Healthline november

November 21, 2013 201

IT’S MOVEMBER

Time to Put Your Best ‘stache Forward

+

Breakthrough Therapies in Prostate Cancer Treatment + A New Biological Clock Helps Predict Diseases

No se w co op nd en NOW. floor on .

URGENT CARE

The doctor can see you

Our name has changed, and we've moved upstairs, but the caring providers you have come to know and trust at Loveland Urgent Care are still the same.

We're here for all your minor emergencies and unexpected illnesses.

Monday through Friday, 8 a.m. - 6 p.m.

Saturday, 9 a.m. - 5 p.m.

Sunday, 9 a.m. - 3 p.m.

Urgent Care 3850 N. Grant Ave. (Located near 37th St. and U.S. 287 in north Loveland) 970.624.5150

contents

▲ THE FUTURE of Prostate Cancer Treatment is Here Now Page 4

FOOD

also inside

▲

The new BIOLOGICAL CLOCK Page 6

FITNESS

Tips to avoid Holiday weight gain ..........8

Which side of the road should you run on ...............................................14

UNCOMMON SENSE: There are many avenues for treating debilitating depression .................... 12

Decreasing irritation when you run ......15

.Thursday, November 21, 2013

HEALTH CALENDAR/BRIEFS....................16

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:

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

on the cover IT’S MOVEMBER! Time to Put Your Best Mo’ Forward.

PAGE 10 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

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MEN’S HEALTH

The Future of Prostate Cancer Treatment is Here Now:

Breakthrough Therapies Fight Cancer with Body’s Own Immune System

(BPT) - Prostate cancer is the second leading cause of death among men in the United States. In fact this year alone, an estimated 240,000 men will be diagnosed with prostate cancer and over 28,000 men are estimated to die from the disease. Recent advancements in screenings and detection for prostate cancer have resulted in more men being diagnosed at an earlier age.

These statistics solidify the need to create awareness with men and their families about the importance of early detection and innovative treatments available for this disease.

Prostate cancer survivor and advocate, Isadore Wayne of St. Louis, Missouri, was diagnosed with the disease at the age of 46 in 2002.

After undergoing a series of treatments over several years for his own prostate cancer, including a radical prostatectomy and hormone therapy, 4

recent research is vital to having an open discussion with a physician. Wendy Poage, president of the Prostate Conditions Education Council, encourages men with advanced prostate cancer to discuss their treatment options and advancements.

“Immunotherapy offers cancer patients a different approach to treatment,” says Poage. “With such favorable data on immunotherapies emerging, I’m certain the future of cancer treatment is here now.”

Awareness and education about prostate cancer are the best tools to fight against the disease. Encourage the men in your life to speak with a physician and become better educated about breakthrough treatment options like PROVENGE.

Wayne’s cancer recurred a network of support groups. and spread beyond the “Thanks to my friends, family prostate. His oncologist then and healthcare team, I’ve prescribed PROVENGE® (sip- been able to fight my prostate uleucel-T), a breakthrough cancer with the help of my treatment option designed to own body,” says Wayne. train the body’s immune cells For men like Wayne who to seek and attack prostate have been diagnosed with cancer cells. prostate cancer, awareness of FDA-approved for certain men with advanced prostate PROVENGE INDICATION AND cancer, PROVENGE is the SAFETY INFORMATION first and only immunotherapy PROVENGE is an autologous cellular immunotherapy approved in the U.S. that for the treatment of asymptomatic or minimally sympuses the body’s own immune tomatic metastatic castrate resistant (hormone refractory) system to fight prostate canprostate cancer. cer. Each dose of PROVENGE PROVENGE can cause serious reactions including is made specifically for each those resulting from the infusion of the drug, which occur patient and consists of imwithin 1 day of infusion, and strokes. Severe infusion mune cells that have been reactions can include chills, fever, fatigue, weakness, activated to seek and attack breathing problems, dizziness, headache, high blood prostate cancer cells. Isadore pressure, muscle ache, nausea, and vomiting. The most received his first infusion of common side effects reported with PROVENGE in clinical PROVENGE in September trials were chills, fatigue, fever, back pain, nausea, joint 2011 and successfully comache and headache.

These are not all the possible side pleted treatment about one effects of PROVENGE treatment.

For more information, month later. please talk with your doctor.

As a result, he now For full prescribing information, visit http://www. dedicates much of his time to provenge.com or call Dendreon on call at 1-877-336educating his local communi3736. ty about the disease through LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, November 21, 2013.

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 200 970.392.4752

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

Dr. Kevin Felix

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

Dr. Susan Agrama Dr. Eric Hess

Poudre Valley Medical Group is now Colorado Health Medical Group.

.Thursday, November 21, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

pvhs.org/clinics

5

A new biological clock measures altered DNA, not birthday candles

By Melissa Healy, Los Angeles Times (MCT)

Move over birthday candles, and step aside telomeres; there may be a new kind of biological clock in town. And this one may prove useful in predicting where age-related diseases such as cancer are most likely to strike.

The proposed new body clock measures DNA methylation — the process by which genes are altered as the body’s cells differentiate and their genetic programs change to meet new demands. Researchers pored over the DNA of some 8,000 samples from 51 different tissues and cells — including blood, brain, muscle, heart,

6

lungs, liver and pancreas — to devise a formula by which DNA methylation could be used to determine the age of the tissue from which the tested cells are drawn.

Horvath’s research, published Monday in the journal Genome Biology, makes clear that the answer to the question “how old is this person?” may change depending on which tissue is checked.

In a single individual, the “DNAm” ages of diverse tissues largely converge on one number. But certain tissues may diverge from the norm.

By comparing a specific tissue’s “DNAm” age with the person’s chronological age — or with the DNAm age suggested by the person’s

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other tissues — physicians may one day be able to identify organs or tissues that are aging at an accelerated rate. That, in turn, may allow them to identify tissues that are vulnerable to abnormal processes such as cancer, or already under attack.

The author of the new research, UCLA bioinformatician Steve Horvath, found that a woman’s breast tissue routinely tests as being older than her chronological age by two to three years. That, the authors speculated, may help explain why breast cancer is the most common cancer affecting women. Looking at the methylation of cells taken from the breasts of women with breast cancer, Horvath observed that tissue near the site of a tumor was, on average, 12 years older by DNAm standards than the rest of her body.

By contrast, musculoskeletal tissue and cardiac muscle typically look younger on DNAm readings than their owner’s actual years — owing, perhaps, to the rejuvenating effects of stem cells that remain relatively plentiful in those tissues through life, and come to the rescue whenever injury or disease set in.

The resulting “clock” also

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

may one day offer scientists a way to measure whether anti-aging measures and regenerative medicine are delivering on their promise of turning back the hands of time.

Not surprisingly, embryonic stem cells or induced pluripotent stem cells — adult cells that have been manipulated to revert to near-embryonic form — were found to have an age of near zero as measured by this technique.

An exhaustive scan of the 121 sets of data on DNA methylation collected from patients both healthy and sick also showed that we age at different rates over our lifespans.

“The clock’s ticking rate isn’t constant,” Horvath said.

“It ticks much faster when we’re born and growing from children into teenagers, then slows to a constant rate when we reach 20.”

Horvath said he aims to develop and extend his body clock technique by looking at whether measures that stop the body’s DNAm clock also stop the aging process, or whether doing so has negative effects. Meanwhile, UCLA has filed a provisional patent on Horvath’s DNAm bioticker.]

Thursday, November 21, 2013.

y

ydo I Where turn when it comes

Myfamily’s health? is that

to my health?

I’VE NEVER even heard of that Is it

DISEASE.

medication

safe?

treatable?

Should I get genetic testing to find out if I’m at high risk for cancer?

What’s the latest

technology?

y

y

WhodoI TALKTO

about this?

What are my OPTIONS

now?

Hereditary cancers are less common than you may think.

However, genetics counseling and testing can help to evaluate your risk and health.

Only 5-10% of cancer is known to be hereditary based on genetic testing that can identify a specific cancer-causing gene. Carrying an inherited genetic defect is not a guarantee that cancer will develop.

Ask the

Expert

The first step is genetic counseling, which evaluates the health history of close family-members (parents, siblings and children).

A presence of cancer younger than age 50, two or more relatives on the same side of the family with the same cancer, such as breast or ovarian cancer, or a rare cancer show an increased risk.

Genetic testing involves a blood draw and DNA analysis.

Information derived from genetic counseling and testing may help ease uncertainty and allow you to take proactive steps to protect yourself from cancer.

If you have a family history of cancer and want to know more, contact us today.

.Thursday, November 21, 2013

Kerry Williams-Wuch, M.D. Oncologist/Hematologist Banner Health Clinic specializing in Cancer and Oncology Services Appointments Greeley: (970) 350-6680 Loveland: (970) 679-8900 www.BannerHealth.com/COCancer

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

1800 15th St., Suite A, Greeley 2050 Boise Ave., Loveland

7

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FOOD

FIVE TIPS to avoid holiday weight gain (BPT) - Who doesn’t love the smell of a warm kitchen during the holidays? They’re designed around food and bringing family, old friends and new friends together.

However, holidays can also be a detriment to your healthy lifestyle and cause you to lose your focus through the end of the year.

But they don’t have to.

“Think of fall as the perfect time to reassess the state of your health and prep for the challenges of the holiday season,” says Alicia Rodriguez, corporate registered dietician at Life Time - The Health Way of Life Company. “When it comes to nutrition and avoiding weight gain, my motto is, keep it simple and easy.”

Here are some tips to help you do the same.

R ecovery in mind, body and spirit.

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

All faiths or beliefs are welcome.

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Thursday, November 21, 2013.

Bulk up your plate with protein and vegetables

Use the “fork” trick

The side dishes at most holiday meals are often as good as the turkey or ham, but stuffing and mashed potatoes aren’t the best way to fill your plate. One way to avoid-weight gain is to build your plate with protein. This should be easy since holiday dinners revolve around meat. Second, fill your plate with side dishes that include vegetables. You may have a little spot left on your plate - use this space for your “indulgence.” When you look at your plate, the goal is that the majority is still providing you with good nutrients and reduced carbohydrates.

Many of us go back for seconds, and even third helpings at holiday meals. This year, focus on asking yourself if you’re enjoying your food. To help you answer this question, use the fork trick. Once you take a bite of food, place your fork down on the plate and let it go. Chew your food, swallow and then pick it up again. The key to this trick is letting go of the fork. This will remind you to slow down, enjoy your food and converse with friends and family.

Make like a turkey and trot out the door Start your holiday with a new tradition this year and gather the family to do something active. Take a walk to a local park, put together a family friendly flag football game, rake the leaves up in the yard (and jump into them) or encourage the family to sign up for a run/ walk event such as the Life Time Turkey Day 5K or Commitment Day 2014.

Avoid the clean plate club Growing up, many of us were always told “You can’t leave the table until you finish everything on your plate” and inevitably, we spent many nights sitting alone at the dinner table. These days, Rodriguez advises her clients to eat until they are full and, if their plate is not clean, it’s OK. Focus on one plate of food, slow down and be careful not to overeat. Overfeeding is never really a healthy thing to do.

Share your dessert with a loved one After a satisfying meal, it is hard to avoid the sweet smells of pumpkin -or warm apple pie. If you choose not to skip dessert, share a small slice with a loved one or new friend. If you are hosting, designate one family member to bring dessert to limit the endless selection of pies and reduce the urge to over indulge.

Holidays are a time to be thankful for family, friends and everything in between. Savor the moment, really take time to taste your food, get out and have some fun, and avoid the-holiday weight gain.

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Locally owned and operated, Columbine Health Systems has cared for families in Northern Colorado since 1971.

We welcome your family to join ours

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.Thursday, November 21, 2013

Providing Services in Your Home to Meet Your Needs

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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

9

H L ON THE COVER IT’S MOVEMBER!

Time to Put Your Best Mo’ Forward.

Local “Mo Bros” grow mustaches to promote men’s health care

By L. L. Charles

Have you noticed that the men of Loveland are looking a bit more…uh… rustic this month? Like they all went on a sartorial bender and lost their razors? Well, the explanation for all these sprouting mustaches and beards is simple: it’s Movember! It’s fundraising, but with a sense of humor.

The annual event started ten years ago in Australia and has now grown to over one million “Mo Bros” worldwide, who forego shaving for the whole month of November to help call attention to men’s health issues such as prostate and testicular cancer and mental health. It’s an important message, considering that one in six men will be diagnosed with prostate cancer in their lifetime.

As these intrepid Mo Bros (Mo’ is Australian slang for “mustache”) cultivate their finest Fu Manchu, handlebar or walrus ‘staches, they raise

10

donations for the cause ($21 million was raised last year in the US alone) and encourage their peers to take the important steps necessary to ensure their own health.

They also endure a boatload of playful ribbing from friends and family along the way. The happy hazing is all part of the deal for members of Longmont’s Soup Strainer Society, a fun-loving team of local Mo’s who like to gather over a pint, compare “mouth brows” and make fundraising plans. “My friends and my family can be rather blunt with their disdain,” says team leader Dan Riffell. “People who don’t know me generally just stare at my lip as I talk. It’s a good distraction technique during negotiations,” he laughs. Riffell, who is rocking a General Custer style this year, says the event can be an experience in solidarity. “Something happens about two-and-a-half to three weeks into Movember every year. You start to see other

men wandering the streets with more than a dusting of hair on their upper lip.

Knowing nods and grins are exchanged. Conversations are started. Awesomeness ensues. I’m glad to be a part of it.”

Fellow Soup Strainer Kevin Tolley says that his mustache “provides for some good jokes around the Thanksgiving dinner table when the whole family gets together. But my wife is incredibly supportive and appreciates fundraising that has a sense of humor.” Tolley says that his participation has been the catalyst for some important dialogue. “Through the last few years, this has sparked conversations with friends and family that demonstrated the impact that prostate and testicular cancer have had on many people’s lives. I learned that my brother-in-law’s father and the father of a good friend of mine had both lost battles with prostate cancer. Know-

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

ing that prostate cancer has impacted these people I care about has really motivated me to stay involved.”

The impact of cancer is personal for team member Matt Gorsuch, who is taking part in his first Movember with a “wooly caterpillar thing” on his upper lip. “My own motivation comes from having had cancer myself.

I’m a private person, and it’s not something that’s easy to talk about. But that’s part of the message of the Movember movement - that guys‘ health depends on getting past that, and having those important conversations.”

Gorsuch says that he tried to ignore his own symptoms for over a year, which resulted in the need for very aggressive treatment for his cancer. His advice: “Man up and don’t ignore your health, because you can’t just ‘walk it off’ with cancer. Schedule that exam, and have that discussion with your doctor.”

The Soup Strainer So-

Thursday, November 21, 2013.

ciety is inviting community members to two fundraising events on Nov. 23 (see information below). Team member Rocky Ashby (first year, first mustache) is working with CrossFit Longmont to host Move Your Mo. “We have quite a few Mo Bros at CrossFit who are involved.

It’s a team bonding experience; we have support from our fellow Mo Bros when our girlfriends break up with us.”

Everyone is invited to Move Your Mo, Ashby says, “and you don’t have to work out, just come and give support to

Your partners in health.

the competitors!”

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

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

Got Mo’?

Now w welcoming new w ppatients.

Two events, and you’re invited!

Everyone is invited to help support Movember and

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

the Soup Strainer Society’s fundraising efforts at these two events. You don’t even have to have a mustache!

The Soup Strainer Society Blowout Saturday, Nov. 23, Noon until whenever

Victor Palomares, PA-C Dr. Kevin Felix

City Star Brewing, 321 Mountain Ave., Berthoud City Star will be donating $1 for every beer sold.

Come thirsty for some great crafted brews!

Move Your Mo’ Saturday, Nov. 23, 10:30am CrossFit Longmont, 1401 Ken Pratt Blvd., Longmont Come in for a workout, or just cheer on your favorite team!

.Thursday, November 21, 2013

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

pvhs.org/clinics LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

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UNCOMMON SENSE

Holidays aren’t fun for everyone

Dr. Beth Firestein, Licensed Psychologist

Dear Dr. Beth, I know holidays are supposed to be fun and special times but I absolutely hate holidays. I came from a family where Dad was drunk every Thanksgiving and Christmas and my mother screamed at him non-stop. Aunts and uncles also drank themselves into a stupor and stupid fights would erupt between family members. Now I have a girlfriend with a “normal” family and she wants me to be part of her family’s holidays but I really don’t want to participate at all. Even the word holiday puts a bad taste in my mouth.

What do I do?

It sounds like your growing up experience with holidays was truly a nightmare. Holidays bring out the best and worst in people. In alcoholic families or families with other serious emotional dysfunction holidays can be especially rough. Expectations are high and inhibitions are low.

People “cut loose” and the results are often disastrous.

Naturally, even the word “holiday” conjures up bad feelings and memories.

Now you are faced with a totally foreign situation—it sounds like your girlfriend has a fairly functional family that likes to celebrate the holidays and is really into them. You, on the other hand, are probably still suffering a lot of PTSD (post-traumatic stress) from your long history of traumatic family holiday experiences.

These automatic reactions do not go away overnight just because you are now presented

12

with the possibility of a better family situation.

You have a few options.

First, it is important to talk with your girlfriend (if you haven’t already) about your history and experiences with holidays.

If her experiences have been quite different from yours, she may have trouble understanding exactly how painful your experiences have been.

However, even the healthiest of families have tension during the holidays from time to time.

Uncle Derek isn’t talking to his son and his son refuses to attend Christmas if his father is going to be there. Someone feels slighted because they want to host the Christmas Eve celebration but the in-laws are getting to do it this year.

So-and-so is going to get more time with the grandchildren than someone else in the family. As trivial as these issues may seem to you, they might give your girlfriend a point of reference for how unpleasant holidays can be.

The two of you need to have a frank discussion about your feelings of not wanting to participate in her family’s holiday celebrations. You have the right not to participate in anything you don’t want to do, but the real question may be what you really want out of your relationships with your girlfriend and her family in the long-run. If you think the relationship has real promise you may wish to participate at least to a minimal degree with an eye toward building up a new, more positive set of associations with the holidays.

It’s probably not wise to spend endless hours or days being with her family. You

will need time to step back and process the complicated feelings that are likely to arise as you have new holiday experiences. Getting to know someone else’s extended family can be a challenge in and of itself. Hopefully your partner will understand what you are trying to do and be as understanding and accepting of your pace and needs as possible. It isn’t necessary for her to limit the time she chooses to spend with her family, only that she also be sensitive to the fact that your needs and your history are different from hers and patience is necessary for your experience of the holidays to change in a positive direction.

Dear Dr. Beth, My partner and I are thinking about living together sometime in the near future.

We both love our houses and our neighborhoods aren’t really all that far apart. I want to live with him but we are both very attached our houses and have ties to our neighbors and friends that neither of us wants to give up. I want us to live in my house and he wants us to live in his house. We really don’t know how to “move” forward, so to speak. We could use some advice.

In some ways this is a great problem to have. You both have living situations you like and feel happy with so the decision to move in together can be made from a place of want rather than from a place of need. Neither of you feels a strong need to escape from your living situation and it

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

sounds like finances are not the driving issue behind the decision to move in together.

Your satisfaction and independence provides a good foundation for making the decision to move in with each other.

Now to the hard part… who moves in with whom?

Conventional psychological wisdom suggests that couples do best when they can create a fresh start by moving into a home together that is new to both of them. When you move into your partner’s home and leave yours behind, it is hard to shed the feeling that the home is really his, not both of yours. Naturally, this is true no matter in which direction the move occurs.

Of course, sometimes the decision to move into one house or the other is based on practical or economic necessity. Many couples can’t afford to finance a new home and are reluctant to sell their current property. Sometimes the houses they occupy are a much better value than anything you could find for a similar price in today’s market.

So if you aren’t in a position to purchase a new home together, how can you make the decision of whole home to live in and how can you help the two of you feel that the house you share is truly both of yours?

Factors that may influence your decision include pets, the qualities and character of each of your neighborhoods, convenience to amenities (such as parks and shops), and whether one or the other of you would have a significantly longer commute as a result of a given move. One

Thursday, November 21, 2013.

house may be larger and be a better fit for two (or more) people than the other house.

Depending on the solidity of your commitment you may wish to consider selling one house, investing the proceeds in your partner’s house and having the house retitled in both of your names. However, this can be a daunting and complicated emotional and logistical challenge.

Short of this, a great deal can be accomplished by clearing out the interior of the house room by room and jointly redecorating it to reflect both of your interests, tastes and artistic inclinations. By creating a space that uniquely reflects the two of you as a couple you both symbolically and actually create a new, different and mutually created space to share. The one who is moving in may either sell or rent

their home and the two of you can negotiate what expenses will be remain separate and which will be shared in the new joint household.

Most important, I encourage the two of you to move at a pace that allows each of you to adjust to the new, evolving living situation.

While some people are ready to leap into complete togetherness and live together without a safety net, other mature adults who are very attached to the independence and security of having their own home may wish to ease into things more gradually. Try spending a week or a month primarily in the house you intend to live in and see how that feels to each of you. You can also try this in the other direction. One or both of you may be surprised at how your desires and comfort level shift when you have a chance to

move in slowly and create a space that uniquely reflects you and your relationship.

There is no right or wrong way to do this and there is no single criterion that automatically makes moving one direction or the other the

“best” thing to do. The right thing to do is what works for the two of you, both now and in the long-term picture of your relationship.

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

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

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.Thursday, November 21, 2013

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If you have back or neck pain, we can help you get back to your family time, work, or sport. Drs. Robert Benz and William Biggs have board certification and advanced (fellowship) spine training. They specialize in the care that’s right for you—helping people like you feel better and get going again.

We offer a complete spine program, whether you need conservative care or surgery. Surgery options include: • Computer guided surgery • Minimally invasive surgery

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If we can help you with a back or neck problem, call us today at (970) 493-0112. Serving the people of northern Colorado, Wyoming, and western Nebraska.

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Robert Benz, MD

William Biggs, MD

Nancy McRae, PA-C

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FITNESS

What side of the road should you run on?

By James Fell, Chicago Tribune (MCT)

For three weeks of every year, I fear for my life.

Well, it’s more accurate to say that I become highly attuned in regard to my safety while running. See, I spend some time each year in a small coastal town in south British Columbia, and the roads are hilly, windy and completely lacking in a pedestrian-friendly shoulder.

I remember elementary school. Walk facing traffic.

Ride your bike with traffic.

And yet, I often see people running that same coastal road with the traffic. Probably a quarter of the runners I see are on the wrong side.

And yes, it is the wrong side. In most, but not all cases, the proper side is the left side (one-way roadways not always withstanding). Just make sure you’re facing traffic. You’ll be doing it correctly.

You’ll be doing it safely.

This is all presupposing the lack of a suitable walking path or sidewalk.

“If you don’t run on the sidewalk, you can be ticketed,” said James Solomon, director of program development for the National Safety Council’s defensive-driving courses. “You’re supposed to use running paths and sidewalks whenever possible.”

But what about those situations where there is no path or sidewalk?

“The runner needs to be able to see possible danger coming,” Solomon said. “You want to run facing traffic.”

Solomon, who is a runner, added, “I always run facing 14

traffic. I never give anyone a And an email from Derrell free shot at me.”

Lyles at the U.S. Department Me too. On this narrow of Transportation makes it B.C. road I am hyper-vigilant, official: “Walk on sidewalks, if always ready to dive into the available; if no sidewalk, walk ditch if the person driving facing traffic.” This is the toward me doesn’t feel like recommendation of the Nasharing. It just seems like tional Highway Traffic Safety a no-brainer to me. Cars Administration. are big and made of metal; So, what are the consehumans are small and soft quences for rule breakers? and squishy. The pedestrian “You will not find federal always loses. Every time I see laws that tell you what side of people running with traffic, I the road to run on,” Solomon cringe. said. “They will either be “Runners should run state, county or local jurisdicagainst traffic, so they can tion. ... Everything I’ve seen see the traffic coming toward has said ‘facing traffic.’ I’ve then,” says Jason Karp, an never seen anything contraauthor of several books on dict that.” running including “Running a Both Solomon and Marathon for Dummies.” EvKnaack spoke of people eryone I talked to said against being ticketed for walking or traffic is the way to go. running on the road when “Run against traffic,” there was an available sideJean Knaack, executive walk, but it seems as though director for the Road Runthe enforcement for running ners Club of America, told facing traffic is practically me. “More than anything the nonexistent. Solomon refers reason is safety.” to running facing traffic as LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

“common-sense-based legislation.” This is one of those things where enforcement via a police officer writing up tickets isn’t the reason to obey the law. Fear of being turned into a road pizza is.

“It’s amazing how many people don’t run facing traffic,” Knaack told me. “It’s not a safe choice. Don’t just check your brain at the door when you leave home.”

However, one thing to consider leaving at home is your music player. When I run on roadways, I forgo the iPod, because although I can see the cars coming toward me, I want to hear the cars coming from behind for a very important reason: That car coming from behind can affect the path of the car coming toward me.

“If a motorist sees another vehicle coming at them they’re going to focus on that vehicle and avoiding hitting it, and not likely paying attention to you,” Solomon said.

He recommends a reflective vest for people running on roadways to incr ease their visibility.

It’s interesting that it’s a lawyer who doesn’t advise blind allegiance to the law.

“I preach a commonsense approach to personal safety,” William Adams, a general practice lawyer and runner in Morgantown, W.Va., told me. “All else being equal, face traffic. But sometimes it’s not equal.

Sometimes there is poor visibility on the traffic-facing side. Sometimes there is a much bigger shoulder on the side with traffic.”

Thursday, November 21, 2013.

Overcoming irritation in your running routine

(BPT) - Many men run to stay in shape or alleviate stress, but running can come with its own set of physical and mental irritations.

To show all men that they can eliminate these everyday irritations, Dove Men+Care Deodorant and John McEnroe have teamed up to help a group of real men run the 2013 ING New York City Marathon without irritation. As the team prepares for the race, New York Road Runner’s running coach, John Honerkamp, will also give pointers on what it takes to reach the finish line, while “antiirritation coach,” John McEnroe, arms them with tips derived from his own personal triumph over irritation.

Whether you are training for a marathon or just enjoy getting out on the track occasionally, incorporating a few tips from these experts can help you navigate your running routine without any interference: 1: Hydrate early. Dehydration takes a toll on your physical performance, causing nagging muscle cramps, dry mouth and fatigue. Honerkamp recommends drinking eight to 10 glasses of water every day to ensure you are comfortable and well-hydrated throughout your workout. In addition to water, your body needs electrolytes to retain fluids, so Honerkamp suggests having a sport drink close by. “If you are doing endurance activities, make sure you are properly fueling your body.”

2: Prepare-for any type of weather. While you strive towards your fitness goal, do not let the weather stand in your way. Make sure you check the hourly forecast before your daily workout and carefully plan your wardrobe to account for any fluctuating temperatures or weather patterns.

Honerkamp says, “As long as you are equipped with the proper clothing, even rainy day runs can be a lot of fun.” You should also keep in mind that your body temperature will change throughout .Thursday, November 21, 2013

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4: Make stretching routine. It is critical to take care of your muscles, before and after exercise, to avoid injuries and excessive soreInfections: Colds, Throat, Sinus, etc. ness. When properly incorporated Physicals: Complete, Well Woman, School, DOT, etc. into a fitness regimen, stretching Acute Injuries: X rays, Stitches can also prove to improve muscle Blood Pressure, Cholesterol and Other Problems activity and help your body Wellness, School and Camp Physicals recover more quickly. Honerkamp First Care First Care Family Physicians also recommends icing muscles Family Physicians 295 E 29TH, Loveland to reduce inflammation after par2160 W Drake Rd, Fort Collins ticularly vigorous workouts.

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Visit DoveMenCare.com for more anti-irritation tips from John McEnroe and to see the personal stories of the Dove Men+Care Deodorant Real Men Marathon Kasenberg, Dr.Edwin ThomasRisenhoover, P. Kristi HousleyThomas Dr. Edwin D. Team who will show all men how Kasenberg, D.O. PA-C Risenhoover, M.D. D.O. M.D. to end irritation.

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 15

First Care Family Physicians Family Practice

t

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ATNCRHWEAREPROUDTOBERECOGNIZED FOR DELIVERING QUALITY PATIENT CARE THAT IS EFFECTIVE, EFFICIENT, TIMELY AND PATIENT-CENTERED. We understand that YOU HAVE A CHOICE when it comes to your rehabilitative care.

At Northern Colorado Rehabilitation Hospital (NCRH) we value teamwork and are connected at our core by the treatment needs of our patients. We are proud to be the only freestanding acute rehabilitation hospital serving northern Colorado, providing attentive and compassionate patient care to the community in which we serve.

At our state-of-the-art 40-bed acute rehabilitation hospital, we SPECIALIZE in rehabilitative services for patients with functional deficits such as stroke, trauma, spinal cord injury, head injury and other disabling impairments. Our passionate and supportive staff helps patients recover quickly and return home safely with a renewed sense of self-sufficiency.

For more information or to schedule a tour, please call us at 970.619.3400 or visit us online at NCRH.ernesthealth.com *Uniform Data System for Medical Rehabilitation,

For the seventh consecutive year, Northern Colorado Rehabilitation Hospital (NCRH) has been ranked in the Top 10% of 789 inpatient rehabilitation facilities. *NCRH was cited for care that is effective, efficient, timely and patient-centered.

Pragram Evaluation Model, 2012

We have

heart

We are passionate patient caregivers.

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Thursday, November 21, 2013.

HL

HEALTH CALENDAR & BRIEFS

LOVELAND TURKEY TROT 5K RUN/WALK

CAREGIVER CANCER SUPPORT GROUP

BREAST CANCER SUPPORT GROUP

common form of cancer in

When: 8:30 a.m., Nov. 28 Where: McKee Medical Center, 2000 Boise Ave., Loveland Call: (970) 203-2519.

Where: Call for locations and dates.

Cost: FREE Call: (970) 635-4129

When: Nov. 8, 5:30 - 7 p.m.

Where: McKee Cancer Center lobby Cost: FREE Call: (970) 622-1961

all about the three major

When: 1 - 3 p.m., Nov. 26, Nutrition Dec. 3, Personal Power and Advance Directives Dec. 10, Wrap up Where: McKee Conference and Wellness Center, 2000 Boise. Ave., Loveland Cost: Free Call: (970) 635-4015

BREASTFEEDING SUPPORT GROUP When: 10 - 11 a.m., Mondays, Wednesdays and Fridays (except holidays) Where: McKee Conference and Wellness Center, 2000 Boise Ave. Cost: FREE Call: (970) 669-9355

YOGA SUPPORT GROUP FOR ANYONE TOUCHED

BY CANCER Join us for gentle yoga and holistic therapy education.

When: 1st and 3rd Thursday of every month 5:30 - 6:30 p.m.

Where: McKee Medical Center Cancer Center Lobby Cost: FREE Call: (970) 635-4054 to register

.Thursday, November 21, 2013

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: 3rd 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.

Call: (970) 669-7069

GENERAL CANCER SUPPORT When: Tuesdays (except holidays), 5:30-7 p.m.

Where: McKee Cancer Center lobby Cost: FREE Call: (970) 635-4129

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

types of skin cancer, how to prevent it and what to look for. You’ll even learn about prevention techniques.

Where: Banner Health

CAREGIVERS SUPPORT CHRONIC OBSTRUCTIVE PULMONARY DISEASE

the United States? Learn

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 Call: (970) 635-4172 to register

WISE WOMEN DISCUSSION GROUP A supportive environment for exploring the rewards and challenges of aging.

Facilitated by Dr. Beth Firestein.

When: November 21, December 4 and 19, 11:15 a.m.

Where: Perkins Restaurant in Loveland Cost: FREE Info: visit bethfirestein.com, email firewom@webaccess. net or call (970) 635-9116.

Center, 1230 SW 14th Street, Loveland When: Tuesday, Nov. 19 5:30-7 p.m. (RSVP by November 15) Cost: FREE For more information or to RSVP, please call 970-2036631 or go to www.BannerHealth.com/McKeeSpirit

SPIRIT OF WOMENCHANGE AND RESILIENCE When something changes or goes wrong, do you tend to bounce back or fall apart?

Resilience means being able to adapt to life’s changes, misfortunes and setbacks. It can help you not only survive challenges, but may also help you learn and grow and even thrive. Join your Spirit of Women hospital, McKee Medical Center, and Pathways Hospice for this special event.

Change and Resilience Where: Pathways Hospice,

SPIRIT OF WOMENSEEING SPOTS Join your Spirit of Women Hospital, McKee Medical Center, for Seeing Spots, a special free seminar about skin cancer. Did you know skin cancer is the most

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

305 Carpenter Rd., Loveland When: Dec. 3, 5:30 – 7:30 p.m. (RSVP by Nov. 26) Cost: FREE For more information or to RSVP, please call 970-2036631 or go to www.BannerHealth.com/McKeeSpirit

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PAID ADVERTORIAL

Ask the Expert: Watching for Signs of Alzheimers Question: I don’t get to see my parents as often as I would like and I worry about them and their health. Is there anything I should watch out for when I am visiting them this holiday?

Srinivas Bandi, M.D., Board Certified Neurologist

Each year during the holiday season, I see an increase in requests for information about memory and thinking problems. Those calls are welcome because family should be on the lookout for warning signs that could indicate issues with memory and thinking. Recognizing early warning signs help families seek help to receive a proper diagnosis and treatment.

Some signs to look for are: Inability to recognize familiar faces, names. Family members gathered during the holidays may hear an aging parent or grandparent tell the same stories over and over or hear the same questions being asked repeatedly.

Parents sitting on the sidelines. What some perceive as withdrawal during the holidays may actually be a family member having difficulty keeping pace with the conversation.

Uncharacteristic anger and irritability. The hustle and bustle of the holiday season can cause those with memory and

thinking problems to become angry or irritated.

An adult child may notice changes in their parent and then speak to the well parent who indicates a pattern and recent history of similar issues.

If you are concerned, getting early treatment and support is critical.

Adult children can help a well parent seek a diagnosis, find online resources about Alzheimer’s disease and dementia – resources include the Alzheimer’s Association or Banner Alzheimer’s Institute websites.

Srinivas Bandi, M.D., board certified neurologist specializes in treating nerve and muscle disorders, Parkinson’s disease, stroke, seizures, headaches, multiple sclerosis, and dementia. Dr. Bandi is available for patients at Banner Health Clinic specializing in Neurology located on Ginnala Drive in Loveland. His office can be reached at (970)669-6660.

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Join the fight to end Alzheimer’s.

Join the Registry.

Alzheimer’s Prevention Registry is an online community of people created to help overcome one of the biggest obstacles - the engagement and recruitment of people to participate in prevention research.

Those who join will get the latest research news, can advocate for a greater national focus on the disease or take part in Alzheimer’s prevention studies now or in the future. The Registry was created by researchers from Banner Alzheimer’s Institute, who lead the Alzheimer’s Prevention Initiative (API).

Anyone 18 or older, no matter where they live, can join the Registry. Learn more about the Alzheimer’s Prevention Initiative and join the registry at endalznow.org.

Thursday, November 21, 2013.

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

Get it checked!

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

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

Our physicians are board certified in the specialty of Gastroenterology.

Services:

• Local Office Consultation • In Office Remicade Infusion for all Indications • Colon Cancer Screening • Endoscopy Fort Collins (970) 207-9773

Greeley (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

3702 Timberline Rd.

7251 W. 20th St.

Loveland (970) 669-5432

2555 E. 13th St.

Cheyenne (877) 713-7392

Thomas A. Dowgin, MD

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

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

4108 Laramie St.

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

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As someone with cancer, how do I know if participating in a clinical trial is right for me?

What’s the latest

about this?

What are my OPTIONS

now?

Clinical trials are an important part of cancer research. Participation in clinical trials benefits patients, physicians and researchers and brings the latest research findings to the community.

Ask the

Expert

Clinical trials are research studies conducted with actual patients to test new drug treatments or new approaches for diagnosing, controlling or preventing cancers.

Trials are usually based on your cancer type and are conducted in phases, with the first phase focused on patient safety.

Before you decide to participate in a clinical study, your doctor will discuss the potential benefits and risks.

McKee Medical Center is an affiliate of the Colorado Cancer Research Program, sponsored by the National Cancer Institute and offers clinical trials close to home.

Speak with your physician about possible participation in clinical trials at McKee Medical Center.

Samuel Shelanski, M.D. Oncologist Banner Health Clinic specializing in Cancer and Oncology Services 2050 Boise Ave., Loveland Appointments: (970) 679-8900 www.BannerHealth.com/COCancer