Healthline by Loveland Reporter Herald

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 3

departments

features

Nutrition Big plates, big waistlines The Healthy Plate

Page 4 Page 21

Womenâ&#x20AC;&#x2122;s Health Myth or truth: Menopause Prepping for baby No. 2

Page 17 Page 20

Mental Health Taking Strides to Save Lives

Page 24

also inside

Race Day: How to prepare for a 5K Page 5

Power Up: Pair high-tech toys with your fitness routine Page 8

Crandoodles ........................................... pg. 10 Uncommon Sense with Dr. Firestein ..... pg. 16 Loveland health briefs ........................... pg. 25 Loveland health calendar ...................... pg. 26

Jess No Less: Going on the roommate diet Page 13

Nursing Gallery Walk: Exhibition displays nurse memorabilia Page 18

Skin Cancer: Self-exams can help save your life Page 14

Health Line of Northern Colorado is a monthly publication produced by the Loveland Daily ReporterHerald. The information provided in this publication is intended for personal, noncommercial, informational and entertainment purposes only and does not constitute a recommendation or endorsement with respect to any company, product, procedure or activity. You should seek the advice of a professional regarding your particular situation.

For advertising information, contact: Linda Story, advertising director: 970-635-3614

For editorial information, contact: Jade Cody, special sections editor: 970-635-3656 jcody@reporter-herald.com Jennifer Lehman, special sections reporter: 970-635-3684 jlehman@reporter-herald.com

Health in a Handbasket: Practicing with the Colorado Ice

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011

prone to addiction

Nutrition

Yale researchers found that the brains of subjects who scored high on a food addiction scale exhibited neural activity similar to that seen in drug addicts, with greater activity in brain regions responsible for cravings and less activity in the regions that curb urges.

calories

count Chain restaurants (with 20 or more units) will be required to list calorie information on menus by mid-2012.

— McClatchy-Tribune

day

17diet

— McClatchy-Tribune

New diet is getting attention in Hollywood Andrea Walker McClatchy-Tribune

12-inch plate: 6 ounces pasta: 630 calories 11/2 cups sauce: 180 calories 5 meatballs: 417 calories Total: 1,227 calories

big

plates

big

here’s a new diet rage that has cropped up just in time for peo2 ounces pasta: 4 ounces pasta: ple to slim down in preparation 210 calories 420 calories for bathing suit season. The 17-Day Diet 1 /2cup sauce: 60 calories 1 cup sauce: 120 calories is the idea of Michael Moreno, a hunky 3 meatballs: 4 meatballs: 333 calories family medicine doctor in California. 250 calories Total: 873 calories It’s gotten the attention of Dr. Phil Total: 520 calories and the talk show “The Doctors,” which have featured segments about the diet on its shows. The diet seems very similar to the rian Wansink, who heads Cornell UniSouth Beach diet, which restricts carbs versity’s Food and Brand Lab, wrote and then reintroduces good carbs into the book “Mindless Eating” and studthe diet. ied how big plates make people fat. OK, it’s Moreno’s diet has three cycles that not the plate. But the bigger the plate, the last 17 days. The cycles, he explained, more you can fill it. Dinner plate sizes have prevent boredom and trigger calorie increased 36 percent since the ’60s, he said. confusion, which helps burn calories And if you go from a 10-inch plate to a 12and fat faster. inch plate, “the amount people serve themCycle 1 is the most restrictive, allowselves goes up about 22 percent.” ing for 1,200 calories a day and elimiA 9-inch plate is better? Maybe not. “Somenating bad carbs. times people start realizing they’ve served Cycle 2 allows for 200 more calories themselves less and go back for seconds and and adds two servings of healthy carbs. thirds,” he said. Cycle 3 once again allows for more calories including small snacks and To find out the difference, researchers one serving of alcohol. filled three plates (9-inch, 10-inch and 12Cycle 4 is when you hit your goal inch) with spaghetti, bottled sauce and frozen weight and are working to maintain it. It meatballs, then tallied calories. The 9-inch allows for some splurging on weekplate holds serving sizes printed on the packends. ages. The diet also calls for exercise — — McClatchy-Tribune 17 minutes a day in cycle 1, ramping up with each cycle.

10-inch plate

waistlines

9-inch plate

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 5

you are a track champ or a 16,368 feet. Whether 5K virgin, there is always room for improvement. Turn the page for a 3.1 miles. few tips, provided by Emily Wester, personal trainer at Goldâ&#x20AC;&#x2122;s Gym in 5 Kilometers. Loveland, for 5K success.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011

Your Type: You don’t have much experience running, but you want to try a 5K. Four months before the race: Pick a race and begin running, said Emily Wester, personal trainer at Gold’s Gym in Loveland. Try 10-to-15-minute walk/runs two-to-three times a week to get your body used to physical activity and avoid over-doing it. The workout: During each run, try jogging as much as possible and walk when necessary, she said. Every week increase the run/walk by three minutes. In eight weeks, you’ll be able to run/walk for at least 30 minutes without stopping. When you can jog longer: Try intervals. Set a treadmill for 20 minutes, picking up the speed for one minute, then resting for two minutes and repeating. It increases the physical demand on the body, Wester said, and the speed incorporates fast-twitch fiber muscles — which helps your body become familiar with that type of pace. Also try: A longer distance run around five to six miles. Quick tip: Try running in a range of weather conditions, such as cold and wind. That way your body is acclimated to exercising in a variety of environments, and you’ll have confidence no matter what the conditions are on race day.

Your type: You run pretty regularly and have tried a few 5K races. Two-to-four months before the race: Set your goal time. Eight-minute mile, prepare to be accomplished. The workout: Try interval training on a track or treadmill. Do five laps of 400 meters, going on race pace for each lap and resting between, Wester said. For example, if your goal is to run eight-minute miles during a 5K, practice running two-minute laps (400 meters), then resting four minutes in between each lap. When it becomes easier, increase the pace. When that becomes easier: Head for the hills. Start with a mile warm-up, then run up a hill and back down three times, she said. Try holding race pace each time running up the hill. Afterward, a one-mile cool down. Quick tip: Omit the interval/hill training during the week of the race.

Your type: A high endurance athlete who competes in several distance runs throughout the year. The workout: Change things up a little. Wester recommends designating at least two workouts per week towards exercise other than running. The reason: Running is a high-impact exercise, and it can be hard on your body. Try things like swimming or biking to lesson the impact. It also helps to change up the routine frequently. Try running trails and hiking to ward off mental and physical complacency. “It keeps it fun,” Wester said. Hit the weights: It is imperative that runners of all degrees have a frequent weight lifting routine, she said. It strengthens the body, keeps injuries at a minimum, increases metabolic rate and makes you a stronger overall runner. Quick tip: Stop running trails and lifting weights during the week of the race.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 7

FOOTWEAR IS ESSENTIAL

ENERGY EQUALS RESULTS

When running, it is imperative to find correct-fitting shoes, said Emily Wester, personal trainer for Goldâ&#x20AC;&#x2122;s Gym in Loveland. She recommends going to a running store such as Runners Roost in Fort Collins, where customers are evaluated for the proper shoe based on running style and gait. The store will identify if you have high arches or flat feet, or if you have supination or pronation in your feet when running, which can cause damage to foot, knee and leg injuries. Quick tip: Even if they donâ&#x20AC;&#x2122;t look like they need to be replaced, shoes need to be changed about every 400 miles.

Carbohydrates are a runnerâ&#x20AC;&#x2122;s best friend, Wester said. They provide the energy you will need to get the most out of your run. Get in around 200 calories of carbohydrates before a run, she said. In the 30 minutes following the run, load up on whey protein to repair muscle. Whey protein is already broken down, and is delivered to the muscles immediately, as opposed to meat, which takes longer to be broken down. â&#x20AC;&#x153;It is vital to replace energy burned (glycogen) within 30 minutes of the run,â&#x20AC;? Wester said. In this 30-minute window, the muscles are hungry for sugar (carbs), and in turn, glycogen stores are refilled for the next workout. Eat often: Runners should be eating six times a day, getting in plenty of carbs, Wester said. For someone running 20 miles every week, consume 2,000-2,500 total carb-packed calories a day. Drink often: It is important that runners are wellhydrated, Wester said. Try to take in a gallon of water per day, and it will make a big difference with recovery after workouts. Quick tip: Donâ&#x20AC;&#x2122;t change up your routine on race day, Wester said. If you normally have a cup of coffee before running, then do that on race day, too. â&#x20AC;&#x153;Do what your body is used to,â&#x20AC;? she said.

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Fitness

power up Find some high-tech suggestions for fitness Eric Gwinn McClatchy-Tribune

ooking to energize your workouts with some high-tech gear? Here are a few fantastic options.

SWIMMERS Swimmers have more choices than ever for underwater music players, but two of the best options out there are the Waterproof iPod Shuffle from H2OFriendly ($139.99; http://h2ofriendly.com and the Finis SwiMP3.1G ($149.99; www.finisinc.com click on “Equipment”). The Waterproof iPod Shuffle is what it says it is: a two-gigabyte iPod Shuffle that holds about 500 songs and has been made waterproof. The lightweight gadget clips

Waterproof iPod Shuffle

Finis SwiMP3.1G

onto your swimwear and, like the 4th-generation iPod Shuffle, you can use the free VoiceOver Kit that lets you speak your request to search for your next song, so you can pause in the water after your second lap and call for a power tune to get you through your next three laps. It comes with a one-year waterproof guarantee. A kit with waterproof earphones and strap is available for $169.99. The Finis SwimP3.1G is a one-gigabyte music player that holds about 250 songs and clips onto your goggles. Unlike most underwater music players, it has earphones built in. But the earphones don’t slip into your ear; they rest on the side of your head. As a result, the music sounds louder and clearer underwater than music through inear earphones, and there’s no ear fatigue.

Nike + GPS for iOS4 devices the iPhone and for iPod Touch ($1.99; iTunes App Store). Use your phone’s GPS receiver to track the distance of your workout, and when you need an extra kick, dial up your favorite PowerSong to motivate you. And it’s fun sharing your results with friends at nikeplusactive.com.

RUNNERS/BIKERS

FOR THE REST

Motion Traxx Radio app for Android phones ($2.99; Android App Market). Get a nonstop high-energy soundtrack for your workouts that keeps you motivated and moving. You get a selection of music podcasts that you can download to your phone’s microSD card.

Heart rate monitoring apps (Free; Android and iPhone). These free apps work in the same way; while the app is running, press your finger to the phone’s camera. It will gauge your pulse by reading the amount of light coming through your finger (afterward, wipe your camera lenses with a dry, soft, lint-free cloth — or the hem of your T-shirt, if that’s all that’s handy). Now when you’re walking the dog or working in the yard, you’ll know your pulse rate and whether you should pick up the pace.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 9

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011

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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 11

Health in a Handbasket

We’re

Talking about

ith what would have to be the absolute last pick in the worst draft class ever, the Colorado Ice select: Jade Cody. No they didn’t. But they did let me, a comparatively slow, athletically underachieving editor, participate in a real team practice. Judging by the lack of invitation to come back, I’m pretty sure I have been cut from the team. This reminds me of the time in fifth grade I asked out a girl the day before Valentine’s Day, went to a dance with her, then broke up with her the next day. Karma, party of one. I have been served.

Practice Colorado Ice football team allows slow, pathetic editor to run through drills in practice Story/photos by Jade Cody • Reporter-Herald

Health in a Handbasket is a monthly feature in which I try a health-related adventure and write about it. If you have an idea for a new adventure, write to me at jcody@reporter-herald.com.

Health in a Handbasket

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011

have had some pretty special moments on the gridiron, though, especially in grades two-five, when I pretty much dominated my dog, Jazz, not to mention my sister. My dad and I even had a trademark high five/handshake sequence for special moments such as the time I dived and caught a pass from him after I got home from school one day. Let’s just say my highlight tape is pretty exceptional. So, as one of the elite football prospects heading into the fifth grade (according to my mom), I was seemingly destined for football greatness. Somehow, though, genetics failed me. As a fifth grader, I weighed roughly as much as our junior high custodian’s right leg, and I didn’t top 100 pounds until I was a sophomore in high school. Add to that the fact that I was a late

bloomer (I remember searching on a daily basis, and wishing, for armpit hair of all things), and you can begin to see why I never actually became Gerald Willhite. Now that I’m older and I have embraced my athletic shortcomings, getting a chance to practice with professional football players was about the most exciting thing in the world for me. Aaron Freimark, the Director of Football Operations for the Colorado Ice, our local indoor football team based in Fort Collins, invited me to participate in a team practice. I admit, going into it I wondered things like “can I bring my mom agent,” and “will anyone be able to perform my dad and I’s secret handshake in case they let me score a touchdown.” Also I was scared for my well being, because, well, look at me. On the day of practice, I made sure to eat a large breakfast made up of tough things like nails and well done pork chops. I chugged a shake with chopped wasp behinds and ground-up rattlesnake rattles, then hissed at myself in the mirror (so scary). I was ready. When I got there, I was fitted for a helmet, and we all stretched in preparation for practice. After a special teams walkthrough, we started doing drills. I was paired with the wide receivers, and we all began running pass routes. I scrambled to keep up with them and ran some truly ugly routes, but I managed to catch a few balls (and drop a couple), with possibly the biggest smile that has ever been on my face. Ken Witter, who leads the Ice in receiving touchdowns this year, took me under his wing and walked me through each drill. As a second year receiver, Witter said arena football is a lot faster than college football. He played for Indiana University

of Pennsylvania — and said many of the players are originally from areas across the map. “These are all guys coming across the country to play football,” said Coach George Martinez, who was leading the offensive drills. “All these guys get along real well, they’re best friends off the field,” he said. The Ice are 8-1 this season, and hold a three-game lead in its division. With 10 holdovers from last year’s team, the Ice brought in 20 new players this year. “We got a lot of new faces that are really contributing,” Witter said. This year’s season hasn’t been without its share of nail-biters, however. “Every game we have had has been close — we’ve won some games in the last seconds,” Witter said. “We’ve been in dog fights all year long, we’ve just found ways to win games.” As an editor at a newspaper, getting the chance to practice with professional arena league football players was about as good as it gets ... even if I did loosely resemble a Pinto at a Ferrari show. For more information about the Ice or to get tickets to watch as the team makes a playoff push, visit www.thecoloradoice.com.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 13

Jess No Less

the

Maria Diet Jessica tries out the roommate diet

Make a positive change.

Story by Jessica Benes â&#x20AC;˘ Reporter-Herald

y roommate, who shall be referred to as Maria, got sick of me complaining about how I hated food because it was just there to torture me. So she put me on what I will now call â&#x20AC;&#x153;The Maria diet,â&#x20AC;? except her real name is in place of Maria. Maria doesnâ&#x20AC;&#x2122;t have a problem eating right. She eats a lot of whole grains, organic foods, fruits and vegetables and a piece or two of dark chocolate. She also likes to eat those burgers and corn dogs that donâ&#x20AC;&#x2122;t contain meat. Those things are creepy. If Iâ&#x20AC;&#x2122;m going to eat a hamburger, I donâ&#x20AC;&#x2122;t want to know that itâ&#x20AC;&#x2122;s been made with black beans and vegetables. Jessica Benes Because that is not a burger. Maybe it doesnâ&#x20AC;&#x2122;t taste too bad. Maybe it tastes almost like meat ... but that is no excuse. It is not meat. One has to put their foot down somewhere. Maria is an excellent food role model and if she, on the rarest of rare occasions, wants to order pizza, I jump at the chance because generally we are a non-pizza household. Maria spent an evening writing up a meal plan for me (after I reminded her that there better not be any tofu meat elements to it), handed it over and told me I donâ&#x20AC;&#x2122;t eat enough during the day and that I needed to follow it. So I did for two weeks. I didnâ&#x20AC;&#x2122;t follow it exactly. I used it as a guide to eat little meals throughout the day and eat more vegetables and high-protein breakfasts. I did have a couple of cheat meals â&#x20AC;&#x201D; because Iâ&#x20AC;&#x2122;m me. And I lost three more pounds. But letâ&#x20AC;&#x2122;s not tell her she was right. No need to give her a big head. Below, the non-expert-but-pretty-wise Maria plan (keeping in mind that this is not law or something official that has been tested; this is one personâ&#x20AC;&#x2122;s idea of eating better):

MONDAY

TUESDAY

â&#x20AC;˘ Breakfast: one cup Kashi Go Lean Crisp cereal, 1/2 cup 1 percent milk, piece of fruit â&#x20AC;˘ Snack: Cereal bar (such as Kashi TLC) â&#x20AC;˘ Lunch: Wrap with low-carb tortilla, turkey, avocado, lettuce, red onion, low fat mayonnaise and mustard. One fruit and 1/2 cup carrots. â&#x20AC;˘ Snack: Laughing cow light cheese wedge, flat bread. â&#x20AC;˘ Dinner: Recipe with less than 400 calories from a low-calorie recipe book such as â&#x20AC;&#x153;Eat This, Not Thatâ&#x20AC;? along with a fresh vegetable and fruit.

â&#x20AC;˘ Pre-workout: One hard boiled egg â&#x20AC;˘ Breakfast: Protein shake â&#x20AC;˘ Snack: Cereal bar â&#x20AC;˘ Lunch: Amy's organic frozen meal, carrots or bell pepper, fresh fruit â&#x20AC;˘ Snack: Laughing cow light cheese wedge, flat bread â&#x20AC;˘ Dinner: Homemade recipe, fresh vegetable, fruit.

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â&#x20AC;˘ Breakfast: two eggs, flat bread, fruit â&#x20AC;˘ Snack: Cereal bar â&#x20AC;˘ Lunch: Wrap with low-carb tortilla, turkey, avocado, lettuce, red onion, low fat mayonnaise, mustard. One fruit and 1/2 cup carrots. â&#x20AC;˘ Snack: Protein shake â&#x20AC;˘ Dinner: Homemade recipe of 400 calories or less, fresh veggie, fruit. Thatâ&#x20AC;&#x2122;s a sample that has helped me. Also, drink 500 milliliters of water with every meal or snack and donâ&#x20AC;&#x2122;t eat dinner at 5 p.m., expecting that to carry you for the night. Iâ&#x20AC;&#x2122;m down to 155 pounds.

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Knyoow ur

Spots

high numbers of moles or larger moles (both run in families); family history of skin cancer and personal burn history (blistering sunburns or high numbers of past sunburns increase the risk of melanoma). Tanning beds also greatly increase the risk of melanoma according to new studies, Kalajian said, as does being immunosuppressed as the result of organ transplant, HIV or leukemia.

THE SELF-SKIN EXAM

What to look for, or knowing your ABCDEs: ABCDE is a tool the American Academy of Dermatology came up with to help people remember which moles and spots might lead to trouble. Find diagrams on how to do Jennifer Lehman self-skin exams and photos examples of Special Sections Reporter ABCDEs at www.aad.org. A printable diagram of the body is also available on the kin cancer is the most common form same site to assist in mapping moles over of cancer. Over 3.5 million skin cantime, tracking any new ones or any changes cers are diagnosed in over 2 million in appearance. people in the United States each year, more A is for Assymetry: The rest of the letter than lung, prostate, colon and breast guidelines kind of fall under this rule. cancers combined according to the Skin Nobody’s perfect, but harmless moles and Cancer Foundation. Knowing your skin can spots tend to be symmetrical in color, mean the difference in early detection of shape, texture and elevation. Even if a mole skin cancer and in general, cancer found by is patterned in some way, consistency is patients — whether breast, testicular or what matters. Like wallpaper, that pattern skin, are found at an earlier state, leading to should be the same throughout, Kalajian a better prognosis said Dr. Andrew Kalajian, said. a dermatologist with Fort Collins Skin B is for Borders: Moles generally have a Clinic. round or oval shape, Kalajian said. Wavy, At about age 20 everyone should get a scalloped, jagged, blurred or undefined skin check by their doctor, Kalajian said. edges may be a sign of trouble. This initial skin check determines the freC is for Color: Going back to asymmequency of future visits based a variety of risk try: moles and spots should have similar factors like physical features (fair-skinned, color patterns throughout. Keep a look out light-eyed, red-hair individuals are at a for random blotches of pink, tan, black or higher risk, as are people with naturally other colors that don’t fit.

Mastering the self exam for skin cancer

D is for Diameter: While diameter is not a stand alone criteria because cancerous and benign moles can be big or small — like big flat birthmark moles — most melanoma spots are 6 millimeters or larger and tend to grow and spread, Kalajian said. E is for Evolution: “Most things that are worrisome or cancerous will evolve and change,” Kalajian said. Despite common belief, cancer can arise in both pre-existing moles and spots or from funky moles and spots that appear out of nowhere. Look for changes in color, size, shape and elevation.

CHECK EVERYTHING No plane of skin should go unchecked, including the groin area, scalp, bottoms of feet, in between toes and everywhere else. Use a mirror for help and check the scalp when hair is wet, revealing skin more easily. It may seem daunting but chances are you already known your skin pretty well. “Things that are dangerous are usually noticed by a patients as being different,” Kalajian said, “It’s kind of an ugly duckling — they may not know what it is, but they know it’s different than the other spots they have.” “Even if you have a lot of spots, you’ll get to know your spots, you’ll know if it’s different, you’ll know if one stands out from the rest.” Places where the sun doesn’t shine are less susceptible to sun exposure, the leading cause of skin cancer, but not the only cause, Kalajian said. People get random mutations in cells all the time, and sometimes that can result in skin cancer.”

MARK THE CALENDAR Take stock of all skin surfaces once a month.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 15 PREVENTION

MAJOR TYPES OF SKIN CANCER Basal cell skin cancer accounts for 2.8 of the 3.5 million non-melanoma skin cancer cases each year, Kalajian said. It grows locally rather than spreading to different areas of the body. However, it can grow into anything around it including muscle, bone and cartilage if untreated. Caught early, and the removal will just leave a scar, caught late, and you might lose something you didn’t want to, Kalajian said. Squamous cell skin cancer also grows locally. Ten percent or less of squamous cell diagnosis will metastasize, but if they do, they can take your life, Kalajian said. Melanoma spreads quickly so early detection is crucial. Of the 115,000 cases of melanoma a year, about half of those are confined to the outer layer of skin, the edpidermis, when found, and can be treated effectively as the cancer has not yet hit any blood vessels (the epidermis does not have blood vessels), Kalajian said. The other half or so of melanoma cases are diagnosed with invasive melanoma that has grown into the second layer of skin, the dermis. That second layer does have blood vessels increasing the risk that it will metastasize. If it spreads to the lymphnodes, chances for survival aren’t great, 20-30 percent, Kalajian said. Current radiation or chemotherapy techniques are not very effective for metastasized melanoma.

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Self-skin care helps with early detection, but action can be taken to prevent skin cancer. Sunscreen: For the everyday, wear a moisturizer with 30 SPF, Kalajian said, and for sun-intense activities like outdoor sports, 30 SPF and up. No matter the SPF, sunscreen breaks down in about two-and-a-half hours, so reapplication is a must to get the full benefit. Hat: Go for a 3-inch brim and pair it with sunscreen. Seek shade when in the sun. Clothing: Some companies now make clothing to serve as a form of sun protection measured by an ultraviolet protection factor (UPF). Sticking with a regular long-sleeved tee at the beach is fine as something is better than nothing, Kalajian said, but go for tight weaves to keep out more sun. Stay Away from Tanning Beds: Various studies have demonstrated the link between cases of melanoma and tanning bed use. The World Health Organization added tanning beds to a list of the most dangerous forms of cancer-causing radiation in 2009, Kalajian said. WHO and the Skin Cancer Foundation are advocating for restrictions and even a ban on tanning beds. The recent Vitamin D craze is not reason enough to justify tanning beds, Kalajian said. Instead, get vitamin D from a bottle and getting a blood test for Vitamin D may even put the issue to rest if there isn’t a deficiency.

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Uncommon Sense

bouncing

back

after a layoff Advice from Dr. Beth Firestein • licensed psychologist

ear Dr. Beth: A month and a half ago I was laid off from a job I’d had for 11 years. Since that time I’ve applied for a bunch of jobs, but I haven’t gotten an interview much less a response on any of them. It is the most frustrating thing I’ve ever been through. What can I do keep an upbeat frame of mind and not get down on myself? Dr. Beth: Beating the unemployment blues is definitely a challenge. I talk to people every day from every walk of life who present the same frustrations around replacing a lost job. You have enough work experience to know that you are competent and you can perform well in a job setting, so it sounds like confidence is not the primary issue. Still, loss of confidence can become an issue after an extended period of frustration. At this point, I think you are asking the best possible question: how do I keep an upbeat attitude in the face of a complete lack of positive affirmation from potential employers? Here are a few ideas that may be helpful: 1) Doing things we enjoy and are passionate about keeps our attitude about life in tip-top condition. Treat your job search like a part-time job. Do the work part of each day, but then go skydiving, sunbathe at the local pool or go for a mountain bike ride. Sitting in your backyard and petting your pet iguana counts too. 2) Don’t slip into expecting the worst, but don’t put your heart and soul into every resume you send out either. Think of each resume sent as a seed you have planted. You don’t know which ones will come up and produce, but it is important to plant as many seeds as you can. 3) Working and feeling productive are an important part of self-esteem for most of us. During this time, it is really important to shift the emphasis of our sense of

self-worth. You can derive self-esteem from donating time to causes and organizations you value, accomplishing personal projects (like finally cleaning out your basement) and from being a good friend, partner and parent. Life is always throwing wrenches into our plans as well as opening doors to new adventures. Sometimes both happen simultaneously, like when we are laid off from a job. Continue your efforts, but keep nourishing your soul. Your job search and your attitude will be better for doing so.

ahead of the game in terms of life satisfaction. It means you are a fun person to be around and people like you — hopefully both women and men. Usually those friendships are just friendships for a reason. Either the option of romance was never there to begin with or the idea was considered and discarded due to lack of mutuality or discovering that they are not a romantic “fit.” While some people have friends of only one gender, that is actually pretty uncommon these days. Most people have friends of both genders, and if they are lucky, they have friends of different cultural backgrounds and age groups too. Be careful if your romantic partner tries to separate you from your friends because you are now in a relationship with each other. On the other hand, if you do know that you and one of your friends have a powerful sexual chemistry, it probably makes sense to step back and give that relationship a little space. You might lower the intensity of the friendship by spending less time with that person. Don’t use the pretense of “friendship” as a rationale for stirring up unnecessary jealousy in your romantic relationship. Being courteous to your partner and acting with integrity matter a great deal in creating a fulfilling and trusting relationship. We have come a long way from the days when having an opposite sex friendship could fit into only one category — a budding romance. While there are certainly people in friendships who have romantic or sexual feelings for one another, this isn’t true of all opposite-sex friendships. Even if those feelings are present in one of the friends, mature adults know when to express those feelings and how modulate them and channel them into the friendship in a healthy way. Real friends don’t mess with the other person’s intimate relationships. Instead, real friends support us in making our relationships work and help us get through the rough times with our romantic partner.

ear Dr. Beth: My girlfriend says there is no way that a male and female can ever have a 100 percent platonic relationship. She says there is almost always one friend who likes the other as more than a friend — even if the person with romantic feelings doesn’t outwardly express it. I disagree. What say you? Dr. Beth: It is definitely possible for a man and a woman to have a truly platonic friendship. Frequently, we come into a new romantic relationship having a group of friends who are already a part of our lives. Some of these people may be relatively new friends and others may have been Dr. Beth Firestein is a licensed psychologist. friends of ours since She has 24 years of therapy experience and middle school or colhas practiced in Loveland for over 14 years. lege. She may be reached by calling her office at If you are lucky 970-635-9116, via e-mail at enough to have a fun firewom@webaccess.net, or by visiting and caring set of www.bethfirestein.com. friends, you are way

Uncommon Sense with Beth Firestein

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 17

Women’s Health

my t h or

truth:

MENOPAUSE

Three Great Reasons To Live At MacKenzie Place: 1. It’s run by Leisure Care. 2. It’s a great value. 3. You can brag to your friends.

McClatchy-Tribune

ot flashes are the sports car of menopause — they get all the attention. But there are plenty of other menopause myths that are perpetuated from generation to generation. Lauren Streicher, clinical professor of obstetrics and gynecology at Northwestern University’s medical school, confirms and dispels common myths and misconceptions. Myth: The age of menopause is determined by how old you were when you started your period. Answer: False. It’s genetically set by when your mother went through menopause. Myth: A total hysterectomy will put you into instant menopause. Answer: False. A total hysterectomy refers to the removal of the uterus and cervix. But it does not include the ovaries and therefore nothing changes hormonally. Myth: The average time hot flashes last is two years. Answer: True. Myth: Menopause occurs when you run out of eggs. Answer: False. The eggs get old and the ovaries stop producing estrogen, but there are still millions of eggs left. Myth: Low estrogen levels cause weight gain and contribute to wrinkles. Answers: Weight gain: False. Low estrogen causes a redistribution of fat. Wrinkles: True. There is a decrease in skin collagen so skin sags.

There are many many more great reasons to live here, of course. But excuse us while we elaborate on those three a bit. Number 1: Leisure Care has been in the business for over 30 years. They have perfected the art of creating retirement communities that are more “resort” than “retirement.” Number 2: Services, programs, and amenities straight out of a luxury resort? And rents starting at just $2,950 per month? We think you’ll definitely see an amazing value. Number 3: Actually, no bragging will be necessary. Everyone will see you living it up and having so much fun. Why rub it in? Call now to schedule your complimentary lunch and tour. And let us show you the other hundred or so reasons you’ll love it here. Assisted Living services available, too.

Myth: Women live one third of their lives after menopause. Answer: True. Myth: If you are on the pill and you stop getting your period, it might be menopause. Answer: False. If you are on the pill, you are taking hormone replacement and there is no way to know your menopause status. Myth: If you haven’t had your period in six months, you never will again. Answer: False. Your ovaries might still kick in; 12 months with no period is considered when you are done.

Rents Starting From Just $2,950 Per Month! 4750 Pleasant Oak Drive • Fort Collins 970.207.1939 • www.MacKenziePlace.com Independent, Assisted Living & Memory Care Apts

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011

The

History

of Care

Nursing Memorabilia Walking Gallery captures the progress and heritage of a profession Jennifer Lehman Special Sections Reporter

intage nurse uniforms and antique surgical tools were among the collections at the Nurses Memorabilia Walking Gallery held at Medical Center of the Rockies earlier this month. “We’ve had a tremendous response,” said Kay Miller, chief nursing officer at MCR. The second annual Nurses Memorabilia Walking Gallery is a part of National Nurses Week, May 6-12, and was started last year to commemorate the 100th year of Florence Nightingale’s death. Florence Nightingale died

in 1910 and is considered to be the founder of modern nursing, said Kay Miller, Chief Nurse at MCR. Each year, the final day of National Nurses Week falls on her birthday. The gallery about doubled in size this year, Miller said. The exhibit included collections from local organizations, hospital staff, community members and the PVHS foundation. Dr. Eric Olsen contributed several items to the gallery including most of the antique instruments, an apothecary box and antique EKG machines, one nearly a century old. and an apothecary box, said Judy Bauer with the MCR Resource Services Office and one of the coordina-

Antique amputation tray contributed to the exhibit by the PVHS Foundation.

RH Photos/Jennifer Lehman

Historic Red Cross volunteer nurse uniforms, a uniform from the 1960s and WWII army nursing uniforms displayed at the Nursing Gallery held earlier this month. The local Red Cross chapter and Colorado Nurses Foundation Nursing Historical Society donated the uniforms. The mannequins were donated by Maurices in Loveland. tors of the gallery. Olson began collecting after a nurse sold him some antique medical equipment found in the attic of a home she was renting and the owners didn’t want, Bauer said. “The man has just a wonderful collection, he’s very generous to share it with us,” Bauer said. The gallery’s memorabilia captured the history of nursing with the American Red Cross and the military, not just in hospitals, Miller said. The Northern Colorado Chapter of the American Red Cross located in Fort Collins donated several items to the gallery including a 1967 photo of all the volunteer nurses in the area, Red Cross nurse uniforms, a Red Cross flag, a cot and copies of old promotional posters including one with Uncle Sam and a Red Cross volunteer nurse — “The Red Cross Needs You.” “It’s just wonderful because when you realize what they went through as nurses and the conditions they had to endure, I’d complain. But they didn’t, and way to go,” Bauer said.

WWII nurse uniforms including a casual uniform for the offduty nurse and a uniform designated for African-American nurses were donated to the display by the Colorado Nurses Foundation Nursing Historical Society. A doctor’s visit in 1925 in Larimer County would have cost you a $1.50, a leg amputation, $50 according to an old list of health services and fares on display. MCR staff donated items from personal collections, family nursing history and their own history. Jacquin Coxon of Loveland heard about the event and contributed several items reflecting the nursing career of her late mother, Lucille W. Goodwin. The photos of Coxon’s mother show the nurse outfit she always wore: white shoes, white hose, white uniform, white cap. For decades nurses wore only white, with unique cap designs for each nursing school. “Even in the 70s when I was a nurse’s aid it was white white white white white,” Bauer said.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 19 The gallery gave the younger and newer nurses a different appreciation for nursing today and nursing 50-to-100 years ago, Miller said, as all the electrical and computer-based elements of contemporary healthcare were missing. “The technology has dramatically changed the practice of nursing,” Miller said. As part of National Nursing Week, MCR also held its annual State of the Nursing address where plans for the future are discussed and awards given to top nurses nominated by their peers. “The State of Nursing address and National Nursing Week celebrates the present while discussing the future and the nursing gallery is where we all reminisce,” Miller said. Plans are already in the works for an expansion on the collection next year with interest from the hospital’s pharmacy group for a pharmacy portion of the exhibit and more people from the community looking to share their collections and stories, Miller said. Miller said it was fun to watch and learn from community members and staff who came through and reminisced about their nursing careers, explaining the use of tools they remember and sharing their heritage in the profession. Conversations like that happened over and over again during the course of the exhibit, Bauer said. “It’s been delightful. “The display really touched on a lot of history and culture, and its beautiful,” Bauer said, “It’s a privilage to work in this profession.”

A table of antique surgical tools displayed at the second annual Nursing Memorabilia Gallery Walk at MCR.

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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011

Women’s Health

Workout DVD review:

prepping for

“prego-fit & fabulous”

No. 2

Jennifer M. Frazier McClatchy-Tribune “PREGO-FIT AND FABULOUS” Happily Ever After, $17.95 What it is: This video works yoga, Pilates and stretching into an easy workout, even into the third trimester. Who leads the workout: Jillian Moriarty, a physicaltherapy expert, certified Pilates instructor and mom. Approximate length of workout: 40 minutes Equipment you’ll need: small ball (playground size). Note: The DVD says a pillow will assist with routines. What was good: This low-impact video focuses on toning rather than high-energy cardio. During even the last few days of the third trimester, you could do this workout. What might have been better: Music. The lack of music and slow pace of the video make this 40-minute video seem more like an hour and 40 minutes. The sleepy speed won’t cut it after the baby arrives (even though the video makers say this is good for postnatal exercise, too). Grade: B-

Fo ur out of every ten births are to unmarried women. — Source: National Center for Health Statistics

BABY

What to expect with a second pregnancy Elena Donovan Mauer McClatchy-Tribune

around. Since you already know what it feels like to feel baby move, you’ll probe hate to break it ably recognize the subtle sensations earlier. You might to you, but your second pregnancy also start showing sooner. might not be all “been there And labor? Well, it’s likely to go faster. done that.” The fact is, you may have to deal with some DON’T THINK YOU HAVE pregnancy symptoms you EVERYTHING YOU NEED didn’t get the first time Contrary to what some around. And of course, you’ll have to get baby No. 1 people think, it is perfectly okay to have a party for baused to the idea of a new by No. 2. You do actually sibling and make room at need some new stuff (ahem, home for a fourth family member. Here’s how to get double stroller). And beyour body, social life, home sides, it’s a good way to see all your loved ones before and family ready. you’re too busy juggling two EXPECT SYMPTOMS tots. SOONER — AND As far as stuff goes ... Sure, STRONGER you can reuse lots of things Don’t assume that if you from baby No. 1, like old didn’t experience certain clothes, some furniture and symptoms the first time, gear. But be wary of any you’ll be as lucky this time. safety items you’re considerSome moms swear those ing unearthing from the attic. early-pregnancy symptoms Car seats are generally only — fatigue, morning sickness good for about six years, so — are stronger the second check the expiration. Also, if time around. Some tricks to you have a drop-side crib, combat morning sickness? consider upgrading. This Eat small meals and snacks style is off the market now. throughout the day, nibble One of the biggest problems on ginger, sip peppermint with drop-sides is that tea, suck on Preggie Pops, they’re not as sound as and try Sea-Band acupresfixed-side models and agesure wristbands. related wear and tear can You also can expect most weaken them, making them dangerous. So make sure things to happen sooner than they did the last time yours is 100-percent sturdy

and intact before committing to reusing it.

GET BABY NO. 1 ON BOARD As your pregnancy progresses, it’s important to be honest with baby No. 1 about how life will change with the new baby around. Make sure he knows ahead of time that you and Dad might not have as much time to spend with him once his little brother or sister arrives. And make sure he understands that he won’t be able to play with the baby for a few months after he’s born. Some moms like to prep their kid by teaching him to be more independent in certain ways, like cleaning up his toys himself. Consider giving your child a baby doll or stuffed animal to “take care of” while you care for the new baby to make him feel included. But while you want your big kid to be prepared, you also want things to feel as normal as possible throughout the changes — and that means making sure your kid knows you’ll always still love him and that he’ll always be very special to you. Make it a point to spend one-on-one time with him now and plan to continue to do that once the baby comes, too. Make arrangements with a sitter or family member so he can stay in his own bed when you go into labor. And, when the baby is born, ask friends and family who’ll bring gifts to bring one for baby No. 1, too.

NURTURE YOUR RELATIONSHIP Um, you’re about to be super busy. If you thought you barely had enough time for romance with your partner now, you ain’t seen nothing yet. Hire a sitter and have a few date nights, so you can enjoy some muchneeded couple time before baby makes four.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 21

The Healthy Plate

Strawberry-Kiwi

Dessert Pizza

Indulge in a healthy dessert pizza Start to finish: 1.5 hours (20 minutes active) Servings: 8 Ingredients for the crust: 3 /4 cup whole-wheat pastry flour 1 /2 cup all-purpose flour, plus more for dusting 2 teaspoons baking powder 1 /4 teaspoon salt 1 /2 cup low-fat cottage cheese 1 /3 cup sugar 3 tablespoons canola oil 2 tablespoons milk 3 /4 teaspoon almond extract Ingredients for the toppings: /3 cup seedless raspberry jam 2 tablespoons orange juice 3 tablespoons sweetened coconut flakes, divided 2 kiwi fruit, peeled and thinly sliced 3 large strawberries, thinly sliced

Directions: To prepare the crust, in small bowl whisk together the whole-wheat flour, all-purpose flour, baking powder and salt. Set aside. In a food processor, puree the cottage cheese. Add the sugar, oil, milk and almond extract, then process until smooth. Add the dry ingredients and pulse five to six times, just until the dough clumps together (it will be sticky). Turn out onto a lightly floured surface and using floured hands press the dough into a ball. Knead two or three times, but do not overwork. Dust the dough with flour, wrap in plastic and refrigerate for at least 30 minutes. Meanwhile, prepare the topping. In a small bowl, whisk together the raspberry jam and orange juice. Set aside. To bake and assemble the pizza, position a rack in the middle of the oven. Heat the oven to 400 degrees. Coat a 12-inch pizza pan or large baking sheet with cooking spray. On a lightly floured surface, roll the dough into a 12-inch circle about 1/4-inch thick (be sure to sprinkle flour on the rolling pin or the dough will stick). Roll the dough back over the rolling pin and transfer to the prepared pan or baking sheet. Spread the raspberry jam mixture over the dough, leaving a 3/4inch border around the edge. Bake until the crust is golden and crisp, 15 to 20 minutes. Transfer to a wire rack and cool for 15 minutes. Place the cooled crust on a clean pizza pan or large serving plate and sprinkle evenly with 11/2 tablespoons of the coconut. Arrange the strawberry and kiwi slices on top to look like pizza toppings. Sprinkle evenly with the remaining coconut. Cut into 8 wedges and serve immediately or cover with plastic wrap, tented with toothpicks stuck into the pizza, and refrigerate for up to 3 hours before serving.

YOU’RE INVITED...

We’ve rolled through our first year as

Rocky Mountain Recumbents

Fun Ride begins at 8am! Who: What: Where: When:

Everyone’s Invited BBQ Celebration Our Place Sat., May 28th 10am to 1pm

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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011

Better Technology Better Care Telemedicine program offers quicker care for stroke patients McKee Medical Center

cKee Medical Center is partnering with one of the nation’s top stroke centers on a telemedicine program aimed at providing faster assessment and treatment for stroke patients at McKee. Neurologists based at Swedish Medical Center in Denver will be available within minutes of a request by physicians at McKee. Using two-way audio video equipment connected to a computer, the Swedish physicians will examine McKee patients in real-time by asking them questions and using the camera to zoom in for physical examinations. “Swedish is thrilled to partner with McKee Medical Center in offering timely, effective stroke care to McKee patients via the CO-DOC telemedicine program,” commented Lisa Ruiz, RN, director of neurosciences and outreach at Swedish Medical Center. “Using current technology to assess potential stroke patients gives these patients the best chance of getting appropriate treatment. We look forward to working with staff at McKee to help deliver positive outcomes for stroke patients.” The neurologists at Swedish can provide a valuable consultation or second opinion to emergency room physicians and neurologists at McKee, said Brenda Hope, a clinical nurse specialist in the McKee Emergency Department. The telestroke program has already been successfully implemented with great success at McKee’s sister facility in Greeley, North

Colorado Medical Center. Each year about 795,000 people in the United States experience a stroke. It is the country’s third-leading cause of death. There are two main types of stroke. An ischemic stroke occurs when blood flow to the brain is blocked due to a clot in an artery. This clot blocks the flow of blood, and the oxygen it carries, to the brain. The second type of stroke is a hemorrhagic stroke. This is bleeding from the small brain arteries into the brain. Both strokes cause brain damage. A third event called a transient ischemic attack (TIA) is a temporary blockage that lasts a few minutes but does not cause brain damage. A TIA can be a precursor to an actual stroke. Correctly diagnosing the type

Stroke symptoms If you or someone you know exhibits the following stroke symptoms, call 911 and seek medical assistance immediately: Face — facial droop or an uneven smile Arm — Arm numbness or arm weakness Speech — Slurred speech; difficulty speaking or understanding Time — Call 911 and get to the hospital immediately ACT F.A.S.T. — Source: American Stroke Association

of stroke is imperative because different types of strokes require different treatments. Another benefit of the telestroke program is that it will facilitate treatment of McKee patients who need advanced care. “We all agree that our prefer-

ence is for McKee patients to receive treatment here to the extent possible, but certain interventions and surgeries should be done at Swedish because of their expertise and this program will make our transfer process even smoother,” Hope said.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 23

Where

Experts Work Best.

Ask the Expert: ROBOTIC-ASSISTED SURGERY Question: McKee Medical Center is the only hospital in Colorado that is named an Epicenter for Robotic-Assisted Surgery. As only one of 23 Epicenter surgeons in the nation, can you explain why this is such an important designation?

Answer: Intuitive Surgical, manufacturer of the da Vinci Surgical System, recently named McKee Medical Center as an Epicenter Teaching Center for roboticassisted gynecological surgery. As an Epicenter training facility, McKee will host surgeons from around the country who wish to train in robotic surgery. expertise of the surgical team we have at McKee.

we are dedicated to providing exceptional care for our patients. We perform a variety of benign and advanced pelvic procedures with the robot including: hysterectomies (partial or complete removal of the uterus), prolapse, tubal re-anastamosis (reversal of tubal ligation), lymph node removal and procedures for cervical, endometrial and ovarian cancers.

John T. Crane, M.D. Obstetrician/Gynecologist OB/GYN Associates, Loveland Appointments: (970) 667-2009

Banner Medical Group McKee Medical Center www.BannerHealth.com/COexperts Banner Health has been named as a Top 10 Health System in the U.S. for patient care according to Thomson Reuters.

Although the content of this ad is intended to be accurate, neither the publisher nor any other party assumes liability for loss or damage due to reliance on this material. If you have a medical question, consult your medical professional.

1564759

Connect with us:

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011

Suicide prevention and mental health resources

Taking

Strides

CRISIS/SUICIDE HOTLINES

TO SAVE LIVES Annual suicide awareness walk seeks to educate and honor lives lost Jennifer Lehman Special Sections Reporter

he tenth annual “Taking Strides to Save Lives” awareness walk, candelight vigil and fundraiser for the Suicide Resource Center of Larimer County is taking place in downtown Fort Collins on June 12. The goal of the annual walk is threepronged, said Lori Daigle, Executive Director of the Suicide Resource Center of Larimer County: To raise awareness about suicide prevention, mental health and the programs offered by the Resource Center; honor those lost to suicide and raise money for the center’s programs. “Raising awareness and honoring those lost is really our focus first and foremost.” “We want to be there as continual support for families who have lost loved ones to suicide,” Daigle said, “It gives those loved ones a chance to walk together and remember. I really like that part of it.” The walk this year will be more focused on awareness and outreach than in year’s past, Daigle, said. “We are making it one of those events this year where people can get information, enjoy music and really become a part of what we do.” To draw people in, several fixtures in the Fort Collins music scene will perform for the first hour before the walk starts including Liz Barnez, Cary Morin, Marty Rein and Steve Amedée. They will be performing beginning at 6 p.m. (registration time) and

ending at 7 p.m. (the start of the walk). “They want to give their time, because they believe in the cause,” Daigle said. “(The music) will create this feel that you almost won’t be able to describe before we start walking,” Daigle said. Daigle hopes this approach will reduce the stigma surrounding discussion on suicide and mental illness and get the community more involved in the organization. “Suicide has such a negative connotation to it, — what I say is it doesn’t have to. That’s when we’re being reactive instead of being proactive. We’re trying to save some lives, let people know that we’re here, we care, have services, there’s people to listen.” “The more people talk about mental health and mental illness, the more they can receive the help that they need, and we can have them on this planet to enjoy as long as possible.” There is a myth that talking about something bad makes it happen, Daigle said, but it’s occurring regardless. The Suicide Resource Center is not a crisis center but focuses on education, suicide prevention as well as offering support programs for those grieving the loss of a loved one, those dealing with a mental illness like bipolar disorder and depression and support for their families. Ninety percent of people who complete suicide are suffering from undiagnosed depression or bipolar disorder, Daigle said. Fifty-one individuals in Larimer County took their lives last year — that is almost one person a week, she added. Compared to 2009, when 59 people in Larimer County completed suicide, 2010 was an improvement, Daigle said, “but gosh, I want it to be less.” The Suicide Resource Center is hoping 125-200 people will be in attendance at the awareness walk with fundraising goals of $10-$15,000.

If you go: What: “Taking Strides to Save Lives” Walk and Candlelight Vigil When: Registration and music begins at 6 p.m., walk begins at 7 p.m., June 12 Where: Old Town Fort Collins Cost: Pre-registration is $25, $30 the day of, kids 12 and under are free. Contact: 970-635-9301 or www.suicideresourcecenter.org

National Suicide Prevention Hotline: 1-800-273-TALK (1-800-273-8255) Larimer County Mental Health 24-Hour Emergency Services: 970-221-5551 Emergency Services: 911

SUPPORT GROUPS/EDUCATION Suicide Resource Center of Larimer County: 970-635-9301 or www.suicideresourcecenter.org Larimer County Mental Health: www.larimercenter.org; Loveland, 970-494-9870; Fort Collins, 970-221-5551

INFORMATION ON MENTAL ILLNESS National Institute for Mental Health: www.nimh.nih.gov

“That’s the powerful part when people say you changed my life, you’ve given me hope —

that’s why we’re here.” — Lori Daigle, Executive Director of the Suicide Resource Center of Larimer County Money raised will go to sustain the resource centers educational programming and support services. Part of the education programming for youth and adults is teaching them how to recognize when an individual may be in trouble and what to do about it. If you and I were in a restaurant and I was choking, you would help me or get someone to help me, Daigle said. “When someone is in need of help, we should be able to help or know who to point to to help,” she said. Statistics aren’t kept on the number of individuals at risk of suicide who get the help they need, but for the 51 lives lost last year, there are so many more times that people are getting help, Daigle said. “That’s the powerful part when people say you changed my life, you’ve given me hope — that’s why we’re here.” School counselors get close to 200 referrals a year, when students refer a distressed friend to seek help, Daigle said. “It’s really a sweet process to see that light go off in someone, to be like, wow, I might be able to get some help.”

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011 25

Health Briefs

TWO PVHS BUSINESSES TO OPEN Two Poudre Valley Health System businesses designed to pamper, relax and rejuvenate customers will open June 6 in the Marina Health Campus in Windsor’s Water Valley community. Twenty Three Trees, a high-quality medical and wellness spa, and The Blend Coffee Shop, which will serve gourmet products, including a PVHS signature blend of coffee, will occupy 2,355 square feet near Poudre Valley Medical Fitness, a state-of-the-art medical fitness center that PVHS opened in November.

NEW PRIMARY CARE CLINIC TO OPEN NEAR PROPOSED ACE SITE IN LOVELAND Poudre Valley Medical Group Primary Care opened its doors April 19 near the proposed Loveland site for NASA’s Aerospace and Clean Energy (ACE) Manufacturing and Innovation Park. The new primary care clinic at 1327 Eagle Drive will offer family and internal medicine with an emphasis on diabetes, hypertension, weight management, disease prevention, lifestyle wellness and general medicine. The clinic’s staff will include a family medicine physician, Dr. Peyton Taliaferro, and an internal medicine physician, Dr. Susan Agrama.

Now

welcoming new patients.

CERTIFIED NURSE-MIDWIFE JOINS BANNER OB/GYN ASSOCIATES IN LOVELAND Banner OB/Gyn Associates welcomes the addition of a certified nurse-midwife to the practice. Heidi Von Nieda, CNM, joined the practice April 4. She specializes in preventive health care for women, adolescent health care, contraception, perimenopause and menopause health promotion. Von Nieda joined McKee Women First Certified NurseMidwives in 1996. For more information or to schedule an appointment, call 970-667-2009.

1327 Eagle Drive Lovela Loveland, CO 80537 To make an app appointment, call 97 970.619.6450

PATHWAYS HOSPICE ACCEPTS GRANT FOR AFRICAN HOSPICE FROM MDRT FOUNDATION

pvhs.org/clinics

Gregory D. Anderson, CLU, ChFC, from Fort Collins CO, secured a $5,000 grant from the MDRT Foundation for Pathways Hospice on behalf of Island Hospice in Bulawayo, Zimbabwe. This year, the MDRT Foundation will award more than $850,000 USD in grants to more than 100 charities. Anderson, of Vision Financial Group and an MDRT member, is an active supporter of Pathways Hospice and the fundraising efforts for Bulawayo Island Hospice.

PVHS ANNOUNCES NEW DIRECTOR OF COMMUNICATIONS AND MARKETING Kevin Darst has been named director of communications and marketing for PVHS. Darst, a former news reporter and editor, will be in charge of a seven-member staff of marketing and public relations specialists and graphic designers responsible for the health system’s public, employee and physician communications. He will also oversee marketing endeavors for Poudre Valley Hospital, Medical Center of the Rockies, Poudre Valley Medical Group, and other PVHS services throughout northern Colorado, Wyoming and southwestern Nebraska. Darst joined the PVHS staff in May 2009 and managed the health system’s web site, pvhs.org; developed social media tools; created patient education materials and marketing campaigns for PVHS services; and often was the health system’s media spokesperson.

Dr. Peyton Taliaferro Dr. Susan Agrama

“As an internal medicine doctor, I specialize in adult medicine with emphasis on diabetes, hypertension, weight management and disease prevention. I’m interested in developing relationships with patients that not only address illness, but focus on longterm healthy lifestyle management.” - Dr. Susan Agrama “As a family medicine doctor, I treat patients of all ages, from infants to seniors. I’m interested in building relationships with my patients that extend to their entire family as we work together to ensure the healthiest living possible.” 1564850

- Dr. Peyton Taliaferro I See BRIEFS/Page 26

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado May 19, 2011

Health Line Calendar

BREAST-FEEDING SUPPORT GROUP

BREAST CANCER SUPPORT GROUP

When: 10 a.m.-11 a.m., Mondays, Wednesdays and Fridays (except holidays) Where: McKee Medical Center Cost: Free Contact: 970-669-9355

When: 5:30-7 p.m. Second Thursday of the month Where: McKee Cancer Center Lobby Contact: 970-622-1961

DIABETES SELF-MANAGEMENT PROGRAM

MAN TO MAN: PROSTATE CANCER SUPPORT GROUP

Become a better manager of your diabetes. Topics covered include: preventing low blood sugar, delaying complications, reading nutrition labels and learning

When: 5:30-7 p.m., fourth Thursday of the month Where: McKee Conference and Wellness Center

Contact: 970-622-1961

tion, dealing with depression, and communicating better with your family and health care providers, to name a few. When: 7-8:30 p.m., May 19 Where: McKee Conference and Wellness Center Cost: No charge, no registration needed. Contact: 970-622-1950 for more information and topics.

CAREGIVERS SUPPORT

TOTAL JOINT EDUCATION Physical therapists and occupational therapists prepare patients for surgery. This program is coordinated through your physician's office as part of the surgery scheduling process. When: 3 p.m., Thursdays Where: McKee Conference & Wellness Center Cost: Free Contact: 970-635-4172

GENERAL CANCER SUPPORT When: 5:30-7 p.m., Tuesdays Where: McKee Cancer Center lobby Contact: 970-635-4129

CAREGIVER CANCER SUPPORT GROUP When: 11:30 a.m.-1 p.m., every other Thursday, May 19, June 2 Where: Call for locations Contact: 970-635-4129

SOULPLAY ART THERAPY People whose lives are touched by cancer experience the benefits of expressing themselves through art. No art experience needed. When: 1:30-3:30 p.m., Wednesdays Where: McKee Cancer Center Conference Room Contact: 970-635-4129

For caregivers of elderly adults. The group focuses on providing support and education about community resources and behavior issues, particularly for people with Alzheimer's and memory impairment. When: Third Thursday of the month, 1:30-3:30 p.m. Where: First Christian Church, 2000 N. Lincoln Ave., Loveland Cost: No charge. Care of elderly adult family members or friends is available through Stepping Stones Adult Day Care program during meeting times at no charge. Contact: 970-669-7069

BREATHE EASIER PULMONARY SUPPORT GROUP Living with, learning about and sharing information on chronic lung related issues. Upcoming guest speakers are Keanne Jorgenson and Joe Walsh of the Colorado Society for Respiratory Care When: 10 a.m.-Noon, June 10 Where: McKee Conference and Wellness Center Contact: RSVP by calling 970635-4053

BLOOD PRESSURE S CREENING Have your blood pressure checked by a Wellness Specialist. When: 8 a.m.-4:30 p.m., Monday through Thursday and 8 a.m.noon, Friday. Where: McKee Wellness Services, 1805 E. 18th St. Suite 6, Loveland Cost: Free Contact: 970-635-4056

BRIEFS From Page 25

MCKEE MEDICAL CENTER HIRES NURSING EXECUTIVE FROM MICHIGAN Debra Fox, BSN, MS, joined McKee on April 18 as the top nursing leader for the facility. She will oversee all aspects of nursing care and serve as a member of McKee’s executive leadership team. Fox came to McKee from St. Joseph Health System in Tawas City, Mich., where she served as vice president of patient care, chief nursing officer and chief tools to fight fatigue and20 frustraoperations officer. She has years of experience in nursing leadership at the executive level Debra Fox and an additional five years of experience as the director of inpatient services for a 375-bed trauma center. Prior to working in leadership roles, Fox worked in critical care nursing.

BANNER MEDICAL GROUP HIRES SCOTT BAKER AS VP OF OPERATIONS — WESTERN REGION Scott Baker has joined Banner Health as the Western Region Vice President of Operations for Banner Medical Group. Baker began his new role April 18. Scott is an experienced group practice executive who has many years of leadership experience in an integrated health system and in large multi-specialty medical groups. Baker comes to Banner from Aurora Health Care in Milwaukee, Wis., the largest Scott Baker integrated health care system in the state. There he served as vice president of Clinic Operations where he led a team of 225 providers in 24 clinic sites.

TRIO OF PHYSICIANS SHARE TREATMENT INFORMATION FOR CONTINENCE CONCERNS Incontinence can be treatable, but often the first hurdle is overcoming fears of talking about the issue with your health care provider. Three Loveland physicians will topple that hurdle at McKee’s Health and Wellness Series lecture on urinary and fecal incontinence. Urologists Benjamin Girdler, MD, and George Phillips, MD, and gastroenterologist Crystal North, DO, will discuss those conditions and treatment options and answer questions at the event. When: 5:30-7 p.m., May 24 Where: McKee Conference and Wellness Center, 2000 Boise Ave. Cost: Free Contact: RSVP by calling 970-635-4053 and for more information on upcoming Health and Wellness Series events, please visit www.bannerhealth.com/classes.

Where

Experts Work Best.

Ask the Expert: C-section

Question: What are some of the reasons a C-section might be necessary? Answer:

Nationwide, one-in-three babies is born via cesarean section. A C-section, or surgical delivery of a baby, can be planned or may be needed after a woman has begun labor and complications arise. Mothers-tobe should learn about cesarean delivery and why it is sometimes appropriate. A physician may plan a C-section delivery if he/she knows certain factors exist that make a vaginal birth risky.

Some C-sections are emergency deliveries performed after labor has started and a complication has come up. Reasons an obstetrician may elect to do a C-section include: •L abor has failed to progress. • The baby or mother is in distress. •P lacental abruption (placenta separates from the uterine wall too soon) has occurred. All pregnancies and deliveries differ. A C-section is generally considered a safe procedure, and has been used to save the lives of many women and babies. Work closely with your physician to decide what’s best for you and your baby.

Reasons for planning a C-section include: • The mother had a C-section before, and is not a candidate for, or chooses not to, have a vaginal birth after C-section. • The mother has had other uterine surgery. • The baby is in breech position or other malpresentation. • The mother has a medical condition that could put the baby at risk in a vaginal delivery. • The baby has certain birth defects (such as hydrocephalus). • The mother has problems with the placenta. • There are twins, triplets, etc.

Ken Slack, M.D., Obstetrician/Gynecologist Appointments – (970) 203-6801 McKee Center for Women’s Health

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