Complimentary
MONTHLY
February 21, 2013
HealthLine Of Northern Colorado
HOW’S YOUR
HEART?
Achieve optimal heart health - get moving and get pumping.
+ Berries for better beats + Healthy hearts for Boomers + Go Red Campaign
Ask the Expert:
Labor and Delivery
What do I need to know about pain management during my baby’s delivery? Our team of anesthesiologists, certified nurse anesthetists and registered nurses can administer various pain relief options or support natural techniques for controlling and coping with labor pain. We can help find ways to handle the pain naturally with an array of techniques including: Breathing patterns, movement during labor, different laboring positions, birthing balls, massage, soothing music and water. Other options include: Epidural block, spinal block, narcotics, pudendal block, and/or a local anesthetic injection. It helps to review your options in advance and keep an open mind. Many moms find that their preferences for pain control change in the middle of the process – and that’s OK.
Where
Experts Work Best.
Jonathan Franco, M.D. OB/GYN
Banner Health Clinic specializing in OB/GYN 1900 Boise Avenue, Suite 300 and 410, Loveland Appointments – (970) 667-2009
Michelle C. Stoltz, M.D. OB/GYN
Banner Health Clinic specializing in OB/GYN 2410 W. 16th Street, Greeley Appointments – (970) 352-6353
To find a Banner Health physician in your area, visit www.BannerHealth.com/BMG Accepting Kaiser Permanente Members /BannerHealth
contents
▲
Berries for Better Beats
▲
Strawberries, blueberries ward off heart disease in women: study Page 6
Boomers: Keeping your heart healthy Page 8
also inside Uncommon Sense .....................................10 Nutrition ....................................................12 Health Calendar .........................................16
Go Red Campaign:
gets to the heart of women’s health
Health Briefs..............................................17
Page 14
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 Achieve optimal heart health get moving and get pumping. _________ PAGE 4
.
Thursday, February 21, 2013
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
3
HL
on the cover
HOW’S YOUR
HEART? Achieve optimal heart health get moving and get pumping. When fitness instructor and personal trainer, Lisa Foncannon, takes on a new client at the Chilson Recreation Center in Loveland, she assesses their heart fitness level. Then she slowly builds up their physical endurance.
Fort Collins (970) 207-9773
Rand F. Compton, MD Thomas A. Dowgin, MD Rebecca C. Dunphy, MD Mark N. Durkan, MD Rodney R. Holland, MD Joseph X. Jenkins, MD Robert A. Simmons, MD
Loveland (970) 669-5432 Daniel A. Langer, MD Crystal M. North, DO Stephen R. Sears, MD Lewis R. Strong, MD
Greeley (970) 207-9773
Cheyenne (877) 713-7392
Thomas A. Dowgin, MD
Get it checked!
Colon cancer claims the lives of over 50,000 men and women each year. Check our website for screening guidelines. www.Digestive-health.net 4 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, February 21, 2013
.
“Studies show that exercise improves heart health so much,” Foncannon said. “There are just so many benefits to it. One of the things I try to recommend to anyone I meet who might be new to exercise is to try and get them move a minimum of 210 minutes a week. That adds up to 30 minutes a day.” A wealth of physical benefits, such as increased oxygen flow and ability for the heart to take on more work, can be achieved at this time of exercise per week. The benefits double if people increase that time to 300 minutes a week, Foncannon said. To begin, her clients work at 60-70 percent of their heart rate maximum, a heart rate goal determined by age. “With some people I don’t worry about their heart rate at all,” she said. “I just get them moving and try to see how it feels. Perceived exertion has more to do with how people are doing. I watch their face ... If they are in good shape, we will push it harder.” Why talk about heart health? According to the CDC, heart disease is the leading cause of death for both men and women. They also state that early detection and action is key to preventing heart disease, an opinion shared by cardiologist Patrick Green, MD with the Colorado Health Medical Group. “You can be at risk for coronary disease and heart disease and feel fine and well,” Green said. “Everyone should have their cardiovascular risk assessed.
.
High blood sugar and high blood pressure can be asymptomatic up until the day people die from a heart attack. So a lot of people don’t get a warning sign that they are having trouble with their hearts until it is too late.” Also, if someone experiences clear signs of cardiovascular disease, they need to see a doctor right away. Symptoms can include chest pain and the feeling of heaviness or “burning” in the chest. This pain can radiate to the neck and shoulders. Deep fatigue and gastric burning during exercise could also be a signal that not all is well with the heart, Green said. So, what is the ideal body health goal to aim to achieve? People with healthy hearts exercise regularly, and are usually non-smokers with normal blood pressure and a BMI of 20-25. “Another thing we look at is family history of coronary disease,” Green said. “If they have an aunt or uncle that has a heart attack young in their 40s or 50s, that indicates a higher risk and we will focus on factors to lower that risk. We can’t cure coronary disease, but we can significantly lower risk. We can do that with medications and procedures needed, but a lot of the weight is on the person to change and lead a heart healthy lifestyle.” Jeff Guthrie is the head strength coach at Emergent Fitness in Fort Collins. When tackling issues of poor physi-
Thursday, February 21, 2013
cal health, Guthrie focuses his clients both on diet and on moving. “The typical American diet that walks through our door the majority of it is grain based,” Guthrie said. “We push whole foods and as much fruits and vegetables and meat as possible. We try to push staying away from sugars and grains and stuff in a box. After the diet stuff is addressed, depending on where they are starting, I usually like to start people out strength training. It is a common misconception that spending hours on the treadmill is the way to build a healthy heart. That kind of straight cardio workout is a huge stress on your body. That can cause a lot of stress, which is one of the causes of heart disease. So we stay along from long distance cardio training and we stick to weight training and sprint/interval type of workouts.” From Guthrie’s perspective, weight training and sprinting can also stress out the body, but the intensity of the movements create a hormonal response that creates a muscle building and fat burning environment. A little overwhelmed with the need to make some physical changes and improve heart health? Foncannon focuses her clients on having fun and doing anything to get them moving and seeing the health benefits from getting their hearts pumping. “If it is not fun, you are not going to do it,” she said. “Go check things out and see if you like them. You also have to look for safety. So find something you will enjoy but will also work with the challenges in your life.”
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
5
Strawberries, blueberries ward off heart disease in women: study By Melissa Healy Los Angeles Times (MCT) Younger women who ate at least three servings per week of strawberries or blueberries reduced their likelihood of suffering a heart attack by one-third compared with their sisters who incorporated fewer of the colorful berries into their diet, a new study says. The berry benefit was sufficiently strong that it held even after researchers adjusted for age, high blood pressure, family history of heart attack, body-mass index, exercise, smoking, and caffeine or alcohol intake. Researchers suggested that a group of dietary flavenoids called anthocyanins, which give blueberries and strawberries their jewel-like colors, may be responsible for
the health benefits seen in the
percent less likely to be among
study’s large sample of subjects.
the group who suffered early
Anthocyanins are known to
heart attack than were women
men. The authors said they looked specifically at strawberries and
dilate arteries and counter the
who ate fewer berries _ even
blueberries because they are
buildup of plaque that causes
women whose diets were other-
the most commonly consumed
atherosclerosis.
wise rich in fruits and vegetables.
berries in the United States. But
The latest finding, published
“This simple dietary change
other berries, including raspber-
in the American Heart Associa-
could have a significant impact
ries, may have similar effects,
tion’s journal, Circulation, comes
on prevention efforts,” said Dr.
from the Nurses’ Health Study
Eric Rimm, professor of nutrition
they said. ___ (c)2013 Los Angeles Times Visit the Los Angeles Times at www.latimes.com Distributed by MCT Information Services
II. In that study, about 93,600
and epidemiology at Harvard
women ages 25 to 42 answered
School of Public Health and
detailed surveys about their diets
senior author of the paper. Rimm
every four years for 18 years.
and his coauthors surmised that
During the study period, 405
if berry consumption showed
heart attacks occurred _ a rate
such measurable health
that is predictably low because
effects early in
the women in the study had not
life, its benefits
yet reached the age at which
were likely to
heart disease is most likely to
show up later
show up in women. But the study
as well, when
subjects who ate the most straw-
women’s heart
berries and blueberries, three or
attack rate more
more servings weekly, were 32
closely approximates that of
R ecovery in mind, body and spirit. To learn more, call (970) 624-5458.
All faiths or beliefs are welcome.
6 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, February 21, 2013
.
Ask the Expert:
Heart Attack
What do I need to know about heart attacks? It is very important to call 911 if you suspect you or a loved one is having a heart attack. Paramedics will use special equipment to assess your condition on the scene, and may implement a Cardiac Alert. A Cardiac Alert notifies CVI cardiologists and cardiac catheterization lab staff members at McKee Medical Center to be ready to treat you upon arrival. Patients who are treated quickly as a result of McKee’s Cardiac Alert program: • Experience fewer immediate complications from the heart attack • Have less heart muscle damage • Are less likely to suffer from long-term heart failure Time is muscle – the faster the artery is open, the better the patient outcome.
Where
Experts Work Best.
Jim Quillen, M.D. Cardiologist CardioVascular Institute of North Colorado Appointments: (970) 203-2400
McKee Medical Center & North Colorado Medical Center www.BannerHealth.com/CVI
.
Thursday, February 21, 2013
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
7
Boomers and beyond: A 5-step action plan for keeping your heart healthy More baby boomers and older adults are taking a proactive approach to heart health. Living a heart-healthy lifestyle in your golden years and dealing with any type of diagnosis head-on is the smart way to keep your heart pumping strong for many years to come. Following these five easy steps can help you take control. 1. Exercise your heart by staying active. Increasing your heart rate through daily exercise can help keep your heart healthy and help you live longer. Good heart-healthy activities include walking, swimming and bicycling. Stay motivated by exercising with a friend. 2. Eat heart-healthy foods. Fresh fruits and vegetables are fantastic for heart health - make it your goal to eat a variety of colors every day. Whole grains and fish rich in omega-3 fatty acids are good choices also. 3. Consult your doctor about heart-healthy supplements. As we age, sometimes our bodies can’t absorb vitamins and minerals as well as when we were younger. Many people take vitamin D and a low-dose aspirin daily once they hit their 50s or 60s. Ask your doctor for recommendations. 4. Schedule your annual physical. An annual physical is the cornerstone of preventative care. At your appointment, make sure you get your blood pressure and cholesterol
checked. Have your doctor explain what those numbers mean for you. 5. Don’t be afraid to ask questions. No matter what, when it comes to the health of your heart, ask questions. If you are diagnosed with a slow heartbeat and need a pacemaker, talk with your doctor about your options and determine if a pacemaker that is approved for use in an MRI may be right for you. Marilyn Rose of Richardson, Texas, ate healthy, exercised regularly and scheduled yearly physicals, but at age 80 she frequently felt tired and short of breath. Rose was scheduled for an echocardiogram, a heart test that allows the doctor to see the movement of the heart, and it was then that she
8 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
learned she had a condition called bradycardia, or a slow heartbeat. Rose needed a pacemaker to help her live a full life, but she learned that historically, pacemakers have not been approved in the U.S. for use with MRIs. She was concerned - she knew at her age the likelihood that she might need an MRI at some point was high. After talking with her doctor and asking plenty of questions, Rose learned that the FDA had approved the first pacemaker that was fit for use in the MRI environment. Today, after getting her pacemaker, she’s feeling great and is back to her regular life, swimming, knitting and playing with her five grandkids. Her friends call her the “Energizer bunny,” and with her pacemaker she says she feels better than she did before. For Rose, asking
Thursday, February 21, 2013
the right questions made a life-changing difference. Rose’s story is just one example of how the decisions you make today can impact your health tomorrow. She is now part of an educational campaign called “Join the Pace Makers,” because she wants to share her experience and help inform others about heart health and their options when it comes to choosing a pacemaker. Whether you want to take on your golden years with a heart-healthy outlook, or you are a child of aging parents and you want them to live a long, full life, these tips can help you reach your goals. If you know someone who needs a pacemaker, you have an opportunity to make a difference. Learn more and become a Pace Maker at www. JoinThePaceMakers.com. -Brandpoint .
Ann eevening of sports trivia and mmen’s health information. GRE E L E Y
MMAR. AR. 5 | 6-8 P.M. CrCrabtree Brewing Company 2961 29th Street
LOVELAND
MAR. 6 | 6-8 P.M. Budweiser Events Center 5290 Arena Circle
FORT COLLINS
MAR. 7 | 6-8 P.M. The Mayor of Old Town 632 South Mason Street
Attend the Loveland event and tour the Colorado Eagles’ locker room.
Join our panel of doctors for a discussion on men’s health: • Hear stories about community members saved by early detection. • Leearn how nutrition and exercise can prevent cancer and heeart disease. •D Dispel myths about screenings. Register now at marchmanness.org Space is limited.
Register now and enter to win season tickets to the Colorado Eagles and jerseys signed by the team.
.
Thursday, February 21, 2013
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
9
HL
Uncommon Sense Approach long distance relationship with optimism Dr. Beth Firestein Licensed Psychologist
Dear Dr. Beth, Depression, alcoholism and other mental problems run in my family. I have aunts, uncles, cousins and grandparents that suffer from various mental and substance abuse disorders. Of course, not all of my family members suffer from these problems. My question is this: I want to get married and have children someday. I am really worried that one or more of my children will suffer from one of these illnesses and that makes me afraid to have children. How worried should I be? You are posing an excellent question and one
that does not have an easy answer. There is a hereditary component to alcoholism, addiction and many mental illnesses. Of course, not everyone who develops depression, an anxiety disorder of other psychological problem has a history of mental illness in their family. Still, the percentage of individuals likely to develop these kinds of problems is definitely higher when there is a family history. Few people really take this into account when planning to have a family, but it is an important thing to keep in mind. Couples in which one member’s family has a history of mental illness and the other spouse’s family does not have less of a chance of en-
countering these issues with their biological children than couples where both families have such histories. So part of the answer depends on whether your partner also has this family history. There is no way of guessing whether one or more of your children will suffer from a serious or disabling mental condition. Children may seem healthy and function well in childhood, but carry a genetic vulnerability or predisposition to depression, bipolar illness, or other conditions. Many of these problems do not manifest until adulthood and sometimes emerge in response to an extraordinary stressor or trauma in the person’s life.
Despite the unpredictability of whether your child is individually vulnerable, there are some things you can do to influence the likelihood of these problems manifesting in your child. Good prenatal care and infant care are very important both for the healthy physical and psychological development of the child. A loving and well-educated approach to parenting the child throughout their young life also gives your child an advantage in dealing with an illness should it arise later in life. At an age-appropriate juncture, it would be wise to talk honestly and non-judgmentally about the family’s history of mental problems
convenient office location
eric Young, M.D., Orthopedic Surgeon Dr. Young is board certified in Orthopedic and Hand Surgery. He and his staff will provide you with individualized care quickly and conveniently. Dr. Young sees patients in the office on Tuesdays, Wednesday mornings and Thursdays and we can often get you in the same day if necessary.
cHOOSe pe r S O n a l i z e D
O rT H O p e D i c c a r e
10 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, February 21, 2013
.
just as you might discuss a history of heart disease or diabetes in your family, conditions which also have a hereditary component. The important thing is to let your child know about the existence of this history and to let them know that while they are unlikely to develop such a problem, it is important that if they start to feel like they are having trouble coping or turning to substances to cope, they should pay attention and talk to you about it sooner rather than later because there are treatments that can nip these problems in the bud. This can save you and your child many days, months or years of suffering. It is not necessary to avoid having children because of having such a family history, but this is a very individual decision. Some people don’t want to take the chance of passing these difficulties along to any offspring they may have biologically. Adoption is also an option for creating a family, but it is just as important to know health and mental health histories of the biological parents of an adopted child as it is for thinking through the decision to have biological children. All in all, having children is always risky, but most people decide it is well worth all that is sacrificed and all that is not known to have the joy of creating a family.
Dear Dr. Beth, I am in a relationship with someone I love a great deal. We are both motivated people who want to have professional careers. We have been attending the same college, are living together, and both of us are very committed to the relationship. The problem is that my boyfriend has .
been accepted into graduate school in one state and I am applying for graduate schools in other states that are more appropriate for getting the training I need for my profession. This means we are very likely going to be living in different states and having a long distance relationship, possibly for at least a couple of years. I’m wondering if a long-distance relationship can survive and stay healthy. Having a relationship over a geographic distance is quite common these days, but is usually not easy. There are many factors that affect the quality and long-term success of these kinds of relationships. It sounds like the fact that this relationship will be long distance for some period of time is pretty much a given. It’s what you have to work with so approach it with confidence and optimism. Why not? You have nothing to lose and everything to gain by taking a positive attitude toward the situation. The two of you have several things going in your favor. For one, it sounds like you have a solid, loving, healthy relationship and that you are both committed to one another and to the relationship. Second, you have healthy and self-enhancing reasons for needing to be apart. You have similar goals—to pursue higher education and become the professionals you want to be—and the educational portion of your journey will be time-limited, even though it make take place over a couple of years. At some point you will both be done and can decide where you want to start your lives together. If one of you finishes your degree before the other, you have the option of joining your partner in their loca-
tion for the duration of their education, perhaps pursuing work experience or simply being together for a time to enjoy and grow the relationship. It also helps if you both have similar ideas about where you might want to live when you are both ready to settle into your professional careers. The risks of being in a long distance relationship are obvious: You miss the daily presence and faceto-face contact of being with each other. You can’t do things together except during visits when you travel to one another’s homes or meet somewhere else for vacation. One of the things people report missing most is, of course, physical touch, cuddling and sexual intimacy with one another. Fortunately, there are even more ways to connect and span the distance than there used to be even 10 or 20 years ago. I’m sure you are both comfortable and familiar with technology that allows you to connect. Email, texting, IM-ing, Skype and even the good old telephone can help you stay connected on a daily basis. I encourage you to set “dates” for longer and more intimate conversations—preferably with Skype, where you also have visual contact, or by telephone. Texting can’t trump the quality of voice-to-voice communication. Naturally, traveling to be together at a frequency that you can afford within your budget is also key to keeping some natural quality and flow to your togetherness-- and it doesn’t have to be 50/50. If one of you has
Thursday, February 21, 2013
a more flexible schedule or more financial resources this is the time to be unselfish about how you share those resources. There are many reasons why long distance relationships fail. Many people have intimacy needs that just cannot be adequately met over a distance for a longer period of separation and may realize this sometime after the move. Occasionally, one partner may happen to meet another person who is very interesting to them and much more available. They may decide to pursue that relationship instead yours. Other times long distance relationships suffer from miscommunication problems. Text, email and other technological forms of communication often can’t communicate humor or nuances of emotional tone, often leading to misunderstandings. There is no way of saying for sure if your particular relationship will survive and remain healthy, but the more the two of you can communicate about these things before you move, the better chance you having of going the distance.
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.
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
11
HL
Nutrition
Soothing chicken soup gets boost from roasted lemons By Susan M. Selasky Detroit Free Press (MCT)
It seems that just about everyone I know has been eating soup. And I am pretty certain it’s not because it’s National Soup Month. Whether it’s your grandma’s chicken noodle or not, soup is comforting. Today’s chicken soup recipe is different from your standard variety. It’s made from leftover roasted chicken and gets a huge flavor boost from roasted lemons. You can think of the citrus in this soup as giving you a dose of vitamin C. You can make the chicken and roasted lemons or you can use any leftover chicken (store-bought rotisserie chicken works great) and roast the lemons separately. To roast the lemons: Line a baking sheet with parchment paper and preheat the oven to 400 degrees. Slice the
Welcome to our
Community Outreach series
These programs were developed with you in mind so that it may give you a starting place and adequate tools to making valuable end of life decisions.
Save the date and join us at Allnutt Funeral Service, 2100 N. Lincoln Avenue, Loveland March 19, 2013 at 2:00 PM:
We present “The wisdom of the Great Generation” April 23, 2013 at 2:00 PM: We present a 3 part workshop: “My Life Journey, Who am I today” May 7, 2013 at 2:00 PM: We continue 2nd part workshop: “My Life Journey, Lessons I have learned” May 22,2013 at 2:00 PM: We will hold our “Honoring Veterans” Memorial Day event June 4, 2013 at 2:00 PM: We present the 3rd part workshop: “My Life Journey, My words of wisdom and blessing”
lemons about 1/4-inch thick and remove any seeds. Place the lemons on the parchment and roast about 15 minutes or until lightly brown in most spots on one side. Turn over and roast another 5 to 10 minutes on the other side. Remove from the oven. Roasting lemons (especially regular ones) boosts their flavor and tames their tartness. I’ve been happy with the lemons and limes in stores now. The Meyer lemons used in this recipe have been particularly tasty. Meyer lemons are sweeter than traditional lemons, plus they tend to have less acidity. Today’s recipe is adapted from a recipe in this month’s Martha Stewart Living magazine. The leftover chicken and roasted lemons come from a Roast Spatchcocked Lemon Chicken recipe.
First Care Family Physicians Family Practice
Infections: Colds, Throat, Sinus, etc. Physicals: Complete, Well Woman, School, DOT, etc. Acute Injuries: X rays, Stitches Blood Pressure, Cholesterol and Other Problems Wellness, School and Camp Physicals
First Care Family Physicians 295 E 29TH, Loveland
669-6000
Convenient Hours Days, Evenings, Weekends Weekdays 9AM to 9PM Saturday 9AM to 6PM Sunday Noon to 6PM Walk-ins welcome. Appointments available.
First Care Family Physicians
2160 W Drake Rd, Fort Collins
221-5595
ThomasJ.Allen,M.D. ThomasP.Kasenberg,D.O. Edwin D.Risenhoover,M.D.
DenaSheppard-Madden,M.D. KristenOlenic,PA-C Angela McNair,PA-C KristiHousley,y,PA-C
Allnutt Funeral Service is Colorado’s oldest Family Owned and operated business. You RSVP is preferred but not required. For more information please call 970-667-1121 www.ALLNUTT.com 12 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Kasenberg, Dr.Edwin ThomasRisenhoover, P. Kristi HousleyThomas Dr. Edwin D. Kasenberg, D.O. PA-C Risenhoover, M.D. D.O. M.D.
Thursday, February 21, 2013
.
CHICKEN SOUP WITH RICE AND ROASTED LEMONS
Serves: 4 / Preparation time: 10 minutes / Total time: 30 minutes 1 cup basmati white rice 1 1/2 cups water 1 lemon, zested and juiced 1/2 teaspoon salt Coarse salt and freshly ground pepper 1 teaspoon canola oil 2 ribs celery, sliced 6 cups chicken stock, preferably homemade or fat-free, less-sodium canned broth 2 cups shredded chicken from Roast Spatchcocked Lemon Chicken (see NOTE) Roasted lemons, shallots, and pan juices from Roast Spatchcocked Lemon Chicken Coarse salt and freshly ground pepper Coarsely chopped fresh parsley or dill, for garnish
Your partners in health. Lovelaand Family Practice has a new name, but the friendly faces you’ve come to knoow and trust for qualityy health care remain. Dr. Kevin Felix and Victor Palomares, PAC, are dedicated to the develoopment of long-term relatioonships with each patiennt, focusing not just on thee illness, but also on prevenntive care.
Bring rice, water, lemon zest, and 1/2 teaspoon salt to a boil in a medium saucepan. Stir once, reduce heat to low, and cover. Simmer until rice is cooked and water evaporates, about 15 minutes. Remove from heat, and let stand, covered, 5 minutes. Fluff rice with a fork. In a large saucepan heat the canola oil. Add the celery and saute 2 minutes. Add the stock and bring to a simmer over medium-high heat. Cook about 5 minutes. Stir in the cooked rice, chicken, lemons, shallots and pan juices, and simmer 3 minutes to heat through. Remove from heat, and season with salt and pepper. Divide soup among 4 bowls, and season with lemon juice and garnish with fresh herbs if desired. NOTE: Here’s the basic recipe for Roast Spatchcocked Lemon Chicken: Preheat the oven to 400°. Cut the backbone out of a 3 to 4 -pound chicken and flip it over. Press down on the breastbone to flatten it. Rub chicken with 1 tablespoon olive oil and season all over with 1 tablespoon kosher salt and 1/2 teaspoon freshly ground black pepper. Brush a rimmed baking sheet with some olive oil. Place lemon slices from one lemon in a single layer on top of oil. Place chicken, skin side up, on lemons. Carefully loosen the skin from flesh of breast and thighs using the end of a wooden spoon. Slide a few lemon slices from another lemon under skin in a single layer. Roast the chicken about 20 minutes. Toss 6 shallots (peeled and quartered) with some oil and scatter around the chicken. Roast 30 minutes longer or until the thickest part of breast reaches 165 degrees.
Now w welcoming new w ppatients. Same-day appointments mayy bbe available. Call 970.3 92.4752. Victor Palomares, PA-C Dr. Kevin Felix
Adapted from Martha Stewart Living, January 2013 issue. Tested by Susan M. Selasky for the Free Press Test Kitchen. 325 calories (11 percent from fat), 4 grams fat (1 gram sat. fat), 39 grams carbohydrates, 31 grams protein, 1,138 mg sodium, 60 mg cholesterol, 1 gram fiber. ___ (c)2013 Detroit Free Press. Visit the Detroit Free Press at www. freep.com. Distributed by MCT Information Services .
Thursday, February 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
13
GO RED CAMPAIGN
gets to the heart of women’s health
By Gracie Bonds Staples The Atlanta Journal-Constitution (MCT)
ATLANTA -Kathy Coletti’s heart couldn’t have been happier at the birth of her children. But unrecognized cardiovascular problems nearly took her from them and her husband, Phil, before the little ones left the hospital. After years of trying to conceive, of moving between hope and despair, she and Phil had finally welcomed quadruplets into their family: two boys, two girls. All healthy. But within days of their arrival on April 24, 1995, Kathy Coletti started to get progressively weaker until she suffered a major heart attack. A week later, she and the quadruplets were still at Northside Hospital in Atlanta when she had a second heart attack. “I had what is known as SCAD, or spontaneous coronary artery dissection. It is the No. 1 cause of heart attack in pregnant and postpartum women, but most labor and delivery nurses still aren’t aware of it,” she said. She was 36, and nearly a decade would pass before the American Heart Association would launch its Go Red
movement, combining consumerism and altruism in its fight against heart disease. Go Red for Women is credited with funding millions of dollars of research specific to cardiovascular disease in women, raising awareness and thus decreasing the number of women who die from it. “When we started this campaign 10 years ago, about 500,000 women were dying each year,” said Erica Ross, director of metro Atlanta’s Go Red for Women. “Today that number is down to about 450,000 each year, so we still have quite a bit of work to do.” Heart disease is still the number one killer of women, Ross said. It kills one woman in every three. Since 1984, more women than men have died each year from heart disease, and the gap between men’s and women’s survival continues to widen. Ninety percent of women have one or more risk factors for developing the disease. “The Go Red for Women movement was designed to close that gap by spreading awareness, encouraging women to focus on their heart health, and advocating for policies that support research and science related to improving these statistics,” she said.
14 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, February 21, 2013
Coletti became interested in the campaign the moment she heard about it 10 years ago. “I started to buy promotional items and collecting and passing out pins and information brochures about warning signs, what you needed to know about heart disease,” she said. “I’d leave them in doctors’ waiting rooms and give them to everyone I knew.” She does not want others to go through what she endured. After her second heart attack, one of Coletti’s nurses knew something wasn’t right. The nurse pulled Phil Coletti aside with a warning. “You’ve got to find someone to help with this or she is not going to survive,” the nurse told him. Phil Coletti immediately found a cardiologist who told him his wife had a dissection or split between the layers of the wall of a blood vessel (artery) that provides blood flow to the heart. After consulting with his colleagues, the doctor transferred Kathy to nearby Saint Joseph’s Hospital of Atlanta. Kathy’s heart was in bad shape. Doctors performed a quadruple bypass surgery. “It worked out well in the end, but .
unfortunately I have a lot of scar tissue and my heart is not as strong as I’d like it to be,” Kathy Coletti said. “The only way to improve is to have a stem cell transfer down the road. At least I have hope that in 10 years, I will be able to have my heart back.” And for that, she said, her family is eternally grateful not only to the doctors at Northside and Saint Joseph’s but for the work the American Heart Association does on behalf of women. Gratitude yields action When Coletti was invited last year to tell her story at the annual Go Red for Women luncheon, she said, one of her children quickly reminded her “it’s only because you’re still alive.” They laughed, of course, but that’s the whole point. Coletti and her husband have dedicated their lives
to raising awareness about heart disease. Phil Coletti was so grateful for the doctors at Saint Joseph’s, Kathy said, he began immediately volunteering at the hospital and has since become chairman of the board of directors, the same one he had persuaded years earlier to fund a cardiac center dedicated to women. “What happened to me is rare, but when it happens, it is very life-threatening,” Coletti said. “It was more than horrific, but fortunately, the doctors at Saint Joseph recognized it and knew what to do.” (c)2013 The Atlanta JournalConstitution (Atlanta, Ga.) Visit The Atlanta JournalConstitution (Atlanta, Ga.) at www.ajc.com Distributed by MCT Information Services
Let Resthaven Funeral Home & Memory Garden Help You Pre-plan: Make Informed Decisions When You Choose Your Final Quality of Care Personalize Your Funeral and Make a Tribute to the Life You’ve Lived Guarantee Today’s Pricing and Relieve Your Family of Future Responsibility Take Advantage of Affordable Payment Plans Provide Your Loved Ones with Peace of Mind
Call to Schedule A No-obligation Tour of the Cemetery and Receive a Complimentary Dinner for Two
970.667.0202
www.RESTHAVENCOLORADO.com 8426 S. Hwy 287 Fort Collins
spine care that’s right for you ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES
Spine & Pediatric Spine Pediatric Orthopaedics Trauma & Fractures Foot & Ankle Sports Medicine Hand & Upper Extremity Knee & Shoulder
Specialists in the medicine of motion www.orthohealth.com 2500 E. Prospect Road Fort Collins, Colorado 80525 970-493-0112 .
Joint Replacement & Arthritis Physiatry Worker’s Comp Services
3470 E. 15th Street Loveland, Colorado 80538 970-663-3975
If you have a back or neck problem, we can help you get back to what you love. Drs. Robert Benz and Bill Biggs have years of experience and board certification in spine care.They specialize in the care that’s right for you—helping people like you feel better and get going again.We offer a complete spine program, whether you need surgery or conservative care. Surgery options include: • Computer guided surgery
• Artificial disc replacement
• Minimally invasive surgery
• Scoliosis care & surgery
Robert Benz, MD
William Biggs, MD
If we can help you with a back or neck problem, call us today at (970) 663-3975. Serving the people of northern Colorado, Wyoming, and western Nebraska. Nancy McRae, PA-C
Thursday, February 21, 2013
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
15
HL
Health Calendar
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
When: 1-3 p.m. 2/26 -Respiratory Overview 3/5 – Exercising, Work Simplification 3/12 – Pharmacy 3/19 – Respiratory Tools, Oxygen Where: McKee Conference and Wellness Center, 2000 Boise. Ave., Loveland Cost: Free Call: (970) 635-4015
LOVELAND DIABETES SUPPORT GROUP
Speaker: Sanofi Diabetes A1C Champions: Hear from real people about how they successfully manage their diabetes. When: 3/28, 7-8:30 p.m., Where: McKee Conference and Wellness Center, 2000 Boise Ave., Loveland Cost: Free Call: 970) 622-1950
BREAST-FEEDING SUPPORT GROUP
When: Mondays, Wednesdays and Fridays (except holidays), 10-11 a.m. Cost: FREE. No need to register Call: (970) 669-9355
BLOOD PRESSURE SCREENING
Have your blood pressure checked by a Wellness Specialist. Where: McKee Wellness Services, 1805 E. 18th St. Suite 6, Loveland When: Monday through Thursday, 8 a.m.-4:30 p.m. Cost: FREE Call: (970) 669-9355
YOGA SUPPORT GROUP
for anyone touched by cancer Where: McKee Medical Center Cancer Center Lobby When: 1st and 3rd Thursday of every month 5:30-6:30 p.m. Cost: Free Call: (970) 635-4054 to register
LOVELAND COMMUNITY HEALTH FAIR
The Loveland Community Health Fair offers FREE and low-cost screenings, educational booths, health counseling and more. Where: McKee Medical Center When: 4/13, 8 a.m.-1 p.m. Cost: Varies Call: (970) 669-9355 or visit www.BannerHealth.com/ lovelandhealthfair
CAREGIVER CANCER SUPPORT GROUP
Where: Call for locations and dates. Cost: FREE Call: (970) 635-4129
CAREGIVERS SUPPORT
For caregivers of elderly adults. The group focuses on providing support and education about community resources and behavior issues, particularly for people with Alzheimer’s and memory impairment. Where: First Christian Church, 2000 N. Lincoln Ave., Loveland When: Third Thursday of the month, 1:30-3:30 p.m. Cost: FREE. Care of elderly adult family members or friends is available through Stepping Stones Adult Day
16 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Program during meeting times at no charge. Call: (970) 669-7069
GENERAL CANCER SUPPORT
Where: McKee Cancer Center lobby When: Tuesdays (except holidays), 5:30-7 p.m. Cost: FREE Call: (970) 635-4129
MAN TO MAN SUPPORT GROUP FOR PROSTATE CANCER
When: 5:30 p.m.-7 p.m., 4th Thurs. of each month Where: McKee Conference and Wellness Center Cost: Free Call: (970) 622-1961
BREAST CANCER SUPPORT GROUP
Where: McKee Cancer Center lobby When: 11/8, 5:30-7 p.m. Cost: FREE Call: (970) 622-1961
TOTAL JOINT EDUCATION
Physical therapists and occupational therapists prepare patients for surgery. This program is coordinated through your physician’s office as part of the surgery scheduling process. Where: McKee Conference and Wellness Center When: Thursdays, 3 p.m. Cost: FREE Call: (970) 635-4172 to register
WISE WOMEN SUPPORT GROUP
A free, community group for women 55-100 who would like to connect with other
Thursday, February 21, 2013
women sharing similar life challenges. There is a discussion topic for each group and time for personal sharing. Facilitated by psychologist Dr. Beth Firestein. Where: Daz Bog Coffee Shop, 556 N. Lincoln Avenue, Loveland. When: Thursday, 2/21, 3/7, 3/21, 4/4, 5/2, 6/16 11:15am-12:30pm. (Come early if you would like to get coffee or a snack). Call: Dr. Beth Firestein at (970) 635-9116.
MCKEE SPIRIT OF WOMEN INTRODUCES PROGRAM FOR MOMS AND GIRLS, TOO!
LOVELAND – McKee Medical Center Spirit of Women invite Spirit Girls and Moms to a morning of learning how to grow up healthy and happy. Pediatrician Andrea Mead, MD, and obstetrician/ gynecologist Irene Sokolowski, MD, will share information with moms and daughters about normal puberty-related changes, both physical and emotional. Plus, they will take questions from everyone in a relaxed setting. Treats and spa-activities are on tap for the morning. The event targets mothers and daughters ages 9 to 12. The event is Feb. 23 from 9:30 a.m. to 11:30 a.m. at the McKee Conference and Wellness Center, 2000 Boise Ave. It is free for all Spirit members and girls, $10 for non-members, Girls are welcome at no charge. To register, call (970) 203-6631. To learn more about Spirit of Women, visit www.bannerhealth.com/mckeespirit. .
BANNER HEALTH WELCOMES THREE PROVIDERS TO FORT COLLINS, LOVELAND
LOVELAND – Banner Health welcomes three new practitioners to the Northern Colorado medical community. Phillip Rhoads, MD, has joined Banner Health Clinic, specializing Phillip Rhoads, in Family MD Practice. He sees patients at multiple locations: 3880 N. Grant Ave., Suite 140; 1230 14th St. S.W.; and, for pediatrics, 2555 E. 13th St., Suite 130. Dr. Rhoads specializes in Internal Medicine and Pediatrics. He completed
HL
medical school at the University of Arkansas for Medical Sciences in Little Rock, Ark. He completed an internship and residency in Little Rock as well. He was named among the Top 3 Pediatricians in Northwest Arkansas by About You Magazine in February 2012. He speaks English and Spanish. To make an appointment with Dr. Rhoads, please call (970) 619-3999.
Feb. 18 at 303 Colland Drive, Fort Collins. Dr. Guiroy received her medical degree from the University of Minnesota Medical School in Minneapolis. She completed her residency in Family Medicine at University of Minnesota Family Medicine Residency program at Broadway Family Medicine in Minneapolis. To make an appointment with Dr. Guiroy, please call (970) 461-8031.
Jessica Guiroy, MD, is joining Banner Health Clinic, specializing Jessica Guiroy, in FamMD ily Practice. She will start seeing patients
Azure Zeigler, FNP-BC, is a family nurse practitioner who will see Azure Zeigler, patients in FNP-BC the Banner Health Center, specializing in Family Practice. The center
Health Briefs is located at 1230 14th St. S.W., in Loveland. Zeigler earned a master of science degree in nursing at Wichita State University in Kansas. A board-certified nurse practitioner, she emphasizes wellness, prevention, and chronic disease management to help ensure lifelong health. She specializes in the following diseases, conditions and procedures: management of conditions across a person’s lifespan, prevention and wellness, and minor office procedures. To make an appointment with Zeigler, please call (970) 619-3999.
Surf Our New We b s i te! .
www.columbinehealth.com Thursday, February 21, 2013
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
17
PAID ADVERTORIAL
Ask the Expert: Heart failure and heredity Question: My mother has heart failure. Does this mean I will also have this when I am older? Missy Jensen, FNP-C
result of other heart disease
risk of developing HF and
not typically a hereditary
progressing. In addition to
many other forms of heart
condition, though certain
high blood pressure, other
disease by making positive
health conditions that do
conditions that ultimately
lifestyle decisions. Eating a
run in families may contrib-
cause HF include coronary
diet low in fat, cholesterol
ute to heart failure, such as
artery disease, heart valve
and sodium, getting regu-
high blood pressure.
disorders, irregular heart-
lar exercise, maintaining a
beat, diseases of the heart
normal body weight, man-
confusing term because
muscle, congenital heart
aging high blood pressure,
it doesn’t mean the heart
disorders and illicit drugs.
and avoiding tobacco are
A: Heart failure (HF) is
Heart failure can be a
People with heart failure
has actually failed. Rather,
all ways to prevent or at
the heart becomes inca-
often experience significant
least slow the progression
pable of meeting the body’s
fatigue, difficulty breathing
of heart disease.
needs because it can no
due to the swelling in their
longer pump efficiently.
lungs, swollen legs and
CHFN specializes in heart
As a result, blood backs
ankles, and an enlarged
failure management at the
up into the veins, causing
abdominal area from fluid
Heart Failure Clinic at the
the kidneys to retain fluid
retention. An individual
CardioVascular Institute of
and tissues throughout the
experiencing any of these
North Colorado. For more
body to swell. This swelling,
symptoms should see a
information on this topic,
called edema, can affect
doctor for a full evaluation.
talk with your doctor or
Fortunately, even people
the legs, the lungs and other organs. HF typically occurs as a
Missy Jensen, FNP-C,
call (970) 203-2411.
with family history can often dramatically reduce their
18 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, February 21, 2013
.
Kaea Beresford, MD
Robert Burke, MD
Eric Yeh, MD
Board Certified Physicians, Midwives, Nurse Practitioners, Physician Assistants Philip Priebe, MD
Maude Vance, MD
Susan Kozak, MD
Nicole Nicole Roberson, Roberson, MD MD
ON-SITE SERVICES INCLUDE:
Warren James, MD
Kara Micetich, MD
Kevin Tool, MD
Beverly Beverly Donnelley, Donnelley, MD MD
Bradley Stern, MD
Angela King, MD
Elizabeth Serniak, MD
JJennifer ennifer R Reeve, eeve, M MD D
Obstetrics Gynecology Bioidentical Hormone Replacement Bone Density Scanning Digital Mammography
Lora Bureau, PA-C
Abbey Seufer, PA-C
R Roxanne oxanne S Slayden, layden, P PA-C A-C
Peggy Milano, NP
Stesha Irons-Kahl, NP
Lani Nielsen, CNM
Susan Bush, CNM
C Cassandra assandra S Selby, elby, C CNM NM
Kelly Jean Clarkson, CNM
Tina Downes, CNM
Essure Birth Control Healthcare Seminars High Risk Obstetrics Midwifery Care Prenatal Classes Ultrasonography Weight Management
970.493.7442 888.441.6983 www.fcwc.com
Alyssa Robb, CNM
Serving All Women, Always. Dedicated to providing quality and compassionate care to the women of Northern Colorado since 1965, with providers who have a combined experience of over 320 years. TWO CONVENIENT LOCATIONS: 2500 Rocky Mountain Ave • North Medical Office Building, Suite 150 • Loveland 1107 S. Lemay Ave, Suite 300 • Fort Collins
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
Loveland Family Practice 3850 N. Grant Ave., Suite 100 970.392.4752
Colorado Health Medical Group Internal Medicine 1107 S. Lemay Ave., Suite 240 970.392.4752
Medical Clinic at Centerra North Medical Office Building 2500 Rocky Mountain Ave. 970.392.4752
GREELEY Greeley Medical Clinic 1900 16th St. 970.392.4752
Colorado Health Medical Group Primary Care 1327 Eagle Drive 970.392.4752
Peakview Medical Center 5881 W. 16th St. 970.392.4752
WINDSOR Windsor Medical Clinic 1455 Main St. 970.392.4752
Dr. John Ebens Dr. Pamela Levine
Dr. Brienne Loy
Poudre Valley Medical Group is now Colorado Health Medical Group.
pvhs.org/clinics