvements to work more safely, effectively and efficiently, continuing to enhance our high quality of care in the era of national healthcare reform, following the passage of the Patient Protection and Affordable Care Act signed into law in March 2010. Here are three examples from the last year: • University of Colorado Health opened a new rehabilitation unit at MCR, the site of our regional trauma center. The new department merged services offered at MCR and rehabilitative care provided at PVH. So now the MCR unit is the region’s major care-provider for trauma, stroke and other severe injuries.

Kevin Unger President and CEO Poudre Valley Hospital

MEDICAL

CANCER CARE

New Cancer Center in

Fort Collins by Heidi Kerr-Schlaefer

A person who has been diagnosed with cancer can expect to spend the next year in approximately 100 cancer-care related medical appointments. That’s an average of 8.3 visits every month, and this hectic schedule only adds to the emotional stress and physical difficulties inherent with a cancer diagnosis.

For a number of years, University of Colorado Health, formerly Poudre Valley Health System, has been working closely with focus groups made up of cancer survivors and their families. The community members in these groups expressed a desire to have all cancer care under one roof and through just one door. In response, UCHealth is building a state-ofthe-art cancer center on the Harmony Campus at the southwest corner of Harmony and Timberline in Fort Collins. Originally envisioned as a standalone building, the new plan is for a 30,000 square foot addition to be connected to the existing oncology clinic and radiation oncology department. Estimated at $11 million, the center is expected to be complete in summer 2014. More than $3 million in funding came from donations by 3,500 community members. Some contributions were pennies donated by local children. Students at 11 local schools held carwashes and other fundraising events for the center. UCHealth will provide the bulk of the funding. While the building will be beautiful, functionality is the key, and in addition to patients

and families, advice on the cancer center’s design was solicited from cancer care providers. The various healthcare providers who will be working at the center were given the chance to offer their expert opinion on how the building could be the most functional. Functionality leads to efficiency and efficiency results in better overall care. Phase one of the new cancer center commenced in 2011, and included an expansion of radiation oncology and the installation of the TrueBeam STx linear accelerator, the first of its kind in Colorado. The linear accelerator is already in use and has cut some treatment sessions, which may have taken 30 minutes using an older machine, to just five minutes. Currently, the components of a cancer center are scattered all over Harmony Campus, but once the project is complete everything will be in one defined area. “We want to shrink down that number of first-year visits for cancer patients and be more efficient and productive in each visit,” says JoAnn Lovins, director of the oncology service line in UCHealth’s northern region. The new cancer center will provide patients

and their families access to clinical research, complementary therapies such as massage and healing touch, counseling, genetic counseling, a healing garden, an infusion center, laboratory, medical oncology, pathology, patient navigation, physical rehabilitation and radiation oncology. “For all of us to be in one place helps the patients have a sense that we’re supporting them as a team. And that’s what patients want. They want a team approach,” says Marianne Pearson, program manager for psychosocial oncology at UCHealth. “It’s been talked about for a long time, but I think the mainstream and health systems have just started to grasp how important a multidisciplinary team is,” she adds. A cancer center fosters this multidisciplinary team approach by bringing the medical professionals providing cancer care closer together – literally. The lines of communication are always open and the bridge between the departments serving cancer patients becomes a short footpath. Those medical care providers who will be working in the new cancer center all expressed their current dedication to collaboration and teamwork, but also emphasized how much Part of the multidisciplinary cancer care team: Oncology Social Workers Anne Marie Cronin, Marianne Pearson and Ann-Marie Bowman, and Oncology Patient Navigator Nurses Shelley Nielsen, Patti Frelund, Nina Elledge and Kathy Baars.

Northern Colorado Medical & Wellness 2013

easier this approach will be when they are within arm’s length of one another. “We already have a great established collaboration, but I think when we are all in the same space – the doctors, the patients, the social workers, the navigators, clinical research staff – I think it’s going to tighten the connections even more and enhance the continuity that the patient experiences,” says Erica Dickson, oncology research manager at UCHealth. Matthew D. Sorensen, M.D. and medical director of oncology, echoes this sentiment. “The core importance of a cancer center, in my opinion, is that it is a space dedicated to multidisciplinary care,” he says. “It’s a way to network, and a way to have technology at your fingertips. It eliminates phone calls or playing phone tag.” In addition to bringing all the disciplines together, the cancer center will be a place of peace, and special attention has been given to architectural and interior design details. For instance, the infusion center, located on the second floor, will be open, light and airy. Some patients want an infusion center where they can chat with other patients while receiving treatment, while others prefer a private space. The

infusion center will accommodate both wishes, and will have windows facing the Colorado Rocky Mountains. Several patios will be available for patients to step outside on a nice day. “I can’t wait for this to happen,” says Shelley Nielson, patient navigation supervisor at UCHealth. “It will be the first center of its kind where patients who are experiencing cancer can come to one place and get the answers they need about treatment, survivorship, and answers about how they will live through the experience and after the experience.” With 1,200 Larimer County residents diagnosed annually with cancer, the new center will affect many lives. The center addresses as many of the needs of cancer patients as possible, including adding electronic records so that a patient doesn’t have to carry his or her chart to each appointment. The cancer center approach is changing the face of cancer care. In the past, if a person was diagnosed with a rectal cancer, for example, a doctor would see the patient and develop a treatment plan. A subsequent visit to another provider might result in a different idea about how the person’s rectal cancer should be treated. In the multidisciplinary care model, the CONTINUED ON PAGE 20

MEDICAL

CANCER CARE

Cancer Care Focusing on the Mind, Body & Soul by Heidi Kerr-Schlaefer

A diagnosis of cancer not only affects a person’s physical well-being, but also their emotional and spiritual well-being. In reality, a diagnosis of cancer eventually affects every aspect of a person’s life, from family to work and everything in between. Marianne Pearson is the program manager of for psychosocial oncology at University of Colorado Health, formerly Poudre Valley Health System. When she started with UCHealth nearly three years ago, she did a needs assessment of the Northern Colorado community before starting the psychosocial oncology program.

Pearson found a cancer community that was asking for a focus on emotional support. They wanted oncology specific counseling and wanted to feel supported by their entire care team. “I based my entire program on supporting patients and families with the emotional psychosocial focus,” says Pearson. “We’re not just looking at the disease, we’re looking at the whole system, including family, career, children, disease management – it’s all in there.” Psychosocial oncology at UCHealth provides supportive care programs to patients and families going through cancer. This includes cancer specific counseling by oncology specific, licensed clinical social workers. The program also provides support groups for patients and families going through cancer. These programs are offered in Fort Collins, Greeley and Loveland. In addition, Pearson and her team are building programs in regards to survivorship. The field of psychosocial oncology is relatively new, but because of its positive impact on quality of life, symptoms and survival, it is gaining ground every day, and the program at UCHealth has grown exponentially in just two short years. In the first three months that the program was running Pearson had 25 referrals. In 2011, there were 400 referrals to the program and, in 2012, there were 700. In two years, Pearson and two additional counselors in the program have conducted 1,500 one-on-one visits. “It’s being driven by the community,” says Pearson. “The doctors are realizing how important it is for their patients to have their emotional well-being met, as well as their physical well-being.” Psychosocial oncology gained real momentum with the release of a 2007 report by the Institute of Medicine. The report noted that “there is strong evidence base that supports the value of psychosocial intervention in cancer care.” In 2012, the Commission on Cancer of the American College of Surgeons released new accreditation standards for hospitals and cancer programs that require their patient-centered focus now include screening all patients with cancer for psychosocial distress. With the new standards in place, UCHealth offers psychosocial oncology services free of charge to cancer patients. When Pearson first meets with a patient she tells them, “I’m going to walk this path with you.” “It helps them feel supported,” she says. “It reduces anxiety and depression. It keeps them out of the emergency room and it makes their treatment go more smoothly. They’re more compliant with following through on the recommended treatment plan when there’s a trained professional walking the journey alongside them.” Pearson and her fellow counselors often act as a bridge between a patient and cancer care team members. Patients often reveal things to their psychosocial oncology counselor that they won’t mention to their doctors. Sometimes it could be that the patient doesn’t clearly understand their medication regime, but other times it can be something more urgent like an unidentified pain. With the patient’s permission, Pearson can call the physician or nurse directly and discuss the patient’s issues immediately. She often clarifies a patient’s needs to the other medical professionals, but she also gives patients the skills to better communicate on their own. “When a person gets diagnosed with cancer, they are on this freight train of cancer treatment with tunnel vision,” says Pearson. She explains that most patients are ready to do whatever is considered the best plan for survival, but these plans may have a huge impact on their life, and they don’t know how to communicate this frustration with their doctor. “I walk through this with them to help them learn how to communicate and cope with the different things cancer affects in their life,” says Pearson. Pearson and her team are looking forward to the new cancer center at the Harmony Campus, slated to open summer 2014. Their counseling offices will face the Healing Gardens, and will provide a sense of serenity and support during sessions. “The patients are reporting to me that they are really looking forward to the new cancer center and can’t wait for this comfortable, nurturing place where their entire support team is in one place,” says Pearson. Heidi Kerr-Schlaefer is a freelance writer and founder of HeidiTown.com, an entertaining source of information on Colorado festivals and travel.

Northern Colorado Medical & Wellness 2013

CONTINUED FROM PAGE 17 providers strive to get input from everyone involved right away, so that a formal, structured treatment plan can be presented to a patient. “The concept of having all of the players present right from the start is thrilling,” says Dr. Sorensen. “It allows us to better communicate with our patients, and allows us to have direct communication with all of the providers who will take part in their care.” The goal is to foresee any potential problems and address those in the beginning instead of reacting to them down the road. It is much easier for a multidisciplinary team at a cancer center to take this proactive approach. Efficiency is the goal, and a cancer center provides the right recipe for efficient cancer care to be administered at the highest level. “If we are moving efficiently and we’re making sure that all the moving parts are actually working together, is a win/win for everyone involved. Most importantly, the patient,” says Dr. Sorensen. Heidi Kerr-Schlaefer is a freelance writer and founder of HeidiTown.com, an entertaining source of information on Colorado festivals and travel.

Matthew D. Sorenson, M.D., Medical Director of Oncology, University of Colorado Health

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Northern Colorado Medical & Wellness 2013

MEDICAL

ELECTRONIC MEDICAL RECORDS

Medical Records Conversion â&#x20AC;&#x201C;

Safer & Cost Efficient University of Colorado Health is transitioning to Epic, a new universal electronic medical records system, to enable better patient care and maximize efficiency. 22

by Tracee Sioux

Poudre Valley Hospital, Medical Center of the Rockies and the northern clinics within the Colorado Health Medical Group (CHMG) are on track to make the transition this month. The medical records system is already being used at University of Colorado Hospital in Aurora. Later this year, UCHealth will incorporate the Memorial Central and Memorial North Hospitals and the southern clinics within CHMG. By June 2014, the entire UCHealth system will be linked through Epic.

Continuity of Care Epic allows every doctor, nurse and administrator to access the same medical records for patients. This provides continuity of care, which ultimately could be life-saving.

Currently each without having to clinic and hoswait for the office to pital keeps its call them (some lab own records for results of high sena patient, which sitivity are required means that a phyto be delivered persician who is seeing sonally in a consula patient at the tation, however). clinic and a physiThe system will cian treating that also allow patients same patient in the to chart health ER only days later trends over time, do not have pertifor instance BMI, nent information weight, cholesterol about a patient’s levels and other medical history, numbers. medications and “It’s created effiprevious courses ciencies for us and of treatment. for our patients,” This is risky says Schoultz. because patients “Our doctors have could be prescribed had some concerns contradictory mediabout the new procations, might be tocols, since previaccidentally overously nurses have Soren Schoultz, Vice President of Information Technology, University of Colorado Health medicated and handled the phone physicians might calls. They have not know about been worried about allergic reactions being swamped to drugs. Physiwith patient emails. cians sometimes But in today’s world unknowingly order duplicate lab work, or even or nurse assistant entering the information. this is the nature of where we are, and, in almost more expensive tests, because they are unaware Nurses know firsthand the difficulties of all cases, the concerns have been unfounded.” that another physician already has the results. having handwritten orders and notes in a traUCHealth says the Epic software is com“A patient can see a specialist after having ditional medical record system. The physician pliant with all patient privacy laws including been admitted into the emergency room and might scribble orders and notes and hand it off HIPAA rules. they might say, ‘They gave me this little pill, to the nurse on the night shift to enter. The “As employees, we all are strict believers in and it makes me sick every time I take it, but nurse’s job is to decipher the illegible. Secondpatient privacy and we follow all HIPAA guideI don’t have the bottle and I can’t remember hand information, incomplete notes and chicken lines. Epic is HIPAA compliant. Epic is secure what it’s called.’ The doctor can use the Epic scratches are a significant liability for the health and there is a technical infrastructure in place system and decide what to do, having access to system. The wrong information can result in to protect and maintain patient privacy. We all the information,” says Soren Schoultz, vice patients getting the wrong medications, the have also reinforced the secure nature of the president of information technology, University wrong dosing or a crucial piece of information patient portal,” Schoultz promises. of Colorado Health. inadvertently omitted. “This is a huge win for the patients,” Schoultz With lives at risk, UCHealth is requiring a Cost Efficiency says. “If you were seen last week at Poudre new protocol, called computerized provider Millions of dollars are wasted in the healthValley Hospital, then you had a follow-up order entry, or CPOE, as the Epic system rolls care industry every year when duplicate tests appointment with a specialist in Aurora, the out. Physicians themselves will be required to are ordered, crucial mistakes are made and specialist can see every single detail about your enter orders and notes when seeing patients. malpractice lawsuits are incurred. hospital admission. They can see the meds you Computers will either be installed in exam By keeping accurate records and maintaining went home on and the treatment that was rooms or mobile workstations will be employed. continuity of care, medical costs are kept in check offered. The coordination of care and com“The push is for safety and eliminating the for both the patient and the medical providers. munication between physicians will be greatly verbal handoff, which results in notes scribbled Automating scheduling, prescription refills and improved. Your medical record now travels illegibly and at 2 a.m. you have a nurse trying handling requests and questions via email are with you.” to figure out, ‘What did they want to change all cost-saving and timesaving measures. For patients suffering from serious illnesses on this care plan? Let me try to read this and Northern Colorado’s transition to the Epic such as cancer, which involves a multidimenget this entered accurately,’” Schoultz explains. system is in the ballpark of $40 million, of the sional treatment plan involving a team of doctotal $137 million for the complete transition tors, surgeons and specialists, Epic promises to Patient Portal Access and Privacy for UCHealth. However, it expects to recoup the improve care dramatically. One of the primary features of Epic is patient cost in efficiency, safety and value for patients. Previous medical records have been digiaccess. Anyone with an email address can create tally archived and will be accessible with a link an account through the patient portal. From through the Epic system. the patient portal people can schedule appointments, request refills on medications, set email Tracee Sioux is a Law of Attraction Coach at Patient Safety Protocols reminders for upcoming appointments, and comAuthentic Power Living. She can be reached at Under the current system records are saved in municate with their physician securely. Patients www.authenticpowerliving.com and traceesidigital databases, however, it’s often the nurse are also able to obtain many routine lab results oux@gmail.com.

Northern Colorado Medical & Wellness 2013

MEDICAL

EMERGENCY SERVICES

A Day in the Life of

a Paramedic

Rob Collett, his partner Emily Harkless and the team on the streets of Fort Collins.

It’s macabre to admit, but when I first got this assignment to ride along with a paramedic, I was really hoping to see something dramatic. I don’t wish pain on other people, but there’s a reason they make TV shows about medical emergencies. It’s exciting. 24

by Corey Radman

That didn’t happen the evening I was shadowing Rob Collett. I was there for one of the slowest nights in recent memory. But, perhaps because of the slower pace, I discovered something. In the midst of the mundane, I witnessed the type of compassion and concern that is probably hard to spot during a fast-paced trauma. Read on. It’s a Tuesday evening in May at the Poudre Valley Hospital EMS station on South Mason Street in Fort Collins. The day shift is overlapping the night shift and paramedics are trading information and gentle jabs. “This computer system seems wonky.” “I checked that bag; all the equipment is stocked.” “Hey, are you the one who changed my computer wallpaper to this banana seat bike? Thanks, dork.” Lieutenant Rob Collett is the relief supervisor for this paramedic night shift that stretches 6:30 p.m. to 6:30 a.m. He’s patient about having a writer along for the

A day in the life of a paramedic (clockwise): washing the ambulance in spare time, loading equipment, en route to a 911 call, the paramedics and fire department respond to a resident who is non responsive.

evening. Clearly, he’s proud of his profession. He tells me about the highs and lows of being a paramedic. There are differences between being an EMT and paramedic. There’s a hierarchy to the system: EMT first, then higher level training for life support, IV’s and medications. His favorite part? No, not driving with the sirens on (yes, it’s enjoyable, but it’s risky. You have to take it seriously, he says.) “The best part is getting to a patient with heart attack symptoms and stopping it before it happens. For me, personally, that’s the highest point,” grins Collett, remembering a save he made. At 6:51 p.m. the first call of the shift comes in. A woman at an urgent care clinic is having heart palpitations. She needs transport to a hospital. Within a minute, the ambulance is out of the garage, sirens on, zooming to the clinic and arrives three minutes later. The patient, Anna (whose name was

Northern Colorado Medical & Wellness 2013

changed for privacy), is in a private room lying on the bed with oxygen tubes and monitor wires pinning her in place. Her face is red and she looks worried. Urgent care nurses step away as Collett and his partner, Emily Harkless, wheel the gurney in and begin their assessment. Collett asks Anna about her medications, her symptoms, looking her in the eye as he speaks. “If there is one thing bothering you most, right this second, what would that thing be?” he asks. “I’m weak,” she replies. Vitals assessed, the paramedics help Anna to the wheeled gurney and make preparations to transfer her to a hospital where her heart can be more closely monitored. Anna’s service dog, Aspen (name changed), paces close by. Arrangements are made for Aspen to ride in the front seat of the ambulance. When Anna asks if that’s ok, Collett replies simply, “It’s

the law.” It’s plain that this is not a problem. Inside the rig, Collett continues his conversation with his patient. Smiling, he makes her laugh and visibly relax. Through the conversation, Anna reveals she is diabetic, having trouble with potassium levels and no, there is no one she would like contacted about her condition. It seems that Aspen is her best and closest friend. From appearances, it seems that Anna is one of those people who exists on the fringes of life in Fort Collins, ignored by most, reaching out to few. Collett’s compassionate care is probably the longest conversation Anna has had with another person for quite a while. He’s professional without being distant, a tricky balance to master, not unlike standing in the back of a moving vehicle while reaching for supplies. “I’m going to start an IV,” he says and waits for the inevitable reaction. “You’ve done this

Paramedic Rob Collett has almost 10 years under his belt, and was instrumental in the formulation of UCHealth’s Bicycle Emergency Response Team.

in a moving ambulance before... right?” “Once. I started yesterday,” he teases then reassures his patient that he’s been in this profession almost 10 years. With boots braced against the floor and gurney, elbows on knees and Anna’s forearm against the gurney, Collett finesses the IV into a vein in Anna’s wrist (so she can still bend her arms), and takes five vials of blood. “That will speed things up in the emergency room,” he explains. Then he stands up, takes a step, and crashes to his knees, his feet tangled in the wires of the heart monitor. So much for unflappable perfection. He takes the blow in stride, laughing it off like it’s not a big deal, further putting Anna at ease. “It happens,” he says. Anna’s transfer to MCR was uneventful, a good thing. Collett left her (and Aspen) in the care of the ER doctors and nurses, looking more relaxed and comfortable than before she met him. Collett only responded to two calls for help across that 12-hour shift, both for chest pain. While it’s not the fast-paced excitement I was hoping for, it was a window into the real work of a paramedic crew. The job requires someone who can multi-task, roll with unexpected circumstances, who likes variety, and who has broad knowledge of stabilization care. More than that, it requires a non-judgmental approach to all the people of this community and the circumstances of their lives. “We see people in their most vulnerable moments,” he says. It goes without saying

that their gurney rolls wherever it’s needed, regardless of ability to pay. “We want the people of Northern Colorado to know that even though the hospital system has a new name, we’re still the same staff, doing the same great job we always have.” Collett is also appreciative that there is room to grow in his job. His recent promotion to lieutenant is step one in a plan to make emergency response a life-long profession. In the last year, he helped found a Bicycle Emergency Response Team (BERT). As coordinator for the program, Collett has been responsible for writing grants to fund the project, for procuring the necessary equipment and for training other paramedics. Now in year two, the team has six bikes, 16 trained staff members, and coming soon, flashing red and blue bike lights for night work. Cycling EMTs carry trunk bags with all the same equipment ambulance crews would use in the first 10 minutes of a call. BERT paramedics work densely populated public events like NewWestFest or remote events like the “40 in the Fort” mountain bike race. Their maneuverability is a distinct advantage when hurrying to emergencies through rough terrain or large crowds. “It’s been a really rewarding project,” says Collett. It’s clear both from what Collett says and how he treats his patients that he loves this career. Corey Radman is a National Press Women award winner and regular contributor to this magazine.

Paramedic Dos and Don’ts •

Don’t call them ambulance drivers. They are paramedics or EMTs with medical training that can save your life.

•

In traffic, pull to the right and stop for an ambulance. Don’t keep rolling. That’s hard to predict and work around. If you’re at a light, just stay put.

•

Don’t call 911 for bonehead care... like a stubbed toe. (For real, that happened.)

•

Do call 911 right away for chest pain and stroke symptoms. They would much rather respond to a false alarm than respond too late to prevent damage.

Northern Colorado Medical & Wellness 2013

PVH EMS Expands Service Area

to Weld County by Corey Radman

Poudre Valley Hospital’s teal and white ambulances are a familiar site in Fort Collins and Loveland. Now, residents of Milliken, Johnstown and Windsor will be seeing them too. Since May 15, PVH EMS teams have begun providing emergency service to these communities. Director of PVH EMS, Steve Main explains this change was at the request of the fire protection districts in those jurisdictions. “Weld County decided to sell their ambulance service to Banner Health System in early May 2012. From that time until September 2012, the fire districts had been in talks with Banner Health about ambulance coverage. Ultimately, they didn’t feel like they were getting what they needed out of Banner,” he says.

The Weld County-based PVH EMS team and members of the Windsor Severance Fire Rescue.

PVH EMS has worked a unique deal with the fire districts in those Weld County communities that creates a stand-alone program that limits the need to draw from its existing Larimer County resources to cover the area’s demands. PVH EMS has transferred ownership of three new ambulances, one to each jurisdiction, in exchange for room in the fire stations, where the new paramedic crews are now stationed. Eighteen paramedics were either hired or transferred from Fort Collins to work in partnership with the fire crews. They are contractually obligated to respond to 911 emergencies in under nine minutes (for downtowns) or 12 minutes (for suburban areas). At this writing, the program has only been live for two weeks. So far, so good, says Main. “It’s going really well. This is a relatively small sample size, but in those two weeks, we have run over 100 calls to 911, and not missed any [response times].” All this, with no tax dollars invested. “All we ask is the ability to bill the patients or their insurance.” Main is relieved that the launch has come off so smoothly, and he looks forward to building relationships with citizens of Weld County. “We want to be good citizens in those communities. So we’ll be participating in local events.” Watch this summer for PVH EMS crews at a pancake breakfast, community fairs and kid safety days. He adds, “Everybody talks about win-win situations. Usually they aren’t, but this one actually is. The fire districts get what they need. The citizens get what they need without raising taxes.” And PVH EMS gets a toe in the door of Weld County medical market. Win-win-win.

Northern Colorado Medical & Wellness 2013

MEDICAL

WOUND CARE

Dr. David Cobb, Infectious Disease physician at PVH’s Wound Clinic, speaks with a patient during treatment in the Hyperbaric Medicine Unit.

The Importance of

Wound Care The depth and breadth of wound care is not easily understood in either figurative or literal terms.

by Kay Rios

“Chronic wound medicine is often a neglected topic in medicine,” says David K. Cobb, M.D., FACP, and medical director of Poudre Valley Hospital’s (PVH) Wound Healing Clinic. “I was taught nothing about wound care in medical school because there were too many other things to learn. Most doctors don’t want to have anything to do with it. There’s a bias in the medical world toward learning about treating chronic wounds and a tendency to sweep them under the carpet.” The healing process is not as simple as cleaning a surface area and stitching or bandaging a sore.

Wound care goes much deeper to, first, find the extent of the infected area. This can mean looking at different things within the wound such as blood flow in the area, color, hair growth and capillary refill, says Lindsay Moll, BSN, RN, CWON, nurse manager at the Wound Healing Clinic. “You have to look at the whole area. We also use MRI and CT imaging as well as ultrasound.” Patients often don’t understand how the process works, Dr. Cobb says. “They may think, ‘Why are they making my wound bigger?’ But the material that accumulates in a wound contains enzymes

and cells that block wound healing. Chronic wounds have often been dressed for months and nothing has happened. So we have to debride the wound to get down to fresh, healthy tissue and make sure there’s blood supply. This starts a healing cascade that moves the wounds out of the chronic cycle and into the healing stage.” Many therapies exist and they are chosen relative to each individual wound. “One of the problems is that there are so many different causes of chronic wounds and so many different types of bacteria and infections,” says Dr. Cobb, who is board certified in infectious disease, internal medicine and hyperbaric medicine. “We use state-of-the-art techniques for healing wounds such as ultrasonic-assisted wound treatments, hyperbaric medicine, negative pressure wound therapy, skin substitutes, growth factor therapy, compression therapy and angioplasty.” Determining treatment takes expertise, specific training and a multi-disciplinary approach, he says. That is exactly what the Wound Healing Clinic provides. The Clinic uses a wide range of physicians who specialize in infectious disease, podiatry, general surgery, vascular surgery and plastic surgery. In addition, certified wound care nurses, certified wound-ostomy-continence nurses, orthotists, prosthetists, physical therapists, lymphedema therapists, registered dietitians and certified diabetes nurses round out the team. “It’s very much about collaboration and a multi-disciplinary approach,” Moll says. “And we have a very experienced staff. Three of the out-patient nurses and three of the in-patient nurses are certified by the Wound, Ostomy and Continence Nursing Certification Board.” The Clinic, which has been open since 1989, provides six exam rooms, two of which are for procedures. Open from 8 a.m. to 4:30 p.m., Monday through Friday, Moll says, “We see an average of 24 patients on any given day.” Being located inside PVH provides an advantage for patients, she adds. “Quality of specialty care is better and the patients don’t have to travel. Instead of sending patients off site, they can get their tests and additional services right here in the hospital.” “It is a well-established fact that chronic wounds heal faster in a wound clinic than they do in a non-wound clinic,” Dr. Cobb says. “Usually patients appropriately start off in a doctor’s office but sometimes the issue remains unresolved. I’ve seen a number of people who have been dealing with a wound for a year or more. They are referred to the wound care clinic and we are able to find an appropriate protocol for the wound and heal them in six weeks. It can be quite cost effective to go to a specialty clinic like ours.” William D. O’Halloran, Doctor of Podiatric Medicine at the Foot of the Mountain Clinic, spends one day each week working at the Wound Healing Clinic. “If the wound is simple, I can treat it in my office but if it’s infected and the level of complexity is high a team of people is required. The Wound Clinic has specialty nurses who also understand the complex issues and they do the

Northern Colorado Medical & Wellness 2013

Dr. William O’Halloran, with Foot of the Mountain Clinic, spends one day a week at the Wound Healing Clinic.

hard work. They are able to focus on the patient’s care in a way that would not generally be available in a private office setting” Dr. O’Halloran has been a physician at the Wound Healing Clinic since its inception and appreciates the importance of the multi-disciplinary approach. “I work closely with cardiology, radiology, primary care, infectious disease and endocrinology as well as other specialties.” Wounds fall into four main categories: venous ulcers, arterial ulcers, pressure ulcers and neuropathic ulcers. There are other types of wounds such as complicated surgical wounds, and wounds from uncommon diseases such as scleroderma. Fortunately, these other conditions are not commonly encountered. Venous ulcers are the most common, Dr. Cobb says. “The veins don’t work as well as we age and so varicose veins can develop, leading to chronic wounds.” Arterial ulcers result when arteries in the leg or foot are narrowed or blocked and blood flow is interrupted. Pressure ulcers, often called bed sores, are caused by sitting or lying in one position without moving, which puts pressure on the skin and slows down the blood flow. Peripheral neuropathy, a loss of feeling or numbness in the limbs caused by nerve damage, is a major contributing factor to 90 percent of all foot ulcers. It’s often a result of diabetes, says Dr. O’Halloran. “Loss of protective sensation is the common term used for this condition. The problem with diabetes is that not only can the immune system become compromised but the presence of high blood sugar also messes with all of the body’s processes. Diabetes can lead to neuropathy, which can lead to trauma. An existing or resulting deformity can create areas of pressure, which also contribute.” He continues, “If I get a blister, I limp. But these patients can’t feel their feet so they continue to

walk without altering their gait to take pressure off the at-risk area. This leads to break down of the skin and opens the foot for infection. It’s one of the more common things that happen. Protecting the feet from skin breakdown can be accomplished with special shoes and inlays which are covered by most insurance companies. Occasionally bracing or even surgery is required.” The wound care field is a developing branch of medicine and advances are ongoing, Dr. O’Halloran says. “For example, there’s research on stem cells and some new processes for grafting. It’s very exciting.” A self-described addicted learner, he says education is the key in wound care for healthcare professionals. “We see infections that become resistant to treatment so the challenge for medicine is to chase these mutations and find solutions.” Dr. Cobb agrees that education is important, and not just for the healthcare industry. Patient education is essential. “We can heal a wound and patients are careful to protect the area for a while. But then they become complacent and the wounds recur.” Dr. O’Halloran says education is also essential for prevention. “There are reasons you need to be aware. We’re living longer and, as a result, we’ll see more of these complications and more Type II Diabetes. After age 60, there’s a 10 percent chance of developing diabetes; after age 70, it becomes 20 percent. If you have diabetes, make sure you have a good relationship with your physician. The better your diabetes is managed, the less likely you are to need chronic wound care services.” Lifestyle is also an issue, he says. “If you smoke and you’re diabetic, you’re asking for an amputation.” Pay attention, Dr. O’Halloran says. “If you have a loss of protective sensation, hammer toes or bunions, see a podiatrist who has the knowledge to help you overcome the risk factors. Inspect your feet daily for fungus, red marks, blisters and ingrown toenails where skin is turning red. If any of these findings occur, immediately go to a physician. The best course of action is to take care of wounds before they happen. If you have varicose veins or swelling in the legs, see a doctor to have this condition evaluated.” The first sign of loss of circulation is pain, he says. “If you have to get up in the middle of the night and dangle your feet or walk around to get comfortable or if you have pain when you walk a certain distance, see a physician. The same circulation problems that cause heart disease can affect the arteries in your legs. If you have heart disease, be suspicious that you might have peripheral vascular disease. Pressure ulcers are a problem for individuals with paralysis or the elderly who can develop bed sores. Identifying risk areas and using preventative measures are the best tactics.” If, despite the best efforts, a chronic wound develops, Dr. O’Halloran suggests that a multidisciplinary center might be just the place to get the care needed.

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

Northern Colorado Medical & Wellness 2013

PHYSICIAN I

SURGEON T

Northern Colorado Medical & Wellness 2013

UNIVERSITY OF COLORADO HEALTH *Physician and surgeon list provided by UCH. This list is current as of 6/26/2013. Address locations are in Fort Collins unless otherwise indicated.

ALLERGY/IMMUNOLOGY

PHYSICIAN 2013 | 2014 &SURGEON directory for PVH & MCR*

Eisenmenger, Michael J., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Olsen, Kimberlee J. MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Doing, Anthony H., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000

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

Escajeda, Daniel L., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Pavlik, Rostislav, MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Dow, Tristan J., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000

Gondalia, Lakhman L., MD 6252 Yellowstone Rd. (Cheyenne, WY) . . 307.778.2015

Fife, Jason D., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

James, John M., MD 1136 E. Stuart St., Bldg. 3-200 . . .221.1681

Ford, Troy A., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Kailasam, Velusamy, MD 2121 E. Harmony Rd., Ste. 350 . . .221.2370

Fortner, Corwyn D., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

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

Harrison, William L., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Laszlo, Daniel J., MD 1136 E. Stuart St., Bldg. 3-200 . . .221.1681

Hodges, Kathleen A., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Martucci, Michael A., MD 2121 E. Harmony Rd., Ste. 350 . . .221.2370

Horne, Stephen G., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Murthy, Krishna C., MD 2121 E. Harmony Rd., Ste. 350 . . .221.2370 Pace, R. Scott, MD 1900 16th St. (Greeley) . . . . . . . . . 350.2438

ANESTHESIOLOGY Adams, Ryan S., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985 Alessi, Richard D., Jr., MD 1236 E. Elizabeth St., Ste.1 . . 224.2985 Bindseil, Richard F., DO 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985 Bobo, Russell W., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Keate, Tyler L., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985 Kirsch, Timothy E., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Raymond, Jeffrey D. MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985 Richardson, Emily C., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985 Roman, Kathleen D., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985 Salimbeni, Julio C., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985 Serell, Sean M., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985 Soma, Thomas D., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Koepp, Jeffrey S., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Stenbakken, Gelerie D., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Krohn, Douglas D., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Velasco, Stephen E., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Lichon, Amy M., DO 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Vizena, Annette S., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Marks, Sandy C., III, MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

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

Markus, Jennifer L., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985 Martinez, Alice, MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Carline, Marylida, MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

McFarland, David K., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Carter, Michael W., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Miller, Justin D., MD 1236 E. Elizabeth St., Ste. 1 . . . . . 224.2985

Deringer, Michael A., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Moss, William E., DO 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Derrisaw, James A., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Muncy, Travis R., DO 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Dunn, Duane L., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Perschau, Erik R., DO 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Neff, William A., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

Northern Colorado Medical & Wellness 2013

Watrous, Dwain D., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985 Weiner, Kelli L., MD 1236 E. Elizabeth St., Ste.1 . . . . . . 224.2985

CARDIOLOGY Ashmore, Roger C., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Austin, Wendy J., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Baker, William B., MD 940 Central Park Dr., Ste. 290 (Steamboat Springs) . . . . . . . .970.870.1035

Downes, Thomas R., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Green, C. Patrick, MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Heath, Russell R., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Johnson, C. Timothy, MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Kiser, Robert H., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Larson, Dennis G., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Luckasen, Gary J., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Miller, William E., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Myers, Gerald I., MD 940 Central Park Dr., Ste. 290 (Steamboat Springs) . . . . . . . 970.870.1035 Oldemeyer, J. Bradley, MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Purvis, Matthew T., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Sammond, William H., MD 1000 Lincoln St., Ste. 207 (Fort Morgan) . . . . . . . . . . . . . 970.867.7900 Stoltz, Chad L., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Strote, Justin A., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Treat, Stephen A., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000 Whitsitt, Todd B., MD 2121 E. Harmony Rd., Ste. 100 . . 221.1000

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

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

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

Teumer, James K., DO 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000

Broman, Steven D., MD 1107 S. Lemay Ave. Ste. 200 . . . . . . . . . 484.1757

Hoover, Aaron Z., MD 1120 E. Elizabeth St., Bldg. G2 . . . 484.6303

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

Tremblay, Darren E., DO 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000

Burnham, Linda A., MD 4674 Snow Mesa Dr., Ste. 140 . . . . . . . 482.0213

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

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

Wideman, Eric W., DO 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000

Carey, Michael V., MD 1455 Main St., Ste. 100 (Windsor) . . . . 686.3950

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

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

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

Cawley, John C., MD 2025 Bighorn Dr. . . . . . . . . . . . . . . . . . . 229.9800

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

Fralich, Thomas J., MD 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000

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

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

EAR, NOSE & THROAT (OTOLARYNGOLOGY) Chen, Arthur F., MD 5881 W. 16th St. (Greeley) . . . . . . 313.2740 Conlon, William S., MD 1032 Luke St. . . . . . . . . . . . . . . . . . 484.8686 Dellota, Maria S., MD 1006 Centre Ave. . . . . . . . . . . . . . 482.9001 Eriksen, Christopher M., MD 1120 E. Elizabeth St., F-101 . .221.1177 Gill, Sarvjit “Sarge”, MD 3820 N. Grant Ave. (Loveland) . . 593.1177 Gupta, Sanjay K., MD 6500 29th St., Ste.106 (Greeley) . .330.5555 Loury, Mark C., MD 2001 S. Shields St., Bldg. E-101 . .493.5334 Peterson, Thomas T., MD 5881 W. 16th St. (Greeley) . . . . . . 313.2740 Robertson, Matthew L., MD 1120 E. Elizabeth St., F-101 . . 221.1177 Runyan, Brad, MD 2121 E. Harmony Rd., Ste. 350 . . 212.0169 Sabour, Sarmad, MD 6500 29th St., Ste.106 (Greeley) . .330.5555 Smith, Bruce M., MD 2121 E. Harmony Rd., Ste. 350 . . 484.6373 Wold, Stephen M., MD 1120 E. Elizabeth St., F-101 . .221.1177

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

ENDOCRINOLOGY Hughes, Gregory B., MD 2500 Rocky Mountain Ave., North MOB, Ste. 2200 (Loveland) . . . . . . . . . . . 224.3636 Izon, Meriam P., MD 2121 E. Harmony Rd., Ste. 300 . . .295.0010

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

Talavera, Julie M., MD 2500 Rocky Mountain Ave., North MOB, Ste. 2200 (Loveland) . . . . . . . . . . . 224.3636

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

Widom, Barbara, MD 1106 E. Prospect Rd., Ste. 100 . . . 224.3636

James, Tyler M., DO 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000 Johnston, P. Scott, MD 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000 Kuhnen, Keasha N., DO 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 Reinersman, Eugene J., MD 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000 Schwartz, Jeffrey C., MD 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000

Charnecki, Sara E., MD 620 Iris Dr. (Sterling) . . . . . . . . . . . 970.522.7266 Coburn, Thomas C., MD 4795 Larimer Parkway (Johnstown) . . . 669.8881 Corona, Joseph, MD 5881 W. 16th St. (Greeley) . . . . . . . . . . 313.2700 Cranor, J. David, MD 1124 E. Elizabeth St., Bldg. C . . . . . . . . 484.0798 Davies, Ann T., MD 1625 Foxtrail Dr. (Loveland) . . . . . . . . . 619.6900 DeYoung, Douglas B., DO 1014 Centre Ave . . . . . . . . . . . . . . . . . . 482.8881 Felix, Kevin A., DO 3850 N. Grant Ave., Ste. 200 . . (Loveland) 624.5170

FAMILY MEDICINE Abrahamson, Bradley S., MD 1107 S. Lemay Ave., Ste. 200 . . . . . . . . 484.1757 Abrahamson, Lara E., MD 1113 Oakridge Dr. . . . . . . . . . . . . . . . . . 225.0040 Anderson-Elder, Emily R., MD 1455 Main St., Ste. 100 (Windsor) . . . . 686.3950 Arellano, Anneke K., MD 2121 E. Harmony Rd., Ste. 230 . . . . . . . 266.8822 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 Bender, John Lumir, MD 4674 Snow Mesa Dr., Ste. 140 . . . . . . . 482.0213 Bermingham, Roger P., MD 1025 Pennock Pl. . . . . . . . . . . . . . . . . . . 495.8800

Ferguson, David R., MD 2121 E. Harmony Rd., Ste. 230 . . . . . . . 266.8822 Fields, Jacqueline C., MD 315 Canyon Ave., Ste. 1 . . . . . . . . . . . . 472.6789 Fonken, Paul W., MD 131 Stanley Ave., Ste. 202 (Estes Park) . . 586-2343 Fritzler, Stace A., MD 2121 E. Harmony Rd., Ste. 370 . . . . . . . 221.2290 Glazner, J. Cherie, MD 1025 Pennock Pl. . . . . . . . . . . . . . . . . . . 495.8800 Gray, April K., MD 1918 S. Lemay Ave., Ste. A . . . . . . . . . . 494.4531 Henderson, Sandra E., MD 2025 Bighorn Dr. . . . . . . . . . . . . . . . . . . 229.9800 Hoenig, Mark W., MD 2362 E. Prospect Rd., Ste. A . . . . . . . . . 495.0999 Jinich, Daniel B., MD 2001 S. Shields St., Ste. E201 . . . . . . . . 221.9991

Slauson, Stephen D., MD 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000

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

Kassel, Matthew J., DO 5050 Powderhouse Rd. (Cheyenne, WY) . . . . . . . . . . . . . . . 307.634.1311

Solley, Matthew C., MD 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000

Bradley, Robert C., III, MD 1455 Main St., Ste. 100 (Windsor) . . . . 686.3950

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

EMERGENCY MEDICINE

Springfield, Tracy J., MD 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000

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

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

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

Stueven, Jeremy A., MD 1024 S. Lemay Ave. . . . . . . . . . . . . 495.7000

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

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

Zacheis, David H., MD 3820 N. Grant Ave. (Loveland) . . 593.1177

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

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

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

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

Ley, James W., MD 5881 W. 16th St. (Greeley) . . . . . . . . . . 313.2700

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

Podhajsky, Timothy P., MD 2025 Bighorn Dr. . . . . . . . . . . . . . . . . . . 229.9800

Serrano-Toy, Monica T., MD 2121 E. Harmony Rd., Ste. 370 . . . . . . . 221.2290

Litel, Alexa L., MD 1025 Pennock Pl., Ste. 121 . . . . . . . . . . 495.8980

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

Popova-Orahovats, Gergana P., MD 5050 Powderhouse Rd. (Cheyenne, WY) . . . . . . . . . . . . . . . 307.634.1311

Siple, Anne I., MD 2025 Bighorn Dr. . . . . . . . . . . . . . . . . . . 229.9800

Lockwood, Stephanie R., MD 3519 Richmond Dr. . . . . . . . . . . . . . . . . 204.0300

McIntosh, Deric D., DO 1625 Foxtail Dr. (Loveland) . . . . . . . . . . 619.6900

Lopez, Joseph M., MD 1136 E. Stuart St., Ste. 4202 . . . . . . . . . 221.5925

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

Lowther, Kelly H., MD 1014 Centre Ave . . . . . . . . . . . . . . . . . . 482.8881

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

Loy, Brienne J., MD 2121 E. Harmony Rd., Ste. 230 . . . . . . . 266.8822

Miller, Laurie A., MD 1635 Blue Spruce Dr. . . . . . . . . . . . . . . . 494.4040

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

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

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

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

Maes, Elizabeth J., MD 1455 Main St., Ste.150 (Windsor) . . . . 686.0124

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

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

VanFarowe, Cynthia K., MD 3519 Richmond Dr. . . . . . . . . . . . . . . . . 204.0300

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

Norris, Erika, MD 131 Stanley Ave., Ste. 202 (Estes Park) . . 586-2343

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

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

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

Oligmueller, William J., MD 5881 W. 16th St. (Greeley) . . . . . . . . . . 313.2700

Schmalhorst, Brian K., MD 5881 W. 16th St. (Greeley) . . . . . . . . . . 313.2700

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

Northern Colorado Medical & Wellness 2013

Rangel, Keith A., MD 1455 Main St., Ste.100 (Windsor) . . . . 686.3950 Reichert, Bryan K., MD 7950 6th St. (Wellington) . . . . . . . . . . . 568.4800 Rivera, Kristine M., DO 1212 E. Elizabeth St. . . . . . . . . . . . . . . . 482.2791 Robinson, Anne L., MD 1107 S. Lemay Ave. Ste. 200 . . . . . . . . . 484.1757

Sullivan, Donna L., MD 1025 Pennock Pl. . . . . . . . . . . . . . . . . . . 495.8800 Taliaferro, Peyton, MD 1327 Eagle Dr. (Loveland) . . . . . . . . . . . 619.6450 Thompson, Breanna S., DO 1635 Blue Spruce Dr. . . . . . . . . . . . . . . . 494.4040 Tippin, Steven B., MD 2025 Bighorn Dr. . . . . . . . . . . . . . . . . . . 229.9800

Wideman, JD, DO 3519 Richmond Dr. . . . . . . . . . . . . . . . . 204.0300

Sears, Stephen R., MD 2555 E.13th St., Ste. 220 (Loveland) . . . . 669.5432

Giles, Daniel W., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

Asadi, S. Daniel, DO 4401A Union St. (Johnstown) . . . . . . . . 619.3656

Wilson, Fiona A., MD 1107 S. Lemay Ave., Ste. 200 . . . . . . . . 484.1757

Simmons, Robert A., MD 3702 S. Timberline Dr., Bldg. A . . . 207.9773

Harrington, Kathrin E., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

Berntsen, Mark F., MD 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 203.7050

Woolman, Bruce A., DO 131 Stanley Ave., Ste. 202 (Estes Park) . . . . . . . . . . . . . . . . . . . . . . . 586.2343

Strong, Lewis R., MD 2555 E.13th St., Ste. 220 (Loveland) . . 669.5432

Johnston, Christine G., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

Witt, Peter C., MD 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . 203.7010

Knepper, Katherine L., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

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

Lampman, Robert W., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

FAMILY MEDICINE/SPORTS MEDICINE Ross, Vincent J., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112 Sachtleben, Thomas R., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112 Servi, Jane T., MD 2121 E. Harmony Rd., Ste. 290 . . . . . . . 224.9890 Yemm, Stephen J., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

GASTROENTEROLOGY Compton, Rand F., MD 3702 S. Timberline Dr., Bldg. A . . . 207.9773 Dowgin, Thomas A., MD 7251 W. 20th St., Bldg. J (Greeley) . 378.1414 Dunphy, Rebecca C., MD 3702 S. Timberline Dr., Bldg. A . . . 207.9773 Durkan, Mark N., MD 3702 S. Timberline Dr., Bldg. A . . . 207.9773 Eliason, Eric G., DO 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . 203.7010 Holland, Rodney R., MD 3702 S. Timberline Dr., Bldg. A . . . 207.9773 Jenkins, Joseph X., MD 3702 S. Timberline Dr., Bldg. A . . . 207.9773 Langer, Daniel A., MD 2555 E.13th St., Ste. 220 (Loveland) . . . 669.5432 McElwee, Hugh P., MD 3702 S. Timberline Dr., Bldg. A . . . 207.9773 North, Crystal M., DO 2555 E.13th St., Ste. 220 (Loveland) . . 669.5432 Nosler, Michael J., MD 1107 S. Lemay Ave., Ste. 240 . . . . 495.7420 Perakos, Peter G., MD 5050 Powderhouse Rd. (Cheyenne, WY) . . . . . . . . . . . 307.634.1311

HEMATOLOGY/ONCOLOGY Brown, Regina J., MD 2121 E. Harmony Rd., Ste. 150 . . . . . . 493.6337 Fangman, Michael P., MD PO 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

Lum Lung, Christine M., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666 Mack, Adam G., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666 Maller, Nancy T., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666 Myers, Alexander N., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666 Osborn, Michael D., DO 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

Marschke, Robert F. Jr., MD 2121 E. Harmony Rd., Ste. 330 . . . . . . 297.6150

Reghitto, Charmaine D., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

McFarland, Ross W., MD 2315 E. Harmony Rd., Ste. 110 . . . . . . . 212.7600

Spannring, Mary M., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

Medgyesy, Diana C., MD 2315 E. Harmony Rd., Ste. 110 . . . . . . 212.7600

Tadikonda, Sandhya, MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

Moore, James C., MD 2315 E. Harmony Rd., Ste. 110 . . . . . . . 212.7600

Ward, Adam B., DO 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

Schuster, Steven R., MD 2121 E. Harmony Rd., Ste. 150 . . . . . . . 493.6337

Woelk, Jennifer L., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

Scott, Miho Toi, MD 2121 E. Harmony Rd., Ste. 150 . . . . . . 493.6337

Yoder, Elizabeth A., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

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., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 203.7080

HOSPITALISTS

INFECTIOUS DISEASE Cobb, David K., MD 2121 E. Harmony Rd., Ste. 380 . . . . . . 224.0429 Liao Ong, Jacob C., MD 2121 E. Harmony Rd., Ste. 380 . . . . . . . 224.0429 Peskind, Robert L., MD 2121 E. Harmony Rd., Ste. 380 . . . . . . 224.0429

Austin, William B., DO 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

INTERNAL MEDICINE

Clipsham, Victoria A., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

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

Filipowski, Piotr J., MD 1236 E. Elizabeth St., Ste. 3 . . . . . . . . . 488.1666

Agrama, Susan D., MD 1327 Eagle Dr. (Loveland) . . . . . . . . . . . 619.6450

Cash, Robert L., MD 1900 16th St. (Greeley) . . . . . . . . . . . . . 350.2438 Christiansen, Dana L., MD 1900 16th St. (Greeley) . . . . . . . . . . . . . 350.2438 Copple, Sheila A., DO 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 203.7050 Demacopoulos, Nicola D., MD 4674 Snow Mesa Dr., Ste. 100 . . . . . . . 482.3712 Ebens, John B., MD 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 203.7050 Emami, Sarvin M., MD 5050 Powderhouse Rd. (Cheyenne, WY) . . . . . . . . . . . . . . . 307.634.1311 Hendrick, James D., MD 1939 Wilmington Dr., Ste. 102 . . . . . . . 980.6024 Hendrick, Jennifer M., MD 4674 Snow Mesa Dr., Ste. 100 . . . . . . . 482.3712 Herrera, Xavier, MD 1106 E. Prospect Rd. Ste. 100 . . . . . . . 495.7410 Hess, Eric J., MD 1106 E. Prospect Rd., Ste. 100 . . . . . . . 495.7410 Homburg, Robert C., MD 1100 Poudre River Dr. . . . . . . . . . . . . . . 224.9508 Juhala, Robert J., MD 4674 Snow Mesa Dr., Ste. 100 . . . . . . . 482.3712 Lamb, Richard C., MD 620 Iris Dr. (Sterling) . . . . . . . . . . . 970.522.7266 Lopez, William, Jr., MD 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 203.7050 Mackey, Charles E., III, MD 5050 Powderhouse Rd. (Cheyenne, WY) . . . . . . . . . . . . . . . 307.634.1311 Nowak, Bonnie E., MD 1106 E. Prospect Rd., Ste. 100 . . . . . . 495.7410 Orahovats, Dimiter A., MD 5050 Powderhouse Rd. (Cheyenne, WY) . . . . . . . . . . . . . . . 307.634.1311 Ow, Cathy L., MD 4674 Snow Mesa Dr., Ste. 100 . . . . . . . 482.3712 Randle, Michael T., MD 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 203.7050

Reimer, Christina M., MD 4674 Snow Mesa Dr., Ste.100 . . . . . . . 482.3712 Stafford, Neil K., MD 4401A Union St. (Johnstown) . . . . . . . . 619.3656 Zenk, Daniel R., MD 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 203.7050

INTERNAL MEDICINE/PEDIATRICS Capes, Geoffrey G., MD 4674 Snow Mesa Dr., Ste. 120 . . . 266.3650 Drysdale, Christopher R., MD 4674 Snow Mesa Dr., Ste. 120 . . . 266.3650

Wright, Jason T., MD 13123 E. 16th Ave., 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

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

Rademacher, Donald R., MD 1900 16th St. (Greeley) . . . . . . . 350.2438

OBSTETRICS/GYNECOLOGY

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

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

Barrett, Mary T., MD 1006 Luke St. . . . . . . . . . . . . . . . . . . . . . 419.1111

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

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

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

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

MATERNAL & FETAL MEDICINE Adelberg, Amy M., MD 2055 High St., Ste. 230 (Denver) . . . . . . . . . . . . . . . . . 303.860.9990 Schneider, Michael B., MD 1107 S. Lemay Ave., Ste. 140 . . . . 495.7933 Stettler, R. William, MD 2055 High St., Ste. 230 (Denver) . . . . . . . . . . . . . . . . . 303.860.9990

NEONATOLOGY Delaney, Cassidy A., MD 13123 E. 16th Ave., B070, Neonatology, (Aurora) . . . . . . . . . . . . . . . . . 303.724.2840

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

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., North MOB Ste. 2200 (Loveland) . . . . . . . . . . . 667.7664 Kerber, Mary L., MD 5050 Powderhouse Rd. (Cheyenne, WY) . . . . . . . . . . . 307.634.1311

Kinsella, John P., MD 13123 E. 16th Ave., B070, Neonatology, (Aurora) . . . . . . . . . . . . . . . . . 303.724.2840

Liang, Qinghua, MD 1106 E. Prospect Rd., Ste. 100 . . . 482.4373

MacRitchie, Amy N., MD PVH, 1024 S. Lemay Ave. . . . . . . . 495.8280

McIntosh, Gerald C., MD 1106 E. Prospect Rd., Ste. 100 . . . 482.4373

Paisley, Jan E., MD PVH, 1024 S. Lemay Ave. . . . . . . . 495.8280

Meredith, Lawrence A., MD 2500 Rocky Mountain Ave., North MOB Ste. 2200 (Loveland) . . . . . . . . . . . 667.7664

Satterwhite, Daniel J., MD PVH, 1024 S. Lemay Ave. . . . . . . . 495.8280 Thilo, Elizabeth H., MD 13123 E. 16th Ave., B070, Neonatology, (Aurora) . . . . . . . . . . . . . . . . . 303.724.2840 Wilkening, Randall B., MD 13123 E. 16th Ave., B070, Neonatology, (Aurora) . . . . . . . . . . . . . . . . . 303.724.2840

Donnelley, Beverly E., MD 1107 S. Lemay Ave., Ste. 300 . . . . 493.7442 Hayes, Karen E., DO 1224 E. Elizabeth St. . . . . . . . . . . . . . . . 221.4977 Hayes, Kimberly W., MD 1224 E. Elizabeth St. . . . . . . . . . . . . . . . 221.4977 James, Warren K., MD 1107 S. Lemay Ave., Ste. 300 . . . . 493.7442 Jeffrey, R. Lee, MD 1107 S. Lemay Ave., Ste. 300 . . . . . . . . 493.7442 King, Angela K., MD 1107 S. Lemay Ave., Ste. 300 . . . . 493.7442 Kiser, Rick E., MD 1900 16th St. (Greeley) . . . . . . . . . . . . . 350.2403 Kozak, Susan H., MD 1107 S. Lemay Ave., Ste. 300 . . . . 493.7442

Roberson, Nicole M., MD 1107 S. Lemay Ave., Ste. 300 . . . . 493.7442 Serniak, Elizabeth K., 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 Tocce, Kristina M., MD Dept. of OB/GYN, (Aurora) . . . . . . 303.724.6504 Tool, Kevin J., MD 1107 S. Lemay Ave., Ste. 300 . . . . 493.7442 Vance, Maude M., MD 1107 S. Lemay Ave., Ste. 300 . . . . 493.7442 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

Ludwin, Gary A., MD 1107 S. Lemay Ave. Ste. 300 . . . . . . . . . 493.7442

OCCUPATIONAL MEDICINE

Miller, Tamara A., MD 2121 E. Harmony Rd., Ste. 180 . . 226.6111

Micetich, Kara L., MD 1107 S. Lemay Ave., Ste. 300 . . . . 493.7442

Charbonneau, John D., MD 1900 16th St. (Greeley) . . . . . . . . . . . . . 350.2471

Nash, Jerry D., MD 2121 E. Harmony Rd., Ste. 180 . . 226.6111

Priebe, Philip N., MD 1107 S. Lemay Ave., Ste. 300 . . . . 493.7442

O’Connell, Kevin T., MD 4674 Snow Mesa Dr., Ste. 200 . . . . . . . 495.8450

Strader, Scott B., MD 1106 E. Prospect Rd., Ste. 100 . . . 482.4373

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

O’Toole, Kevin J., DO 4674 Snow Mesa Dr., Ste. 200 . . . . . . . 495.8450

Northern Colorado Medical & Wellness 2013

Stefanon, Tracey L., DO 4674 Snow Mesa Dr., Ste. 200 . . . . . . . 495.8450 Yanagi, Ann K., MD 4674 Snow Mesa Dr., Ste. 200 . . . . . . . 495.8450

ORTHOPEDICS

McFerran, Mark A., MD 3470 E. 15th St. (Loveland) . . . . . 663.3975

Dunn, Cory D., MD 5802 Wright Dr. (Loveland) . . . . . 212.0530

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

Halbert, Richard E., MD 5802 Wright Dr. (Loveland) . . . . . 212.0530

Oliver, Shelley M., MD 2121 E. Harmony Rd., Ste. 290 . . . . . . 224.9890

Hamner, H. Wentzell, MD 5802 Wright Dr. (Loveland) . . . . . 212.0530

Pettine, Kenneth A., MD 4795 Larimer Parkway (Johnstown) . .669.8881

Libby, Arlene L., MD 5802 Wright Dr. (Loveland) . . . . . 212.0530

Peterson, Bret C., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

Neuhauser, Thomas S., MD 5802 Wright Dr. (Loveland) . . . . . 212.0530

Biggs, William D., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

Rusnak, Michael P., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

Pizzi, Catherine C., MD 5802 Wright Dr. (Loveland) . . . . . 212.0530

Chamberlain, Satoru T., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

Seiler, Steven J., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

Walts, Michael J., MD 5802 Wright Dr. (Loveland) . . . . . 212.0530

Clark, C. Dana, MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

Snyder, Joshua T., MD 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . 203.7100

Worcester, Heath D., MD 5802 Wright Dr. (Loveland) . . . . . 212.0530

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

PEDIATRICS

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

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

Baer, Robert M., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112 Beard, David A., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

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 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

Beard, Douglas W., MD 1313 Riverside Ave. . . . . . . . . . . . . 493.1292 Benz, Robert J., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

Dhupar, Scott K., MD 6200 9th St. (Greeley) . . . . . . . . . . . . . . 353.5959 Donner, E. Jeffrey, MD 4795 Larimer Parkway (Johnstown) . . . 669.8881 Duncan, Kenneth H., MD 2500 E. Prospect Rd. . . . . . . . . . . . . . . . 493.0112

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

Durbin, Mark B., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

ORTHOPEDICS/SPORTS MEDICINE

Robinson, Matthew J., MD 1725 E. Prospect Rd. . . . . . . . . . . . 221.2222

Grey, Sean G., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

Trumper, Rocci V., MD 2500 E. Prospect Rd. . . . . . . . . . . 493.0112

Smith, Randall W., MD 1725 E. Prospect Rd. . . . . . . . . . . . 221.2222

Grossnickle, Mark D., MD 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . 203.7100

ORAL/MAXILLOFACIAL Bley, Justin C., DMD 1707 61st Ave., Ste. 102 (Greeley) . . . . 506.0350

Hartman, Ryan L., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112 Houghton, Michael J., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

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

Hunter, Brett P., MD 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . 203.7100

Murphy, Aric A., DDS, MD 2720 Council Tree Ave., Ste. 260 . . . . . 420.6848

Jackson, Wesley P., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

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

Javernick, Matthew A., MD 2500 E. Prospect Rd. . . . . . . . . . . . . . . . 493.0112

Reynolds, Ralph R., DMD, MD 3520 E. 15th St., Ste. 102 (Loveland) . . 663.6878

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., Ste. 100 . . . . . . . . . 484.4871 Brockway, Julie M., MD 1200 E. Elizabeth St. . . . . . . . . . . . . . . . 267.9510

PAIN MANAGEMENT Brown, Michael B., DO 3744 S. Timberline Rd., Ste. 102 . . . . . . 495.0506 Columbus, David J., DO 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . 203.7000

Crawford, Deborah D., MD 1635 Blue Spruce Dr. . . . . . . . . . . . . . . . 494.4040 Driscoll, Amy B., MD 5881 W. 16th St. (Greeley) . . . . . . . . . . 313.2700 Guenther, John P., MD 1200 E. Elizabeth St. . . . . . . . . . . . . . . . 267.9510

Girardi, George E., MD 3744 S. Timberline Rd., Ste. 102 . . . . . . 495.0506

Hannifan, Kathleen A., MD 1200 E. Elizabeth St. . . . . . . . . . . . . . . . 267.9510

Pouliot, Matthew D., DO 4795 Larimer Parkway (Johnstown) . . . 669.8881

Hanson, Vaughn W., MD 1200 E. Elizabeth St. . . . . . . . . . . . . . . . 267.9510

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

Kolanz, M. Meshelle, MD 5881 W. 16th St. (Greeley) . . . . . . . . . . 313.2700

Kindsfater, Kirk A., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

PATHOLOGY

Markley, Jennifer L., MD 1330 Oakridge Dr., Ste. 100 . . . . . . . . . 484.4871

Thurgood, David B., DDS 4609 S. Timberline Rd., Ste. 104B . . . . . 498.0196

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

Barner, Ross, MD 5802 Wright Dr. (Loveland) . . . . . 212.0530

McGinnis, James G., MD 1200 E. Elizabeth St. . . . . . . . . . . . . . . . 267.9510

Troxell, James B., DDS 1120 E. Elizabeth St., Ste. G3 . . . . . . . . 482.6811

Martin, Dale R., MD 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112

Bee, Christopher S., MD 5802 Wright Dr. (Loveland) . . . . . 212.0530

Michels, Melissa M., MD 1330 Oakridge Dr., Ste. 100 . . . . . . . . . 484.4871

Moore, Christopher P., MD 5881 W. 16th St. (Greeley) . . . . . . . . . . 313.2700

Guido, Joseph A., DDS 3600 Mitchell Dr. . . . . . . . . . . . . . . . . . . 224.3600

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

Fisher, Timothy M., DPM 4674 Snow Mesa Dr., Ste. 140 . . . . . . . 266.3827

O’Brien, Barry G., MD 1200 E. Elizabeth St. . . . . . . . . . . . . . . . 267.9510

Hargleroad, Jennifer K., DDS 2105 Bighorn Rd., Ste. 202 . . . . . . . . . . 493.2254

Hatch, Daniel J., DPM 1931 65th Ave., Ste. A (Greeley) . . . . . 351.0900

Pedersen, Robert L., MD 5881 W. 16th St. (Greeley) . . . . . . . . . . 313.2700

Shonka, Jill M., DDS 1299 W. Main St., Ste. C (Windsor) . . . 674.3247

Primack, Scott J., DO 8200 E. Belleview Ave., Ste. 380E (Greenwood Village) . . . . . . . . . . . 720.875.0551

Ryan, Joseph P., MD 5881 W. 16th St. (Greeley) . . . . . . . . . . 313.2700 Sampera, Kirsten M., MD 1200 E. Elizabeth St. . . . . . . . . . . . . . . . 267.9510

PHYSICAL MEDICINE & REHABILITATION

Schaffer, Michael S., MD 13123 E. 16th Ave., B100, Ped Cardiology, (Aurora) . . . . . . . . . . . . . . . . . . . . . 720.777.2942

Bender, John D., DO 1300 Oakridge Dr., Ste. 130 . . . . . . . . . 377.9555

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

Bennis, Brooke E., DO 2620 E. Prospect Rd., Ste. 160 . . . . . . . 221.1919 Jacob, Joseph P., MD 1900 16th St. (Greeley) . . . . . . . . . . . . . 353.1551

PEDIATRIC/DENTISTRY Evans, Gregory D., DDS 3221 Eastbrook Dr. . . . . . . . . . . . . . . . . 407.1020 Galm, Katherine S., DDS 2800 Madison Square Dr., Ste.1 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 669.7711

Laney, Samuel K., MD 1106 E. Prospect Rd., Ste. 100 . . . . . . . 495.8490

Wilson, Daniel R., MD 1106 E. Prospect Rd., Ste. 100 . . . . . . . 495.8490 Wilson, Pamela E., MD 13123 E. 16th Ave. (Aurora) . . . . . 720.777.3671 Wunder, Jeffrey A., MD 7251 W. 20th St. (Greeley) . . . . . . . . . . 356.4066

Hecker, Thomas M., DPM 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112 Hunt, Nathan A., DPM 2500 E. Prospect Rd. . . . . . . . . . . . 493.0112 Knutsen, Chad M., DPM 2001 S. Shields St., Bldg. F . . . . . . . . . . 493.4660 O’Halloran, William D., DPM 1301 Riverside Ave. . . . . . . . . . . . . . . . . 482.3668

PODIATRY Anderson, James C., DPM 1355 Riverside Ave., Ste. C . . . . . . . . . . 484.4620

Overman, Jared L., DPM 1355 Riverside Ave., Ste. C . . . . . . . . . . 484.4620 Schulte, Robert C., DPM 2001 S. Shields St., Bldg. F . . . . . . . . . . 493.4660

Lockwood, Bruce A., MD 1300 Oakridge Dr., Ste. 130 . . . . . . . . . 377.9555

Atherton, Stacy M., DPM 1305 Summer St., Ste. 200 (Longmont) . . . . . . . . . . . . . . . . . . . 303.772.3232

Schultz, Peter D., DPM 1440 N. Boise Ave. (Loveland) . . . . . . . 278.1440

Martin, Rebekah L., MD 2620 E. Prospect Rd., Ste. 160 . . . . . . . 221.1919

Burns, Michael J., DPM 2001 S. Shields St., Bldg. F . . . . . . . . . . 493.4660

Thomas, Michael I., DPM 1355 Riverside Ave., Ste. C . . . . . . . . . . 484.4620

Northern Colorado Medical & Wellness 2013

Vaardahl, Michael D., DPM 1931 65th Ave., Ste. A (Greeley) . . . . . . 351.0900

Neagle, Mark B., MD 2121 E. Harmony Rd., Ste. 300 . . . . . . . 224.9102

Hayes, Amy S., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

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

Webb, Emily H., DPM 1927 Wilmington Dr., Ste. 102 . . . 416.9009

Peters, Brent T., MD 2500 Rocky Mountain Ave., Ste. 300 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 619.6100

Jess, Sarah J., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

Surgery Center of Fort Collins 1100 E. Prospect Rd. . . . . . . . . . . . 494.4800

Johnson, Paul W., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

SURGERY/ASSIST

Koplyay, Peter D., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

Ludwin, Gary A., MD 1107 S. Lemay Ave. Ste. 300 . . . . . . . . . 493.7442

Limbaugh, Kevin J., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

Tutt, George O., Jr. MD 1024 S. Lemay Ave. . . . . . . . . . . . . . . . . 495.7000

PSYCHIATRY

Petrun, Mark D., MD 2121 E. Harmony Rd., Ste. 300 . . . . . . 224.9102

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

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

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

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

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

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

Nagel, John K., MD 4601 Corbett Dr. . . . . . . . . . . . . . . . . . . 207.4857 Oddy, Richard A., MD 2627 Redwing Dr., Ste. 220 . . . . . . . . . 622.0588 Pearson, Glenn E., MD 4601 Corbett Dr. . . . . . . . . . . . . . . . . . . 207.4857

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

RADIATION ONCOLOGY Lisella, Gwen H., MD 2121 E. Harmony Rd., Ste. 160 . . . . . . 482.3328

Paquelet, Jean R., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

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

Peck, Steven H., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

RADIOLOGY Berkowitz, Bruce A., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757 Bodenhamer, John R., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . 484.4757 Contreras, Jaime H., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757 Craven, Winfield M., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

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 Milchak, Richard J., MD 2500 Rocky Mountain Ave., Ste. 300 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 619.6100

Mills, Andrew D., MD 2008 Caribou Dr . . . . . . . . . . . . . . . . . . 484.4757 Pacini, Richard J., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

Sehr, David S., MD 4601 Corbett Dr. . . . . . . . . . . . . . . . . . . 207.4857 Straumanis, Eric J., MD 1762 Hoffman Dr. (Loveland) . . . . . . . . 663.3030

Markel, Curtis L., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

Desruisseau, Richard P., MD 2008 Caribou Dr . . . . . . . . . . . . . . . . . . 484.4757 Dunphy, Thomas R., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757 Fleener, Christopher M., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757 Florant, Tracy H., MD 2127 E. Harmony Rd., Ste. 130 . . . . . . 207.4700 Fuller, Samuel E., MD 2008 Caribou Dr . . . . . . . . . . . . . . . . . . 484.4757

Reese, Mark F., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757 Singer, Charles J., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757 Weinstein, Stanley W., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757 Weissmann, Jeffrey R., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

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

Geraghty, Michael J., MD 2008 Caribou Dr . . . . . . . . . . . . . . . . . . 484.4757

SURGERY CENTERS

Gunderson, Deborah Z., MD 2008 Caribou Dr. . . . . . . . . . . . . . . . . . . 484.4757

Greeley Surgery Center 6096 10th St. (Greeley) . . . . . . . . . . . . . 392.4360

SURGERY/CARDIOVASCULAR & THORACIC SURGERY Douthit, Mark B., MD 2500 Rocky Mountain Ave., Ste. 100 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 624.1800 Guadagnoli, Mark D., MD 2500 Rocky Mountain Ave., Ste. 100 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 624.1800 Matthew, Thomas L., MD 2500 Rocky Mountain Ave., Ste. 100 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 624.1800 Stanton, Michael W., MD 2500 Rocky Mountain Ave., Ste. 100 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 624.1800

SURGERY/GENERAL Bauling, Paulus C., MD 1025 Garfield St., Ste. B . . . . . . . . . . . . 482.2866 Chiavetta, Thomas G., MD 2121 E. Harmony Rd., Ste. 250 . . 482.6456 Clear, Craig R., MD 2121 E. Harmony Rd., Ste. 250 . . 482.6456 Collins, John A., MD 2315 E. Harmony Rd., Ste. 130 . . . . . . . 221.5878 Cribari, Chris, MD 2500 Rocky Mountain Ave., North MOB, Ste. 2200 (Loveland) . . . . . . . . . . . . . . . 203.7250 Davis, Lawrence G., MD 2500 Rocky Mountain Ave., North MOB, Ste. 2200 (Loveland) . . . . . . . . . . . . . . . 203.7250 Dickinson, James M., MD 2121 E. Harmony Rd., Ste. 250 . . 482.6456 Dubs, Steven M., MD 2500 Rocky Mountain Ave., North MOB, Ste. 2200 (Loveland) . . . . . . . . . . . . . . . 203.7250

Dunn, Julie A., MD 2500 Rocky Mountain Ave., North MOB, Ste. 2200 (Loveland) . . . . . . . . . . . . . . . 203.7250 Fraser, Lesley A., MD 2500 Rocky Mountain Ave., North MOB (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 Livengood, Joseph C., MD 2500 Rocky Mountain Ave., North MOB (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 203.7250 Marty, Terri L., MD 2315 E. Harmony Rd., Ste. 130 . . . . . . 221.5878 Metzler, Michael H., III, MD 2500 Rocky Mountain Ave., North MOB, Ste. 2200 (Loveland) . . . . . . . . . . . . . . . 203.7250 Mitchel, Christopher H., MD 2500 Rocky Mountain Ave., North MOB, Ste. 2200 (Loveland) . . . . . . . . . . . . . . . 203.7250 Oâ&#x20AC;&#x2122;Holleran, Lawrence W., MD 1616 E. 19th St., Ste. 8 (Cheyenne, WY) . . . . . . . . . . . . . . . 307.637.5600 Parsons, Sally A., MD 2500 Rocky Mountain Ave., North MOB, Ste. 2200 (Loveland) . . . . . . . . . . . . . . . 203.7250 Pettine, Stefan M., MD 2121 E. Harmony Rd., Ste. 250 . . 482.6456 Quaid, Robert R., MD 2121 E. Harmony Rd., Ste. 250 . . 482.6456 Roller, Michael D., MD 2121 E. Harmony Rd., Ste. 250 . . 482.6456 Schiefen, James C., DO 1900 16th St. (Greeley) . . . . . . . . . . . . 350.2426

SURGERY/NEURO Blatt, David R., MD 1800 15th St., Ste. 130 (Greeley) . . . . . 350.5996 Coester, Hans C., MD 1107 S. Lemay Ave., Ste. 240 . . . . . . . . 495.7421 Finn, Michael A., MD Dept. of Neurosurgery (Aurora) . . . 303.724.2305 Lillehei, Kevin O., MD Dept. of Neurosurgery (Aurora) . . . 303.724.2305 Mimran, Ronnie I., MD 1107 S. Lemay Ave., Ste. 240 . . . . . . . . 495.7421

Northern Colorado Medical & Wellness 2013

Sheinberg, Michael A., MD 1107 S. Lemay Ave., Ste. 240 . . . . . . . . 495.7421 Turner, Donn M., MD 1313 Riverside Ave. . . . . . . . . . . . . 493.1292 Widdel, Lars, MD 1107 S. Lemay Ave., Ste. 240 . . . . . . . . 495.7421 Wirt, Timothy C., MD 1313 Riverside Ave. . . . . . . . . . . . 493.1292

SURGERY/OPHTHALMIC/ FACIAL PLASTIC/ RECONSTRUCTIVE Reistad, Chet E., MD 1725 E. Prospect Rd. . . . . . . . . . . . . . . . 221.2222 Willoughby, Brian J., MD 255 Detroit St., Penthouse (Denver) . . . . . . . . . . . . . . . . . . . . . 303.320.5700

SURGERY/PLASTIC/ RECONSTRUCTIVE Baack, Bret R., MD 1120 E. Elizabeth St., Ste. G2 . . . . . . . . 484.6303 Boustred, A. Mark, MD 2315 E. Harmony Rd., Ste.160 . . . . . . . 493.8800

Fox, Judith B., MD 3850 N. Grant Ave., Ste. 200 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 624.5150 Goacher, C. Lee, MD 2127 E. Harmony Rd. . . . . . . . . . . . . . . 297.6250 Grauerholz, Brent D., MD 1900 16th St. (Greeley) . . . . . . . . . . . . . 350.2454 Hill, Karen D., DO 2127 E. Harmony Rd. . . . . . . . . . . . . . . 297.6250 Link, David W., MD 2127 E. Harmony Rd. . . . . . . . . . . . . . . 297.6250 Loeb, Mark H., MD 2127 E. Harmony Rd. . . . . . . . . . . . . . . 297.6250 Montes, Sharon D., MD 3850 N. Grant Ave., Ste. 200 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 624.5150 Noordewier, Edwin R., MD 1900 16th St. (Greeley) . . . . . . . . . . . . . 350.2454

UROLOGY Eddy, Michael J., MD 3520 E. 15th St., Ste. 201 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 669.9100 Girdler, Benjamin J., MD 2315 E. Harmony Rd., Ste.140 . . . . . . . 484.6700

Brewster, Amy Hill, MD 2020 Lowe St., Ste. 202 . . . . . . . . . . . . 266.0456

Goodman, Gary R., MD 3520 E. 15th St., Ste. 201 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 669.9100

Chapman, Jeffrey K., MD 2315 E. Harmony Rd., Ste.160 . . . 493.8800

Lee, Michael R., DO 2315 E. Harmony Rd., Ste.140 . . . . . . . 484.6700

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

Malcom, Troy J., DO 1925 W. Mountain View Ave. (Longmont) . . . . . . . . . . . . . . . . . . . 303.776.1234

Gonyon, Denis L., Jr., MD 4450 Union St., Ste. 100 (Johnstown) . 624.7979 Schutte, Warren P., MD 2500 Rocky Mountain Ave., Ste. 130 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 372.2310 Tsoi, Christopher M., MD 2315 E. Harmony Rd., Ste.160 . . . 493.8800

Manion, Sean P., MD 1925 W. Mountain View Ave. (Longmont) . . . . . . . . . . . . . . . . . . . 303.776.1234 Phillips, George H., MD 3520 E. 15th St., Ste. 201 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 669.9100 Soper, Timothy H., MD 2315 E. Harmony Rd., Ste.140 . . . . . . . 484.6700

URGENT CARE Bethards, Kelby F., MD 2127 E. Harmony Rd. . . . . . . . . . . . . . . 297.6250 Clingenpeel, Michele, MD 3850 N. Grant Ave., Ste. 200 (Loveland) . . . . . . . . . . . . . . . . . . . . . . . . 624.5150

Wisner, Benjamin P., MD 2315 E. Harmony Rd., Ste.140 . . . . . . . 484.6700 The Physician list is provided by University of Colorado Health and is current as of 6/26/2013. Bold lettering indicates more information is available in ads.

MEDICAL

MEN’S HEALTH

Men’s Health:

What You Don’t Know Can Hurt You by Carl Simmons

Guys: You may be putting off that annual physical or cancer screening – and you’d do just about anything to avoid that colonoscopy. But the fact is: What you don’t want to know can hurt you.

Northern Colorado Medical & Wellness 2013

Earlier this year, several University of Colorado Health (UCHealth) doctors participated in March MAN-ness events in Loveland, Greeley and Fort Collins, in order to help men understand the medical issues – and avoidance issues – they face, and discuss them in a more informal setting. “We had 200 people, and got great feedback,” says Dave Rizzotto, marketing and public relations strategist at UCHealth. “We had some combination of cardiologist, oncologist, urologist, dietician and

primary care doctors at each event, and encouraged them to be available for oneon-one afterward. It’s not every day you can talk with a doctor over a beer. As a result, guys asked personal questions and received information needed to live healthier lives.” “The Health District of Northern Larimer County cites that only 50 percent of men go to the doctor routinely, and yet one in two men will get cancer during their lifetime,” Rizzotto adds.

Dr. Victor Palomares, Loveland Family Practice

Dr. Patrick Green, Cardiologist, UCHealth

March MAN-ness doctors, of course, address men’s health issues all year round. Doug Kemme, M.D., FACP, oncologist practicing primarily in Greeley, says, “Men don’t always share their problems with friends or spouses. They tend to internalize, and to not follow instructions. We’ve done a whole lot better with screenings for women, even for colon cancer; men just want to put it off. Guys are bullheaded. They think they have to be breadwinners, or that they’re invincible. They worry about being diagnosed, but it’s only worse if we find it later. A lot of men don’t think past that. “I participated in a radio interview on colon cancer awareness on KFKA in Greeley, which was kind of cool,” Dr. Kemme adds. “I brought a patient with me, who pointed out that you tend to belittle your symptoms for a while. His friend, who happens to be a doctor, finally dragged him into the office. Any time you can identify a problem early – a colon polyp that’s found then removed is a good example – there’s a much higher chance of curing it. Also, the treatment itself is less difficult, or toxic. If that person with the polyp doesn’t remove it and it turns into cancer, then we find it, it may have already spread somewhere that causes symptoms like pain or bleeding, or it might be too late to save his life. Anything new, or hanging around more than a week, is something we want to hear about.” Joshua Petit, M.D., head of the department of radiation oncology for Poudre Valley Hospital in Fort Collins, says, “The idea of March MANness really appeals to me, because, as a cancer physician, early diagnosis and prevention are issues I see every day. Many men delay getting medical attention or routine health screenings, or dealing with potentially concerning situations. It’s important to me to try to help them do better.”

Dr. Joshua Petit, Radiation Oncology, Poudre Valley Hospital

Dr. Petit, too, stresses the importance of early detection. “Stage 1 cancers haven’t spread through the body, so the recovery rate is dramatically better and treatments are considerably less invasive. I’d want that if I was a patient.” In terms of which screenings are most helpful, he adds, “Colon cancer screening has been the most effective. I’ve been screened and I’m 37; we’ve seen many men die from colon cancer who are younger than me. Second would be prostate cancer screening. It’s become controversial lately because of possible overtreatment, but the intent is to catch prostate cancer early, and screening does that. “There’s also good evidence that lung cancer screening done with a CAT scan saves lives,” Dr. Petit adds. “The problem is, insurance doesn’t cover screening for high-risk patients. We’re working throughout the UCHealth system to make it more accessible and less costly.“ Heart disease is another huge yet more preventable issue, points out Patrick Green, M.D., cardiologist practicing in multiple locations including Fort Collins and Loveland. “Most cardiovascular diseases can be treated, if not prevented, by basic lifestyle measures – not smoking, regular physical activity and exercise, maintaining body weight, treating blood pressure or cholesterol when it’s high. Living a healthy lifestyle goes a long way toward avoiding cardiovascular disease.” “Unfortunately,” Dr. Green adds, “for many men the first symptoms occur the day they have a heart attack. At that point they need to have expensive procedures, go home with a lot of medications, etc. A healthy lifestyle and regular checkups help prevent that.” Men’s health issues aren’t just disease-related, however. “Guys are becoming more interested in knowing more about testosterone replacement

Dr. Doug Kemme, Oncologist, UCHealth

therapy,” notes Victor Palomares, PA-C, Loveland Family Practice, a UCHealth clinic. “Baby boomers are getting older. From age 30 on, you lose 2 percent of your natural testosterone each year – and as a result you lose energy, muscle mass, sex drive, etc. “Men don’t ask about things like testosterone replacement, erectile dysfunction, diabetes, or heart issues,” Dr. Palomares adds. “I got most of the questions the night I was at March MAN-ness because I was the primary care provider. Some of the reasons men avoid going to the doctor are cultural, such as ‘My father never went, why should I?’ There’s embarrassment – they’re concerned about prostate checks and colon screenings. They don’t want to be told what to do. And of course, the whole macho thing.” As far as what men can do to take charge of their own health, Palomares PA-C says, “Exercise; no smoking or excessive drinking; avoid and reduce stress; and find a primary care provider who’s a good fit, and with whom you can communicate and be open. I think most men want to be talked with, not lectured to.” To find out more about the March MAN-ness program – or just to better inform yourself about men’s health issues– visit pvhs.org/men or the men’s health articles at UCHealth’s blog at visionary.pvhs.org. To schedule an appointment with a physician, visit pvhs.org/clinics.

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.

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www.summitpathology.com Northern Colorado Medical & Wellness 2013

General Screening Guidelines for Men

University of Colorado Health recommends these preventive screenings that can detect illnesses before they become a serious health problem. Many diseases can be minimized or even prevented with routine screening.

AGE 18-39: PROTECT YOUR FUTURE • Blood Pressure: starting at age 21, then at least every two years  • Cholesterol: starting at age 20; ask your doctor  • Sexually Transmitted Infection (STIs) test: both partners should get tested for STIs, before having sexual intercourse  • Vision Exam once initially between age 20-29; twice between age 30-39 • Dental Exam: one to two times every year  • Tetanus-Diptheria Booster Vaccine: every 10 years

AGE 40-49: ESTABLISH HEALTHY HABITS Add the following tests to those listed above. • Blood Sugar Test: Starting at age 45, then every three years • PSA for prostate cancer: ask your doctor  • Vision Exam at age 40 and then every two to four years

AGE 50-64: MAKE HEALTH IMPROVEMENTS Add the following tests to those listed above. • Fecal Occult Blood Test: yearly • Colonoscopy: every 10 years

AGE 65+: MAINTAIN YOUR HEALTH Add the following tests to those listed above. • Pneumococcal Vaccine: one time only

Talk to a doctor about what tests are best for you. Schedule an appointment today at pvhs.org/clinics

MEDICAL

HEART HEALTH

Mission:

Lifeline Accreditation at MCR by Heidi Kerr-Schlaefer

Medical Center of the Rockies

A heart attack occurs when one or more of the coronary arties is blocked so that a portion of the heart muscle is not receiving oxygen. It is important to receive medical assistance quickly during a heart attack because every moment the heart muscle goes without oxygen, damage is occurring, and the longer the heart muscle goes without oxygen, the more damage occurs.

Northern Colorado Medical & Wellness 2013

The old adage in the cardiovascular care world is, “Time is muscle.” The more time it takes to get a patient to a cardiac catheterization lab where the artery can be opened up, the more muscle is lost. The sooner the artery is open, the more likely cells will recover, allowing the pumping function of the heart to go back to normal. This is why the American Heart Association’s Mission: Lifeline accreditation is so important to the Medical Center of the Rockies. This elite accreditation program recognizes centers that meet or exceed quality of care measures for people experiencing the most severe type of heart attack, an ST-elevation myocardial infarction (STEMI), in which blood flow is completely blocked to a portion of the heart. “This accreditation is positive reinforcement that the time and effort that we’ve put in to caring for acute MIs is recognized outside of our center and our community,” says Brad Oldemeyer, M.D., interventional cardiologist and director of the cardiac catheterization laboratory. “It’s been a huge team effort involving 30 to 40 people, so when you get this recognition it means we’re doing the right thing for the right reasons.” In 2005, a door-to-balloon initiate was begun by the cardiologists who would eventually become the group at Heart Center of the Rockies at the Medical Center of the Rockies

(MCR). They wanted to streamline the care of heart attack patients presenting to the hospital, so they set up a pilot program involving the paramedics who are on the frontline when it comes to treating heart attack patients. The program allowed the paramedics to take responsibility for EKG interpretation and assessment of the clinic situation on the scene. In laymen’s terms, the paramedics made the call in the field as to whether the patient was having an acute heart attack and should be taken directly to the cath lab. This cut out the time-consuming process of admitting the person to the emergency department and waiting for a cardiologist to read the EKG. MCR had only been open three weeks when Dr. Oldemeyer, with the help of Jerre Johnson, registered nurse and cardiovascular clinical quality specialist, began working to achieve the Mission: Lifeline accreditation. To achieve accreditation, MCR had to submit a binder of supporting documentation and undergo an extensive onsite review by the Society of Cardiovascular Patient Care. “It was very rewarding to hear the feedback during the closing presentation, where they indicated that they were going to highly recommend Medical Center of the Rockies as a recipient of this award/accreditation,” says Johnson. The surveyors were impressed with MCR on

This accreditation is positive reinforcement that the time and effort that we’ve put into caring for acute MIs is recognized outside our center and our community. Brad Oldemeyer, Interventional Cardiologist and Director of the Cardiac Catheterization Laboratory, Medical Center of the Rockies

many levels, including facility design promoting advanced cardiac care. For instance, the parking lots are equipped with emergency call buttons and the emergency department at MCR has a designated elevator to the cath lab. This direct transportation method can shave off precious minutes in the case of a serious cardiac situation. MCR had also established protocols facilitating timely access to appropriate treatments and had collected extensive data on door-to-balloon time directly connected to the pilot program implemented in 2005. Door-to-balloon time is the time period between when a patient arrives at the doors of the treating facility to the moment their artery is opened in the cath lab. While the average national benchmark is 90 minutes, MCR’s door-to-balloon time averaged 42 minutes in 2012. “Data reported publically through the Hospital Compare website reflects the percentage of heart attack patients who achieve a door-toballoon time of 90 minutes or less. That’s the only publically reported data currently available,” says Johnson. “MCR has maintained 100 percent success with this measure since January of 2011” In fact, in 2011 and 2012, MCR had 104 acute heart attacks and 103 of those (99 percent) had a door-to-balloon time of 90 minutes or less. Eighty-one of those patients (78 percent) had a door to balloon time of 60 minutes or less. MCR also began measuring emergency contact time to balloon. The emergency contact time to balloon is the point when the paramedics document that they are with a patient to the time the cath lab team opens the artery. Those

times range between 60 to 70 minutes, well below the national benchmark of 90 minutes for door-to-balloon time. The Mission: Lifeline accreditation has been secured, but MCR still evaluates every case to see where time might be saved. For instance, Johnson and other team members receive paperwork on cardiac alerts on the same day they occur. They immediately know what the doorto-balloon time was, and if established goals aren’t met, staff investigate the circumstances shortly after the fact. For example, MCR strives to obtain an EKG within 10 minutes or less after a patient’s arrival and to get the patient transported to the Cath Lab within 60 minutes of ED arrival. “I think one of the primary things we get to take out of this process going forward is expanding it outside of Loveland, Fort Collins and Greeley,” says Dr. Oldemeyer. “We can improve the care patients get in Scottsbluff, Laramie, Fort Morgan and Sterling. We need to make sure their emergency rooms are as streamlined with our practices as they can be.” Dr. Oldemeyer believes the assumption that everyone needs a stress test or treadmill test at a certain age is a misnomer. He emphasizes the importance of daily exercise and a heart healthy diet, and in addition, screening by your primary care physician for high cholesterol, diabetes and high blood pressure. “If you are able to follow an appropriate diet, exercising on a regular basis and you are free of symptoms, you don’t need specific cardiovascular screening,” he says. Heart attacks present differently in different

people. Although women often present atypically, men present atypically 25 percent of the time. It can be difficult to decipher between whether you are having bad heartburn or a heart attack, but if you are in tune with your body, you will know what is normal for you. Symptoms of heart attack, in addition to the common symptoms of chest pain and left arm pain, include nausea, perspiration and shortness of breath. “You have to take your symptoms seriously. You have to listen to your body and if you get all of these associated symptoms together with chest symptoms, then the best treatment is to call 911 and get evaluated,” says Dr. Oldemeyer. He also recommends calling 911 instead of driving yourself to the emergency room. Paramedics are not just people who transport patients; they treat patients on the scene and make decisions about their care. The average ambulance response time in Larimer County is about five minutes. “You’ll have a paramedic in your living room getting an EKG within 10 minutes of the time you called 911 and that certainly will not happen any faster if you transfer yourself to the hospital,” he says. Lastly, Dr. Oldemeyer encourages everyone to receive CPR training, and if you have called an ambulance for heart attack symptoms, take a full dose of Aspirin while you wait. Heidi Kerr-Schlaefer is a freelance writer and founder of HeidiTown.com, a blog about Colorado festivals and travel.

Northern Colorado Medical & Wellness 2013

MEDICAL

REHABILITATION

From Acute Injury Back

to Everyday Life

by Carl Simmons

The Rehabilitation Unit at Medical Center of the Rockies (MCR) is enjoying its new location in Loveland. More importantly, more people with critical injuries are able to successfully transition back into everyday life.

The unit at MCR, formerly LifeSkills Rehabilitation, moved from Poudre Valley Hospital to its new location at MCR last October and expanded from 11 beds to 18 beds. “It’s still a brand new unit with a brand new design and because of that it changes your processes a bit,” explains Sandy Russell, R.N., B.S.N., C.R.R.N., the unit’s nurse manager. “The center provides acute rehabilitation, which is quite different from what most people think of when they think of ‘rehabilitation.’ Patients come to us because they have a medical complexity

that requires 24/7 supervision.” “We’re the only inpatient rehab unit based in an acute care hospital in this northern region,” adds Rhonda McGrane, M.A., CCC-SP, manager of inpatient rehabilitation. “We serve not only Northern Colorado but also Wyoming and Nebraska. We’re also the only unit inside of a hospital, so if people need X-rays or some other medical treatment we can get that done.” “It’s actually a hospital within a hospital,” says Dan Wilson, M.D., medical director of the unit. “We specialize in getting people back to

their previous functional level, so we’re talking quality of life issues such as cooking, cleaning and baking as well as cognitive issues.” The unit was specifically constructed to help patients make the transition from a hospital setting back into everyday life, including a dining room for meals; a transition room with couch, dining room table and kitchen; and a large gym area where most treatments are done with patients. “Someone may have lost use of an arm and now has to learn how to do things differently,”

Tom Sutherland, and his wife, Jean, at their home. Sutherland, after a series of debilitating strokes, was one of the Rehabilitation Unit’s recent patients.

We’re looking at our patients from a holistic standpoint, because our job is to get them back into their own environment. Dr. Dan Wilson, Medical Director of the Rehabilitation Center at Medical Center of the Rockies

Russell explains. “There’s also a laundry room, so that people who are now in wheelchairs, for example, can relearn how to do their laundry. We worked with the architects to help them design the rooms, so that it would serve our patients best. We also provide couches and chairs in the rooms for family members to stay as long as they like.” In addition to serving as medical director of the unit, Dr. Wilson also acts as “inpatient champion,” while Sam Laney, M.D., serves as outpatient champion. “The most frequent diagnosis we see is stroke,” Dr. Wilson says, “but we also see people with multiple traumas such as from car accidents, people who’ve had openheart surgery as well as Parkinson’s and multiple sclerosis patients – basically, people who need the intensity of an interdisciplinary approach.” That interdisciplinary approach includes registered nurses, therapists, social workers, dieticians, pharmacists, case managers and doctors. “We’re looking at our patients from a holistic standpoint, because our job is to get them back into their own environment,” Dr. Wilson says. “We provide three hours of therapy each week, which is some combination of physical, occupational, speech or music therapy, as well as 24-hour nursing care and daily physician oversight. We also have a daily huddle in which we review all patients, as well as a weekly meeting of the entire team to discuss where each patient is at medically and functionally. We also work with the caregivers at home to ensure the right care is being given.”

Northern Colorado Medical & Wellness 2013

“Not many acute rehab facilities provide music therapy but it’s critical to some patients’ recovery,” Russell says. “We had one woman who had a stroke who couldn’t talk, but she could sing.” “Colorado State University has a music therapy department and their research is internationally renowned,” McGrane adds. “Our music therapist does presentations internationally and people also come here from different countries to learn from her.” The average patient stay in the unit is 12 days. “Over 80 percent of folks do successfully go home, so we have really good outcomes and good patient satisfaction,” Dr. Wilson adds. “We get to see significant change in people because we get to keep them longer; that’s the part of the job I enjoy.” Tom Sutherland, who was professor of genetics and animal breeding at Colorado State University for 32 years, recently was one of the unit’s patients. In fact, he points out, “I’ve been to both the old facility and the new facility. I was at the old Poudre Valley facility for a fractured vertebra a year and a half ago.” Tom came to the new unit for, in his own words, “too many strokes. First I went to Poudre Valley and after that was transferred to the unit at MCR. They did everything possible – I’d say, too much. I was pretty darn glad to get home.” His wife, Jean, however, was thankful for the extra care Tom received. “As the wife and the one who took over his care I’m extremely pleased that they didn’t let him come home until he was ready. They had it worked out so that they had home therapy set up when he came home, so there was no break in his care. When he came home he was ready to take care of himself. We had a great experience there and I could stay there as long as I wanted. Everyone there cared.” Tom’s recovery continues, but the prognosis is very good. “My left hand was almost numb, so that knocked me out for a while,” he says. “Now I’m able to write with my left hand. Also, my speech still isn’t what it was before. When I was professor at CSU, I would talk to as many as 300 students at a time. When I got the strokes it was hard to adjust to that, so I have people who work with me at speech.”

The Rehabilitation Center helps people who have had critical injuries transition back to their everyday routines. The center can help them navigate stairs, enter and exit a vehicle, and even learn to cook in their own kitchen again.

Northern Colorado Medical & Wellness 2013

Part of the Rehabilitation Center team: Nurse Manager Sandra Russell, Medical Director Dr. Dan Wilson, and Manager of Inpatient Rehabilitation, Rhonda McGrane

I am extremely pleased that they didn’t let him come home until he was ready. They had it worked out so that they had home therapy set up when he came home, so there was no break in his care… Everyone there cared. Jean Sutherland, whose husband spent time at the Rehabilitation Center

“I was amazed by how many things they have that strengthen your speech,” Jean adds. “It’s been coming back and the prognosis is for a full recovery. He wants to be even better than he is right now. Everything they did was A+; they followed up even before we left with the primary care doctor, home care people and gave us a book of all the things we needed to do, including therapy, cardiologist, etc. They didn’t miss a beat. There wasn’t any aspect that wasn’t covered.” “Their care was impeccable; I don’t know how they could have done more than what they did,” Tom says. “I think we’re very fortunate to have two very good hospitals in the area.”  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 2013

MEDICAL

PREVENTATIVE

SmartMove is testing an app that wirelessly connects a special insole to your iPhone to record your physical activity.

SmartMove helps users to

move it, move it!

by Michelle Venus

The average American today spends more time sitting on his or her butt than in any other time in history. And that can be very dangerous.

The facts: • On average, we sit for 7.7 hours each day, with some folks clocking in up to 15.5 daily sitting hours. • The body’s metabolic system is drastically impacted by inactivity, and our bodies are suffering from greater instances of obesity, high blood pressure, diabetes, cancer and depression.

• Women are 94 percent more likely to die prematurely if they are inactive and sitting for more than six hours a day. • The increased risk of cardiovascular disease mortality in men who lead sedentary lifestyles is 82 percent. • The risks associated with sitting for most of the day are on par with smoking two packs of cigarettes. Every day.

This is frightening information. If you want to scare yourself even more, just Google “Sitting Disease.” According to the website JustStand. org, Sitting Disease is a term that has been coined by the medical community to refer to the effects an overly sedentary lifestyle has on metabolism and chronic disease. The British Journal of Sports Medicine says, “Prolonged sitting should be considered within occupational health and safety policies just like other elements of posture,” and yet Sitting Disease isn’t recognized as a diagnosable disease.

Dr. Gary Luckasen, cardiologist with UCHealth, is one of the beta testers helping develop the research behind the SmartMove insole and app.

That leads to the question, “Now what?” “Move,” says Dr. Gary Luckasen, a cardiologist with UCHealth in Northern Colorado. “Going to the gym isn’t the only cure (for Sitting Disease). It has become apparent that some activity, any real form of activity, from getting up and walking down the hall at work to talk to a colleague instead of emailing or going to the grocery store – just doing something makes you healthier longer.” Studies reported in the American Journal of Cardiology show that people whose occupations keep them on their feet and active – retailers, firefighters and police officers, for instance – have lower incidences of heart disease, high cholesterol and diabetes than people who go to the gym for 30 minutes and then sit the rest of the day. Dr. Luckasen advises getting up every hour to walk 10 minutes or more. It’s not a very lofty goal, but one that can be difficult to remember if you’re deeply involved in finishing the tasks at hand that require concentration and lengthy sitting time, whether that’s attending meetings, working at a computer or engaging in leisure activities like reading or knitting. More and more, technological advances are creating working environments that involve prolonged amounts of time in a chair. You can set an alarm to chime every hour to get you up and moving. Or you can install an app on your iPhone that not only reminds you to get off your duff and shake it a bit, but accurately tracks the amount of movement and generates reports of your progress; an app that coaches you (nicely) when you fall short of your goals. Sounds too good to be true? It’s not. SmartMove, Inc., a Fort Collins-based company, is in the testing phase of just such an app.

Northern Colorado Medical & Wellness 2013

Stand Up For Your Health

Here are some ways to move it, move it. Don’t jockey for the closest parking space Park at the far end of the lot and walk to the entrance of your office building or grocery store. Not only does this increase physical activity but reduces stress when someone aces you out of the spot you’ve been waiting for. Bike to work or just for fun With the abundance of hiking and biking trails in our communities this is an easy one to accomplish. Take a walking meeting Instead of cooping yourself up in a conference room when conducting a meeting, consider walking and talking at the same time. It gets you out of the office and you and your colleague both reap the benefits of added activity.

SmartMove’s insole and iOS app.

Sit on a ball Ditch the office chair and sit on a ball. You’ll find you’re making slight balance shifts throughout the day and you strengthen your core at the same time. Gardening You can burn as many as 150 calories in a half hour by digging in your garden. Mowing the lawn with a push reel mower burns 181 calories for women and, for men, it’s closer to 236. When you weed the garden, you can burn 276 calories in an hour; weeding by spraying an herbicide doesn’t count. These statistics are the result of a 1993 University of Iowa study. Turn it off Cut back on screen time. For kids, especially, this can be hugely important. But more and more adults are getting sucked into the screen, too. Video games, social media and streaming content appear to make the hands of the clock spin faster. Before you know it, you’ve spent two hours watching cat videos on YouTube. Dance Turn on some music and dance. Dance in the kitchen, dance while you’re filing paperwork, dance by yourself and dance like nobody’s watching.

It wirelessly connects multi-sensor insoles to your iPhone and automatically tracks physical activity and then communicates that information to your phone. Like Santa, it knows when you’ve been good or bad. (All right, let’s make that active or inactive.) When a certain amount of inactivity has been logged from the sensor, a gentle reminder lights up your cell phone. At anytime you can check your daily progress. The information is stored in the cloud so you can view daily, weekly or monthly summaries. Unlike pedometers (devices that count your steps) that can miscalculate due to external influences like jostling, SmartMove is highly accurate and it does everything in real time. For activities like yoga (shoes not required) and swimming, the application lets users input their information manually. SmartMove is the brainchild of Ray Browning, Ph.D., a triathlete and assistant professor of Health and Exercise Science at Colorado State University, and James O. Hill, Ph.D., executive director at Anschutz Health and Wellness Center in Denver. In 2008, they paired up to found Physical Activity Innovations with the intent to develop a technology to fight obesity. The SmartMove device was born. With the help of grants and partnerships with the National Institutes of Health (NIH) and the National Science Foundation, they developed the

Phase I prototype devices that are currently being tested. Phase II Business Innovative Research Grants were awarded in March of last year by the National Institute of Diabetes and Digestive and Kidney Diseases. The anticipated product launch is expected later this year. Insoles and monthly subscriptions will be available through SmartMove’s website. Dr. Luckasen is one of the beta testers. “I’ve got the SmartMove device working right now and I can tell how much of the time I’ve been up today, how many calories I’ve burned, how many steps I’ve taken and if I’ve been sitting for too long. In fact right now, it’s lighting up and telling me I need to start moving.” He goes on to describe the “coach” function of the application. “It’s not onerous; it doesn’t scold you when you’ve been inactive,” he says. “Instead, it suggests you do 10 minutes of walking with a friend, which is a very nice thing to do.” 

Michelle Venus is a freelance writer based in Fort Collins.

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MEDICAL

SLEEP APNEA

Dr. Tim Owens visits with a patient, describing the difference between a standard CPAP machine and the custom dental appliances he uses to help patients deal with sleep apnea.

Dental Appliances for

Sleep Apnea

Imagine waking up feeling even more exhausted than you did when you went to bed the night before. For some people, that’s what every morning looks like. Even though they’ve clocked in eight or more hours of sleep time, it feels like they’ve just finished running a marathon. 68

by Michelle Venus

According to Dr. Tim Owens, a Fort Collins dentist who is helping patients alleviate their sleep apnea with a custom dental appliance, every night is a marathon. “They [the patients] don’t understand why they are so tired after a full night’s rest,” he says. “But really, it’s because they’re not resting.” Obstructive sleep apnea is a near invisible condition because it occurs when the patient is asleep and unaware of what is happening. The air passages collapse, causing breathing to become very shallow or to literally stop. Patients sometimes fully wake up gasping for breath, but oftentimes they don’t wake. Their sleep is disrupted just enough to eliminate the restorative effects, leaving them exhausted. Who is at risk? At a quick glance, it is overweight, middle aged men who snore. However, results of studies reported by Diabetes Research

and Clinical Practice indicate that people with type 2 diabetes are three times more likely to suffer from sleep apnea. More and more, children are being diagnosed with sleep apnea. Their air passages are smaller and more easily blocked by enlarged tonsils. Increasing childhood obesity is a major contributing factor. Common effects include decreased energy, daytime fatigue, cognitive decline, slower reaction time, poor judgment and even vision problems. Other symptoms include morning headaches, memory or learning problems, an inability to concentrate, feeling irritable, depressed or having mood swings and personality changes, or waking up with a sore throat or dry mouth. Sleep apnea can go undiscovered for many years. Frequently it is the patient’s partner who notices the gaps in breathing at night. The only

way to diagnose the disorder is to undergo a sleep study. Sleep studies are tests that measure how well the patient sleeps and how the body responds to sleep problems. They are the most accurate way to diagnose sleep apnea and are often prescribed by the patient’s physician. A commonly used sleep study is the polysomnogram (PSG). It records brain activity, eye movements, heart rate and blood pressure. PSGs are conducted at sleep centers or sleep labs. The test is painless. Sensors are attached to the patient’s scalp, face, chest, limbs and one finger. Then he or she goes to sleep as usual. The staff at the sleep center monitors the patient throughout the night. Once the results have been reviewed by a certified sleep specialist, it can be determined if the patient is suffering from sleep apnea and the severity of the condition. Upon diagnosing sleep apnea, there are several ways to treat the condition. In some cases, surgery to remove obstructions or to stiffen the flabby throat tissue is an option. For many years the go-to treatment has been Continuous Positive Airway Pressure (CPAP). CPAP requires a patient to wear a mask at night that is connected to a small device that maintains a continuous stream of air pressure to the lungs, keeping the passageways open and unobstructed. Think of an air sock that measures the wind at an airport. When the air is still, the sock hangs limp and is closed. But when the wind is blowing, the air sock is open and full of air. That’s what happens with a CPAP device. But some patients or their partners do not tolerate the device well and the results are less than satisfactory. That’s when Dr. Owens steps in. He is specially trained in jaw alignment. Not all dentists have this expertise. It is important to work with a dentist who has received training and understands the complete working of the jaw; if appliances fit poorly, they can cause other alignment and jaw joint issues. “Often it’s the jaw falling back that causes the airways to become blocked,” he explains. “If we can keep it in place, then the throat stays open and the patient’s sleep apnea is considerably decreased. Using a custom-made dental appliance that keeps the jaw where it needs to be is a fairly unobtrusive way to accomplish this.” The appliance is a lot like a retainer after braces or a night guard used to prevent teeth grinding. It fits over both the upper and lower teeth with wings on the lower portion to keep the jaw in proper alignment and prevent it from falling back and obstructing the air passages. “We work with Complete Sleep Relief in Windsor. They perform the sleep studies,” says Dr. Owens. “For our practice, it’s seamless. They’ve done all the groundwork with the insurance companies and that makes it easier for us and easier for our patients. More often than not, the sleep study is covered by medical insurance rather than dental insurance. This part of the process has been streamlined.” Once the appliance has been built, using impressions and models to get an exact fit, the patient comes in for final adjustments. Tiny gears

Northern Colorado Medical & Wellness 2013

The dental appliances can help keep the jaw properly aligned, which will prevent it from obstructing the air passage and decrease a patient’s sleep apnea.

on the side of the appliance allow Dr. Owens to make minute adjustments to ensure a perfect fit. If the jaw changes over time (the appliances should be replaced after three years), the gears can be shifted accordingly to maintain correct jaw alignment. Amanda is one of Dr. Owens’ patients who has been using the dental appliance for her sleep apnea. “I’m addressing several health issues right now,” she states. “One is my weight. I’m morbidly obese and working to bring that down. Another is the sleep apnea. I was a snorer, and I didn’t even know it.”

She has been using the appliance for a month and already seen some improvements. “I have more energy,” she reports. “I’m not as tired as I used to be. I don’t snore anymore, either.” Getting accustomed to the appliance took a bit of doing. For the first week, Amanda was uncomfortable with it in her mouth. “But I’m used to it now, and I hardly notice it at all anymore,” she says. “I feel a lot better.” For Amanda, a good night’s rest is making a huge difference. For Dr. Owens, it’s gratifying knowing he can help his patients tackle a tough problem. “Without proper sleep functions, every aspect of our lives is impacted,” he says. “Sleeping well and soundly is very important.” Dr. Owens takes a holistic approach with his practice. He looks at the whole patient, not just the part that smiles. While a significant portion of the practice is devoted to cosmetic dentistry, mouth health goes far beyond esthetics. Dr. Owens focuses on how the teeth work with the jaw joints, gums and the rest of the support structures that go into keeping the mouth healthy and working properly. Treating underlying problems – including functional and biological concerns – are important to long lasting and comfortable outcomes. Michelle Venus is a freelance writer based in Fort Collins.

WELLNESS D

Northern Colorado Medical & Wellness 2012

MAGAZINE & T

Northern Colorado Medical & Wellness 2013

WELLNESS

PREVENTION

Dr. James Howton and his wife Andrea, owners of Restore Health Clinic

Blood Tests Can Help Determine

Future Health

If we could look into the future and see the negative ramifications of eating too many breakfast burritos or pizza lunches at work, and our lack of exercise overall, we might be more likely to clean up our lifestyles. A crystal ball looking forward 10 or even 20 years might prove a powerful deterrent to those behaviors we know we shouldnâ&#x20AC;&#x2122;t do but are still too busy, lazy or stressed to worry about right now. 74

by Angeline Grenz

General statistics are great, but it is much too easy for us to hope that we are somehow exempt and continue on our shameful ways. Restore Health Center doesnâ&#x20AC;&#x2122;t have a crystal ball, but they do offer the next best thing: a way to measure those precursors that can lead to cardiovascular disease, diabetes and more. Their crystal ball comes in the form of a highly scientific, highly informative blood test that is not highly damaging to your wallet. Having had my own personal health concerns of late, and deciding that age 37 was a good time to start being proactive; I opted to have

ACTIVE SENIORS • HEALTH • ACTIVITIES • RECREATION • WELLNESS • SERVICES

Northern Colorado Medical & Wellness 2013

The Health Diagnostic Laboratory test gives patients a detailed idea of where they may have a nutritional deficiency or if they may be presenting signs of future heart disease or diabetes.

the blood test done. It is a regular fasting blood test, five minutes in duration. However, what I received back was an 11-page report that drew conclusions as to my diet, my activity and nutrition level and more. “This blood test is for genetic markers that can indicate future health problems, foods inappropriate for our [individual] diets and more,” says James Howton, M.D., owner of Restore Health Center in Loveland. Dr. Howton is a big proponent of the blood test because it allows him to do something he was never able to do in large health systems or when he was a family practitioner in someone else’s practice: spend time with his client to affect lasting health changes. “Too often, medicine today is about chasing symptoms. When it really came to keeping people healthy, I didn’t feel like we were doing a good enough job. Now we take more time with patients.” Dr. Howton says he is able to spend quality time with his patients, discussing nutrition and lifestyle, emotional health and listening to the feedback they give him. Often, this helps him get to the root problems of why they are struggling with hypertension, depression and fatigue. “I end up with this delightful group of patients that really want to be healthy. They are motivated and follow through.” Many of Dr. Howton’s patients approach him because of hormonal imbalances. “This is not an illness per se. People know they don’t feel right but doctors sometimes won’t do anything for them but give them a pill.” Patients who are drawn to Dr. Howton often do not want to take prescription medications. “They don’t want to be piled up with medications but never truly feel healthy.” Weight is another health concern that draws in clients. But this is not to say that Dr. Howton’s patients do not suffer very serious diagnosed health concerns, like heart disease, thyroid disease or other issues. “A lot of what we do is

based on some pretty cutting edge data and is very medical. But other times we focus on what are the interventions, correcting some nutritional deficiency. But we only figure it out because we use more in depth data and take the time.” “Unfortunately, traditional medicine puts a Band-Aid on symptoms,” says Andrea Howton, Dr. Howton’s wife and business partner. “Let’s find out what the reason is for your health problems, treat those and get you off medications.” But unlike other practices that take a nutritional or naturopathic approach, Dr. Howton backs up his diagnoses with scientific data that most family physicians do not have available to them. There is one test that Dr. Howton recommends as a baseline. “If anyone has health insurance, the max it will cost you is $35. It will include some genetics, which is great for cardiovascular disease, it will tell you how well you convert folic acid, which can help with depression, and genotypes that help me know how people process certain foods. This allows us to tailor our approach to each individual.” Health Diagnostic Laboratory does the lab work for Dr. Howton’s patients. “We can now measure things that were not really cost effective to measure before,” says Dr. Howton. “This is some of the most advance testing out there now as far as cardiovascular health and hormone testing,” adds Andrea. The information provided by the blood test can help Dr. Howton shape recommendations on diet, nutrition, supplements and more, and enable someone to reach optimal health that may stave off heart disease, diabetes and other health risks. “This is a beautiful marrying of the hard science data, or the ‘medical’ model, and the wellness model.” Dr. Howton and Andrea consider the test a “starter test.” “If we want greater testing then we go to food sensitivity testing, nutritional testing, and additional blood and urine testing,” says Andrea. These tests are recommended as

needed to patients, but the baseline test is one that Dr. Howton prefers to run on all his patients. In my case, the test gave indicators that did not surprise me, though I was hoping for different news, and some indicators that did surprise me. For example, my test showed heightened cholesterol levels, which I have tested for in the past. According to Dr. Howton, however, the details of the test give me added fuel to understand my cholesterol and the health risks it poses to me. For instance, he has recommended a low carbohydrate diet and an increase in exercise. Now you might say, “well, duh,” but I kind of thought my diet wasn’t so bad and I was exercising enough. In reality, I need to step it up. The test also indicated some unexpected news. I have some inflammation in my body that is a precursor of heart disease. My vitamin D level is very low as are my Omega-3s. I also have low serotonin levels. Huh. My iron levels are too high. We will have further discussions as to how to adjust these levels, but the ability to have an established baseline definitely makes me feel more proactive and ready to set specific health goals. I can have the test done again in a few months and see what has changed – and what hasn’t. And then I work on that. Not a bad way to approach your personal health proactively. For Dr. Howton, this approach is so important for his patients. In fact, he scoffs at the division of medicine verses wellness. “Just because you have no disease, medicine says you are fine. But that does not mean you are as healthy as you can be.” “In my ideal world we would look at nutrition, address any deficiencies, and optimize our nutrition to get better,” he concludes. “Having access to this information now… this is a great time in medicine.” Angeline Grenz is editor of Northern Colorado Medical & Wellness Magazine.

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Northern Colorado Medical & Wellness 2013

MAKING HOMEMADE YOGURT

ALTERNATIVE HELP FOR ALLERGIES BY MICHELLE VENUS

It’s called hay fever. Generally, you’re sneezing and your eyes are watery but there’s no “hay” in sight. And fever? There’s no fever. While some allergies are triggered by hay and other members of the grass family, others are set off by pet dander, pollen, mold or sensitivities to foods. Right now, it’s full-blown allergy season and folks all over Northern Colorado are suffering with runny noses and itchy eyes. Those symptoms, and others, are the body’s immune system responding to the allergens that have invaded it. For some reason, the body thinks these usually harmless substances are actually very harmful. In an effort to protect the body, the immune system tells certain cells to release a chemical called histamine into the bloodstream and that chemical acts upon a person’s lungs, nose, throat and eyes, causing the allergic reactions. For some, over-the-counter or prescription medications are the answer. For others, who either don’t like taking medications or haven’t found relief with them, there are alternatives that may provide a solution. One of those alternatives is chiropractic care. Most commonly known for alleviating joint pain, chiropractic therapies can help with other medical issues by clearing the nerve pathways between the brain and the body. Think of it like I-25. Traffic is moving freely on both sides of the highway (the nerve pathways). All of a sudden, everything starts to bog down and traffic either slows down or stops completely. The congestion (the body’s immune system response) can happen for any number of reasons (the allergen). Chiropractic adjustments can boost the immune system and clear the congestion so traffic – or the messages that travel to and from the brain – can start moving again. Clearly, that’s a very simplistic analogy. According to Dr. Bethany Cox, D.C., owner of Mountain Wellness in Fort Collins, it’s one that provides a strong visual representation of how the body responds to allergens. She uses chiropractic adjustments paired with homeopathic remedies to help her patients battle this seasonally debilitating condition. Homeopathy works by introducing minute

amounts of whatever substance is causing problems for the body. When working with a patient to provide allergy relief, Dr. Cox determines what allergens the body is responding to and the specific remedies that will allow it to build its natural defenses so that eventually, the patient is allergy-free. “I have never worked with someone with allergies and not addressed their liver,” says Dr. Cox. “The liver has a really big job (to do) as far as detoxifying the blood and taking things out. Homeopathic treatment can allow the liver to filter (the blood) better so that it can pull the histamines out of the blood as soon as it recognizes them so that the allergic response does not fully happen.” Here’s another way to look at liver function: Think of your air conditioner’s filter as your liver. All the dust particles and nasties that are sucked through the HVAC system get trapped in the air filter (your liver) and can’t enter the house (your body). Dr. Cox uses muscle testing, which is part of a scientific study of human movement called kinesiology, to make assessments regarding treatment. Muscle testing helps her to determine what the body needs in order to heal by answering yes or no questions. A session may provide Dr. Cox with the information she needs to understand where body functions are weakened and what remedies and dosages are required. “Different patients respond differently to the combination of treatments. Someone may have built up more toxins in their system, meaning they need to spend more time on the table than another patient,” she explains. “It’s very patient-dependent and I work with each individual to ensure that their personal results are optimal.” Dr. Cox received Bachelor’s degrees in Exercise Science and Human Nutrition from Colorado State University. After working in a chiropractor’s office and developing an understanding of the scope and nature of chiropractic medicine, she went on to study at Logan College of Chiropractic to become one herself. Dr. Cox spent several years in Dublin, Ireland, developing her skills while in practice there. She recently returned to Fort Collins with her husband and opened her practice, Mountain Wellness at 143 Remington Street near Oak Street. Michelle Venus is a freelance writer based in Fort Collins.

One of the hottest food trends for 2013? Making your own yogurt. Not only is the process fairly easy, it is also a wonderful way to control the ingredients in this dietary staple. Making yogurt at home is not difficult and, best of all, you already own all the equipment – no fancy yogurt maker needed. And homemade yogurt costs about half of the price of commercial brands. The process is easy but requires a starter – your favorite yogurt with live cultures. The difference between regular yogurt and Greek is the subtraction of whey. Greek yogurt is thicker and less tart than regular yogurt. The beauty of homemade yogurt is that you can make it to your preference. Homemade Yogurt 2 quarts milk 3 tbs. yogurt with live cultures Heat the milk in a medium-sized saucepan, stirring often. Heat the milk until it reaches 175 to 180º F, about 5 to 7 minutes. Allow the milk to cool, stirring occasionally, until the temperature reaches 100 to 115º F. Whisk in the yogurt and pour the mixture into a large ceramic or glass bowl, or round casserole dish. Cover the mixture with plastic wrap or a lid. Allow the mixture to sit in a warm place to inoculate for 5 to 8 hours or until thickened into a yogurt. Stir and store in the fridge for regular yogurt, or strain out the whey for Greek yogurt. To strain the whey for Greek yogurt, line a mesh sieve with cheesecloth. Set over a large bowl and pour the yogurt into the sieve. Allow the yogurt to strain for about an hour. Once it has been strained, pour into another bowl, whisk and refrigerate. It will last at least one week in refrigeration. When making the yogurt the next time, reserve three tablespoons of this mixture as your starter. Makes approximately 7 cups of regular yogurt or 4 cups of Greek.

G E T F I T, G I V E B A C K C A L E N D A R

Run, run, run as fast as you can to get involved in these great events that get you active over the warm summer and give back to nonprofits of Northern Colorado.

1 3 t h A n n u a l To u r d e F a t August 31, 10 a.m., Civic Center Park, Fort Collins. Benefitting Overland Mountain Bike Club, Bike Fort Collins and Fort Collins Bike Co-op. w w w. n e w b e l g i u m . c o m T h i s y e a r ’s f e s t i v i t i e s w i l l i n c l u d e a parade, live entertainment, fundraising for nonprofits, and a Carf o r- B i k e s w a p i n w h i c h a v o l u n t e e r will pledge to give up his or her car for one year in exchange for a fully loaded commuter bike.

JULY 13 - Run for Hope 5K, 8 a.m., City Park, Fort Collins. Benefitting Carcinoid cancer e d u c a t i o n a n d a w a re n e s s a n d c a n c e r re s e a rc h . w w w. r u n f o r h o p e . n e t

2 4 – G o l d e n B e a v e r Tr a i l H a l f Marathon/10K, 9 a.m., Beaver Meadows R e s o r t R a n c h , R e d F e a t h e r L a k e s . w w w. goldenbeavertrailseries.com

20 – Loveland Classic 2013, 7 a.m., D a v i d s 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. lovelandclassic.com

2 4 – T h i rd A n n u a l F o r t C o l l i n s P e a c h Festival 5K, 8:30 a.m., Hughes Stadium. B e n e f i t t i n g P a r t n e r s M e n t o r i n g Yo u t h , R o t a r y I n t e r n a t i o n a l a n d P ro j e c t S e l f S u ff i c i e n c y. w w w. f o r t c o l l i n s p e a c h f e s tival.com

21 – KRFC Radio Flyer 5K, 8:30 a.m., Colorado State University Oval, Fort C o l l i n s . w w w. k r f c f m . o r g

2 5 – F o r t C o l l i n s C l u b K i d s Tr i a t h l o n , 8 a . m . , E d o r a P o o l a n d I c e C e n t e r, F o r t C o l l i n s . w w w. f o r t c o l l i n s c l u b . n e t

AUGUST

3 1 – 1 3 t h A n n u a l To u r d e F a t , 1 0 a . m . , C i v i c C e n t e r P a r k , F o r t C o l l i n s . B e n e f i tting Overland Mountain Bike Club, Bike Fort Collins and Fort Collins Bike Co-op. w w w. n e w b e l g i u m . c o m

3 – Safe Harbor 5K Run/Walk, 7:30 a.m., Life Care Center, Greeley. Benefitting the A l z h e i m e r ’s A s s o c i a t i o n . w w w. k 9 9 . c o m 10 – Rat Race Walking Event, 7:30 a.m., Ault. 1 6 – Va l l e y 5 0 0 0 5 K R a c e , 7 p . m . , F a i rgrounds Park, Loveland. Benefitting The H o u s e o f N e i g h b o r l y S e r v i c e , w w w. h o nservice.org 17 – Peachy Cheeks on the Move 5K, 7 : 3 0 a . m . , S t M i c h a e l ’s To w n S q u a re , Greeley. Benefitting Hospice of Norther n C o l o r a d o . w w w. h o s p i c e o f n o r t h e r n c o l orado.org

Northern Colorado Medical & Wellness 2013

SEPTEMBER 2 – 1st Annual Colorado Run Half Marathon/34th Annual 5K, 8 a.m., P o u d re H i g h S c h o o l , F o r t C o l l i n s . w w w. coloradorun.com 2 – Kids for Kyla Legacy Race 5K and 10K, 8 : 3 0 a . m . , N o t t i n g h a m F i e l d , G re e l e y.

7 – Mud Brigade, 8:30 a.m., The Ranch, Loveland. Benefitting Special Olympics C o l o r a d o . w w w. m u d b r i g a d e n o c o . c o m 14 – Chick-fil-A 5K, 8:30 a.m., Fossil Creek Park, Fort Collins. Benefitting the R o c k y M o u n t a i n C h u rc h A t h l e t i c A s s o ciation, Fellowship of Christian Athletes and Athletes in Action. www.chick-fil-a. com/fortcollins 2 1 – 2 n d A n n u a l J a i l b re a k 4 M i l e , 9 a . m . , S h e r i ff ’s O ff i c e , 2 5 0 1 M i d p o i n t Drive, Fort Collins. Benefitting the Child A d v o c a c y C e n t e r. 21 – 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.com 22 – 2nd Annual Equinox Half Marathon and 5 Mile, 8 a.m., Poudre Canyon, Fort Collins. www.equinoxhalfmarathon.com 2 8 – C o o p e r 5 K , G o l d ’s G y m , 9 a . m . , The Ranch, Loveland. Benefitting the K a w a s a k i K i d s F o u n d a t i o n . w w w. t h e cooper5k.com

6 – L i n t o n L i o n D a s h a n d We l l n e s s F a i r, 5 p.m., Linton Elementary Field, Fort Collins. eweb.psdschools.org

family focus

Fist Aid for Families

Are you prepared for first aid on the go? BY COREY RADMAN

The short version includes:

The list of stuff to bring on any family camping trip is long. Very long. Sleeping bags, marshmallows, ice. Don’t forget the beloved blankie (that keeps getting pulled out and hugged while you pack). Amid these necessities, the most important item is one that you probably assume is already set – the first aid kit. Have you checked it recently? Or has it been used and not replenished - tucked away and forgotten until someone takes a digger? When backpacking, boating, camping or even taking a short hike, experienced parents know this truth. Accidents are going to happen. Especially with kids, chaos is the norm. Thus, a first aid kit – even a small one – is in order for all extended activities with kids. The Red Cross lists supplies every first aid kit should contain at redcross.org.

•

adhesive bandages of various sizes

•

adhesive cloth tape

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absorbent compress dressings

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antibiotic ointment packets

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antiseptic wipe packets

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instant cold compress

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hydrocortisone ointment packets

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tweezers

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scissors

•

non-mercury thermometer

•

tootsie rolls – ok, that’s from me, not the Red Cross, but sometimes a little sweetie is better than a Superman Bandaid.

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Northern Colorado Medical & Wellness 2013

Fort Collins paramedic with PVH EMS, Rob Collett, is a huge mountain biking enthusiast and also a father of three. He suggests that families go through the first aid kit and ditch anything they don’t quite know how to use. It adds extra weight and an emergency isn’t the time to figure it out. He suggests most of the above, but also adds:

probably won’t get lost, but you might. So, carry the essentials as if you might have to spend a night on the mountain. Larimer County Search and Rescue recommends the following for survival kits: •

shelter package - 10 ft. x 10 ft. tarp and 50 feet of parachute cord

•

2 triangular bandages or bandanas

•

proper clothing

•

ACE wrap

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fire starting kit

•

Moleskin/blister pads

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water and water purification methods

•

Benadryl pills, and Ibuprofen or Tylenol

•

signaling devices – whistle, signal mirror, flashlight

•

hand sanitizer •

food

•

latex-free gloves •

first aid kit

•

sunscreen

•

navigation – map, compass

He says, “It’s a small list, but most of the time you can improvise with a little creativity to maximize your first-aid kit.”

911 Emergencies Beyond the predictable scrapes, bites, bumps and bruises, Colorado families can rest assured that emergency services are available for major accidents, even far off the beaten path. Larimer County Search and Rescue, EMS crews from all the health systems, and law enforcement coordinate back-country rescues. They respond

wherever help is needed and frequently send ambulances zooming up or down the mountain highways. The trick for families in a crisis situation may be calling for that help. Since cell signal can be spotty or nonexistent in the canyons, take note of the locations of ranger stations and businesses with landlines. Driving several miles to seek help is common. Because you are far away from the safety nets provided in cities, take extra precautions and bring survival gear, even for short jaunts and hikes. Dress in synthetic or wool layers that dry quickly. Opt for rugged footwear. You

We live in one of the most beautiful places on the planet. Enjoy it. Teach your kids to do the same. But, like the Boy Scouts, be prepared.

Corey Radman is a National Press Women award winner and regular contributor to this magazine.

Picky Eater?

Try This... BY ANGELINE GRENZ

Nutritionist love to recommend we eat from all the colors of the rainbow: greens, purples and shades of white. But convincing young children that they are going to love peas and cauliflower can be a mighty feat. What should a parent do? Hold your ground or give in to nuggets and French fries off of the kid’s menu?

First and foremost, the experts recommend patience. Rather than creating a mealtime war zone, provide a variety of healthy options at each meal. A child may reject a certain food multiple times before trying it; it can take 12 to 20 times introducing a new food before a child will eat it. Offer new foods with a “no pressure” approach. Experts advise against negotiating. Give your children choices, but offer them the same foods as the rest of the family. It is up to them whether they eat it or not. If your child does reject a food without trying it, give it a rest and reintroduce it at another time. Giving a child the power to make choices, and letting them be an active part of the process such as selecting fruits and veggies at the grocery store or helping you cook, may open them up to new choices. Beware of liquid calories, too. Some children fill up on juice, milk or other liquids and their appetites are diminished. Too much sugar in juices and sodas can lead to obesity later, so push regular water or 1% or skim milk. Try to keep sugar to a minimum and when

you do offer it, make sure it is naturally sweet items such as fruits and yogurt. Don’t keep sweets in the house and don’t use sweets as a bribe or reward – you will shoot yourself in the foot later when you are trying to promote a low sugar diet but your child has developed a determined sweet tooth. Some children are just grazers. If your child does not seem to be eating enough, but has plenty of energy and is growing at a healthy rate, you probably don’t need to sweat it – but do make sure to keep up regular wellness visits with your pediatrician. Also try to keep meal and snack times on a schedule, it may help train your child to eat better at mealtimes. Most of the time pickiness is a phase that your child will outgrow. Finally, encourage a little mealtime fun. Cut foods into fun shapes, take your child for a picnic or find other tricks to make eating health an enjoyable adventure. Material adapted from WebMD’s “Quick Tips for Feeding a Picky Eater” and www.mayoclinic.com.

kids • play • fun • health • activities

Northern Colorado Medical & Wellness 2013

VETERINARY

ARTHRITIS

Keep Your

Pet Moving by Elissa J. Tivona

Are you thinking romps with Rover are a thing of the past? He’s nearly 70… in dog years, that is. The poor fellow is slowing down; he even has trouble going up a flight of stairs. Our aging pets may need a multi-faceted approach to treating arthritis – like laser therapy - but veterinarians agree, it is highly treatable in dogs and cats.

Well, think again. It turns out Rover’s aches and pains may be due to the same condition suffered by many aging humans: arthritis. The great news is that arthritis in pets is highly treatable and the treatments provide excellent results. Dr. Kara Keesling, of Front Range Veterinary Clinic and Animals in Motion, shares her experience since specializing in treatment of animal orthopedic and neurologic conditions. “Positive outcomes are a norm rather than just a possibility!” Dr. Trent Newcomer, who recently purchased Dr. Keesling’s practice, agrees with his professional colleague. In addition to a variety of proven pain medications and a growing number of joint supplements to support cartilage health, Newcomer says, “A variety of physical rehabilitation treatment modalities have also grown significantly in popularity in recent years. Trained veterinary rehabilitation practitioners are able to decrease joint pain, improve circulation, restore or optimize joint function, enhance recovery from injury and surgery, promote tissue healing, and improve overall quality of life.” Of course, these kinds of positive outcomes depend on an accurate diagnosis. As your pet

ages, be alert for signs of arthritis. Our fourlegged friends can’t tell us where it hurts, so they show distress in other ways. Rover (or Muffy, the cat) may be giving you signals. Dr. Kerry Fisher, of Advanced Animal Care, tells pet owners what to look for: A dog with symptoms of arthritis may start “slowing down on walks, hesitating while climbing stairs, refusing to jump in the car or on the bed, and be panting more often. They may be laying down more often, slow in getting up or limping.” Some dogs show irritability, becoming especially sensitive to being touched in affected areas. Though many of these symptoms indicate the onset of arthritis, some can be signs of other illness or conditions. If you notice changes in your furry friend’s normal behavior as he or she ages, you may consider getting a geriatric screening. According to a report featured in The Whole Dog Journal (March 2007), “Osteoarthritis is the number one cause of chronic pain in dogs, affecting one in five adult dogs, with the incidence more than doubling in dogs 7 years and older.” Dr. Fisher cites cat statistics, “Up to 90 percent of cats over the age of 12 show radiological signs of osteoarthritis.” Still, all three veterinarians

caution, “Don’t assume.” They recommend pet owners seek a professional diagnosis. Fisher explains the typical arthritis screening. “We start with a comprehensive history and examination” to determine the underlying cause of your pet’s discomfort. Owner observations of duration and severity of symptoms can help veterinarians form a picture of the disease process. In the exam that follows, the vet will focus on manipulating limbs and joints and palpating along the animal’s spine, looking for areas of increased sensitivity, swelling or heat. In some cases vets request blood and urine samples to establish a baseline for overall health or to rule out more serious conditions. Fisher adds, “We may recommend further diagnostics – such as radiographs of joints, looking for evidence and degree of arthritis. Once the diagnosis of arthritis has been confirmed, a plan is created specifically for your pet.” Though treatment plans vary for each animal, these local experts note one constant: The most effective plans include multiple modes of symptom management and health maintenance. From the medical perspective, Dr. Newcomer says, “Prescription medications such as

non-steroidal anti-inflammatory drugs (NSAIDs) are often a mainstay of therapy, as they are generally effective at reducing inflammation and pain associated with osteoarthritis.” However, savvy veterinarians understand the value of prescribing complementary joint supplements, nutritional support and physical therapies. Possible additions to Rover’s regimen might be popular nutraceuticals such as glucosamine/ chondroitin sulfate or other supplements intended to support cartilage cushioning ability or viscosity of the joint fluid. In more severe cases, vets may prescribe targeted injections, which prevent cartilage breakdown, support repair and slow the progression of osteoarthritis. The dog may also be referred for physical rehabilitation, which might include therapies like regular strolls in specially adapted hydrotherapy pools, a series of chiropractic or acupuncture sessions, or localized joint treatments using therapeutic lasers, thermotherapy (alternating icy and warm compresses), neuromuscular electrical stimulation or gentle massage. This might sound a bit like doggy days at the spa, but optimal treatment goes beyond what happens at the veterinarian’s office. An arthritis diagnosis implies commitment on the part of the pet owner to follow through at home. Dr. Keesling stresses this point. “Successful management of osteoarthritis requires a commitment from both the owner and their veterinarian. It’s our responsibility to be advocates for our patients since they can’t advocate for

Northern Colorado Medical & Wellness 2013

themselves… [but] the options for management of the osteoarthritic patient far and away exceed a prescription for anti-inflammatory medications. I feel the pet owner is a primary player in the management of disease.” Much like their colleagues in human medicine, veterinarians often recommend critical lifestyle changes such as weight loss, optimal nutrition and conditioning routines that require owners to actively participate. Pets (like humans) need to keep moving in healthy ways without over-stressing joints to recover optimal mobility and to keep trim. Pets face the same age-old dilemma we do: use it or lose it. The ideal is to provide for as much pain-free mobility as possible. Dr. Fisher asks, “Is your pet able to do what he used to? Does your house have stairs? Does your pet need to be able to get in and out of the car? What activities and needs must be met so you can continue to provide your pet with a quality of life? Our focus is on function.” In some cases, adaptive devices may be required at home to give your pet the right measure of added assistance. Your vet can help you assess your environment and choose from available adaptive devices like ramps, special harnesses or braces that will help you both keep active on a daily basis. Dr. Fisher likes to point to Mitchell, now a 7-year-old Labrador, who has become her poster pup for successful multimodal arthritis treatment. Rescued at 8 months, he was diagnosed

with hip dysplasia. His owner opted for early intervention to help minimize arthritis over his lifetime, including weight management, regular hydrotherapy and conditioning, prescription injections of Adequan, an anti-inflammation diet, puppy training as a pet therapy dog, and lots of walks to sniff and explore. Starting around age 5, Mitchell had routine chiropractic care, laser therapy and acupuncture treatments. Says Fisher, “See, Mitchell had a job. He was to be an ambassador for the non-profit Leave No Trace. His excellent health allowed him to join his master on a trek across country via bicycle in his very own dogcart. He made the trip from Washington State to Maine, meeting and educating children along the way.” The outlook for buddies like Mitchell gets even brighter looking ahead. Dr. Keesling says, “Personally, I am excited about the advances in stem cell therapy, otherwise known as regenerative medicine. Stem cell therapy has the potential to activate the animal’s own natural healing abilities to repair itself.” So if your best friend is slowing down, seek out an enlightened veterinarian to help you help your pet. Once Rover is free from needless suffering due to arthritis, he might be raring for that good romp after all. Elissa Tivona is a writer, journalist and international educator at CSU in Fort Collins. Find her online at www.thepeacecorrespondent.

CHIROPRACTIC :: Mountain Wellness - Bethany Cox, DC 143 Remington St., 970.672.8323 www.mountainwellness.us See ad on page 83

DENTISTRY/ENDODONTICS :: Center for Endodontic Care Anthony Girardi, DDS Kelly Jones, DDS, MS Amber Severin, DDS, MS 1331 E. Prospect Rd., Bldg. B-1, 970.232.3750 516 W. Eisenhower Blvd. (Loveland), 970.232.3757 4669 W. 20th Street Rd. (Greeley), 970.232.3755 See ad on page 19

2996 Ginnala Dr., Ste. 101 (Loveland), 970.221.5050 www.periofortcollins.com See ad on page 26

EDUCATION :: Aims Community College Northern Colorado, 970.330.8008 www.aims.edu / facebook.com/aimsfan See ad on page 73

HEARING HEALTHCARE :: Advanced Hearing Services, LLC Susan Baker, BS, BC-HIS 2001 S. Shields St., Bldg. J-2, 970.221.5249 www.bakerhearing.net See ad on page 77

DENTISTRY/GENERAL ::

HOME HEALTHCARE ::

Wells & Abrams Family Dentistry, PLLC Arica Abrams, DDS 702 W. Drake Rd., Bldg. G, 970.493.9299 www.wellsabramesdental.net See ad on page 75

Home Instead Senior Care Northern Colorado, 970.494.0289 www.homeinstead.com/northerncolorado See ad on page 57

Centre Family Dentistry - Galen Geraets, DDS, PC 1001 Centre Ave., 970.407.1001 www.fortcollinsdentist.com See ad on page 59 Tim Owens Dentistry - Tim Owens, DDS 1514 E. Harmony Rd., Ste. 4, 970.377.2557 www.owensdds.com See ad on page 31

DENTISTRY/ORTHODONTIC :: Mark D. Crane, DDS, MS-PC Craig Seager, DDS-MSD 4144 S. Timberline Rd., 970.226.6443 3520 E. 15th Street (Loveland) 970.663.4871 www.drcraneorthodontics.com See ad on page 81 Orthodontic Associates of Greeley Brad Edgren, DDS, MS 3400 W. 16th Street, Bldg. 4-V (Greeley), 970.356.5900 www.drbradsmiles.com See ad on page 52

DENTISTRY/PERIODONTICS :: Associates in Periodontics Richard W. Lindeberg, DDS, MS David Clark Johnson, DDS, MS Jennifer Merritt, DDS 1120 E. Elizabeth St., Ste. G4, 970.221.5050

Seniors Helping Seniors Northern Colorado, 970.631.8251 www.seniorshelpingseniors-noco.com See ad on page 20

HOSPICE :: Hospice of Northern Colorado Northern Colorado, 970.352.8487 www.hospiceofnortherncolorado.org See ad on page 33 Pathways Hospice 305 Carpenter Rd. 663.3500 1580 Main St., Ste. 2 (Windsor), 970.674.9988 www.pathways-care.org See ad on page 77

KIDS ACTIVITIES :: Chipperâ&#x20AC;&#x2122;s Lanes Horsetooth Center, 970.226.6327 College Center, 970.484.4777 Greeley Center (Greeley), 970.353.4275 Estes Park Center (Estes Park), 970.586.8625 Broomfield Center (Broomfield), 303.466.9700 www.chipperslanes.com See ad on page 65 Mountain Kids 419 E. Stuart St., 970.482.3118 www.mountain-kids.com See ad on page 81

MED SPA ::

SENIOR LIVING RESIDENCES ::

Allura Skin, Laser & Wellness Clinic 2032 Lowe St., Ste. 103, 970.223.0193 4450 Union St., Ste. 201 (Johnstown), 970.223.0193 www.alluraclinic.com See ad on page 27

Berkley Manor Care Center 735 Locust St. (Denver), 303.320.4377 See ad on page 77

Lake Loveland Dermatology 776 W. Eisenhower Blvd. (Loveland), 970.667.3116 www.lakelovelanddermatology.com See ad on page 61 Restore Health Center 3553 Clydesdale Parkway, Ste. 210 (Loveland), 970.278.0900 www.freezefat.net See ad on page 8 Twenty Three Trees Medical & Wellness Spa 1107 S. Lemay Ave., 970.495.8400 www.twentythreetrees.org See ad on page 70

PET CARE :: Advanced Animal Care Heather Steyn, DVM Brittany Alvillar, MS, DVM, CVA Kerry Fisher, DVM 1530 Riverside Ave., 970.493.3333 www.advancedanimalcareofcolorado.com See ad on page 85 Moore Animal Hospital Maura C. Buckner, DVM James N. Morawski, DVM 2550 Stover St., Bldg. H, 970.416.9101 www.mooreanimalhospital.com See ad on page 59 The Downing Center Robin Downing, DVM 415 Main St., (Windsor), 970.674.0434 www.downingcenter.com See ad on page 65

PHYSICAL THERAPY :: Harmony Hand & Physical Therapy Center, Inc. 3744 Timberline Rd., Ste. 103 204.4263 9299 Eastman Park Dr. (Windsor), 970.674.9675 www.harmonyhand.com See ad on page 31

Collinwood Assisted Living & Memory Care 5055 S. Lemay Ave., 970.223.3552 www.bethesdaseniorliving.com See ad on page 75 Fort Collins Health Care Center 1000 S. Lemay Ave., 970.482.7925 Spring Creek Health Care 1000 E. Stuart St., 970.482.5712 See ad on page 33 The Hillcrest 535 N. Douglas Ave. (Loveland), 970.593.9800 www.hillcrestofloveland.com See ad on page 52

SPEECH/LANGUAGE THERAPY :: Speech & Language Stimulation Center, Inc. 317 N. Meldrum St., 970.495.1150 www.speech-language-voice.com See ad on page 83

TATTOO REMOVAL :: Tat2Undo 3675 S. College Ave., 970.223.5323 www.tat2undo.com See ad on page 28

YOGA :: Mindstream Yoga 2733 Council Tree Ave. #129, 970.266.9642 www.mindstreamyoga.com See ad on page 29 Address locations of these businesses are in Fort Collins unless otherwise indicated.

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