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trauma care. We also offer general surgery, labor
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 3
Inside
HELine ALTH
September, 2009
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, non-commercial, 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.
Eat Healthy on the go
For advertising information, contact: Linda Story — 635-3614
For editorial information, contact:
Jade Cody: 635-3656 jcody@reporter-herald.com
Page 14
Treat back pain naturally Page 11
also inside Health shorts ............................................................................................. pg. 4 CrossFit update.......................................................................................... pg. 6 Do you need a swine flu vaccination? ....................................................... pg. 8 Uncommon Sense with Loveland’s Dr. Beth Firestein ........................... pg. 12 Crandoodles by Steve Crandall ............................................................... pg. 13 Destination: Healthy with Amanda Wicker .............................................. pg. 16 Tips for better sleep................................................................................. pg. 18 Life after prostate cancer ........................................................................ pg. 20 Loveland health calendar ........................................................................ pg. 22 Loveland health briefs ............................................................................. pg. 23 The Healthy Plate ..................................................................................... pg. 26
Health in a Handbasket
Let the yoga action commence!
Page 5
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
Protect joints from arthritis Lindsay Minnema The Washington Post
M
illions of Americans suffer from the joint pain, stiffness and loss of mobility associated with arthritis. Possible causes include genetics, obesity, injury and overuse. Though you may not be able to help your genes, the Arthritis Foundation says there are still some things you can do to protect your joints and decrease your chances of developing arthritis: • Maintain a healthy weight. More weight puts stress on your hips, knees, back and feet. • Get exercising. Strong muscles help prevent joints from rubbing together and wearing down cartilage. Be sure to wear proper safety equipment (helmets, wrist pads, etc.), and take it easy if you feel any pain. • Protect the joints in your neck, back and hips by standing up straight. • Use your biggest and strongest joints when doing heavy lifting or carrying, and don’t hesitate to ask for help if you need it. Visit the foundation at www.arthritis.org.
Put that caffeine away
R
eaching for coffee, soda or other caffeinated drinks in the middle of the day may not give you quite the boost you hope it will. Though caffeine may enhance your alertness and concentration, researchers at the University of California in San Diego say it probably doesn’t do much to help your memory. In fact, caffeine may actually interfere with tasks such as remembering specific words or performing learned motor skills. In a study of 61 participants taught new words and a fingertapping task in the morning, those who did not have caffeine in the middle of the day were able to remember the tasks better that afternoon than those who did have caffeine. Participants who took a nap in the middle of the day were even better at performing the tasks later.
Prevent teenage prescription misuse
O
ne in five teen-agers abuses prescription drugs, thinking it is a safe and easy way to get high. Easy it might be, but safe it isn’t, said The Partnership for a Drug-Free America. The first step in preventing the abuse is to include prescriptions and overthe-counter medicines in your don’t do drugs talk with your kids. Here is
what The Partnership says to do next: • Monitor your prescriptions closely by noting how many pills are in the bottles and keeping track of your refills. Encourage friends and relatives to do the same. • Secure medications in a locked cabinet or other safe place that your teen cannot access.
• Dispose of expired or unused drugs, mixing them with something undesirable (such as coffee grounds or kitty litter) so teens looking to get high will be discouraged from plucking them out of the trash. For more tips, facts and studies on prescription drug and drug abuse, visit www.drugfree.org/notinmyhouse.
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 5
HL
Health in a Handbasket
Health in a Handbasket is a monthly feature in which I try a health-related adventure and write about it. If you have an idea for a new adventure, write to me at jcody@reporter-herald.com.
YogaPUMP me up
Health in a Handbasket
Jade Cody Special Sections Editor
W
hen you think of yoga, you might think of a bunch of ladies wearing spandex unitards stretching to the point of contortion and chanting and omming about their long lost gongs. I don’t. I think of the time I grunted and sweated my way through a class called Yogapump at Loveland Yoga & Core Fitness. It was an intense and challenging weightlifting workout with radical arm stands — led by owner Christi Sullivan. And I do mean radical. There was one point when I’m pretty sure we did a breakdancing move. Hip I tell you. Yogapump is yoga combined with weightlifting and strategic breathing — at least that’s what I got out of it. We spent a lot of the class in squats and lunges, with knees bent, using the dumbbells to work out cores, arms and shoulders. If you aren’t aware, doing anything in the lunge position is hard. Especially if you have the flexibility of a 100-year-old, like I do. There were times when I had to check my thighs to see if they were bleeding from being stretched to the extent of Armstrong. I might be exaggerating, but seriously, my lunge is about in line with my upper lip — stiff (not sure what I mean by that). I do have a pretty good squat, however, thanks to my work in � See YOGAPUMP/Page 6
RH photos/Rhema Muncy
This is me doing yoga moves. You can tell by my face at left that I mean business. At right, notice my poor excuse for a lunge. It’s because it hurts.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
YOGAPUMP
sweat clear through my clothes, yet I wasn’t out of breath. It turns out Sullivan keeps it above 80 degrees for all of her From Page 5 classes. There are some, called hot yoga, which are done at 90-plus degrees. the CrossFit classes (see below). Never I admit I had a bit of trouble keeping thought I’d be bragging in a newspaper up with the class from one pose to the column about my squat. I’ll be darned. next, and I had to watch Sullivan closely Anyway, my understanding of yoga is to make sure I was doing everything that it is a way to achieve fitness by join- correct. Overall, I give Yogapump and Loveing the mind and the body — slowing land Yoga & Core Fitness an A for a down the movements and focusing on challenging, fun class. I would definitely breathing. It’s also spiritual for a lot of people. Come to think of it I was getting consider using this class as a weekly a little spiritual there for a while when I supplement to my workout regimen. was doing one splits-type stretch on the Unless I start seeing spandex unitards. Then I’m out. floor in class. If you are interested in classes, call I liked Yogapump because it really did give me a challenging strength workout, Sullivan at 970-292-8313. Jade Cody can be reached at and I could see how it would make me jcody@reporter-herald.com. stronger. At the end of the class I had
RH photo/Rhema Muncy
Here I am preparing for blast off.
Update: CrossFit smidge biased, I know that I’ve made serious gains in strength and ens some of you may recall, I bedurance. It’s made a gan doing CrossFit classes at big difference in the CrossFit Loveland in June for Health in a Handbasket. Now, normally way I carry myself, too. One of the biggest benefits of becoming fit is feelI don’t do this, but I have to give that ing good about yourself and what class another plug because I have beyou’re doing. come extremely addicted to it. I know what you’re thinking: “I I’m doing it on my own, now, and have made a lot of progress (at least ac- feel good about what I’m doing cording to my Mom, who says I am the when I’m eating at Pizza Hut.” most handsome and fit boy in the I know. Me too. But this is yet anothwhole world). While she may be a er way to feel good.
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I haven’t given up any foods or beverages during the last few months, but the intense cardio in the class has helped me burn off most of my belly fat. Not that there was a lot, but still, that stuff is like a second grade girlfriend who happens to ride on your same bus — hard to get rid of. If you are interested in trying CrossFit with me, drop me an e-mail at jcody@reporter-herald.com, or contact Dave Wells, the owner of the Crossfit, at crossfitloveland@q.com.
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We’re here for your family. Foxtrail Family Medicine offers comprehensive family care—for infants, children, moms-to-be, adults and seniors. Dr. Bradley Schnee and Dr. Anne Siple look forward to caring for you and your family. Call today for an appointment: 970.619.6900 Foxtrail Family Medicine 1625 Foxtrail Drive (Just south of Medical Center of the Rockies in Centerra)
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
Q&A with doctor regarding swine flu Rachel Saslow The Washington Post
able tissues or your sleeve) and wash your hands and the surfaces you come in contact with frequently. ndrew Pekosz, an associate proQuestion: When will the vaccine be fessor of molecular microbiolo- available? gy and immunology at Johns Answer: As of now, it looks as Hopkins University’s Bloomberg though vaccination for high-risk groups School of Public Health in Baltimore, will begin in mid- to late October. Once recently answered questions about the high-risk groups have been immuswine flu. nized, vaccination of the general popuQuestion: I got a swine flu vaccine lation will begin, most likely in Novemin 1976. Am I protected from this strain? ber or early December. AnnounceAnswer: No, you are not. The 1976 ments regarding when and where to and 2009 H1N1 viruses are different, get the vaccine will be made on a reguand the immune responses from the lar basis this fall, so pay close attention 1976 vaccine lasted only about a year. to your news sources for updated inforQuestion: What is the typical incumation. bation period of swine flu? Question: Will the seasonal flu vacAnswer: This is difficult to estimate, cine help protect me from H1N1? but it appears that it takes one to three Answer: The seasonal flu vaccine days for symptoms to develop after ex- will not provide any significant protecposure to the virus. Remember that the tion against H1N1. However, we do exmost important thing is what you do af- pect to see some cases of seasonal inter you feel the first symptoms: Stay fluenza this year, and many of the highhome and limit your contact with peo- risk populations for H1N1 vaccination (pregnant women, children, people ple, practice good cough and sneeze hygiene (cough or sneeze into dispos- with underlying medical conditions) as
A
well as people over the age of 65 should get the seasonal vaccine in addition to the H1N1 vaccine. Question: My child has a severe egg allergy. Can he get the H1N1 vaccine? Answer: All the influenza vaccines that will be administered this year consist of virus components generated from eggs, so if you have an egg allergy, you should not get either the seasonal flu vaccine or the H1N1 vaccine. Question: I’m 66 and in good health. Do I need the vaccine, and when should I get it? Answer: As always, consult with your physician about specific medical advice. I would suggest you should get the seasonal flu vaccine, which is available now, since you are in one of the risk groups for getting severe disease from seasonal flu. Also, get the H1N1 vaccine when it becomes available to your age group, which will not be at the beginning of the vaccination campaign but probably in November or December.
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Take a Shot Which vaccinations do you need?
Recommended vaccinations: Annual autumn vaccination for people older than 50, pregnant women, healthcare workers and those with chronic Here is a list of diseases which can be medical conditions. prevented by vaccination. TETANUS/DIPHTHERIA What it is: Tetanus, sometimes PNEUMOCOCCAL DISEASE called lockjaw, is a bacterial infection What it is: A bacterial infection that affecting the nervous system. Diphthecan cause pneumonia Recommended vaccinations: One ria is a bacterial infection that affects the dose for those age 65 and older, and for upper respiratory tract. Recommended vaccinations: A those with underlying medical condicombination booster every 10 years. tions including heart disease, cancer and alcoholism. PERTUSSIS, OR WHOOPING COUGH HUMAN PAPILLOMAVIRUS (HPV) What it is: A sexually transmitted infection that can lead to cervical cancer. Recommended vaccinations: Three-dose series over a six-month period for females age 11 to 26.
MENINGOCOCCAL DISEASE, OR MENINGITIS What it is: A highly contagious respiWhat it is: An infection of the fluid ratory tract infection. that surrounds the spinal cord and the Recommended vaccinations: Evbrain. ery adult should receive one dose of Recommended vaccinations: One pertussis vaccine, which is given in dose for adults with certain risk factors, combination with one of the such as living in close quarters or havtetanus/diphtheria boosters. ing a damaged spleen. HEPATITIS B — Sources: Centers for Disease ConWhat it is: A liver disease that, if it develops into a chronic infection, can trol and Prevention.
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INFLUENZA What it is: A virus that kills more Americans than any other vaccine-preventable disease.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
Jerry’s cancer team gave him his life back. And that’s music to everyone’s ears. Even after he was diagnosed with nonHodgkin’s lymphoma, Jerry found comfort in playing the piano. And thanks to McKee Medical Center’s carefully coordinated cancer team, he soon found the strength to go on to a healthy life. The pathology and imaging departments quickly gave Jerry’s doctors his test results, which helped get his treatment started right away. Yet, Jerry said his considerate doctors and nurses took the time to explain his condition and give him the best care possible. Because of this highly specialized, personal approach, Jerry’s life is in tune. Now he not only plays for comfort, he gives back by using his piano to lift the spirits of those in cancer support groups. McKee Medical Center. Remarkable health care inspired by you.
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Solve back pain RHEMA MUNCY SPECIAL SECTIONS REPORTER
what is happening on the soft tissure level to try and rule out a strong intervention such as back surgery. ack pain causes American quite a bit Once the right course is decided, he will utilize the of trouble. Those Chinese meridian system to pesky shooting pains are determine how the pain the most common reason moves and where it travels for missing work, and onein the body. half of all working Ameri“We are always trying to cans admit to having back integrate the body further pain symptoms each year, — we are always looking for according to the American things in common rather Chiropractic Association. than separating them,” Experts also estimate that Johnston said. “One of the as many as 80 percent of strongest points for back the population will experipain is on the hand. The ence a back problem at flag ship pain is behind the some time in their lives. knee, so it is not actually on Protecting life’s hardest the back.” worker takes some foreJohnston utilizes these thought and perseverance. pain relief points to relieve And treating injuries does pressure in the back with not mean invasive medical acupuncture or he will work procedures or medication directly on the back. He utiaddictions, two local back lizes power points along the healers said. body’s channels, the ChiMichael Johnston, a licensed acupuncturist with nese Medicine referral to how energy flows in the the Traditional Chinese body. Medical Clinic in Fort “Acupuncture works by Collins, starts clients with a blood circulation,” Johndetailed assessment to deston said. “It comes down termine the cause of pain. to getting blood moving. He utilizes Western The blood clot in the right medicine orthopedic tests to pinpoint sore back caus- place means game over.” And the longer a disease es from muscle strain to or strain process has been structural changes like compression of disks or for- going, the longer takes to eign materials in the spinal deal with it. chord. “A person should start seeing a shift of pain in the He wants to determine
B
location, intensity, duration and frequency within four to six weekly treatments,” Johnston said. “Sometimes on-going care is needed. Say we have the pain down 80 percent after three treatments. Once the corner has been turned, we start to space the treatments out.” Osteopathic family practice physician Dr. Patrick Mallory of Mallory Family Practice also works to treat back pain with as little invasion as possible. Osteopathic physicians are trained in a system called osteopathic manipulative therapy (OMT). On the surface it is similar to chiropractic but it is different because they are also complete physicians. They incorporate evaluation and manipulative changes into a full medical approach. Mallory also begins with a starting assessment to determine a few hypotheses about where the back pain originates from. Treatment methods depend on the source of back pain. “There are 20 different types of manipulation we can do — it is not all popping and cracking,” Mallory said. They use modalities such as electric stimulation, massage, heat, medication and referrals for physical therapy before recommending serious back surgery. When determining if a
back injury is serious enough for medial treatment, Mallory recommended patients try every home remedy possible. “Try avoiding the activity you think caused it and rest while using ice or heat depending on which helps you more and take over the counter anti-inflammatory pain medicines,” he said. “If you can’t control your pain our you have loss of function in walking or you can’t move your arm or you loose control of your bowls or bladder, those are all signs you should see a doctor.” Johnston has people track if they have daily or intermittent back pain. “Every once and awhile people get zapped by their back or they twist a certain way and it happens again. Those are good times to seek treatment,” he said. “The body is always signaling us mildly first. That is the best time to pay attention. Unfortunately some people wait until they are limping until they seek treatment.” To maintain healing, after working with various treatments, Mallory puts patients on a strength training regime. “Some one with chronic back pain needs to consult a professional,” he said. “If they just look at a list of exercises and choose one that looks good, they could cause damage.”
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
HL Uncommon Sense Crazy times don’t mean crazy people our country and other countries in the world are also facing enormous problems ranging from hunger uestion: In these crazy times, we are to war to the world economy and more. Sometimes it all facing job insecurities, layoffs, is helpful to step back from family stress and work bud- the problems facing the entire world and focus on the get cuts. What are some healthy ways to deal with all problems facing ourselves and our neighbors. that the world is facing? When we turn our attenAnswer: Remember that tion away from things we it is the times that are can’t do anything about and crazy, not you. We are facfocus on things we can do ing uncertainty today in lots of different life arenas. something about, we usually feel less overwhelmed. We are also facing an unusual number of losses and Some people find it helpful disappointments that cause to take a break from the naa great deal of stress to intional news and its constant dividuals and families. focus on problems and fear and fill their minds with Not only do our families face particular struggles, other, more positive types BETH FIRESTEIN PH.D., UNCOMMON SENSE
Q
LOVELAND CAMPUS North Shore Health & Rehab Facility
of input. News that highlights the good in people, inspiring literature like the “Chicken Soup for the Soul” series replace fear with hope for the human condition and future world. It is also helpful to pay attention to your own personal needs for rest, nourishing social contact, and physical activity. Helping others can
also be a great way to feel like you are accomplishing something and making a difference. When we feel less powerless, we can more easily handle the stresses in our lives. While you can’t control these crazy times or cure them, there are certainly healthy ways to cope and joy to be shared even in the world as it is today.
Dr. Beth Firestein is a licensed psychologist. She has 23 years of therapy experience and has practiced in Loveland for over 12 years. She may be reached by calling her office at 970-635-9116 or via e-mail at firewom@webaccess.net.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
Healthy on-the-go
Race-car fast schedules don’t have to sabotage the diet
fort we can, and that often comes in food. If you are changing your one comfort, that creates instability in life. The big thing about becoming healthy and changing diet is you are changing people’s comfort — not something you want to do lickety-split.” don’t place priority on your Rhema Muncy Plummer recommended Special Sections Reporter health, then you will not obstarting with attainable goals tain the healthful vitality you oom. Life never leaves are hoping for,” Plummer said. posted on the refrigerator or bathroom mirror. This could the fast lane, let alone “People are always looking for be as simple as drinking one allow families time to a quick fix to a very difficult more cup of water a day. hunt, gather and prepare their and complex problem. You When the easily attainable own food. Convenience can take a pill, supplement or goals are accomplished, move matches hectic lifestyles, but herb to fix something, but if on to the bigger ones. easy choices can take a toll on you aren’t really working on “Staying emotionally sane health, nutrition and the the real problems then it means making very small body’s ability to fight fatigue doesn’t work.” changes,” Plummer said. and infection, according to There are several ways to “Look at where you are wasttwo local nutrition experts. prepare healthy life options Dr. Kathryn Plummer of ahead of time and small steps ing time. Are you watching Sage Holistic Health in Lovefor changing habits, as well as three hours of T.V. a night? land works with people who continuing to work against the Use some of that time to plan often say they want healthy unhealthy currents of society. meals.” food fast. In her experience “People are used to the Taking the time to plan and training, true health things they have been eating ahead meals with buying all doesn’t come by a quick fix. and it is comfortable,” Plumfood ahead of time will make “If your lifestyle is run mer said. “A lot of times our healthy choices easier, Plumwhere you are stressed, you lives aren’t comfortable bemer said. If there is an evening have little down time for rest- cause we are so busy so we schedule crunch, chop vegetaing and relaxation and you reach out for what ever com- bles in the morning or the day
Z
before so that the limited dinner preparation time won’t make fast or boxed food an option. Chilson Recreation Center dietician Denise Moore also recommended keeping refrigerators and cupboards stocked with healthy options like: • Plain yogurt — great for a quick breakfast. Just add some fruit and cereal. It can also be used as a replacement for sour cream or as a thickener. • Nuts — specifically walnuts and almonds. They are a great protein snack with healthy fats and high fiber. Watch portions of nuts because they are high in calories. • Cut up veggies — cut up several once a week. Have them handy for when you want something crunchy. Most people will not take the time to cut them up as they go. • Fruit — fresh and frozen • Whole wheat tortillas and whole wheat pastas – can wrap many kinds of leftovers in a tortilla for a quick meal. Pastas can make a great meal. Add in vegetables, make sal-
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 15 ads with and add to soups. They are a good source for energy but also watch portions. • Beans — a high fiber, cheap source of protein that is very versatile. • Grilled salmon — grill extra and eat one day with some brown rice and grilled veggies. The next day eat it on top of a salad with balsamic or raspberry flavored vinaigrette. • Frozen chicken — cut raw chicken up into smaller portions and freeze in individual bags, ready to cook when dinner needs to happen fast.
FIGHTING CRAVINGS To fight off vending machine and fast food cravings, Moore recommended keeping trail mix at the desk for something crunchy. “Stop carrying money around,” Moore said. “People will get annoyed if you keep borrowing from them to visit a vending machine. If an afternoon break is the time you visit a vending machine, be sure to have a planned snack like fruit and string cheese. Or d go for a 10 minute walk.” Depleted nutrition is another reason for cravings. “People eat too many carbohydrates, especially for breakfast,” Plummer said. “If you are just eating cereal or a muffin for breakfast, you are going to have sugar cravings all day long. But if you eat a higher good fat breakfast with oils, avocados, and protein, you are going to have hardly any sugar cravings.” Sugar cravings can also be a signal that they body needs 20 t minutes to rest or the body is dehydrated. “A good formula is you want to drink half of your body weight in body ounces per day as a minimum,” Plummer said. “If you exercise, you drink more water. Drink away from meals. If you drink too much with meals then you di-
lute your digestive juices and you aren’t digesting as well and getting all of the nutrients you need. So plan ahead and actually chew your food.” If the body is still craving sugar, eat a square of the darkest chocolate possible. The bitter will also help with digestion and stop the craving, Plummer said. To combat eating fast food, Moore makes packing a healthy lunch a habit. “Take one day at a time,” she said. “Make it a goal to not visit fast food place for a week. Habits can take six weeks to break.” Another quick way to prepare food is to prepare meals with minimal ingredients. Moore recommends stir fry that can easily be eaten the next day cold wrapped in a tortilla or on a salad. Chili is another dish that can be eaten over a potato, corn chips or in a wrap. To overcome an indulgent mentality, Moore recommends replacing exercise with eating sugar and removing all temptation from the house and environment. “Do not expect to magically have the will power to do on your own,” Moore said. “ If you fall, don’t kick yourself — pick yourself up and move forward. Change takes time and conquering addictions do too. When you avoid junk food for a day, notice how much better you sleep, how much energy you have the next day. Keep these feelings strong for when cravings come.”
Contact Dr. Kathryn Plummer of Sage Holistic Health at 970-667-7071. Contact Denise Moore at moored@ci.loveland.co.us
Little Cabbage Saute Recipe courtesy Kathryn Plummer 2 Tablespoons butter 2 Tablespoons olive oil 1 /2 tablespoon chopped garlic 1 tablespoon lemon juice 1 tablespoon lime juice 2 cups of brussels sprouts or cabbage
Directions: Melt the butter in the sauce pan. Then add the olive oil and garlic and saute for 30 seconds. Halve the brussels sprouts and add to pan. Saute about five minutes, or until soft. Then add citrus juices and a little bit of water if necessary to keep the vegetables from burning.
Cashew Chicken Salad Lettuce Wraps Recipe Courtesy Web MD Ingredients: • 1 head butter lettuce (green or red leaf lettuce can be substituted) • 1 tablespoon light mayonnaise • 1/4 cup fat-free sour cream • 1/4 teaspoon curry powder • 1/4 teaspoon chicken broth powder (optional) • 2 cups skinless roasted chicken breast, chopped (from a rotisserie chicken) • 1/3 cup celery, finely chopped • 2 green onions, finely chopped • 1/3 cup cashew pieces
Directions: 1. Remove some of the more perfect looking leaves from a head of butter lettuce. Rinse them well, dry them well in paper towels. Keep them until needed in a gallon-size plastic bag, stored in the refrigerator. 2. Combine light mayonnaise, sour cream, curry powder, and chicken broth powder in small bowl with whisk. 3. In medium bowl, combine remaining chicken salad ingredients, gently tossing with spoons until well blended. Pour dressing over the top and toss to blend everything well. Cover bowl and store in refrigerator until ready to serve. 4. Ten minutes before serving, spoon 1/3 cup of the chicken salad mixture (1/4 cup or less if the leaves are on the small size) in the center of each lettuce leaf. Yield: 4 servings (2 lettuce wraps each) Nutritional Information: Per serving: 215 calories, 25 g protein, 8 g carbohydrate, 9 g fat, 2 g saturated fat, 63 mg cholesterol, 1 g fiber, 105 mg sodium (if unsalted cashews used). Calories from fat: 38 percent.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
HL Destination Healthy
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Vi s i t U s Today
here is a lot of talk these days about our Earth’s environment and protecting it for the future. We all have our part to play in this. This is also true in our daily environment when it comes to healthy choices. Have you thought about how we are constantly bombarded with food temptations? There are always food commercials, fast food on every corner, vending machines, treats at work and even family gatherings. As if making healthy choices isn’t hard enough. For me I came to realize that to be successful in my weight loss goals, I had to make some major changes to my daily environment. Your daily environment includes every place you spend time on a daily basis. I had to clean out my kitchen, car and desk of food that was not helping me achieve those goals. I had to find healthy replacements for those snacks. I also made a rule at my house that if someone brought something into the house that became to much of a temptation for me, I would put it in the trash. It is time to do an inventory of your daily environments and see where you may be set up to fail. You see, taking care of your healthy environment is just as important for your future health. CHANGE YOUR ENVIRONMENT • Get rid of the junk food in your pantry, desk and car • Replace the junk with new healthy snacks • Grocery shop from a list and not when hungry • Change your driving route to go by less fast food restaurants • Put other family members special treats in a special cupboard you don’t get into • Enlist the help of your support group Amanda Wicker is a Loveland native and the founder of Destination: Healthy, a free weight loss support group held at Message of Life Ministries on the first and third Tuesdays of every month. Amanda has lost a total of 130 pounds using diet and exercise. She can be reached at destinationhealthy@gmail.com.
Destination: Healthy 37-302728
Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 17
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
Better sleep, better living Shari Roan Los Angeles Times
S
leep isn’t just a chunk of time carved out to recharge for the following day. Increasingly, scientific evidence shows that life and sleep are woven together like 800thread-count sheets. How people fare during their waking hours has a lot to do with how they sleep — and vice versa. Income, employment status, relationship satisfaction and hobbies all affect sleep, according to research presented last week in Seattle at the annual meeting of the Associated Professional Sleep Societies. And sleep affects health, relationships and decisionmaking. “Sleep is related to everything,” said Michael Grandner, a fellow at the Center for Sleep and Respiratory Neurobiology at the University of Pennsylvania. Some news from the meeting:
Photo courtesy Jupiter Images
1 in 5 people reported problems with sleep on seven of the 14 nights before the survey. Grandner found little difference among racial and ethnic groups, except for people of Asian ethnicity, who had far fewer problems. But people in lower socioeconomic levels, especially women, reported more problems. So did divorced and separated people, especially divorced and separated men. And men who described themselves as homemakers reported sleep problems on par with people who were unemWHO CAN’T SLEEP? ployed (who had high rates of problems). In one presentation, Grandner reviewed responses from Perhaps most surprising, the worst sleep seems to occur in 159,856 people who participated in a government survey — men and women ages 18 to 24. “The story with age is fascione of the largest to gather data on sleep difficulties. Overall, nating,” Grandner said. “Usually, the common knowledge is
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 19 that as you get older you have more sleep problems. We found pretty much the opposite.” It could be that older people are accustomed to sleep disturbances and don’t complain about them, he said. But it remains to be seen why so many young, ostensibly healthy people are missing out on sweet dreams. BEDTIME AND DEPRESSION When parents mandate early bedtimes for teenagers, they might help reduce the teens’ risk for depression and suicidal thoughts, researchers from Columbia University found. A study of 15,000 teenagers included 1,143 who had depression and 2,038 who had experienced suicidal thoughts. Those whose parents allowed bedtimes of midnight or later were 25 percent more likely to suffer from depression and 20 percent more likely to have suicidal thoughts. The study supports the idea that inadequate sleep could lead to depression, said the lead author, James Gangwisch.
The study found that, for men, better sleep was linked to more positive ratings of relationship quality the next day. Negative interactions with a partner during the day led to poorer sleep that night for both woman and man. The study’s take-home message, lead investigator Brant Hasler says, is to settle conflicts before going to bed and avoid confrontational discussions on a day when one partner, or both, has had a bad night’s sleep.
SLEEP AND SCHOOL The importance of sleep to academic performance is one of the most robust findings in sleep research in recent years. One study, from the University of Pittsburgh, found that math, history and English scores all correlated with sleep quality. Different types of sleep problems, however, affected different types of function. Higher math scores were related to greater sleep quality and fewer nighttime awakenings, whereas good English and history scores were linked to less difficulty awakening. HAPPY, RESTED COUPLES Overall, teens in the study who had regular and preThe quality of a couple’s sleep and relationship tend to dictable sleep schedules coped better with short-term sleep follow the same trajectory, researchers said. On a day-to-day deficits than those with a more varying and chaotic sleep basis, a couple’s relationship affects how well they sleep. schedule. And how well they sleep affects how the relationship funcAnother study, from Hendrix College in Conway, Ark., tions the following day. found that poor sleep patterns were linked to poorer acaResearchers at the University of Arizona studied 29 hetero- demic performance and a decline in grade-point average sexual, co-sleeping couples who did not have children. Each during the transition from high school to college. Students person completed a sleep diary for seven days and was who were “evening types” had an average GPA of 2.84 in asked to record, six times a day, the quality of interactions the first year of college, whereas “morning or intermediate with his or her partner. types” had an average GPA of 3.18.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
Life after prostate cancer New treatments available for ED, incontinence
said his lifestyle suffered tremendously from the side effects of the surgery. He was missing out on some of the basic joys in his life — such as family, recreation and his relationship with his wife. “I got to where I felt like I couldn’t Jade Cody hardly play with the grandkids,” Galen Special Sections Editor said — meaning that his incontinence made it too embarrassing. “My grandhen Galen and Linda Bird daughter was being potty trained and I learned of Galen’s prostate wanted to become continent before she cancer, they dug for answers. did,” he said. “We read everything we could read,” Galen and Linda tried to treat both Linda said. Galen ended up having a the incontinence and ED on their own. radical prostatectomy, which would reThey used pads to control the incontimove the prostate gland and some of the tissue around it. The procedure was nence and Viagra to remedy the ED. successful, and the Birds were relieved Neither provided much success, and the couple grew frustrated. All the Galen would be all right. while, their former doctor just urged What they didn’t necessarily anticithem to continue trying the same methpate, however, were lingering side efods. fects such as incontinence and erectile dysfunction. That is, until they stumbled upon a “We thought it would take care of it- seminar about some new surgical treatself in time,” Linda said. “Well guess ments — specifically, urinary control what: it didn’t.” devices and penile implants — while Galen, who worked as a veterinarian, staying at a hotel.
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RH photo/Jade Cody
Galen and Linda Bird after giving a presentation in Loveland.
The urinary control device was actually an artificial urinary sphincter, which Galen now manually controls to determine when urine can be passed. It has � See PROSTATE/Page 21
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PROSTATE From Page 20
“completely changed my life,” Galen said. The penile implant has been equally successful for Galen. He is able to pump it up and down as he wants to. “It feels completely natural to me and to Linda,” he said. “We said ‘you know what, we are just too young to live like this,” Linda said. “He has his confidence back, and I have my old husband back,” she said. “One of the best things, though, is that we have our spontaneity back.” George Phillips Galen’s surgeries were performed by Dr. George Phillips of the Urology Center of the Rockies. “Dr. Phillips is one of the best in the country,” Linda said. Phillips works with seven other physicians for the UCR. He specializes in prostheses for ED and incontinence and welcomes anyone for a consultation. He can be reached at 970484-6700. McKee Medical Center will host another seminar regarding life after prostate cancer in March, 2010. For more information, call 970-635-4046.
Health care when you need it. Fast, friendly service 7 days a week M-F 8 a.m. - 6 p.m. SAT 9 a.m. - 5 p.m. SUN 9 a.m. - 3 p.m.
MCKEE TO HOST PANEL TO DISCUSS PROSTATE CANCER TREATMENTS In honor of September being National Prostate Cancer Awareness Month, three local physicians will discuss the latest treatments for men diagnosed with prostate cancer at McKee Conference and Wellness Center. Prostate cancer is an illness that affects one man in six during his lifetime. The event will take place from 5:30-7:30 p.m. Sept. 30 at the McKee Conference and Wellness Center, 2000 Boise Ave. It is open to the public and free of charge. A light meal will be served and RSVPs are requested. For more information, please call 970-635-4031.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
ASTHMA EDUCATION This four-session multidisciplinary educational series helps people manage asthma. The team reviews the respiratory system and how it works, medications used to treat asthma and tools that can help you breathe better and monitor your asthma. Triggers, early warning signs and coping techniques are discussed. Anyone who has asthma is encouraged to attend along with family and/or significant others. Where: McKee Conference and Wellness Center When: 6-7:30 p.m., Fourweek session Mondays, starting Oct. 5. Cost: No charge Call: 970-635-4138 BLOOD PRESSURE SCREENING Have your blood pressure checked by a Wellness Specialist Monday through Thursday, 8 a.m.-4:30 p.m. and Friday 8 a.m.-noon. • Where: McKee Wellness Services, 1805 E. 18th • Cost: No charge • Call: 970-635-4056
St. Suite 6, Loveland 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 registration needed. • Call: 970-203-6550 for more information and topics. 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 & Wellness Center • When: Thursdays at 3 p.m. • Call: 970-635-4172 CAREGIVER’S SUPPORT GROUP For caregivers of cancer patients. When: Call for times and
locations: 635-4129. BREAST CANCER SUPPORT GROUP Where: McKee Cancer Center lobby When: Second Thursday of each month from 5:30 to 7 p.m. Contact: 622-1961 SOULPLAY ART THERAPY People whose lives are touched by cancer experience the benefits of expressing themselves through art. No art experience needed. Where: McKee Cancer Center Conference Room When: Wednesdays, 9:4511:45 a.m. Contact: 970-635-4129 MAN-TO-MAN PROSTATE CANCER SUPPORT GROUP Where: McKee Conference and Wellness Center When: 5:30 to 7p.m. the fourth Thursday of the month
Free public exercise classes boost activity
Call: 970-622-1961 for more information. CAREGIVER’S SUPPORT GROUP For caregivers of a loved one with memory impairment. Where: First Christian Church When: The 3rd Thursday of each month from 10 a.m. to noon. Cost: Free Call: 669-7069 THE SEASONS CLUB The Seasons Club at McKee Medical Center strives to enhance the quality of life for mature adults through health promotion, education and recreation. To learn more about Seasons Club activities, call 970-635-4097 or visit www.bannerhealth.com Keyword: McKee Seasons Club.
greater rates of moderate to high levels of activity. The study appeared in residents a year starting in 2002. Jeannine Stein the January issue of the American Los Angeles Time Journal of Public Health. Phone surveys conducted among 2,046 city residents found that people In the study, researchers wrote, ree exercise classes in a public who had taken part in the program “Local programs such as ACP in Resetting might be just what it were twice as likely to engage in cife can inform physical activity pubtakes to make a city active. moderate to high levels of leisurelic health efforts both nationally and globally. If other cities and states in It seems to be working for residents time activity as those who never had of Recife, the fifth-largest city in Brazil. participated. Those currently enrolled Brazil and even other countries are to in classes were 11 times more likely effectively adopt programs such as There, city officials set up free calisACP, they should consider the needs thenics and dance classes in 21 public to do so. Even those who had heard places, enrolling more than 10,000 about the program or seen a class had of local communities.”
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 23
Health Briefs
HEARTS OF HOPE Enroll now for Hearts of Hope, a free education and support group for children (ages 7-16) of families where an adult or sibling has cancer. Parent group also offered. The six-session group will be held on Monday evenings (5:30–7:30 PM) from October 5 to November 9 in south Fort Collins. Light meal provided. Registration deadline is Sept. 30. Call 970-203-6700 to request a registration packet.
EMPLOYEES JOIN GREELEY MEDICAL CLINIC William Lopez, Jr., M.D., an Internal Medicine physician, joined Greeley Medical Clinic, PC July, 2009, and is located at Greeley Medical Clinic’s Medical Clinic at Centerra, PC location in Loveland. Dr. Lopez received DR. MOM TO GIVE FREE PRESENTAhis M.D. from UniTION SEPT. 1 ON BREASTFEEDING MCR SHELVES CARS FOR BIKES versity of Colorado Security officers at Medical Center of Dr. Marianne Neifert, nationally the Rockies have parked their patrol known as Dr. Mom, will give a free pre- Health Sciences Center, where he William Lopez, Jr. cars in exchange for energy-saving sentation on breastfeeding Sept. 1 in also completed his bikes. Fort Collins. internship and residency. He is board The move is expected to reduce anHer presentation will focus on how certified in Internal Medicine, and was nual gasoline consumption by 1,000 to breastfeed successfully and include previously at Alpenglow Medical Clinic gallons while making officers more visi- such topics as prenatal preparation, in Ft. Collins. Lopez is located at the ble on the MCR campus in Loveland. pumping, getting the father involved, Medical Clinic at Centerra, PC location Bike patrols are also expected to preweaning, and such related issues as the in Loveland. vent 8.5 tons of carbon dioxide emislifelong benefits of breastfeeding. Joshua Snyder, M.D., joined the Greesions. Neifert, a pediatrician and expert on Since achieving LEED Gold certifica- breastfeeding, is an author and motiva- ley Medical Clinic’s Peak Orthopedics tion for the hospital, MCR is keeping in tional speaker on positive parenting. department August, the green tradition by purchasing recyHer presentation will be from 6:30 2009. Dr. Snyder cled bikes. p.m.-8:30 p.m. in Westbridge Medical received his M.D. at Suites, 1107 S. Lemay Ave., west across SEILER JOINS ORTHOPAEDIC CENTER Chicago Medical Lemay from Poudre Valley Hospital. OF THE ROCKIES School. He comThe event is sponsored by Poudre Dr. Steven Seiler has joined the Orpleted his internValley Health System and the local thopaedic Center of the Rockies as a ship and residency Coalition for Activity and Nutrition to specialist caring for at Loyola University Defeat Obesity, more commonly know patients with condiMedical Center, as CanDo. tions and injuries of Joshua Snyder and an Orthopedic the hand and arm, Sports Medicine TRANSITIONS THRU GRIEF SUPPORT including the wrist GROUP Fellowship at University of Chicago and elbow. AddiHospital. Snyder will be seeing patients Transitions Thru Grief Support tionally, Seiler will Group: Mountain Valley Hospice is of- at both the main Greeley Medical Clinic be treating general location in Greeley, and the Medical fering a four-week support group for orthopaedic condiClinic at Centerra, PC location in Lovethose grieving the loss of a loved one. tions. The purpose of this group is to help in- land. Appointments Steven Seiler dividuals recognize the various aspects Ann Stroh, D.O., will join the Greeley with Seiler can be of grief and offers ways to cope. It also Medical Clinic, PC Oncology departmade at the Orthopaedic Center’s ofprovides a place to share with others ment September, fices in Fort Collins and Loveland by who have suffered the loss of a loved 2009. Dr. Stroh recalling 970-419-7050. one. It is led by experienced Bereaveceived her D.O. at ment Group Facilitators. Des Moines UniverWINE TASTING BENEFITS HOSPICE This group will meet on Tuesdays — sity. She completed The ninth annual a Vintage Affair Oct. 6, 13, 20, and 27 from 10-11:30 her internship and Classic Wine Tasting benefiting Patha.m. in the Mountain Valley Hospice residency at Iowa ways Hospice will be held on Sept. 25 Conference Room, 1180 Main Street — Methodist Medical at 2211 South College Avenue from Ste. 9 in Windsor. Transitions Thru Grief Center is Des 6:30-9 p.m. The cuisine for this year’s Moines. Stroh comevent will be provided by local favorite is open to all community members. Registration is not required and there is pleted a HematoloDominic’s Bistro and Wine Bar. CoAnn Stroh no fee for attendance. gy/Oncology Felsponsored by Wilbur’s Total Beverage lowship at University of Iowa in Iowa and Dominic’s Bistro and Wine Bar and For questions please call Sandy te City, and is board certified in Medical hosted by Miramont Lifestyle Fitness, A Velde, LCSW at 970.346.9700 ext: 133. Vintage Affair has become one of the premier wine tasting events in the community. The event combines a large selection of fine wines to sample with gourmet food, live music and a silent auction. Admission is $40/person offering attendees an affordable means for enjoying a delectable evening. Advanced ticket purchase is requested by calling 970-663-3500 or purchasing online at www.pathways-care.org.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
Consider a seasonal flu vaccination Sara Marchi RH paid advertorial
S
chool is in full swing, the temperature outside is getting cooler, leaves will begin changing color and Halloween candy is on the shelves at the grocery store. It is also time to start thinking about an annual seasonal flu vaccination. At this time there is not a shortage of seasonal flu vaccine so in general, anyone who wants to reduce his or her chances of getting the flu can get vaccinated. However, certain people should strongly consider getting vaccinated each year. According to the Centers for Disease Control and Prevention (CDC), these people include children aged 6 months up to their 19th birthday, pregnant women, people 50 years of age and older, people of any age with certain chronic medical conditions (such as asthma, diabetes or heart disease), people who live in nursing homes and other longterm care facilities and people who live with or care for those at high risk for complications from the flu. There are two types of flu vaccinations that can be administered. The flu shot, an inactivated vaccine (containing a dead virus) that is given by injection, usually in the arm. The flu shot is approved for anyone 6 months and older. The nasal-spray flu vaccine is approved for healthy people age 2 years to 49 years and women who are
not pregnant. If you are unsure of what type of vaccine to receive, consult your primary care physician or medical provider. Each seasonal flu vaccine contains three influenza viruses. The viruses in the vaccine change each year based on international surveillance and scientists’ estimations about which types and strains of viruses will circulate in a given year. Seasonal flu vaccines are usually a good match to the strains predicted by scientists, but occasionally a strain will mutate or a new strain will emerge and will not be covered by the vaccination. Whether or not a strain is covered in the vaccine, symptoms are often much less severe for people who have received the flu vaccine, as opposed to people who did not receive the vaccine. The seasonal flu vaccine will not protect people against the novel H1N1 flu. The CDC recommends anytime between now and November as the best time to receive your seasonal flu vaccination. The flu season usually peaks between January and March and a flu vaccination will last through the flu season into next fall. Keep in mind, after receiving a flu shot it takes two weeks to build up the antibodies that provide protection against the flu. McKee Medical Center Wellness Services provides clinics throughout Larimer County offering flu, pneumonia, tetanus and tetanus/diphtheria/pertussis (Tdap) vaccinations. No
Oncology. She will be located in Academy in Colorado Springs, where Loveland, at both the Medical Clinic he was a Division I All American at Centerra PC, and at the Greeley baseball catcher and received the Medical Clinic’s Loveland Hematolo- 1992 Athletic Leadership Award. Troy gy/Oncology Associates oncology of- was the Academy’s No. 1 selection of fices in McKee Cancer Cen1,067 Academy graduates ter. eligible for the health care administration career field. Troy Simon is the new After graduation, he served Chief Executive Officer of operating the medical facilGreeley Medical Clinic, PC, ities at Mather and McCleleffective September 2009. lan Air Force Base Hospital Troy comes to GMC after and Clinic in Sacramento, more than 12 years with a California. Troy received very successful practice in his master’s degree in busiOhio. He is a graduate of ness administration with a the United States Air Force Troy Simon
appointments are necessary and you will be guaranteed a quick and convenient experience. Patients with an Original Medicare Plan are eligible for an annual flu shot and 1 pneumonia shot after the age of 65. Original Medicare patients must present their Medicare part B card at the time of service. Community Wellness of McKee Medical Center is not able to bill Medicare Supplement plans, or Medicare Health Plans. Call 669-WELL (9355) for more information and to hear a schedule of clinics. The best way to protect yourself and others from the flu is to get vaccinated each year. Other steps to help prevent the spread of any contagious illness is good hand washing (using warm water, soap, and a lot of friction for at least 20 seconds), covering your nose and mouth with a tissue when you cough or sneeze and disposing of the tissue properly; if there is not a tissue available, cover your nose and mouth with the inside of your elbow. Alcohol based hand sanitizers are also effective and it is important not to touch your eyes, nose or mouth as germs spread quickly this way. Stay home when you are sick, drink plenty of fluids, get a lot of rest and eat a well balanced diet. Take a proactive approach to staying healthy this season and get your flu shot. Sara Marchi is a wellness specialist at McKee Medical Center.
concentration in healthcare management from Golden Gate University in San Francisco. Troy and his wife, Denise, have a daughter, Alina, 12, and a son, Mateo, 8. PVHS AGAIN NAMED ONE OF THE 100 BEST PLACES TO WORK Modern Healthcare has named Poudre Valley Health System one of America’s 100 best places to work in health care for the second straight year. The journal is the healthcare industry’s leading publication. This is the second year of its 100 Best Places to Work listings.
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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado September 17, 2009 2009
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Healthy Plate
Simple & Sweet
Baked apples can offer a healthy honeyed treat Jim Romanoff Associated Press
W
ith apples nearing peak season, it’s easy to want more than one a day regardless of any plans to see your doctor. Apples — of which some 2,500 varieties are grown in the U.S. — are jammed with antioxidants and flavonoids, both considered important parts of a healthy diet. They also are an excellent source of pectin, a natural fiber. This time of year, apples often are best enjoyed unadorned, straight from the tree. But cooked apples can be a real treat, too. Either way, try not to remove the skin, because that’s the best source of the apple’s pectin and other nutrients. In this recipe, apples are combined with nutritious nuts and the flavors of orange and cinnamon to create warm and comforting baked apples filled with dates and pecans. To toast the chopped pecans, which enhances their nuttiness, place them in a small, dry skillet and cook over mediumlow heat, stirring constantly, until they are lightly browned and fragrant, about 3 to 5 minutes. This dessert would make a lovely addition to a Rosh Hashanah celebration, especially if drizzled with a touch of honey, which is traditionally served with apples to symbolize the hope for a sweet year to come. The honey could be added to the syrup (in place of or alongside the brown sugar) with which the apples are drizzled.
BAKED APPLES WITH DATES AND PECANS Start to finish: 1 hour (10 minutes active) Servings: 4 1 /4 cup finely chopped toasted pecans 1 /4 cup pitted and finely diced Medjool dates Zest and juice of 1 orange 3 /4 teaspoon cinnamon, divided 1 /4 teaspoon salt 4 baking apples, such as Pink Lady, Pippin or McIntosh 1 tablespoon butter, melted (optional) 2 cups unfiltered apple juice 2 tablespoons brown sugar 2 teaspoons cornstarch 1 tablespoon cool water
Directions: Heat the oven to 350 degrees. In a small bowl, stir together the pecans, dates, orange zest and juice, 1/4 teaspoon of the cinnamon and the salt. Core the apples, leaving 1/2 inch at the bottom, and peel the top edges. Stuff the apples with the pecan filling, then brush the tops with the melted butter, if using. Arrange the apples in an 8-by-8-inch baking dish. Add the apple juice to the bottom of the dish, then cover it tightly with foil. Bake until the apples are tender (but not mushy) when pierced with a fork, about 35 to 45 minutes. Transfer the apples to serving plates. If desired, place the plated apples in the oven (with the heat turned off) to keep warm. Transfer the juices in the baking dish to a small saucepan over medium. Simmer for 5 minutes, or until reduced by half. Add the brown sugar and remaining 1/2 teaspoon of cinnamon. Simmer, stirring constantly, until the sugar is dissolved. In a small glass, mix the cornstarch and water. Add the mixture to the saucepan, then heat until thickened. Serve the apples drizzled with the thickened sauce. Nutrition information per serving (values are rounded to the nearest whole number): 308 calories; 76 calories from fat; 9 g fat (2 g saturated; 0 g trans fats); 8 mg cholesterol; 62 g carbohydrate; 2 g protein; 6 g fiber; 130 mg sodium.
We offered Sarah, Wayne and their new baby all the pampering they needed. Even a limo ride home. When it came time for Sarah to have her baby, McKee Medical Center went the extra mile. Her physician, Dr. Budd, paid special attention to make her comfortable and McKee Medical Center gave her the most relaxing birthing experience possible in a private labor, delivery, recovery and postpartum room. Sarah and her husband took advantage of our affordable, upgraded package that includes such amenities as a flat-screen TV, gourmet meals and a limo ride home from the hospital. It’s a great way to start your new life with your baby in style. McKee Medical Center. Remarkable health care inspired by you.
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