Healthline Magazine January 2013

Complimentary

MONTHLY

January 24, 2013

HealthLine Of Northern Colorado

Choosing HOSPICE CARE

+ Treating a cold + Choose the right 2013 workout + Clean resolutions

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

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WINDSOR Windsor Medical Clinic 1455 Main St. 970.392.4752

Dr. John Ebens Dr. Pamela Levine

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pvhs.org/clinics

contents

â–˛

The Best Workout for You

â–˛

Tips on choosing a work out plan for the new year

Page 6

Cough clues:

Identify and treat your cough

Page 14

Do Your Part: Five simple

swaps for a healthier home

Page 9

also inside Uncommon Sense .....................................10 Nutrition ....................................................12 Health Calendar .........................................20 Health Briefs..............................................18

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 CHOOSING HOSPICE CARE in Northern Colorado _________ PAGE 4

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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

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CHOOSING HOSPICE CARE in Northern Colorado by Kristine Smith Hospice is a special healthcare option for patients and families who are faced with a terminal illness. It involves a multi-disciplinary team of physician, nurses, social workers, bereavement counselors and volunteers that work together to address the emotional, physical or spiritual needs of each patient and family. While it is an uncomfortable topic to discuss, the fact remains that we all pass from this life. >>>

R ecovery in mind, body and spirit.

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

All faiths or beliefs are welcome.

4 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

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>>> REGARDLESS OF ONE’S SPIRITUAL BELIEFS, this life will end and the point of hospice is to provide specialized care as well as the support that may be necessary after being diagnosed with a terminal illness, which is defined as any illness which generally has a life expectancy of six months or less. A physician needs to diagnose a patient as being terminally ill but the option of which hospice to choose is entirely up to the patient.

In the Loveland area, there are multiple hospice choices that provide either home-based care or facility care. While the preference for most people is to remain in their home until death, if end of life symptoms become uncontrollable, there are inpatient options as well.

HOSPICECARE OF BOULDER AND BROOMFIELD COUNTY

HALCYON HOSPICE AND PALLIATIVE CARE

Hospicecare of Boulder and Broomfield County also services the Loveland area, with in-home care. They also have an inpatient unit with ten beds located in Louisville that offers around the clock nursing care for acute end of life issues, such as pain control.

Halcyon Hospice and Palliative Care in Mead offers homebased hospice care with a well developed pet therapy program. They recognize that therapy pets can bring calm to patients by their acceptance and love and are well versed in their use of dogs to help ease anxiety and depression in their patients.

For more information about Hospicecare of Boulder and Broomfield County call 303-449-7740 or visit hospicecareonline.org.

For more information about Halycon Hospice call 970-535-0870 or visit halcyonhospice.org.

FRONT RANGE HOSPICE

PATHWAYS HOSPICE

Front Range Hospice in Erie is the first privately owned Joint Commission Accredited Hospice in Colorado. This means that they voluntarily agree to meet a standard that is significantly higher than required by the State or Federal Government. They service a large area, including Larimer, Weld, Adams, Broomfield and some Denver counties with their home-based hospice services.

Pathways Hospice, located in Fort Collins since 1978, offers home-based care as well as inpatient services that are located in a wing of McKee hospital. In addition, they have a partnership with Columbine Health Services, located in Loveland and Fort Collins, for nursing home hospice services.

For more information about Front Range Hospice call 970-776-8080 or visit frontrangehospice.com

For more information about Pathways Hospice call 970-663-3500 or visit pathways-care.org.

HOSPICE OF NORTHERN COLORADO Hospice of Northern Colorado located in Greeley, has several regularly scheduled support groups that provide on-going emotional care to family and friends of past and current hospice patients. They offer the service free of charge for 13 months following a patient’s death and also open up the groups to others for a sliding scale fee.

For more information about Hospice of Northern Colorado call 970-352-8487 or visit hospiceofnortherncolorado.com.

All of the above hospices offer skilled nursing and physician services as well as a multitude of grief and spiritual counselors. All have a common goal of making the patient’s last weeks and days comfortable and without pain. This transition period is difficult for both patient and family alike and hospice care recognizes the anxiety and depression that these final months can bring. While all have these things in common, it is important that the patient and family meet with the hospice liaisons before making a decision. While the treating doctor may have their own preferences, hospice is a personal and private decision to be made by the patient and their loved ones. .

Thursday, January 24, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

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The best workout for

YOU!

Tips on choosing a work out plan for the new year

By Emma Castleberry

With the new year upon us, people are flocking to the gym in an effort to lead healthier, more active lifestyles. In creating an exercise plan that works for you, there are many factors to consider. Sherri Goering, the Wellness Coordinator at Chilson Recreation Center in Loveland, said that the best way to start choosing a workout is by identifying goals.

“Weight loss is a common goal,” Goering said. “The other thing people say is, ‘I just want to feel better.’ Usually it means they want to have more energy; they don’t want to be so tired. Looking better would be the other biggie.

The fourth one I hear the most would be that they do have a goal

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

6 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Thursday, January 24, 2013

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in mind as far as they want to compete in a triathlon or a bike rice or climb a fourteener.”

Goering also emphasizes that a work out must be secondary to a good diet in order to achieve results.

“The exercise is going to be one of the easier pieces,” she said. “We’re talking about changing the way you eat for life. That’s going to be the harder part. We like to say nutrition is probably 80 percent and exercise is 20 percent of success.”

In planning a work out for yourself, Goering said it must be something that will keep you engaged and entertained in order to ensure your commitment.

“The activity isn’t as important as choosing something that people enjoy doing,” she said. “There’s not one perfect exercise. It’s what they will do and stick with.

Lets find things that they find fun and motivate them.”

Rhett Polka, doctor of physical therapy and owner of Loveland’s One80 Physical Therapy, says that any good workout plan, regardless of what it entails, will include an active warm up and cool down, rather than stretching.

“You don’t want to work out cold,” Polka said.

“Stretching defined is passively lengthening a muscle for an extended period of time. We take away the stretching and we replace it with active warm up: jogging an easy lap around the track, doing high knees or butt kicks. After you work out, you want active recovery. You’re basically doing the same thing before and after you .

work out.”

Theresa Wells, co-owner and certified trainer at Cross Fit Loveland, lists variety as another important part of any well-matched workout plan.

“Don’t get stuck in the same routine,” Wells said.

“Try new things. The workout that you do should incorporate into your real life.”

Wells said that one of the most common challenges for people seeking an appropriate workout is fitting it into their schedule. She says there is no magic to this; it just has to be done.

“It will always be a constant struggle to get to the gym,” Wells said. “That doesn’t all of a sudden get easier. But the result is that you feel better. You have to make time.”

For those looking to lose weight with a new workout regime, Wells recommends “a shorter amount of work at a high rate of speed.” While this kind of exercise is appropriate for most any goal, Wells said these techniques – known as “anaerobic” specifically target weight loss.

“It’s been really proven that interval training will give you the most bang for your buck,” Wells said. “Maybe doing 15 jumps on a box, 30 push-ups, 20 sit-ups, rest a minute and doing it again.

Sprints and power-driven workouts tend to be much more effective than longdistance training.”

If weight loss is your workout goal, Wells warns against getting caught up in a fruitless battle with body image. She says to focus instead on improving your current physical state.

“We get so many people who walk in off the street who are so obsessed with a certain type of body and what they should look like,” Wells said. “Apart from training as a full-time job or getting

surgery, it can be really impossible to get the exact body that you want. Let’s use what God has given you and make you stronger and faster.”

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Thursday, January 24, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

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Your trusted relationship with your doctor is important.

But health care in northern Colorado is changing.

That’s why it’s important to make sure your doctor visits are still covered under your insurance plan.

What if you couldn’t have your baby at Poudre Valley Hospital or a surgery at Medical Center of the Rockies?

Protect your valuable relationship with your doctor.

Call your physician and make sure your visits are still be covered under your insurance plan.

Learn more at AlwaysLocal.org

Poudre Valley Hospital | Medical Center of the Rockies | Colorado Health Medical Group

8 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Thursday, January 24, 2013

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Do Your Part: Five simple swaps for a healthier home

By Terri Bennett (MCT)

The start of a new year can certainly be overwhelming. Most of us have a long list of all we want to accomplish in the next 12 months. If having a healthier home and healthier family tops yours, there are many ways to Do Your Part and get started. Here are five simple swaps that’ll have you living healthier and more environmentally conscious at the same time.

1. Make a Shower Curtain Switch Polyvinyl chloride _ or PVC _ is a soft plastic used to make common household items such as vinyl shower curtains. The plasticizers in PVC are suspected of causing developmental delays, liver damage, and respiratory problems. Your best bet is to replace your vinyl shower curtains with ones labeled PVC-Free, made with a safer plastic known as EVA, or use a cotton or polyester shower curtain as a liner.

3. Replace Certain Pots and Pans

Not all cookware is created equal.

Many coated, non-stick pans can actually leach a chemical known as perfluorooctanoic acid or PFOA _ especially if scratched. PFOA is linked to cancer and birth defects.

Safer cookware choices include cast iron, ceramic, and stainless steel pots and pans.

2. Swap out the Soap Triclosan is the main ingredient found in many antibacterial hand soaps, gels, and body washes. And, it is believed to interfere with thyroid function. It’s also linked to the creation of “superbugs” that are resistant to antibiotics. So what’s the smart alternative? Soap and water. Even the FDA says it “does not have evidence that triclosan in antibacterial soaps and body washes provides any benefit over washing with regular soap and water.”

4. Ditch Dirty Dry Cleaners Conventional dry cleaners commonly use toxic chemicals to “clean” clothes. One of those chemicals is perchloroethylene or Perc, which is linked to everything from headaches to organ damage. Safer solutions include choosing items that don’t require dry cleaning, switching to a green dry cleaner, or at least letting your traditionally cleaned clothes air out before you hang them in your closet.

5. Select Safer Cleaners The scary thing about some chemical based cleaners is that their ingredients are not even required to be on the label. And those ingredients are some of the main sources of air pollution right inside our own homes. Swap out those cleaners for nontoxic ones that are also dirt cheap. Baking soda is a powerful non-abrasive cleanser.

White vinegar is an all-natural disinfectant and effective at killing viruses like the flu on most surfaces. And hydrogen peroxide works in place of chlorine bleach to kill bacteria like salmonella and mold.

These simple swaps will help you jumpstart your New Year’s resolutions and Do Your Part for our planet, too.

___ (Terri Bennett is a veteran TV meteorologist, eco-expert and author of “Do Your Part: A practical guide for everyday green living” available at DoYourPart.com. Send questions to terri@doyourpart.com.)

Distributed by MCT Information Services .

Thursday, January 24, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

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HL

Uncommon Sense

Extending financial help to family can be a tricky situation.

Dr. Beth Firestein Licensed Psychologist

Dear Dr. Beth,

My mother is in her early sixties and she has been diagnosed with a terminal illness. She is in treatment but the odds are really not in her favor and she could well die in the next year. I am in my late thirties. In my teens and early twenties my mother and I butted heads a lot. Things have gradually improved between us and although we are not extremely close, I care about her and want to do the right thing by her in this time of her life. What can I do?

There are quite a few books and websites now that help people deal with a loved one who has a terminal illness. Many offer practical suggestions and deal with issues around grief and preparing for the likelihood that your family member may die in the near future. What I can contribute are some things to consider from a psychological and relational point of view as you relate to her in the last few months or years of her life.

Most family relationships are complicated. Even the most emotionally healthy parent-child relationships can have not-so-pretty histories, ragged edges, and quirky elements alongside a great deal

of love. You are probably in the same boat as most adult children with a terminally ill parent. Most of the adults I talk to in this situation primarily want two things: 1) to help their parent die in peace, feeling loved and cared about by their family, and 2) to be at peace themselves about the relationship at the time of her or his parent’s death, both at the time of the death and in the very long future they will live without their parent.

There is no perfect way to go about helping a loved one die but there are more and less graceful ways to go about it. You and your mother have come a long way in your relationship and have healed a lot, but are not extremely close. Here are a few suggestions: While you may wish to do more healing work with your mother and try to become

10 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

closer to her before she dies, as the illness progresses, there is a time to stop trying and just do your best to be with her as a loving and accepting presence in her life; Mutual acceptance, kindness of spirit and small loving actions convey love and create healing in ways that verbal communication may no longer be able to do; This is the time to let go of resentments. No matter how justified they may seem to you, they are irrelevant to what is happening in the ill person’s life and irrelevant to healing your relationship with that person. Let them go and you will be more at peace after she passes away.

If you can create new, positive memories with your Mom even during this period of deterioration in her condition, you will have those memories the rest of your life.

Thursday, January 24, 2013

Such memories may include organizing an album of family photos together, asking her to share stories about her life and the life of the family she grew up in, or just sharing a cup of tea in front of the television. Simple things count the most.

There are parents, adult children, sometimes younger children, and sometimes even grandparents involved in the situation of the ill family member. There may be spouses or ex-spouses. Each person will have their own unique relationship with their ill family member. While you can gently encourage estranged family members to work on healing their relationships with your mother, you have absolutely no power over whether they do so. This is a time to focus on your own relationship with your mother and allow others to do, or not do, whatever they choose in regard to their own relationship with her. I wish the two of you peace and further emotional healing in the last days, weeks or months of your togetherness.

Dear Dr. Beth,

I am writing because I am really confused and upset about how deal with a tricky situation involving my sister. I am in my forties and she is in her late thirties. We used to be very close when we were kids. We shared a bedroom and considered ourselves to be best .

friends. Over the years we grew apart. We have very different personalities. Part of why we grew apart is that I came out as gay in my twenties and she didn’t approve of my identity and has never let her children get to know me. In fact, she has kept a big distance between me and her family. Now she is getting a divorce and wants me to give her money. We haven’t spoken in years and there is no real relationship between us per se. What do I do?

This is an extremely thorny family situation probably best dealt with by seeing a therapist who can help you sort out the complexities of your feelings, the relationship, and the different courses of action you can choose in the present situation. That said, I can offer some general comments about your situation and some questions for you to ponder as you work through your decision-making process.

It is hard to come up with meaningful advice in the absence of so much critical information. For example, how do you feel about your sister at this point in time? Have you come to peace with her rejection or do you still hold active anger and resentment toward her? What are your own financial circumstances?

Do you have a partner and/or children to support? Do you have any true discretionary funds to lend or gift to your sister should you decide to help her? How truly urgent is her situation and does she have other resources available to meet her short-term needs? These and many other questions will have a .

direct bearing on how you answer her.

In general, I advise people to give of themselves and their resources when they can do so without feeling resentful or exploited (used) by the person asking the favor.

I also encourage people not to answer immediately but to take a bit of time and talk with your partner, your close friends, and/or a therapist to sort out your complicated feelings. Visualize different ways of responding to her in your mind and see how each scenario sits with you emotionally. Which of several scenarios leaves you feeling best about yourself and best about the situation? That is probably the course of action to follow.

This could be an opportunity to initiate healing in your relationship with your sister, or it could be the beginning of a new chapter of painful relating and ongoing financial dependency of your sister upon you and your family. If you choose to make a gift, a loan, or provide ongoing assistance for a period of time, be clear with yourself and clear with her which of these you are choosing to do. If it is a loan, it is best to draw up an appropriate legal contract for a personal loan so that the terms are absolutely clear. If she is not willing to draw up such an agreement, you can be pretty certain that she is really looking for a gift, not a loan. Are you willing to do this?

Finally, although it is very difficult, it may be helpful to separate the unresolved issues in the relationship from the financial issues and decide what you need to address. Do you need the relationship issues to be addressed before consider-

ing her request for financial assistance? Are you willing to offer financial assistance regardless of whether the relationship issues are addressed? These are extremely important things for you to get clear about before acting.

Then check in with her and see what is possible. Be clear with yourself about your feelings and expectations (both those you are aware of and those you are unconscious of) and ask yourself if your hopes and expectations are realistic.

Ultimately, you are the person you will have to account to for whatever choice you make. It is important that your choice be well-considered,

non-destructive, and one you can live with in relative peace after you have made it. I wish you the best.

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

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

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Thursday, January 24, 2013

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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

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HL

Nutrition

Eating a nutritious breakfast is as easy as 1-2-3

Despite good intentions to prepare a nutritious breakfast, it’s often tempting to grab something on the run, only to fall flat when it comes to nutrition and energy. Yet making a nutritious breakfast is as easy as 1-2-3, according to Chef Devin Alexander, a health and wellness expert and best-selling author.

“When you start the day with coffee and a pastry, your blood sugar peaks quickly and then it crashes, which may send you for another sugary snack, adding empty calories, fat and sugar to your diet. But if you include three simple components - protein, whole grains and fruit - you’ll kick-start your day and feel satisfied until lunch,” she

says.

Here are Chef Alexander’s three simple steps to a better breakfast: Step one: protein A key component of a better breakfast is protein. The Institute of Health’s Dietary Reference Intake recommendations allow anywhere from 10 percent to 35 percent of total calories for normal healthy adults.

“Most Americans struggle to take in enough protein to make up 35 percent of their daily calories,” Alexander says. “One way to stay satisfied all morning is to add protein to your diet as part of breakfast.”

A recent survey of bacon-

eating consumers found that bacon is the most popular breakfast protein, with taste cited as the No. 1 factor that sets it apart from sausage and ham. Despite a love affair with bacon, however, 40 percent of respondents also listed fat content and sodium levels as their most important concerns when selecting bacon.

If you want to enjoy delicious bacon flavor and crisp texture, but with less sodium and fat than pork bacon, Jennie-O offers a new and improved turkey bacon, a product with 60 percent less fat and sodium than conventional pork bacon, according to USDA data.

Eggs, another source of

protein, were cited as the most popular food to eat with bacon, according to survey respondents. If you want the protein but without saturated fat and cholesterol, there are a variety of egg substitutes and egg whites available that work great in breakfast recipes.

Step two: high fiber carbs “It’s a myth that all carbohydrates are bad,” says Alexander. “Carbohydrates that deliver fiber and nutrients, like fruit and whole grains, provide energy, and the best ones also deliver high fiber to help digestion. With high-fiber choices, your body is using up 25 percent of the highfiber food’s calories just to

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12 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Loveland: 3470 E. 15th Street / Loveland, Colorado 80538 / 970-663-3975

Thursday, January 24, 2013

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digest it, and it’s going to fill you up, too.”

High-fiber choices abound for breakfast, from whole grain breads and muffins to hot or cold cereals.

Jazz up these choices for added nutrition and flavor.

For example, try topping oatmeal with dried fruits such as raisins or apricots, or even unsalted nuts. Top a whole wheat English muffin with chunky peanut butter and a sliced banana for a satisfying treat.

Step three: fruits and berries Fruit and berries pack in a host of nutrients including vitamins, minerals, antioxidants, plus fiber. And because of their high water content, you can eat more of them than denser fruits.

For instance, you can enjoy a full cup of berries versus half of a banana or half of a large apple for the same number of calories.

Blueberries, strawberries, raspberries and blackberries are all good choices, as the richer the color, the more antioxidants anDuring the winter when it’s harder to get fresh berries, buy freshly frozen berries and keep them on hand to incorporate into breakfast. So have fun.

Toss them on cereal. Add them to yogurt for a flavorful parfait. Fold them into pancake batter, and flip with happiness.

Get creative and have fun with breakfast Jennie-O and Chef Alexander have teamed up to create four signature breakfast recipes providing a creative way to start the day. These recipes and other great morning recipes are available on Jennieo. com and SwitchToTurkey. com.

-Brandpoint .

California Breakfast Sandwich Try this recipe with a side of fruit to enjoy all three components of a better breakfast.

Prep time: 5 minutes Total time: 10 minutes

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INGREDIENTS: Butter-flavored cooking spray 2 egg whites 1 whole wheat English muffin 1/4 small avocado, cut into three slices or 1 ounce Wholly Guacamole Classic dip 1 large or 3 small, thin tomato slices 2 slices JENNIE-O turkey bacon, cut in half crosswise DIRECTIONS: Mist a large ramekin (about 5 inches in diameter) with spray. Add the egg whites.

Set aside. Heat a mediumnonstick skillet over mediumhigh heat. Lay the bacon strips side-by-side so they do not touch. Cook 1 to 2 minutes, turn and cook 1 minute longer until cooked to desired crispness, about 2 to 3 minutes total. Place on a paper-towel-lined plate.

Meanwhile, poach the egg whites. Separate the halves of the English muffin and toast.

Place the bottom half of the English muffin on a plate.

Add avocado slices or spread 1 ounce of Wholly Guacamole Classic dipon English muffin.

Add the egg, tomato and bacon. Cover with English muffin top. Serve immediately.

Makes 1 serving: 277 calories, 17 g protein, 28 g carbohydrates, 3 g sugar, 11 g fat, 2 g saturated fat, 0 mg cholesterol, 4 g fiber, 602 mg sodium.

Thursday, January 24, 2013

To make an appointment, call 970.624.5170.

Victor Palomares, PA-C

Dr. Kevin Felix

3850 North Grant Ave., Suite 200 | Loveland (Located northwest of 37th Street and Garfield Avenue.)

970.624.5170

pvhs.org

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

13

Cough clues: Identify and treat your cough Cold and flu season is on its way, often marking its arrival with that first throat tickle, before exploding into a hacking cough.

Productive (also known as wet) coughs produce phlegm or mucus that comes up from the lungs or drains down the back of the throat.

A wet cough can be a symptom of the common cold, influenza, bronchitis and even pneumonia.

Nonproductive (also known as dry) coughs do not produce phlegm or mucus, and can make your airways, throat or chest sore, causing discomfort and disrupting sleep. This type of cough can be a cold and flu symptom

but is also often a result of asthma or allergies.

“There’s a wide selection of over-the-counter treatments available to help ease coughing symptoms,” says Dr. Brian M. Levine, general practitioner and cough specialist from Southern California. “Expectorants, such as guaifenesin, thin the mucus blocking the airways making it easier to cough up, relieving chest congestion.

Dry coughs can be treated with a cough suppressant, such as dextromethorphan, which simply lessens the urge to cough promoting comfort and better sleeping. I recommend many of the ‘store-brand’

cough medications at leading retailers and pharmacies, such as Tussin cough syrups and guaifenesin.”

-Brandpoint

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14 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Loveland (970) 669-5432

Cheyenne (877) 713-7392

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

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

2555 E. 13th St.

Thursday, January 24, 2013

4108 Laramie St.

.

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, January 24, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

15

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Health Calendar

CHRONIC OBSTRUCTIVE PULMONARY DISEASE

When: Tuesdays, 1-3 p.m., Jan. 29 – Respiratory Tools and Oxygen Feb. 5 – Nutrition Feb. 12 – Personal Power Advance Directives Where: McKee Conference and Wellness Center, 2000 Boise. Ave., Loveland Cost: Free Call: (970) 635-4015

DIABETES INFORMATION GROUP

An informational/educational meeting for anyone touched by diabetes who wants to learn and share. There will be a different subject matter for each meeting.

Where: McKee Conference and Wellness Center Cost: No charge. No regis-

tration needed.

Call: (970) 622-1950 for more information and topics.

BREAST-FEEDING SUPPORT GROUP

Mothers with new babies are welcome to attend this gathering to learn and talk about breastfeeding.

Where: McKee Medical Center 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.

SavaSeniorCare focus on people our residents

their lives their families Sierra Vista

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

970-669-0345

16 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Where: McKee Wellness Services, 1805 E. 18th St. Suite 6, Loveland When: Monday through Thursday, 8 a.m.-4:30 p.m.

Cost: FREE Call: (970) 669-9355

YOGA SUPPORT GROUP

for anyone touched by cancer. Join us for gentle yoga and holistic therapy education.

Where: McKee Medical Center Cancer Center Lobby When: 1st and 3rd Thursday of every month 5:30-6:30 p.m.

Cost: free Call: (970) 635-4054 to register

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: April 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 Thursday, January 24, 2013

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 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 PROSTATE CANCER SUPPORT GROUP

When: 5:30 p.m.-7 p.m., Fourth Thursday of each month Where: McKee Conference and Wellness Center Cost: Free Call: (970) 622-1961

BREAST CANCER SUPPORT GROUP

Where: McKee Cancer Center lobby When: Nov. 8, 5:30-7 p.m.

Cost: FREE Call: (970) 622-1961

TOTAL JOINT EDUCATION

Physical therapists and occupational therapists prepare patients for surgery.

This program is coordinated through your physician’s office as part of the surgery scheduling process.

Where: McKee Conference and Wellness Center When: Thursdays, 3 p.m.

Cost: FREE Call: (970) 635-4172 to register .

BANNER HEALTH PROGRAM IMPROVES STROKE CARE IN NORTHEASTERN COLORADO

GREELEY — Banner Health knows that when it comes to treatment for stroke, every second counts.

For this reason, Banner Health is partnering with Swedish Medical Center to introduce a telestroke program at East Morgan County Hospital in Brush and Sterling Regional MedCenter. This program will provide the fastest and most advanced treatment for stroke patients utilizing robotic technology.

This 24/7 stroke and neurology state-of-the-art technology uses secured video links to provide patients immediate, around-the-clock access to board-certified neurologists who are experts in stroke care.

The program already is in place in North Colorado Medical Center in Greeley and McKee Medical Center in Loveland.

When healthcare providers in the rural hospital suspect a person is having a stroke, they will use the telemedicine program to call a neurologist at Swedish Medical Center in Denver. That neurologist will use a high-definition camera that is placed on the robot at the patient’s bedside to examine patients. The robot also has a screen and microphone to provide two-way video and audio communication. The neurologist can assess and interview the patient, and talk to family members and other care providers just as if he or she was in the room. Most importantly, the neurologist can provide the valuable consulta-

HL

tion about the care for the patient with the on-site Emergency Department physician.

East Morgan County Hospital CEO Linda Thorpe states, “Through this partnership we are excited to offer this expanded service and 24/7 stroke neurology coverage to our patients.”

Each year about 795,000 people in the United States experience a stroke. It is the country’s third-leading cause of death. Risk factors for stroke include hypertension, diabetes, obesity, smoking and sickle cell anemia.

There are two main types of stroke and treatment for each type is different: An ischemic stroke occurs when blood flow to the brain is blocked due to a clot in an artery. This clot blocks the flow of blood, and the oxygen it car-

Health Briefs ries, to the brain.

A hemorrhagic stroke is bleeding from the small brain arteries into the brain.

A third event called a transient ischemic attack (TIA) is a temporary blockage that lasts a few minutes but does not cause brain damage.

Although not an actual stroke, a TIA can be a precursor to an actual stroke.

Each type of stroke requires a different type of treatment, which may be given in a rural facility or may require transport to a facility offering more specialized service.

Having the telestroke program allows the neurosurgeon from Swedish to consult with the Emergency physician on site and possibly alleviate the need for the patient to be transferred to a different hospital.

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NORTH SHORE HEALTH & REHAB FACILITY

SKILLED NURSING columbinehealth.com .

columbine cares for seniors

970-667-1900

Thursday, January 24, 2013

LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

17

PAID ADVERTORIAL

Fit vs. Fat Recently one of our patients

by wendy Pryor, Wellness Specialist at McKee Medical Center

missing the mark. It is important

diet, then she is probably quite

called me upset and discour-

to consider other factors before

healthy. More evidence is

aged. She had just returned

determining someone “fit” or

showing that living a sedentary

from her yearly physical that

“fat”.

lifestyle is the top risk factor for

she had been eagerly anticipat-

One factor commonly used

cardiovascular disease.

ing. In the last year, she had

is Body Mass Index (BMI), the

made many lifestyle changes to

ratio of weight to height. BMI

levels, another major factor in

promote good health. She had

is the most common measure

a women’s overall health is her

begun exercising on a regular

used to determine if a person’s

level of physical fitness. Daily

basis, made healthy changes

weight puts them at a health

exercise reduces the risk of

to her dietary habits and had

risk. However, BMI does not

heart disease and many types of

taken measures through weekly

take into account body compo-

cancer. And when you combine

yoga/meditation class to manage

sition. Since muscle is more

physical activity with other life-

stress.

dense than fat is, a person

style measures, such as eating a

with a high percentage of lean

diet rich in fruits and vegetables,

The results of the physical

muscle mass may end up in the

the payoff is even greater.

showed her efforts had been

overweight category despite be-

The bottom line is that the

making a difference in her

ing lean and fit. Another factor

number on the scale is no guar-

health. Her blood pressure was

used is waist circumference;

antee of health and fitness is not

in the normal level for the first

women with a waist circumfer-

‘one size fits all.” For this rea-

time in years, her blood sugars

ence over 35 have a greater

son, there is no such thing as a

had dropped, and her cholester-

incidence of increased blood

“perfect body,” or an ideal body

ol profile had greatly improved.

pressure and increased choles-

weight, shape or size that every-

However, one element of her

terol.

one should strive for. Instead of

exam left her discouraged: the

Along with testing blood

In addition to BMI and waist

focusing on the number on the

number on the scale. While she

circumference, cholesterol and

scale, I advise people to gauge

had made healthy changes, the

blood pressure readings are

weight loss by how their clothes

scale had not budged and left

a key element in determining

fit and how they are feeling. The

her feeling unsuccessful.

heart and overall health. Weight

most important thing is making

is only one factor, if cholesterol,

healthy choices consistently and

presumption our culture that if

glucose and triglyceride levels

enjoying life with the body you

an individual is overweight they

are within the recommended

have.

are also unhealthy, but using

range, blood pressure is nor-

just the number on the scale to

mal, and she is consistently

determine overall health may be

exercising and eating a healthy

There is an overwhelming

18 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado

Thursday, January 24, 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

Ask the Expert:

Detox Diets

What should I know about detox diets and colon cleanses before starting one?

The goal of these diets is to rid the body of toxins that may cause a wide range of medical ailments (fatigue, headaches, fibromyalgia and more) with weight loss as a bonus.

These diets often involve a multi-day regimen with a period of fasting and a restricted diet. Many programs also include laxatives and a liquid-based concoction.

Diets that recommend very few calories can lead to malnutrition, dizziness, fatigue and nausea. Laxatives can also cause dehydration.

Advocates of detox diets claim a variety of health benefits, but there is no supporting medical research. A healthy diet and exercise are recommended over these diets.

Consult your physician before beginning a weight loss program or detox diet to learn the risks and set safe weight loss goals.

Where

Experts Work Best.

Grant Taylor, D.O.

Family Medicine Banner Medical Clinic Harmony Road Appointments – (970) 204-9069

Banner Medical Group North Colorado Medical Center

Banner Medical Group McKee Medical Center To find a Banner Health physician in your area, visit www.BannerHealth.com/BMG