Boulder County Health Professionals 2009 by Times-Call Newspaper

Health 2009 Boulder County

Professionals

2009 Boulder County Health Professionals

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2009 Boulder County Health Professionals

Health 2009 Boulder County

Professionals

Table of Contents Infants 6 7 8 10

Babies that have colic Does your baby have RSV? Reducing the risk for SIDS in your infant Breastfeeding moms concerned about plastic bottles

Welcome to the 2009 Boulder County Health Professionals book. This publication was designed as a reference to consumers finding health information. Within this useful resource, readers will find an array of comprehensive articles. The publication will help you make informed decisions when it comes to your health needs. The 2009 Boulder County Health Professionals book is a publication of the Longmont Times-Call. This book can be accessed in its entirety online at www.TimesCall.com.

Editor

Children 12 14 16 19 20 23

The importance of eye exams for youth Natural remedies help kids breathe easy Good dental health needs to start early Smart meal choices for on-the-go families Learning the benefits of DHA Keep allergies from ruining playdates

Teens deal with acne issues When munchies strike, opt for smart snacks Good news for pregnant women who have epilepsy Understand what happens in post-pregnancy Getting your teeth straight with the help of braces New treatment options for depression

2009 Boulder County Health Professionals

Assistant Editor

Summer Stair

720-494-5429 sstair@times-call.com

Cover Design

Travis Claussen

Contributing Writers Kelly Bleck, Kate Frasure, Lauren Seaton Advertising Director

John DiMambro

303-684-5293

Young Adults 26 28 29 30 32 34

Kristi Ritter 303-684-5275 kkritter@times-call.com

Advertising Display Manager

Penny Dille

720-494-5445

The 2009 Boulder County Health Professionals book is a copyrighted product of the Longmont Times-Call. All graphics, artwork, typography and in-house editorial may not be reproduced without permission. For advertising information, call 303-776-2244.

Adults 36 38 40 41 43 45 46 47 48 50 52 54

Opting to reduce pain through chiropractic treatments Is LASIK an option for you? Thyroid disease affects more people today Relieving the pain with trigger point dry needling Living a healthy lifestyle on a budget Allergy drops offer new alternative to shots Managing the stress in your daily life Evaluating your health insurance options Bunions easier to correct with new surgery Addressing mental health concerns Discover the benefits of massage Nasal rinsing promotes free breathing

Boomers 56 58 60 62 64 65

Getting fit for a hearing aid Living with prostate cancer New therapies health those with rheumatoid arthritis Lower your risk for diabetes and heart disease Senior fitness is important Tackling the building blocks of boomer health

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2009 Boulder County Health Professionals

Infants

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Infants

Dealing with colic

By Summer Stair Longmont Times-Call All babies cry. But if your baby cries at the same time every day, for the same amount of time and nothing you do seems to console him, your baby may have colic. Dr. Mark Simmons, a pediatrician at Med Peds Clinic in Fort Collins, says one of the main signs your baby may have colic is he will get abdominal pain or discomfort at a similar time of the day usually in the late afternoon or evening hours. Signs to look for include predictable crying episodes, intense or inconsolable crying and posture changes, such as curled up legs, clenched fists and tightened abdominal

muscles. “They will try and curl up in a ball,” Simmons says. “They will just cry for a while and be back to normal within minutes or hours.” While researchers have explored what may cause colic, no one really knows why some babies get it and others don’t. Simmons says it is mostly thought that colic is an immaturity in the nervous system and how it interacts with the gut and bowels. One thing they do know is if your baby is going to get colic, there is no way to avoid it, he says. If your baby is going to get colic it will begin several weeks after birth and can last up to three months of age. Simmons says it is important to remember that it doesn’t happen within the first few days of life, but if your baby is fussy he is just adjusting to life outside the womb. If your baby does have colic there are several things one can try at home to soothe your baby. While these tricks are not proven to help and one may work better for one baby over another, they may offer some relief, Simmons says. • Gentle bouncy and rocking, like a swing or bouncy chair. • Walk around while holding your baby, a different view or the motion may help. • Offer a pacifier. • Turn on some music and dance with your baby. The music and motion may be just what they need. • Over-the-counter medicines, such as Mylicon, Gripe Water or Little Tummies can help relieve gas. • Consider dietary changes. Breastfeeding mothers can try eliminating dairy from their diet to see if it makes a difference; bottle-fed babies may do better with a different bottle or nipple. While colic may seem frustrating while it is happening there is some relief in knowing that it only lasts for a short time and most babies grow out of it by three months of age. Simmons says colic is not a concern as long as your baby is gaining weight and not crying all day long. If you are concerned about weight gain or your baby’s crying, a pediatrician can dictate whether weight gain is adequate, other medical problems exist or just simply put your mind at ease. 2009 Boulder County Health Professionals

By Kelly Bleck Longmont Times-Call Do you think your child has a cold? You could be wrong. Respiratory Syncytial Virus (RSV) manifests itself in older children and adults as the telltale signs of a cold, including a cough, runny nose and fever. Babies, however, are at a greater risk and may produce other signs besides the common cold, including a lack of energy, being fussy or cranky, and less hungry than usual. Caused by a virus, RSV is spread like a cold by air and saliva on shared food or drinks. RSV is not extremely serious, but it can easily lead to bronchiolitis in babies, says Dr. Francesco Beuf, a pediatrician at the Pediatric Center in Boulder. Bronchiolitis is an infection of the respiratory tract, causing inflammation that leads to trouble breathing. If your baby starts wheezing or coughing continuously, call your doctor. Doctors can also diagnose RSV by acknowledging an outbreak in your community, checking symptoms and testing nasal drainage.

RSV can possibly clear up on its own with home treatment, but depending on the severity the best treatment for younger children is hospitalization for extra oxygen, says Beuf. For a baby, prop their head up to open airways and if they have a fever use acetaminophen or ibuprofen. Also make sure they stay hydrated. If your baby has had trouble with their respiratory system before, make sure to get them checked out as they are more susceptible to RSV, says Beuf. There is a preventative measure children can take to help prevent RSV during peak season. A medication consisting of RSV antibodies can be injected once a month to help fight against the virus. However, Beuf says it’s expensive especially since it has to be administered monthly. The usual season for RSV starts in the fall around October and November, lasting until spring. Watch your baby for symptoms and don’t be scared to take them to the doctor as a precaution.

Infants

Does your baby have RSV?

For more information about RSV, search for it online at http:// children.webmd.com.

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Infants

Reducing the risk for SIDS in your infant

Metro Services As any parent knows, the first several months after a child is born can be a trying time to say the least. Along with the sleepless nights and round-the-clock commitment come the worries and concerns associated with caring for an infant, particularly for first-time parents. One of the foremost concerns for new parents is ensuring their child is safe while they sleep. That concern is deeply rooted in the fear of Sudden Infant Death Syndrome (SIDS), which is defined as the sudden and unexplained death of a child under one year of age. Though the incidences of SIDS have sharply declined throughout the last quarter century, for parents the fear is still prevalent. And though the American SIDS Institute admits it’s impossible to prevent all SIDS deaths, there are preventative measures parents can take to reduce the risk.

Expecting Parents or Parents-to-Be While SIDS is a concern for current parents, it should also be a concern for expecting parents or parents-to-be, the latter of which can include anyone who is sexually active. For those people, the following preventative measures should be taken. • Do not smoke, use cocaine or heroin. Drug use during pregnancy can result in a host of problems, not the least of which is SIDS. An 8

infant’s risk for SIDS increases if an expecting mother uses tobacco, cocaine or heroin during pregnancy. • Visit a physician early in the pregnancy. Women who suspect they are pregnant should seek medical care as early as possible. If pregnant, regular checkups at the doctor’s office should ensue. Even women who do not have medical insurance can get medical attention at little or no cost. Medical attention is imperative because a physician will provide insight as to proper nutrition and behavior during pregnancy, each of which will reduce the risk of premature birth, which is a major risk factor for SIDS. • Wait between pregnancies. The American SIDS Institute advises that parents should wait at least one year between the birth of a child and the next pregnancy. The shorter the interval between pregnancies the higher the rate of SIDS. Expecting parents or parents-to-be who plan to have more than one child should wait at least one year between pregnancies. • Don’t become pregnant during teenage years. The rate of SIDS decreases for children born to older mothers. Teenagers who have already had a child should take extreme caution to avoid becoming pregnant again. The more babies a teenage mother has, the greater at risk for SIDS those children will be. Parents of Infants For current parents of infants, it’s best to consult a physician for ways to avoid SIDS. The American SIDS Institute offers the following advice. • Infants should sleep on their backs. While infants might be more comfortable sleeping on their stomachs, infants who do sleep on their stomachs have a significantly higher rate of SIDS than those who sleep on their backs. • Keep the child’s crib in the parents’ bedroom for at least the first six months. Studies have convincingly shown that infants are clearly safer when their cribs are closer to their mothers. • Babies should not sleep in adult beds. Adult beds are not safe for babies, and parents should not fall asleep with their baby on a couch or in Continued on 9

2009 Boulder County Health Professionals

a chair. â&#x20AC;˘ Do not expose an infant to tobacco smoke. Infants should not be around anyone who is smoking. This includes parents and caregivers or even visitors. The more an infant is exposed to tobacco smoke, the higher the rate of SIDS, so no exposure at all is the best amount of exposure. â&#x20AC;˘ Breast-feed babies when possible. Breast milk has been shown to decrease the occurrence of respiratory and gastrointestinal infections. Formula-fed babies have a higher rate of SIDS than babies who are breast-fed. â&#x20AC;˘ Provide a pacifier. Certain studies have indicated a lower rate of SIDS in babies who use pacifiers than those babies who do not. â&#x20AC;˘ Keep the babyâ&#x20AC;&#x2122;s bed empty. A babyâ&#x20AC;&#x2122;s bed should have nothing in it â&#x20AC;&#x201C; including no covers, pillows, toys or bumper pads â&#x20AC;&#x201C; but the baby. The mattress should also be firm. A soft mattress and heavy covering are associated with a higher risk for SIDS. To learn more about SIDS, visit the American SIDS Institute Web site at www.sids.org.

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Infants

Even breastfeeding moms are concerned about plastic bottles

Article Resource Association Breastfeeding mothers may think they don’t need to worry about health concerns linked to plastic baby bottles. But even breastfeed newborns may come into contact with plastic containing bisphenolA (BPA) if their mothers use a breast pump, feeding bottles or storage containers made with the chemical. “I want to be sure when I pump, so my husband can feed my daughter, that my breast milk is safe,” says Shari O’Neill, a suburban Chicago mother of two children younger than 2. “I may be breastfeeding now, but eventually my daughter will drink from a bottle and a sippy cup. How can the FDA say this chemical is safe when the National Institutes of Health says there is reason to be concerned?”

BPA is a chemical used in the manufacturing of polycarbonate plastic – the material used to make many baby bottles, sippy cups and other plastic water bottles. The U.S. Food and Drug Administration has said that BPA used in feeding products is safe for humans. The National Toxicology Program, however, has said they can’t rule out the possibility of adverse health effects. “There remains considerable uncertainty whether the changes seen in the animal studies are directly applicable to 10

humans, and whether they would result in clear adverse health effects,” the organization said in a statement. “But we have concluded that the possibility that BPA may affect human development cannot be dismissed.” “I am not taking any chances with my children,” O’Neill says. “I am going to err on the side of caution and choose only BPA-free products for my children, and that includes my breast pump and other breastfeeding supplies.” Fortunately, it’s not difficult to determine if a plastic item may contain BPA. Check the recycling code generally located on the bottom of the product. If the bottle is stamped with recycling codes one through six, it does not contain polycarbonate. If you see recycling code seven, the product is made of a combination of different plastics and may contain polycarbonate. Check with the product manufacturer to be sure. While lawmakers in areas across the country are pushing state and federal legislation to ban BPA in child-feeding products, consumers are already demanding BPA-free products from retailers and manufacturers. “We’ve seen a significant increase in demand for our BPA-free feeding products, including our breast pumps,” says Carolin Archibald, vice president of Medela’s breastfeeding division. “We decided years ago to remain BPA-free. When your business is based on feeding babies safety should always be your primary concern. That is why all our breast milk bottles, storage containers and pump parts that touch breast milk have always been and will always be BPA-free.” Breastfed babies could come in contact with plastic containing BPA if their mothers use a breast pump that includes parts made with polycarbonate plastic, Archibald says. When a mother pumps, the breast milk actually flows through several plastic components before it is collected in a bottle or storage container. Public health studies show that more than 70 percent of mothers begin breastfeeding in the hospital, and of those 93 percent purchase a breast pump. “Unfortunately, not all breast pump kits currently on the market are BPA-free,” Archibald says. Parents who want to learn more about health concerns related to BPA can visit the National Institutes of Health Web site at www.ntp.niehs.nih.gov. For more information on BPA-free feeding products for baby, parents can visit www.medela bpafree.com.

2009 Boulder County Health Professionals

Children

2009 Front Boulder Range County Health Health Professionals Professionals

Children

Valuing the importance of eye exams for youth

By Kristi Ritter Longmont Times-Call According to the Vision Council of America, 80 percent of learning in a child’s first 12 years comes through the eyes. These years are critical in the development of children’s eyes to make sure good eye care habits are formed. Dr. Terry Robinson, an ophthalmologist with the Optical Center in Longmont, recommends a baby have an eye exam sometime within the first year to year-and-a-half of their life. While routine visits with a pediatrician can identify some vision issues, these visits do not replace a comprehensive eye exam performed by an optometrist or ophthalmologist. The eye doctor will check the eyes for disease and normal eye structure development. Babies will also be checked for signs of amblyopia, which is lazy eye, crossed-eyes, eye movement skills and focusing problems. Amblyopia is most responsive to treatment before the age of 3. There are a small percentage of cases where children can develop some sort of congenital problem, such as glaucoma, in the eye that, if caught early, can be corrected. Premature babies are more at risk for retinol problems, Robinson says, so an exam early in their life will need to happen in order to check for any potential issues. How premature the baby was at birth, his or her weight and how long oxygen was used corresponds to potential vision problems. Other issues at birth may be that a child’s tear duct doesn’t open all the way, blocking tears from draining. While some children will need to have the duct opened to allow tears to drain, Robinson says children frequently grow out of this within a short time. He says children should have another comprehensive eye exam before they enter school to determine the child’s readiness of vision skills for school. An estimated 10 percent of children have a need for glasses to treat nearsightedness, farsightedness or astigmatism. In addition, 15 to 20 percent of children suffer from poor vision skills, including focusing, eye alignment or eye movement skills. It’s important to have a child’s

What parents should look for in their child’s vision

• Watch your child’s eyes to make sure they are aligned. If you notice that your child’s eyes are not aligned or if it happens only during a portion of the day, have it checked out by an eye doctor. • If you notice your child straining to read items around the house, he or she is most likely in need of a visit to an eye doctor. If there are problems at home, it may be affecting their school learning. • Look for any type of white reflex in the pupil, which could be a sign of a cataract. • Eye infections are common with children, but its important to have them treated. • Some children may be prone to bad eye allergies, especially in the dry Colorado climate. These are easily treated, but need to be addressed.

Continued on 13

2009 Boulder County Health Professionals

Continued from 12

vision properly addressed before he or she goes to school in order to take advantage of every learning opportunity. Robinson says children’s eye exams are different from an adult exam because most children cannot yet recognize objects in order for a doctor to determine a refractive error. Eye doctors use dilating, which involves drops being placed in the eye that stimulate the iris muscle that opens the pupil. After the drops take effect, the doctor can get a better view of the retina, optic nerve and vessels in the back of the eye. Doctors will then use the process of retinoscopy to determine the child’s refractive error by shining a light into the child’s eye and observing the reflection off the child’s retina. Children’s eyes can change quickly because of their growth and the fact that they are using their eyes more, Robinson says. While some children can tell their eyes change, others may not understand what’s happening, so it’s important to have routine eye exams. Once a child enters school, an exam every two to three years is recommended.

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Children

Natural remedies help kids breathe easy

Article Resource Association For millions of adults and children, warm weather means it’s time to devote attention to nasal health. Just as you want to spend more time outside, the higher temperatures make greater attention to healthy breathing a must. Parents are concerned about their children’s respiratory health. Add to that the recent concerns surrounding the safety and effectiveness of children’s cold remedies and now many parents are thinking twice before opening the medicine cabinet to treat their little ones. A survey conducted in March by Harris Interactive shows that while 90 percent of parents claim to be somewhat knowledgeable about the possible dangers associated with over-thecounter cough and cold medicine for children, 62 percent still give these products to children. While the FDA is now recommending parents not give over-the-counter medicines to children younger than 4, more parents than ever are looking for ways to proactively support their children’s respiratory health and immune systems. “Evidence shows that over-the-counter cough and cold medicines likely don’t work for very young children, and can, in fact, create potentially lethal side effects,” says Dr. Bob Sears, a noted pediatrician. Last fall the National Institutes of Health’s National Center for Complementary and Alternative Medicine released survey results that found 38 percent of adults and 12 percent of children were using complementary and alternative medicines. The new Harris survey shows that the desire to use these remedies is high and that the public might be using natural remedies more if the products had credible information to support their claims. “While natural, herbal remedies have been in use around the world for generations – Sinupret has been a staple in Europe for 30 years – they are just coming into their own in the United States,” Sears says. This syrup is not a drug, but is a natural remedy for healthy sinus, respiratory and immune support in children ages 2 to 12. It does not contain stimulants, caffeine, ephedra, pseudoephedrine, codeine, steroids, narcotics or gluten. 14

Keep kids breathing easier this summer Staying healthy is the safest approach and easier than you think. Here are some tips to keep your kids breathing easier, naturally this summer: Tip 1: Use a saline solution to flush noses. Look on the Internet for directions on how to do this, or use a premade kit that includes a squeeze bottle or a Neti pot, available at many drug stores. Tip 2: When your child plays outside, remove his clothing when he comes in. You might consider showering children to rinse pollen from their skin and hair. Close doors and windows at night or any other time when there are high pollen counts. Tip 3: Use natural, non-drug remedies to keep kids healthy such as Sinupret for Kids. This helps promotes healthy drainage in the upper respiratory tract, improves airflow in the nose, and supports healthy mucous flow in the nose and sinuses. Tip 4: Take a multivitamin to support overall health. There are many chewable options for children that taste great.

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Children

Children need good dental health starting early

By Kristi Ritter Longmont Times-Call Kids love to say “cheese” for the camera and flash their pearly whites at anyone willing to snap their picture. While keeping those teeth healthy and sparkling takes some work from both parent and child, it’s a task that if started early in life will promote good dental health. According to a study from the Centers for Disease Control and Prevention, tooth decay declined in every age except in children from age 2 to 5. Of those children, 28 percent had decay. And while tooth decay is the single most common chronic childhood disease, 90 percent of it is preventable with proper dental care. First Visit Dr. Richard Abrams and Dr. Tim Nichols of Little Britches Dentistry in Longmont, say children should visit a dentist for the first time by age 1. “Starting out early allows a family to be formed between us, the kids and the parents,” says Abrams, adding that they like to visit with parents about the importance of brushing properly, flossing and a healthy diet. Starting early with dental visits allow the dentists to look for risk factors that may develop, such as decay, in addition to evaluating health and development of the teeth. Baby teeth are

Dr. Tim Nichols, of Little Britches Pediatric Dentistry, shows Zane Sedlak, 2, the proper way to brush your teeth by using a stuffed monkey with teeth. (Paul Litman/ Times-Call)

Dr. Richard Abrams, of Little Britches Pediatric Dentistry, examines Zane Sedlak, 2, during a dental visit. (Paul Litman/Times-Call)

known to develop cavities much faster than permanent teeth, which is why it’s important to start early, Nichols says. After the initial visit, he says by the age of 2 children need to start seeing the dentist every six months for routine cleaning, checkups and preventative measures. Fluoride treatments are also vital to a child’s dental visits. But there’s two types of fluoride that can help, according to Abrams. The first is the fluoride the dentist does, which helps with decay. The other is the fluoride found in water, which helps in development and strengthening of permanent teeth. Starting at Home Dental care at home is important and serves as the foundation of a healthy smile. Starting with a child’s first tooth, Abrams says brushing in the morning and night is vital. However, parents shouldn’t turn children loose with the toothbrush until they know the proper methods to brushing. It’s the parents’ job to oversee that brushing is done properly and for a long enough time to clean teeth. As children grow they will learn the correct methods for brushing, but Abrams cautions that parents should still have a hand in their children’s dental health. “For the independent child who wants to do it on his own, have him brush in the morning and parents can do it at night,” Abrams says. The night brushing is the most important as excess sugar and food should Continued on 17

2009 Boulder County Health Professionals

Continued from 16

For more information on childhood dental care, visit the American Academy of Pediatric Dentistry at www.aapd.org.

2009 Boulder County Health Professionals

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not be left to sit on the teeth while the child sleeps, which only entices decay to build. The key is to make brushing teeth fun and part of a routine. Children today can also jazz up the flavors of toothpaste, making the task a tasty one with flavors such as ChaCha Chocolate, Banilla Bling, Bling Sickle and even Baby Bling for infants. Both doctors also suggest motorized toothbrushes because it helps do some of the work for children. Look for ones with a rechargeable battery and a built-in timer. “They won’t cost much, maybe $17 or so,” Abrams says, “but this way parents won’t have to throw out dead batteries and they can set the timer to make sure their children are brushing long enough.” After a child’s teeth have been brushed for the night, there should be no more eating or snacking. Additionally, Nichols says to avoid sending children to bed with a bottle or juice. It’s all unnecessary sugar that will be left on their teeth for hours, causing unhealthy teeth. A Child’s Diet The foods that children eat can play a large role in the health of their teeth. Parents should educate children about foods and beverages that cause cavities. As for Abrams, his philosophy is “less pop, more floss.” However, both doctors suggest that if children drink any soft drinks, they should do so with a meal. This way once the meal is completed, children can brush their teeth and remove any extra sugar that may have latched on to teeth. “Water really is the best and only thing that children and adults should have between meals,” Nichols says. For children, snacks are a part of life in order to refuel their bodies and get them moving. But, there are good and bad snacks, and times throughout the day when they should be avoided. If children do have a snack, have them brush their teeth afterward so any food or sugar isn’t left on the teeth. “Our biggest issue is really sugar, especially refined sugar that comes in the form of candy and sweet treats,” Abrams says. Dried fruits are another favorite among many, but they pack some hefty spoonfuls of sugar that stick to teeth. Children should focus instead on good snacks, such as cheese, fresh vegetables, natural fruits and popcorn.

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Article Resource Association Between the hustle and bustle of new year routines and non-stop schedules that run until bedtime, it can be difficult to find the time for everyone in the family to eat together – let alone eat healthy options. Busy schedules mean that dinners regularly consist of on-the-go meals from the closest fast food restaurant. At any time, healthier options other than quick-grab candy bars, fast food or other packaged items would be a welcome change. However, finding these options for an on-the-go lifestyle has always been a challenging task, until now. Time-strapped parents can now find healthy, yet tasty meal and snack options for their children at the grocery store. While the statistics have leveled off in the last few years, the number of children today labeled as obese is three times higher than the rate in the 1970s. Setting healthier eating patterns for your family now while you’re racing around town to the next activity helps to establish better eating and exercise habits as your children grow older. A government-sponsored study published in

2009 Boulder County Health Professionals

“Pediatrics” shows about one-third of total daily calories consumed by children between the ages of 8 and 10 were from snack foods. Safeway Inc. and its family of grocery stores have teamed up with Warner Bros. Consumer Products to create Eating Right Kids. Dedicated to incorporating fun entertainment characters with a better-for-you eating philosophy, the line features more than 60 items, including meals-on-the-go such as Chicken Tacos and Multi-Grain Mac & Cheese with Baby Carrots and Peas. An extension of the successful Eating Right adult brand, the children’s meal packages feature Looney Tunes characters, such as Bugs Bunny and Daffy Duck, who act as mother’s helpers. The packaging uses the characters and a colorful Spot Your Needs easy-reference system to help kids and their parents quickly identify the nutrition in each item, based on dietary recommendations and regulations from the Department of Health and Human Services, Department of Agriculture, the Alliance for a Healthier Generation and the California School Nutritional Guidelines SB12. “With the success of Safeway’s Eating Right brand, Eating Right Kids was a natural brand extension that delivers an unprecedented line-up of better for you eating options for kids,” says Mike Minasi, Safeway president of marketing. “Parents now have an ally in helping them show their kids that better-for-you foods can taste good and be fun at the same time.” The DHHS has some additional healthy eating tips for children: • Eat whole grains like whole wheat bread, oatmeal, brown rice and low-fat popcorn. • Pick colorful fruits and vegetables. Take your child grocery shopping with you and have them choose a pretty and colorful produce item. Then eat the fruits and vegetables at meals and during snack time. • Drink plenty of calcium with low-fat milk or by nibbling on other milk products several times a day. • Slim down on the protein by eating lean or low-fat meat, chicken or turkey and fish. • Cook with natural oils like corn, soybean, canola and olive oil. • Skip out on foods and drinks that list sugar or other caloric sweeteners as one of the first ingredients.

Children

Smarter meal choices for on-the-go families

Children

The Good Fat You Must Eat Learning the benefits of DHA

Article Resource Association You have probably heard that omega-3s are good for you, particularly the omega-3 fat DHA (docosahexaenoic acid). Surprisingly, despite all of the reported health benefits of DHA, the American population is not getting enough of this important nutrient. In fact, the United States has one of the lowest average intakes of DHA in the world, and children are particularly at risk. DHA is an important nutrient in promoting good health; nerve cells in the brain and eyes need it to function normally. DHA is particularly important during the first two years of life and early childhood. Between birth and 5 years of age, the human brain increases approximately three-and-half times

in mass. It is important that children consume adequate amounts of DHA in their diet to support this period of rapid brain and eye growth and development. When it comes to DHA, a good diet is crucial. You must get DHA through foods since your body cannot make enough of it on its own. To understand this healthy fat better, nutrition and wellness expert, Monica Bearden, answers some common questions. Why do we need DHA? DHA is important to both adults and children for healthy nerve cells in the brain and eyes. In adults, DHA can protect against the development of a number of chronic diseases, such as Alzheimerâ&#x20AC;&#x2122;s, cardiovascular disease and diabetes. In infants and children, DHA is essential for visual and cognitive development. How much DHA do we need? Adults should get a minimum of between 160 to 300 milligrams (mg) of DHA each day, according to the Dietary Reference Intakes and clinical studies. But American adults typically fall short, getting less than 50 percent of the recommended DHA intake each day. And while in the United States there are no formal guidelines established for DHA in children, some estimate that children should get at least 100 mg. Children also fall short and on average only get 40 to 50 mg per day. Why are we not getting enough? While the number of fortified foods available with DHA is increasing, it is sparse in our food supply. Children are especially at risk of a shortfall because when they are weaned from DHA-rich breast milk or infant formula, the foods and beverages that replace breast milk and formula are low in DHA, if they contain any at all. The main dietary source of DHA, fish, is not a staple of most kidsâ&#x20AC;&#x2122; diets, and concerns about contaminants, as well as the rise in food allergies, have reduced childrenâ&#x20AC;&#x2122;s fish intake even more. Why should parents be concerned? More than likely their child is not getting enough. Aside from needing DHA for normal brain and visual development, there is data to suggest that DHA deficiency is linked to learning difficulties and attention deficit hyperactivity disorder in children. Making sure their child Continued on 21

2009 Boulder County Health Professionals

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has adequate DHA intake from before birth on into childhood is one small thing parents can do to help their child’s growth and development. What are good sources of DHA? Good sources of DHA are cold-water fatty fish like canned salmon, canned tuna, wild Alaska sockeye or Alaska pink salmon. If you’re not a fish lover, there are many foods on grocery store shelves that are fortified with a vegetarian form of DHA made from algae called life’s DHA. For example, you can now find yogurt, milk, juices, breads, soymilk and nutrition bars with this vegetarian DHA. Make sure to look for DHA on the labels of your food choices to make sure you are getting the right kind of omega-3. In addition, certain eggs now contain higher levels of DHA. Interestingly, the chickens are fed a specially fortified DHA diet, which results in DHA-rich eggs. You can also take and give your children DHA supplements, but talk with your family doctor before taking any supplements or giving them to your children.

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2009 Boulder County Health Professionals

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Article Resource Association Playdates have taken off in America, and it is no wonder. In this economy, where else can you find an inexpensive activity that is fun for both children and moms? Not only do playdates help youngsters learn socialization and cooperation skills, but they also allow moms to mingle and share advice. Participating in playdates (or playgroups) is a great way to spend the afternoon, until one of your guests sneezes … and then sneezes again. If it turns out that a member of your playdate is severely allergic to the family cat, your afternoon plans could be ruined. On any given day in America, 10,000 children miss school because of allergies, according to one study referenced on the American Academy of Allergy, Asthma and Immunology’s Web site, www.AAAAI.org. Their site also mentions that up to 40 percent of American children are believed to suffer from nasal allergies, and millions more have food and skin allergies. Yet in a recent national survey conducted by Ipsos and The Clorox Company, only 3 percent of the parents polled said they are most

2009 Boulder County Health Professionals

concerned about exposure to indoor allergens during playdates. “Playdates nurture a sense of community among children and parents,” says Jeff Van Lom, co-founder and CEO of Playgroups USA, a national organization that helps parents form playgroups for their children. “Kids get to be kids and enjoy playing together while parents can share advice, experiences and support. But an allergic reaction can take all the fun out of a playdate.” Nearly half of parents reported their children have experienced indoor allergy symptoms in the past year, according to the survey. Because playdates often occur indoors, they can be tough for children who are allergic to indoor allergens such as dust mite matter and pet dander. Whether you’re hosting the playdate or your child is a guest, it pays to prepare with some allergy precautions. A new free, downloadable guide on www. PlaygroupsUSA.com, called the Guide to the ABCs of Playdates and Allergies, helps parents prepare homes for playdates. The guide, created through a partnership between Playgroups USA and The Clorox Company, provides information on common allergens, statistics on allergies among children, and tips for minimizing allergy triggers during playdates.

Children

How to keep allergies from ruining the fun at playdates

Everyone knows how tough it is to be a parent in general, much less also be in charge of hosting a playdate with other children – especially children with allergies. This guide outlines simple steps that you can take to help make life easier as the playdate host. For example, prior to the playdate, follow these easy steps to help reduce common indoor allergens like dust mite matter and pet dander: • To help make indoor allergen management easier, spray upholstered furniture and other fabrics with a product such as Clorox Anywhere Anti-Allergen Fabric Spray to reduce up to 90 percent of common indoor allergens such as dust mite matter and pet dander. This spray is also fragrancefree and dye-free, so it is safe to use around pets and won’t bother kids with sensitive skin. • Wash fabric toys and blankets with an anti-allergen bleach like Clorox Plus Anti-Allergen Bleach that removes 99 percent of household allergens. The bleach denatures common household allergens – such as mold, dust mite matter and pet dander – that can hide in fabric fibers or on hard surfaces. • It is also a good idea to vacuum and dust the room where you plan to host your playdate. Also try to keep your pets out of the house for the day. As all moms know, there are not enough hours in the day, so just focus on where you plan to spend time with your guests. The rest of the house can wait. • Find out from other parents if their children have food allergies, and plan menu choices accordingly. If their child has a food allergy, they will be impressed – and thankful – that you asked. Invite parents to join in and, if it raises their comfort level, supply their own snacks for their food-allergic child. The “Guide to the ABCs of Playdates and Allergies” offers more easy-to-follow advice on how to keep allergies from being a playdate problem and is available for free download at www.PlaygroupsUSA.com.

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2009 Boulder County Health Professionals

Young Adults

2009 Boulder County Health Professionals

Young Adults

Teens often deal with acne issues

By Summer Stair Longmont Times-Call Acne is often associated with puberty, even though some adults will experience acne outbreaks for the rest of their lives. While dealing with acne at any age can be hard, it can have significant social connotations for teens. “Severe acne does affect your overall quality of life,” says Dr. John Fueston of Twin Peaks Dermatology in Longmont. “And it can really affect self perception.” The key to dealing with acne is understanding what acne is and its treatments. Fueston offers this information to help teens and their parents get through this tough situation. What Is Acne and What Causes It? Acne is primarily caused by hormones. This is the biggest reason why teens are susceptible, because puberty can cause an influx in hormone levels. Another factor is genetics. Chances are if your parents had or have acne, you will, too. The good news is severe acne often does not continue into adulthood. But what is acne? Acne is inflammation and plugging around hair follicles and oil glands that often cause bumps. These bumps can include blackheads, whiteheads, pimples or cysts, and often show up on the face, neck, shoulders, back and chest.

Prevention and Myths Since pimples or acne can be caused by oil buildup, washing your face twice a day with an anti-acne wash or something mild such as Dove, Cetaphil or Aveeno cleanser can be helpful. But it is important to understand that dirt does not cause acne. Washing the face twice a day simply clears off dead skin and oils, says Fueston. Other things to keep in mind is acne is not caused by a bad diet. Sugar, chocolate and greasy foods are not the cause of acne. “It’s basically just genetics, hormones and plugging of hair follicles,” Fueston says.

Acne is primarily caused by hormones. This is the biggest reason why teens are susceptible, because puberty can cause an influx in hormone levels. Another factor is genetics. Chances are if your parents had or have acne, you will, too. Treatments When washing your face twice a day doesn’t seem to be working, there are several over-thecounter acne products a person can try. Fueston says the main two ingredients in the over-the-counter products are benzoyl peroxide, which includes products such as Clearasil and Proactive, and salicylic acid, which includes products such as Neutrogena Acne Wash. One product may work better than the other, because while one targets bacteria in the face, the other helps relieve plugging of hair follicles. Fueston warns some of these products can be abrasive and may initially irritate skin. Over-the-counter products can take two to three months to start working. If at that time the acne is not clearing up or is getting worse, it is important to contact a dermatologist for treatments that may require a prescription. “It’s not uncommon to get scarring,” Fueston says. “The sooner you get help the better.” Another way to prevent unnecessary scarring is to not pick or pop pimples, no matter how much you may want to. “It’s better to have a bump for one to two weeks than to have a scare that lasts forever,” Fueston says. 2009 Boulder County Health Professionals

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Instead of the large incisions used in traditional open surgery, da Vinci procedures use small incisions that allow a surgeon to use miniature instruments that are guided by a high-definition, 3D camera. With greater surgical precision, increased range of motion, improved dexterity and enhanced visualization, our surgeons are able to help patients as never before. Urologists offering robot-assisted surgery at BCH: s James Clark, MD, 303-444-9000 s Sam Melouk, MD, 303-444-9000 To learn more about this break-through technology, please visit www.bch.org/prostate.

Young Adults

Opt for smarter snack ideas when the munchies strike

Article Resource Association When the munchies hit at 3 p.m. what do you do? Do you leave your desk and head to the vending machine? Does the thought of the approaching swimsuit season leave you caught between hunger and dread? At some point during the day – and often, multiple points – most people crave a snack. It’s easy to grab a snack that’s gratifying but high in fat, calories, cholesterol or sodium – and low on nutritional value. The desire for healthy snacks (or at least less unhealthy snacks) is not a new one. What is new, however, is the emerging mindset that packing more for the punch, or doing more with less, can allow people to have their snacks and eat them, too. With a few lifestyle adjustments, the 3 p.m. snack – or the mid-morning or late night snack, for that matter – can continue.

Get Dense To gain more from your snacking experience, go for nutrient-dense snacks that are enhanced with a greater amount of better-foryou ingredients. If you have an extra apple or some celery stalks on hand, take advantage of built-in nutrients and pull them out of the refrigerator. If you are in the mood for a bag of munchies 28

to satisfy your cravings, remember that today’s bagged snacks come in a range of better-for-you varieties. Snyder’s of Hanover, for instance, offers products like multigrain pretzels, chips and puffs. Indeed, beyond traditional salty snacks made with whole grains, many bagged snacks today are made with non-traditional snack food ingredients. You can actually increase your intake of vegetables with products like vegetable-based crisps. EatSmart Veggie Crisps and Soy Crisps, for example, are made from real potatoes, tomatoes, spinach and soy. Make Bold Choices Nutritionists and foodies alike can attest to the fact that eating more flavorful food lends a certain satisfaction to the eating experience. Those who eat boldly flavored snacks may be less likely to over-consume and can take their time to enjoy how the food tastes. Recognizing that bold flavors enhance the eating experience, manufacturers are responding with more intense and gourmet flavor profiles for snacks, such as pesto, parmesan, chipotle peppers and fire-roasted tomatoes, among many others. Go Natural For those looking to maximize their snacking experience, all-natural snacks offer an added benefit of clean labels, namely, with fewer preservatives and artificial ingredients. Again, supermarkets and restaurants are offering more natural and organic products, in response to growing customer demand. Looking for “all natural” or “organic” wording on packaged snacks and taking a few seconds to read the label is an assurance that what goes into snacks doesn’t have to be unpronounceable. Realize that Size Matters Mindless eating, particularly snacking with little thought of controlling intake, is where a lot of people get into trouble. It may not seem like it when we’re eating while working, texting or watching TV, but it’s quick and easy to overdo it. To make it easier on consumers, snack food providers continue to introduce portion-controlled packaging, through 100-calorie packs and snack size products. Those items, ranging from chips to pretzels to snack cakes, are specifically designed to help people keep track of their snacking and stick to a pre-planned intake. 2009 Boulder County Health Professionals

Article Resource Association Mary Katherine Albritton had a normal childhood despite being diagnosed with epilepsy when she was 6 years old. Her parents worked to teach her about her condition, and she grew up to be a happy adult. But in 2005 she got a surprise – she was pregnant. As an adult with epilepsy, she wondered about the risks to her and her fetus. “I had six seizures through my pregnancy, but my daughter Taylor was born a healthy, beautiful baby,” says Albritton, who worked closely with her neurologist throughout the course of her pregnancy. Albritton is just one of a surprisingly large number of women with epilepsy who have had successful childbirths. It is estimated that

about half a million women with epilepsy in the United States are of childbearing age and that three to five out of every 1,000 births are to women with epilepsy. The majority of people with epilepsy have well-controlled seizures, are otherwise healthy, and expect to participate fully in life experiences, including pregnancy. New guidelines developed by the American Academy of Neurology and the American Epilepsy Society show it’s relatively safe for women with epilepsy to become pregnant, but caution must be taken, including avoiding valproate, an epilepsy drug that can cause birth defects. “Good evidence shows that valproate is 2009 Boulder County Health Professionals

linked to an increased risk for fetal malformations and decreased thinking skills in children, whether used by itself or with other medications,” says lead guideline author Dr. Cynthia Harden, director of the Epilepsy Division at the University of Miami’s Miller School of Medicine and member of the American Academy of Neurology. The guidelines also suggest that, if possible, women with epilepsy should not take more than one epilepsy drug at a time during pregnancy since taking more than one seizure drug has also been found to increase the risk of birth defects compared to taking only one medication. “Overall, what we found should be very reassuring to every woman with epilepsy planning to become pregnant,” Harden says. “These guidelines show that women with epilepsy are not at a substantially increased risk of having a Caesarean section, late pregnancy bleeding, or premature contractions or premature labor and delivery. Also, if a woman is seizurefree nine months before she becomes pregnant, it’s likely that she will not have any seizures during the pregnancy.” However, Harden says pregnant women with epilepsy should consider having their blood tested regularly. “Levels of seizure medications in the blood tend to drop during pregnancy, so checking these levels and adjusting the medication doses should help to keep the levels in the effective range and the pregnant woman seizure free.” When Albritton had her second child, Thomas, she had three seizures during her pregnancy. “June 15, 2007 was my last seizure when I was pregnant with Thomas. He was born a healthy baby boy on Nov. 5. When people say their kids are miracles, mine really are. I haven’t had a seizure since.” Her advice for other women with epilepsy who want children: “Understand that epileptic women are capable of having healthy babies. I suggest staying in close contact with your obstetrician and urologist.”

Young Adults

Good news for women with epilepsy who are pregnant

Young Adults

Your Body After Birth The truth about postpartum care

By Lauren Seaton Longmont Times-Call After 39 weeks of feeling bloated, swollen and down-right uncomfortable, the hard part is over. As your baby is swaddled warmly in your arms, you count 10 fingers and toes. You are ready for blissful bonding. Think again. Sleepless nights are quickly joined by postpartum contractions, vaginal bleeding, hemorrhoids, difficulty with urination and bowel movements, mood swings or depression, cracked nipples and swollen breasts. Jarna Webster, of Edwards, read books and went to birthing classes before the birth of her son in April. But the postpartum changes to her body were still surprising and demoralizing. “For the first 10 days there were blood clots the size of quarters,” Webster says. “And the fear (of going to the bathroom) was unreal.” Vicki Lemmon, director of the family birth

center at Boulder Community Hospital, attributes some of this surprise to a woman’s emotional inability to concentrate on the postpartum while pregnant. “They focus on the birth. They’re so excited about that, that’s the entire focal point. They don’t want to know about putting ice on their perineum. It has no relevance at that point,” Lemmon says. Donna Bray, who lives in Denver and gave birth to her son in September, remembers the pain and compares it to completing a triathlon and then being run over by a train. “But,” she adds, “I had a lot of support,” referring to her husband and mother who gave her whatever breaks she needed. Bray also read the “Girlfriends’ Guide to Pregnancy” before her son was born. “I thought that was much more helpful than some of the traditional books,” she says. There’s no doubt about it – postpartum care is hard. But learning what’s really ahead can help. Breast Feeding It’s not intuitive for everyone – both moms and babies have to learn it. Tracee Hendershott, nurse manager of labor and delivery at Rose’s Medical Center in Denver, suggests meeting with a lactation consultant before the delivery. “The best time to do education is before the baby is born,” she says. Bleeding and Contractions During the first six weeks the uterus shrinks back to its original size. It sheds blood and tissue, referred to as lochia. Initially, the bleeding can be clotted and heavy. The perineum has also stretched or torn during delivery. Ice packs can relieve the pain and swelling. Uterine shrinking (involution) occurs through contractions. For many women, the contractions intensify during nursing. “It’s like being in labor but you’re feeding so you have to stay still,” Webster says. Mood Swings and Depression It’s no secret that new babies result in sleep deprived parents. But the emotional and physical affects can be serious. Looking for signs of postpartum depression often falls on the father or significant other. “(Postpartum depression) occurs much more frequently than we like to think. It’s very real, and it’s devastating,” Lemmon says. Continued on 31

2009 Boulder County Health Professionals

Resources New mother support groups, breast feeding support groups and mom-baby yoga classes provide women with a platform to connect with themselves and their babies. Also, making a list of useful phone numbers – including the pediatrician, hospital, OBGYN and lactation consultant – can help simplify stressful moments. “We want them to know who to call – that yes, you can call your pediatrician at two in the morning if your baby hasn’t peed for 12 hours,” says Lisa Allen, service coordinator for the special care nursery at BCH. The bottom line is that early motherhood is hard and everyone’s experience is different. But both Webster and Bray agree the joys far outweigh the rigors. “It’s changed my whole perspective on things, but in a good way,” Bray says. Useful Sites and Books: www.babycenter.com; www.mayo clinic.com/health/; The Mother of All Baby Books” by Ann Douglas; “Your Pregnancy & Birth” by The American College of Obstetricians and Gynecologists; “The Girlfriends’ Guide” to Pregnancy by Vicki Lovine.

Colorado Seasons Can Be Hard On Your Skin...

HE-127749

Continued from 30

...We Can Help Keep Your Skin Healthy!

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2009 Boulder County Health Professionals

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Young Adults

Bracing for Braces Teeth straightening options

Article Resource Association If you or your friends had metal braces growing up, you might remember that they were sometimes difficult to deal with – from restrictions on what foods you could enjoy, to the challenges of keeping teeth clean and the feeling that your braces were the most noticeable thing about you. While braces are more attractive than they used to be, most teens are still a bit anxious about getting them. “My daughter wanted to know if wearing braces would be painful, how often she would have to see the orthodontist and how she would floss. We both had a lot of questions,” says Lisa McCoskey, mother of 16 year-old Grace. “I’m involved in lots of school activities and worried that braces would only get in the way,” says Grace. Parents can help make teeth straightening a positive and effective experience for their teen by taking a few simple steps. Talk it Out Talk to your teen about the importance of correcting their teeth now so they don’t have problems in the future. Explain why you or other family members had braces and how it has benefited you in adulthood. Ask the orthodontist as many questions as necessary. Consider your Options “You can still select metal braces that sit on the surface of the tooth, or you can consider clear, removable braces like the new Invisalign Teen, which is virtually invisible and does not interfere with teens’ desire to be ‘braceless’ for milestone events like prom, senior pictures and interviews,” says Dr. Dan German, of German and Burke Orthodontics in Ohio. This option, which was developed with the help of leading orthodontists who understand the unique needs of teens, consists of a series of clear aligners that fit over the teeth and are switched out about every two weeks. “Each aligner is individually manufactured with exact calculations and custom fitted to gradually and effectively move teeth into place without metal wires or brackets,” explains German. When compared to metal braces, the clear

aligner option has many benefits. Although the cost is about the same as traditional braces, the system usually requires fewer office visits, shorter appointments and no emergency visits for broken wires or brackets. Metal wires and brackets can cause irritation or even accidentrelated injuries, especially for teens involved in sports. Clear aligners are made of lightweight plastic that sits smoothly on the teeth allowing for a more comfortable fit. Because the aligners can be removed, you can eat, brush and floss as you would normally. Invisalign Teen aligners feature a Compliance Indicator that is designed to fade from blue to clear, so parents can gauge generally whether their teen is wearing them as much as they should be.

Decide on an Orthodontist Find a doctor that both you and your teen feel comfortable with and engage the doctor and staff during appointments. Don’t be afraid to meet with several orthodontists and check references to find one both you and your child connect with. Some orthodontists specialize in certain types of procedures. One might have more experience working with aligners and should be considered if you decide on this option. Grace and her mom chose Drs. German and Burke as their orthodontists, asked plenty of questions, and decided to try Invisalign Teen. “It’s cool because your teeth are getting straighter, but people don’t even notice that you have them,” Grace says. For more information, visit www.InvisalignTeen.com to find an experienced orthodontist near you.

2009 Boulder County Health Professionals

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couples will be affected by infertility.

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Young Adults

New treatment options for depression

Family Features Depression affects nearly everyone at some point or another, but for some it is a problem that can affect life, family and work. Major depressive disorder (MDD) affects 14 million American adults annually. Unlike normal emotional experiences of sadness, loss or passing mood states, symptoms of MDD are severe and persistent, sometimes lasting up to 16 weeks. According to the National Alliance on Mental Illness, major depression can interfere with your thoughts, mood, behavior and physical health. For example, in one study, people suffering from MDD reported they were unable to work or carry out their normal activities an average of 35 days in the past year. Beyond this, MDD is often associated with accompanying anxiety and substance abuse, and evidence suggests it is a significant risk factor for stroke, high blood pressure, heart disease, and death due to heart attack. Eighty to 90 percent of Americans diagnosed with MDD can be effectively treated. What are the symptoms of major depressive disorder? The symptoms of MDD include: • persistently sad or irritable mood • pronounced changes in sleep, appetite and energy • difficulty thinking, concentrating and remembering • physical slowing or agitation • lack of interest in or pleasure from activities that were once enjoyed • feelings of guilt, worthlessness, hopelessness and emptiness • recurrent thoughts of death or suicide • persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders and chronic pain If several of these symptoms of depressive illness occur at the same time, last longer than two weeks, and interfere with ordinary functioning, professional treatment is advised. How is depression treated? The most common treatments for MDD include medication, known as antidepressants, and psychotherapy. Antidepressants work to normalize naturally occurring brain chemicals called neurotransmitters, which help to relay 34

signals within the brain. The most widely prescribed antidepressants include: • Selective serotonin reuptake inhibitors (SSRIs) that block the reabsorption of the neurotransmitter serotonin by certain nerve cells in the brain. This leaves more serotonin available in the brain. (Increased serotonin enhances neurotransmission – the sending of nerve impulses – which is thought to improve mood.) • Serotonin and norepinephrine reuptake inhibitors (SNRIs) that increase the levels of both serotonin and norepinephrine (another type of neurotransmitter) by inhibiting their reabsorption into cells in the brain. (It is thought that these higher levels enhance neurotransmission and improve and elevate a person’s mood.) Medications in this group of antidepressants are sometimes called dual reuptake inhibitors. • Norepinephrine and dopamine reuptake inhibitors that block the reabsorption of norepinephrine and dopamine, a third kind of neurotransmitter, thereby increasing levels of these chemicals in the brain to improve mood. New treatment available Bupropion HCI is a popular NDRI that has been effectively used for the treatment of depression since the 1980s but at higher doses requires multiple tablets per day. Aplenzin (bupropion hydrobromide) extended-release tablets are available by prescription to adults 18 and older. Aplenzin differs from other generic and branded bupropion antidepressants because it provides a unique HBr salt extended-release formulation, offering prescribers and their patients the benefit of convenience with simple one tablet, once-daily dosing at all doses. “For patients who show little clinical improvement on lower doses of bupropion, there is a need to take higher doses to treat major depressive disorder,” says Prakash Masand, M.D., Consulting Professor of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, N.C. “Aplenzin offers a simple, convenient dosing option for patients who need to take two to three tablets daily.” MDD is a serious illness, but it can be treated. The most common adverse reactions reported are dry mouth, nausea, insomnia, dizziness, pharyngitis, abdominal pain, agitation, anxiety, tremor, palpitation, sweating, tinnitus, myalgia, anorexia, urinary frequency and rash. For full prescribing information, visit www.aplenzin.com.

2009 Boulder County Health Professionals

Adults

2009 Boulder County Health Professionals

Adults

Chiropractic Advances Relieving the pain one feels

By Kelly Bleck Longmont Times-Call More people are turning to chiropractic care as previously stagnant body pains are beginning to expose themselves, either from stress or simply bad posture. Encouraging a correct spinal curve can extinguish these pains. A multitude of treatments for spinal pain, headaches or other manifestations are available at chiropractic offices, ranging from decompression tables to simple balance routines. For lower back pain, a decompression table can be used. “Inside a disk there is inter-discal pressure,” says Dr. Michael Larimore, D.C., CCST of Larimore Chiropractic and Wellness Center in Longmont. “That pressure will rise for various reasons causing swelling and bulging of the disk. The table helps reduce the pressure, reducing the bulge and allowing the disk to heal faster, without surgery.” Back pain can also be caused by bad posture, says Dr. Steven O’Dell, D.C. and Dr. Steven Joseph, D.C. at the Longmont Spine Center. They implement CBP, Clinical Biomechanics of Posture, which changes the shape of the spine, restoring the natural curve rather than simply adjusting the spine. CBP emphasizes exercise, adjustments and traction which is constant pressure on the problem area. The doctors strive for optimal posture and a correct spinal curve, which a person is born with. “Your neck curve forms nine weeks in utero, so clearly you need that curve,” O’Dell says. When this curve is incorrect, people can experience pain, numbness, headaches and other symptoms. “It is a structural rehabilitation of the spine,” O’Dell says. “We restore the spine to a normal condition, relieving signs and symptoms of disfunction, and also preventing future discomfort.” By repeating treatment, the spine can be permanently restored to the natural curve. But besides chiropractic massage or adjustments, doctors have turned to new technology including the cold laser, vibration therapy and even nutritional therapy to relieve issues and pain. Continued on 37

Dr. Steve Joseph, D.C., of Longmont Spine Center, demonstrates the use of the Power Plate machine, which increases balance and stimulates the muscles by vibrating at rapid speeds. (Paul Litman/Times-Call)

2009 Boulder County Health Professionals

Cataracts can happen at any age. However, they are the leading cause of treatable visual loss in adults 55 and older. Common symptoms are cloudy, fuzzy, foggy or filmy vision, colors that seem faded, glare from bright lights, halos around lights, not being able to see well at night, double vision, and frequent changes in an

Dr. Steve Joseph, D.C., of Longmont Spine Center, demonstrates a spine adjustment using an adjustment table. (Paul Litman/Times-Call) Continued from 36

The cold laser is photo therapy, where a light is produced at such a wave length that it causes body cells to produce more oxygen and energy, says Larimore. “It promotes healing and reduces inflammation, breaks up scar tissues and is used especially for high school and middle school athletes.” The Power Plate, “We restore the a fairly recent invention, increases spine to a normal balance and stimucondition, relieving lates the muscles signs and symptoms by vibrating at rapid speeds. “It can of disfunction, and eradicate cellulite, also preventing help balance and coordination and, future discomfort.” especially in the elDr. Steven O’Dell derly, help prevents falls and broken hips,” O’Dell says. “The Power Plate can actually increase bone mineralizations, increasing bone density.” Nutritional therapy and alternative medicine have also been intertwined in some chiropractic practices. “Supplements can be used for auto-immune conditions, rheumatoid arthritis, West Nile, joint pain and disk problems,” Larimore says. Vitamin D can also have an impact, as minute joint pain and muscle aches can be caused by a lack of Vitamin D. With all of these chiropractic advances, pain can be easily eradicated. Following a proper treatment plan and adjusting posture, the pains in your back or joints can be lessened and even avoided completely. 2009 Boulder County Health Professionals

eyeglass prescriptions. l i i If a person is older than 50 and experiencing change in his vision and has not had a recent eye exam, he should have a complete eye health exam by a medical doctor who is trained in all forms of eye disease and treatment. Dr. Terry Robinson, M.D. is an expert with more than 29 years of experience in the removal of cataracts, performing the latest state-of-the-art no stitch cataract surgery, including multifocal and astigmism-correcting intraocular lenses and the newest glaucoma medical and laser treatments.

Terry E. Robinson, M.D. Board Certified Ophthalmologist, Eye Physician & Surgeon

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Adults

Are you a candidate for Lasik?

By Summer Stair Longmont Times-Call If you wear contact lenses or eye glasses chances are at some point you have thought about undergoing Lasik eye surgery. Laser-Assisted In-Situ Keratomileusis, often referred to simply as Lasik, is a surgical eye procedure intended to reduce a person’s dependency on glasses or contact lenses. This is done with an Excimer and Femtosecond laser that when combined reshapes the cornea. The cornea is the clear front surface of the eye that helps focus light to create an image on the retina. Often the shape of the cornea and eye are not perfect, causing the image on the retina to be out-of-focus, blurring and distorting it. By reshaping the cornea with Lasik, vision will be improved. During the procedure a thin, circular flap is made on the outer surface of the cornea. The flap is then folded back to reveal the stroma, the middle section of the cornea, allowing pulses from a computer-controlled laser to treat the deeper corneal tissue. After the laser reshapes the cornea, the flap is replaced and heals securely and naturally. Dr. Jimmy Jackson, O.D. and president of Insight Lasik in Lafayette, says anyone whose

eyes are healthy, are in good general health and whose eye prescription falls within range can be treated with Lasik. “The technology available to us these days, with blade-free and custom Lasik, most people fall within these broad parameters,” he says. “Today we can treat people that are nearsighted, farsighted and who have astigmatism.” As Lasik becomes more common and with the advances in technology, Jackson says it is important for people to realize that just because they were told once they were not a candidate for Lasik, that may no longer be the case. So how do you know if you are a candidate? Jackson says the best way to determine this is to come in for a complete eye examination, which often will include an eye exam, eye and general health history and a corneal analysis. Some things required by the Federal Drug Administration is a stable eye prescription of at least six months. While dry eye is always a concern in Colorado, getting Lasik will not make it worse. Jackson says your eye dryness will not determine if you are a candidate for Lasik, but it is just a gauge of your eye health in general not necessarily a deciding factor. Jackson says if a person is considering Lasik the best place to start is by shopping around. He recommends asking for recommendations from friends and family of where they had Lasik done and visiting several places before deciding on who will do the procedure. Continued on 39

2009 Boulder County Health Professionals

Continued from 38

One question a person should always ask is if the outcome is guaranteed. Jackson says while any type of surgical procedure outcome cannot be guaranteed, if the outcome is less than perfect will the person correct it for free or a minimal fee. “If you are interested do your homework, talk to others who have had the surgery, talk to your personal eye doctor,” Jackson says. “If names keep coming up start from there and have consultations at all of them. It is a big deal – go with the person you trust the most.”

What’s the difference between Lasik and Photo Refractive Keratoplasty? If you have decided to get laser eye surgery but your doctor recommends Photo Refractive Keratoplasty or PRK instead of Lasik, the same outcome is still available to you. PRK was the first surgery performed with the excimer laser before Lasik was invented and offers similar procedures. Dr. Jimmy Jackson, O.D. and president of Insight Lasik in Lafayette, says most people are candidates for PRK and Lasik, but since Lasik offers faster healing time most people prefer to have it instead. PRK is still used and recommended for patients who have other problems such as previous corneal surgery, a certain level of dry eye or a high prescription with a thin cornea. The difference between PRK and Lasik is with Lasik a corneal flap is created and the laser is applied to the inner tissue of the cornea. With PRK, the epithelium or outer layer of the cornea is removed and a layer is applied to the surface of the cornea. PRK is used to correct nearsightedness, farsightedness and astigmatism. Jackson says since there is no flap patients heal more slowly, because they have to wait for the corneal tissue to grow back. – Summer Stair

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Adults

Thyroid disease can leave you feeling fatigued

By Kristi Ritter Longmont Times-Call While thyroid disease is becoming more known by the population, there are still some people who don’t realize they have it or fully understand how it affects the body. Dr. Lori Hollos, M.D. with Banner Health in Loveland, says the main function of the thyroid is to regulate a person’s metabolism. The thyroid produces two thyroid hormones that travel to various organs to help with metabolism regulation. When a person is diagnosed with either an underactive or overactive thyroid, it means there is either too many or not enough of these hormones produced in the body to help with metabolism. There are two main types of thyroid disease: hypothyroidism and hyperthyroidism. Hypo means the body isn’t producing enough hormones and hyper means there is too much. Hollos says the most common is hypothyroidism where people have symptoms such as fatigue, weight gain, constipation, hair loss, dry skin, depression symptoms, intolerance of cold temperatures and, in women, irregular menstrual periods. Hyperthyroidism is most commonly the opposite symptoms, such as anxiousness or nervousness, weight loss, heat intolerance, heart complications such as a racing heart or irregular heart rate, some thinning of hair and increased sweating. Some cases of thyroid disease can also develop in terms of a goiter and enlargement of the neck, where the thyroid gland is found. While this goiter may be sore to the touch, it’s important to have it checked by a doctor. Doctors want to make sure it’s not thyroid cancer, which Hollos points out that “having an over- or under-active thyroid does not increase your risk of thyroid cancer.” Most thyroid cancers don’t have a thyroid hormone problem. People most commonly at risk for thyroid disease are women older than 50, though Hollos adds that it can affect women and men at any age. The disease can also be hereditary, so a family history of it can put someone more at 40

The thyroid produces two thyroid hormones that travel to various organs to help with metabolism regulation. When a person is diagnosed with either an underactive or overactive thyroid, it means there is either too many or not enough of these hormones produced in the body to help with metabolism. risk. There are also cases where it can occur at birth, which isn’t as common. “Thyroid disease is a fairly common disease,” Hollos says. “And it’s fairly well known, as people request to be tested when they feel some of the symptoms associated with the disease.” Testing for it is done through a simple blood test that can either be done through a family physician, or at local health fairs. While the disease used to be overlooked, doctors are more aware of it because of its prevalence. But because the symptoms are so vague at times, doctors do have to be on top of it to rule it out. Hollos says mild cases of thyroid disease may not even transpire into anything significant in some people. “But if allowed to progress and become more severe, it could develop into a crisis that could end with them in the hospital. It’s definitely something we don’t want to ignore.” Treatment for thyroid disease is different for everyone, but most people are put on a thyroid level replacement, Hollos says. In six to eight weeks it’s rechecked and adjusted if necessary, and then rechecked every six to 12 months to find the correct level needed for the person. 2009 Boulder County Health Professionals

By Lauren Seaton Longmont Times-Call At first, it’s just a sore hip in the morning. But then it starts hurting during the day. It’s hard to sit for long periods of time and sleep is intermittent. No amount of stretching seems to

Top: Leaving needles in the muscle is a technique that can be used in addition to rapid insertion and removal. These needles have been inserted into numerous trigger points along Katie Roberts’ spine. Below: Edo Zylstra, a physical therapist, inserts a neddle into a trigger point on Katie’s shoulder. (Lauren Seaton/Times-Call)

2009 Boulder County Health Professionals

relieve the pain. It might be time to try trigger point dry needling. This form of needle therapy is used to treat specific skeletal muscle trigger points that occur when a muscle is partially shortened and forms a nodule or knot. A trigger point is painful to press and can refer pain to other areas of the body. In the state of Colorado, acupuncturists, physical therapists, chiropractors – among others medical practitioners – can become certified to needle the body’s trigger points. Edo Zylstra is a trigger point dry needling instructor, owner of Global Education of Manual Therapists (GEMt) and a licensed physical therapist (and co-owner) at Sport and Spine Physical Therapy in Brighton. According to Zylstra, dry needling “uses an acupuncture needle to stimulate the juncture point of the nerve to the muscle” which can help release muscle tension and reduce or eliminate pain. The acupuncture needles, which vary in length and diameter depending on the part of the body being treated, can be inserted all the way to the bone. Using a rapid insertion and removal technique, the needle stimulates the damaged muscle. They can also be rotated or left for several minutes to help release muscle tension. In response to the procedure, the irritated muscle twitches or contracts involuntarily, resulting in sensations that vary from gentle pricks to intense aching depending on the patient and the degree of injury. Michael Young, a licensed acupuncturist and professor at Southwest Acupuncture College in Boulder, teaches a class on trigger point dry needling. “When the muscle twitches it releases and goes back to it’s normal length,” Young says. “The studies show that patients get more pain relief (when there is a twitch response).” Dry needling can be effective with repetitive motion injuries, motor vehicle accidents, tension headaches and other chronic muscular pain. Zylstra has also found success with multiple sclerosis patients and athletes. Katie Roberts, of Denver, is a good example. In addition to physical therapy, Roberts has received dry needling four times since she was

Adults

Relieving pain with trigger point dry needling

Continued on 42

Edo Zylstra gently removes the needles from the muscles. (Lauren Seaton/ Times-Call)

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Continued from 41

in a car accident at the end of March. Although her neck and back are still stiff, she felt instant relief after her hip was needled. “It (my hip) was tight and weak, and he did the needling and it just opened up and I felt more aware of the hip and the muscles,” she recalls. “I don’t just needle them. I use it as a tool to rehab them,” Zylstra says. “If I can release the tension, improve vascularity of the tissue, I can often improve the movement of the joint.” Although the same needles are used, there are significant differences between trigger point dry needling and acupuncture. Dry needling does not follow the meridian pathways of acupuncture, which means it focuses specifically on pain, not energy flow. “We use the same tool and often times there is a similar overlap of response,” Zylstra says. “But the process is very different. Young adds, “I, in particular, don’t have a problem with it,” referring to the option in Colorado for physical therapists to perform dry needle therapy. “But it’s important not to represent what they’re doing as acupuncture.” Zylstra agrees and adds that it is the responsibility of practitioners to understand and communicate the technical differences to their patients. The ultimate benefit is that patients have the freedom to choose between an eastern or western technique. TIP: Determine whether your dry needling therapist is licensed. Go to www.gemtinfo.com/physical-therapy or www .istop.org. But note, therapists are not required to register. When in doubt, ask your therapist where and when they trained.

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larimorechiropractic.com 2009 Boulder County Health Professionals

Article Resource Association Health and wellness is a privilege that everyone should be able to afford even in difficult economic times. With the right experience and know-how, anyone can make smart choices about healthy living while also being wallet wise. Dr. Jennifer Trachtenberg has mastered the art of staying fit, while also being financially responsible. She is a busy mom of three, runs a private practice in New York City and serves as chief pediatric officer for RealAge.com – an informative Web site that helps people live healthier, longer lives. Through her extensive experience of balancing work, life and wellness, she has learned how to keep living a healthy lifestyle, while keeping out of the red. Trachtenberg shares her top five tips for staying healthy on a budget. Buy Frozen for Good Nutrition The fresh produce section at the grocery store can be a budgeter’s nightmare as pricey fresh foods can really add up. The budgetconscious can find much needed relief in the frozen food section. Frozen fruits and vegetables typically have the same levels of nutrients as their fresh counterparts, because the produce is frozen at the peak of its ripeness, locking in the maximum amount of nutrients. Get Fit in the Great Outdoors No matter what the season, the outdoors is a great place to move your body and bond with family and friends without the confinement and encumbering expense of a gym membership. Calorie-shedding activities can be enjoyed year round: • Spring – Get some friends together and form a softball league, or ride a bike on weekends. • Summer – Try to walk instead of driving short distances or take up swimming. • Fall – Get some cardio by raking leaves or challenge yourself to participate in a local road race. • Winter – Ice skate at a local rink or work 2009 Boulder County Health Professionals

the biceps with some snow shoveling. Let the Games Begin Lately, board games are making a major comeback with the reinvention of the traditional family night. Flexing your mental muscle by opting to play cards, trivia games or parlor games of yesteryear can help cut costs on expensive movie rentals and excessive cable charges. Plus, leisure time spent with friends, family and neighbors is always a healthy and fun way to de-stress. Drink to your Health Water is a necessity and getting the recommended eight glasses a day is important to maintaining a healthy lifestyle. Switching from bottled water to tap can save hundreds of

Adults

Living a healthy lifestyle on a budget

dollars (not to mention it also eliminates the amount of plastic bottles that get discarded). To ensure tap water is healthy and clean, consider a PUR Water Filtration System, which could save up to $600 each year in comparison to bottled water. PUR is certified to reduce many unwanted contaminants to help ensure drinking water is clean and healthy. Visit www .purwater.com for more details. Sweet Dreams Getting much needed sleep no matter what your age is crucial to mental, emotional and physical health. You will feel better, be more productive at work, have increased levels of physical and mental alertness, and your body will get the rest it needs to fight off diseases. For these reasons, make a commitment to schedule your day so you get the recommended seven to eight hours of sleep. Children, depending on age, might require more. 43

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By Kate Frasure Longmont Times-Call An exciting new way of treating allergies is being used. Rather than getting painful, expensive shots, patients can now take Allergy Solutions Treatment Drops that not only provide allergy relief, but in time teach the body to ignore what it was allergic, too. “The drops are highly effective,” says physician assistant Neil Smith with Allergy Solutions in Boulder. “There is lots of research that shows that they are.” The allergy drops are tailored for each specific person through skin and food allergy testing. From there, a prescription is made and then sent to a pharmacy where the drops are created. Drops are taken under the tongue three times daily. This allows allergens to be introduced to the body’s immune system in a slower and safer way since there are less IgE receptors, that are involved in life-threatening allergic reactions, under the tongue. “The drops dosage comes in a three month supply,” Smith says. “After which the patient comes back in to be re-tested.” This continues to occur until a patient reaches what is called a maintenance level where a person has to only come in for a check up anywhere from six months to a year. According to Smith, the treatment is a threeto five-year process in which most patients find

they have long term relief from allergies. The drops are able to treat most patients, such as children, asthmatics and others, who aren’t able to tolerate shots. Furthermore, patients have fewer clinic visits resulting in lower costs. Smith says most insurances are accepted for testing and consolation visits, but that the drops are an “out of pocket expense.” “Still, the drops end up saving money in the long run since the symptoms are not simply masked but actually treated,” he says. The treatment drops are also more convenient due to the fact that they can be taken anywhere. “Drops are taken three times daily but if you miss one day there is not much of an impact,” Smith says. “The drops work better if they are taken more frequently because the body is being continually exposed to the allergen.” Some side effects can occur from the drops. In the first week or two, patients can experience a slight increase in their allergy symptoms. Since drops are taken under the tongue, a mild irritation or stomach upset can sometimes occur, too. Smith adds though that these symptoms are rare and usually stop within the first week. Allergy Solutions Treatment Drops have been used in the United States for 30 years and have been a great success. The drops are an extremely exciting alternative to shots and possible new way to look at curing allergies.

Adults

Allergy drops the new shot

Megan Forbes puts allergy drops under her tongue as prescribed by her allergist, Neil Smith. Forbes takes her allergy drops twice a day and will have a total course of therapy for four to five years which is based on her allergy type according to Smith. (Paul Litman/TimesCall)

2009 Boulder County Health Professionals

Adults

Manage your stress

Family Features Stress is taking its toll on a lot of people. In the newest “Stress in America” survey by the American Psychological Association, almost half of Americans say they are increasingly stressed about their ability to provide for their family’s basic needs. Eighty percent say that the economy is a significant cause of stress. Stress is the body’s response to the demands of the world. There are two basic kinds of stress: acute and chronic. According to the Mayo Clinic, acute stress is your body’s immediate reaction to a significant threat, challenge or scare. It’s the classic fight-or-flight reaction. Job interviews and fender-benders are examples of stressors that can cause acute stress.

Identify how you experience stress. Everyone experiences stress differently. You might get irritable, or have a hard time concentrating. Perhaps you get headaches or muscle tension. Keep track of your stress symptoms for several days to give you a better idea of how you respond. Chronic stress results from long-term exposure to acute stress. Stressors that can lead to chronic stress are often the day-to-day pressures that don’t seem to let up – work problems, relationship issues and financial troubles. Chronic stress can lead to physical problems such as headaches, fatigue, back pain, heart palpitations, high blood pressure, sleep problems, stomach upset and decreased immunity. It can also affect your behavior, resulting in angry outbursts, over- or under eating, difficulty concentrating, social withdrawal, relational conflicts and drug or alcohol abuse. According to the APA, the health consequences of extreme stress are most severe when people ignore symptoms and fail to manage their stress well. Here are some ways that you can manage 46

your stress: Identify how you experience stress. Everyone experiences stress differently. You might get irritable, or have a hard time concentrating. Perhaps you get headaches or muscle tension. Keep track of your stress symptoms for several days to give you a better idea of how you respond. Know your stress triggers. It’s important to know where your stress comes from. If you know, you can take steps to deal with the cause and not just the symptoms. Find healthy ways to manage stress. The National Institutes of Health recommends putting together a stress management plan that includes: • Physical activity: Exercise releases endorphins, which promote good moods and positive thinking. It also increases blood flow to the brain and body, helping you feel better and think more clearly. • Relaxation: Music, meditation, yoga and relaxation techniques help calm the body and the mind. • Reaching out: Interacting with others lets you get your mind off your troubles and lift your spirits. It also keeps you from feeling alone. Talking with friends or professional counselors can be a good emotional outlet and a healthy way to work out problems. • Taking care of yourself: Good nutrition and adequate rest go a long way toward giving your body what it needs to deal with stress. Junk food may feel good for a few minutes, but healthy food will help you feel good for a lot longer. Stress is normal and something everyone experiences. But if you’re undergoing chronic stress, you can take steps to deal with it in healthy, positive ways. 2009 Boulder County Health Professionals

Article Resource Association As the economy continues to struggle, an increasing number of people are faced with the unfortunate prospect of losing their job. The numbers are startling – by February 2009, the U.S. unemployment rate had risen to 8.1 percent and the number of unemployed Americans had increased by 5 million throughout the last year. One of the primary concerns facing the recently unemployed is the loss of health benefits. Most U.S. workers receive health benefits through their employers, so they associate health insurance with employment. As unemployment rises, more people must find a way to pay for health insurance on their own. Unfortunately, most Americans are unfamiliar with the options that they have as individual consumers. A recent survey conducted by Aetna found that the majority of consumers were unaware of an important option – individual health insurance plans. The survey also found that many consumers had significant misconceptions about the cost of coverage under the Consolidated Omnibus Budget Reconciliation Act, also known as COBRA, another insurance alternative which can cover a person for up to 36 months after losing a job. “Our research found that 69 percent of consumers had never heard of individual health insurance plans or did not know much about them, and 38 percent said they expected to pay the same premiums for COBRA coverage as when they were employed when they could

actually pay almost double in many instances,” says Frank McCauley, head of Aetna’s Consumer Business Segment. Knowing All of Your Options According to McCauley, there are a number of different options that people should consider in this situation. This includes becoming a dependent on their spouse’s plan; receiving coverage through an alumni association or club membership; or finding out if they are eligible for free or low-cost state programs. Almost 11 million Americans are actually eligible for these free or low-cost plans, such as Medicaid and State Children’s Health Insurance Programs, but are not enrolled and remain uninsured. Another option is COBRA coverage, which allows people to keep the same coverage they had through their employer, even after they lose their job. While this serves as a good safety net, it can be expensive. Families USA, a consumer health organization, found in January 2009 that the average national premium to cover a family with COBRA eats up almost 84 percent of unemployment benefits. A temporary solution to the high cost of COBRA came as part of the national economic stimulus package. Under this package, people who were laid off (or lose their jobs) between Sept. 1, 2008 and Dec. 31, 2009 are eligible for a 65 percent subsidy to help them pay for COBRA coverage. This means they will have to pay 35 percent of the usual cost of COBRA. However, even with this subsidy, many consumers may be able to find a more affordable individual health insurance plan.

Adults

Evaluating your health insurance options

Questions to Consider As you start to search for the right health insurance option for you, McCauley says there are three questions that every consumer should keep in mind: • How long do you expect to go without insurance? Not having insurance for a few months is very different from not having it for a few years. • How much coverage do you need? A young man looking for his first job and a

2009 Boulder County Health Professionals

mother of two who owns her own business will make very different choices. • How much do you want to pay? A lower premium (the amount you pay each month) might seem to be the best way to save a few bucks. Just be sure to find out how much more you will have to pay if something happens to you. Whichever option a person chooses, it is important to find some type of coverage.

Adults

New procedure makes bunions easier to correct

By Kate Frasure Longmont Times-Call At the Mountain View Foot & Ankle Clinic in Longmont, a new surgery is being used to correct painful bunions. The surgery is known as the Mini Tightrope Bunionectomy. Instead of the formal bunion surgery that involved breaking the first metatarsal bone – the long bone in the midfoot – and realigning it with the second metatarsal bone with a screw, doctors drill a hole through the first and second bones and position them with a high tension wire. “No crutches are involved,” says Dr. Robert Smith of the new procedure. So what exactly is a bunion? A bunion is when the big toe moves toward the second toe and the first bone in the foot (metatarsal) moves inward. This causes a bump on the inside of the foot. Due to the misaligned big toe, joints can become swollen and tender causing the first joint of your big toe to slant outward. According to Smith, a person forms a bunion by not getting enough range of motion to the big toe joint when they walk. “It’s all about the genetic mechanics of the foot,” he says, alluding to the point that bunions are largely hereditary. A person can prevent bunions (merely) by choosing a good orthodic to restore motion to the joint. However, if a bunion has already begun to develop, surgery may be the only option. “If a continuous pain starts to develop in the joint then you should consider having the surgery,” Smith says. He adds that when looking for a good doctor to preform the surgery a person should find someone who really knows feet, such as a podiatrist, and who has done the surgery before. For instance, being that the Tightrope surgery is so new you will want to make sure that the doctor has preformed it once or twice, at least, before and knows how it works. “The surgery is outpatient,” Smith states, “and lasts roughly about an hour to an hourand-a-half depending on the extent of the bunion.” The recovery period is approximately two weeks walking in a special shoe and about Continued on 49

Before

After

Top: Before, a bunion formed on this foot causing the big toe to move toward the second. The first bone in the foot, called the metatarsal, also moves inward causing a bump to form on the inside of the foot. At this point, joints can become swollen and tender causing the first joint of the big toe to slant outward. Below: The new Mini Tightrope Bunionectomy involves breaking the metatarsal bone and realigning it with the second with a screw and positioning it with a high tension wire. (Courtesy Mountain View Foot & Ankle)

2009 Boulder County Health Professionals

Continued from 48

three to four weeks of swelling. The doctor will give medicine to control the swelling, but generally, people will only have to take it for about three days depending on the level of pain. The surgery is effective as long as it is done well and people take care of their feet afterwards. “I don’t plan on having to do the surgery ever again,” Smith says of patients who have had the surgery. The only risk that patients generally run after having the surgery is infection. “I usually have patients come in five days after the surgery to check that the foot is healing and there is no infection,” Smith says. The bone heeling used to be a concern, but with the new surgery that is designed to pull bones together without cuts, infection is a rare occurrence. The surgery is an exciting new way to correct bunions without the hassle of cutting the bone and waiting for it to heel. Currently, the Mountain View Foot & Ankle Clinic is the only place in Longmont known to perform the Tightrope surgery. For more information on the surgery and bunions, visit www. arthrex.com or www.acfas.org

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Adults

Addressing mental health

By Barbara Ryan Special to the Times-Call Even more than other areas of health and medicine, the mental health field is plagued by disparities in the availability and access to its services. ... We have allowed stigma and a now unwarranted sense of hopelessness about the opportunities for recovery from mental illness to erect these barriers. It is time to take them down. – David Satcher, M.D., Ph.D. Surgeon General, Preface to Mental Health: A Report of the Surgeon General, 1999 A growing community of people are bringing a sense of hopefulness and excitement to the treatment of mental illness, recognizing that recovery rates for mental illness are 70 percent higher than those for heart disease and diabetes. In spite of these rates of success, twothirds of the 44 million Americans who have diagnosable mental disorders do not seek treatment. The reasons include lack of resources for people who are uninsured, differing levels of insurance coverage for mental illness than for physical illness, and the stigma that continues to be associated with mental illness. The Global Burden of Disease Study, conducted by the World Health Organization in collaboration with the World Bank and Harvard University, states that the impact of mental illness is profoundly under-recognized. Mental illness is the leading cause of disability in people ages 18 to 44, ahead of cardiovascular disease and all cancers. Mental illness is prevalent: an estimated one in four adults suffer from a diagnosable mental disorder in a given year; 10 percent of children and adolescents suffer from mental illness severe enough to cause some level of impairment; suicide is the third leading cause of death among teens; depression in elders accounts for a majority of suicidal ideation, inpatient admissions, medical outpatient visits, emergency room use, and medical co-morbidity. In a recent Youth Risk Behavior Survey, one in four Boulder County adolescents reported feeling sad or hopeless for more than two weeks in a row. Mental health is about people: • new parents, themselves affected by depression, trauma in their own childhood or other forms of mental illness, desperate to be 50

good parents and to provide the nurture that will help their infant grow and thrive; • adolescents without the coping mechanisms to deal with peer pressure, educational problems and family issues who are at risk for school failure, depression or self-injurious behavior; • young adults in their prime whose lives start to unravel as they struggle to maintain in the face of an increasingly tenuous hold on their perception of reality; • adults struggling to come to terms with the devastating effect of severe mental illness, abusing substances in an attempt to control debilitating symptoms, leading to involvement in the legal system; • seniors who have worked all of their lives to be self-sufficient and grapple to understand the depression and anxiety that loss and transition can bring; • returning soldiers dealing with PTSD (post-traumatic stress disorder), depression and difficulty adjusting to life at home after serving our country; • those facing unemployment, foreclosure, despair; the economic downturn has hit many people hard and affected their families. At times, the stress of their lives is more than they can handle. The life of someone important to you is impacted by mental illness. The lack of education, prevention, early intervention and treatment services, in addition to the stigma that discourages people from seeking treatment, represents a significant public health issue. The Mental Health Parity and Addiction Equity Act signed into law in October 2008 consolidated long-standing efforts at the national and state level to establish parity between the insurance coverage for mental health/substance abuse conditions and the coverage for physical health disorders. This is good policy that will, hopefully, result in more people having access to and seeking care earlier. The crisis in health care and the importance of health care reform are critical national issues; we need to ensure that reform efforts address education, prevention, and treatment for mental illness with the same urgency as for physical illness. Barbara Ryan, Ph.D. is the Executive Director of The Mental Health Center Serving Boulder and Broomfield Counties. For more information or to request help, please contact The Mental Health Center at 303-443-8500. The MHCBBC is located at 529 Coffman in Longmont.

2009 Boulder County Health Professionals

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Adults

Discover the benefits of massage

By Bonnie C. Kueffner Special to the Times-Call Whether it is the smell of aromatherapy or the thought of loosening sore, tense muscles that conjure up an image of getting a massage one thing is for sure it always feels good. From getting a massage after a bike race or marathon to a parent massaging a growing baby’s legs and toes before bedtime, massage therapists work closely with a wide range of populations. The beginning of therapeutic massage came from humans’ own instincts to hold and rub a hurt or pain. Massage as a healing art has been used for thousands of years to promote relaxation, health and healing. Hippocrates even wrote papers recommending the use of rubbing and friction for joints and circulatory problems. In more recent years, massage therapy has become the subject of many research studies. The University of Miami’s Touch Research Institute, lead by Dr. Tiffany Fields, was established in 1992 as the first center in the world devoted solely to the study of touch and its application in science and medicine. The center has become famous for its research on pre-term infants and massage. Results have shown that pre-term infants who received infant massage were released six days earlier from the hospital, had an increase in weight, showed reduced levels of cortisol, a stress hormone level within the blood, as well as an increase in growth hormone levels compared to the control group that did not receive infant massage. Today, a variety of research is being preformed not only by the Touch Research Institute but also by others such as the National Institute of Health. Research has shown: • Massage therapy has helped Alzheimer’s patients exhibit reduced pacing, restlessness and aggravation after neck and shoulder massage. • It has been beneficial in reducing symptoms associated with high blood pressure, asthma, arthritis, Fibromyalgia and pre-menstrual syndrome. 52

Photos courtesy Associated Bodywork & Massage Professionals • Massage during labor can decrease anxiety and stress, relax muscles and help block pain. • Oncology patients show less pain, fatigue, nausea, anxiety and depression following massage therapy. • Massage can reduce sport-related soreness and improve circulation. • Massage reduces symptoms of carpal tunnel syndrome. • Employees exhibit less stress and improved performance when given twice weekly, 15-minute massages in the office. • Stroke patients show less anxiety and lower blood pressure with massage therapy. • Massage therapy is effective in reducing post-surgical pain. Massage therapy is beneficial throughout all stages of life. One of the populations where massage therapy has grown tremendously has been with seniors. According to a 2006 consumer survey by the American Massage Therapy Association, the use of massage among those 65 and older has tripled since 1997. Massage therapy is part of a well balanced self-care lifestyle. When we feel better in the way we move, feel and think it effects all areas of our lives. So next time you think massage therapy is just a luxury, think again.

For more massage therapy information visit www.miami.edu/touch-research and www. nih.gov. Bonnie C. Kueffner is a registered massage therapist and owns In Touch Therapies, 1316 Vivian St. in Longmont. To contact her call 720-320-0095, e-mail bonnie@ittml.com or visit www.intouch longmont.com.

2009 Boulder County Health Professionals

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Adults

Nasal rinsing promotes free breathing, nasal health

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Article Resource Association In recent years, more American families have turned to home-based, complementary remedies to manage basic health needs. In fact, an estimated 38 percent of adults and 12 percent of children use some type of complementary and alternative medicine, according to a recent survey by the Centers for Disease Control and Prevention. One example of this growing trend is nasal rinsing, an ancient technique that has been practiced for centuries in India and other parts of South Asia and is now gaining popularity in Western culture. A traditional Ayurvedic and yogic technique, nasal rinsing originated from the yoga practice of Jala Neti, which means “water cleansing.” The practice is designed to clean and hydrate the nasal passages to promote free breathing and overall nasal health. Why Nasal Rinsing? With every breath, we inhale particles such as dust, allergens, germs, smoke, dander and

pollutants. The nose acts as a natural air filter, protecting the body from these impurities. However, many particles remain in the nasal and sinus passages and can potentially cause irritation. During nasal rinsing, a saline water solution is inserted into the upper nostril while the head is tilted, flushing out impurities. “Nasal rinsing is a simple technique to cleanse nasal and sinus passages while helping you to breathe freely. While it may seem complicated for beginners, today there are products that make it easier than ever,” says Dr. Mary Jo DiMilia, an internist at Mount Sinai Medical Center in New York. Nasal Rinsing Options There are many ways to practice nasal rinsing. Using a Neti pot is a common technique, but it can be cumbersome. A modern product like Afrin PureSea comes ready-to-use with no ingredients to mix and is made entirely of 100 percent purified sea water. There are also allnatural nasal rinsing products designed for use in children as young as six months. Since young children often have difficulty blowing their own noses, nasal rinsing can be particularly helpful in ridding their nasal passages of excess mucus and irritants.

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We don’t cure anyone at HospiceCare. But with physicians like Dr. Michele Ferguson on our team, we do often heal them. HospiceCare Medical Director with a board certification in Hospice and Palliative Medicine, Dr. Ferguson is committed to providing the very highest caliber care to people on the end-of-life journey. Because she knows that by offering comfort, compassion, respect and choice, we can help those who are dying find richness 303.449.7740 and meaning in all the days that have yet to be lived. 2130 Mountain View Ave., Ste. 201, Longmont, CO 80501

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2009 Boulder County Health Professionals

Boomers & Beyond

2009 Boulder County Health Professionals

Boomers & Beyond

Getting fit for hearing aids

By Summer Stair Longmont Times-Call It is estimated that 31.5 million people nationwide have some type of hearing loss, making it one of the most common problems in those older than 50. Only arthritis and hypertension are more common. It is also one of the most untreated medical problems, as it is estimated that only one in four of those who could benefit from hearing aids get them. Often people do not seek help for hearing loss, because they do not know it is occurring. Hearing loss does not happen all at once, but is a gradual process Friends and family members can play a big part in people getting help for hearing loss. Nicole Pygott and Sherri Beck, doctors of audiology at Colorado Hearing in Longmont, say 50 percent of people are initially brought in by family members to inquire about hearing aids. “It is gradual and family and friends often recognize it (hearing loss) first,” Pygott says. Whitney Swander, doctor of audiology and owner of Hearing HealthCare Centers in Longmont, says having a family member come in and help pinpoint areas the person struggles with can be helpful and give the family a voice. If you or someone you know has hearing loss it is important to get help, because it can lead to other serious problems, such as depression, anxiety and social isolation. “People will become recluse. It sneaks up on them gradually and they tend to withdraw from social situations,” Beck says. Once a person decides to seek help for hearing loss they will often fill out a hearing questionnaire for background information. A full hearing test will then help determine how clearly speech, tones and words are heard, as well as if the problem is in the outer, middle

or inner ear. Along with the extensive amount of tests offered, an audiologist will also look for things out of the ordinary that may be medically related so they can refer patients to a doctor for treatment before continuing. After the testing is complete, an audiologist will then go over the results, hearing loss amount and determine what is being affected. “It can really bring light to people, too,” Swander says. “A lot of the time they never even knew they couldn’t hear well.” If the best course is hearing aids, Pygott says it is then a matter of coming up with a hearing aid that best fits their lifestyle, needs and budget. Once the appropriate hearing aid is chosen it is important to follow-up with your audiologist if you have any concerns. It is normal for the first 30 to 60 days to have an adjustment period where certain issues may have to be addressed, such as fine tuning frequencies. Swander says if you find yourself with output levels too loud, or over- and under-amplifying problems, it is important to seek immediate help so no damage is caused. “It is so critical to see a professional to help make these decisions and adjustments,” she says. “Go to someone who will tell you the truth and make recommendations.” 2009 Boulder County Health Professionals

Aim for realistic expectations when getting hearing aids It is hard not to wonder what life will be like after you get your hearing aids, but it is important to have realistic expectations about your hearing. Nicole Pygott, doctor of audiology at Colorado Hearing in Longmont, says people have to realize hearing aids do really help but are like a prescription. “You can’t assume everyone is the same,” she says. “You have to have realistic expectations.” Factors such as family history, noise exposure and medications can affect how a person hears even with hearing aids. Just because one hearing aid works perfectly for one person, does not mean it will work the same for another. Hearing with the help of an aid doesn’t mean the person with hearing loss is cured. Pygott says it is just as important for family and friends to understand how the hearing aids work and what they should expect. Here are some tips to help those with

hearing loss to better communicate with others. • Reduce background noise whenever possible. • Ask the person talking to rephrase what they said, rather then repeat it. • Look at the person talking. • Move closer to the person talking. • Be an advocate for yourself. If you are having problems understanding someone speaking, offer suggestions of how they can help you. The following are tips for family members and friends on ways they can help communicate better. • Gain the listener’s attention before you begin to talk. • Rephrase your comment rather than repeat it. • Speak slowly and clearly without exaggerating words. – Summer Stair

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2009 Boulder County Health Professionals

Boomers & Beyond

Men can live with prostate cancer

Article Resource Association A man is supposed to be physically healthy and emotionally strong. So where does he turn to when a disease such as prostate cancer comes along, which threatens this? An international call to action has been launched which draws attention to the impact that prostate cancer has on a man’s love life, and calls for much better information to help couples through this difficult time. More than 230,000 men are diagnosed with prostate cancer every year. “It is reaching epidemic proportions and is possibly one of the biggest challenges to men’s health in the world today,” says Tom Kirk of Us TOO International Prostate Cancer Education and Support Network. The international call to action asks men and their families to confront the disease and assemble the best team of doctors and researchers around them for advice on treatment options, and draw strength from the loving support of their family to help them manage the impact the disease can have on how they feel emotionally. Marriage and family therapists, Douglas and Sandy Jardine have firsthand experience living with prostate cancer, following Douglas’ diagnosis in 2006. “We knew that after his surgery for prostate cancer, erectile dysfunction would be inevitable at least for a few months,” Sandy says. “We planned a romantic weekend away just before surgery day. We joked about having sex all weekend, but it was bittersweet and somewhat sad. “As a couple, we needed to know much earlier, and before the surgery, about the near certainty of some level of permanent sexual dysfunction after removal of the cancer. We needed clearer and more realistic predictions of how long it could take before things improved. Our hope is that health professionals will increasingly provide this education before surgery. This will empower the man and his partner, and could be of help in keeping the partners connected,” she says. Prostate cancer survivor Jim Kiefert was diag58

nosed with prostate cancer 20 years ago at age 50. Kiefert, who is chairman of the board of directors of Us TOO International, was told that he had between one and three years to live. “I was told that I had failed the treatments and there was no known cure,” Kiefert says. “I felt very depressed. But my wife Maureen and I learned everything we could about prostate cancer and made changes in our diet and exercise, and practiced stress reduction. We’ve been real fighters.” Although prostate cancer strikes only men, it can have a profound impact on the man, the couple and the family. “Keep talking to each other, reach out to family and friends, and learn all that you can about the disease. Join a prostate cancer support group, and put your relationship first. Listen to your partner’s feelings, and be a safe haven for each other,” Sandy says. For additional information visit Us TOO International Prostate Cancer Education and Support Network at www.ustoo.org or ZERO – The Project to End Prostate Cancer at www.zero cancer.org.

2009 Boulder County Health Professionals

Boomers & Beyond

Attacking the root of rheumatoid arthritis

By Kristi Ritter Longmont Times-Call While arthritis is usually thought of as an aging adult problem, rheumatoid arthritis can actually affect people by age 40, sometimes even younger, crippling their hands and feet and adding chronic inflammation to their joints. Ultimately, if left untreated, the disease can destroy the joints and lead to varying levels of disabilities. Rheumatoid arthritis is an autoimmune disease that causes the inflammation in joints, the tissues around those joints and in some organs of the body. In some cases the inflammation can lead to the destruction of the cartilage, bone and ligaments, causing deformity of the joints. Autoimmune diseases occur when the body’s tissues are attacked by the immune system. Dr. Janelle Laughlin, M.D., F.A.C.R., from the Longmont Clinic, says there are many medications to treat rheumatoid arthritis depending on each individual case. Most people start with first line oral medications combined with rest, exercise, joint protection and education about the disease. From there, people can move into more advanced therapies, such as arthritis injection and infusion therapies. Some of these have been available for about 10 years now. These are biologic medications and are designed to attack cytokines that are released by various cell populations and float around the joints. The biologic medications used in the arthritis infusion therapies act like a sponge and suck up the bad stuff to keep additional arthritis symptoms from occurring. “The therapies are a way to help turn things off at the source and prevent further problems from setting in,” Laughlin says. Therapy Medications Available Of the three FDA approved medicines available for infusion therapies right now – Remicade, Rituxan and Orencia – all three are designed to target a source of inflammation and help treat it. In most cases the biologic medications have a more rapid onset of action and can have powerful effects on stopping progressive 60

joint damage. Knowing what medication is correct for each person isn’t yet determined, Laughlin says. “We don’t have a blood test to see which therapy is best for each patient, so we have to try until we find the one that works,” she says. With these drugs there are risks, which Laughlin adds the biggest is infection. However, the level of improving disability is so profound that the benefits often outweigh the risks. Especially since untreated rheumatoid arthritis, can result in significant loss of function as well as increased risk for other medical problems, such as cardiovascular disease and lymphoma. Who’s at Risk? Determining who’s at risk for developing rheumatoid arthritis can be a challenge, but Laughlin says there are genetic predispositions that can make the disease more susceptible for people. However, science isn’t exactly sure of what triggers that genetic link. There is also speculation that environmental factors viral exposures can turn on the disease state. Similarly, some factors may predispose patients to having more severe disease such as abnormal antibodies increase the risk of aggressive disease and smoking increases the risk of more nodular disease. Symptoms and Signs While signs of rheumatoid arthritis can come and go when the disease is either active or in remission, common symptoms of active disease include notice fatigue, loss of energy, loss of appetite, low-grade fever, muscle and joint pains, and stiffness and swelling. Joints will often become red, swollen, painful and tender. Life can quickly become overtaken by rheumatoid arthritis, as the simply things throughout the day can become unmanageable, such as opening a lid on a jar, turning door knobs or holding the phone to speak with a friend. As the disease progresses without any type of treatment, it can lead to a loss of cartilage around the bone, erosion and weakness in the bones and muscles, joint deformity and loss of function. “This disease can become devastating,” Laughlin says. “Erosions in the bone can occur within the first year or two if not treated and can result in disability.” Continued on 61

2009 Boulder County Health Professionals

Taking the Step Toward Treatment In order to put this disease into remission, Laughlin says the key is to catch it early to start treatment, get it under control and prevent damage from occurring. The diagnosis is usually based on the symptoms, inflamed joints and findings through blood tests and X-rays. Innovations in therapy continue to evolve, which Laughlin says are extremely high-tech and exciting. “They can make all the difference in the world for the functional status for a person. Not only can the therapies allow people to keep working, it also improves mental therapy that can absolutely change patients lives.” Although Laughlin notes that the therapies can be expensive, many of the drug companies are helping people with that expense by offering prepaid credit cards to pay the deductible and even offering programs for patients who have lost their job to continue with therapy. Patients definitely need to look into all the options out there to treat this disease.

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2009 Boulder County Health Professionals

Boomers & Beyond

Lower your risk for diabetes and heart disease

Article Resource Association During a typical day, your blood pressure goes up and down, and that’s healthy. For about 65 million Americans, however, blood pressure remains high over time. Are you one of them? When you have high blood pressure, your heart has to work too hard. That can lead to heart disease and stroke. You’re also at greater risk for type 2 diabetes. In fact, one recent study suggests that you’re three times as likely to develop type 2 diabetes if you have high blood pressure. Here’s the problem – it can be hard to tell that you have high blood pressure. Why? There may be no symptoms, even if your blood pressure is dangerously high. For this reason, it’s important to have your blood pressure checked regularly, whether by your doctor or at a community health event. Your blood pressure is normal if it’s below 120/80 mm Hg.

Now for some good news: most people can prevent or control high blood pressure by making lifestyle changes. And every little bit helps. “Although you can’t do anything about your family history or your age, you have the power to change most of the risk factors for high blood pressure,” says James Galloway, M.D., a cardiologist and Assistant Surgeon General with the U.S. Public Health Service. “Start by making small changes toward healthier eating, increasing your physical activity and weight control and over time you’ll see your blood pressure go down and your health improve.” Here are six tips to help: 1. Try the dietary approaches to stop hyper62

tension eating plan. Studies show that you can lower your blood pressure by eating a diet low in saturated fat, cholesterol and sugar and high in vegetables and fruit, whole grains, fish and potassium. Visit the Web site of the National Heart, Lung, and Blood Institute at www.nhlbi .nih.gov and search for “DASH.” 2. Go low-sodium. Most of us take in between 3,000 and 4,000 milligrams of salt every day. But the less salt in your diet, the lower your blood pressure will be. Start by seasoning with pepper or herbs instead. Then try to cut out high-sodium foods, including soups, bacon, frozen dinners and restaurant meals. Aim for no more than 1,500 milligrams daily. 3. Stay active. When you exercise, you make your heart more efficient and that lowers your blood pressure. And don’t worry about going to the gym – shoveling snow or walking is just as effective. This week, why not start with 10? Take a 10-minute walk around the block each night after dinner. Then continue to add one lap per week until you’re walking briskly for 30 minutes at a time, five days a week. In as few as four weeks, your heart will be stronger and your blood pressure will go down. 4. Drop a few pounds. The heavier you are, the harder your heart works, and the higher your blood pressure. However, eating right and staying active can help you shed pounds. This week, try to eat at home more often. And why not take the stairs at work rather than the elevator? Throughout time, lose just 10 pounds to see a big change in your blood pressure. 5. Quit smoking. Cigarettes raise your blood pressure in at least three ways. Nicotine replacement therapy can help you quit smoking. Options include the nicotine patch, gum, lozenge, inhaler or nasal spray. For some, prescription medicines are more effective than NRT in reducing the craving for nicotine. 6. Consider blood-pressure medication. Some of the most commonly used blood-pressure medications are beta blockers, diuretics or water pills, ACE inhibitors, ARBs and calcium channel blockers. Which ones you take, if any, will depend on your blood pressure readings and other factors such as cost and side effects. To learn more about how managing your blood pressure can lower your risk for type 2 diabetes and heart disease, call the American Diabetes Association at 800-DIABETES, e-mail AskADA@diabetes.org or visit www.CheckUpAmerica.org.

2009 Boulder County Health Professionals

Focused Therapy to Get You Back Home. Skilled Nursing/Alzheimer’s Care Medicare, Medicaid, Private Pay Hospice/Respite Care Assisted Living • Physical Therapy

Caring From a Unique Point of View! 303.776.2814 1440 Coﬀman Street Longmont, CO 80501 www.peakscarecenter.com

Dr. David McCarty, Medical Director Katherine Atherton-Wood, FNP

Boomers & Beyond

Senior fitness is important

Family Features According to the National Institutes of Health, exercise and physical activity are some of the best things older adults can do to stay healthy. Even moderate exercise can improve the health of those who are frail or who have age-related diseases. Some seniors are concerned that physical activity or exercise may be too strenuous or may do them more harm than good. In fact, it’s an inactive lifestyle that proves to do more harm than exercise does. Without physical activity, older people tend to grow weaker in four important areas: strength, balance, flexibility and endurance. The NIH maintains that: • Increasing strength and endurance make it easier to climb stairs and carry groceries. • Improving balance helps prevent falls. • Being more flexible may speed recovery from injuries. Exercising regularly can also have a positive impact on the immune system, blood pressure,

Senior Resource Center Now Open

cardiovascular system and it can decrease the risk of heart disease and help with depression or anxiety. The American Senior Fitness Association has some recommendations for those wanting to start a fitness program. • Get medical clearance to exercise. • Don’t exercise if you are injured, sick or running a temperature. • Always warm up and always cool down. • Drink plenty of water before, during and after exercise. • Avoid heavy meals for about two hours before energetic exercise. • If fatigue and/or discomfort last longer than one or two hours after exercising, cut back the next day but don’t stop completely. Comfort ranges can change daily, so don’t get discouraged if you can’t do the same amount of exercise as you did the day before. • Concentrate on exercises that improve and maintain your range of motion, lubricate the joints and keep muscles flexible. Everyday activities will be easier to carry out and you’ll have less pain, too. Staying active does the body and the mind a world of good.

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2009 Boulder County Health Professionals

Family Features If you were born between 1946 and 1964, you’re one of nearly 78 million baby boomers. Many boomers are investing more time to learn about healthier food options, as well as what they can do to improve overall health and wellness. So what can you do to improve your health and possibly even slow the aging process? Mind, Body and Spirit When it comes to a healthier lifestyle, mental and emotional attitudes can be just as important as diet and exercise. Activities that bring true satisfaction and help keep people energized and engaged are vital. Volunteering, continuing education and creative expression are some of the ways to stay active and improve quality of life. In fact, a recent report found a significant correlation between volunteering and good health. The 2007 report called “The Health

Benefits of Volunteering: A Review of Recent Research” (from the Corporation for National and Community Service) showed that volunteers have: • greater longevity • higher functional ability • lower rates of depression • less incidence of heart disease Building Blocks of Nutrition As we age, we have different nutritional needs. At least 36 percent of boomers suffer from cardiovascular disease. As the metabolism slows down, it’s possible to gain weight, even if your diet hasn’t changed. Nutrition considerations for boomers include: • Vitamins and minerals such as calcium, magnesium and iron, to help maintain healthy bones and improve brain function and boost energy. • Fiber to aid in digestion and weight loss, lower blood cholesterol levels and prevent some types of cancer, heart disease and diabetes. • Healthier fats – mono- and polyunsaturated fats – that have been proven to reduce “bad” LDL cholesterol and maintain or increase “good” HDL cholesterol levels, which has been associated with a reduction in the risk of heart disease. • Protein to build and maintain lean muscle mass and help you feel fuller longer. How to Build Better Health • Moderation. A slowing metabolism requires an increased awareness of portion control. Registered dietitians recommend eating smaller meals, and say that snacking in between meals can help maintain energy throughout the day. • Variety. Eat a wide assortment of foods that provide the nutrients we need more of, such as fiber and healthier fats, but less of the foods that contain saturated fat, sodium and other nutrients that recommendations advise us to limit. • Nutrient rich. Choose foods that give you the bang for your buck. For example, packed with protein, fiber, good fats and vitamins, nuts are an excellent example of a nutrient rich food.

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2009 Boulder County Health Professionals

Boomers & Beyond

The building blocks of boomer health

Continued on 66

Continued from 65 • Activity. Regular physical activity, whether higher intensity such as swimming or daily activities such as gardening, can help reduce the risk of diseases such as diabetes and heart disease. As part of a healthier lifestyle, look for foods and snacks that are 100 percent natural. With more snacks available that are convenient, made with natural, simple ingredients and fit into a healthier eating plan, it’s easy to incorporate them into your diet. Nuts, for instance, continue to be a popular, healthier snack. Snacks such as Frito-Lay’s TrueNorth nut snacks put a new spin on nuts through unique shapes, textures and tastes. This line offers a 100 percent natural, wholesome snacking option to satisfy the adventurous who have a mindful approach to life and wellness. It’s never too late to start improving health and making the most of life. By building on the basics of good nutrition, finding something to be passionate about and staying active, it’s possible to build a better life, no matter what your age.

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Fritz Wellness Center Thomas R Fritz DC 1749 Terry St. Longmont 303.772.3982 fritzwellnesscenter.com 66

Protein Power

You need protein at all stages of life, for a variety of bodily functions. It’s the major component of all cells and is needed for growth, development and building a strong immune system to fight off infections. The Recommended Dietary Allowance for protein is 56 grams a day for men and 46 grams for women.

Healthier Snacking Tips • Include fiber and antioxidant rich foods to your diet. Eating whole grains, vegetables, beans, nuts and seeds will help you achieve a healthier diet. • Pay attention to hunger. Ask yourself if you’re really hungry or if you’re just reaching for food out of emotion (such as boredom or sadness) or just to satisfy a craving. • Eat in moderation. Always check serving sizes on pre-packaged foods. Avoid eating out of a multi-serving bag. Always put the portion you plan to eat into a separate container and put the package away. Nutty Snack Ideas • Sprinkle granola or TrueNorth Clusters on yogurt. • For good portion control, put one ounce of TrueNorth Crisps into individual baggies for ready-to-go snacks. 2009 Boulder County Health Professionals

Child & Adult Psychiatry Jeffrey L. Almony, M.D.

Allergy Solutions, LLC 2760 29th St., Suite 2D Boulder, CO 80301 720-352-3137 www.allergy-solutions.org allergysolutions@yahoo.com

The Mental Health Center Serving Boulder & Broomfield Counties 1333 Iris Ave., Boulder, CO 80304 529 Coffman St., Longmont CO 80501 899 Highway 287, Suite 300 Broomfield, CO 80020 303-443-8500 www.mhcbbc.org

Practice Affiliation: Allergy Solutions Specialties: Using allergy drops therapy to eliminate food and environmental allergies at the source. Education, Training & Certification: Undergraduate at Westmont College, masters of science in physician assistant studies from Trevecca University, Nashville, Tenn., bachelor of arts in kinesiology from Lestment College, Santa Barbara, Calif. Number of Years in Practice: Nine years Professional Affiliations: American Academy of Physician Assistants Professional and Community Service Activities: Volunteer at Flatirons Community Church in Lafayette Health Plans Accepted: All major insurance plans

Practice or Hospital Affiliation: Longmont United Hospital, Boulder Community Hospital Specialties: Child and adolescent psychiatry, adult psychiatry Education, Training & Certification: Johns Hopkins University, New York University School of Medicine Number of Years in Practice: 18 years, 15 years at the Mental Health Center Serving Boulder & Broomfield Counties Professional Affiliations: American Psychiatric Association

General & Specialty Surgery Charles G. Jones, M.D., F.A.C.S.

Nutrition Megan Forbes

Charles G. Jones, M.D. P.C. 1155 Alpine Ave., Suite 150 Boulder, CO 80304 4745 Arapahoe Ave., Suite 140 Boulder, CO 80303 303-443-2123 Practice or Hospital Affiliation: Surgery at Boulder Community Hospital Broadway, Foothills Hospital and Avista Hospital Specialties: Board certified general surgeon specializing in vascular, thoracic, cancer surgery - especially breast and colon, and laparoscopic surgery including DaVinci Robotic. Education, Training & Certification: Medical degree and surgery residency at University of Colorado-Boulder. Number of Years in Practice: 29 years Professional Affiliations: Fellow American College of Surgeons, Diplomate American Board of Surgery, Colorado Medical Society, Boulder County Medical Society, BVIPA, Denver Academy of Surgeons. Professional and Community Service Activities: Medical missions to Mante, Mexico, Tanzania, Africa and Nepal, Health Care Hero Award, Clinica Family Health Service Award, Boulder Rotary, Mount Everest expeditions. Health Plans Accepted: Most health insurance plans 2009 Boulder County Health Professionals

Boulder

Allergy and Asthma Neil Smith, M.S., PA-C, AE-C

Forbes Nutritional Consulting, LLC 2760 29th St., Suite 2D Boulder, CO 80301 303-710-5050 www.forbesnutritionalconsulting.com meg@forbesnutritionalconsulting.com Practice or Hospital Affiliation: Healthlinks Clinic, University of Colorado Wellness Center, Forbes Nutritional Consulting Specialties: Heart disease, diabetes, autoimmune conditions, food allergy, gastrointestinal health, athletes Education, Training & Certification: Colorado State University, University of Delaware, Registered Dietician Number of Years in Practice: Seven years Professional Affiliations: Crohnâ&#x20AC;&#x2122;s and Colitis Foundation of America, American Dietetic Association, Nutrition for Complimentary Care, Sports, Cardiovascular, and Wellness Nutrition Professional and Community Service Activities: Speaker for Crohnâ&#x20AC;&#x2122;s and Colitis Foundation, contributing writer for Rally Sport Health & Fitness Club Health Plans Accepted: Superbill is given for reimbursement to patient

Lafayette

Fertility Mark. R. Bush, M.D. FACOG, FACS Conceptions Reproductions Associates of Colorado 300 Exempla Circle, Suite 370 Lafayette, CO 80026 303-449-1084 www.conceptionsrepro.com

InSight Lasik 1120 W. South Boulder Road Lafayette, CO 80026 303-665-7577 www.insightlasik.com

Practice Affiliation: Board Certified Reproductive Endocrinologist at Conceptions Reproductive Associates of Colorado Specialties: Board certified reproductive endocrinologist specializing in In Vitro Fertilization, egg donor program, Intrauterine Insemination, pre-implantation genetic screening, male factor infertility, advanced gynecologic surgery, egg freezing study center, participating IVF study center. Education, Training & Certification: Bachelor of arts in biology from University of California, Berkeley, medical degree from Georgetown, residency in obstetrics and gynecology at William Beaumont AMC, fellowship in reproductive endocrinology and infertility at Duke University Medical Center. Number of Years in Practice: 11 years Professional Affiliations: Society for Reproductive Endocrinology & Infertility, Inc., American Society for Reproductive Medicine, Society of Reproductive Surgeons, American College of Surgeons, American College of Obstetricians and Gynecologists

Practice Affiliation: Corneal and refractive specialist at InSight Lasik and Specialty Eye Care Specialties: Dual residency trained in cornea and refractive surgery Education, Training & Certification: Medical College of Wisconsin, ophthalmology resident at University of Minnesota, corneal/refractive residency at Corneal Consultants of Indiana Number of Years in Practice: Five years Professional Affiliations: American Academy of Ophthalmology, American Society of Cataract and Refractive Surgeons Professional and Community Service Activities: Active in church and community non-profit organizations Health Plans Accepted: Medicare, United Healthcare, Blue Cross Blue Shield, Great West, Vision Service Plan, Signa, Aetna

Ophthalmology C. Starck Johnson, M.D.

Ophthalmology Warren Tripp, M.D.

InSight Lasik 1120 W. South Boulder Road Lafayette, CO 80026 303-665-7577 www.insightlasik.com Practice Affiliation: Corneal and refractive specialist at InSight Lasik and Specialty Eye Care Specialties: Dual residency trained in cornea and refractive surgery Education, Training & Certification: Harvard Medical School, ophthalmology residency at University of Michigan, corneal/ refractive residency at Duke University Number of Years in Practice: Four years Professional Affiliations: American Academy of Ophthalmology, American Society of Cataract and Refractive Surgeons Professional and Community Service Activities: Active in church and community non-profit organizations Health Plans Accepted: Medicare, United Healthcare, Blue Cross Blue Shield, Great West, Vision Service Plan, Signa, Aetna

Ophthalmology Abdulfatah Ali, M.D.

InSight Lasik 1120 W. South Boulder Road Lafayette, CO 80026 303-665-7577 www.insightlasik.com Practice or Hospital Affiliation: Refractive surgeon at InSight Lasik and General Ophthalmology at Dr. Tripp & Associates Specialties: Refractive surgery and general ophthalmology Education, Training & Certification: Loma Linda Medical School, ophthalmology residency at Loma Linda Medical School Number of Years in Practice: 25 years Professional Affiliations: American Academy of Ophthalmology, American Medical Association, Colorado Society of Eye Physicians & Surgeons Professional and Community Service Activities: Active in Boulder County non-profit agencies Health Plans Accepted: Medicare, United Healthcare, Blue Cross Blue Shield, Great West, Vision Service Plan, Signa, Aetna

2009 Boulder County Health Professionals

InSight Lasik 1120 W. South Boulder Road Lafayette, CO 80026 303-665-7577 www.insightlasik.com jimmy@insightlasik.com

Optometry Keith Miller, O.D. InSight Lasik 1120 W. South Boulder Road Lafayette, CO 80026 303-665-7577 www.insightlasik.com keith@insightlasik.com

Practice Affiliation: Refractive surgery Specialties: Refractive surgery Education, Training & Certification: Masters in biology from University of Alabama in Birmingham, University of Alabama in Birmingham School of Optometry Number of Years in Practice: 25 years Professional Affiliations: American Optometric Association, Colorado Optometric Association Professional and Community Service Activities: Fundraising with numerous non-profit agencies Health Plans Accepted: Vision Service Plan, Signa, Aetna

Practice Affiliation: Refractive surgery Specialties: Refractive surgery Education, Training & Certification: Northeastern State University College of Optometry Number of Years in Practice: Seven years Professional Affiliations: American Optometric Association, Colorado Optometric Association Professional and Community Service Activities: Active in church, fundraising for numerous non-profit organizations Health Plans Accepted: Vision Service Plan, Signa, Aetna

Audiology Whitney Swander, Au.D., CCC-A

Audiology and Hearing Healthcare Dâ&#x20AC;&#x2122;Anne Rudden, Au.D., CCC-A

Hearing HealthCare Centers 1515 N. Main St., Suite 15 Longmont, CO 80501 303-776-8748 www.hearinghealthcarecenters.com info@hearinghealthcarecenters.com Practice Affiliation: Longmont and Boulder offices of Hearing Healthcare Centers Specialties: Specializes in hearing evaluations, consultations, hearing protection and assistive listening devices. Education, Training & Certification: Doctorate degree from Arizona School of Health Sciences Number of Years in Practice: Nine years Professional Affiliations: American Academy of Audiology and American Speech-Language-Hearing Association Professional and Community Service Activities: Volunteer work with 9News Health Fair since 2003 Health Plans Accepted: Medicare and preferred provider for most insurance companies

2009 Boulder County Health Professionals

Lafayette - Longmont

Optometry Jimmy Jackson, O.D.

Longmont Hearing Center 1146 Francis St. Longmont, CO 80501 303-651-1178 www.longmonthearing.com pwhlhc@yahoo.com Practice or Hospital Affiliation: Longmont Hearing Center and Longmont United Hospital Specialties: Board certified doctor of audiology. Specializes in the diagnosis and treatment of hearing loss. Education, Training & Certification: Doctor of Audiology, Arizona School of Health Sciences. Board certified by the American Board of Audiology. Number of Years in Practice: 15 years Professional Affiliations: Colorado Academy of Audiology, American Academy of Audiology, American Board of Audiology, American Speech-Language-Hearing Association Professional and Community Service Activities: Executive Board Colorado Academy of Audiology. Health Plans Accepted: Anthem Blue-Cross, Colorado Access, Cigna Insurance, Evercare, Great-West Healthcare, KaiserPermanente, Medicare, Medicaid, PacifiCare, Rocky Mountain Health Care, Secure Horizons and United Healthcare. 69

Longmont

Chiropractic Thomas R. Fritz, D.C. Fritz Wellness Center 1749 Terry St. Longmont, CO 80501 303-772-3982 www.fritzwellnesscenter.com tfritz@mcleodusa.net Specialties: Applied kinesiology, soft laser, nutrition and diet Education, Training & Certification: Bachelor of science degree from Ohio State University, bachelor of science degree in biological sciences from Logan Collage of Chiropractic, doctor of chiropractic from Logan College of Chiropractic Number of Years in Practice: 26 years Professional Affiliations: Colorado Chiropractic Association Health Plans Accepted: Many major plans, as well as an in-network provider with Kaiser Permanente

Larimore Chiropractic and Massage 1225 Ken Pratt Blvd., Suite 222 Longmont, CO 80501 303-772-3100 www.larimorechiropractic.com drmike@larimorechiropractic.com Practice Affiliation: Doctor of Chiropractic and owner of Larimore Chiropractic and Massage Specialties: Certified in spinal trauma (auto accidents). Board certified by National Board of Chiropractic Examiners. Education, Training & Certification: Associates of Science degree from Aims College, Doctor of Chiropractic at Palmer College in Davenport, Iowa, Certified Spinal Trauma, Logan Chiropractic College. Number of Years in Practice: 18 years Professional Affiliations: Colorado Chiropractic Association, Palmer College Alumni Association Professional and Community Service Activities: Longmont Chamber of Commerce, volunteer and sponsor for local youth sports programs Health Plans Accepted: Blue Cross Blue Shield, Cigna, United Healthcare, Aetna, Cofinity, Great West, Pacificare, Pinnacol

Chiropractic Dr. Kevin Mikalaitis, D.C.

Clinical/Health Psychologist Evana Hsiao-Henri, Ph.D.

Align Chiropractic Center 1318 Vivian St. Longmont, CO 80501 303-776-0882 www.alignchiropracticcenter.com Dr.Mik@alignchiropracticcenter.com Practice Affiliation: Board certified chiropractic physician at Align Chiropractic Center Specialties: Full spine and extremity manual adjusting techniques for muscle, joint and neurological conditions. Specializes in injury rehabilitation, pain management and preventive care. Education, Training & Certification: Undergrad at University of Delaware, Palmer College of Chiropractic West Number of Years in Practice: Four years Professional Affiliations: Colorado Chiropractic Association Professional and Community Service Activities: Member of the Longmont Small Business Association, volunteer work with Empowerment International Health Plans Accepted: United Healthcare, Blue Cross Blue Shield, Great West, Pacificare, Secure Horizons, Humana, Rocky Mountain Health, Evercare, Medicare and others

Chiropractic Michael Larimore, D.C., C.C.S.T.

Access Your Everest 2101 Ken Pratt Blvd., Suite 200 Longmont, CO 80501 720-771-9248 www.accessyoureverest.com evanahenri@accessyoureverest.com Practice Affiliation: Psychotherapy, personal coaching, fitness and wellness consultation services Specialties: Depression, anxiety, stress management, performance enhancement, coping with cancer/chronic illness/ pain, grief/loss, trauma, aging, CBT, EMDR, solution-focused therapy Education, Training & Certification: Bachelor of arts with honors from Stanford University, Ph.D. from Ohio State University, internship and post-doctoral fellowship at the University of California-Los Angeles Number of Years in Practice: Five years Professional Affiliations: American Psychological Association Professional and Community Service Activities: Public speaker and volunteer at nursing homes, assisted living facilities and faith communities. Health Plans Accepted: United Healthcare, Humana, Mental Health Network, sliding fee scale 2009 Boulder County Health Professionals

Twin Peaks Dermatology, P.C. Burlington Medical Center 205 S. Main St., Suite E Longmont, CO 80501 303-485-8913

Family Eyecare Kevin Cottrell, O.D. Longmont Vision Center 412 Main St. Longmont, CO 80501 303-651-6700 www.longmonteyes.com Dr.C2020@comcast.net

Practice Affiliation: Dermatologist at Twin Peaks Dermatology, P.C. Specialties: Board certified by the American Board of Dermatology. Treats all disorders of the skin, hair and nails. Education, Training & Certification: Bachelor of science in pharmacy from Ohio State University. Medical school at the University of Cincinnati. Internship in internal medicine and residency in dermatology at the University of Cincinnati. Number of Years in Practice: Five years Professional Affiliations: American Academy of Dermatology, Colorado Dermatological Society Professional and Community Service Activities: Volunteer work at local skin cancer screenings and community talks about the dangers of skin cancer. Health Plans Accepted: Most health insurance accepted

Specialties: Contacts, glasses, dry eye, diabetes, red eyes, primary eye care Education, Training & Certification: Pacific University College of Optometry Number of Years in Practice: Six years Professional Affiliations: American Optometric Association, Colorado Optometric Glaucoma Society Professional and Community Service Activities: Longmont Chamber member Health Plans Accepted: Almost all optical and medical plans, call to verify particular plan

General Dentistry Adrienne M. Hedrick, D.D.S.

General Dentistry Thomas P.S. Drake Jr., D.D.S.

Adrienne M. Hedrick, D.D.S. 2929 17th Ave. Longmont, CO 80503 303-772-6333 www.adriennehedrickdds.com adriennehedrickdds@yahoo.com Specialties: Advanced training in orthodontics, cosmetic dentistry, implants, Invisalign. Education, Training & Certification: Ankylos implant certification, American Orthodontic Society certificate Number of Years in Practice: Three years Professional Affiliations: Colorado Dental Association, American Dental Association, Boulder-Broomfield County Dental Society, International Congress of Oral Implantologists member, American Orthodontic Society member Professional and Community Service Activities: Dentistry for the Handicapped, Team in Training Health Plans Accepted: All insurance carriers

2009 Boulder County Health Professionals

Longmont

Dermatology John Fueston, M.D.

Smile Designers Family Dentistry 1246 N. Main St. 303-678-7800 Longmont, CO 80501 303-678-7800 www.smiledesignersteam.com Specialties: All phases of general dentistry, Invisalign, mini dental implants Education, Training & Certification: Doctorate of dental science from University of Nebraska; Invisalign, mini implant certification Number of Years in Practice: 19 years Professional Affiliations: American Dental Association, Colorado Dental Association, Boulder County Dental Society, Academy of General Dentistry Professional and Community Service Activities: Volunteers at the OUR Center, provides dentistry for disadvantaged children via Medicaid and Child Health Plan Plus Health Plans Accepted: Most insurance accepted

Longmont

General Dentistry Steve Sampson, D.M.D. Smile Designers Family Dentistry 1246 N. Main St. Longmont, CO 80501 303-678-7800 www.smiledesignersteam.com

Applewood Living Center 1800 Stroh Place Longmont, CO 80501 303-776-6081 bjfrostman@savasc.com

Specialties: All phases of general dentistry including Invisalign and mini dental implants Education, Training & Certification: Temple University, Invisalign certification, mini dental implant certification Number of Years in Practice: Six years Professional Affiliations: American Dental Association, Colorado Dental Association, Boulder County Dental Society, Academy of General Dentistry Professional and Community Service Activities: Provides dentistry for underprivileged children via Child Health Plan Plus and Medicaid Health Plans Accepted: Most insurance accepted

Practice Affiliation: Director of Therapy at Applewood Living Center Specialties: Geriatric, neuro development treatment Education, Training & Certification: Bachelor of Science in occupational therapy from University of Florida Number of Years in Practice: 35 years Professional Affiliations: National Board of Certification of Occupational Therapy Health Plans Accepted: Medicare, Medicaid, United Healthcare, Blue Cross Blue Shield, Secure Horizon, Humana Gold, most managed cares accepted

Geriatric Nursing Tina Graham

Geriatric Nursing Ann Michele

Applewood Living Center 1800 Stroh Place Longmont, CO 80501 303-776-6081 cmgraham@savasc.com Practice Affiliation: Director of Nursing at Applewood Living Center Specialties: Geriatrics, hospice care Education, Training & Certification: Registered nurse Number of Years in Practice: With 28 years of experience as a nurse, Graham was a nurses aid for three years prior to that. Professional Affiliations: Member of American Nurses Association Health Plans Accepted: Medicare, Medicaid, United Healthcare, Blue Cross Blue Shield, Secure Horizon, Humana Gold, most managed cares accepted

Geriatric Nursing Barbara Frostman

Applewood Living Center 1800 Stroh Place Longmont, CO 80501 303-776-6081

Practice Affiliation: Recreation Director at Applewood Living Center Specialties: Special populations, infant to geriatrics Education, Training & Certification: Bachelor of science in exercise science and recreation therapy with honors. International Sports Medicine Association, American Aerobic Association International, CTRS, personal trainer Number of Years in Practice: 25 years Professional Affiliations: American Aerobic Association International, ISMA, CTRS, CPT, CAPA, CPR, AED Professional and Community Service Activities: Longmont Chamber of Commerce, CAPA, Longmont YMCA, Local Published Fitness Competitor Health Plans Accepted: Medicare, Medicaid, United Healthcare, Blue Cross Blue Shield, Secure Horizon, Humana Gold, most managed cares accepted

2009 Boulder County Health Professionals

Applewood Living Center 1800 Stroh Place Longmont, CO 80501 303-776-6081 lasherwood@savasc.com

Massage Bonnie C. Kueffner, RMT In Touch Therapies 1316 Vivian St. Longmont, CO 80501 720-320-0095 www.intouchlongmont.com bonnie@ittml.com

Practice Affiliation: Admissions and Marketing Director at Applewood Living Center Specialties: Geriatrics Education, Training & Certification: Licensed practice nurse, IV certification Number of Years in Practice: 18 years Professional and Community Service Activities: 9Health Fair Health Plans Accepted: Medicare, Medicaid, United Healthcare, Blue Cross Blue Shield, Secure Horizon, Humana Gold, most managed cares accepted

Practice Affiliation: Peaks Care Center and Frontier Therapy Center Longmont Specialties: Swedish, neuromuscular therapy (NMT), sports, pre-natal, manual lymph drainage Education, Training & Certification: Boulder School of Massage Thearapy, Certified Pregnancy Massage, Certified Lymphedema Therapist Number of Years in Practice: 17 years Professional Affiliations: Association of Bodywork, Massage Practitioners (ABMP), State Registered Massage Therapist, Colorado Business Leads, Boulder College of Massage Therapy Alumni Professional and Community Service Activities: Volunteer work at Central Elementary in Longmont, volunteer at First Congregational United Church of Christ in Longmont

Massage Therapy Susan Mara Malin, BFA, RMT

Massage Therapy/Energy Healing Lara Henderson, RMT

Mountain Spirit Healing Arts Center 713 Third Ave. Longmont, CO 80501 303-772-6655 mtnspirithealing.com mtnspirithealing@gmail.com Practice Affiliation: Owner and massage therapist - Mountain Spirit Healing Arts Center Specialties: Medical Massage, Cranial Sacral Therapy, Yuen Method Education, Training & Certification: Bachelor of Fine Arts from Hartford Art School, graduate from Connecticut Center for Massage Therapy, Certified Neuromuscular Therapy, Certified Cranial Sacral Therapy Number of Years in Practice: 27 years Professional Affiliations: American Massage Therapy Association - 1984 to present Professional and Community Service Activities: OUR Center Art Outreach Health Plans Accepted: Confinity, Auto Insurance Med Pay Rider

2009 Boulder County Health Professionals

Longmont

Geriatric Nursing Lori Sherwood

Willow Creek Wellness 713 Third Ave. Longmont, CO 80501 303-587-8998 www.willowcreekwellness.com larahendersoncmt@msn.com Practice Affiliation: Practitioner in the Mountain Spirit Healing Arts Center Specialties: Massage, Reiki, Universal White Time Healer Education, Training & Certification: Graduate of The Healing Arts Institute, training in new energy at Shaumbra University Number of Years in Practice: 12 years Professional Affiliations: International Massage Association, International Association of Attunement Practitioners Professional and Community Service Activities: Community volunteer with Longmont Downtown Development Authority

Longmont 74

Ophthalmology Peter Andrews, M.D.

Ophthalmology William L. Benedict, M.D.

Eye Care Center of Northern Colorado 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Practice Affiliation: Eye Care Center of Northern Colorado Specialties: Board Certified and fellowship-trained cornea, external disease and refractive surgery specialist Education, Training & Certification: Bachelor of science in computer science from University of Florida; Doctor of Medicine from Wake Forest University of Medicine; residency and fellowship at University of Florida Number of Years in Practice: Five years Professional Affiliations: American Medical Association, American Academy of Ophthalmology, Association of Cataract and Refractive Surgeons, International Society of Refractive Surgeons Professional and Community Service Activities: Cataract surgery mission work in Jamaica with Eye Health Institute Health Plans Accepted: Vision Service Provider, EyeMed, most major insurance plans

Eye Care Center of Northern Colorado 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Practice Affiliation: Eye Care Center of Northern Colorado Specialties: Board certified, fellowship-trained ophthalmologist and retinal specialist. Specializes in the surgical and medical treatment of vitreoretinal disorders. Education, Training & Certification: Bachelor of science in chemical engineering from University of Michigan; doctor of medicine from University of Cincinnati; residency at Cleveland Clinic Foundation; vitreoretinal fellowship at Texas Tech University Number of Years in Practice: 16 years Professional Affiliations: American Society of Retinal Specialists, American Academy of Ophthalmology, Colorado Medical Society Professional and Community Service Activities: Provides low vision support group meetings and educational seminars to the community. Health Plans Accepted: Most major insurance plans

Ophthalmology Matthew Ehrlich, M.D.

Ophthalmology Dale Johnson, M.D.

Eye Center of the Rockies 1332 Vivian St. Longmont, CO 80501 303-485-1516 www.EyeCenterRockies.com DoctorMatt@EyeCenterRockies.com

Front Range Eye Physicians 1319 Vivian St. Longmont, CO 80501 303-772-3611 www.FrontRangeEyePhysicians.com frontrangeeye@comcast.net

Practice or Hospital Affiliation: Longmont United Hospital Specialties: Cataract surgery, multifocal implant lenses, LASIK Education, Training & Certification: Albany Medical College, residency at Wills Eye Hospital, fellowship at the University of California-Los Angeles Number of Years in Practice: 21 years Professional Affiliations: American Academy of Ophthalmology, Boulder County Medical Society Professional and Community Service Activities: Participation at local health fairs Health Plans Accepted: Secure Horizons, Medicare, Pacificare, United Healthcare, Aetna, Humana, Blue Cross Blue Shield, CIGNA, DHCS, Tricare, Rocky Mountain Health Plan

Practice or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Board certified ophthalmologist, eye exams, treatment of eye diseases Education, Training & Certification: Medical degree from University of Wisconsin Medical School, residency at University of Colorado Medical Center Number of Years in Practice: 32 years Professional Affiliations: American Academy of Ophthalmology Health Plans Accepted: Vision Service Provider, Medicare, Pacificare, Blue Cross Blue Shield, Secure Horizons, CIGNA, Aetna, TriCare and most other major insurance plans

2009 Boulder County Health Professionals

Front Range Eye Physicians 1319 Vivian St. Longmont, CO 80501 303-772-3611 www.FrontRangeEyePhysicians.com frontrangeeye@comcast.net Practice or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center, Avista, Rose Medical Center Specialties: Board certified ophthalmologist and corneal specialist. Specializes in surgical and medical treatment of the eye. Education, Training & Certification: Medical degree from George Washington University, residency at Boston University Medical Center, cornea fellowship training at the University of Rochester Number of Years in Practice: 12 years Professional Affiliations: American Academy of Ophthalmology Health Plans Accepted: Vision Service Provider, Medicare, Pacificare, Blue Cross Blue Shield, Secure Horizons, CIGNA, Aetna, TriCare and most other major insurance plans

Ophthalmology Joel S. Meyers, M.D. Eye Care Center of Northern Colorado 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Practice Affiliation: Eye Care Center of Northern Colorado, Meyers Aesthetic Center and Medical Spa Specialties: Board certified, fellowship-trained ophthalmologist who specializes in oculoplastics, cataract surgery and cosmetic plastic and reconstructive surgery Education, Training & Certification: Bachelor of arts in biology from University of Colorado at Denver; doctor of medicine from Jefferson Medical College of Thomas Jefferson University in Philadelphia; residency at Long Island Jewish Medical Center and Queens Hospital Center in New York; fellowship at University of Arizona Health Sciences Center Number of Years in Practice: 17 years Professional Affiliations: International Society of Cosmetic and Laser Surgeons, American Academy of Ophthalmology, American Medical Association, Colorado Medical Society, Colorado Society of Eye Physicians and Surgeons Health Plans Accepted: Most major insurance plans

Ophthalmology Irene Olijnyk, M.D.

Ophthalmology Micah Rothstein, M.D.

Eye Care Center of Northern Colorado 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Practice Affiliation: Eye Care Center of Northern Colorado Specialties: Board certified ophthalmologist who specializes in comprehensive eye care Education, Training & Certification: Bachelor of arts in psychology from University of Illinois; doctor of medicine from Loyola University Stritch School of Medicine; residency at Loyola University and Hines VA Hospital Number of Years in Practice: 29 years Professional Affiliations: American Academy of Ophthalmology, Colorado Medical Society, Colorado Society of Eye Physicians and Surgeons Health Plans Accepted: Vision Service Provider, most major insurance plans

Eye Care Center of Northern Colorado 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Practice Affiliation: Eye Care Center of Northern Colorado Specialties: Board certified, fellowship-trained specialist in glaucoma. Specializes in the management and treatment of glaucoma and also perfroms cataract surgery. Education, Training & Certification: Bachelor of science in business administration from University of Arizona/Tucson; doctor of medicine from University of South Carolina; residency at George Washington Medical Center; fellowship at University of Florida Number of Years in Practice: Six years Professional Affiliations: American Board of Ophthalmology, Association of Cataract and Refractive Surgeons, American Academy of Ophthalmology, American Glaucoma Society Professional and Community Service Activities: Provides glaucoma support group meetings and educational seminars to the community. Health Plans Accepted: Vision Service Provider, most major insurance plans

2009 Boulder County Health Professionals

Longmont

Ophthalmology Mohammad Karbassi, M.D.

Longmont

Optometry Sara Heffler, O.D. Front Range Eye Physicians 1319 Vivian St. Longmont, CO 80501 303-772-3611 www.FrontRangeEyePhysicians.com frontrangeeye@comcast.net Specialties: Contact lens and difficult fittings, eye exams, vision therapy evaluations, treatment of ocular pathology Education, Training & Certification: Doctor of Optometry degree from Pacific University College of Optometry, internship at Veterans of America Medical Center, Hot Springs, S.D. Number of Years in Practice: 14 years Professional Affiliations: American Optometric Association, Colorado Optometric Association Health Plans Accepted: Vision Service Provider, Medicare, Pacificare, Blue Cross Blue Shield, Secure Horizons, CIGNA, Aetna, TriCare and most other major insurance plans.

Optometry Roger Trudell, O.D. Longmont Vision Center 412 Main St. Longmont, CO 80501 303-651-6700 www.longmonteyes.com doctortrudell@aol.com Specialties: Contact lenses, vision therapy, family vision care Education, Training & Certification: Certified in therapeutic treatment of eyes, fellowship in vision therapy Number of Years in Practice: 27 years Professional Affiliations: American Academy of Optometry - fellow; College of Vision Development - fellow; American Optometric Association Professional and Community Service Activities: President of Longmont Archery Club (Saint Vrain), Longmont Chamber member Health Plans Accepted: Almost all optical and medical plans, call to verify particular plan.

Optometry Robert Krone, O.D. Eye Care Center of Northern Colorado 300 Exempla Circle, Suite 120 Lafayette, CO 80026 303-772-3300 www.eyecaresite.com info@eccnc.net Practice Affiliation: Eye Care Center of Northern Coloradoâ&#x20AC;&#x2122;s Lafayette office Specialties: Specializes in providing comprehensive eye care. Education, Training & Certification: Bachelor of Science in biology from Northern Illinois University; Doctor of Optometry from Illinois College of Optometry Number of Years in Practice: 21 years Professional Affiliations: Colorado Optometric Association Health Plans Accepted: Vision Service Provider, EyeMed, most major insurance plans.

Orthopedics Curtis L. Leonard, M.D. Front Range Orthopedics, P.C. 1551 Professional Lane, Suite 200 Longmont, CO 80501 303-772-1600 www.frontrangeorthopedics.com Practice or Hospital Affiliation: Longmont United Hospital, Exempla Good Samaritan Medical Center Specialties: Arthritis management, hip and knee replacements, trauma and arthroscopy Education, Training & Certification: Bachelor of Science from Iowa State University, medical degree from University of Iowa, general surgery internship and orthopedic residency at Kansas University Medical Center in Kansas City, Kansas. Board certified in orthopedic surgery and a fellow of the American Academy of Orthopedic Surgeons. Number of Years in Practice: 13 years Professional Affiliations: American Academy of Orthopedic Surgeons Health Plans Accepted: All major plans

2009 Boulder County Health Professionals

Front Range Orthopedics, P.C. 1551 Professional Lane, Suite 200 Longmont, CO 80501 303-772-1600 www.frontrangeorthopedics.com

Orthopedics/Foot and Ankle Surgery Gregg A. Koldenhoven, M.D. Front Range Orthopedics, P.C. 1551 Professional Lane, Suite 200 Longmont, CO 80501 303-772-1600 www.frontrangeorthopedics.com

Practice or Hospital Affiliation: Longmont United Hospital, Exempla Good Samaritan Medial Center Specialties: Orthopedic spine surgery Education, Training & Certification: Medical degree from University of Nebraska-Lincoln, orthopedic certificate from University of Nebraska Hospital, spine specialty from Northwestern Memorial Hospital, fellowship Elmwood Hospital in Jefferson, Louisiana Number of Years in Practice: 19 years Professional Affiliations: American Medical Association, American Academy of Orthopedic Surgeons, Centers for Medicare & Medicaid Services, Colorado Orthopedic Society Professional and Community Service Activities: St. Vrain Valley Team Physician, former president of Colorado Orthopedic Society, former Chief of Staff at Longmont United Hospital Health Plans Accepted: All major plans

Practice or Hospital Affiliation: Longmont United Hospital, Exempla Good Samaritan Medical Center Specialties: Reconstructive surgery of the foot and ankle, extremity trauma and lower extremity total joint replacement, including ankle joint replacement surgery. Education, Training & Certification: Undergraduate from Dordt College in Sioux Center, Iowa; medical degree from University of Iowa College of Medicine; residency in orthopedic surgery at St. Louis University, fellowship in foot and ankle surgery at Orthopedic Physicians Associates in Seattle. Number of Years in Practice: Nine years Professional Affiliations: American Academy of Orthopedic Surgeons and American Orthopedic Foot and Ankle Society Professional and Community Service Activities: Team physician for the St. Vrain Valley School District Health Plans Accepted: All major plans

Orthopedics/Hand Surgery Timothy J. Pater, M.D.

Orthopedics/Joint Replacement E. Mark Hammerberg, M.D.

Front Range Orthopedics, P.C. 1551 Professional Lane, Suite 200 Longmont, CO 80501 303-772-1600 www.frontrangeorthopedics.com Practice or Hospital Affiliation: Longmont United Hospital, Exempla Good Samaritan Medical Center Specialties: Board certified orthopedic surgery, fellowship trained hand and upper extremity surgery, certificate of added qualification for hand surgery Education, Training & Certification: Bachelor of Science from Marquette University, medical degree from University Of Kansas Orthopedic, residency at Medical College of Wisconsin, fellowship for hand and upper extremity surgery at Cleveland Clinic Foundation Number of Years in Practice: Five years Professional Affiliations: American Society for Surgery of the Hand, American Academy of Orthopedic Surgeons Professional and Community Service Activities: President of the Front Range Orthopedic Center, coach for Longmont baseball, St. Vrain Soccer Health Plans Accepted: All major plans 2009 Boulder County Health Professionals

Longmont

Orthopedics/Back and Neck Surgery Samuel E. Smith, M.D.

Front Range Orthopedics, P.C. 1551 Professional Lane, Suite 200 Longmont, CO 80501 303-772-1600 www.frontrangeorthopedics.com Practice or Hospital Affiliation: Longmont United Hospital, Exempla Good Samaritan Medical Center Specialties: Hip and knee replacement surgery, including bilateral and revision procedures. Education, Training & Certification: Medical degree from University of Colorado School of Medicine, residency in orthopaedic surgery from University of Minnesota, fellowship in orthopaedic traumatology at the University of Washington, Haborview Medical Center, total joint fellowship at Dorr Arthritis Institute Los Angeles Number of Years in Practice: Seven years Professional Affiliations: American Academy of Orthopedic Surgeons and Colorado Medical Society Health Plans Accepted: All major plans

Longmont

Orthopedics/Joint Replacement Gerald R. Rupp, M.D. Front Range Orthopedics, P.C. 1551 Professional Lane, Suite 200 Longmont, CO 80501 303-772-1600 www.frontrangeorthopedics.com

Front Range Orthopedics, P.C. 1551 Professional Lane, Suite 200 Longmont, CO 80501 303-772-1600 www.frontrangeorthopedics.com

Practice or Hospital Affiliation: Longmont United Hospital, Exempla Good Samaritan Medial Center Specialties: General orthopedics with subspecialty in total joint arthroplasty surgery Education, Training & Certification: Bachelor of Arts degree from Concordia College, Minn., medical degree from University of Minnesota Medical School, internship and general surgery residency at Brook Army Medical Center in San Antonio, Texas, orthopedic residency at Tripler Army Medical Center, Shriner’s Hospital and Queen’s Hospital in Honolulu, Hawaii. Number of Years in Practice: 33 years Professional Affiliations: American Academy of Orthopedic Surgeons, fellow American College of Surgeons Professional and Community Service Activities: Held several positions at Longmont United Hospital; county delegate to the state medical society for several years. Health Plans Accepted: All major plans

Practice or Hospital Affiliation: Longmont United Hospital, Exempla Good Samaritan Medical Center Specialties: Sport medicine including shoulder, elbow and knee surgery; arthroscopy; cartilage and meniscal transplantation; joint replacement - hip, knee, shoulder and elbow Education, Training & Certification: Undergraduate at University of Notre Dame, medical school at St. Louis University, orthopedic residency at Mayo Clinic, fellowship at American Sports Medicine Institute Number of Years in Practice: Three years Professional Affiliations: American Academy of Orthopedic Surgeons, American Orthopedic Society for Sports Medicine Professional and Community Service Activities: Head team physician for Rocky Mountain Rage and Colorado 14ers, medical director for Broomfield Event Center, team physician for Niwot High School, medical director for St. Vrain Valley School District Health Plans Accepted: All major plans

Orthopedics/Sports Medicine Robert E. FitzGibbons, M.D.

Pediatric Dentistry Richard Abrams, D.D.S.

Front Range Orthopedics, P.C. 1551 Professional Lane, Suite 200 Longmont, CO 80501 303-772-1600 www.frontrangeorthopedics.com Practice or Hospital Affiliation: Longmont United Hospital, Exempla Good Samaritan Medical Center Specialties: Problems related to the knee and shoulder Education, Training & Certification: Bachelor of Arts degree from Miami University in Oxford, Ohio, medical degree at Loyola Stritch School of Medicine in Maywood, Ill., internship and orthopedic residency at Northwestern University in Chicago, Methodist Sports Medicine Fellowship. Board certified in orthopedic surgery. Number of Years in Practice: 15 years Professional Affiliations: Colorado Medical Society and Western Orthopedic Society, American Academy of Orthopaedic Surgeons, Arthroscopy Association of North America Professional and Community Service Activities: St. Vrain Valley Team Physician Health Plans Accepted: All major plans

Orthopedics/Sports Medicine William P. Cooney, M.D.

Little Britches Pediatric Dentistry 2030 Terry St., Suite B Longmont, CO 80501 303-651-3733 www.littlebritches.com info@littlebritches.com Practice or Hospital Affiliation: The Children’s Hospital in Denver, Longmont Surgery Center Specialties: Pediatric dentistry Education, Training & Certification: West Virginia University School of Dentistry, certified by Children’s Hospital of Northern California Number of Years in Practice: 30 years Professional Affiliations: American Academy of Pediatric Dentistry, American Dental Association, Colorado Dental Association, Boulder/Broomfield County Dental Society, Colorado Academy of Pediatric Dentistry Professional and Community Service Activities: Sunshine Club of St. Vrain School District, host dental assistant students for clinical training, Blue Sky Bridge Organization Health Plans Accepted: Please call for information

2009 Boulder County Health Professionals

Little Britches Pediatric Dentistry 2030 Terry St., Suite B Longmont, CO 80501 303-651-3733 www.littlebritches.com info@littlebritches.com Practice or Hospital Affiliation: The Childrenâ&#x20AC;&#x2122;s Hospital in Denver, Longmont Surgery Center Specialties: Pediatric dentistry Education, Training & Certification: University of Colorado School of Dental Medicine, residency at The Childrenâ&#x20AC;&#x2122;s Hospital of Denver, certified by the American Board of Pediatric Dentistry Professional Affiliations: American Academy of Pediatric Dentistry, American Dental Association, Colorado Dental Association, Boulder/Broomfield County Dental Society, Colorado Academy of Pediatric Dentistry Professional and Community Service Activities: Sunshine Club of St. Vrain School District, Give Kids a Smile, volunteer instructor at the University of Colorado School of Dental Medicine. Health Plans Accepted: Please call for information

Plastic & Reconstructive Surgery Joel S. Meyers, M.D. Meyers Aesthetic Center & Medical Spa 1400 Dry Creek Drive Longmont, CO 80503 303-682-3386 www.eyecaresite.com/aesthetics/ spa@eccnc.net Practice Affiliation: Eye Care Center of Northern Colorado, Meyers Aesthetic Center & Medical Spa Specialties: Oculoplastic and cosmetic plastic and reconstructive surgeon Education, Training & Certification: Bachelor of arts in biology from University of Colorado at Denver; doctor of medicine from Jefferson Medical College of Thomas Jefferson University in Philadelphia; residency at Long Island Jewish Medical Center and Queens Hospital Center in New York; fellowship at University of Arizona Health Sciences Center Number of Years in Practice: 17 years Professional Affiliations: International Society of Cosmetic and Laser Surgeons, American Academy of Ophthalmology, American Medical Association, Colorado Medical Society, Colorado Society of Eye Physicians and Surgeons Professional and Community Service Activities: Provides educational seminars to the community

Podiatry - Medicine & Surgery Peter Hartlove, DPM, FAC, FAS

Podiatry - Medicine & Surgery Robert M. Smith, DPM, AAC, FAS

Mountain View Foot & Ankle Clinic, PC 1305 Sumner St., Suite 200 Longmont, CO 80501 303-772-3232 www.mountainviewfoot.com mvfac@aol.com Practice or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Non-surgical and surgical foot and ankle care, children Education, Training & Certification: University of Michigan, Ohio College of Podiatric Medicine, residency at Highlands Center Hospital, board certified in foot and ankle surgery Number of Years in Practice: 30 years Professional Affiliations: American Podiatric Medical Association, Colorado Podiatric Medical Association, American College of Foot & Ankle Surgeons Professional and Community Service Activities: Volunteer for Boulder County Parks & Open Space, board member of Longmont Surgery Center Health Plans Accepted: Most major plans and Medicare

Mountain View Foot & Ankle Clinic, PC 1305 Sumner St., Suite 200 Longmont, CO 80501 303-772-3232 www.mountainviewfoot.com mvfac@aol.com Practice or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Non-surgical and surgical treatment of foot and ankle, ankle arthroscopy, wound care Education, Training & Certification: Temple University, Philadelphia, Pa., residency at Denver Veterans Administration Medical Center with advanced training from Air Force Academy, Certified Pedothist Number of Years in Practice: Four years Professional Affiliations: American College of Foot & Ankle Surgeons, American Podiatric Medical Association, American Board of Pedothists Professional and Community Service Activities: Board member Colorado Podiatric Medical Association Health Plans Accepted: Most major plans and Medicare

2009 Boulder County Health Professionals

Longmont

Pediatric Dentistry Tim Nichols, D.D.S.

Longmont 80

Rehabilitation & Long Term Care

Jean Mendez

Jennifer Schmanski

Frontier Therapy Center of Longmont/Peaks Care Center 1440 Coffman St. Longmont, CO 80501 303-776-2814 www.frontiertherapycenter.com jmendez@seniorcaregroup.com Practice Affiliation: In-patient short term physical rehabilitation, long term care Specialties: Admissions and Marketing Director who helps people transition toward a new stage in life. Education, Training & Certification: Licensed psychistric technician in California; strong background with the developmentally disabled and forensic physiology. The last 19 years has been focused on working with seniors in a long term care setting as social sevices, life enrichment, admissions and marketing. Number of Years in Practice: 29 years Professional Affiliations: St. Vrain Rotary, The Exchange Club, LeTip, Erie Council on Aging, Lyons Council on Aging. Professional and Community Service Activities: Volunteer for Plant Blue Grass events, Lyons Golden Gang luncheons and High Street concerts; founder of Pampered Hands Health Plans Accepted: Medicare, Medicaid, Humana, Co.Access

Frontier Therapy Center of Longmont/Peaks Care Center 1440 Coffman St. Longmont, CO 80501 303-776-2814 www.frontiertherapycenter.com jschmanski@seniorcaregroup.com Specialties: Adult health, gerontology, community program development Education, Training & Certification: Master of social work, licensed clinical social worker Number of Years in Practice: Four years Professional and Community Service Activities: Erie Area Senior Advisory Committee member, Boulder County Area Aging Designee Advisory Committee Health Plans Accepted: Medicare, Medicaid and most private insurance

Rehabilitation & Long Term Care

Rehabilitation & Nursing Therapies

Heather Orback Stratton

Kathleen Maguire

Frontier Therapy Center of Longmont/Peaks Care Center 1440 Coffman St. Longmont, CO 80501 303-776-2814 www.frontiertherapycenter.com hstratton@seniorcaregroup.com Specialties: Inpatient rehabilitation Education, Training & Certification: Associates degree for registered nursing from Front Range Community College, Colorado Nursing Home Administrator Number of Years in Practice: 13 years Professional Affiliations: Colorado Health Care Association, National Stroke Association, Memories in the Making Professional and Community Service Activities: Longmont Area Chamber of Commerce, volunteer work with Lyons Senior Center, vice president of Lyons Cemetery Association Health Plans Accepted: Medicare, Medicaid and most private insurance

Frontier Therapy Center of Longmont/Peaks Care Center 1440 Coffman St. Longmont, CO 80501 303-776-2814 www.frontiertherapycenter.com kmaguire@seniorcaregroup.com Specialties: Hip, shoulder and knee replacements, stroke recovery, multiple sclerosis, head trauma, pain management, overall deconditioning Education, Training & Certification: Master of science in occupational therapy from Boston University College of Allied Health Professions Number of Years in Practice: 23 years Professional Affiliations: American Occupational Association Professional and Community Service Activities: Member of National Stroke Association Health Plans Accepted: Medicare, Medicaid and most private insurance

2009 Boulder County Health Professionals

Dr. Cliff E. Rogge, DDS, FAGD Artistic Smiles 920 S. Hover St. Longmont, CO 80501 303-485-8888 ArtisticSmiles.org DrCliffRogge@msn.com

Senior Healthcare & Housing Ginny Walker The Vistas in Longmont 2310 W. Ninth Ave. Longmont, CO 80503 303-678-5050 www.vistasinlongmont.com longmonted@islllc.com

Specialties: General dentistry Education, Training & Certification: Advanced Education General Dentistry, fellow Academy of General Dentistry, Las Vegas Institute graduate, State Certified Conscious Sedation, California Implant Institute graduate Number of Years in Practice: 19 years Professional Affiliations: American Dental Association, Academy of General Dentistry, Boulder County Dental Association, Colorado Dental Association, International Congress of Implantology, Dental Organization of Conscious Sedation, past president Boulder County Dental Society, American Academy of Cosmetic Dentistry Professional and Community Service Activities: Free smile makeover 2008, free dentistry services in 2009 valuing $30,000, peer review member Colorado Dental Association Health Plans Accepted: Most insurance plans accepted. Please call for complimentary insurance benefit breakdown.

Specialties: Ginny Walker is a registered respiratory therapist, as well as an assisted living certified director. The Vistas in Longmont is senior housing specializing in independent living, assisted living and memory care. Education, Training & Certification: Front Range Community College, Colorado State University, Personal Care Boarding Home license, Registered Respiratory Therapist, Colorado Real Estate license Number of Years in Practice: 25 years in senior healthcare and housing Professional Affiliations: National Board of Respiratory Care, Colorado Assisted Living Association Professional and Community Service Activities: Longmont Housing Authority, North Metro Denver Realtors Association, Colorado Association of Realtors, Rotary, Longs Peak United Methodist Church Health Plans Accepted: Long Term Care Plans

Subacute Recovery & Rehabilitation Cathy McDowall

Subacute Recovery & Rehabilitation Joleen McGee

Life Care Center 2451 Pratt St. Longmont, CO 80501 303-776-5000 www.lcca.com/longmont cathy_mcdowall@lcca.com Practice or Hospital Affiliation: Physical Therapy Rehabilitation Director at Summit Rehab and Recovery Specialties: Geriatric rehabilitation, sports medicine, orthopaedic pre- and post-surgical Education, Training & Certification: U.S. Army/Baylor program for physical therapy Number of Years in Practice: 18 years experience as a physical therapist Professional Affiliations: U.S. Army Reservist, American Physical Therapy Association Professional and Community Service Activities: Volunteer work with Greeley for God Health Plans Accepted: Medicare, Medicaid, Kaiser Permanente, most private insurance and private pay

2009 Boulder County Health Professionals

Longmont

Sedation, Cosmetic & Family Dentistry

Life Care Center 2451 Pratt St. Longmont, CO 80501 303-776-5000 www.lcca.com/longmont joleen_mcgee@lcca.com Practice or Hospital Affiliation: Director of Admissions and marketing at Life Care Center of Longmont Specialties: Commitment and compassion to deliver quality health care to the Longmont community Education, Training & Certification: Certified Nursing Assistant Number of Years in Practice: 20 years of long-term care, three-and-a-half years at Life Care Center of Longmont Professional Affiliations: Longmont Chamber of Commerce Professional and Community Service Activities: Volunteer work with Longmont Meals on Wheels Health Plans Accepted: Medicare, Medicaid, Kaiser Permanente, most private insurance and private pay

Longmont

Subacute Recovery & Rehabilitation Rhonda Senna Life Care Center 2451 Pratt St. Longmont, CO 80501 303-776-5000 www.lcca.com/longmont rhonda_senna@lcca.com Practice or Hospital Affiliation: Assistant Director of Nursing at Life Care Center of Longmont Specialties: Registered nurse, assistant director of nursing, certified wound nurse Number of Years in Practice: 18 years of long-term care, six-and-a-half years at Life Care Center of Longmont Health Plans Accepted: Medicare, Medicaid, Kaiser Permanente, most private insurance and private pay

Health 2009 Boulder County

Professionals

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Changing The Caring Experience...

Recipient of

Breast Imaging Center of Excellence by the American College of Radiology in 2007, 2008 and 2009

Digital Mammography is one of the most recent advances in x-ray mammography.

Women’s Imaging Center

A S  L U H

If you have any hesitation in completing your annual mammogram, call the Women’s Imaging Center. As caregivers, we encourage preventive screening and want you to feel at ease. The results of your mammogram will establish a benchmark for future years. Call now for an appointment at 303.651.5145. Remember, early detection saves lives. Services Available: Digital Mammography | Breast Ultrasound | Ultrasound Guided Biopsy | Stereotactic Breast Biopsy | Breast MRI | Bone Density Scan 1380 Tulip Street, Suite B, Longmont | 303.651.5145 | www.luhcares.org