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March 21, 2013
HealthLine Of Northern Colorado
HEALTHY, HAPPY BABIES Starting your infant out right + Do you need to go on a ‘Digital Diet’ ? + New Asthma test helps doctors prescribe treatment
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. Looking for a doctor? Immediate appointments may be available. Call today. 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 100 970.392.4752
Colorado Health Medical Group Internal Medicine 1107 S. Lemay Ave., Suite 240 970.392.4752 GREELEY Greeley Medical Clinic 1900 16th St. 970.392.4752 Peakview Medical Center 5881 W. 16th St. 970.392.4752
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. John Ebens Dr. Pamela Levine
Dr. Brienne Loy
Poudre Valley Medical Group is now Colorado Health Medical Group.
pvhs.org/clinics
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.
contents
Asthma: A new test helps doctors prescribe treatment Page 8 â–˛
also inside Uncommon Sense .....................................10 Nutrition ....................................................12 Health Calendar .........................................16 Health Briefs..............................................17
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PUT IT DOWN:
Do you need to go on a digital diet? Page 14
For advertising information contact: Linda Story, advertising director: 970-635-3614
For editorial:
Misty Kaiser, 303-473-1425 kaiserm@dailycamera.com
on the cover Health, Happy Babies - Starting your infant out right _________ PAGE 4
HL
on the cover
HEALTHY, HAPPY BABIES
Starting your infant out right
Rhema Zlaten Healthline
With a new life developing in the womb, mothers have a lot to do to prepare for their child’s introduction to the world. Preparing for the first few weeks and months after birth is as crucial as the mother taking care of her body during the gestational growth period. Breastfeeding is an option many mothers pursue to nourish their new born babies, and establishing a healthy eating and sleeping rhythm can be a bit of a roller coaster ride for both mother and baby. Amy Casey is a lactation consultant for McKee Medical Center in Loveland. She makes rounds to see new mothers in the hospital to help them establish these essential life rhythms. “Something that we are starting just recently is helping babies get skin to skin [contact] within 5 minutes after delivery,” Casey said. “Studies show this helps with breastfeeding later. Babies and mothers love it, and it really doesn’t require a lot of extra effort on
our part ... and then from that point, once they nurse initially, we are trying to help the mother get the breastfeeding going every three hours. At first, babies have such a tiny tummy. The colostrum the baby gets those first few days is so easy to digest.
2 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, March 21, 2013
They require the calories and nutrients often in order to get the total calories they need everyday. Also nursing often in the early days creates strong milk production.” In the early days of breastfeeding, babies need 8 to 12 feedings every 24 hours. “That won’t change until the baby has enough fat cells to last longer, about six weeks or 10 pounds,” Casey said. “After that they can have a long sleep stretch of up to five hours, but still working for the eight feedings. When mom’s milk comes in, in the early days they can have a long stretch of sleep as long as they are getting in those feedings. Most people don’t really know before the baby comes that they are going to have to feed this baby every three hours for a long time. Their clock is so different than ours. I think .
even as adults when I go three hours without a snack or a drink of water, I have to have something! So the baby is really wanting the frequent feeding and the frequent skin to skin. Then as they get a little older, as they are introduced to solids, the feedings will start gradually going down.” Although breastfeeding is a natural process, women and babies both must still learn how to work with each other. To help coach women through hurdles to latching and milk production, Casey hosts a breastfeeding support group at the hospital. She can weigh babies before and after a feeding to measure how much the baby is digesting. “I like to also be able to observe the feeding so I can see, based on how the baby is positioned and how they latch on, what is potentially contributing to problems,” she said. “Also by looking at the mother’s nipple, I can tell what the baby has been doing. If they have given the mother a wound, I can suggest various methods to help the latch. Often it helps even at the next feeding.” Sarah Mills is a Bradley Method™ natural childbirth educator at Birth Mojo Boulder. Her son is now two years old and she nursed him through a few medical hurdles. She recommends beginning conversations about breastfeeding before the baby comes. “You have energy and more time to look into your resources,” Mills said. “If you wait until you have a newborn or you are unfamiliar with your resources or you haven’t built your support system, it is harder when you are sleep deprived. Connect with your community.” .
Mothers can prepare to the best of their abilities, but it is impossible to prepare for all circumstances. Mills’ son experienced a medical issues called tongue tie, which prevented him from latching. She was able to correct the issue a few days after birth through the help of a lactation consultant. “While you can try everything to be prepared, you just never know if there is a medical issues or a lifestyle roadblock to a smooth start for you,” Mills said. “I was empowered to see hiccups and seek out a lactation consultant to help figure out what is going on. She corrected the medical problem and gave us tools and resources to maintain that nursing relationship while we figured out the medical side. As soon as his tongue tie was dealt with, at three days old, he latched right after that. We still used some breastfeeding helpers for the first six weeks. At the time I was just so in it, and I just felt really committed to breastfeeding. I felt like I had a good care plan and that I was just doing what I needed to do and that I was just happy for it. When we got out of that six week period, I realized how much easier it was to breastfeed.” To establish her milk supply, Mills focused on setting up a birthing station at her house with a giant bottle of water. She also made sure to get the extra calories her body craved by focusing on good nutrition and fluid intake. She also supplemented with pumping breast milk to get her supply established while her son was struggling with latching and not eating as much. “Those early days are important in establish-
ing your supply for the long term,” Mills said. As far as establishing healthy sleeping rhythms, Mills read a lot of parenting style books and then built her own plan based on her intuition and listening to the needs of her son. “Newborn care is one of those things where you can have some tools, but you really don’t know how it works until you are doing it,” Mills said. “I was also fortunate to have been on the tail-end of my friends’ having babies. I was able to see a lot of different parenting styles in action. I paid attention to the ones that made sense to me. It is confusing, but I tell my students that you really truly just need to go with your gut. Books say one thing, friends say another. There were times when I had to physically stop,
stand still in the room and think about what my heart and head were truly saying. I would have a purposeful time listening to what my mommy gut told me. Another thing that is helpful is having your mommy village, whether that is friends or your family or go to a group or a La Leche League meeting. It is nice to be able to compare notes to a group of women who understand what you are talking about. Your husband may be completely supportive and understanding, but you still need your mommy village. This is key to keeping your sanity during your baby’s newborn phase.”
First Care Family Physicians 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
Kasenberg, Dr.Edwin ThomasRisenhoover, P. Kristi HousleyThomas Dr. Edwin D. Kasenberg, D.O. PA-C Risenhoover, M.D. D.O. M.D.
Thursday, March 21, 2013
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 3
How do you know whether you should go to an urgent care facility or the emergency room? Here’s a guide to help you decide which facility is the best option.
URGENT CARE: Minor injuries and illnesses In general, if the illness or injury is something you’d normally see your family doctor for but you can’t get an appointment right away or it’s after hours, urgent care is the right choice. • • • • •
Sprains and strains Headache Sore throats and coughs Ear infections Fever or flu symptoms
• Minor burns • Minor lacerations requiring a few stitches • Minor animal bites • Worker’s compensation injuries Urgent Care 3850 North Grant Ave. (second floor) Loveland 970.624.5150
EMERGENCY DEPARTMENT: Severe injuries and illnesses In general, if the illness or injury seems more critical than something you’d see your family doctor for, or if you need care during the middle of the night, go to the emergency department at the hospital. • Head injuries, or a sudden, very severe headache or loss of vision (could be the sign of a stroke). • Chest pain or other heart attack symptoms-call 911.
• Serious lacerations, severe bleeding, poisoning or broken bones. • Intoxication, overdose or attempted suicide. Emergency Department 2500 Rocky Mountain Ave. Loveland 970.624.1600
This is a guide and is not intended as a tool to diagnose injuries or illnesses. Call 911 immediately if someone is unconscious, having trouble breathing, has suffered a serious injury or may be having a heart attack.
4 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, March 21, 2013
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Ask the Expert:
Detox Diets
What should I know about detox diets and colon cleanses before starting one? The goal of these diets is to rid the body of toxins that may cause a wide range of medical ailments (fatigue, headaches, fibromyalgia and more) with weight loss as a bonus. These diets often involve a multi-day regimen with a period of fasting and a restricted diet. Many programs also include laxatives and a liquid-based concoction. Diets that recommend very few calories can lead to malnutrition, dizziness, fatigue and nausea. Laxatives can also cause dehydration. Advocates of detox diets claim a variety of health benefits, but there is no supporting medical research. A healthy diet and exercise are recommended over these diets. Consult your physician before beginning a weight loss program or detox diet to learn the risks and set safe weight loss goals.
Where
Experts Work Best.
Grant Taylor, D.O.
Family Medicine Banner Medical Clinic Harmony Road Appointments – (970) 204-9069
To find a Banner Health physician in your area, visit www.BannerHealth.com/BMG Accepting Kaiser Permanente Members /BannerHealth
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Thursday, March 21, 2013
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 5
New asthma test helps doctors prescribe treatments By Gracie Bonds Staples The Atlanta JournalConstitution(MCT)
Fall and winter can wreak havoc on asthma sufferers. Parents of asthmatics know this, perhaps, better than anyone. Inhaled corticosteroids, which might have an impact on children’s growth, are often used to treat the condition. But, for some, the therapy may be unnecessary. A new, noninvasive breath test called fractional exhaled nitric oxide, or FeNO, has taken away much of the guess work about whether a tion, pollen count and barristeroid every few months.” less systemic absorption with patient should be on inhaled ers to accessing medical care This is because inhaled fewer potential long-term side corticosteroids. The test is all contribute to the difficulty steroids go straight to the effects. helping to guide treatment in managing patients with airway where the inflamma“One of the things people decisions and is the first to asthma. tion is and therefore have need to understand is that measure airway inflammaAtlanta’s springs have tion — the major underlying been especially hard on Matt cause of asthma. Brown’s 8-year-old daughter “With one breath into a THE WHOLE SOLUTION THAT MAKES Hannah Claire. handheld device, physicians Twice this past year, can measure the level of Fineman has had to resort to inflammation in a patient’s COACHING MEAL PLAN EXERCISE corticosteroids use so HanYour Curves Certified New, customizable The Curves 30-minute lungs,” said Dr. Stanley Coach who reviews your meal plans that show Circuit, where millions nah could breathe. And, each Fineman, an allergist at the success and plans for you how to cook in or of women supercharge time, Brown said, he and his more, every week. eat out. fat loss. Atlanta Allergy & Asthma wife have worried about how Clinic. “If FeNO levels are long-term use might impact high, that signals that the her growth. patient’s lungs are inflamed “Taking any medicine and the asthma is out of concan lead sometimes to antrol.” By measuring airway other illness, which leads to inflammation, physicians can something else, so you don’t determine whether a steroid always know if you’re better,” is the appropriate therapy he said. and at what dose. Although there is cause In 2010, Atlanta was the for concern, Fineman said, Get exercise, meal plan “asthma capital of the U.S.” and coaching for just parents should talk to their and among the top 20 worst $12.95* a week. doctors before starting or CALL OR VISIT TO SCHEDULE YOUR FREE cities for air pollution, accordNO OBLIGATION APPOINTMENT. stopping steroid use. ing to the Centers for Disease 970-669-9400 “In general, inhaled Control and Prevention. 280 E. 29th St., Loveland, CO steroids are much less risky Twelve percent of Georgia curveswestloveland@hotmail.com than oral steroids,” he said. √ Burns more fat than diet alone children suffer from asthma √ Increases metabolism “A child is better off taking an compared to 9 percent of √ Protects muscle and bone density inhaled steroid on a regular √ Scientifically tested children nationally. basis than taking an oral *Price reflects minimum 6 month commitment, billed monthly, only at participating locations. © 2013 Curves International, Inc. The culmination of pollu6 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, March 21, 2013
CURVES COMPLETE:
BURNING FAT EASY AS 1,2,3.
1
2
3
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the use of corticosteroids can be lifesaving,” Fineman said. “As long as you monitor the effects and the side effects, then you should be able to control any potential side effects and minimize them.” We asked him to recall the three most common questions parents have about steroid use.
Q: How do I know whether inhaled corticosteroids are necessary?
A: A physician typically
determines whether inhaled corticosteroids are the best course of treatment, based on the severity of the patient’s asthma. Traditionally, a physician will talk to patients about their history and symptoms (coughing or wheezing), perform a physical exam and testing
— like lung function, to get a clearer picture of each patient’s individual asthma. By measuring FeNO levels, physicians can better determine if steroids are the appropriate course of treatment and if dosage might need to be increased or decreased.
Q: If my child isn’t taking
his or her medication as directed, will my doctor be able to tell?
A: Sometimes, but not always. In general, it is very difficult to measure a patient’s adherence to medication because asthma is such a variable disease, meaning symptoms can wax and wane depending upon a patient’s exposures to triggers. Studies have shown, however, that FeNO levels can be helpful in determining whether patients have
been taking their steroid medication as directed by their physician.
Q: How can I talk to my
doctor about adjusting my child’s dosage?
A: The three most important pieces of information that a parent, caregiver or individual should share with their doctor are the types of symptoms that the child has been experiencing, how frequently the child needs to use their bronchodilator inhaler and what sort of physical limitations the asthma symptoms have been causing. If a patient’s asthma is under control, a physician may consider reducing the dose. If the asthma is not under control, you might want to adjust medication or treatment recommendations.
MANAGING ASTHMA
• Get an accurate diagnosis. That’s not always as easy as it might sound. • Work with your doctor to find out what is triggering the asthma symptoms. • Prepare an asthma management plan to optimize functioning. • Monitor your asthma management plan to make sure that it’s working for you. • Take precautions to avoid exposure to things that can trigger your asthma. Source: Dr. Stanley Fineman, past-president of the American College of Allergy, Asthma & Immunology; partner at Atlanta Allergy & Asthma Clinic’s Kennestone and East Cobb locations
©2013 The Atlanta Journal-Constitution (Atlanta, Ga.); Visit The Atlanta JournalConstitution (Atlanta, Ga.) at www.ajc.com; Distributed by MCT Information Services
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Loveland: 3470 E. 15th Street / Loveland, Colorado 80538 / Phone: 970-663-3975 / Toll-Free: 888-663-3975
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Fort Collins: 2500 E. Prospect Road / Fort Collins, Colorado 80525 / Phone: 970-493-0112 / Toll-Free: 800-722-7441
Thursday, March 21, 2013
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 7
HL
Uncommon Sense Should difference in life experience matter to a long-term relationship? Dr. Beth Firestein Licensed Psychologist
Dear Dr. Beth, I am in my 50s and my fiancé is in her late 40s. When we first met almost two years ago we were very attracted to each other but both of us wondered if our life experiences and backgrounds would really make us compatible enough to have a serious relationship. Our relationship has turned out to be great and we are planning to get married. However, I’m still worried about our differences getting in the way of a long-term relationship. For example, she doesn’t have children and I have children and young grandchildren I want us to be involved with.
Also, she has been single most of her life and I was in a 30 year marriage. Her friends include several former boyfriends and my friends are all long-term married couples. Are we on the road to trouble down the line? Cultural and life experience differences of all kinds can affect our romantic relationships and even our friendships, so the question is one worth thinking about. Clearly you do have some significant differences in your backgrounds and life experiences. This neither dooms your relationship nor assures its success. Given that you have been together for almost
two years, you have probably already come to terms with many of these background differences. This can pave the road to successful resolution of other issues that may arise as you move into a more committed relationship. The answer to your question depends a lot on how flexible each of you are and whether you can step into each other’s shoes when questions of cultural difference arise. For example, if she understands the importance of your family relationships and has been open to forming relationships with your children, grandchildren, and other members of your extended family, the fact that
she has no children of her own should pose no problem. In fact, couples that marry at older ages can have conflicts about whose family members they spend time with and how much time they are going to spend with each other’s families. If your fiancé doesn’t have children, this actually reduces the potential for conflict in this arena. Similarly, many long-time married people are now single due to divorce or death of a spouse. Frequently, they have had more than one relationship prior to meeting a new person they want to marry. While it may not be your cultural etiquette to have friendships with ex-dating partners,
convenient office location
eric Young, M.D., Orthopedic Surgeon Dr. Young is board certified in Orthopedic and Hand Surgery. He and his staff will provide you with individualized care quickly and conveniently. Dr. Young sees patients in the office on Tuesdays, Wednesday mornings and Thursdays and we can often get you in the same day if necessary.
cHOOSe pe r S O n a l i z e D
O rT H O p e D i c c a r e
8 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, March 21, 2013
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this need not be a problem for the two of you as long as you feel secure that her past relationships are truly friendships with no lingering romantic feelings. If you are not a particularly jealous person, these friendships can be positive for your relationship with your fiancé. Such friends can offer a unique window of insight into her character and past experiences. In addition, the fact that she has been able to end other romantic relationships and transition to friendship with those partners also says something quite positive about her. The ability to do this is actually pretty rare. Your different life experiences are less impor-
tant than whether you have compatible interests, shared values, and a common vision for your future. These differences in life experience keep the relationship fresh and interesting and can even enrich your relationship in unexpected ways.
Your partners in health.
Uncommon Sense with Beth Firestein
Lovelaand Family Practice has a new name, but the friendly faces you’ve come to knoow and trust for qualityy health care remain.
Dr. Beth Firestein is a licensed psychologist. She has 27 years of therapy experience and has practiced in Loveland for more than 16 years.
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.
She may be reached by calling her office at 970-635-9116, via email at firewom@webaccess.net or by visiting www.bethfirestein.com.
Now w welcoming new w ppatients. Same-day appointments mayy bbe available. Call 970.3 92.4752.
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970.667.0202
www.RESTHAVENCOLORADO.com 8426 S. Hwy 287 Fort Collins .
Thursday, March 21, 2013
pvhs.org/clinics LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 9
HL
Nutrition
Diabetes Quick Fix: Chinese Chicken with Cashew Nuts and Litchi Cup
By Linda Gassenheimer McClatchy-Tribune News Service (MCT)
Stir-fried, crisp chicken with cashew nuts is a popular Chinese dish. It’s easy and quick to prepare at home. Toasted sesame oil is available in most supermarkets. Toasting the sesame seeds gives the oil a deep, nutty, sesame flavor. Rice vinegar is a mild condiment made from fermented rice. Brown rice takes about 45 minutes to cook. There are several brands of quick-cooking brown rice available. Their cooking time ranges from 10 minutes to 30 minutes. I find the 30 minute rice has more flavor, but any quickcooking rice will work for this dinner. I call for a small amount of dry sherry in the chicken recipe. You can buy small bottles or splits of sherry at
most liquor stores. Note: Chinese recipes have more ingredients than other recipes, but take only a few minutes to cook. It’s worth a little extra effort for true Chinese flavor without extra carbohydrates.
HELPFUL HINTS: • The secret to crisp, not steamed, stirfrying is to let the ingredients sit for
about a minute when added to the hot wok before tossing them. This allows the wok to regain its heat after the cold ingredients have been added. • White vinegar diluted with a little water can be used instead of rice vinegar. • For easy stir-frying, place all of the prepared ingredients on a cutting board or plate in order of use. You won’t have to look at the recipe once you start to cook. • Make sure your wok is very hot before adding the ingredients. COUNTDOWN: • Marinate chicken. • Place water for rice on to boil. • Prepare remaining chicken ingredients. • Make rice. • Stir-fry chicken.
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May 23, 2013 2:00 PM “Honoring Veterans” Memorial day event June 18, 2013 at 2:00 PM April 16, 2013 at 2:00 PM Part 3,“Letting your values guide you, creating a living will” Introduction to a 5 part workshop, “Critical conversations on July 16, 2013 at 2:00 PM planning your end-of-life decisions” Part 4,“Knowing where to turn, May 14, 2013 at 2:00 PM introduction to Hospice Care” Part 2,“If I can’t talk, how will they August 13, 2013 at 2:00 PM know what I need’’ Guidelines to Part 5,“How do you want help selecting a health care agent. to be remembered?” March 12, 2013 at 2:00 PM “ The Greatest Generation”
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10 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, March 21, 2013
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CHINESE CHICKEN WITH CASHEW NUTS
¼ cup lite soy sauce ¼ cup rice vinegar ¼ cup dry sherry 2 tbsp chopped fresh ginger (or 2 tsp ground ginger) 3 medium cloves garlic, crushed ½ pound boneless, skinless chicken breast, cut into ½-inch pieces 2 tsp sesame oil 1 medium red bell pepper, sliced (1 cup) 1 tsp cornstarch Salt and fresh ground black pepper ¼ cup cashew nuts 2 scallions, sliced
Mix soy sauce, vinegar, sherry, ginger and garlic together in a small bowl. Add chicken and marinate while you prepare the other ingredients. Heat a wok or skillet over high heat and add sesame oil. Remove chicken from marinade with a slotted spoon, reserving liquid. Add chicken to wok and stir-fry 2 minutes. Remove to a plate. Add red bell pepper. Stir-fry 2 minutes. Mix the cornstarch with reserved marinade. Add marinade and chicken to the wok and stir-fry 2 minutes with the peppers. Remove from heat. Add salt and pepper to taste. Sprinkle cashew nuts and
scallions on top and serve over rice.
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SHOPPING LIST: 1 medium red bell pepper, 1 small bunch scallions, 1 small piece fresh ginger (or ground ginger), 1 small package broccoli florets, ½ pound boneless, skinless chicken breast, 1 small bottle lite soy sauce, 1 small bottle rice vinegar, 1 small bottle dry sherry, 1 small bottle toasted sesame oil and 1 small package unsalted cashew nuts
Makes 2 servings.Per serving: 372 calories,16 g fat, 4 g saturated fat, 68 mg cholesterol, 30 g protein, 21 g carbohydrates, 2 g dietary fiber, 11 g sugars, 1,281 mg sodium.Exchanges/Choices: 1 ½ carbohydrate, 4 lean meat, 3 fat.
———
QUICK BROWN RICE
1 1/3 cup water ½ cup quick-cooking brown rice 2 cups broccoli florets 1 tsp sesame oil Salt and freshly ground black pepper
STAPLES: Garlic, quick-cooking brown rice, cornstarch, salt, and black peppercorns ——— (From “Mix’n’Match Meals in Minutes for People with Diabetes” by Linda Gassenheimer, published by the American Diabetes Association. Reprinted with permission from The American Diabetes Association. To order this book call 1-800-232-6733 or order online at http://store.diabetes.org) Distributed by MCT Information Services
Bring water to a boil over high heat and add rice. Bring back to a simmer, lower to medium heat, cover and cook 25 minutes or according to package instructions. Add broccoli florets, cover, and continue to cook 5 minutes. The water should be evaporated. If not, remove the cover and cook a few minutes further. If the rice becomes dry before it is cooked, add more water. Add oil and salt and pepper to taste. Makes 2 servings.Per serving: 210 calories, 4 g fat, 1 g saturated fat, no cholesterol, 7 g protein,39 g carbohydrates, 4 g dietary fiber,1 g sugars, 22 mg sodium. Exchanges/Choices: 2 starch, 1 vegetable, ½ fat
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GET SOCIAL LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 11
PUT IT DOWN:
Not forever. Just for a minute. ANXIOUS? By Alexia Elejalde-Ruiz Chicago Tribune (MCT)
Cellphones, for many people, have morphed into an extra appendage, always within reach except for that time you accidentally left it at home and suffered a minor panic attack. Our constant connectedness has its benefits - it’s hard to imagine a time when some useless trivia dispute, without a smartphone’s instantaneous Google search, would simply go unresolved. But when people can’t get through dinner without responding to their phone’s pings, or they avoid vacations for fear of being somewhere without cell reception, or they so restlessly check their Facebook and Twitter feeds that they walk blindly into traffic - it may be a sign that the white-knuckled grip people have on their phones is actually the phones’ grip on them. Some experts caution about the hazards of cellphone overload. Dr. Elias Aboujaoude, a Stanford University psychiatrist and the author of “Virtually You: The Dangerous Powers of the e-Personality,” said people “lose the ability to be in the moment” when they’re bombarded by messages they feel compelled to react to. Daniel Sieberg, a former science and technology reporter, wrote the book “The Digital Diet: The 4-Step Plan to Break Your Tech Addiction and Regain Balance in Your Life” after his reliance on gadgets hurt his relationships with his friends and family and left him feeling distracted, disconnected and isolated. Now the leader of media outreach at Google, Sieberg said he’s more grounded and productive since becoming intentional about his digital consumption. People need to recognize the good and bad of cellphones and make conscious choices about when and how much they use their devices, said Nancy Baym, author of “Personal Connections in the Digital Age” and a principal researcher at Microsoft Research.
Even the most tech-savvy folks practice moderation. Duke University professor Cathy Davidson, who is on the board of Mozilla, the software company behind Firefox, said her peers will take a full month off from technology when they go on vacation, not just unplugging from their machines but also advising people that correspondence sent during that time will not be acknowledged. “The point of technology is that you should control it; it shouldn’t control you,” said Davidson, author of “Now You See It: How the Brain Science of Attention Will Transform the Way We Live, Work and Learn.”
THINK YOU CAN HANDLE IT?
If not 20 seconds pass before you itch to take another look at your phone, you may benefit from a digital diet. Here are 14 exercises to help you practice
12 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, March 21, 2013
phone restraint. • Charge your phone outside of your bedroom so you don’t plunge into the digital stream as soon as you open your eyes, said Daniel Sieberg, author of “The Digital Diet.” •
Don’t check your work email until you get to work. Remember when work was the only place you could check it? The company survived then, and it will continue to survive.
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Keep your phone off the table during meals so that you’re not interrupted or tempted to fiddle with it, Sieberg said.
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Play “phone stack” when dining with friends to give everyone a financial incentive to focus on the flesh-andblood humans in front of them. Here’s how: Everyone puts their phones on the table, face down, stacked one on top of the other. The .
first person to grab his/her phone has to pick up the whole tab. •
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Experience something first, post about it later, Sieberg said. Interrupting the activity you’re engaged in to tweet or post photos of said activity distracts from your enjoyment of the experience _ especially when you then keep checking to see if anyone has commented. Wait until later to post. It will still have happened. When you compose your out-ofoffice reply for a vacation, say that any correspondence sent during that time will self-destruct; if it’s important, people will just have to contact you upon your return. Leave your phone behind when you go on a walk or to the gym or take a lunch break or any other time you don’t really need it. Recognize the fact that you have survived without it upon your return.
close the page, suggests Nancy Baym, author of “Personal Connections in the Digital Age.” Just having the extra step of logging on each time you pull up Facebook can make you reconsider whether it’s really what you want to do. • Establish “tech breaks,” during which you spend a minute or two catching up on your virtual social connections before turning your phone on silent and placing it face down, suggests research psychologist Larry Rosen. Wait 15 minutes before you allow yourself to look at your phone again (set an alarm). As you become accustomed to letting it sit, lengthen the time between tech breaks. • Take 10 minutes out of each hour or two to put away your technology and do something that neuroscientists have found calms the brain, Rosen said. Look at nature, listen to music, exercise, talk live to a friend, meditate.
Log out of Facebook every time you
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Abstain from automatically whipping out your phone any moment you find yourself alone. Instead, take in the scene around you. Strike up a conversation with a stranger. Think deep thoughts. Only look at your phone when you’re not engaged in another task _ not while you’re walking, not while you’re driving, not while you’re paying for your coffee, not while you’re in the middle of a conversation.
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Put your phone in the trunk while you drive.
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Keep your phone on silent. When you happen to look at it later, you can see what you missed. iPhone users can also use the new “Do Not Disturb” feature that quiets incoming calls or messages for a designated period of time while allowing certain “favorite” contacts to ring through. ___
(c)2013 Chicago Tribune Visit the Chicago Tribune at www.chicagotribune.com Distributed by MCT Information Services
R ecovery in mind, body and spirit. To learn more, call (970) 624-5458.
All faiths or beliefs are welcome. .
Thursday, March 21, 2013
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 13
HL
Health Calendar
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
When: 1 p.m.-3 p.m., 3/26 – Nutrition 1 p.m.-3 p.m., 4/2 – Personal Power/Advance Directives 1 p.m.-3 p.m., 4/9 – Wrap up 1 p.m.-3 p.m., 4/16 – New session begins with respiratory overview Where: McKee Conference and Wellness Center, 2000 Boise. Ave., Loveland Cost: Free Call: (970) 635-4015
LOVELAND DIABETES SUPPORT GROUP
Speaker: Sanofi Diabetes A1C Champions: Hear from real people with diabetes about how they successfully manage their diabetes. When: 3/28 7-8:30 p.m. Where: McKee Conference and Wellness Center, 2000 Boise Ave., Loveland Cost: Free Call: 970) 622-1950
LOVELAND COMMUNITY HEALTH FAIR
Participants who had their blood tested may pick up results and visit educational booths and free and lowcost screenings that day. When: 4/13 , 8 a.m.-1 p.m. Where: McKee Conference and Wellness Center, 2000 Boise Ave. Cost: Free. Low-cost screenings available. Call: (970) 669-9355 for more information
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 every 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
times at no charge. Call: (970) 669-7069
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 p.m.-7 p.m., Fourth 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. Where: McKee Conference and Wellness Center When: Thursdays, 3 p.m. Cost: FREE Call: (970) 635-4172 to register
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. Where: First Christian Church, 2000 N. Lincoln WISE WOMEN Ave., Loveland SUPPORT GROUP When: Third Thursday of the A free, community group for BREAST-FEEDING SUPmonth, 1:30-3:30 p.m. women 55-100 who would PORT GROUP Cost: FREE. Care of elderly like to connect with other When: Mondays, Wednesadult family members or women sharing similar life days and Fridays (except friends is available through challenges. There is a disholidays), 10-11 a.m. Stepping Stones Adult Day cussion topic for each group Cost: FREE. No need to Program during meeting and time for personal sharregister 14 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, March 21, 2013
ing. Facilitated by psychologist Dr. Beth Firestein. Where: Daz Bog Coffee Shop, 556 N. Lincoln Avenue, Loveland. When: Thursday, 3/21, 4/4, 5/2, 6/16 11:15am12:30pm. (Come early if you would like to get coffee or a snack). Call: Dr. Beth Firestein at (970) 635-9116.
“IMPROVING YOUR BOTTOM LINE,”
McKee Spirit of Women, The Seasons Club and Banner Health physician Phillip Rhoads, MDt, invite guests to have lunch and to learn about the all-important bottom line at an upcoming event. “Improving your Bottom Line,” is March 29 at the McKee Conference and Wellness Center, 2000 Boise Ave. Doors open at 11 with lunch at 11:15 a.m. and the presentation at noon. Cost is $7 and includes a box lunch. Register by calling (970) 635-4097. Colon cancer is a topic most people aren’t comfortable discussing. Getting the latest information about prevention is important, especially after age 50. The Seasons Club and Spirit of Women have planned this event to provide a safe and open forum for you to get straight answers to your questions. Dr. Rhoads is a new Banner Health physician in Northern Colorado specializing in Internal Medicine and Pediatrics. To learn more about this event, please visit www. bannerhealth.com/McKeeSpirit or www.bannerhealth. com/McKeeSeasonsClub. .
NCMC, MCKEE RANKED IN 100 TOP HOSPITALS
Truven recognition follows recent Healthgrades distinction
GREELEY, CO – Truven Health Analytics SM, formerly Thomson Reuters, announced today that North Colorado Medical Center and McKee Medical Center are among the nation’s 100 Top Hospitals based on overall organizational performance. According to Truven, the study evaluates 10 areas: mortality; medical complications; patient safety; average patient stay; expenses; profitability; patient satisfaction; following clinical standards of care; and post-discharge mortality and readmission rates for heart attack, heart failure, and pneumonia. The study is celebrating its 20th
year, and has been conducted annually since 1993. McKee is owned and NCMC is operated by Banner Health, one of the country’s largest nonprofit health care systems with 23 hospitals in seven states. In addition, Banner Boswell Medical Center in Sun City, Ariz., was named to the list. Banner Heart Hospital in Mesa, Ariz., was previously recognized as a Truven Top 50 Cardiovascular Hospital. In Colorado, McKee and NCMC comprise two of the four hospitals named to the list. NCMC was recognized among teaching hospitals and McKee among medium community hospitals. This recognition follows the recent announcement that McKee and NCMC were recognized by Health-
HL
grades in the top 5 percent of hospitals nationally as Distinguished Hospitals for Clinical Excellence. NCMC was recognized by Healthgrades as a Top 100 Hospital placing it in the top 2 percent of hospitals nationally. “These recognitions by Truven and Healthgrades represent the commitment and collaboration that our employees demonstrate day in and day out,” said Sheldon Stadnyk, Banner Health Western Region chief medical officer. “We accept this distinction in the name of our patients as well. The desire to create a safe and ideal outcome for each individual who entrusts their care to us is what drives Banner and all of its hospitals. We hope to build on this success as we enter the era of healthcare reform.”
Health Briefs For more information about the awards, please visit www.bannerhealth.com/ mckee or www.bannerhealth. com/ncmc. About Banner Health Headquartered in Phoenix, Banner Health is one of the largest, nonprofit health care systems in the country. The system manages 23 acute-care hospitals, the Banner Health Network and Banner Medical Group, longterm care centers, outpatient surgery centers and an array of other services including family clinics, home care and hospice services, and a nursing registry. Banner Health is in seven states: Alaska, Arizona, California, Colorado, Nebraska, Nevada and Wyoming. For more information, visit www.BannerHealth.com.
THE WEXFORD COLUMBINE POUDRE HOME CARE LAKEVIEW COMMONS NORTH SHORE HEALTH & REHAB
www.columbinehealth.com .
Thursday, March 21, 2013
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 15
PAID ADVERTORIAL
Get your ‘chart’ checked at Loveland Community Health Fair You’re walking around with your
fessionals review each screening.
Prostate specific antigen (PSA)
own medical chart and you prob-
If something catches their atten-
-- Prostate Cancer is the most
ably didn’t even know it. Granted,
tion, they make a personal call to
common cancer found in men
information in that chart – also
that person to highlight the find-
in the U. S. It occurs in about
known as your very own blood –
ing and encourage that person to
1 out of 10 men during their
needs to be translated for you to
make an appointment with his or
lifetime. This is an optional blood
get a clear picture of your health.
her health care provider.
screening for men. The American
That translation can take place
It’s a good idea to have a basic
Urological Association and the
during the 2013 Loveland Com-
understanding of what the results
Prostate Cancer Education Coun-
munity Health Fair. Blood draws
can tell you and if you need to
cil recommend annual prostate
and Memory Screenings will be
consider additional screening.
screenings for all men age 50
done March 18-March 23 and
and over (earlier if positive family
a.m. – 9:30 a.m. Walk-in ap-
The Complete Blood Count (CBC) -- The CBC is one of the
pointments are welcome. Physi-
most commonly ordered blood
cians can learn plenty about your
screening tests and is used to
health just from a few simple
present a general picture of a
tests on your blood. Physicians
person’s overall health. It can
can check the function of your
help diagnose illness or disease
organs, for diseases and condi-
for people with many signs or
tions and for the effectiveness of
symptoms and monitor treatment
treatments if you have undergone
of many disease states including
any.
anemia and leukemia.
March 25-March 27, from 6:30
The Chem 24 – Normal test Much of the information that
results are a significant part of
comes back from a blood test
ruling out illness/disease. These
isn’t written in laymen’s terms,
results also establish a baseline
so it’s important to sit down
“normal” for each person. This
with your health care provider
is useful to monitor changes that
to review your results. We also
may occur in your lifetime. The
offer free consultations with local
Chem 24 Chemistry Panel in-
health care providers the day of
cludes measurements of choles-
the health fair when you pick up
terol, HDL, LDL, triglycerides, risk
your results.
ratio, iron, thyroid, glucose, along with several heart, liver, kidney
Rest assured, our laboratory pro-
and muscle enzymes.
16 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, March 21, 2013
history).
Hemoglobin A1c (A1c blood screening) -- The Hemoglobin A1c gives a picture of the average amount of glucose in the blood over the past few months. It can help with treatment of diabetes and for certain people, this test may be used to screen for and diagnose diabetes and pre-diabetes. For more information about the Loveland Community Health Fair, please visit www.bannerhealth. com/lovelandhealthfair. The Loveland Community Health Fair is 8 a.m. to 1 p.m. on Saturday, April 13 at McKee Conference and Wellness Center, 2000 Boise Ave., Loveland.
.
Get it checked! Colon cancer claims the lives of over 50,000 men and women each year. Check our website for screening guidelines. www.Digestive-health.net
Fort Collins • (970) 207-9773
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
Loveland • (970) 669-5432 Daniel A. Langer, MD • Crystal M. North, DO Stephen R. Sears, MD • Lewis R. Strong, MD
Greeley • (970) 207-9773 Thomas A. Dowgin, MD
Ask the Expert:
Heart Attack
What do I need to know about heart attacks? It is very important to call 911 if you suspect you or a loved one is having a heart attack. Paramedics will use special equipment to assess your condition on the scene, and may implement a Cardiac Alert. A Cardiac Alert notifies CVI cardiologists and cardiac catheterization lab staff members at McKee Medical Center to be ready to treat you upon arrival. Patients who are treated quickly as a result of McKee’s Cardiac Alert program: • Experience fewer immediate complications from the heart attack • Have less heart muscle damage • Are less likely to suffer from long-term heart failure Time is muscle – the faster the artery is open, the better the patient outcome.
Where
Experts Work Best.
Jim Quillen, M.D. Cardiologist CardioVascular Institute of North Colorado Appointments: (970) 203-2400
McKee Medical Center & North Colorado Medical Center Accepting Kaiser Permanente members.
www.BannerHealth.com/CVI