Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 3
departments
features
Nutrition Weight loss tricks that work Five ways to eat healthy The Healthy Plate
Page 5 Page 22 Page 28
Women’s Health Breast cancer survivor uses kickboxing for strength
Page 12
Senior Health Nurturing relationships with grandchildren
For advertising information, contact:
Page 26
Fitness Exercises to get defined abs Page 32
Health Line of Northern Colorado is a monthly publication produced by the Loveland Daily ReporterHerald. The information provided in this publication is intended for personal, noncommercial, informational and entertainment purposes only and does not constitute a recommendation or endorsement with respect to any company, product, procedure or activity. You should seek the advice of a professional regarding your particular situation.
Got Abs? Here’s how to get them. Hint: it’s not by doing sit-ups
Linda Story, advertising director: 970-635-3614
Page 32
also inside Seven facts about the human heart ........ pg. 4 Jess No Less: by Jessica Benes .............. pg. 6 Crandoodles by Steve Crandall ............. pg. 10 Uncommon Sense with Dr. Firestein ..... pg. 17 Sleep food .............................................. pg. 23 Ask Dr. H ................................................ pg. 24 Signs and symptoms of frostbite ........... pg 25 Loveland health briefs ........................... pg. 29 Loveland health calendar ...................... pg. 34
Health in a Handbasket: Time to kick box Page 8
Keep Your Tips Up: Tips for older beginners hitting the slopes
For editorial information, contact: Jade Cody, special sections editor: 970-635-3656 jcody@reporter-herald.com Jennifer Lehman, special sections reporter: 970-635-3684 jlehman@reporter-herald.com
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13 committed: workout couples
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
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facts about the human heart
Metro Creative Services
T
he heart is one of the essential components of human life. It was once also believed to be the center from where love and other emotions emanated. Many feel a heart can break and that it can know no bounds of love. Dr. Seuss' "The Grinch" was said to be nasty because his heart was "two sizes too small." Although there is mystery surrounding matters of the heart, there is much known about the physical makeup of the human heart. Here are seven facts about the human heart. 1. Heart attacks and heart disease may be viewed as an illness that primarily affects men. However, this couldn't be further from the truth. In fact, women have more cases of heart-related illnesses than men, and heart disease kills 500,000 American women, which is 50,000 more women than men. 2. A bigger heart isn't necessarily a sign that a person is more inclined toward love. An enlarged heart is actually a medical condition, which can lead to heart failure. 3. A hearty laugh is good for the heart. This laugh attack can actually cause the lining of blood vessels to relax, enabling more blood to flow through for at least 45 minutes afterward. 4. Romantic endeavors in the bedroom can be as good for the heart as a brisk 15-minute walk. Intimate acts can burn up to 200 calories and be the cardiovascular exercise a person needs. 5. A glass of wine can be good for the heart because of the antioxidant properties contained in grapes. Alcohol can also thin the blood, enabling better flow. Just be sure to stick to one or two drinks per day. Over-indulgence won't make the heart healthier. 6. The heart is a fist-sized muscle that can beat an average of 100,000 times every day. In under a minute the heart can deliver oxygen-rich blood to every cell in the body. 7. A woman's heart beats faster than a man's. In some cases doctors are able to predict the gender of a fetus by the baby's heart rate.
Intimate acts can burn up to 200 calories and be the cardiovascular exercise a person needs.
Women have more cases of heart-related illnesses than men, and heart disease kills
500,000 American women, which is
50,000 more women than men.
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 5
weight loss tricks that
work By Emily G. W. Chau McClatchy-Tribune
slice your food Cutting your food into smaller portions slows down your food intake, and it also visually tricks you to think that you’re eating more.
try acupressure on your ear To help curb cravings, take your thumb and forefinger and squeeze the flap of skin that juts out by your ear canal (not your earlobe).
ress d d
make your own salad dressing Bottled dressings can be a nutritional nightmare. Mix together a quick dressing that’s 2 parts lemon juice to 1 part oil and spritz on your salad for extra portion control.
weigh yourself
daily People who log weekly and daily weigh-ins lose about 12 to 18 pounds more than those who check less frequently.
brush after dinner Peppermint has been reported to suppress appetite, and cleaning your chompers with strong-tasting toothpaste may help distract your taste buds from craving another flavor.
o w n
People who wear jeans to work take 491 more steps a day than those in business wear.
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
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Jess No Less
Jessica Benes is a newsroom assistant and writer for the Loveland Reporter-Herald. This column is meant to encourage people struggling with healthy-eating and weight loss by offering advice from experts, and sharing her own progress. Contact her at jbenes@reporter-herald.com.
lost in
motivation Tips to get motivated and stay that way
daughter, and I would get money. They didn’t go for it. I often have a weight loss idea, diet I’m trying out, or a competition I start and then lose all motivation for. I’ve tried a little of everything; low carb, lots of vegetables, gym goals, counting calories, lean meals, diet pills once and the usual New Year’s Resolution. I know how discouraging it is to fail in slow and quick gethealthy schemes. How does one do it right? How should we exercise and how often? What should we be eating to maximize healthy eating and weight
Jessica Benes Jess No Less
I
n early fall 2010 I asked my parents, “Will you give me $500 as a Christmas gift if I lose 30 pounds by December?” It seemed like a great plan to me. If I didn’t lose it, they wouldn’t have to give me a gift for the holidays. If I lost it; everyone would win. My parents would get a great looking
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jess no less
loss? Should we focus on calorie-counting or low carbohydrates? Why, when we feel we’re doing everything right, do we not lose weight? I’m going to focus on some of these topics and more this year by asking the advice of professionals and experts. Getting motivated is the hardest part. Susan Bock, office manager at Anytime Fitness in Loveland, has lost 215 pounds in three years. She shared some tips to help create and maintain motivation. • Stop making excuses. Just eliminate them completely. • Don’t make money an object. Many gym fees equal less than $2 a day. How often do you spend that much and have nothing to show for it? • Find the right gym for you. Bock chose a 24-hour fitness gym so that even the time of day couldn’t be an excuse. There are too many distractions if you try to work out at home. • Get a personal trainer to learn how to exercise right. • Don’t get caught up in the numbers. Bock was 438 pounds and the scale didn’t even go that
high. She said it was a blessing in disguise. • Have an accountability partner. Don’t do it alone. • Make small size goals as well as the ultimate goal. Bock had a 4X shirt that she hung where she could see it until she could wear it. Now her goal is a medium-size shirt. She finds clothes at discount stores, and donates them back after they’re too big. • If you have a craving, wait a couple hours and see if it goes away. If you continue to crave, drive to the store and get one of that item. Drinking 2-3 liters of water a day helps a person feel more satisfied, Bock said. • Be patient. Losing weight does not happen overnight. On “The Biggest Loser,” people lose massive amounts of weight in a short time but don’t know how to keep it off. Take it slow and patiently and you’re more likely to process it and make it a habit. Starting with this advice, I plan to embark on a real weight loss journey and follow the advice I receive each month. Onehundred sixty-five pounds and counting.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 7
Kim Witt, a breast cancer survivor, has trained at Tran’s Martial Arts for the past year. Kim’s daughter, Megan, 16, attends each session with her mother. Neither of them plans to stop until they reach black belt. Story/photos by Jade Cody “In the beginning, I only thought of Megan getting her black belt,” Kim said. “I didn't think it was a realistic goal goal for me. But then we did our first belt promotion (white belt to yellow belt), something inside me changed. I really believed that I could achieve my black belt and now that is my goal.” The benefits of the class have been equally realized by Megan. “Most people think it’s just martial arts,” Megan said. “But it’s becoming a way of life for me,” Megan said. In November 2008, Kim found out she had breast cancer. She had three lumps immediately removed, two in her breasts and one in her lymph node. She began chemotherapy in January 2009, followed by 33 sessions of radiation therapy from May through July. After finishing the radiation treatments, going through two more surgeries and being cleared by her physicians, she began kick boxing in February 2010 as a way to rebuild her strength and muscles. “In the beginning, I didn’t think I could do this,” she said. “But once I did that belt promotion, I got hooked. “It takes about two years to earn a black belt,” she said. “And that is my complete goal — to get to black belt.” Kim said Tran’s has become their second family, and that the staff help encourage and motivate the students. “You never hear a bad word from anyone inside Tran’s. It's all about respect. What I love about Tran’s is that they only ask you to do your best, they never compare you to someone else. Your workout is only as good as you make it. “With kickboxing, I have gained so much strength, endurance and even muscles,” Kim said. “I have noticed the change it has brought out in my daughter, she has gained so much confidence in herself.” For more information about classes at Tran’s Martial Arts, contact Master Instructor/owner Trang Tran-Wolf at 970-635-9222.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
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Health in a Handbasket
JADE CODY SPECIAL SECTIONS EDITOR
I
was a feared warrior for a good portion of my childhood — particularly years five through eight. I fought in several major imaginary battles, including the great German Shephard/4-H pig conflict of 1984, in which I earned several honors including a roast beef sandwich from my mom when I came in from playing. So yeah, I’m pretty much a weathered warrior. When Kim Witt, a breast cancer survivor and student at Tran’s Martial Arts, challenged me to a class of kick boxing, I jump kicked at the opportunity. We decided on a class taught by Master Instructor/Owner Trang Tran-Wolf. Terry Leahy, an instructor at Tran’s, gave me individual attention, which I believe is mostly a result of him seeing me throw a single, sad and awkward
punch combination. Immediately, Master Tran had us doing jab/hook/kick combinations that made me think of the old Nintendo Mortal Kombat games I played as a youngster. After practicing our form and beating the tar out of the air, we partnered up and began furiously fighting the punching bags. Master Tran called out combinations, e.g. “Five” was jab, cross, hook, upper cut, roundhouse kick. The pace was fast, and soon I had my very own puddle of sweat, which I promptly named Carl and proudly pointed out to Leahy. One of the cool things about the class was that it focused on fitness as much as it did martial arts. Repeatedly throwing punches, elbows, knees and kicks fatigued us all, and there wasn’t much resting time at any point during the class. We also did pushups and this strenuous leg-lift-kicking exercise, similar to a dog/fire hydrant scene, that I still felt the next day. The culture in the class was centered on respect. Bow before entering the mat, bow to the instructor, identify students as Mr. and Ms. The instructors were high-fiving the students, giving encouragement throughout, and it was our job as the students to have the eye of the tiger and cause serious pretend destruction ... an idea that I found to be pretty much awesome. Now that the class is over, I have had an awakening of sorts. I now know that there are several more people in the world who could beat me up in front of my girlfriend, which, while sad, needs to be acknowledged.
Health in a Handbasket is a monthly feature in which I try a health-related adventure and write about it. If you have an idea for a new adventure, write to me at jcody@reporter-herald.com.
Health in a Handbasket
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 9
To understand the game, you’ve got to know the score.
To understand your heart, you’ve got to know more. Get a CT Heart Score. Every year heart attacks kill more than half a million people in the U.S. About half of those are sudden, without prior symptoms. So how do you know if you’re at risk? Get a CT Heart Score and Wellness Consult to determine if you’re at risk for developing heart disease. The test measures calcified plaque in the coronary arteries and the consult provides a picture of your heart health. Find out if you are among the 85% of people whose sudden heart attacks could be prevented by taking early action. Get your heart score at the place where experts work best.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 11
Snow is falling
and the slopes are calling... Even if you have never ever been skiing or snowboarding before, but know, in your heart, as a cessible. Coloradans Houston said the adult ski you must go, at least once. Jennifer Lehman Special Sections Reporter
E
ven if the hills aren’t exactly calling to you, there is still an understanding that those stony snow-covered beasts have something to offer, and maybe you’ve always been a little curious. Skiing can be a lifetime activity, said Dan Houston, Director of the Loveland Ski and Ride School at Loveland Ski Area. People that ski tend to continue late into life, he said and it is a good activity to do with family and friends. Here are some things to know about hitting the snow and how to (finally) try skiing/snowboarding:
OLYMPIAN STATUS NOT REQUIRED Participating in a consistent level of activity in everyday life, even regular walks that get the heart rate going, will put the body at a sufficient level of fitness to enjoy skiing recreationally, Houston said. Beyond that, it is ideal for new skiers to be acclimated to the Rockies altitude.
apprehension the number one thing we deal with in adult nevlessons at Loveland Ski Area see er ever lessons,” Houston said. If nerves are a big issue, cona range of students, from Colorado natives to people who just sider doing private lessons, to get one-on-one attention with moved to the state, from the instructor. teenagers to 60-year-olds looking to ski with their kids and AVOID THE CROWDS grandkids. Take a day off and go on a Students should communicate weekday to test your mountain their goals and challenges with legs. The hills and classes will their instructor, setting up a have fewer people, Houston learning partnership, Houston said, so the instructor can design said, and weekend ski traffic can be avoided. lessons based on that information.
TEST IT LIKE A TIKE
CHILL OUT
“People tend to view (skiing or snowboarding) as a risk sport,” Houston said, but “the level of risk is dependant on the LEARN FROM A PERSON risk taker. It’s not all extreme WHO KNOWS Skiing and snowboarding are jumping and rail grinding and the images you see on televisports anyone can break into, sion. because most ski areas offer adult lessons, from never-ever “To be nervous about doing classes to more technical instruc- something new is natural,” tion and in Colorado the myriad Houston said. “That is probably ski areas makes lessons very ac- the number one, that fear and
Ski lessons for younger kids start inside at the gear shop where they try on equipment and familiarize their bodies with the sensation of walking in ski boots on metal planks, Houston said. Getting a feel for the equipment, getting it on and off and knowing what to expect, before hitting the slopes for the first time, is one of the most beneficial things for beginning adult skiers, Houston said.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 13
couples find common ground in fitness Jade Cody Special Sections Editor
I
n light of February, the month of love and heart health, I wanted to shed some light on a few Loveland couples who are committed to each other and healthy lifestyles. As I quickly discovered, romance and fitness seemed to be a perfect match. The correlation between fitness and romance has been reported in scientifically, as well. Yale University researchers showed in a study that when one spouse exercises, quits smoking or stops drinking alcohol, the other is likely to do
so as well. As an added bonus, multiple studies have indicated that couples who work out report more satisfying sexual lives. Couples tend to trend the other way, too. A study conducted by school of public health at the University of North Carolina (Chapel Hill) showed that married couples pack on more weight than the average single person does. The bottom line is that couples who exercise together strengthen both their muscles and their romantic connection. “Your endorphin and pheromone levels are at their highest after a session at the gym,” said Gold’s Gym Fitness Institute member Belisa Vranich, who is also a clinical psychologist. “They automatically make you like the person you’re with even more, regardless of whether you’re a happy new couple or on the brink of a breakup,” she said.
stretch together “Stretching together is a great way to improve communication between two people, Vranich said. Here are two of her recommended stretches. Quad stretch: While working out together, lie facedown on a mat with your partner kneeling next to you. Bend your leg as he grabs under the knee and gradually pushes up until you feel a stretch in the front of your thigh and hip. Repeat on opposite side. Chest stretch: Stand with your arms in a T, with palms facing forward and shoulders relaxed. Your partner grabs your arms from behind at the elbows and gently pulls back as you exhale and feel a stretch in your shoulders and chest.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
RH photos by Jade Cody
dominic
& laurie A
s young empty nesters, Dominic and Laurie East took advantage of their newfound freedom and sought out healthier lifestyles. “It’s a whole new lifestyle — we’ve had to adapt,” Dominic said. That adaptation now includes a new, healthy diet and going to the gym together four-to-five days a week. The motivation came two days after Thanksgiving, when one of Laurie’s friends posted a photo of the Easts on Facebook. “One of our friends posted a picture of us, and I realized we were pretty heavy,” Laurie said. That was a year-and-a-half ago. Since that day, Laurie has lost 40 pounds and Dominic lost 65. “The gym is a place we both
enjoy spending time together, Dominic said. And going together keeps each of them accountable, Laurie said. “When you’re dieting together and working out together, it’s just so much easier on the household,” Dominic said, comparing it to a situation in which just one person in the couple was aiming at health. The couple relies on fitness professionals at Gold’s Gym and advice on dietary matters from Max Muscle, to get the most out of their exercise plans. Laurie said the healthier lifestyle has brought the couple closer, as well as helping them with communication and feeling better about themselves.
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 15 RH photos by Jade Cody
jeff
&tara F
lipping tires? Check. Pull-ups followed by burpees? Check. Active lifestyle and romantic spark after 21 years of marriage? You bet. While sweating it out at CrossFit Loveland, Jeff and Tara Tooley have upped the fitness ante and given their relationship a boost as well. “I think this might be one of the best things I’ve ever done for my marriage,” Tara said about joining CrossFit a year-and-a-half ago. The couple has always been active together, whether it be through biking, skiing, running or hiking. In the last couple years, however, they’ve gotten in better shape with CrossFit, and as a result, say they can now do whatever they want athletically. Now running a 5K or embarking on a 21-day rafting trip to the Grand Canyon is not only feasible, it’s fun, and brings the couple together.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
dave
& jordan W
hile they aren’t in total agreement on when the relationship started (Dave swears Jordan loved him since March of last year, Jordan claims the middle of April), one thing the young couple does agree on is fitness. Dave Wagner and Jordan Branch work out five-to-six times per week at Golds Gym in Loveland, and even plan to enter a body building/fitness competition later this year. “We do the majority of our workouts together,” Dave said, including strength and cardio-type exercising. “It’s more motivating when both or us are doing it,” he said. When separate, Jordan said she enjoys classes such as spinning. Dave steps aside for the classes, he said, particularly the dance-type classes. “I don’t shake my butt unless it’s Saturday night,” he said. In preparation for the bodybuilding/fitness competition, Dave and Jordan are also cooking and dieting together, which they say has been fun for both of them.
RH photos by Jade Cody
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 17
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Uncommon Sense
solved. From your girlfriend’s perspective, there is a woman in your immediate environment that you interact with everyday and she has shown a clear inear Doctor Beth: A terest in you that is more than couple months ago a co-worker sociability or friendwoman at work asked liness. In her mind, it is relevant me on a date, and I told her I information, even if nothing wasn’t interested. came of it. She probably wants The woman has to know because the attraction, since respected my if taken further, has the potendecision and hasn’t tial to threaten your relationpursued me any ship. Her reaction probably refurther. I didn’t tell veals a degree of insecurity and my girlfriend of even if you have done nothing two years at first, wrong, it is important to take until it came up the other day. She her feelings into account in some way. got mad and said Neither of you is wrong. But we need to be Dr. Beth Firestein how do you proceed in the fucompletely honest For the Reporter-Herald ture? It makes sense to move with each other, sharing things even forward in a way that honors ear Dr. Beth: Lately, I both of your feelings and prefif it will bother the haven’t been able to erences. If you are willing, it other partner. I feel spend as much time could be helpful to agree to that some things New love is wonderful, with my girlfriend as I want to. share incidents like this with don’t have to be When I think of her — which but don’t let it blind you to her in the future. On the other said. I didn’t want is all the time — my mind other areas of your life. hand, you could let her know to worry my girlwanders to intimacy. I’m worthat you would prefer not to be friend over someried that she might start to informed (or that you don’t thing that would think that I only want her for her body, but my feeling is that sired and thoughtfully initiated, never happen in the first place. care either way) if she should If a guy hits on my girlfriend at encounter this type of situation making love to her and pleasadds a rich dimension of ex— unless it poses a real threat her work, I’m not sure I even ing her is the best way I have pression to your relationship. to the relationship. It’s OK if want to know about it. So to express how deeply I love However, if this is the only way you ask for different things. who’s right? her. I would love to know your you have of expressing your opinion. Thanks! — A Devoted feelings to her, she will no However, if honesty and diDr. Beth Firestein: You are Reader. both right. This is one of those rect reassurance are not doubt pick up on that and reenough for your girlfriend in areas where there is no clear spond accordingly. Dr. Beth Firestein: It situations like these, there is a sounds like you have a great In addition, while it is natural “right” and “wrong.” It sounds deeper issue of trust that needs like you were not deliberately passion for your girlfriend and to think almost continuously attention in your relationship. that you miss her quite a bit about our partner when we are dishonest with your girlfriend. In order to deal effectively with when you can’t spend time to- in love, sometimes that degree You didn’t intentionally withgether. Physical intimacy, of focus can become an obses- hold information from her; you that larger issue, you will have to talk it through with each othwhether affectionate or sexual, sion that displaces other impor- just thought it was truly unimer on your own. If you get portant, especially since there is a natural part of our love re- tant things we should be paystuck in those conversations, was no further issue beyond lationships. Of course, physical ing attention to in our lives or you always have the option of the initial invitation. You hanintimacy is only one of many within ourselves. New love is seeking help to work through forms of intimacy. We can exwonderful, but don’t let it blind dled it with integrity and the situation was completely rethese trust issues. perience the intimacy of deep you to the other areas of your friendship, intellectual synergy, life that are calling out for your emotional closeness and the attention. A lover with a sense overall intimacy of a shared of perspective and a balance of daily life. attentiveness to his or her own life and that of their intimate One key to answering your partner is a more desirable question is whether you also Dr. Beth Firestein is a licensed psychologist. enjoy and share other forms of partner than one whose focus She has 24 years of therapy experience and is entirely and continuously diintimacy with your girlfriend. has practiced in Loveland for over 14 years. rected toward their partner and Do you spend time together outside of the bedroom talking, the relationship. She may be reached by calling her office at Enjoy the pleasure of your cooking meals, going for walks 970-635-9116, via e-mail at thoughts and feelings and do and participating in activities firewom@webaccess.net, or by visiting your best to translate them into that enrich your lives? Sexual www.bethfirestein.com. many different expressions of intimacy, when mutually de-
lustful
intimacy, including making love. In this way, you are more likely to create a loving relationship that spans the test of time.
thinking D
Relationship needs several dimensions of intimate expression
D
In Love?
Don’t forget yourself.
Uncommon Sense with Beth Firestein
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
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IMPLANTS From Page 19
WHO IS A CANDIDATE FOR DENTAL IMPLANT TREATMENT? Nearly everyone who is missing one or more teeth and in general good health is a candidate for dental implant treatment. There are a few medical conditions that can undermine the success of implant treatment, such as uncontrolled diabetes and severe osteoporosis. However, there are very few conditions that would keep someone from having implant treatment altogether. Quality and quantity of available bone for implant placement is more often a factor in qualifying for dental implants than medical conditions. However, even people who have lost a significant amount of bone can qualify for dental implant treatment with additional procedures to add bone or create new bone. Advances in this type of treatment have made it possible for thousands of patients who would not previously have been considered candidates to have successful implant treatment. Today 3-D x-rays and 3-D computer planning with CAD/CAM creation of surgical guides has revolutionized dental implant treatment and made it possible to utilize existing bone structure even if it is severely diminished. Dr. Reynolds was the first surgeon in Northern Colorado to have this technology and his practice is on the leading edge of technology in this area.
3-D software has made it possible to utilize existing bone structure even if it is severely diminished.
Frequently Asked Questions About Dental Implants plants may be placed and immediately “loaded” with replacement teeth. In Dental implants are replacement any case, you will always have the optooth roots used to replace natural tooth roots in areas of the mouth where tion of some type of temporary replaceteeth are missing. Crowns or bridges or ment teeth, so that you never have to be without teeth during treatment. over-dentures are then connected to Abutment Attachment Procedure. the implants to replace missing dentiSometimes immediately and sometimes tion. at a later stage. Following the appropriate healing period, a small connector, WHAT IS INVOLVED WITH or extension, called an abutment, is atDENTAL IMPLANT PROCEDURES? tached to each implant. Sometimes this The first step is an examination and is a temporary part used to help shape consultation to determine whether or the gingival (gum) tissue and somenot you are a candidate for implant treatment and to delineate some possi- times this is the “final” abutment. The permanent replacement teeth will evenble treatment plans. This usually involves x-rays and may include taking im- tually be attached to the abutments. Fabrication of Replacement Teeth. A pressions for models of your teeth. series of appointments with your denSometimes computer planning may octist will be needed to take impressions cur after your visit. of your teeth and the implant abutDuring the examination, Dr. ments, to place temporary replacement Reynolds will be evaluating the area(s) of your mouth where teeth are missing, teeth, to select the appropriate shade including the amount of bone available for your replacement teeth, and to try them for proper fit. In between these to support the placement of implants. He will also be evaluating the type of re- appointments, the laboratory technician will fabricate your replacement placement teeth that will best meet your needs. A review of your health his- teeth and the underlying structures tory will indicate whether there are any that will be attached to the implants. medical conditions that could prevent you from being a candidate for implant HOW LONG DOES IT TAKE TO COMPLETE TREATMENT? treatment. Dental implants preserve bone beImplant Placement Procedure. The cause they function like tooth roots, implants are placed in the bone using firmly embedded in the bone. In order various surgical techniques. Following for the implants to become embedded the implant placement procedure, the implants may be left undisturbed for a in the bone, the bone must bond to the period of 3-6 months so that the bone implants. This process takes anywhere can bond with the implants, or the im- from 3 to 9 months, depending upon
WHAT ARE DENTAL IMPLANTS?
PAID ADVERTISEMENT the quality of the bone into which the implants are placed. In selected cases, dental implants can be immediately loaded after placement. There are other treatment options that do not include dental implants that do not take as long to complete; however, none of these traditional methods of tooth replacement preserve bone. And, in fact, dentures and partials actually accelerate the bone resorption process.
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 21 essential to the long term success of implant treatment.
HOW LONG DO IMPLANTS LAST?
Documented clinical research demonstrates that implant-supported replacement teeth have been successful for over 35 years. These were some of the first root-form implant cases ever completed and they have been closely monitored from the beginning. It is highly likely that these cases will be successful throughout IS THE SURGICAL PROCEDURE the lifetime of those patients. PAINFUL? Dental implants are designed to be permanent; however many factors contribute Most implant patients report that the discomfort is far less than they expected, to the long term success of implant treatand is much like having a tooth extracted. ment, such as home care and regular maintenance visits to the dentist or denAnd although everyone is different with tal specialist. regard to pain tolerance, most patients By comparison, research demonstrates are very comfortable simply taking that the typical tooth-supported bridge Ibuprofen afterward. lasts from 7-10 years and that partials and WHAT IS INVOLVED WITH TAKING dentures are functional for approximately CARE OF DENTAL IMPLANTS? 5 years. Insurance statistics indicate that bridges, partials and dentures last 5 years The home care recommended varies and they generally pay for replacements depending upon the type of implant-supported replacement teeth. For example, a every 5 years. single implant-supported crown is cleaned like a natural tooth, with regular brushing DO DENTAL IMPLANTS EVER FAIL? Dental implant treatment is one of the and flossing. Implant-supported bridges most successful procedures in the medithat replace a few teeth are cleaned like cal/dental field, with documented success tooth-supported bridges, brushing and rates over 95%. Although successful treatflossing with a floss threader. ment is very predictable, there are rare Home care is a little different for people who are missing all of their teeth. Spe- occasions where the bone does not completely bond to the implants. When this cial brushes and floss are often recomoccurs, new implants are placed. mended. With overdentures, it is necessary to clean the implant attachments, as IS DENTAL IMPLANT TREATMENT well as the overdenture. Permanently COVERED BY DENTAL INSURANCE? fixed implant supported replacement teeth are cleaned like all other bridges. Insurance coverage of implant treatIn all cases, it is recommended that pa- ment depends on the individual policy. More plans are covering dental implants tients see their regular dentist and hygienist at least twice each year. These vis- each year because insurance companies its, combined with proper home care, are are realizing the cost savings of long last-
ing implants. The insurance companies use statistical data to determine the most common procedures submitted on claims, then set their own “usual and customary fee” schedule for these procedures. They then determine the specific restrictions and limitations for each plan. Because the plans are only intended to cover the basics, there is an annual maximum allowable benefit of $1,000-$1,500 on most plans. Some companies exclude dental implants as a covered benefit, many of them will pay the same benefit they would cover for the lowest cost alternative treatment option (partials and dentures) and some of the diagnostic records, if a specific request is made for “alternative benefits.” Even if an individual policy includes implants as a covered benefit, the amount of coverage is still limited to the annual maximum allowable.
WHAT IS THE COST OF IMPLANT TREATMENT? A little more than the cost of a bridge. An investment in dental implant treatment is an investment in overall health, appearance and well being, as it involves preserving the integrity of facial structures, as well as replacing missing teeth. The actual cost of implant treatment is based on a number of factors, such as the number of missing teeth being replaced, the type of implant-supported teeth (treatment option) recommended and whether additional procedures are necessary to achieve the proper esthetic and functional result. The only way to accurately estimate the cost for an individual patient is to have an examination and consultation with a dentist or dental specialist. If a dentist and dental specialist work together on a patient’s treatment, there is a separate fee for each of the doctors.
DOES MEDICAL INSURANCE COVER IMPLANT TREATMENT? There are a few cases where medical insurance is available for implants, such as loss of teeth du to trauma or cancer. This type of coverage depends solely on the individual policy. Work-related injuries and other types of accidents are the other cases that are sometimes covered by insurance. Other than these situations, medical coverage is very rare. Medicare does not cover implant treatment.
For more information on dental implants visit www.reynoldsoralfacial.com or call to set up a consultation, 970-663-6878
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
5
easy ways to eat
Leslie Barker Garcia McClatchy-Tribune
H
ere are a few ways to keep your New Year’s resolutions. Since it’s well known that eating healthfully is a major part of getting in shape, registered dietitian Bernadette Latson provided the following tips. She’s director of the coordinated program in dietetics at University of Texas-Southwestern Medical Center.
1. WRITE IT DOWN You can find sites online or apps on your smart phone to help you keep track of every bite you eat.
2. MAKE SPECIFIC GOALS Instead of saying, “No more margaritas,” you might say, “I’ll only have them one night a week,” she said. Or decide to stop eating after 8 p.m.
3. BE AWARE OF PORTION SIZES Fill a 9-inch plate with half vegetables, one-quarter starch and one-quarter protein. Also, unless you’re an athlete or have extremely good willpower, eat three meals a day. The “five-small-meals” theory can be hazardous, she said.
4. EAT BREAKFAST Studies have shown eating breakfast helps keep calorie consumption down the rest of the day. Make it a good mix of protein, carbs and fat, she said. Try peanut butter on a bagel, or cereal with milk, nuts and fruit.
5. AIM HIGH Aim for a 10 percent loss of your body weight if you’re significantly overweight. “It makes a huge difference,” Latson said. It can, for example, significantly reduce your risk for cardiovascular diseases and diabetes. “We live in an environment that’s difficult to navigate being lean in. Every occasion is an eating occasion ... losing weight is about breaking habits, and that’s really tough.”
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 23
sleep food
For holistic family medicine,
weâ&#x20AC;&#x2122;re here for you Dr. Pamela Levine is now taking patients. Dr. Levine offers holistic medicine for the entire family. Special interests include:
acupuncture
Certain foods help you sleep Alison Johnson McClatchy-Tribune
C
affeine is known to keep people awake at night, as are big meals and fatty, sugary or spicy foods. On the flip side, â&#x20AC;&#x153;there is some information that certain foods help with sleep,â&#x20AC;? said Kathe Henke, Laboratory Director for the Sleep Disorders Center of Virginia in Henrico, Va. â&#x20AC;˘ Think tryptophan. The brain uses this amino acid to make serotonin and melatonin, substances that promote sleep. Foods high in tryptophan are dairy products, seafood, meat, poultry, whole grains, beans, lentils, peanuts, eggs and sesame seeds. â&#x20AC;˘ Combine protein with carbohydrates. Complex carbohydrates allow more tryptophan to enter the brain, while protein-rich foods alone may interfere with sleep because they contain another amino acid that perks up the brain. Some smart combinations: peanut butter or grilled chicken on whole-wheat bread or hummus on whole-grain pita slices. â&#x20AC;˘ Add calcium. Calcium helps the brain use tryptophan to create melatonin. Have a bowl of low-sugar cereal with milk, a carton of Greek yogurt or some low-fat cheese on wholegrain crackers â&#x20AC;&#x201D; or that old standby, a glass of warm milk. â&#x20AC;˘ And add magnesium. This mineral plays a role in serotonin production and may also help muscles throughout your body relax. Good sources include almonds, bananas, beans, spinach, soybeans and whole-grain brown rice. â&#x20AC;˘ Keep it light and healthy. Big evening meals, especially those high in fat, keep the digestive system churning longer. Sugary junk foods cause blood sugar to spike and then fall rapidly, which can trigger the release of stress hormones. â&#x20AC;˘ Grab some cherries. Tart cherries naturally boost melatonin levels. Eat them fresh, dried or in cherry juice.
To make an appointment, call 970.392.4752.
! 2500 Rocky Mountain Avenue Loveland, CO 80538
970.203.7180 pvhs.org/clinics
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
Coworker won’t quit smoking after cancer Dr. Mitchell Hec McClatchy-Tribune
for the ongoing runny nose and congestion are nasal steroid sprays like Flonase or Nasonex to reduce tissue swelling and Atrovent nasal spray to dry up the runny nose. Afrin and NeoSynephrine are tempting overthe-counter treatments, but avoid them; they’ll work briefly but cause a rebound swelling of the nose that’ll make matters even worse.
Q
uestion: Can you explain why someone with lung cancer would continue to smoke? That’s the case with someone who works at my office, and it mystifies me. Answer: It speaks volumes about the incredible physical and psychological addiction of tobacco products. Frankly, I’m mystified how the FDA will remove prescription drugs from the market because of their harm to the general public, and yet the federal government looks the other way when it comes to permitting its citizens to use the far more dangerous product tobacco. The U.S. Surgeon General issues clear warnings and advisements on a pack of cigarettes rather than moving toward its removal as a major public health hazard. That speaks vol-
Q
uestion: I’ve always wondered why I get an urge to urinate when I’m cold after being outdoors for a while during the winter. Do you have an explanation for this? — H.M., Wilkes-Barre, Pa. Answer: It’s all very normal. Your body is shutting down the production of the hormone “anti-diuretic hormone” (ADH). umes about the influence of Big ning from allergies. The normal role of ADH is to Tobacco on government policy. help your body maintain the It’s running to escape from a correct water concentration in Would your office co-worker particular irritant. For you, it’s the blood. ADH acts completely have ever smoked if tobacco cold, dry air; for others, it may opposite to the effect of a diwere unavailable and deemed be perfume, cigarette/cigar uretic water pill like Lasix. an illegal substance? The addic- smoke or other noxious odor. Prolonged cold exposure tion to tobacco not only causes The condition is common, and serves as a stimulus for your pain of emphysema, heart disit’s called “vasomotor rhinitis”. ease, asthma and a myriad of Nasal tissues swell, often weep- body to do certain things to cancers, but smoking with can- ing varying amounts of tin, wa- keep from freezing to death: cer is doubly hurtful according tery nasal discharge in response shivering and chattering of teeth to generate body heat; shunting to a research study published in to some sort of irritant. It’s not the January 2011 issue of the an allergic reaction, and that can of warm blood from the arms journal “Pain.” Researchers at be confirmed by the absence of and legs to vital areas like the brain, heart, lungs and abdomiTexas A&M University analyzed allergy white blood cells nal organs; and urinating off ex224 patients diagnosed with var- (eosinophils) in a nasal swab. cess blood water volume to creious forms of cancer. They That means that allergy pills ate a smaller volume of blood to looked at pain severity, pain-re- won’t prevent or control vasolated distress and interference motor rhinitis, except to the ex- heat up. The increased urination on a scale. Current smokers hurt tent that they tend to dry up se- you notice is all part of an attempt to maintain normal body more than folks who had never cretions. temperature. As soon as you smoked; among ex-smokers Vasomotor rhinitis seems to warm up, everything reverts to there was an inverse relationbe due to an imbalance benormal and thirst will remind ship between pain and the tween the nerves that trigger the you to replace any lost fluid. number of years since quitting. mucous glands in the nose seWhile we’re talking about the Quitting smoking appears to crete fluid and make the blood cold outdoors, did you also nolessen pain over time. The exact vessels of the nose swell and tice that your nose is running? mechanism by which smoking constrict. If there’s any particular You’re not getting a cold; it’s the makes cancer pain worse is unvalue to this reaction, it might common condition called “vasoclear, but is under investigation. be to alert one of something un- motor rhinitis.” Nasal tissues desirable and noxious, with a uestion: Can you tell swell, often weeping varying me why cold air makes swollen, weeping nasal lining amounts of thin, watery nasal created to block and wash away discharge in response to some my nose run? I don’t an irritant. think it’s from a cold, sort of irritant — like cold air. because it happens within minThere’s no cure for it, except Dr. Mitchell Hecht is a physiutes of me being out in the cold for avoiding exposure to the cian specializing in internal air. — C.J., Philadelphia particular nasal irritant. Cover medicine. Send questions to him Answer: Your nose isn’t run- your face with a scarf when out- at: “Ask Dr. H,” P.O. Box ning from a cold. Nor is it rundoors. The leading treatments 767787, Atlanta, GA 30076.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 25
frostbite: recognize the stages Chuck Myers McClatchy-Tribune
SECOND STAGE: SUPERFICIAL FROSTBITE
T
he symptoms of frostbite may appear subtle at first: A slightly painful, prickly or itching sensation; skin color that turns red, white, pale or grayish-yellow skin; numbness; and clumsiness due to joint and muscle stiffness. The signs of frostbite should not go ignored. Winter campers and backcountry hikers run a particular risk of developing frostbite, if they do not take the proper protective measures. Frostbite typically affects smaller, exposed areas of the body, such as fingers and head areas. Because of numbness, a person may not realize he or she has frostbite until pointed out by another person. Frostbite does not occur at once, but in several stages.
FIRST STAGE: FROSTNIP A mild form of frostbite in which skin turns red and feels very cold. Continued exposure leads to prickling and numbness in the affected area.
ThinkStock photo
Reddened skin turns white or very pale. The skin may remain soft, but some ice crystals may form in the tissue. Skin may begin to feel deceptively warm — a sign of serious skin involvement. If treated at this stage, skin surface may appear mottled, blue or purple as it’s warmed or thawed. A fluid-filled blister may appear 24 to 36 hours after rewarming the skin.
THIRD STAGE: SEVERE FROSTBITE As frostbite progresses, it affects all layers of the skin, including underlying tissues. A deceptive numbness can cause a loss of sensation of cold or pain. Joints or muscles may no longer work. Large blisters form 24 to 48 hours after rewarming. After, the affected area turns black and hard as the tissue dies. When frostbite symptoms appear, such as skin color change or a loss of sensation in the affected area, a person should seek medical attention immediately. — Source: Mayo Clinic
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
Grandparent Grandkid to
Nurturing a unique bond
JENNIFER LEHMAN SPECIAL SECTIONS REPORTER
F
or Mary Lou Messenger of Loveland, having grandchildren was a return to childhood. “I felt like I became a kid again with them,” she said. “I love kids, and they just make you smile and they just bring out life inside you.” Barbara Moore, of Loveland, has six grandchildren and two great-grandchildren, and said her time as a grandparent has been exciting. “It’s fun having grandkids, it’s fun having great grandkids,” she said. Being a fun grandparent was important to Messenger because her own grandparents, while good and kind and loving, were
rather serious, a mark of their generation, Messenger said. The generational difference between a grandparent and grandchild brings a unique character and flavor to the relationship that isn’t available in the same way with parents, said Beth Firestein, a licensed psychologist in Loveland. Messenger found she was also more patient, understanding and less worrisome with her grandchildren than her own kids, something she attributes to life experience gained in those 20-plus years. Things that mattered before didn’t matter anymore, she said. “If I had the opportunity to go back with my two children I’d say, forget the house, forget the cleaning and I’d spend more time playing with them,” Mes-
Photo courtesy Mary Lou and Ron Messenger
Mary Lou Messenger of Loveland, left, with three of her five grandchildren.
senger said. Moore said most grandparents try and relax and not make the same mistakes they made with their kids and enjoy every minute. And the role of the grandparent is a special one. “There’s the old saying, you can send them home. You can spoil them and then send them home, and that’s true,” Moore said. For a grandchild, grandparents on both sides of the family can provide a far-reaching perspective on family history and experience, Firestein said, like stories of parents in their youth, being silly and getting into trouble. These narratives are of immense interest to grandchildren, and grandparents can be a source for that, she said. Time is key to building relationships between grandparents Photo courtesy Barbara Moore and grandchildren, Firestein said. Barbara and Lew Moore, of Loveland, with their six “Time is precious, it’s always grandchildren in 2009. The Moores also have two greatprecious, but these days when
grandchildren.
children and grandchildren are pulled in so many different direction with school and friends and activities, it can be even more challenging to find time for grandparents to spend with grandchildren than in the past.” Moore and Messenger said it is important to spend time with the grandkids, do fun things together, participate in their activities, meet their friends, ask them questions and listen. “We have a grandson that played hockey and football and baseball and a granddaughter in gymnastics and we tried to go to everything we could. We still do. They’re away now, so we have to drive to go watch them but we still try and do that,” Moore said. Messenger’s eldest granddaughter, Danielle, now 22, who grew up in the area, was her shopping buddy from a young age and the two maintain a strong connection, she said. When their grandchildren were younger, both Moore and
....
Messenger sometimes babysat and spend time with them on the weekends. Messenger’s younger grandchildren, Kristen, 9, and Jake, 12, from Minnesota, were able to spend three weeks with her last summer, something she can do now that she’s retired. If a grandparent’s living situation allows for it, Firestein said extended stays for a week or more can be special for grandchildren and grandparents. “I’ve heard many of my clients reminisce very fondly about staying with their grandparents for an extended time rather than a few hour visit.” If one set of grandparents is geographically close and the other far, this affects how much exposure or opportunity you have with the grandkids that are far away. The relationships can kind of become unbalanced or uneven in that way, Firestein said. Both Messenger and Moore have grandchildren that grew up out of their community, for Moore as far as Japan. They said their kids and in-laws made an effort to instill respect for their kids grandparents and to maintain a connection. Grandchildren can actively nurture the relationship with a grandparent , Firestein said, by finding out more about them through their parents and asking questions, hearing their stories and asking grandparents to teach them something they know. “I think grandparents often think the focus should be on the children and may not realize that children want to know about them,” Firestein said. As grandchildren get older relationships with grandparents change as a result of more school commitments, personalities being shaped and leaving home for college. “Just as with parents, it’s easier to be involved in your kids or grandkids lives when they are younger and depen-
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 27 dant on you, and if you live in the same community, a part of the their regular lives,” Firestein said. “We’re there and they know we’re there for them if they need us,” Moore said of her grandchildren. “But we aren’t in their everyday lives anymore.” As her grandchildren have gotten older Moore said she and her husband still enjoy every minute of time with them, especially when the grandkids make the effort to see them when home visiting from college or their jobs. Messenger has noticed a role reversal with her two older grandchildren, as they now express concern for her wellbeing and safety as she used to for them, carrying them, spending time and watching them grow. “I don't take offense to it. I take it as respect and love that I earned by spending time with them,” she said. Like every familial relationship there can be complications like geography or personality differences or the desire of either party to be more involved in the family, or independent from it. “I think its important for both grandparents and grandchildren to recognize that it’s natural for there to be an ebb and a flow in the closeness of the relationship,” Firestein said. There may be seasons of a person’s life where family is really in the background and seasons of a person’s life, where family is extremely in the forefront and those seasons don’t always line up between different people and generations, Firestein said. The key is to love with open hand, letting people go when they need to go in a different direction and keeping your hands open for them when they return, and that can apply to either grandparents or grandchildren, she said.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
HL
The Healthy Plate
lean & flavorful Sauce tastes rich, but doesnâ&#x20AC;&#x2122;t cost you Jim Romanoff The Associated Press
S
tart with the right cut of beef. The tenderloin that filet mignon is cut from is on the leaner side, with about 7 grams of fat per 4-ounce portion. Thatâ&#x20AC;&#x2122;s not a bad start, especially since a bit of fat will add lots of flavor. When preparing rich sauces, most recipes call for starting with a generous dollop of butter. This recipe does away with that, instead starting with tangy pomegranate juice and dry red wine. But the real secret here is using some veal demiglace to add flavor, body and texture. A good meat stock (which is the key ingredient in demi-glace) is made by roasting the bones, then simmering them for a long time with aromatic vegetables. At some point the solids are stained out and the liquid is reduced until it has intense flavor and the gelatin from the bones has given it a smooth, almost viscous texture.
FILET MIGNON WITH POMEGRANATE-BURGUNDY SAUCE If you can't find veal demi-glace, it's easy to substitute for. Increase the red wine to 1 cup and add, along with the pomegranate juice, as directed. Immediately add 2 cups of beef stock, then bring to a simmer and cook until reduced to 1/3 cup. Add 1/2 teaspoon cornstarch blended with 2 tablespoons of water, then cook until thickened. Proceed with the recipe. Start to finish: 25 minutes Servings: 2 Ingredients: 2 beef filet mignon (4 ounces each) 1 /4 teaspoon kosher salt Ground black pepper, to taste 3 teaspoons extra-virgin olive oil, divided 1 medium shallot, minced 1 /3 cup dry red wine 1 /2 cup veal demi-glace 1 /3 cup pomegranate juice 2 tablespoons chopped fresh chives 2 tablespoons pomegranate seeds (optional)
Directions: Heat the oven to 200 de-
grees. Season the steaks with salt and pepper. Heat a 10-inch cast-iron or other heavy skillet over medium for 2 minutes. Add 2 teaspoons of the oil and swirl to coat the bottom of the pan. Increase heat to medium-high. Add the steaks and cook, 3 to 4 minutes per side for medium-rare. Transfer the filets to an ovenproof dish and place in the heated oven (the steaks will cook a bit more in the oven). Return the skillet to medium heat and add the remaining 1 teaspoon oil and the shallot. Saute until shallot has softened, about 1 minute. Add the wine and cook for 1 minute. Add the demi-glace and pomegranate juice, then increase the heat to high to bring the sauce to a boil. Cook, stirring occasionally, until the sauce has reduced by half and thickened. Spoon the sauce over the filets and serve, garnished with chives and pomegranate seeds, if desired.
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 29
HL
Health Line Briefs
PLANNED PARENTHOOD STARTS TAKE ONE, GIVE ONE CAMPAIGN In recognition of National Condom Week, February 14-19, Planned Parenthood of the Rocky Mountains will give away condoms in exchange for a minimal donation at its health centers in Colorado; proceeds will then be donated to a Planned Parenthood International (PPI) project to buy condoms in for populations who are at greater risk Latin America.
ANNUAL MCKEE COMMUNITY HEALTH AWARD TO BE PRESENTED AT MCKEE THANKS EVENT Formerly known as the Thank You Loveland Luncheon, McKee Thanks will recognize and thank the Loveland community for its support of McKee Medical Center with a lunch event. McKee Thanks will take place Thursday, March 10 at 11:30 a.m. at the McKee Conference and Wellness Center. Tickets are $15 and available by calling 970-593-6038 or by emailing cheri.lohnes@bannerhealth.com.
MCKEE MEDICAL CENTER ACCEPTS APPLICATIONS FOR SCHOLARSHIPS Adult learner scholarships for careers in
healthcare are available from McKee Medical Center. All adult learners who reside in the Loveland and Berthoud area are eligible to apply. To qualify, individuals must have a high school diploma or equivalent and plan to enter an approved healthcare field of study at an accredited institution. Additionally, individuals must demonstrate scholastic ability and financial need. Information and application forms are available in the administration office at McKee Medical Center. Forms must be completed and returned to the administration office by Friday, March 25. Scholarship winners will be announced in May. For more information, please contact Carol Salter at 970-635-4000.
ANCC said in a January 21 press announcement that Luzinski will join its staff in April. The Magnet program recognizes healthcare organizations throughout the world that provide nursing Craig Luzinski excellence. Luzinski has held many nursing leadership roles during his 21 years with PVH. He will remain with PVH until March. The hospital will conduct a national search to fill the chief nursing officer position.
CRAIG LUZINSKI TO LEAVE POUDRE VALLEY HOSPITAL
PVH RECEIVES AWARD
The American Nurses Credentialing Center has announced that Craig Luzinski, chief nursing officer for Poudre Valley Hospital, has been named director of its Magnet Recognition Program. Headquartered in Silver Spring, Md., the
The American Nurses Association announced January 27 that the Medical Center of the Rockies and Poudre Valley Hospital were among five U.S. hospitals receiving a national award for achieving and sustaining outstanding nursing quality that improves patient care and safety.
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If you’ve been injured or just slowed by the wear and tear of time, you want to get back to the people you love or the things you enjoy 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 get going again. We’ve helped tens of thousands of people of all ages get back to their family fun, sport, work, or leisure pastime. If we can help you get going again, call us today at (970) 663-3975. Serving the people of northern Colorado, Wyoming and western Nebraska since 1969.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
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Carefully consider your energy drink consumption Elizabeth Long McKee Medical Center
A
s Americans, we live busy, fast-paced and often energy-draining lifestyles. It is no wonder why many Americans choose to guzzle down energy boosting drinks each day. Many of these drinks claim to increase concentration, boost performance, provide extra nutrition and maximize alertness. While easy energy can certainly be enticing, it is important to consume these energy drinks with caution. Many of these drinks use caffeine as their primary source of energy. Caffeine mildly stimulates the brain and body while increasing heart rate and blood pressure. The caffeine content of energy drinks generally range from 70-160 mg per serving. Most health professionals agree that 200-300 mg of caffeine per day is safe for adults; however, some individuals experience dependence on as little as 100 mg per day. In addition, caffeine intake can lead to calcium loss, disturbed sleep patterns, upset stomach, increased anxiety, and nervousness. Along with caffeine, many energy boosting drinks contain caffeine derivatives; such as the amino acid taurine and a variety of B vitamins. Some studies suggest that taurine may improve mental performance, but these studies remain controversial. Moderation, less than 3,000 mg a day, is key with taurine intake since little is known about the effects of long-term or excessive use. B vitamins are important to overall body health but the use of these nutrients as an energy boosting compound is limited. It is also important to remember that many energy drinks contain added sugar and thus unwanted calories. While the added sugar is not harmful when consumed occasionally, the extra calories it provides can lead to weight gain and other health problems over time. Energy drinks, even those that contain vitamins and minerals, are not meant to replace good nutrition. For anyone looking for an additional boost of energy, there is no substitute for a healthy lifestyle. Be sure to eat a balanced diet, fit physical activity into your daily routine, and get a good night’s rest. If you live a healthy lifestyle but continue to lack energy, talk to your doctor. This could be a sign of other important health issues, such as hypothyroidism, anemia, or sleep apnea. Elizabeth Long works in outpatient nutrition services with Banner Health at McKee Medical Center in Loveland. She is a registered dietitian, diabetes educator and certified in adult weight management.
count the
caffeine Coffee: 8 oz cup .......................... 100 mg Espresso: 1.5 oz cup ....................... 70 mg Tea: 8 oz. brewed............................ 25 mg Coca-cola: 12 oz. can .................. 34.5 mg Mountain Dew: 12 oz. can............. 55 mg Red Bull: 8 oz. can........................ 100 mg Monster: 16 oz. can...................... 160 mg
— Source: BannerHealth.com
Cooking classes at McKee Medical Center Classes are designed to inspire and educate community members about healthy cooking, trends in the kitchen and fun ideas to enliven meals for you and your family. Classes will be taught by a registered dietitian in a teaching kitchen at the McKee Education Office, 1825 E. 18th St. Your fee includes handouts, recipes and tasty samples. Cost is $15. Call 669-9355 to register. Upcoming Classes: • Tuesday, March 15, 5-6:15 p.m. Great Grains • Tuesday, May 17, 5-6:15 p.m. More New Ways to Cook Fish • Wednesday, June 15, 4-5:15 p.m. Kids Can Cook • Tuesday, July 12, 5-6:15 p.m. Farm Fresh Fare • Tuesday, Aug. 9, 5-6:15 p.m. Dinner with 5 Ingredients or Less • Tuesday, Sept. 13, 5-6:15 p.m. Fruits and Veggies – More Matters • Wednesday, Oct. 12, 5-6:15 p.m. Delectable Desserts the Healthy Way • Wednesday, Nov. 16, 5-6:15 p.m. Dining with Diabetes
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 31
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Is stress affecting your life? P. Paige Mott, D.C. Discover Life Chiropractic
depression. Are any of these affecting you or someone you love? Stress triggers the “fight or flight response.” This is a systemic reaction affecting n our modern world, stress is unavoidevery organ, tissue and cell in the body. Unable. Long-term (chronic) stress can be der stress, the hypothalamus, a part of the disastrous to your health, relationships and, your finances, as you receive a diagno- brain and nerve system, stimulates this response. The nerve system is the interface sis to treat a “disease” caused by stress, vs. between you and your environment. Adaptreating the root cause tation to stress is under control of your nerof the problem. Stress is vous system. If your nerve system has the underlying root stress, your adaptability to stress is comprocause in all chronic dismised. This inability to adapt leads to lowease processes. ered quality of life and chronic disease proThe human body is cesses mentioned above. The stress is not designed to adapt to going away, so the only factor we have stress for short periods, control over, is your body’s ability to adapt as it is part of our surto it. vival mechanism. WithP. Paige Mott, D.C. Stress is experienced from three basic out this response, it sources: physical, chemical and emotional. would be fatal. Science concludes chronic • Physical: accidents or slips/falls, surgstress is linked to many health conditions eries (even from years ago), computer use, including: problems with blood pressure, cholesterol, blood sugar, tryglycerides, low- sitting or standing long hours, lifting/twisting, sitting/sleeping incorrectly, backpacks, ered immune function, infertility, digestive problems, asthma, headaches, thyroid prob- birth trauma (c-section, forceps or prolonged labor). lems, hormone imbalances, insomnia, in• Chemical: Pollutants from processed ability to lose weight, neck and back foods, water, air, medications, nutrient defipain/tension, low energy, and moodiness/
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FIRST-CARE 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
ciency and many other sources. • Emotional: relationships, time pressures, performance standards, loss of loved ones, financial stress, over-stimulation from electronics and the information age. I work with patients individually to find the root cause of THEIR disharmony, instead of treating the symptoms. Even patients who had given up hope have found a new life. I do this through chiropractic adjustments which relieve pressure from the nervous system, nutrition, detoxification and lifestyle education. I work with individuals to improve bloodwork and lose weight naturally, families, including infants/ children, athletes, even horses and dogs … they suffer from stress too! More efficiency in the nerve system equals better adaptation to stress, better performance and most importantly, better health. If you are sick and tired of being sick and tired, or if you are looking to improve your health or performance in any way, mention this article for a complimentary consultation on how you can reduce the effects of stress on your life and health. I look forward to seeing your light shine! For more information, contact P. Paige Mott, D.C. at 970-622-0075.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011
six pack Want six-pack abs? Follow the advice of these three trainers Jeannine Stein Los Angeles Times
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ix-pack abs — everyone wants them, but only some know the best ways to get them. Contrary to popular belief, it’s not just about staying loyal to the standard crunches. The secret to the six-pack is more complex and incorporates a healthful diet to reduce fat, cardio to get lean and let those abs show, and functional exercises that consistently engage the core muscles, which also involve the back. Those key abdominal muscle groups include the rectus abdominis (the ones along the front that comprise the six-pack); the internal and external obliques that flank the rectus abdominis and help the trunk rotate; and the deep muscle layer called the transversus abdominis that lends stability to the pelvis. Three personal trainers offer their core ab thoughts.
Jon Baraglia National director of personal training development for Bally Total Fitness
T
he truth about abs is that you have a layer of fat between the skin and the muscle, and it doesn’t matter how many crunches you do: If you don’t cut down that layer of fat, you’ll never see your abs. You have to do exercises that are high in caloric expenditures — compound joint movements like squats, lunges, lower body exercises that recruit a lot of muscle fibers because they’re incorporating more than one muscle group. The overall result is that you burn more calories. There is no such thing as spot reduction. You’re not going to lose fat in your midsection if all you’re doing is crunches. Crunches burn very few calories compared with other things you can do. People who aren’t overweight (but still have that layer of fat) can bump up the intensity of their workouts. Also, a lot of people like to shy away from resistance training and focus on cardio, but resistance training increases lean muscle mass, and you burn more calories to maintain that lean muscle mass, so your body’s daily caloric expenditure increases. One great exercise is a simple bicycle crunch — alternate bringing your elbow to the opposite knee. That rotation is good for your abs and obliques. Another good one is the captain’s chair (an exercise using equipment that looks like a chair with no seat; the body is supported by the arms as the legs come up to the chest). Your lower body is unstable, so when you bring your You’re not going to lose fat in knees up to your chest, you have to call on all the your midsection if all you’re muscles in the core. In the advanced version, the doing is legs come straight up (at a 90-degree angle).
There is no such thing as
spot reduction. crunches.
— Jon Baraglia, Bally Total Fitness
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 33
Jana King
Anthony Slater
Personal trainer and abdominals group fitness instructor
Performance specialist
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racticing good posture throughout the day is really going to give you a flat stomach. I tell my clients that no matter what they’re doing in the gym, they should suck in their stomach, imagining that they’re bringing their belly button to their spine. If they’re on the mat or on a machine, like the knee extension machine, they should bring their lower back to the mat or make sure it’s in contact with the seat. Even when I’m driving I’ll sit up straight and pull my stomach in. It can be more effective than five minutes of abs, because you’re constantly activating those muscles. I also like to do some isolation exercises — isometric holds, like planks, to develop the deep-tissue muscles such as the transverse abdominis and the internal and external obliques. That helps support your posture and develops the muscles that keep the stomach flat. Developing back muscles is important too. If you only work on your abs, then your lower back won’t be strong enough to help you sit up straight. If you don’t work them out, you’ll start to bring your body forward, rather than maintain that good posture. To do a back extension, lie down on your stomach and raise your hands and feet so that your stomach is the only thing touching the ground.
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e train with the concept of pillar strength — that encompasses the six-pack and a little beyond. It’s the foundation for movement and includes the hips, torso and shoulders. We’re creating this pillar that allows you to train more, to withstand more volume and intensity, so that you’ll lose weight and change your body composition. One exercise is a side bridge that adds a variation with a cable row. You’re (on your side) with your elbow under your shoulder, forming a bridge from the side of your foot, which is on the ground, to your elbow. The legs are stacked and the posture is long. You have a cable in your top hand, and you row the weight to your side, like a dumbbell row, pulling with your
shoulder blade. As you pull, it creates a torque against your body, which should stay strong. This promotes stability in the hip and the shoulder blade and the torso, which includes the rectus abdominis and obliques. You have to think about maintaining that pillar posture — the focus is on the quality of the movement. But in order to maintain that quality, the abs have to be contributing, stabilizing the body. The exercise can be (made easier) by coming down to your knees instead of resting on your feet. Or, instead of having the legs stacked, add a little stability by having one leg forward and the other back. To add difficulty, lift the top leg.
You have to think about maintaining that pillar posture — the focus is on the quality of the movement. — Anthony Slater, performance specialist
Isometric holds, like planks (right), help support your posture and develops the muscles that keep the stomach flat. —Jana King, Personal trainer and abdominals group fitness instructor
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado February 17, 2011 HL-322117
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HL
Health Line Calendar
BREATHE EASIER PULMONARY SUPPORT GROUP
of Northern Colorado Proudly providing premier women’s health care for 40 years
Now performing the Essure procedure in our Fort Collins and Loveland offices • Essure - an innovative, permanent birth control choice that is proven and cost effective for women whose families are complete • Essure - is an alternative to tubal ligation or vasectomy, requiring no general anesthesia, incisions, burning or hormones • Essure - an in-office procedure, it is convenient and provides minimal disruption to your life; recovery is measured in hours not days • Essure – is the most effective form of permanent birth control, it is permanent and not reversible Call today for information and consultation 970-493-7442
Board Certified Physicians, ON-SITE Midwives, Nurse Practitioners, SERVICES Physician Assistants INCLUDE: TWO CONVENIENT Obstetrics LOCATIONS: Gynecology Bioidentical Hormone 1107 S. Lemay Ave, Suite 300 Replacement Fort Collins, CO 80524 Bone Density Scanning 2500 Rocky Mountain Ave. Digital Mammography North Medical Bldg. Essure Birth Control Suite 150 Genetic Counseling Loveland, CO 80538 Healthcare Seminars 970.493.7442 High Risk Obstetrics 888.441.6983 Midwifery Care Prenatal Classes Caring for All Ultrasonography Women Always Weight Management www.fcwc.com
• Contact: 970-635-4172 • Location: McKee Conference Topic this month is eye health. & Wellness Center Guest speaker: Jennifer Cecil YOGA SUPPORT GROUP When: April 8, 10-11 a.m. For people touched by canWhere: McKee Conference cer. 30 minutes of gentle yoga and Wellness Center and breathing and 30 minutes of Contact: 970-635-4053 holistic therapy education. • When: 5:30 -6:30 p.m., 1st BREAST-FEEDING SUPPORT and 3rd Thursday of the month GROUP • Contact: 970-635-4054 • When: 10-11 a.m., Mondays, • Where: McKee Conference Wednesdays and Fridays and Wellness Center • Cost: Free
BRIGHT BEGINNINGS FOR INFANTS
GENERAL CANCER SUPPORT GROUP
Bring your baby and learn how nurturing interactions, a healthy/safe environment and playing games together supports brain development and emotional health. • When: 11:15 a.m.-12:15 p.m. Feb. 21 • Where: Family Birth Center Conference Room, MMC • Cost: Free. Pre-registration is required. • Contact: 495-7528 to register for class or schedule home visit.
• When: 5:30-7 p.m. Tuesdays. • Where: McKee Cancer Center • Contact: 970-635-4129
BLOOD PRESSURE SCREEN Have your blood pressure checked by a wellness specialist. • When: Monday through Thursday, 8 a.m.-4:30 p.m. and Friday 8 a.m.-noon. • Cost: Free • Contact: 970-635-4056 • Where: McKee Wellness Services, 1805 E. 18th St. Suite 6
COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) This seven-session series helps with the management of COPD. Anyone who has COPD, emphysema or bronchitis may attend along with family/significant others. • When: Tuesdays 1-3 p.m. Next session begins Feb. 22 • Cost: No charge • Contact: 970-635-4138 • Location: McKee Conference and Wellness Center
CAREGIVER’S SUPPORT Group for caregivers of cancer patients. • Contact: For times and locations call 970-635-4129.
BREAST CANCER SUPPORT GROUP • When: Second Thursday of each month from 5:30-7 p.m. • Where: McKee Cancer Center • 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: Wednesdays, 9:4511:45 a.m. • Where: McKee Cancer Center • Contact: 970-635-4129
MAN TO MAN PROSTATE CANCER SUPPORT GROUP • When: 5:30-7 p.m. the fourth Thursday of the month • Where: McKee Conference and Wellness Center • Contact: 970-622-1961
CAREGIVERS SUPPORT
For caregivers of elderly adults. Group provides support and education, particularly for people with Alzheimer's and memory impairment. TOTAL JOINT EDUCATION • When: Third Thursday of the Physical therapists and occumonth, 1:30-3:30 p.m. pational therapists prepare pa• Cost: No charge. Care of eltients for surgery. Program is co- derly adult family members or ordinated through physician's of- friends is available during meetfice as part of the surgery ing times at no charge. scheduling process. • Contact: 970-669-7069 • When: Thursdays at 3 p.m. • Location: First Christian • Cost: Free Church, 2000 N. Lincoln Ave.
Where
Experts Work Best. Ask the Expert: BARIATRIC SURGERY
Question: I am severely overweight and have high blood pressure and cholesterol. Can adjustable gastric banding surgery help me become healthier?
Answer: Two-thirds of Americans are now either overweight or obese and adult obesity continues to rise. Being overweight comes with potentially life-threatening conditions such as diabetes, hypertension, high cholesterol and sleep apnea.
For patients who have tried losing weight by dieting or medication and have failed, bariatric surgery is a very good choice. They want to lose weight to become healthier and spend more time doing things with their families.
Michael W. Johnell, M.D., FACS is a board certified general and bariatric surgeon who has been practicing minimally-invasive bariatric surgery since 2000. He specializes in the adjustable gastric banding procedure. North Colorado Medical Center is a Bariatric Center of Excellence.
The adjustable gastric banding procedure is done by placing a silicone band around the upper part of the stomach, creating a pouch. This small pouch allows a much smaller portion of food to be eaten, thereby reducing the caloric intake without being hungry. The benefits of the adjustable gastric banding procedure include: • Fully adjustable for each patient • Does not alter the anatomy • Least invasive weight loss surgery with the lowest complication rate
• Low risk for malnutrition • Most cost-effective bariatric procedure • Associated medical conditions can improve or be resolved
Patients can now schedule pre-surgery appointments as well as follow-up care in the Loveland office at 2923 Ginnala Drive. Call (970) 378-4433 to schedule an appointment. Michael W. Johnell, M.D., FACS Bariatric Surgeon Greeley, Loveland, Lafayette Pre-surgery appointments: (970) 378-4433 Twitter
Banner Medical Group McKee Medical Center North Colorado Medical Center
www.BannerHealth.com/COexperts Banner Health has been named as a Top 10 Health System in the U.S. for patient Twittercare according to Thomson Reuters.
Connect with us: Facebook Although the content of this ad is intended to be accurate, neither the Twitter publisherYouTube nor any other party assumes liability for loss or damage due to reliance on this material. If you have a medical question, consult your medical professional.