Health Line of Northern Colorado

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August 16, 2012

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Post-Hike Stretching Help muscles recover the correct way

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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 starting July 30) 2121 E. Harmony Road, Building A Suite 230 970.266.8822

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 100 970.482.3712

Loveland Family Practice 3850 N. Grant Ave., Suite 100 970.624.5170

Colorado Health Medical Group Internal Medicine 1107 S. Lemay Ave., Suite 240 970.495.7410

Medical Clinic at Centerra North Medical Office Building 2500 Rocky Mountain Ave. Internal Medicine 970.203.7050 Family Medicine 970.203.7180

GREELEY Greeley Medical Clinic 1900 16th St. 970.350.2438 Peakview Medical Center 5881 W. 16th St. 970.313.2700

Colorado Health Medical Group Primary Care 1327 Eagle Drive 970.619.6450 WINDSOR Windsor Medical Clinic 1455 Main St. 970.686.3950

Dr. John Ebens Dr. Deric McIntosh

Dr. Sukhjinder Khera

pvhs.org/clinics

Poudre Valley Medical Group is now Colorado Health Medical Group.

Thursday, August 16, 2012

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 3

contents

Asthma For Your Health Simple changes can make a difference

New technology helps sufferers keep asthma under control

Page 14

Page 10

Find which new diet books are for you Page 12

4 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

also inside Nutrition Roundup.............................................pg 5 Uncommon Sense............................................pg 8 Health Calendar..............................................pg 16 Health Briefs...................................................pg 17

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: Linda Story, advertising director: 970-635-3614

For editorial: Summer Stair, 303-473-1212 sstair@times-call.com

Keep your muscles ready, relaxed PAGE 6

Thursday, August 16, 2012

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HL Nutrition

Beyond Food

Eat for your eyes

Brain size matters, but so do connections Measuring human intelligence may be controversial and oh-so-verytricky to do. But like obscenity, we think we know it when we see it.

A new study, however, demonstrates a more rigorous way to see and measure differences in intelligence between individuals. It finds that connectedness among the brain’s disparate regions is a key factor that separates the plodding from the penetrating.

As many researchers have long suspected, intelligence does have a “seat” in the human brain: an area just behind each of the temples called the lateral prefrontal cortex. But researchers writing in the journal Neuroscience found that human behavior that is exceptionally flexible, responsive and capable of navigating complexity requires something beyond a strong and active prefrontal cortex: strong and agile runners must link that seat to brain regions involved in perception, memory, language and mobility.

The researchers estimate that the strength of those connections, as measured when subjects rested between mental tasks, explains about 10 percent of differences in intelligence among individuals.

That makes this measure an even better predictor of intelligence than brain size – a measure that scientists believe may explain about 7 percent of the variation in intelligence among individuals.

– McClatchy-Tribune

U.S. cigarette consumption is down Sales of cigarettes in the United States are continuing to decline, but that decline is being partially offset by increases in the sales of loose tobacco and cigars, the Centers for Disease Control and Prevention said Thursday.

Cigarette consumption fell 2.5 percent from 2010 to 2011, but the overall drop in tobacco consumption was only 0.8 percent because of an increase in the sale of other smokable tobacco products, the agency reported in its Morbidity and Mortality Weekly Report.

At least part of the alteration in consumption patterns arose because of a 2009 increase in the federal tobacco excise tax on cigarettes that made loose tobacco and cigars cheaper than cigarettes.

Regulations prohibiting the addition of menthol and other additives to cigarettes are also less stringent for non-cigarette products.

– McClatchy-Tribune

Thursday, August 16, 2012

Foods are more appealing when they look beautiful and nothing’s prettier than a July tomato. But we should be eating for our eyes, too.

Nutrition researchers are gazing into our eyes to illuminate the link between nutrition and eye health. Their important diet discoveries go beyond eating carrots to see better in the dark.

Carrots still rank high on the eyesightsaving menu, but other heroes, perhaps even more important, are emerging from the farm. Scientists have set their sights on green leafy and deep orange or yellow vegetables such as spinach, kale, zucchini, corn, tomatoes, carrots, collard greens and turnip greens because they contain two natural carotenoid plant pigments called lutein and zeaxanthin.

They are both potent anti-oxidants thought to protect the eyes against damaging light waves and free radicals that may cause cataracts, glaucoma, diabetic retinopathy and age-related macular degeneration.

A 2011 study in the British Journal of Nutrition reports that lutein may reduce risk of cataracts by up to 40 percent and a 2007 study in the Archives of Ophthalmology found that lutein may cut risk of AMD by 35 percent.

The two leading causes of visual loss and blindness are cataracts and AMD, affecting more than 20 million Americans.

Lutein is important for the development of an infant’s eyesight (attention moms-to-be) and maintaining children’s vision health.

YOUR SIGHT’S SAVERS • Lutein/zeaxanthin: kale, collard greens, spinach, turnip greens, broccoli, avocados, zucchini, peas, corn, Brussels sprouts, tangerines, dark leafy salad greens; also eggs.

• Beta-carotene: carrots, mangoes, sweet potato, greens, spinach, tomatoes, broccoli, cantaloupe, kale, apricots.

• Vitamin C: papayas, citrus fruit, strawberries, tomatoes, mangoes, green peppers, berries.

• Vitamin E: almonds, wheat germ, whole-grain breads, avocados, greens.

• Zinc: oysters, lobster, beef, poultry, pork, lentils, whole-grain bread.

– McClatchy-Tribune

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 5

Warm Up, Cool Down

Stretching before, after a hike can keep your body in-tune Rhema Zlaten For the Reporter-Herald

Before lacing up those hiking boots and hitting up the hiking trails in the area, make sure to prepare for a successful experience in the wilderness. Adequate hydration and muscle warm-ups ensure a healthy and fun experience.

Kelly Mortellite, PT, DPT, of Cherry Creek Wellness Center in Loveland, recommends beginning the hike with dynamic stretching, movements that will target the muscles utilized during hiking. She recommends 10 minutes of these movements as a general guideline for healthy individuals.

“You get muscles warm to decrease the possibility of injury and to decrease the stress from sitting in the car and then jumping into work,” Mortellite says. “It gets the blood flowing. You can do heel walking, toe walking, some standing knee hugs, walking with high knees, butt kicks, walking lunges, high knee skipping

and backwards walking. When you are hiking you are carrying a back pack, so make sure your core is warmed up.

Warm up the upper body with arm swings and shoulder circles. When you are doing high knees, you can bring your elbows down.”

Owner of Loveland Yoga and Core Fitness Christi Sullivan, Check Level 4, FMA, experiments with clients to see whether static or dynamic stretching works best for their body type.

“There is controversy over static stretching verses active stretching, but it actually depends on the person,” Sullivan says. “I have had success with all of them, but not on the same person and not always on the same side of the body. A general rule of thumb we follow is that before we do the activity, the major muscle group being used should be stretched a little longer (like 20 seconds) and the smaller muscles less than 10 seconds and do each one 3 times and alternate right left right left. If you stretch too long, you sedate the muscle and then it doesn’t come on

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Thursday, August 16, 2012

when you need it.”

If static stretching feels the best, Sullivan recommends stretching to warm up the quadricep areas of the leg.

“You will be doing step up movements anytime you bend your knee to go up on a stone or a step,” Sullivan says.

During the hike, tune into body signals to understand when muscles fatigue hits.

“When you are hiking, the muscles get tired and they might need to be stretched again while they are hiking,” Sullivan says. “You are a system of levers and pulleys, and you need to learn how they work. As the muscles fatigue, they need to pull in other muscles to help the other muscles pull. If you are experiencing knee pain, stop and stretch the quadriceps. If you ignore pain and you don’t stretch, your lower back will start hurting. This is because you are asking the lower back to take on some of the work. So stop and stretch your quadriceps against a tree. And now

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“When you are feeling a lot of muscle cramping, that can indicate dehydration.

When we become dehydrated, lactic acid builds up in the muscle and causes those muscle fibers to break down and causes that muscle break down that you feel.”

your hips are getting sore, so find a rock to sit on and cross one ankle right above the knee, making a figure four.

This gives the muscles a break. A lot of times we need a break from hiking, so while you are there eating or getting a drink, that’s the most opportune time to stretch.”

Mortellite advocates for hydration and recommends people drink a half liter of water for every mile they walk or drink an entire liter per hour.

“When you are feeling a lot of muscle cramping, that can indicate dehydration,” Mortellite says. “When we become dehydrated, lactic acid builds up in the muscle and causes those muscle fibers to break down and causes that muscle break down that you feel. And don’t just stop and chug a whole bunch of water at once – drinking a little at a time will help you stay hydrated more effectively. Stop when you need to and take breaks when you need to.

Listen to your body. I know all of us weekend warriors get excited about all of the hiking here in Colorado – build up to it.”

Sullivan adds a small pinch of sea salt to her water during hiking, just enough to help keep body chemistry balance but not enough to taste.

“It will help regulate the sodium calcium and the electrolytes and help alleviate how much you end up having to pee,” she says. “If you are peeing a lot, you are losing a lot of the sodium which affects calcium and electrolyte levels.”

After hiking, Mortellite recommends deep static stretching.

“Hold the stretch for at least 30 seconds and up to 60 seconds,” Mortellite says. “Repeat each stretch 2 to 3 times for each muscle group. Target the muscles that you used during the hike so that they won’t get sore.”

Right after the hike, Sullivan stretches the quadriceps, calf area and hips, followed by an Epsom bath at home.

“This always freaks people out when I say it, but use 6 pounds of Epsom Salt in the bath tub,” Sullivan says.

“Look at how big your body is in comparison to your feet.

It will all dissolve in the tub. What we are trying to do with the Epsom salt and get the magnesium into the muscles.”

As always, consult a physical therapist or doctor before attempting strenuous exercise.

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pvhs.org/clinics

Poudre Valley Medical Group is now Colorado Health Medical Group.

Thursday, August 16, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 7

HL Uncommon Sense Know your reasons for wanting a relationship Woman should not be pressured to date until she feels ready Dr. Beth Firestein Licensed Psychologist

Dear Dr. Beth: I have been divorced for several years, and while I have dated some I have not had a boyfriend or anyone serious in my life. My family and friends think this is weird and constantly ask me why I am not serious about finding someone to spend my life with. I am OK on my own and I don’t feel like I need that in my life right now. Is it a difference in our generation? I don’t want to be rude or mean to them, but I am tired of the constant hounding and nagging about “settling down”.

Dr. Beth: It sounds like you are a rather emotionally independent woman who knows what she wants – and knows what she doesn’t want. If you are in a place in your life for whatever reason that you prefer not to date or be in a serious relationship that is totally OK. You don’t want to be in a relationship (or looking for one) right now and you don’t want to be hassled for that decision There are lots of reasons why people want to be in a serious relationship and lots of reasons why they prefer not to be. There are good and bad reasons to be in a relationship and good and bad reasons not to be in one.

People want to be in relationships for many positive reasons: companionship, someone with whom to share life’s joys and sorrows, the greater ease of life that can come from be-

ing part of a “team”. Love, physical affection and having someone in your corner when life is hard are other good reasons for being in a relationship.

More problematic reasons are not feeling that you are OK or can be happy without another person, wanting to be completely taken care of financially or emotionally and expecting another person to “save you” from life or from your own aloneness.

Mainly these are problematic because they don’t work and they don’t solve the underlying problems in yourself that leads to those needs in the first place.

There are also good and bad reasons not to be in a Uncommon Sense relationship. Dating takes a with Beth Firestein lot of energy and can be a roller-coaster of hope and disappointment. Sometimes Dr. Beth Firestein is a licensed psychologist. She has 24 years of we just don’t have the emotherapy experience and has practiced in tional reserves or we’re just Loveland for more than 14 years. not up for it. Other good reaShe may be reached by calling her sons for not being in a relaoffice at 970-635-9116, via email at tionship are having the desire firewom@webaccess.net or by visiting www.bethfirestein.com. to enjoy being independent and self-sufficient or even

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Thursday, August 16, 2012

to prove to yourself that you can be. When you feel comfortable being on your own being with someone is a choice, not an act of desperation.

Perhaps the best reason of all is that you don’t want to be in a relationship.

If you are in a relationship and don’t want to be, how satisfying can that possibly be for you or your partner?

Not-so-good reasons for not being in a relationship include wanting to be in a relationship but feeling stopped by fear or not feeling worthy or deserving. Or if you feel stuck because it has been a few years and you are not yet over your former partner then you should address this issue and get free of that emotional suffering. Similarly, if you are avoiding dating because of social anxiety or confidence problems, these too can be addressed. Avoidance is not the solution.

Regarding the problem of being nagged by others who care about you, this is best handled directly. You can say something straightforward, such as “It makes me feel bad when you frequently ask me these questions. Please don’t do that.” Or you

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can use humor, as long as it is not biting or too sarcastic. You have the right to your own decisions and you may or may not wish to share your personal reasons with anyone; that is completely up to you, so It’s OK to politely tell others to butt out.

Dear Dr. Beth: I can’t help but feel like the world is against me. I feel like nothing ever goes my way. I know they say the secret to success is believing it will happen, but as more things continue to go wrong I can’t seem to turn my negative mindset around. How can I become a more positive, happy person? I am at a loss.

Dr. Beth: Different people believe different things but I tend to believe that the world is neither for us nor against us, it is just “the world”. Good things happen and bad things happen.

Some people seem to have more good than bad happen or the other way around during certain periods in their lives.

It is problematic to think that we “cause” bad things to happen to us, but it is also untrue to say that we as individuals have no hand in what happens in our lives. We do have influence in our lives, sometimes a little

and sometimes a lot.

We can minimize the risk of bad things happening to us and sometimes even prevent them. For example we can minimize the chance of being in an accident by wearing seat belts, not texting while driving, and driving in a reasonable manner. We can also take steps to prepare for bad things that might happen, such as by carrying auto insurance.

While these are simplistic examples, this holds true for many of the more complicated parts of our lives as well.

When a number of things go against us or don’t go our way over a period of time, it is natural to become discouraged and pessimistic. Fortunately, this is not the only option for how to respond to adversity. The key elements we can bring to the equation are cultivating a sense of perspective and working with our own beliefs. We can develop a belief system that includes the reality of life’s difficulties without blaming ourselves too much and without avoiding looking at our part in things.

It also helps to work on our attitudes: life’s problems are definitely painful, but some people are able to look at them as experiences

from which they can learn important things about themselves, others and the world. As a coping strategy this works much, much better than falling into cynicism or despair. So, how do you get to that place?

Work on developing a support system. Friends, family, a therapist, support group, church or other spiritually meaningful community are great sources of emotional strength and support during rough times. I’m also a big believer in reading self-help books, attending personal growth workshops, and listening to inspirational speakers.

Many of these resources cost money but many are free. Good resources are your local library, public television programming and listings in your local paper of community-sponsored talks and inspirational events.

Becoming a more positive, happy person is a series of daily, weekly and monthly decisions, not a miracle that comes to us as a lightning bolt from above. If you take the steps, you will see the payoff and have a life that feels and becomes more successful. And keep in mind, streaks of bad luck happen to everyone at some time or another.

Maybe you are just getting your turn out of the way!

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If you’ve been sick, injured, or just slowed by the years, you want to get back to those you love as soon as you can. The Orthopaedic & Spine Center of the Rockies has 24 physicians who specialize in the medicine of motion—helping people just like you feel better and get going again. We’ve helped tens of thousands of people of all ages get back to their family, work, sport, or leisure pastime. If we can help you get moving again, call us today at (970) 493-0112. Serving the women and families of northern Colorado,Wyoming, and western Nebraska since 1969.

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Thursday, August 16, 2012

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 9

Life-changing tips for better health, well-being Article Resource Association

Moms, career women, singles enjoying life with close friends and family, and even women approaching their retirement years – women at every life stage can benefit from adding simple activities to improve their happiness and health. Activities can range from enjoying a delicious breakfast to incorporating a cardiovascular workout to limbering up and stretching those muscles.

Consider incorporating a new element to your day to enrich your lifestyle, improve your digestive health and give you energy to tackle the rest of your day. Need some ideas?

Try one of these options: • Flexible body – Healthy stretching can improve flexibility, and help reduce joint or muscle pain. Target core muscles in the legs – such as hips, thighs and calves – and in the upper torso including the lower back, neck and shoulders. While stretching, don’t bounce, or push the stretch past the point of pain. Gently hold each stretch for about 30 seconds.

• Fun workouts – Exercise can be a very negative word for some women, but there are several ways

to enjoy a physical workout. Like to dance? Sign up for an adult jazz, ballroom dance or even Zumba class. Don’t like to sweat? Take your workout to the pool with some water aerobics. Bored? Bring a friend or family member with you for some exercise like a bike ride, inline skating, a walk or maybe even a yoga class.

• Breakfast treats – What you consume at the beginning of the day can determine how the rest of your day goes. Getting good amounts of fiber and protein through fruits and dairy products is a great way to

target heart health, and maintain high energy levels throughout the day.

Enjoy a fruit smoothie at the start of your day, and add some Sunsweet Prune Juice a good source of six vitamins and minerals naturally found in California-grown prunes. This all natural, high quality juice is a great way to introduce more fiber, potassium and magnesium into your diet.

• Me time - The constant on-thego of children, careers, spouses and thousands of activities can wear a woman down. Add a little “me time” into the daily schedule. Try setting the alarm 10 minutes earlier for stretching before tackling the day.

Over the lunch hour, take a walk to a local park in nice weather, or call your best friend for a quick catch up. Or take the time before bedtime to paint your toenails or read a novel. Consider adding a half hour of interrupted time for an at-home spa treatment.

This “me time” is very important for a female’s mental and emotional wellbeing, and should cater to her specific indulgences.

Adding a new healthy living event on a daily basis should be a goal for every woman to boost her health, her energy levels and even emotions.

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10 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Thursday, August 16, 2012

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Looking for a diet book?

Here’s a quick review of the most recent, popular ones out there Rene Lynch McClatchy-Tribune

It’s too late to lose that unwanted weight for summer. But if you start now – and aim to shed a modest 2 pounds a week – you could drop as much as 40 pounds in time to ring in 2013.

The hardest part, however, might be choosing a new diet.

This season’s crop of cookbooks includes a whiplash-inducing array of advice. For every book urging you on to eat: More carbs! More protein! More fat! there’s another seemingly well-reasoned argument to do the opposite. As if this isn’t confusing enough, there’s a new bogeyman on the diet scene: gluten.

The naturally occurring protein found in wheat, barley and some other grains is being blamed for a variety of health woes, including gut unrest, inflammation and those love handles. (People who suffer from a gluten intolerance such as celiac disease must shun it for far less glamorous reasons.)

Among the highest-profile proponents of a gluten-free diet?

Kim Kardashian and Miley Cyrus.

Kardashian set the Internet on fire earlier this year when she tweeted a sexy photo of her famous curves, crediting a gluten-free approach.

The newly engaged Cyrus has slimmed down so much in recent months that some tabloids have begun whispering about an eating disorder. Cyrus, however, says she’s healthier than ever after adopting a new diet and a Pilatesinspired exercise regimen to get her ready for the altar.

Of course, it’s not exactly surprising that people lose weight on a gluten-free diet. Eating gluten-free means slashing plenty of high-calorie breads, cakes and cookies.

There is one consensus among the most popular new diet books on the market: They are largely free of food extremes. All emphasize the need to scrutinize food labels and ditch chemical-laden products in favor of fresh fruits and vegetables, lean proteins and healthy fats. Dig in.

‘Eat to Live’ If you need to be scared straight about your health, this book is for you.

Dr. Joel Fuhrman makes a powerful case that Americans are courting cancer and disease by the forkful. He urges ditching lowcalorie diets and piling the dinner plate high with nutrient-dense fruits and raw veggies.

You certainly won’t be hungry. Sample dinner: Fish fillets with mango salsa, kale with cashew cream sauce, rice and chocolate cherry “ice cream” made from almond milk.

‘It Starts With Food” Need some tough love cleaning up a lousy diet? This is your drill sergeant. Dallas and Melissa Hartwig ask that you enlist in their 30-day boot camp – dump the processed the p rocessed junk and embrace junk a nd e mbrace whole whole foods foods – and an d you’ll emerge y ou ’ l l e m erge a brand-new brand-new person. would person. IItt w ould be be b e hard hard tto ob e hungry on h ungry o n tthis his diet: You’re d iet: Y ou’re encouraged encouraged eat plenty. tto oe at p lenty.

Recipes R ecipes such such as Asian stir a sA si an s tir ffries, ries, frittatas and soups are ultra simple and encourage creative substitutions based on what you and your family enjoy.

‘Six Weeks to OMG: Get Skinnier Than All Your Friends’ Amusing ‘tude-filled argument that everything you think you know about dieting is wrong. According to author Venice A. Fulton, skipping breakfast is good, and small, frequent meals are bad.

And exercise?

“Exercise is just so 2011!” Just move more, he

12 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Thursday, August 16, 2012

argues. He also advises amping up on proteins and scaling back carbs to 50 to 120 grams per day. (That’s well under the minimum carb intake recommended by the federal government, of about 175 grams per day for an adult woman.)

One suggested trick for flattening your abs? No joke: Blowing up balloons.

As might be expected, this book has come under fire by critics who question its wisdom and fear it will pit impressionable teens against one another, trying to out-diet their friends.

‘Paleoista’ The paleo diet meets fashionista, courtesy of Los Angeles’ Nell Angeles’ N ell SteStephenson.

Ditch phenson. D itch flours, flours, sugar, sugar, grains grains and and dairy. dairy.

What’s you What’s lleft, e f t, y ou say?

Steak and say? S teak a nd eggs eggs for for breakbreakfast. fast. Seared Seared sea sea bass bass with wit h a coconut coconut curry curry sauce orr s sunsauce o undried dried tomatotomatoand-basil and-basil stuffed tenderloin for dinner.

‘The Manhattan Diet’ Dieting has never been so fabulous. Eileen Daspin adopts an everything-in-moderation approach as she namedrops her way through living, dining and dieting on the world’s chicest island.

Ditch the unfulfilling junk, she says, in favor of celeb-chef c eleb-chef rrecipes ecip es such as s uch a sa Mario M ario Batali Batali fennelfenneland-arugula salad and Eric a nd-arugula s alad a nd E ric Ripert’s with Ripert’s grilled grilled salmon sa lm on w ith a ponzu ponzu vinaigrette.

Plus: You have vinaigrette. P lus: Y ou h ave to to llove ove diet chapter ad iet book book with with a whole whole c hapter dedicated cheating. dedicated to to c heating.

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‘Bread Is the Devil’

Despite the title, you do occasionally Heather Bauer ally get get bread. bread. Authors Authors H eather B auer and Kathy use bread as and K athy Matthews Matthews u se b read a s the stumbling block so the symbolic s y mb o l i c s tumbling b lock ffor or s o many The book as much many diets. di et s. T he b ook is is a sm uch a meal an approach meal plans plans as as a na pproach tto o banishing personal diet devils, banishing your y ou r p ersonal d iet d evils, be be they they ttrigger rigger ffoods, oods, emotions, emotions, situations moments. situations or or m oments. ((One One tthat hat everyone everyone will will recognize: recognize: Diving Diving into into the off a bread despite the depth depth o bread basket basket d espite a day meticulously day spent s p e nt m eticulously ffollowing ollowing your your diet diet plan.) plan.)

‘The Starch Solution’ The fat you wear is caused by the fat you eat, says Dr. John A. McDougall. He promotes a plant-based diet that will have you slashing fat and animal proteins and taking on the “eat more starch” challenge. That’s right, a challenge that encourages you to add up to four cups of pasta a day to your diet. Also on the approved menu? Whole wheat pancakes, French toast and eggless egg salad made with tofu.

‘The Eat, Drink, and Be Gorgeous Project’ “Want to drop 6 percent to 10 percent of your body fat in one month? Then go gluten free,” says author Esther Blum, a registered dietitian. “Stay gorgeous” by getting carbs from fruits and veggies as well as oats, sweet potatoes and even sugar. (Avoid sugar, but when giving in to the rare, sweet treat, indulge with “the real deal.” One recipe in the book: a gluten-free, coconut flour chocolate cake.) It includes four meal plans, primers on vitamins and supplements, and a food journal.

R ecovery in mind, body and spirit.

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

All faiths or beliefs are welcome. .

Thursday, August 16, 2012

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 13

Improvements in technology help manage asthma Kibkabe Araya McClatchy-Tribune

Inhalers count puffs. Peak-flow meters are read digitally. Nebulizers have shrunk to half their old size. In the past few years, asthma patients have seen technology make the disease more manageable. Companies now are unveiling devices that track inhaler usage with GPS, measure wheezing, compile data on smartphone-mobile apps and share interactive online content.

With the Centers for Disease Control and Prevention pricing asthma at $56 billion a year in hospitalizations, doctor visits and loss of productivity, technology plans to target the nation’s 25 million asthmatics.

Cutting-edge devices and mobile apps may attract adults, while animation and content may help children and their families better identify triggers, symptoms and behaviors.

“People who have a lot of symptoms of asthma sometimes are not aware of it. It’s really important to see if your symptoms are escalating and you have to use your inhaler more,” says Dr. Teal Hallstrand, pulmonologist and professor at the University of Washington. “Things that will help people recognize their symptoms have increased will be helpful.”

In 2006, Dr. David Van Sickle attached snap-on GPS sensors over the top of inhalers for a study at the University of Wisconsin-Madison.

GPS records the location and time an

inhaler is used and Bluetooth sends data to a remote server.

So if a person strolls under a blossoming tree and uses an inhaler, GPS gives a location and time marker, signaling pollen may have triggered a respiratory reaction – and the person should avoid that route.

“Our goal is to build technology and tools to do a better job of managing asthma but with less effort,” says Van Sickle, now CEO of Asthmapolis, a Madison, Wis.-based company that also released a mobile app for iPhones and Android smartphones.

Syncing the sensor data and sending text-message reminders to take medicine are some of the features.

The company recently partnered with Synapse Product Development in Seattle to create more asthma-related products.

Last year, the VA Puget Sound Health Care System in Seattle tested the prescribed Asthmapolis sensor on three patients with chronic obstructive pulmonary disease, or COPD. Because the average age of the patients was 65, doctors thought the easy-touse sensor forwarding them data on inhaler use would help both parties.

“I think what’s exciting for me is that there are other ways to monitor symptoms at home,” says Dr. Vincent Fan, physician and study investigator.

“Patients used to write in journals at home, and that’s a lot for patients to do. This tells us what’s happening with the medication in real time.”

Commonly confused with asthma, COPD leads to difficulty breathing and branches into chronic bronchi-

14 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

tis or emphysema. With COPD, Fan said, patients can be bombarded by symptoms at a given time, but doctors won’t know the source of the problem. The VA plans to expand the study to 40 patients.

While Asthmapolis uses GPS, iSonea uses sensory technology to measure breathing vibrations with sound. The WheezoMeter, also available with a prescription, records the breathing rhythm once pressed against the throat and analyzes it to give a percentage for wheezing. When wheezing, it’s easy to miss the point where it escalates into an asthma attack.

In June, iSonea went the mobile app route with AsthmaSense, which alerts the user when the risk of an asthma attack increases and lets them log medicine use.

“If the market isn’t ready for you, then the technology will not adapt to the market,” CEO Mike Thomas says.

“This smartphone tsunami is enabling our algorithms, our technologies, our devices to reach millions of people.”

Mobile-health apps may reach 142 million downloads by 2016, U.K.based Juniper Research forecast last year.

Learn360, an interactive website for grades K-12, wanted to take kids out the hospital and keep them in the classroom.

“We discovered over 85 percent of patients can bring their asthma under control,” says Ed Murphy, vice president of business development. “So then we started to target asthma.”

Learn360Asthma.com helps kids understand triggers and symptoms

“I think what’s exciting for me is that there are other ways to monitor symptoms at home.

Patients used to write in journals at home, and that’s a lot for patients to do. This tells us what’s happening with the medication in real time.”

– Dr. Vincent Fan, physician and study investigator

Thursday, August 16, 2012

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and reaches thousands of schools.

Health Nuts Media provided its animated series, “Huff and Puff: An Asthma Tale,” to the website. The story of the Big Bad Wolf developing asthma reaches kids at hospitals, doctor offices and now schools.

“If we load them up on statistics and tell them what to do, it doesn’t get through to them,” CEO Tim Jones says. “But if we reach them on an emotional level, then they remember that story.” The company is now devising a mobile app with animated features like games and action plans for asthmatics.

Children often cannot efficiently manage their asthma, so parents play a significant role. This led to doctors at Seattle Children’s shifting the focus from child to parent.

In 2008, the hospital and the Child Health Institute at the University of Washington created an online study. Every month, parents received an email message to complete questions about their child’s asthma. Using personalized accounts, the website reminded parents to give kids their controller medicines and made them more aware of their symptoms.

“The virtual technology seemed to be an obvious solution to the problem,” says Dr. Dimitri Christakis, pediatrician and study investigator. “There’s very little data on health websites, so we wanted to test if they could help.”

A $2.5 million grant from the National Institutes of Health funded the website for 600 families until it ran out last January. About 77 percent of the families found the website so helpful, Christakis says, that some said health-insurance plans should offer convenient technology as a tool to help manage asthma.

SavaSeniorCare focus on people our residents

their lives their families Sierra Vista

Health Care Center Rehab Therapy In-Patient & Out-Patient Therapy Alzheimers Care Unit 821 Duffield Court • Loveland, CO

970-669-0345

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

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

Services: • Office Consultation • In Office Remicade Infusion for all Indications • Colon Cancer Screening • Endoscopy Our physicians are board certified in the specialty of Gastroenterology To learn more about our physicians and services visit our website: www.digestive-health.net

Fort Collins (970) 207-9773

3702 Timberline Rd. Rand F. Compton, MD Rebecca C. Dunphy, MD Mark N. Durkan, MD Rodney R. Holland, MD Joseph X. Jenkins, MD Robert A. Simmons, MD .

Greeley (970) 207-9773

7251 W. 20th St.

Thomas A. Dowgin, MD

Loveland (970) 669-5432

Cheyenne (877) 713-7392

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

2555 E. 13th St.

Thursday, August 16, 2012

4108 Laramie St.

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 15

HL Health Line Calendar General Cancer Support When: Tuesdays, 5:30-7 p.m.

Where: McKee Cancer Center lobby Cost: Free Contact: 970-635-4129

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

Where: McKee Medical Center Cost: Free. No need to register Contact: 970-669-9355 Bright Beginnings for Infants Bright Beginnings is designed to celebrate the birth of new babies and provide families with health, safety, development, play and community resource information.

When: Aug. 20 and Sept. 17, 11:15 a.m.-12:15 p.m.

Where: Family Birth Center Conference Room, 3rd Floor Cost: Free Contact: 970-495-7526 to register Chronic Obstructive Pulmonary Disease This seven-session multidisciplinary education series helps with the management of COPD. When: Tuesdays 1-3 p.m., seven-session program begins Sept. 4 and Oct. 23. Christmas Party is Dec. 11 from 4 to 8 p.m. Call for information.

Where: McKee Conference and Wellness Center, 2000 Boise Ave. Cost: Free Contact: 970-635-4138 Total Joint Education Physical therapists and occupational therapists prepare patients for surgery. This program is coordinated through your physician’s office as part of the surgery scheduling process.

When: Thursdays, 3 p.m.

Where: McKee Conference and Wellness Center Cost: Free Contact: 970-635-4172to register Breast Cancer Support Group When: TBD Where: McKee Cancer Center lobby Cost: Free Contact: 970-622-1961 Caregiver Cancer Support Group When: Aug.16, 30; Sept. 6, 27 Where: Call for locations Cost: Free Contact: 970-635-4129 Caregivers Support For caregivers of elderly adults. The group focuses on providing support and education about community resources and behavior issues, particularly for people with Alzheimer’s and memory impairment.

When: Third Thursday of the month, 1:30-3:30 p.m.

Where: First Christian Church, 2000 N. Lincoln Ave., Loveland Cost: Free. Care of elderly adult family members or friends is available through Stepping Stones Adult Day Program during meeting times at no charge.

Contact: 970-669-7069

16 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Man-to-Man: Prostate Cancer Support Group Where: McKee Conference and Wellness Center When: TBD Cost: Free Contact: 970-622-1961 Soulplay Art Therapy People whose lives are touched by cancer experience the benefits of expressing themselves through art. No art experience needed.

When: TBD Where: McKee Cancer Center Conference Room Cost: Free Contact: 970-635-4129 Blood Pressure Screening Have your blood pressure checked by a wellness specialist.

When: Monday through Thursday, 8 a.m.-4:30 p.m.

Where: McKee Wellness Services,1805 E. 18th St. Suite 6, Loveland Cost: Free Contact: 970-669-9355

Blood Tests Wellness services offers low-cost blood screenings open to community members; some immunizations are also available upon request and availability. Please fast 12 hours prior to blood draw. Payment is due at time of service. Insurance billing is not available.

When: By appointment. Aug. 21, Sept. 4, 18, 7-9 a.m.

Where: McKee Wellness Services, 1805 E. 18th St. Suite 6, Loveland Cost: Varies Contact: 970-669-9355 Pints, Pistons, and Prostates McKee Spirit of Women is partnering with Co’s BMW’s Center and Grimm Brothers Brewhouse to bring the community this special event. Urologist Benjamin Girdler, MD, and radiation oncologist Elizabeth Ceilley, MD, will offer brief presentations on screenings and treatments for prostate cancer. Visit, enjoy free microbrew samples for guests 21 and older from Grimm Brothers Brewhouse and see Co’s showroom vehicles. Refreshments will be served.

When: Sept. 13, 5:30-7:30 p.m.

Where: Co’s BMW’s Center, 4150 Byrd Drive, Loveland Cost: Free Contact: 970-203-6631 to RSVP by Sept. 7. Seating is limited.

Thursday, August 16, 2012

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HL Health Briefs Banner Health medical staff services official earns national honor The National Association for Medical Staff Services recognized Janet Wilson of Greeley with the Golden Key Award for exemplary service in her field.

Wilson, the director of Credentialing Services for Banner Health’s Western Region, received the award for showing dedication by sharing knowledge, fostering education, and encouraging personal and professional growth through selfimprovement and applying advancements in the profession of medical staff credentialing.

The Golden Key award was established early in the Certification Commission’s history and has become a valued component of the certification program. As acknowledgement by peers for efforts to promote the professionalism of the program, this award is viewed as the highest honor.

Wilson has been involved in the medical staff services, quality and credentialing industry for 26 years. Her credentialing experience extends to hospitals, managed care and surgery centers.

Wilson works from Greeley and serves as adviser and consultant for the Banner Health Western Region medical staff offices in six states.

Loveland Surgical Associates to join Banner Medical Group Banner Health announces that Loveland Surgical Associates will join Banner Medical Group (BMG) effective

ItTakesaStrongPersonToCare ForSomeoneWithDementia.

And,InSomeWays,AnEvenStrongerOnetoAskForHelp.

Sept. 1.

Four board-certified surgeons comprise the Loveland Surgical Associates practice: Jerome S. Collins, M.D., F.A.C.S., Bradford R. Keeler, M.D., F.A.C.S., Thomas M. Blomquist, Ph.D., M.D., F.A.C.S., and Karin Schmidova, M.D.

New cardiologist joins CardioVascular Institute of North Colorado The CardioVascular Institute of North Colorado welcomes a new electrophysiologist to Greeley and Loveland.

Shane B. Rowan, MD, joined CVI on July 16 and sees patients in the Greeley and Loveland clinics. Dr. Rowan comes to Colorado from the Heart and Vascular Institute at the MetroHealth System in Cleveland.

He completed a clinical cardiology and electrophysiology fellowship at the Vanderbilt University Division of Cardiovascular Medicine. There he received a teaching award in 2009 and 2010.

Dr. Rowan was chief resident and completed his residency at the University of Colorado. He earned his medical degree and undergraduate degree from Vanderbilt University and is a native of Tennessee.

Dr. Rowan is board certified in internal medicine, cardiovascular medicine and cardiac electrophysiology.

With the addition of Dr. Rowan, the CardioVascular Institute now employs 15 cardiologists and three cardiothoracic surgeons.

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

Call us today for more information or to schedule a private tour.

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

Dr.Thomas J. Angela McNair, Dr. Thomas P. Kristi Housley Dr. Edwin D. Kasenberg, D.O. PA-C Risenhoover, Allen, MD PA-C M.D. .

Thursday, August 16, 2012

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 17

PAID ADVERTORIAL

Take steps to protect yourself from the flu For most healthy adults, getting the flu is an inconvenience. However, for others who are at high risk of developing serious complications like pneumonia if they get sick from the flu, it can be much more serious.

Fortunately, the most impactful prevention step can be as simple as rolling up your sleeve and getting a flu shot.

While protection is never 100%, vaccination is the main tool used to protect the population from influenza. Since the 2010-11 influenza season, routine influenza vaccination has been recommended for all people over the age of 6 months as the first and best way to protect yourself.

“While the effectiveness of the vaccine can vary season to season and can vary depending on the individual being vaccinated, flu vaccination should be a priority for every person,” says Sara Marchi, wellness specialist with Community Wellness at McKee Medical Center. It has been found the flu vaccine works the best in healthy adults and older children, but can provide significant protection against severe complications in high-risk individuals.

The Centers for Disease Control and Prevention recommends that influenza vaccination begin as soon as the vaccine becomes available to the community.

Antibodies develop and provide protection in the body approximately two weeks after injection and influenza season can begin as early as October. Each year, the influenza vaccine contains three virus strains which are selected based on predictions about which viruses are expected to be most prevalent and potentially dangerous for the influenza season.

“Some people worry they can actually contract influenza or pneumonia from a vaccine, but this does not happen,” adds Marchi. People who have received a vaccination may experience some mild discomfort, including soreness, redness or swelling where the injection was given and a slight fever or headache that lasts about a day after the injection, but these are side effects, not symptoms of the disease. Immunity from influenza sets in approximately two weeks after the injection so additional prevention methods need to be heeded during this time to prevent contracting influenza.

The flu vaccine protects only against the flu virus – not against the “stomach flu” or other influenza-like illnesses. While symptoms such as muscle aches and mild fever are similar amongst these viruses, people who exhibit signs of the flu should visit a physician to receive a proper diagnosis. Physicians can prescribe antiviral drugs which is a second line of defense to prevent the flu.

“Debunking rumors and myths about the flu shot can be a challenge and it is important to get all of the facts.

If you have questions or concerns about receiving the influenza vaccination, I suggest making a list and taking time to talk to a health care provider to become properly informed,” says Marchi. She recommends the following “Take 3” actions from the CDC to prevent the spread of

18 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Upcoming Flu Vaccination Clinics at McKee Conference and Wellness Center Sat., Sept 22, 8 a.m. - 11 a.m.

Tues., Sept 25, 4 p.m. - 7 p.m.

Mon, Oct 1, 7 a.m. - 10 a.m.

Tues, Oct 2, 4 p.m. - 7 p.m.

Wed., Oct 3, 7 a.m. - 10 a.m.

Thurs, Oct 11, 4 p.m. - 7 p.m.

Learn more at www.bannerhealth.com/mckeeflushots

influenza: • First, take time to get a flu shot.

• Second, take everyday preventive actions to stop the spread of germs. These include hand washing, not touching eyes, nose and mouth, and minimizing contact with people who are sick.

• Third, take antiviral drugs if prescribed by your physician

Thursday, August 16, 2012

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