May 17, 2012
Beat the
Heat Summer survival tips
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Thursday, May 17, 2012
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contents
Active Athletes Kids need the right nutrition to maintain energy
Page 14
Spice It Up Peppers do more than add heat to meals
Beat the Heat Tips, tricks to survive the summer
Page 12
Page 17
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: Protect your Feet Page 16
also inside Uncommon Sense............................................pg 8 Get ďŹ t with kids...............................................pg 10 Health Calendar..............................................pg 20 Health Briefs...................................................pg 21
Linda Story, advertising director: 970-635-3614
For editorial: Summer Stair, 303-473-1212 sstair@times-call.com
Healthy Hydration: The 411 on H2O PAGE 4
Thursday, May 17, 2012
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 3
Healthy Hydration The 411 on H2O Dominique Del Grosso For the Reporter-Herald
“Clink,” “glub, glub, glub,” “ahhh.” Take a moment to sip on some ice-cold water, allowing it to freshen the senses and ready you for the summer months. With so many cold, delicious drinks to choose from, water can rarely be the drink of choice. It’s easy to forget how important it is to drink enough of it on a daily basis, too. We know water is essential for the human body, but what exactly does it do for us? Christine Bennett, a registered dietitian with House and Heart Nutrition, LLC in Longmont, says water is essential because it helps our bodies to function properly. “We need water to transport nutrients and oxygen around our bodies (blood) and to remove by-products of metabolism from our bodies (urine),” she says. “We need water to make enzymes to digest food and for our metabolism, to moisten the respiratory and gastrointestinal tracts and also to maintain body temperature.” Drinking enough water daily is worth the gain, not in weight, but in health. The benefits are endless from improved skin tone to weight management to supporting the conduction of electrical impulses that maintain heart function, Diana Bunker, a certified nutritionist in
Longmont says. A large amount of calories consumed on a daily basis are from the fluids we drink from soda to juice to hot or cold coffee drinks. “Often these drinks don’t keep us feeling full for very long, so we have consumed the calories and are looking for another snack soon afterward,” Bennett says. The list of what water provides to the body goes on and on. With summer in full force, staying hydrated is particularly important. Because the body uses water to regulate body temperature, not staying adequately hydrated can put an excess amount of stress on the body, Bennett says. With so much information out there, it’s hard to know how much water we should drink, and what the benefits can be. Simply drinking water is one of the best ways to consume it. While we do consume a fair portion of our daily fluid intake through the foods we eat, gulping it down is just as easy. And everyone has heard the “eight glasses a day” requirement. Although that seems like the right amount for everyone, it’s actually not as accurate as we think. The best rule of thumb: When you’re thirsty, drink fluids. Bunker provides specific guidelines: “Ideally we should be drinking half of our body weight in ounces daily. For example, a 150 pound person should consume 75 ounces daily, which is a good rule of thumb for everyone.”
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Changing habits overnight is often unrealistic. Bennett and Bunker recommend starting with small, attainable goals. “Keeping a water bottle close by is a gentle reminder,” Bunker says. However, the good thing about changing habits is that you can easily exchange one habit for another. “Strike a deal with yourself: ‘I can drink the soda after I drink a half cup of water,’” Bennett says. “Another way might be to think about all the fluids you’re going to consume that day and try to switch one or two of those to water. This might feel more achievable than cutting out juice or soda all together.” For the person who doesn’t enjoy drinking water, it’s most likely due to its taste. Fortunately, a water filter can make all the difference. In addition, because a lot of people have teeth sensitivity to cold, Bunker recommends drinking room temperature water, which can help water go down a lot easier. And if you drink juice or other flavored beverages, try mixing the flavored beverage with water so you achieve the increased water intake, while tricking your taste buds in the process. For all the things water does to keep our bodies healthy, think twice the next time you reach out to crack open the top of a soda pop can or flavored beverage. Instead, grab your water bottle or glass and take a swig — your body will thank you.
“Ideally we should be drinking half of our body weight in ounces daily. For example, a 150 pound person should consume 75 ounces daily, which is a good rule of thumb for everyone.” - Diana Bunker, certified nutritionist
Thursday, May 17, 2012
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Ask the Experts:
Varicose Veins
I have veins in my legs that are discolored and painful. What are these and how are they treated? Varicose veins are superficial veins that are dilated and bulge under the skin. They can be blue or purple in color and are often found behind the knees and in calves and thighs. They can cause swelling, aching in the legs and damage to the skin leading to open wounds. Varicose veins are treated with a laser procedure to seal the vein. Spider veins are tiny blood vessels below the surface of the skin. These are treated, via injection, through a method called sclerotherapy that causes the vein walls to collapse.
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McKee Medical Center & North Colorado Medical Center www.BannerHealth.com/CVI Thursday, May 17, 2012
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 5
New study finds: ‘If you snooze you lose’ ... Weight? Ellen Warren McClatchy-Tribune
Here’s a new spin on the saying, “If you snooze you lose.” What if the “lose” part applied to your weight? No, it’s not as simple as going to sleep and waking up slimmer. Alas. But a recent Harvard study does suggest that people who get a good night’s rest find it easier to resist overeating – especially when it comes to gorging on high-calorie foods like ice cream, cheeseburgers or French fries. We all know the temptation: You’re drowsy during the day, get hungry and head to the snacks aisle or a vending machine for junk food or a candy bar. “Daytime sleepiness was positively related to greater hunger and elevated preference for high-calorie foods,” concluded the study, led by researcher William Killgore, an assistant professor
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of psychology at Harvard Medical School. MRIs of study volunteers showed why. Sleepier people had less activity in the self-control part of the brain – the prefrontal cortex. That’s the area “that puts the brakes on and slows you down from doing things you shouldn’t do” – like eating too much fattening, unhealthy food, says Killgore. “If you’re sleepy, you’re more likely to reach out and take a few extra bites of food or go for that extra dessert or say yes to something you wouldn’t have,” says Killgore. New preliminary findings show that women are even more inclined than men to overeat and to prefer junk food when they get sleepy during the day. “People think they’re so busy that, if they’re going to chintz on something, they’re going to cut out some sleep. And that’s one thing they shouldn’t do,” says Killgore. “It affects our ability to control food intake. “Twenty or 30 years of doing that is going to make us larger and more unhealthy.”
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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 7
HL Uncommon Sense
A life journey worth taking
It can take awhile to get used to living alone Dr. Beth Firestein Licensed Psychologist
Dear Dr. Beth: When a mature woman chooses to live life on her own what are the challenges both mentally and physically she must adjust to? It is a process and an interesting journey. How do you stay positive as best you can? Dr. Beth: When a mature woman chooses to live life on her own, there are a tremendous number of challenges and rewards associated with this transition. Some of these challenges are expectable and anticipated; others are entirely unexpected, and may be either negative or positive. Most women who choose to live on their own due so because of their decision to leave a marriage or other committed relationship and live alone. This usually involves a shift to supporting themselves financially and living their lives on their own terms rather than having to compromise their needs to live with a husband or partner. Often this decision is made in order to move out from under the shadow of a marriage in which she has had to give up significant parts of herself being in the relationship. The adjustment challenges are numerous and often quite difficult mentally and physically. Physically and pragmatically, this is often the first time a woman has lived alone or on her own for many, many years — or ever. I have heard many women speak of the challenge of dealing with a quiet house — whether the partner they were living with was positive or negative, noisy or quiet, it is a big deal to learn to become accustomed to being the only
person moving around in a house or coming home from work or an evening out. Many women have been in relationships where the many activities required to run their lives were shared between them. Many women feel overwhelmed by the need to figure out how to accomplish these necessary household tasks on their own without someone with whom she can share those burdens. Limited financial resources also frequently complicate and challenge. You are right in discussing this transition as a journey. Here are a few ideas that can help you along the way. First, if you have the luxury of really choosing the timing of going on your own, it is very helpful to learn and practice some of the practical skills you will need before moving out onto your own. Learn about the finances of running a household, how to fix basic things that go wrong in your apartment or house, and who to call if you can’t fix it yourself. It is also really important Dr. Beth Firestein is a licensed to connect with other psychologist. She has 24 years of women and men on a therapy experience and has practiced in social, friendship basis Loveland for more than 14 years. so that you have She may be reached by calling her other people to call office at 970-635-9116, via email at and to do things with firewom@webaccess.net or by visiting socially. www.bethfirestein.com. As you mentioned
Uncommon Sense with Beth Firestein
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Thursday, May 17, 2012
in your question, this is a process and a journey. Don’t expect everything to run smoothly or to be immediately rewarding — although some parts of the process might be really freeing and joyous immediately. Every day will not be joyful and satisfying, but this happiness tends to occur more and more frequently over time. A lot of that shift comes about as a result of recognizing your likes and dislikes and making your life both in and out of the home reflect your needs interests and tastes. It isn’t always an easy journey, but it is often a journey well worth taking.
Dear Dr. Beth: My partner has a problem with buying from every sales person that calls. She also tends to trade work for money owed her and gets into trouble every time with lack of quality work. What can I do to help her save money and make better decisions? I don’t want to try and change her. Dr. Beth: This is a huge issue for couples. Society’s conventional wisdom tells us that finances, sex and children are the primary sources of conflict for a couple and the reason that many relationships break up. First, it is important to realize that you really don’t have the power to change your partner. You can invite her to change, you can talk to her about the patterns you notice in her decision-making and how her choices affect you and affect your
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relationship. Bringing up this subject and discussing it are healthy things to do; however, repeating the message frequently is a form of nagging and never really makes the relationship better. Your partner make take some of your feedback and make some changes and that would be great, but she make take very little of your input or perhaps not use any of it and that can be extremely frustrating. You can support your partner in making better decisions and sharing your own experience and expertise with saving and budgeting money, but it is not within your power to actually change your partner and you really don’t sound like to want to change her anyway. Some practical steps you can take to manage the situation include trying to have a constructive discussion about the topic and see how far the two of you can get on your own. You can also hire a financial counselor or therapist to help the two of you get on the same track with respect to money. Some couples choose to separate their finances or live apart due to the fact that one person may be making choices that prevent her from fulfilling her financial commitment to the relationship and the way her decisions adversely affect you. Often, this is not easy to accomplish. If the two of you are stuck
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or fighting frequently, working with a couple therapist can sometimes be very helpful as well. You can also help her by giving her encouragement and support for the changes she is willing to make. Few issues in a relationship are as emotionally loaded as disagreements about the handling of family finances. It is possible to learn to live with your partner’s problem with money, but may eventually decide that you are not willing to continue to deal with this after a
certain length of time. Let me be clear: your partner really can get the help she needs and make significant changes in her behavior. It isn’t hopeless. But your role in this process is quite limited and often the most constructive thing you can do is stay out of way. Let her come to terms with this issue on her own and find a place of personal emotional balance within the relationship that you can sustain regardless of what your partner does or doesn’t do.
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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 9
Ladies, it’s time to play Get active simply by playing with your kids Ken Raymond McClatchy-Tribune
Next time you’re around children, take a moment to observe their behavior. Kids run everywhere. They climb trees, wrestle friends, bounce basketballs and swim in pools. They make up games with ever changing rules and only stop long enough to examine a scraped knee or get something to drink. Doesn’t that sound like fun? Indeed, it does - at least according to a new survey by the American Cancer Society. Forty percent of women surveyed said they “would be more physically active” if exercise “felt less like work and more like play.” Gym workouts can be monotonous and uninspiring; tossing a Frisbee or speeding down a waterslide is fun. Today, the American Cancer Society’s Choose You movement is launching its “100,000 Acts of Play Challenge.” The effort is aimed at getting women to let go of a little adult responsibility for awhile and enjoy being like children again.
“It is essential to find a way to bring the power of play and physical activity that you enjoy back to your day,” says Colleen Doyle, the society’s nutrition and activity director, in a news release. “There are so many options: Play tag with your kids, jump rope with a friend or even Hula hoop at the office. The important thing is to get moving and have fun.” Choose You is sending teams to New York, Los Angeles and Washington. The teams, acting rather like flash mobs, will erupt into a flurry of seemingly spontaneous play, inviting passers-by to participate with “nostalgic childhood toys, including the ‘80s famed Skip It, Hula hoops, hoppity hop balls and double-Dutch jump ropes,” according to the release. Staying active can improve heart health, increase fitness and limit the risk of certain cancers. Although the Play Challenge is focused on women’s health, both sexes, adults and children, can benefit from playtime. Make it a family affair. After each play session, go online to www.chooseyou. com/play to share your fun. Choose You hopes to have 100,000 entries on the site by the end of May. By then, maybe you’ll feel like a kid again.
“It is essential to find a way to bring the power of play and physical activity that you enjoy back to your day There are so many options: Play tag with your kids, jump rope with a friend or even Hula hoop at the office. The important thing is to get moving and have fun.”
10 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, May 17, 2012
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Steven H. Peck, M.D
Winfield M. Craven, MD.
Michael D. Roller, M.D.
Healthy Legs, Healthy You! Do you suffer from bulging, painful varicose veins in your legs? Maybe you notice that your legs ache, swell, or feel heavy and fatigued, especially by the end of the day? All of these can be signs of vein disease caused by faulty valves in your veins. If left untreated they can lead to more serious health issues such as blood clots, venous hemorrhage, or skin ulcerations. The veins in your legs have to work hard against gravity to get the blood back to your heart using one-way valves. When these veins become stretched, the valves weaken and are unable to completely close, resulting in increased vein pressure. It is this increased pressure that is the source of the problems. Factors that contribute to venous disease are: • Family history • Gender • Age • Multiple pregnancies • Prolonged periods of standing or sitting • Overweight
Craig R. Clear, M.D.
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Conservative methods of treatment are to avoid sitting or standing for long periods, the use of compression stockings, regular exercise, and controlling your weight. If a patient’s symptoms do not improve with conservative measures then a physician may recommend a consultation for treatment known as Endovenous Laser Treatment, or EVLT. EVLT is performed by the comprehensive vein specialists at The Vein and Laser Center of Northern Colorado. This group uses the most advanced laser delivery system, VenaCure 1470, which provides the patient with a manageable post procedure recovery period, allowing the patient to return to work the following day. Procedures are done in the office in less than 2 hours, and are typically covered by insurance. Complimentary screenings with a limited ultrasound are an option to see if you are a candidate for EVLT. The Vein and Laser Center invites you to call with your questions or to schedule a consultation at 970-267-2661. RH Advertorial
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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 11
Spice It Up Peppers add more than heat to your favorite dishes Summer Stair Reporter-Herald
It’s vegetable season and this year it’s about spicing things up. Peppers, not only add flavor and heat to what you are cooking, but they are packed full of health benefits too. “The focus has really been on tomatoes the last couple of years,” says Anne Zander an extension agent of family and consumer science at the CSU Extension of Boulder County. “Now more and more people are focusing toward peppers in their home garden, because they are realizing their benefits.” Peppers, whether they are big, small, sweet or spicy, are rich in vitamins and minerals. These flavorful and
spicy vegetables are not only high in Vitamin C, but are a great source of beta carotene, potassium, folic acid and fiber. Aside from their many healthrelated benefits, they also offer flavor and color to dishes and are easy to use. This versatile vegetable can be eaten raw, cooked, baked, roasted, stewed, pickled and even stuffed. You name it or have a recipe – it can probably be done. And to add to their greatness. Peppers, all kinds, grow great in the hot, Colorado climate. Kim Jackson, annuals manager at The Flower Bin in Longmont, says peppers love the sun. “Our climate is known for the hot peppers, especially Anaheim and jalapeno,” she says. “They just love our hot summer days ... any kind of
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pepper does.” With a little soil amending, a monthly fertilizer, regular watering and six to eight hours of sun, growing a pepper should be easy. Zander says like any vegetable, adding peppers into your diet is always a good idea. They are full of vitamins and minerals and are low in calories, while filling you up. But she cautions that people new to using peppers should work them into their diet slowly and try all different kinds to discover what you like best. It is also a good idea to make sure to wear gloves when cooking with hot peppers, because the oils can transfer to your hands very easily. “Be adventurous and start off with a small amount,” Zander says. “Usually the smaller the pepper, the hotter they are.” Zander says getting creative with peppers is the fun part. While they can easily be cut up and stored in the refrigerator for snacking and cooking, peppers can really be added to any dish. Ideas for fresh peppers include salsas, marinades, vinaigrettes for salads, flavored oils and vinegars. “Just remember the longer they (peppers) sit (in a dish) or in a flavored vinaigrette it will get stronger and spicier,” Zander cautions. “That is why the tasting part is so important.” While most who are new to peppers begin by adding bell peppers, which are often the least spicy and more sweet, it is easy to start trying other peppers by just substituting one in place of a bell pepper in dishes you like. For more tips or information on storing, canning or freezing peppers for year round use, contact Anne Zander at 303-678-6238 or azander@ bouldercounty.org.
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Types of Peppers Invented by Wilbur Scoville, the Scoville Heat Index ranks peppers in order from mildest to hottest. It starts with zero being the mildest and goes over 1,000,000 to indicate the hottest peppers. Here’s information on more widely used types.
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BELL PEPPER Bell Peppers, which can be red, yellow, green or orange, aren’t hot peppers. They are very common sweet peppers. Since this type of pepper has no heat, its Scoville Heat Index is zero. CHERRY PEPPER Also known as pimento peppers, cherry peppers are heart-shaped and are about 4 inches long and 3 inches wide. These peppers are actually very mild, scoring about a 500 on the Scoville Heat Index.
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ANAHEIM PEPPER Another mild type of pepper is the Anaheim pepper. This pepper is usually maroon in color and has a long, skinny body. While the Anaheim pepper usually has a Scoville Heat Index around 1,000, some varieties can have a rating as high as 5,000. JALAPENO PEPPER The jalapeno is one of the most common types of peppers in the United States. Many people like this type of pepper because of its spicy yet not overwhelming taste. Jalapeno are usually either red or green and are about 2 to 3 inches long. Their Scoville Heat Index is typically around 5,000, however jalapenos can range anywhere from 2,000 to 8,000. SERRANO PEPPER The Serrano pepper is similar to the jalapeno in its look, but this pepper is much hotter. On the Scoville Heat Index, the Serrano Pepper can be between 10,000 and 25,000. This pepper is usually small (around 2 inches) and green in color. CAYENNE PEPPER The Cayenne pepper is another hot pepper (between 25,000 and 50,000 on the Scoville Heat Index) that is popular with those looking to add heat to food. Red in color, the Cayenne pepper is generally dried and used in powder form. Additionally, this pepper has been used in natural medicines for hundreds of years due to reported healing attributes. THAI PEPPER Grown in Thailand and neighboring countries, the Thai pepper is a type of pepper that can be classified as “very hot”. With a Scoville Heat Index of between 50,000 and 100,000, these peppers are sure to leave your taste buds wanting relief. The Thai pepper is one of the smallest peppers, measuring in at less than 1 inch. HABANERO CHILI PEPPER Of hot peppers that are commonly used, the Habanero chili is recognized as the hottest. This pepper, which can be any color from green to yellow to pink, is usually only around 3 centimeters in length. The Scoville Heat Index for the Habanero chili can range from 150,000 to 350,000.
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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 13
Providing the right fuel To be successful, young athletes need good nutrition Sharon Thompson McClathcy-Tribune
T-ball, soccer, softball and tennis are in full swing, and young athletes need nutritious foods for top-notch performance. “In order to properly fuel their bodies for sport, youngsters need to eat a daily diet that focuses on adequate calories, particularly in the form of carbohydrates, to support exercise and growth, and adequate protein,” says registered dietitian Mary Wilson. A board-certified specialist in sports dietetics and director of the Didactic Program in Dietetics at Eastern Kentucky University, Wilson recommends that parents follow the 2010 dietary guidelines for Americans and Myplate. gov for feeding their active youngsters. The best foods for young athletes are: carbohydrates from whole grains (breads, cereals, pasta, brown rice), fruits, vegetables, and low-fat milk and yogurt; and protein from legumes, nuts, seeds, low-fat milk, yogurt and cheese, poultry and lean cuts of meat. Registered dietitian Jill Kindy, the mother of two young athletes ages 9 and 11, says planning is important in providing healthful foods for young people. Kindy, health education coordinator at the University of Kentucky, recommends keeping non-perishables such as granola bars, cheese and crackers, dry cereal or trail mix in the car, so they’re available to eat when kids are heading to the park after school. “We sometimes travel with an insulated bag/cooler with an ice pack, so we can have items like string cheese or cold drinks. This way, you won’t get stuck running through the drivethrough and ending up with a high-fat, high-calorie choice. If you do end up at fast food, go for the grilled chicken, a sub sandwich, and apples and fruit instead of french fries.” Kindy, who also is a sports dietetics specialist, suggests that youngsters eat something that is mainly carbohydrates before a game or practice that lasts longer than an hour. During a lengthy activity, children can eat fruit, bagels or granola bars, and they can drink sports drinks.
“After strenuous activity, it’s good to replenish losses shortly after the competition or practice ends – like within 30 to 60 minutes,” Kindy says. This meal or snack should contain some carbohydrates and some protein. Snacks can be chocolate milk or peanut butter crackers or low-fat cottage cheese and fruit. For a meal after the game, youngsters should eat lean protein, starch and vegetables, with the plate being about three-fourths rice or pasta and vegetables or fruit, and one-fourth protein. “If your plate looked like a clock, from about 12 to 4 should be protein (lean meat, chicken, fish) and from 4 back around to 12 should be starch and vegetables,” she says. “Also, remember to drink enough to replenish fluid losses.” Consuming adequate fluids is
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Thursday, May 17, 2012
important to prevent dehydration, Wilson says. “Urine color can be a convenient way to monitor hydration,” Wilson says. “Urine should be pale yellow. Dark urine indicates dehydration and shows that an athlete needs to drink more fluids before, during and after exercise. One of the best insurance policies for adequate nutrition during competition is eating well on a daily basis during the season, Wilson says. “Parents can help by ensuring that these healthful foods are readily available, helping kids learn to plan ahead to fuel workouts and competitions, and, of course, serving as a role model for children with respect to nutrition,” she says. Just as important as what active youngsters eat is when they eat. “Meals and snacks should be spaced
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“Meals and snacks should be spaced throughout the day, so energy is available to muscles when needed.” - Mary Wilson, registered dietician
throughout the day, so energy is available to muscles when needed,” she says. An athlete who trains or practices at 4 p.m. should eat breakfast, lunch, and possibly a light snack before, followed by dinner after the activity. For a 6:30 p.m. practice, the athlete should eat breakfast, lunch and a light dinner or substantial snack about 4 or 5 p.m., followed by a substantial snack or light meal after practice, she said. As the season continues, the young athletes will head into tournaments that can last all day. “Athletes should stick to familiar, well-tolerated foods, focusing on carbohydrates and lean protein on the day of competition,” Wilson says. “Most exercisers can eat a snack one to three hours prior to a competition. This pre-competition meal/snack is especially important for morning competitions.” For daylong competitions, planning is crucial to ensure that adequate carbohydrates and protein are available during the event. Good choices to have on hand include fresh and dried fruit, crackers, yogurt, sandwiches, cheese, granola bars and peanut butter.
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Wilson advises youngsters to stick to the normal sports diet (plenty of whole grains, fruits, vegetables, low-fat milk products and lean protein) during the week before and day before competition. Kindy says the pre-game meal “cannot undo a bunch of unhealthy eating that you do the rest of the week. If you eat well all the time, then you will be practicing at your optimum, which ultimately should mean that you are competing at your optimum.”
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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 15
Tips to keep feet healthy, in-step with summer fun Article Resource Association
Sunny days, warm breezes, outdoor sports and long weekends at the beach – all the fun of summer can sure put a spring in your step. Unfortunately, some summer situations can also slow you down unless you take precautions to prevent injury to your feet. In summer, your feet may be exposed to risks that don’t occur in winter, such as cuts and abrasions from walking barefoot on the beach where broken shells or sharp debris may lurk, burns from hot sand or too much sun, and pain or blisters caused by ill-fitting flip-flops or sandals that lack support. “Knowing how to prevent and treat summer-specific foot problems can help ensure your summer fun stays on track this year,” says Joseph Caporusso, DPM, president of the American Podiatric Medical Association (APMA).” APMA offers some advice:
WHEN OUTDOORS • You may enjoy the sensation of the ground on your bare feet, but avoid walking barefoot. Not only does going barefoot expose your feet to the risk
of sunburn, plantar warts, athlete’s foot, ring worm and other infections, bare feet are at risk for cuts, puncture wounds and other injuries, too. • Apply sunscreen all over your feet, especially the tops and fronts of ankles to prevent sunburn. If you do get a burn, clean the area and apply burn ointment if the area is red.
IN THE WATER • Jellyfish stings are a possibility at many beaches. Wearing swim shoes into the water can help protect your feet if you step on a jellyfish. If you get stung, leave the water immediately and watch for signs of an allergic reaction, such as swelling in the mouth, difficulty breathing, nausea, vomiting or diarrhea. Seek immediate medical attention for these symptoms. For less serious stings, use seawater to wash the affected area, which will help deactivate the stinging cells. Applying vinegar for
about 30 minutes can help with pain, but shaving cream, soap, or a paste of sand/mud and seawater can be substituted in a pinch.
ON THE GO • If you experience a cut or puncture on your feet, clean your hands with antibacterial soap before you clean the injury. Clean the wound and apply direct pressure to stop the bleeding, if necessary. Once the bleeding is stopped, apply antibiotic ointment to aid in healing and prevent infection. • Flip-flops with soles that bend or twist freely offer no support or stability. Choose a flip-flop style that bends only at the ball of the foot and provides arch support, which cushions the foot and improves stability.
get back to those you love
ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES
Specialists in the medicine of motion
Foot & Ankle Trauma & Fractures Spine & Pediatric Spine Sports Medicine Hand & Upper Extremity Knee Shoulder Joint Replacement/ Arthritis Pediatric Orthopaedics Physiatry Worker’s Comp Services
If you’ve been injured or just slowed by the wear and tear of time, you want to get back to the people you love or the things you enjoy as soon as you can. The Orthopaedic & Spine Center of the Rockies has 24 physicians who specialize in the medicine of motion—helping people just like you get going again. We’ve helped tens of thousands of people of all ages get back to their family fun, sport, work, or leisure pastime. If we can help you get going again, call us today at (970) 663-3975. Serving the people of northern Colorado,Wyoming and western Nebraska since 1969.
Fort Collins: 2500 E. Prospect Road / Fort Collins, Colorado 80525 / Phone: 970-493-0112 / Toll-Free: 800-722-7441
www.orthohealth.com
Loveland: 3470 E. 15th Street / Loveland, Colorado 80538 / Phone: 970-663-3975 / Toll-Free: 888-663-3975
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Beat the Heat
Staying cool this summer Dominique Del Grosso For the Reporter-Herald
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The feeling warms your skin, beads of sweat roll down your sun-kissed forehead and while smacking your lips together, suddenly realizing your mouth is drier than normal, you’re in need of something cold. Lethargically, mustering all the energy possible, you shuffle to the kitchen, flip the faucet to its “on” position and stare blankly as the clear liquid fills the glass. Plopping down on the couch, you take a gulp. “Ah.” Gazing back up, the ceiling fan hypnotizes your mind as it spins round and round, and the breeze it creates grants little relief. Sweltering temperatures – the summer heat is upon us. “Chilly to the bone” weather is a distant memory, as thoughts of how hot it feels consume your mind. Beating the heat entirely is tough, but keeping as cool as possible doesn’t have to be.
Teddy Bear Hospital Let our emergency department staff treat your children’s favorite stuffed animals and dolls at the Teddy Bear Hospital at Medical Center of the Rockies. It’s free and fun.
Saturday, June 9 10 a.m. - 2 p.m.
Medical Center of the Rockies 2500 Rocky Mountain Ave. Loveland (NW corner of I-25 and U.S. 34)
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EXERCISING COMMON SENSE Even though the summer heat can be brutal at times, exercising during the right part of the day, wearing the right kind of materials and fueling your body with healthy foods and fluids can make the temperatures more bearable. Being outside or exercising during the hottest part of the day is never the best idea, a no-brainer. Exerting energy during that part of the day can make any outside workout more challenging, less productive and potentially dangerous. Chad Parish, the sports performance director of an athletic training program called No Limits Sports Performance at Longmont Athletic Club, says exercising at any time other than early morning is hard on the body. “Morning would be the best because of the lower temperatures. Extreme heat taxes the body tremendously, especially in the typical dehydrated state that most people are in,” he says. Even early evening exercise is doable. Although the air may still feel a bit warmer from the day’s heat, once the sun starts to set, the sun won’t blaze directly on your body as you exercise, making it equally physically possible. In addition, Colorado weather cools off a bit starting in the early evening, so exercising during that time is a nice way to take advantage of some of those beautiful summer nights. Kim Walker, president of outdoor DIVAS in Boulder, says there are two important things to remember when it comes to the heat and exercise: “Drink plenty of water and listen to your body.” DRESSING FOR THE HEAT It’s a scorcher, and getting dressed can be a nightmare, because no matter what, sweating is inevitable. Allowing the body to sweat, its natural cooling mechanism, Parish says, is essential to keeping
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cool. Knowing which materials to wear can make all the difference. “Lightweight clothing is ideal for summertime. And for any type of activity where you might be working up a sweat, synthetic, quick-dry apparel is mandatory,” Walker says. “Cotton will hold moisture, and once you stop aerobic activity, the wet material keeps that moisture right next to your skin.” Beyond the clothes, accessories can make a difference, too. “Sunglasses are essential. Our (Colorado) sun is so strong and keeping our eyes protected is essential,” Walker says. Opting for a face shielding, skin-protecting hat is a good choice as well. Any hat will do, but generally the lighter weight, breathable materials are best. The most important thing a hat can offer is to keep sunlight directly off your face.
HYDRATING IN THE HEAT Christine Bennett, a registered dietician with House and Heart Nutrition in Longmont, says watching for signs of dehydration are critical to keep safe in summer heat. “To understand the benefits of staying hydrated, we need to understand the negative effects of dehydration. Dehydration puts extra strain on your heart, because the blood is a bit thicker, your heart needs to work harder to pump that blood around your body,” she says. “In the summer months, this is particularly important. The body uses water to regulate body temperature, so without adequate water, you can increase your internal temperature and put additional stress on your organs to function.” Other signs and symptoms of dehydration include: headaches, dizziness, fatigues, irritability, weakness, cramping and constipation, Bennett says. The moral of the story, stay hydrated to stay safe. As the summer heat approaches, set your alarm clock for the early a.m., slather on sunscreen, throw on you lightweight clothes, hat included, chug some chilled water and hit the pavement. But most importantly, stay cool.
Colon cancer claims the lives of over 50,000 men and women each year Check our website for screening guidelines www.digestive-health.net Thursday, May 17, 2012
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 19
HL Health Line Calendar Breast-Feeding Support Group When: Mondays, Wednesdays and Fridays (except holidays), 10-11 a.m. Where: McKee Medical Center Cost: Free. No need to register Contact: 970-669-9355
Man-to-Man: Prostate Cancer Support Group Where: McKee Conference and Wellness Center When: TBD Cost: Free Contact: 970-622-1961
Bright Beginnings for Infants Bright Beginnings is designed to celebrate the birth of new babies and provide families with health, safety, development, play and community resource information. When: May 21, June 18, 11:15 a.m.-12:15 p.m. Where: Family Birth Center Conference Room, 3rd Floor Cost: Free Contact: 970-495-7526 to register
Soulplay Art Therapy People whose lives are touched by cancer experience the benefits of expressing themselves through art. No art experience needed. When: TBD Where: McKee Cancer Center Conference Room Cost: Free Contact: 970-635-4129
Total Joint Education Physical therapists and occupational therapists prepare patients for surgery. This program is coordinated through your physician’s office as part of the surgery scheduling process. When: Thursdays, 3 p.m. Where: McKee Conference and Wellness Center Cost: Free Contact: 970-635-4172 to register
Blood Pressure Screening Have your blood pressure checked by a wellness specialist. When: Monday through Thursday, 8 a.m.-4:30 p.m. Where: McKee Wellness Services,1805 E. 18th St. Suite 6, Loveland Cost: Free Contact: 970-669-9355
Breast Cancer Support Group When: TBD Where: McKee Cancer Center lobby Cost: Free Contact: 970-622-1961 Caregiver Cancer Support Group When: TBD Where: Call for locations Cost: Free Contact: 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. When: Third Thursday of the month, 1:30-3:30 p.m. Where: First Christian Church, 2000 N. Lincoln Ave., Loveland Cost: Free. Care of elderly adult family members or friends is available through Stepping Stones Adult Day Program during meeting times at no charge. Contact: 970-669-7069
Blood Tests Wellness services offers low-cost blood screenings open to community members; some immunizations are also available upon request and availability. Please fast 12 hours prior to blood draw. Payment is due at time of service. Insurance billing is not available. When: By appointment only. June 5, 19, 20, 7-9 a.m. Where: McKee Wellness Services, 1805 E. 18th St. Suite 6, Loveland Cost: Varies Contact: 970-669-9355 Spirit of Women Spirit of Women provides health information for women in all stages of life. We host innovative events featuring timely health education topics for women and Spirit Business Partners. To learn more about events through McKee Spirit of Women, visit www.BannerHealth.com/McKeespirit or call 970-203-6631. Weekend Warrior Wisdom As part of home safety month, McKee Spirit of Women will help you take action to increase safety at home – inside and outside. When: June 12, 5:30 p.m.-7:30 p.m. Where: Home Depot, 1100 Nickel Drive, Loveland Contact: 970-203-6631 to register
General Cancer Support When: TBD Where: McKee Cancer Center lobby Cost: Free Contact: 970-635-4129
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HL Health Briefs McKee Medical Center Foundation receives $75,000 grant from Komen The McKee Medical Center Foundation has accepted a grant for $75,000 from the Denver Metropolitan Affiliate of Susan G. Komen for the Cure to provide money for breast cancer treatment for uninsured and under-insured women across Northern and Northeastern Colorado. Gale Coddington, MSW, oncology social worker at McKee Cancer Center, and Brooke Vander Wal, grants writer with the McKee Medical Center Foundation, accepted the award April 19 at the Denver Metropolitan Susan G. Komen for the Cure 20th Anniversary Celebration in Denver. The treatment grant will ensure that under-insured, uninsured or women who do not have other resources will have access to breast cancer treatment at McKee, North Colorado Medical Center, and Sterling Regional Medical Center. The oncology social work navigators will identify and qualify women for the treatment grant and assure they receive the full range of services in the continuum of care as developed by the Larimer County Women’s Health Coalition. This project will allow these women to receive the care they deserve as they struggle to recover from breast cancer and all the medical ramifications of their disease. Overall, the Komen Denver Affiliate is awarding $2.5 million to 15 organizations in Colorado this fiscal year. McKee, NCMC, East Morgan among Banner Health hospitals recognized for complete electronic medical record adoption Seventeen Banner Health facilities have achieved Stage 7, the final stage in the adoption of electronic medical record as acknowledged by HIMSS Analytics, a wholly owned nonprofit subsidiary of the Healthcare Information and Management Systems Society. HIMSS Analytics monitors and recognizes levels of EMR adoption and meaningful use in hospitals in the United States, Canada and other countries. In Colorado, the three Banner Health hospitals to meet this achievement are East Morgan County Hospital in Brush, North Colorado Medical Center in Greeley and McKee Medical Center in Loveland. HIMSS lists no other Colorado hospitals as having achieved this level of EMR adoption. The Stage 7 recognition by HIMSS Analytics is a compelling example of Banner Health’s emergence as a national leader in health care. Banner Health’s 17 Stage 7 hospitals are among only 82 hospitals in the nation at this top level of EMR use. Banner is also recognized by Thomson Reuters as a Top Five Large Health System in the nation and as a Top Leadership Team/Large System by HealthLeaders magazine. In order to obtain the final stage in the EMR adoption, hospitals must be paperless and be able to share clinical information with other health care facilities, networks, clinics, employers, payers and patients. At this stage, health care organizations also can store and analyze data to use to improve clinical outcomes and patient experience. HIMSS Analytics surveyors conducted an on-site review of Banner’s EMR technologies at Banner Good Samaritan Medical Center located in Phoenix. Because nearly all Banner facilities have the same level of EMR adoption and usage, surveyors were able to judge facility capabilities across the system based on their findings at Banner Good Samaritan Medical Center. Four more Banner Health facilities will achieve Stage 7 this summer once they have implemented using bar-coding technology for patient identification and medications administration. The remaining facilities will achieve Stage 7 in 2013.
45 miles of nerves. 630 muscles. 206 bones. 60 billion brain cells. Recovery in body, mind and spirit. To learn more about our Gardner Therapy Center, call us at (970) 624-5458.
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PAID ADVERTORIAL
Banner Women First midwives support all choices of women McKee Medical Center
For 24 years, the certified nurse-midwives at Banner Women First have been providing care to area women at all stages of their lives. The philosophy of the group of five midwives is simple: supporting choices of women. “Everyone is different,” says Patti Valasek, one of the CNMs at Banner Women First, located across on 18th Street just south of the hospital. “The biggest benefit we provide is a great deal of education. We are advocates for our patients and can offer generous amounts of time spent with our patients to connect with them and meet their specific needs.” While the term ‘midwife’ is commonly associated with labor and delivery, the CNMs at Women First provide a host of health care services for women including well woman gynecological examinations, contraceptive counseling, prescriptions, menopause counseling along with prenatal, labor and delivery care. Providing expert care during labor, delivery, and after birth is a specialty of midwives that makes them unique. All of the CNMs are master’s degree prepared registered nurses who have graduated from an advanced education program accredited by the American College of Nurse-Midwives. In addition to Valasek, the clinic boasts over 90 years of combined midwifery experience from CNMs Linda Davison, Cindy Dean, Janelle Komorowski and Carolyn BottonePost. “It is a misconception that we only provide birthing services,” says Valasek. “We have many patients who come to us for support during pregnancy and continue their care with us throughout their lives.” Another misconception is that midwife services are used primarily by women who choose to have home births. In fact, the CNMs at Women
First only do hospital deliveries and work very closely with the physicians at OB/GYN Associates and McKee Center for Women’s Health. “We have a good relationship of trust and mutual support with our physicians,” says Valasek. “We value their expertise and enjoy working with the OB/GYNs.” The midwives manage their labor and deliveries at McKee unless there is a complication or a cesarean section is required. In that case, they assist the physician and provide support to the patient and family. Currently, the CNMs deliver approximately one-third of the 800+ births at McKee each year. Another benefit is that their patients have access to amenities provided by McKee to their laboring moms. Spacious, private rooms where a mother can labor, deliver, recover and receive post partum care without having to move are available with large whirlpool bathtubs. McKee provides the innovative use of “peanut balls” during labor to help mothers have easier and faster
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deliveries. Peanut balls are peanut shaped vinyl exercise balls that research has shown can reduce labor time and lower chances of the patient requiring a c-section. Another misunderstanding of choosing midwifery is synonymous with choosing to have no pain relief during delivery. This is not the case as patients are educated about all of the methods of pain relief available and supported in their decision. According to Valasek, Women First’s epidural rate is similar to that of the OB/GYNs. “Our main goal is to develop a long lasting relationship with our patients and to meet their needs individually by educating the patients about the choices they have in regards to childbirth, contraception and general women’s health matters,” said Valasek. Women First is located at 1647 E. 18th St. in Loveland; appointments can be made by calling 970-663-9523. Most private insurance is accepted along with Medicaid and self pay patients.
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Introducing Dr. Jennifer Reeve
Kaea Beresford, MD
Taking Appointments June 1 in Loveland
Is excited to bring CNM care to Loveland and the surrounding communities, delivering at Medical Center of the Rockies.
Susan Bush, CNM
Eric Yeh, MD
Tina Downes, CNM
Announcing Retirement Summer 2012
In-Office Services
John Carlton, MD
Robert Burke, MD
2500 Rocky Mountain Ave North Medical Building • Suite 150 Loveland, CO 80538
970.493.7442 www.fcwc.com
Thursday, May 17, 2012
Obstetrics Gynecology Digital Mammography Ultrasound Genetic Counseling Essure/Adiana
Caring for All Women Always
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 23
Ask the Expert:
RSV
My child has been short of breath and tired lately. Are these warning signs of RSV? Respiratory Syncytial Virus (RVS) is a common and frequent cause of respiratory illness in young children. It’s highly contagious and spreads through schools between late fall and early spring. Adults and older children may experience flu-like symptoms. Infants or small children may have trouble breathing and eating, act unusually lethargic and irritable, and may become blue in the lips and fingernails. Most cases are not life-threatening and can be treated like a cold. Serious cases can lead to pneumonia and bronchitis. Prevention can be managed by frequent hand-washing and through the quarantining of children with symptoms. Talk with your pediatrician for more information.
Where
Experts Work Best.
McKay Marler, M.D.
Pediatrician Loveland Pediatrics 2555 E. 13th St. Suite 130 Appointments – (970) 663-5437
Banner Medical Group McKee Medical Center www.BannerHealth.com/COexperts
To find a Banner Health physician in your area, visit www.bannerhealth.com/COdoc
24 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
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