Healthline August

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June 20, 2013

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HealthLine Of Northern Colorado

Alzheimer’s Disease & Dementia Facts It’s likely that someone you are close to will be touched by Alzheimer’s or dementia.

ASPECTS OF AGEING EDITION + Stress on the ‘Sandwich generation’ + Tips on caring for aging parents + Never outgrow exercise

No matter where you are in northern Colorado... we’re here for you.

With more than 40 physician choices in clinics throughout northern Colorado, Colorado Health Medical Group is here to meet your primary health care needs.

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FORT COLLINS Family Health Care of the Rockies (New location) 2121 E. Harmony Road Suite 230 970.392.4752

LOVEL AND Foxtrail Family Medicine (Partnership of University of Colorado Health and Associates in Family Medicine) 1625 Foxtrail Drive 970.619.6900

Poudre Valley Internists 4674 Snow Mesa Drive, Suite 100 970.392.4752

Colorado Health Medical Group Primary Care 3850 N. Grant Ave., Suite 200 970.392.4752

Colorado Health Medical Group Internal Medicine 1106 E. Prospect Road, Suite 100 970.392.4752 GREELEY Greeley Medical Clinic 1900 16th St. 970.392.4752 Peakview Medical Center 5881 W. 16th St. 970.392.4752

Dr. Kevin Felix

Medical Clinic at Centerra North Medical Office Building 2500 Rocky Mountain Ave. 970.392.4752 Colorado Health Medical Group Primary Care 1327 Eagle Drive 970.392.4752 WINDSOR Windsor Medical Clinic 1455 Main St. 970.392.4752

Dr. Susan Agrama Dr. Eric Hess

Poudre Valley Medical Group is now Colorado Health Medical Group.

pvhs.org/clinics

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contents

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CAREGIVERS are a generation in the middle Page 8

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People never outgrow the need to exercise Page 14

also inside Tips on Caring for Aging Parents............4 UNCOMMON SENSE: Hidden disability doesn’t have to mean hiding from life .......................................... 6

Health Line of Northern Colorado is a monthly publication produced by the Loveland Daily Reporter-Herald. 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: FOOD: Corn from the cob embellishes simple salads ..........................................12 HEALTH CALENDAR .................................16 HEALTH BRIEFS.......................................17

Linda Story, advertising director: 970-635-3614

For editorial:

Misty Kaiser, 303-473-1425 kaiserm@dailycamera.com

on the cover Alzheimer’s Disease & Dementia Facts It’s likely that someone you are close to will be touched by Alzheimer’s or dementia. Page 10 Thursday, August 15, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 3

Tips on caring for aging parents

By Theresa Walker, The Orange County Register (MCT)

Keziah Clarke is the community education manager for Orange County, Calif.’s Council on Aging. Before going to work for the nonprofit organization, she served as a volunteer. And before that, she was wrapped up in caring for her elderly parents while working full time at another job.

She says her family was unprepared when her father, who lived in another state, began suffering from dementia and needed help.

“It’s pretty devastating when it hits you all of a sudden,” she says. She spent a lot of time away from her job, getting him settled with a caregiver.

Clarke’s father passed away about five years ago; she was better prepared to help her mother more recently.

She offered these tips: —Communicate with the older adult to figure out what he or she needs.

—Don’t take on the role of a parent. If the person needing care is still mentally alert, keep him or her part of the decision making.

—Design a plan of action with other family members ahead of time.

—Keep communication open with family members and accept how people deal with things differently.

—Assign roles to those involved in the caregiving.

—Make sure necessary legal documents are in place,

such as a health care directive and a power of attorney.

—Take care of yourself and be willing to accept help from others.

—Seek out resources available in the community, either through government agencies or nonprofit organizations.

Clarke recommends a free app called CarePartners Mobile that allows a private network of people, such as family members, to coordinate caregiving tasks for elderly loved ones.

Clarke also is involved in an education initiative launched this year by the Council on Aging to help others get ready for the day they may be called upon to assist their parents.

Instead of holding

informational classes on weekends when the target audience was often too busy to attend, the organization is taking the classes to places of employment as one-hour lunch-and-learn workshops.

Employers pay a fee of $350.

Taught by gerontologist Karen Fazio of Cal State Fullerton, the classes mostly have been attended by people in the baby boomer generation, but people in their 30s have shown up, too, Clarke says.

Fazio, says Clarke, once owned a company that provided caregiving services and also took care of her own mom and dad. “She gives them what happened to her, the good, the bad, the ugly.

She doesn’t try to pretty it up, and they really appreciate

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4 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

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Thursday, August 15, 2013

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Ask the Expert:

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Where

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McKee Medical Center & North Colorado Medical Center www.BannerHealth.com/CVI Thursday, August 15, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 5

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UNCOMMON SENSE

Hidden disability doesn’t have to mean hiding from life Dr. Beth Firestein, Licensed Psychologist

conditions. Having a hidden disability is a particularly difDear Dr. Beth, I have been ficult position to be in because many people question whether on Disability (benefits) for you are truly disabled or “fakalmost five years now. I have ing it”. a “hidden disability” that is In truth, it is very, very not apparent and most people difficult to receive disability would not think I could be on benefits.

People often have to disability unless they know apply two or three times and me fairly well. This has been sometimes retain a lawyer to hard to adjust to and I am at advocate for their needs even a loss of what to do with the when their condition is quite rest of my life. I am in my early severe.

As you know, you also 50s so I still have a few years have to provide a great deal of left. I am unable to do most documentation of your disabiljobs as I am unable to stoop, ity from medical and/or psybend, lift over 15 pounds, do chological professionals and any periods of sitting, have voice problems, etc. Are there this has to be renewed and re-evaluated periodically. Even any type of support groups after a person is approved for or would you have any types Social Security Disability benof advice on what might do? efits, it is still two additional Thank you. years before they are eligible ou are certainly not alone to receive Medicare. If you in feeling lost due to strughave pressing medical needs, gling with a hidden disability. this is an exceedingly difficult We think of disabilities as period of time to try and get belonging to those born with needed medical or psychiatric birth defects and old people. I care. Clearly, the government work with a number of people does not want to pay unnecwith disabilities and can say essarily for disability benefits without hesitation individuals that are not warranted by true with disabilities come in all need. ages, shapes, sizes, and levels There are several primary of ability or disability. issues that people with disabilMany of the people I work ities confront, whether as the with have disabilities which result of injury or disease. This are visible, but a surpriscan be especially true if the ingly large number of people disability came about during have disabilities are entirely one’s adult life. Moving from a invisible to others. These can status of being able-bodied to include traumatic brain having a significant physical injuries, chronic severe pain or cognitive disability is a huge syndromes, MS that has not shock, engendering feelings advanced to severe mobility of grief, sadness, anger, and impairment, depression and sometimes resentment. There other mental illnesses, metais a need to adjust to a new bolic syndromes and other

Y

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way of living and even to a new identity. It is easy to lose self-esteem and optimism in the wake of the onset of a serious disability.

Family support, support from friends, and participation in groups and community activities directed toward the needs of people with disabilities can be quite helpful.

Often, some individual or group counseling can be of particular help, especially if the person’s grief is complicated by depression or severe anxiety which really requires professional treatment. One’s spiritual and religious beliefs can also be a source of considerable support in adjusting to a new, more limited way of living.

Since I do not know the nature of your disability it is difficult to make specific recommendations to you about what activities you might be able to successfully pursue.

So much of this depends on your interests and capabilities. It sounds like full-time paid work is definitely not an option for you; if you are on social security disability there are limits on what you are allowed to earn, but this need not prevent you from doing something meaningful. You may be able to locate volunteer opportunities that are truly flexible with respect to hours and frequency and don’t require lifting or sustained periods of sitting or talking. Perhaps working as a visiting companion to small animals at the Human Society of Larimer County or organizing an activity for residents at a senior center or care facility could impart a sense of meaning and purpose to your life.

Volunteer opportunities with certain types of organizations

Thursday, August 15, 2013

can sometimes be shaped to accommodate an interested volunteer’s limitations.

Local resources include Disabled Resource Services for Larimer County (DRS) which has offices in both Ft. Collins and Loveland. Their staff has connections to a variety of organizations and resources that you may be able to plug into for ideas and opportunities for participation in the community. It is interesting to note that this year DRS is hosting the DRS Grassroots Festival, sponsoring Colorado’s first annual Disability Pride Parade and Festival (fortnet.org/ drs). You certainly don’t have to be an activist to access or deserve these opportunities, but it’s good to know that some people are advocating for visibility, acceptance, respect and equal treatment for people with disabilities. DRS is only one of the resources in the area that you may wish to check out. Having a disability is not a choice but how you cope with the rest of your life is a choice and you almost always can find ways to have a high quality of life. I wish you the best.

Uncommon Sense with Beth Firestein Dr. Beth Firestein is a licensed psychologist. She has 27 years of therapy experience and has practiced in Loveland for more than 16 years.

She may be reached by calling her office at 970-635-9116, via email at firewom@webaccess.net or by visiting www.bethfirestein.com.

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Thursday, August 15, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 7

Caregivers are a generation in the middle; Aging parents and children count on the ‘Sandwich Generation’

Maria Zakich, right, has a laugh with her mom, Grace Rousset, 86, while exercising at the Rehabilitation Institute of Southern California in Orange, California. Maria is part of generation that is caring for aging parents as well as their own kids at home. (Paul Bersebach/Orange County Register/MCT)

By Theresa Walker, The Orange County Register (MCT)

to still live in their own home She is helping to care for her parents, Roger and Grace in Newport Beach, Calif., partly because one of Zakich’s six Rousset, 90 and 86, while siblings, brother Paul Rousset, welcoming home one daughMost Americans recognize moved from his home in the ter from college and seeing July as the month when the desert to stay with them. And another off to a four-year unination shoots off fireworks and versity this fall. She also helps her other brothers and sisters gathers at parades and patriout at her husband’s company help out when and where they otic ceremonies to celebrate can. and does some occasional Independence Day. Zakich spends a lot of work as a hairstylist.

Far fewer probably know According to a recent sur- hands-on time with her parthat July is also the month ents. She takes them to doctor vey

by Pew Research Center, designated to honor those appointments, where she the adults with children and a whose lives have more to do often is needed to translate living parent age 65 or older with dependency. complicated medical issues who define the sandwich genIt’s National Sandwich into Spanish, the language eration are more likely to be: Generation Month, a time her parents grew up speak• Middle-aged, between 40 to celebrate the growing ing in Argentina.

She handles and 59 numbers of men and women their finances.

She does her • Married — and most are women — mother’s hair.

• Hispanic, rather than handling the dual responsibiliHer in-laws recently white or black ties of caring for aging parents moved to a senior center, and • Affluent, with an anwhile still having children at nual household income of she visits her mother-in-law home. Many also have fullthere to do her hair, too. $100,000 or more time or part-time jobs.

Grace Rousset has And almost half of the “I knew that,” Maria Zamiddle-aged adults — 4 in 10 difficulty walking, so three kich of Anaheim, Calif., says afternoons a week Zakich with a smile, “because I’m the — say both their parents and goes with her mother to the their adult children rely on turkey in between.”

Rehabilitation Institute of Zakich, 49, is fairly typical them for emotional support.

Southern California in Orange, Zakich’s parents are able of the sandwich generation.

8 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, August 15, 2013

where they exercise together in the pool. Mostly her mother walks in the water and socializes with other adults in the pool, prompting her husband to joke that she does more talking than walking.

Zakich has been providing some level of care to her parents for 10 years, while raising daughters Lauren, 22, and Emily, 18. But she says the past three years have been busier.

Being part of the “sandwich generation” is a juggling act that comes with challenges and rewards. Not just for the caregiver, but for the aging parent and for the children at home.

Zakich, her mother and her oldest daughter each offered their perspectives on a day last week when they visited the pool at the rehabilitation center.

Q: What was unexpected?

Grace Rousset: I didn’t expect to be doing this and

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was younger, I needed more help than my grandma did and now it’s the other way around.

I guess what I least expected was how much Maria Zakich poses with her daughter, Lauren Zakich, 22, care and left, and her mom, Grace Rousset, 86. M (Paul Bersebach/ Orange County Register/MCT) attention she (her mother) bothering her so much. would need Maria Zakich: You’re not for my grandma as opposed bothering me. I probably to me becoming older and her didn’t think this far in advance having more time for herself. where I would be and my Q: What do people of your own mom would be. We just do generation need to know? what we do. Like being here Grace: All my life I thought with her now, actually doing that what we’re supposed to water therapy, exercising with take care of first is the spirit. her as often, you just don’t If you take care of your spirit think that that’s ever going to first, God will give you the be something that you’re gonatural things to be fine, to be ing to need to do. loved.

Lauren Zakich: When I Maria: Our parents are liv-

ing longer, we’re living longer.

Be there for them. Do what you can. Just be aware of all the associations out there that are helping the elderly, that are helping us help them. It’s so important to be available for the elderly, whether they’re your parents or not.

Lauren: We should be aware that maybe our parents will need help. They’re going to be fully supportive of our generation. I know that as soon as I have children, I’ll be helping my kids out and then as soon as my kids are able to go to college or might be in high school with their own car, that I might be using my resources for my mom or my dad.

Q: How do you see your role?

Grace (smiling): I obey. It’s the only thing that I can do at this age.

Maria: (smiling back): If we allowed her to, she would stay in bed most of the day.

But she doesn’t fight us. She knows that we’re all trying to help her. We’ve joked about I’m now her parent and she’s my child. I need to stay strong myself. I try to take advantage of being here (in the pool), as well. Keeping myself fit and keeping myself healthy in every way. That gives me the strength — because it’s hard to watch them get older. I get emotional thinking of how difficult it is for them, too, to lose some control. So I need to be patient that she’s frustrated.

They have their moments, but she doesn’t act out.

Lauren: I find myself being less reliant on my parents’ time and attention and finding myself more understanding of my mom’s commitment to her mom. She apparently did a pretty good job of balancing the work effort because I never felt that I didn’t get enough attention or enough help.

R ecovery in mind, body and spirit.

To learn more, call (970) 624-5458.

All faiths or beliefs are welcome.

Thursday, August 15, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 9

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ON THE COVER

Alzheimer’s Disease & dementia facts It’s likely that someone you are close to will be touched by Alzheimer’s or dementia.

by Kristine Smith, Healthline

Dementia is a progressive loss of memory, reasoning and cognitive functions impairing the abilities to perform normal day-to-day activities like household chores, driving and personal care like bathing, dressing and feeding. Approximately six million people in the United States suffer from dementia. It is a common phenomenon in about 6 to 8% of seniors over the age of 65. More than 30% of those

aged 85 or older may have dementia, and that percentage is almost 50% in those 100 years or older. It is important to note that people suffering from dementia experience a reduction in most areas of intellectual functioning such as usage of language, numbers, orientation, judgment, reasoning ability, problem solving and ability to think abstractly impairing a person’s ability to function independently. According to the Merck Manual of Geriatrics, “Dementia is one of the most common

10 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

causes of institutionalization, morbidity and mortality among the elderly.” With the ever growing population of the aging, the prevalence of dementia in our society is one on which we should educate ourselves as soon as possible, both for the person afflicted and the family members that care for them.

Dementia can be caused by a wide variety of diseases, but Alzheimer’s disease is the most common.

The early symptoms of dementia can include difficulty performing tasks that

Thursday, August 15, 2013

take some thought, but that used to come easily, such as balancing a checkbook, playing games (such as bridge), and learning new information or routines, getting lost on familiar routes. Those affected may encounter language problems, such as trouble finding the name of familiar objects, misplacing items and personality changes. As the dementia becomes worse, symptoms are more obvious and interfere with the ability to take care of themselves.

Progressive symptoms may include difficulty doing basic

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tasks, such as choosing clothing to wear or driving, forgetting details about current events or forgetting events in their own life history. There may be further difficulty in reading or writing and the use of wrong words or speaking in confusing sentences becomes common.

People in this stage may even begin to forget who they are.

Finally, in severe dementia, they will lose the ability to perform basic activities of daily living, such as eating, dressing and bathing. They will have difficulty remembering family members and may not understand language any longer. Finally, swallowing difficulties and incontinence also become common.

Luckily, in the northern Colorado region, there are multiple facilities that spe-

cialize in helping dementia ti nd their heir ffamilies. ilie patients and AltaVita Memory Care Centre, located at 800 S. Fordham Street in Longmont, is the brainchild of Dr. Haleh Nekoorad-Long, who is one of the few certified geriatric psychiatrists in northern Colorado. In addition to the permanent residents, AltaVita Memory Care Centre adult day program provides shortterm relief for hardworking caregivers and offers individuals with memory care a new, engaging environment to visit several times a week. The program operates Monday through Friday from 9 a.m. to 4 p.m. with extended hours available. Their staff provides detailed and thoughtful care to program participants, offering stimulating activities to increase socialization

and battle isolation. Program participants receive the same comprehensive care as permanent residents.

Another facility that specializes in dementia and Alzheimer’s is the newer facility, Memory Care of Seven Lakes, 1990 Pikes Peak Drive, in Loveland. They, too, offer dementia specific activities and have care staff on site 24 hours a day, seven days a week. They also have familiar daily routines to enhance the resident’s self-esteem and dignity. This facility is a permanent home for those with dementia and while it does not offer a day program, as Marketing Director Lynn Hayden-Ugarte explains, “Our staff has the experience and training necessary to provide quality care and unique activity op-

portunities in our familiar and home-like environment.” For more information on Seven Lakes or to schedule a tour, call 970-461-5918 or email them at marketing@sevenlakesmemorycare.com.

While dementia and Alzheimer’s diagnoses have serious consequences to the afflicted and their families, there can still be a quality of life offered with the help of health care professionals and those at the above mentioned facilities. The Alzheimer’s Association also has many resources available and can answer many questions that families may have when this diagnosis is given. You can find more information on this organization at alz.org.

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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 11

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FOOD

Corn from the cob embellishes simple salads

By Judy Hevrdejs, Chicago Tribune, (MCT)

Indulge your appetite for sweet corn by shopping farmers markets, roadside stands and local grocers for freshly picked ears, then crunching your way around cob after cob after cob.

And when you decide you’ve had enough, let these recipes seduce you into indulging one, two or three more times with salads that embrace summer’s best produce and the season’s easygoing attitude.

Sure, a pair of cool corn soups got our attention when we opened Melissa Hamilton’s and Christopher Hirsheimer’s book, “Canal House Cooks Every Day” (Andrews McMeel, $45), but it was their take on a classic cornand-bean succotash that won us over. It begins with

leftover corn, and “you needn’t worry if you have a little more of one ingredient or a little less of another,” the authors write. “This salad isn’t finicky.” Indeed, the salad is easily doctored. If you like, toss in some olives and salty cheese, like they do.

That’s summertime perfect. So is a salad from Martha Stewart’s team that pairs grilled corn with avocados.

“Heather Christo’s Generous Table: Sharing the Love of Good Food With Friends and Family” (Kyle Books, $29.95) celebrates the freshest of corn by mixing raw kernels with mango, then tucking the combo into heirloom tomatoes for serving — or into small Mason jars for a more casual feel.

How do you choose terrific fresh corn? Well, don’t pull back the husks to see if it’s an ear you want because you’ll just dry out the kernels, writes Deborah Madison’s in her “Vegetable Literacy”

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(Ten Speed Press, $40).

“Instead, feel the ear with your fingers to detect whether the kernels are filled out or not.”

Madison, who might serve freshly cooked corn with an herbed salt or salsa verde, suggests opting for organic corn whenever possible. “And don’t let a worm scare you if you find it on the tip of an ear.

It’s just a little creature, easily knocked off its perch.”

GRILLED CORN, AVOCADO AND CILANTRO Adapted from “Meatless: More Than 200 of the Very Best Vegetarian Recipes,” from the kitchens of Martha Stewart Living (Clarkson Potter, $25).

Heat grill to medium high.

Grill 4 ears of shucked corn, rotating often until lightly charred, about 15 minutes.

Cool slightly. Cut kernels from cob. Toss corn and 1 sliced avocado gently with ¼ cup fresh cilantro leaves, plus 1 tablespoon each fresh lime juice and olive oil. Season with coarse salt.

Servings: 4

CORN, STRING BEAN & POTATO SUCCOTASH SALAD

Note: Adapted from “Canal House Cooks Every Day” by Melissa Hamilton and Christopher Hirsheimer.

COOK: Put 4 thin-skinned waxy potatoes in a pot of salted cold water. Bring to a boil over medium-high heat.

While potatoes cook, add 4 shucked ears of corn to the pot; cook 3-5 minutes. Remove corn from water; cool.

Add ½ pound trimmed string beans to pot; cook until tender, about 5 minutes. Scoop beans out of pot with a slotted spoon; cool quickly in a bowl of ice water. Drain potatoes when tender; about 20 minutes depending on size.

ASSEMBLE: Cut corn off cob into a large bowl. Cut potatoes into slices or chunks. Add to bowl. Drain green beans, add to bowl. Add 1 finely chopped shallot; a handful fresh parsley leaves, chopped; 1/3 cup extra-virgin olive oil, salt and pepper. Toss gently.

Adjust seasonings, adding more oil if needed. Servings: 4 to 6

TOMATOES STUFFED WITH FRESH CORN, MANGO SALAD Note: Adapted from “Heather Christo’s Generous Table.”

CHOP: Cut tops off 6 large heirloom tomatoes. Gently cut around inside edge of each tomato; use a spoon or your hands to scoop out most of the insides (reserve for another Thursday, August 15, 2013

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use) creating a cup. Sprinkle insides with salt and pepper.

Cut off kernels from 4 ears corn and place in a large bowl. Add ½ mango, peeled and diced; ½ bunch green onions, thinly sliced; ½ cup halved cherry tomatoes; ¼ cup minced fresh cilantro; ½ jalapeno, finely minced; 1½ tablespoons olive oil and 3 tablespoons fresh lime juice.

MIX: Gently mix to combine; season with salt. Spoon salad into tomato cups. Transfer to a platter. Garnish with fresh chive blossoms or another edible blossom. Serve at room temperature.

Servings: 6

OFF THE COB: CONQUER THE KERNEL DILEMMA

We’ve put men on the moon but have yet to come

up with a perfect corn dekerneler — one that cleans a freshly shucked cob neatly while not shooting kernels all over the kitchen.

Sure, there are at least a dozen clever implements (variously called strippers, kernelers, zippers, cutters and peelers) designed to do the job. None seem to work as well as a sharp knife and steady hand. Even that has its own problems: Holding that cob upright and steady while cutting off the kernels can be a challenge. Containing the kernels that shoot off the cob as you cut still another.

To solve the slippery cobon-counter issue, “Heather Christo’s Generous Table: Sharing the Love of Good Food With Friends and Family” (Kyle Books, $29.95) suggests: “Cut corn on a clean dishcloth. It keeps the kernels

from bouncing around after they have been sliced from the cob. I also like to use a serrated knife — it makes cutting kernels off the cob easier.”

And while other cooks like using a shallow bowl, our favorite cob de-kerneling tip comes from Lisa Schumacher of the Chicago Tribune’s test kitchen: Using a bundt pan, that tube pan with fluted sides, she positions a shucked ear of corn, stem down, into the tube’s opening. With a sharp knife, she cuts straight down the cob’s length to remove the kernels that drop into the pan. OK, 98 percent did when we tried it. But what’s a few kernels when you have to deal with several ears full?

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If you have a back or neck problem, we can help you get back to what you love. Drs. Robert Benz and Bill Biggs have years of experience and board certification in spine care. They specialize in the care that’s right for you—helping people like you feel better and get going again. We offer a complete spine program, whether you need surgery or conservative care. Surgery options include: • Computer guided surgery

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If we can help you with a back or neck problem, call us today at (970) 663-3975. Serving the people of northern Colorado, Wyoming, and western Nebraska.

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Thursday, August 15, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 13

People never outgrow the need to

EXERCISE

By Cheryl Powell, Akron Beacon Journal, (MCT)

These elite older athletes are in a select group when it comes to staying active while aging. But all Americans can benefit by embracing exercise regardless of their age, even if it’s just walking 15 minutes a day to start,

said.

Sedentary seniors who have significant health conditions and illnesses should talk with a doctor before getting started, Kratche said.

“That said, you don’t really need a doctor’s note

You’re never too old to start a new fitness routine.

The thousands of athletes who traveled to Northeast Ohio competing in the National Senior Games provide great examples for sedentary seniors to get active, Dr. Richard Kratche, medical director for the Cleveland Clinic Twinsburg Family Health - Dr. Richard Kratche and Surgery Center, said in a recent interview.

The 14th biennial games Kratche said. to walk around a store,” he — attracting about 11,000 “The truth is, it’s never said. “People can start walkparticipants ages 50 and too late to start exercising,” ing. Literally, if they can only older — began last week he said. “Everybody can start walk five minutes, the goal is and continue through Aug. where they’re at and graduto walk five minutes, but do 1 in 19 sports at more than ally work up. The benefits are it every day, and then after 20 venues throughout the huge.” a week or two up it to 10 region.

Two-thirds of Americans minutes.”

The Cleveland Clinic is are overweight or obese, The goal is to build up a sponsor and medical proresulting in “all kinds of activity levels and achieve vider for the National Senior diseases and maladies,” he a weekly minimum of 150 Games.

14 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, August 15, 2013

“The truth is, it’s never too late to start exercising.”

minutes of walking at a brisk pace, he said.

Though some types of arthritis are crippling, the most common form (osteoarthritis) actually benefits from moderate activity to improve range of motion, he said.

Running tends to be harder on joints than walking, he said. Swimming is another activity many older patients also can enjoy.

Kratche also recommends people consider exercising with others.

He leads a Walk with a Doc program at 8:30 every Saturday morning in Twinsburg, Ohio.

Outdoor walks are 2.5 miles, and indoor walks are 3 miles.

“The advantage to walking or exercising with others is the time flies,” Kratche said. “We have these won-

.

.

derful conversations as you walk.”

Athletes of all ages should pay attention to the weather, he said. “When it gets really hot and humid, hydration becomes even more important.”

Stretching also is recommended for all ages before exercising but “probably as we get older, loosening up and taking time to warm up prior to activities is a good idea,” he said.

“Exercise is so important,” he said. “Everybody and anybody can do it. We don’t exercise at our peril.

“Exercise is a wonderful stress reducer, and all of us have stress in our life. Being able to burn some of that off on a walking path or a pool is a great benefit. It’s just good medicine.”

Your partners in health.

Lovelaand Family Practice has a new name, but the friendly faces you’ve come to knoow and trust for qualityy health care remain.

Dr. Kevin Felix and Victor Palomares, PAC, are dedicated to the develoopment of long-term relatioonships with each patiennt, focusing not just on thee illness, but also on prevenntive care.

Now w welcoming new w ppatients.

Same-day appointments mayy bbe available. Call 970.3 92.4752.

Victor Palomares, PA-C Dr. Kevin Felix

Save the the Date Date

Saturday, Sept. 7, 2013 - 10a.m.

Preclous Pals Cemetery Dedication Ceremony

Primary Care 3850 N. Grant Ave. (Northwest of 37th Street and Garfield Avenue)

pvhs.org/clinics Thursday, August 15, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 15

HL

HEALTH CALENDAR

DIABETES INFORMATION GROUP

Gastroenterologist Daniel Langer, MD will discuss delayed stomach emptying, also known as diabetic gastroparesis, at the September discussion.

When: 7- 8:30 p.m., Sept.

26 Where: McKee Conference and Wellness Center, 2000 Boise Ave., Loveland Cost: Free Call: (970) 622-1950

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

When: 1-3 p.m.

Aug. 27 – Personal power and advance directives Sept. 3 – Wrap up for previous session Sept. 10 – Respiratory overview Sept. 17 – Exercising, work simplification Where: McKee Conference and Wellness Center, 2000 Boise. Ave., Loveland Cost: Free Call: (970) 635-4015

MCKEE SPIRIT OF WOMEN

Spirit Girls and Moms, Too! This unique event allows parents and daughters to learn about puberty together.

Join us with Banner Health physicians Andrea Mead, MD, and Irene Sokolowski, MD, for this relaxed talk. For girls ages 8-12.

When: 9:30-11:30 a.m., Sept. 7 Where: McKee Conference and Wellness Center, 2000 Boise Ave., Loveland Cost: Free to Spirit Members. $10 for non-members and free for all girls

Call: (970) 203-6631 to RSVP by Sept. 3 or email sara.marchi@bannerhealth. com.

BREAST-FEEDING SUPPORT GROUP

When: Mondays, Wednesdays and Fridays (except holidays), 10-11 a.m.

Cost: FREE. No need to register Call: (970) 669-9355

BLOOD PRESSURE SCREENING

Have your blood pressure checked by a Wellness Specialist Where: McKee Wellness Services, 1805 E. 18th St. Suite 6, Loveland When: Monday through Thursday, 8 a.m.-4:30 p.m.

Cost: FREE Call: (970) 669-9355

YOGA SUPPORT GROUP FOR ANYONE TOUCHED

BY CANCER

Join us for gentle yoga and holistic therapy education.

Where: McKee Medical Center Cancer Center Lobby When: 1st and 3rd Thursday of each month 5:30-6:30 p.m.

Cost: free Call: (970) 635-4054 to register

CAREGIVER CANCER SUPPORT GROUP

Where: Call for locations and dates.

Cost: FREE Call: (970) 635-4129

CAREGIVERS SUPPORT For caregivers of elderly adults. The group focuses on providing support and education about commu-

16 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

nity resources and behavior issues, particularly for people with Alzheimer’s and memory impairment.

Where: First Christian Church, 2000 N. Lincoln Ave., Loveland When: 3rd Thursday of the month, 1:30-3:30 p.m.

Cost: FREE. Care of elderly adult family members or friends is available through Stepping Stones Adult Day Program during meeting times at no charge.

Call: (970) 669-7069

GENERAL CANCER SUPPORT

Where: McKee Cancer Center lobby When: Tuesdays (except holidays), 5:30-7 p.m.

Cost: FREE Call: (970) 635-4129

MAN TO MAN SUPPORT GROUP FOR PROSTATE CANCER When: 5:30-7 p.m., 4th Thursday of each month Where: McKee Conference and Wellness Center Cost: Free Call: (970) 622-1961

BREAST CANCER SUPPORT GROUP

Where: McKee Cancer Center lobby When: Nov. 8, 5:30-7 p.m.

Cost: FREE Call: (970) 622-1961

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.

Thursday, August 15, 2013

Where: McKee Conference and Wellness Center When: Thursdays, 3 p.m.

Cost: FREE Call: (970) 635-4172 to register

FREE PUBLIC PANEL DISCUSSION

Health Care Reform - How will it affect you, your family, and Medicare?

Cindy Guldy, CLU, New York Life, Gail Snyder, Snyder Insurance, Phoebe Hawley, Director of Senior Services, McKee Medical Center When: Tuesday, Aug. 20, 4-6 p.m.

Where: Friends Room, McKee Conference and Wellness Center, 2000 Boise Ave. This panel discussion will expand on the information presented at “Navigating the Future of Health Care”

by McKee CEO, Marilyn Schock. After a brief video review, our panel of experts will address questions and take questions from participants on private and public health care options.

Cost: There is no charge for this presentation. Space is limited to 170. No goods or services will be solicited in connection with this program. For reservations or more information please contact Audrey McElwain at (970) 635-4001 or audrey. mcelwain@bannerhealth. com. For information on this and other upcoming McKee Medical Center Foundation Community Seminars visit-

mckeefoundation.com/ seminars .

.

.

HL

HEALTH BRIEFS

BANNER HEALTH CENTER TO OPEN IN FORT COLLINS

Center to treat adults and children, include lab services Banner Health will open a new medical facility, Banner Health Center, Sept.

9 offering pediatrics, Phillip Rhoads, MD family medicine and internal medicine, and basic lab services for adults and children. The Center is located at 702 W. Drake Road – Building A. To begin, Phillip Rhoads, MD, will see patients of all ages with more physicians planned to join him as the Center grows with community needs. Dr. Rhoads is board

certified in Internal Medicine and Pediatrics. He completed medical school at the University of Arkansas for Medical Sciences in Little Rock, Ark. He completed an internship and residency in Little Rock as well. Dr. Rhoads is active in the outdoors and in adventure racing and distance running. He was named among the Top 3 Pediatricians in Northwest Arkansas by About You Magazine in February 2012. He speaks English and Spanish.

The Center includes eight exam rooms, and its electronic medical records are accessible from all Banner hospitals and facilities.

“Residents of central and north Fort Collins will have quick access to additional premier health care services

with this new Center,” said Scott Baker, vice president of operations for Banner Medical Group in Banner Health’s Western Region. “Our commitment is providing exceptional care and service, and we’re excited to be able to respond to a rapidly-expanding community need.”

Banner Health Centers accept most insurance plans.

The Center will be open from 7:30 a.m. – 4:30 p.m. Monday through Friday. Concierge staff responds to calls one hour before and one hour after Center hours. To schedule an appointment or receive more information, call (970) 229-4600. The Center will begin taking calls Aug. 9 for appointments to be scheduled on or after Sept. 9.

The Banner Health Center

First Care Family Physicians

CURVES COMPLETE: THE WHOLE SOLUTION THAT MAKES

BURNING FAT EASY AS 1,2,3.

EXERCISE + MEAL PLAN + COACHING JUST $12.95 A WEEK*

+

$

50

e valu FREE GIFT

Tools4Success kit*

in Fort Collins is the second in Northern Colorado to open.

Banner Health Center in Loveland opened in August 2013.

Fort Collins residents are invited to attend the “Fall into Health Fair” on Saturday, Sept. 28 from 9 a.m. to noon at the Center. Participants can celebrate with food, giveaways, children’s health and wellness activities and information about Banner Health facilities and services.

Community members are invited to meet physicians and staff, tour the new Center, and even make an appointment to see a physician.

Family Practice

Infections: Colds, Throat, Sinus, etc.

Physicals: Complete, Well Woman, School, DOT, etc.

Acute Injuries: X rays, Stitches Blood Pressure, Cholesterol and Other Problems Wellness, School and Camp Physicals

First Care Family Physicians 295 E 29TH, Loveland

669-6000

Convenient Hours Days, Evenings, Weekends Weekdays 9AM to 9PM Saturday 9AM to 6PM Sunday Noon to 6PM Walk-ins welcome.

Appointments available.

First Care Family Physicians

2160 W Drake Rd, Fort Collins

221-5595

ThomasJ.Allen,M.D. ThomasP.Kasenberg,D.O. Edwin D.Risenhoover,M.D.

DenaSheppard-Madden,M.D. KristenOlenic,PA-C Angela McNair,PA-C KristiHousley,y,PA-C

Get exercise, meal plan and coaching for just

$12.95* A wEEk. CALL OR VISIT TO SCHEDULE YOUR FREE NO OBLIGATION APPOINTMENT.

970-669-9400 •

280 E. 29th St., Loveland, CO

curveswestloveland@hotmail.com

√ Burns more fat than diet alone √ Increases metabolism √ Protects muscle and bone density √ Scientifically tested

*Price reflects minimum 6 month commitment, billed monthly, only at participating locations. © 2013 Curves International, Inc.

Kasenberg, Dr.Edwin ThomasRisenhoover, P. Kristi HousleyThomas Dr. Edwin D. Kasenberg, D.O. PA-C Risenhoover, M.D. D.O. M.D.

Thursday, August 15, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 17

PAID ADVERTORIAL

Ask the Expert: Breast Feeding Question: As an expectant mother, I have heard “breast is best”, but what exactly are the benefits of breastfeeding?

Amy Casey, Certified Lactation Consultant, BS, IBCLC Answer: There is nothing like breastfeeding to put kids on the path to good health. Breastfeeding has multiple benefits for babies, including lower risk for ear and respiratory infections, allergic skin disorders, intestinal infections, Type 2 diabetes, and sudden infant death syndrome (SIDS). The American Academy of Pediatrics strongly recommends breastfeeding for six months. At 6 months of age, the AAP recommends adding solid foods and continuing with breastfeeding for at least one year.

Breastfeeding can continue as long as both the mother and baby wish.

Research shows that children who were breastfed are less likely to be overweight adolescents than children who were formula-fed as infants. In addition, the longer a baby is breastfed, the odds of being an overweight child decrease even more.

Emotionally and psychologically, one of the primary benefits of breastfeeding is the bonding opportunity through skin-to-skin contact for mother and child. There is also some indication that mothers who breastfeed experience less postpartum stress and anxiety due to the presence of certain hormones that are triggered by breastfeeding.

Breastfeeding provides numerous physical benefits as well. As

the body expends energy producing milk, it burns calories, in turn helping mothers who attempt to return to their pre-pregnancy figure.

Breastfeeding may also reduce the occurrence of postpartum bleeding, ovarian cancer, premenopausal breast cancer, and the development of Type 2 diabetes.

At McKee Medical Center, Amy Casey, Certified Lactation Consultant, BS, IBCLC, encourages breastfeeding as the best choice for mothers and babies. “Our Breastfeeding Support Group offers followup care to mothers after they leave the hospital and plays a significant role in helping new mothers establish effective breastfeeding. We also have a store where new moms can purchase supplies needed to make breastfeeding successful,” says Casey. Recently, the hospital has opened the McKee Breastfeeding Boutique that offers a variety of hospital-grade retail products to support breastfeeding.

Products available include a full line of Medela® breastpumps for both purchase and rental; additional breastfeeding supplies such as nipple shields, power supply and a supplemental nursing system; and both Medela® and Bravado® brand maternity bras. Casey is also a certified nursing bra fitter and is available to assist women either

18 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Thursday, August 15, 2013

prenatally or postpartum in finding the proper fit for their nursing bra.

The boutique also carries larger cup sizes for convenient shopping.

For more information on the McKee Breastfeeding Boutique, call 970-203-2324 or view boutique items outside of the lactation consultant office located on the 3rd floor of McKee Medical Center.

McKee Breastfeeding Boutique offers a full line of Medela® breastpumps FOR PURCHASE • Double Electric Pump In Style® Advanced • Single Electric Swing™ Breastpump • Manual Harmony™ Breastpump FOR RENTAL • Symphony® Breastpump Rental prices $55 monthly $26 bi-weekly $15 weekly Rental kit is required.

.

Centers for Gastroenterology Northern Colorado’s Leader in Digestive Health for 30 years.

Get it checked!

Colon cancer claims the lives of over 50,000 men and women each year.

The Centers for Gastroenterology P. C. is Dedicated to Providing Quality Care for Patients in Northern Colorado, Nebraska and Wyoming.

Our physicians are board certified in the specialty of Gastroenterology.

Services: • Local Office Consultation • In Office Remicade Infusion for all Indications • Colon Cancer Screening • Endoscopy Cheyenne (877) 713-7392

Fort Collins (970) 207-9773

Greeley (970) 207-9773

Loveland (970) 669-5432

3702 Timberline Rd.

7251 W. 20th St.

2555 E. 13th St.

4108 Laramie St.

Rand F. Compton, MD Thomas A. Dowgin, MD Rebecca C. Dunphy, MD Mark N. Durkan, MD Rodney R. Holland, MD Joseph X. Jenkins, MD Robert A. Simmons, MD

Thomas A. Dowgin, MD

Daniel A. Langer, MD Crystal M. North, DO Stephen R. Sears, MD Lewis R. Strong, MD

Daniel A. Langer, MD Stephen R. Sears, MD Robert A. Simmons, MD

To learn more about our physicians and services visit our website: www.digestive-health.net