Health

4 6 8

Dealing with cradle cap Know when your infant’s fever is more Find relief during teething

Protect your preemie from the start 10

Getting picky eaters the right nutrition 13 16

17 18 21 23 26 27 28 30 32

Help your asthmatic child breath easy Vision impairment in children Develop a healthy body image in boys Athletes should be cautious of concussions Getting a handle on teen depression New procedure brings relief for chronic sinusitis Get relief from abnormal uterine bleeding A healthy way to cleanse Keeping a healthy prostate Successfully manage migraines

Rosacea skin disorder 33

Varicose veins should be treated early 35 37 39

Specialty Publications Associate Editor Summer Stair sstair@times-call.com 720-494-5429 Contributing Writers Dominique Del Grosso Esteban L. Hernandez Kristi Ritter Laurel Toney Aliese Willard

Advertising Display Manager Penny Dille pdille@times-call.com 720-494-5445

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Dance keeps Boomers active, alert Local health professional profiles

HEALTH 2011

3

INFANTS

Getting rid of cradle cap

By Dominique Del Grosso

Longmont times-call

Every mother wants the best for her baby, especially when it comes to their health. Cradle cap is often thought of as a form of a rash, and most of the time, it’s more of a concern to parents than it is to infants. Fortunately, it doesn’t affect an infant’s overall health.

Identifying Cradle Cap The reason behind the name is simple: Cradle refers to infancy and the patches appear on the scalp, much like a cap. Cradle cap generally has the appearance of white or yellowish scaly, crusty or flaky patches across the scalp.

However, if similar patches are visible on other parts of the body, such as the creases of the neck, nose, ears, eyelids or armpits, for example, Dr. Heather Isaacson, a pediatrician with the Longmont Clinic, clarifies that those areas are not referred to as cradle cap. In fact, Isaacson says that those areas are usually referred to as Seborrhea or Seborrheic Dermatitis instead. This is because these are where the greatest number of oil producing glands are located.

Cradle cap generally appears when an infant is between the ages of 2 to 3 months old and clear-up by the time an infant reaches 8 to 12 months old.

Reasons Why Cradle Cap Occurs Although one specific factor cannot be pinpointed as the cause of cradle cap, most physicians agree it is linked to genetics. “It does have a familial link, but to my knowledge the exact gene is not known,” Isaacson says. She also suggests that environmental factors may contribute to the occurrence of cradle cap. These factors can include: Stress, weather conditions, the frequency of shampooing and the use of lotions containing alcohol.

Additionally, cradle cap can be linked to the mother’s hormonal changes during pregnancy. “No one knows for sure the exact cause of this rash,” says Grace Page, a registered nurse and supervisor of the Longmont United Hospital’s Neonatal Intensive Care

DR. HEATHER ISAACSON’S TIPS

How to safely treat baby’s cradle cap at home

•Step One: Gently massage the scalp to increase blood flow to loosen the scales.

• Step Two: Apply baby oil or mineral oil to the scalp to coat the scales. Leave on for one hour.

• Step Three: Use a soft toothbrush and gently rub the scales.

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• Step Four: Wash the hair and rinse away the shampoo. A baby shampoo or a dandruff shampoo is OK, but use caution with dandruff shampoo to avoid getting it in baby’s eyes.

Parents should repeat this method no more than once a day.

HEALTH 2011

Unit. “Some doctors have speculated that it may be influenced by the mother's hormonal changes during pregnancy, which stimulate oil glands.”

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 eyeglass prescriptions.

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 30 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.

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Cradle cap is common with infants, but because it’s not a disease, the rate of how many infants have it aren’t tracked. Page says that without a way to track cradle cap, we’ll never know precisely how common it actually is.

Although there is no way to track this common condition, it’s essential to note that cradle cap is not contagious. Additionally, most cases of cradle cap do not contribute to an infant’s fussiness either. Most of the time, infants don’t feel it, unless of course the areas on the scalp become irritated or infected.

The severity of cradle cap will differ with each infant, but severe cases are uncommon.

Although rare, if an infant’s skin begins to appear reddish, irritated, cracked or infected, it’s time to consult your primary pediatrician or family physician about the symptoms noticed.

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INFANTS

Know when a fever is more

By Summer Stair

Longmont Times-Call

Fever in young children is a common occurrence and can be frightening for parents. Determining whether a fever is a sign of serious illness can be an anxietyridden experience for parents who often fret over when to go to the doctor.

“Everyone has their own comfort level and this should be respected,” says Dr. Wade Heinrichs, a pediatrician at Carbon Valley Medical Clinic in Firestone. “Follow your instincts and act on them.”

When evaluating your child’s fever, it is important to remember that a fever by itself is not an illness and can actually be a good thing – it’s often the body’s way of fighting off infections and stimulating natural defense mechanisms. This is why parents should not only consider the temperature of the fever, but the child’s overall condition too.

“Look at age, timing of the fever, symptoms and the duration of the fever,” Heinrichs says.

While there are general guidelines for assessing a child’s fever, infants 3 months and younger should be looked at more closely.

Heinrichs broke down the difference in ages and what parents should look for.

Infants Under 3 Months of Age Infants under the age of 3 months, particularly those under 1 to 2 months, are more at risk for serious bacterial infections because their immune systems are just developing. Because of this, infants in this age should be watched more closely.

If an infant in this age group is running a fever, defined as a core body temperature of 100.4 or greater, they should be seen by a doctor immediately if under 2 months or appearing ill. “A slight fever can be a sign of a potentially serious infection in very young infants,” Heinrichs says.

At this age, your infant will be evaluated 6

carefully by the doctor and depending on the circumstances, further investigation may include checking blood work, urinalysis and in some cases spinal fluid for signs of meningitis.

Infants 3 to 12 Months of Age Once your child is past the 3 month mark, parents may use more discretion when evaluating the seriousness of a fever. According to Heinrichs things to keep in mind include: • How high is the fever? What are the symptoms? What is the timing of the fever – is it at the beginning, middle or end of an illness?

• Most fevers are associated with a virus and will last for about two to three days.

•A temperature of 100 to 103 is typical for many viruses, some may even cause fevers of 104 to 105. At these temperatures the possibility of a serious bacterial infection are higher, and parent’s should use an increased level of caution.

• Remember a fever is a sign of how vigorously the body is fighting off illness.

• Watch out for symptoms that may be associated with a serious illness, such as a very ill appearance, stiff neck, change in alertness, extreme headache, trouble breathing, HEALTH 2011

urinary tract symptoms or significant abdominal pain.

• The goal for treating a fever is to moderate the fever and keep the child comfortable.

Don’t be alarmed if they aren’t eating, but try and keep them hydrated with liquids.

• If your child has been running a fever for longer than 72 hours, particularly if the source is unclear, you should have them seen by a doctor.

The most important thing to remember when evaluating your child and their fever is to use your best judgment. Parents know their child best and can often sense when something is not right, Heinrichs says.

Types of Thermometers Whatever thermometer you choose, be sure you know how to use it correctly to get an accurate reading. Here is a breakdown courtesy of KidsHealth.org of the different types currently available.

• Digital thermometer – This kind of thermometer usually provides the quickest, most accurate readings. They can be used to take oral, rectal and axillary readings.

• Electronic ear thermometer – This will measure the tympanic temperature which is the inside of the ear canal. While these are quick and easy they are not as accurate and should only be used in children older than 3 months of age.

• Plastic strip thermometer – These small plastic strips are pressed against the forehead and will be able to tell you if your child has a fever, but aren’t reliable for an exact measurement. These should not be used for young children.

• Forehead thermometer – These are similar to plastic strip thermometers.

They are not as accurate as oral or rectal thermometers.

• Pacifier thermometer – While these may seem convenient, their readings are less reliable and should not be used in infants under 3 months of age.

• Glass mercury thermometer – Once common, these thermometers should not be used according to the American Academy of Pediatrics, because of concerns about possible exposure to mercury, which is an environmental toxin.

HEALTH 2011

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Teething trouble Family Features

While new parents look forward to milestones in their infants’ lives, teething can sometimes feel more like a millstone. Here are some common questions and solutions.

Quick Facts about Teething • Baby’s first teeth generally arrive between 6 and 8 months. Most children will have all 20 of their primary teeth by the age of 3.

• Teeth frequently appear in sets of two: the two lower incisors will generally appear first, followed by the top front incisors. Molars and canines follow.

• Babies vary in their development, so while many children develop teeth around the same time, each child is unique.

How do I know my baby is teething?

Signs of teething include drooling and loss of appetite, as well as irritability and sleeplessness. It’s understandable that babies are fussy while teething; their first teeth must push through the gum tissue, which causes tenderness, soreness and inflamed gums.

How do I ease my baby’s teething pain?

There are several things you can do to make teething a little easier.

• Chill a teething ring in the refrigerator for some cooling relief. The temperature will help to numb baby’s gums and the counterpressure helps to alleviate soreness.

• To relieve teething pain and discomfort, you might try a topical anesthetic. It works immediately, unlike acetaminophen, which may take up to 30 minutes to relieve pain.

Pediatricians often recommend Baby Orajel, which is a safe and effective option.

HEALTH 2011

INFANTS

Protecting preemies Family Features

With state and federal budgets stretched thin, and cost-cutting a primary motivator for insurers, programs providing healthcare services for our tiniest citizens – especially premature infants – are becoming more limited and restrictive. But, being armed with the right information can help parents best navigate what health issues to watch out for and how to best protect their family in this rationing environment and, in particular, during this time of year.

Parents of Preemies Take Note Preemies are at increased risk for a variety of health complications, including respiratory illnesses and chronic lung disease – even if they’re born just a few weeks early. This is because they have underdeveloped lungs and immature immune systems in comparison with full-term babies.

As we approach the winter season, and seasonal viral activity escalates, it’s important that parents of preemies understand their baby’s health risks and ensure they have access to a variety of therapeutic options to help keep them healthy. For example, in addition to colds and the flu, there is another common virus that can be especially serious for the premature infant population: respiratory syncytial virus. RSV is a common, seasonal and easily spread virus that infects nearly all children by their second birthday. Most kids just get moderate to severe cold-like symptoms, however high-risk infants may get severe RSV disease. RSV disease is the most common cause of death due to a virus in children under 5 years of age and is responsible for an estimated 125,000 infant hospitalizations annually in the United States.

There are simple ways to help protect your baby from viruses such as RSV, including washing hands and bedding frequently, and limiting your baby’s exposure to large 10

groups and environmental tobacco smoke.

And, of course, speak with your child’s healthcare provider about any concerns and other prevention options.

Preemies Now Face Added Challenges While being diligent about monitoring the health needs of your little one greatly helps them live a healthy life, it’s also important to note how current economic pressures and their impact on the healthcare system can affect your baby’s access to services.

In particular, preemies and other vulnerable babies have been facing additional challenges because of healthcare system constraints, which are creating more restrictive reimbursement policies and forcing program cuts that limit access to care. Across the country, for example, 45 percent of local health departments experienced budget cuts in 2009, which led to nearly a quarter of these departments reducing funding for maternal and child health programs, such as Medicaid’s Women, Infants and Children or WIC program.

Private and public insurers alike are also creating barriers to care by using increasingly restrictive care guidelines to drive their eligibility decisions. For example, in 2009 the American Academy of Pediatrics issued more restrictive guidelines for RSV emphasizing cost issues over new or existing clinical data.

“One of the biggest challenges to ensure infants have access to the proper care they need is that insurers are adopting guidelines without considering all available clinical evidence, rather than analyzing high-risk infants on a case-by-case basis under the direction of the child’s physician,” says Dr. Mitch Goldstein, president of the National Perinatal Association.

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By Laurel Toney

Longmont Times-Call

Kids can be picky eaters, and their discerning palettes can cause parents a good deal of frustration. Dinnertime fights and concern’s about a child’s nutrition shouldn’t be part of the daily routine. By creating a healthy relationship with food and setting good examples, parents can help their children learn and grow to be big and strong.

Donna Feldman, is a registered dietician in Boulder County who specializes in childhood nutrition, says that being picky isn’t a problem. Parents just need to identify what their children like. “If you’ve got three vegetables that kids like, that’s fine. Just offer them those,” she says. Parents should make their lives as stress-free as possible, she adds, and overwhelming kids with too many options or too many expectations can backfire and make eating well a challenge for both parents and their kids.

Karen Laszlo is the founder of ZisBoomBah.com, a Boulder-based website that en-

HEALTH 2011

CHILDREN

The key to making sure picky eaters eat well

courages kids to get involved with their food choices in an interactive way. She agrees that kids learning to communicate their likes and dislikes is a large part of helping kids eat right. Her website’s goal is to help kids learn how to make balanced decisions about their meals. “We don’t criminalize any food,” she says. ZisBoomBah.com’s resident nutritionist, Lisa Lanzano, adds that it’s important to emphasize a healthy relationship with food. “If they want a cupcake, teach them how to eat a cupcake.” With a good understanding of nutrition and healthy living, children and adults can have healthy, balanced ways to incorporate the foods that aren’t as healthy, but are what we love.

Part of this, Lanzano says, is making sure parents don’t use sweets as prizes. “When you use dessert or a certain food as a reward, it sets that food on a different plane than other foods,” she says. It makes other foods a punishment to be endured. Instead, if your child loves sweets, make them part of a

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healthy meal, instead of a prize for finishing their broccoli.

Feldman says another aspect of avoiding mealtime frustration is making sure a child’s portion sizes are appropriate. “You can get into a lot of trouble with inappropriate portion sizes,” she says. “Either a child eats too much or parents become frustrated, so go with a child’s appetite.”

Lanzano agrees unrealistic expectations can be detrimental and lead to power struggles at the table. If a portion size for an adult is about the size of their fist, use the same guideline for kids and consider how much smaller their fists are, she says.

Power struggles and fights at the dinner table over what a kid is eating should be avoided at all costs, Lanzano says, because it makes the mealtime experience less enjoyable for everyone. She says regular family dinners are considered one of the top five things parents do to raise well-adjusted children, and good, enjoyable mealtime memories are a part of creating a healthy relationship with food. If you wind up in a screaming match with a child over their broccoli, parents often either give in or end up shaming the child, she says, which contributes to unhealthy eating habits.

Feldman says another way to ensure kids are eating well is to not stifle their appetites with snacks and to make sure the food in the house is healthy. She says there’s no place for junk food like chips, soda and cookies, because you don’t always have control over the choices kids make. Making sure all the options available are healthy will make it easy to make good decisions about food.

If a child refuses to eat their vegetables, you might be tempted to sneak nutrition into their diet using tricks like pureéing broccoli to bake into chicken nuggets. Feldman says this is sending the wrong message. “You want to challenge your little one to try new things in the form they’re going to see,” she says. When you hide food within things they like, it sends the message that particular food is unacceptable, she adds, and it doesn’t help the child learn anything about food, nutrition and balanced diets.

Lanzano says kids’ tastes are constantly changing, and if you continue to expose them to new foods, their tastes will mature.

14

If you need to, she says, you can add items they like into the food’s preparation, such as parmesan cheese to make broccoli more palettable. Kids’ taste buds are not fully developed, she says, so the bitter taste of leafy greens might not taste good yet. Keep exposing kids, though, and eventually their tastes will change.

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CHILDREN

Don’t let asthma triggers foil your child’s fun Article Resource Association

A chronic inflammation of the lung airways that causes difficulty in breathing, asthma affects more than 23 million Americans, including 7 million children. It is the most common chronic illness in childhood, leading to 12.8 million missed school days each year. And most people don’t outgrow asthma – it accounts for 10.1 million lost work days.

“Many people end up in the emergency room because they are unaware they or their children suffer from asthma, or they know they have asthma but don’t have it under control,” says Dr. James Sublett, an allergist and chairman of the American College of Allergy, Asthma and Immunology’s public relations committee. “Asthma can be life-threatening, and although it’s not curable, there are a number of asthma treatment options.”

Suspect you or your child might have asthma? The ACAAI suggests the following tips for breathing easy.

• Get tested, get help – Allergists are specially trained to diagnose and treat asthma.

In fact, research shows that asthma sufferers referred to an allergist experienced 76 percent fewer emergency room visits than those not treated by an asthma specialist. Visit www.AllergyandAsthmaRelief.org to take an asthma relief self-test, read about patients who have their asthma under control and find an allergist near you.

• Get treatment – You can treat asthma in a number of ways, including medication that may be taken daily for long-term control and inhalers that can be used to give quick relief when symptoms flare. Often, allergies trigger asthma. To help keep allergies in check, immunotherapy, also called allergy shots, may help.

• Avoid sniffling, sneezing and wheezing – Kids share lockers, desks – and germs. Viral respiratory infections can be widespread and 16

are the leading cause of severe asthma attacks. If you or your child suffers from asthma, do everything you can to avoid colds and other illnesses, including washing your hands frequently and getting a flu shot.

• Prepare before working up a sweat – Whether during a game of tag at recess, a sprint down the sidelines in a soccer game or a fun run, exercise can trigger asthma symptoms. Be prepared with a quick relief inhaler.

• Look out for new triggers – While in school, chalk dust, moldy carpeting and the class pet hamster all can be triggers for an asthmatic child.

If your child has asthma, talk to babysitters about what symptoms to look for and discuss what to do. Your allergist can help you develop an asthma action plan to share with teachers and coaches to make sure your child is safe.

HEALTH 2011

Metro Services

Childhood can be an exciting time filled with growth and change. For youngsters experiencing vision trouble, childhood can also be a challenging time. While there are many eyesight problems that can occur during childhood, some are more common than others.

It can be difficult for parents and caregivers to diagnose a child’s vision difficulties before the child is able to communicate successfully. Eyesight conditions can hinder children in the classroom. Many common vision problems are easily remedied if caught early on.

• Strabismus: Strabismus is a condition where a person cannot align both eyes properly. This may cause the eyes to cross. According to Strabismus.org, as many as 5 percent of all children have some type or degree of strabismus. Strabismus is not a condition that children will simply outgrow; it requires treatment that can help mitigate symptoms.

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HEALTH 2011

CHILDREN

Remedy vision impairment in children

brain. This can cause double vision.

• Amblyopia: This is the medical term for “lazy eye.” When children have amblyopia, the brain has a defect that prevents it from processing the images from both eyes, as is the norm.

Instead, it prefers images from one eye and essentially “turns off” the other eye. The lazy eye will then fail to offer clear vision. Treatment for lazy eye generally involves putting a patch over the strong eye to force the lazy eye to work.

• Color blindness: Color blindness is more accurately called color vision deficiency. It is rare for a person to be completely blind to any type of color and see only in black and white. Rather, color blindness is often a condition of having difficulty discerning between different shades of colors.

There may be deficiencies in different hues, especially red and green.

• Conjunctivitis: Children are exposed to all different types of germs in a typical school setting. Conjunctivitis, commonly known as pink eye, is an inflammation of the conjunctiva or the clear mucous membrane that covers the eyeball. Conjunctivitis can be contagious and noncontagious depending on the cause. Pink eye caused by an allergic reaction or from irritation by a foreign object in the eye is not contagious, but when it is the result of a virus or bacteria, it can be quite contagious.

• Myopia and Hyperopia: Nearsightedness and farsightedness are conditions where the eyeball is too long or too short for the normal focusing power of the eye. Images in the distance or even those nearby can appear blurred. Corrective lenses can help with the problem and sometimes fix it.

• Astigmatism: This results from an irregular shape in the front surface of the cornea.

This condition can make it difficult to see vertical or horizontal lines clearly or can produce blurred vision.

Children who are experiencing vision problems can have their symptoms alleviated quite easily with a trip to an optometrist.

Prescription eyeglasses are often the first step in having vision trouble corrected.

17

YOUNG ADULTS

Developing a healthy body image in boys

By Dominique Del grosso longmont times-call

From the time a boy is old enough to walk, he is encouraged to act tough and be manly. As he grows older, he is expected to have the physique of a Greek god.

Teenagers face pressures everyday, but getting bombarded with body image specific messages isn’t limited to girls anymore.

Teenage boys face more pressures today than in the past, especially when it comes to their body image.

It’s common for most teenage boys to concern themselves with school, sports, video games, family, friends or personal relationships. However, an increasing focus placed on physical appearance by a variety of factors including the media and peers, for example, is palpable.

Christie Baryames, a licensed professional counselor in Longmont, says that these pressures are more evident for teenage boys than before. “They know what they’re ‘supposed to be,’ but how can you look like an Olympic athlete if you’re still developing?” she says.

Although body image pressures change through passing generations, dissatisfaction with the male body image is more prevalent than ever because of easy media accessibility and peer pressure. And if the teenage years weren’t awkward or difficult enough, school-yard stereotypes still loom. “In the teenage world, it’s all about who’s the coolest and who gets the girl,” Baryames says.

Combating Negative Body Images Body image is defined as the relationship one has with his physical appearance. Generally, there is also overwhelming concern about how others view his body, and this ultimately plays a major role in the healthy or 18

unhealthy construction of his body image, too.

Baryames says that body image is also constructed by media images. “You relate (body image) to video games, magazine images and all media,” she says.

Generally, a boy will begin to experience or take notice of his body and its perceived short-comings early on, but parents can help a teenager construct a positive self-image in a number of ways.

In doing so, it is essential for parents to point out their son’s individual strengths by placing emphasis on his best qualities and attributes. “Talk to them about their strong points. Be with your kids, do things with them and tell them that they’re all right,” Baryames says. “I suggest (parents) talk to them about body image at family dinners on a regular basis. Talk about the media. Help them to be OK with who they are.”

Spending quality time can make all the difference in the perception of his body HEALTH 2011

image too. To lessen negative feelings about body image, parents can watch TV, read magazines and engage in activities together with their teens to encourage constructive, open conversations about the subject.

During these conversations, parents can specifically point out that he is an individual who doesn’t need to fall prey to the gamut of societal pressures; that’s it’s OK to be exactly who he is.

Signs of a Negative Body Image Scott Bergamo, a counselor at Longmont High School, suggests that some of the warning signs regarding physical dissatisfaction or eating disorders teenage boys may exhibit vary. Some of the most common signs include: Changes in mood, eating habits, friends and overall appearance. “Even a change in the type of music they listen to can all be warning signs that a teenager is struggling with relationships and self-image,” he says.

Sometimes these signs, if unnoticed, may morph into severe and often life-threatening clinical disorders. The most common body disorder and eating disorders include: Body Dysmorphic Disorder, Anorexia nervosa or Bulimia nervosa and Binge-eating disorder.

Communication is Key Body image concerns can affect a teenage

boy’s mental health in the long-term. However, no matter the severity of his body perception, feelings that are not addressed may increase the chances that he will suffer from low self-esteem into adulthood.

Low self-esteem can affect his ability to successfully navigate school, sports, the professional arena or personal relationships. To best take-on and overcome his concerns with his body, parents can listen to what he feels, no matter what.

Bergamo advises that embracing a calm, open and honest mentality toward teenagers is essential if parents want to have enhanced discussions where they feel safe to express their feelings. “Kids love to have open and honest discussions with adults, especially when they don’t have to fear repercussions for what they might say,” he says. “Unconditional love and acceptance must be clearly communicated with kids before they will develop the trust to be honest with others.”

While parents can’t control what their son’s peers say or what the media projects, they can take an empathetic step back by remembering the awkwardness, hard and sometimes painful moments of teenage years. Then communicate, listen, spend time and take action if necessary to help him maintain a healthy perspective and future.

Common body image disorders Body Dysmorphic Disorder (BDD) A disorder that centers around a preoccupation with a specific physical flaw that is most commonly not visible to the general public.

People with BDD generally focus on the following features: Nose, hair, skin and muscle size.

BDD impairs day-to-day functioning, which often inhibits the individual to engage in normal social interactions including: school, work, friend, family and personal relationships.

Anorexia nervosa A life threatening disorder that is marked by a preoccupation with one’s weight. An individual may try to control the number on the scale by

HEALTH 2011

starving himself or exercising excessively.

Bulimia nervosa A preoccupation with food, the body or weight. It is a potentially life-threatening eating disorder where individuals binge and purge; forcing himself to vomit between and after meals. Individuals may also misuse laxatives, diuretics or enemas.

Binge-eating Disorder A disorder where an individual will consume an unusually large amount of food; eating numerous helpings. Generally, the occurrences are regular and individuals can be consumed by embarrassment or shame.

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ADULTS

Concussion ABC’s

Signs, symptoms and expert advice for young adults

By dominique del grosso longmont times-call

It’s every athlete’s worst nightmare – an injury, making it impossible to “get back in the game” immediately. Professional athletes to the average athletic young adult run the risk of injury, especially when it comes to concussions.

The Basics A concussion, in the simplest terms, is a type of traumatic brain injury. It is caused by an intense jostling, bump, blow or hit to the head.

Specifically, it’s caused by rotational, torsional and acceleration-deceleration forces, according to Dr. Chris Madden, a physician who specializes in sports medicine with Sports Medicine at Longs Peak Family Practice in Longmont. Because of this, an individual may suffer from dysfunctional neuronal function.

This means that the neurons, or cells that make up the brain, which give people the ability to move, think and process, have been disrupted. This disturbance can change temporarily the way a brain normally functions and sometimes in the long-term.

These are not the only forces that cause a concussion though. In fact, an individual does not have to necessarily hit their head to suffer from a concussion. For example, snow boarders, who generally fall on their backside or onto their hands, may not hit their head at all. But the force of the fall may jostle their brain enough to cause a concussion, according to Dr. Pierre Pavot, a neurologist with the Colorado Institute for Neuromuscular and Neurological Disorders in Longmont.

However, there are sports and activities commonly associated with concussions, HEALTH 2011

such as football, hockey, rugby, boxing, wrestling and sometimes soccer. This is because these are traditional contact sports.

This is not to say that other athletic activities don’t present risks for concussions as well.

It is essential to take precautions no matter the sport. Gavin Attwood, executive director of the Brain Injury Alliance of Colorado rebuffs the theory that helmets and other safety equipment provide a false sense of security. “Helmets do play a protective role and absolutely should be used,” he says.

Whether concussions are on the rise is undeterminable. Even though statistics show that concussion rates are increasing, it may be the number of people reporting the incidents instead.

Ultimately, the rate of occurring concussions may be similar to years past, but the reason many more concussions are reported is thought to stem from better education and awareness of the signs, symptoms and danger concussions present. “(Concussions) may not be increasing in frequency. Instead, what is happening is that they are being reported more frequently,” Pavot says. So, determining what’s really behind the concussion statistics is murky.

Symptoms and Long-Term Effects Specific signs and symptoms of a concus21

sion vary from person to person, but some of the most common signs include: when an individual doesn’t feel quite right, disorientation, inability to focus, a headache or balance problems. “Usually, they’ll present within 20 to 30 minutes later and they’ll start to feel much worse,” Madden says.

As for the long-term effects of concussions on young adults’ health, it’s a gray area.

Ultimately, there is no way to determine what symptoms people will experience in the future, if anything at all. “(Long-term) is the biggest area of concern,” Madden says.

“There are a lot of unknowns, and when does this vulnerability stop? It may persist longer than expected.”

Potential long-term effects can be: unmasked migraine patterns, altered moods, depression, anxiety, dizziness or balance problems Although there is a huge spectrum of long-term symptoms, physicians can predict the general symptoms, but they cannot predict who will suffer from what. “We can’t define a population who is most susceptible,”

22

“First, you need to know the wider spectrum, the story. Don’t sweep the symptoms under the carpet. Seek help. Look out for a change in behavior.”

Gavin Attwood, executive director, Brain Injury Alliance of Colorado

Madden says.

Accident: Now What?

Relaying the series of events to a physician that led up to and after the accident is essential. This will help the practitioner put together a comprehensive story, which will assist them in properly diagnosing and treating the concussion. Also, family and friends can play a vital role in identifying signs of a concussion. “First, you need to know the wider spectrum, the story,” Attwood says. “Don’t sweep the symptoms under the carpet. Seek help. Look out for a change in behavior.”

The best advice for young adults and any post-accident, bump, jostle or fall is simple: Stop. Immediately seek help from a medical practitioner. “Be conservative, life is more important than sports,” Madden says.

HEALTH 2011

By Aliese Willard

Longmont Times-Call

Depression is never news you want to hear, especially coming from your teenage son or daughter.

However, the mental health disorder has affected an increasing number of teens, and must not be taken lightly.

According to a 2010 study by Jean Twenge, a San Diego State University psychology professor, five times as many high school and college students are struggling with mental health issues compared with students their age during the Great Depression era.

Longmont therapist Kristin Keating warns that the numbers may not be completely accurate. She thinks the higher rate is due to increased reporting and awareness of depression, because most therapists agree the mental health of today’s teenagers has gradually deteriorated.

“There’s been an increase in depression all over the place,” says Pattie Dunlap, who works as a psychotherapist in Longmont.

“More and more kids are growing up without a sense of belonging, and families are so

YOUNG ADULT

Teen depression ranks high

split that (teens) are not getting the strong role models and responsibility in the family unit.”

The divorce rate of 40 percent for U.S. couples with children could be an underlying cause, and Dunlap also credits, “the trickle down of parents being depressed and economic problems,” which can put an emotional burden on teens.

Dr. Diana Hill, a psychologist in Longmont, says a rise in teen depression can be attributed to pressure from the “number of unrealistic academic, social and family expectations” teens are expected to fulfill.

Therapists also point to negative cultural and media influences. “‘Sex and the City’ would never have flown 20 years ago,” Dunlap says. “But now it’s accepted. It’s confusing for kids to lose their innocence before they’re ready for it.”

Whatever the reason, experts recommend that parents not dismiss odd behavior or concerns about their children’s mental health. If left untreated, depression can result in substance abuse, eating disorders, self-injury, social withdrawal, reckless be-

havior, and at the worst, suicide.

But teen depression does not always manifest in obvious ways. It can be difficult to identify depression from the see-saw shift in feelings that teens routinely experience.

Hill says the distinction between depression and normal adolescent moodiness lies in the duration of teens’ behavior.

“The difference between depression and ‘just being a moody teen’ is that these symptoms are clustered together and are present most of the day for longer than two weeks,”

Hill writes in an e-mail.

She also cautions that teen depression differs from the adult version, in that “teens tend to be more irritable, sensitive to criticism and have more somatic (body) symptoms like aches and pains.”

There are numerous symptoms to watch for (explained in breakout), but once parents suspect a mental health issue, therapists advise them to find help immediately, oftentimes with a mental health counselor. “(When teens come in) they may be in denial, and they’re angry,” Keating says.

“I think one of the most important things is that they find a therapist they can trust and bond with. Sometimes they just need an outside person.”

To maintain trust with teens, Dunlap’s advice is simple: Be interested, and talk to them.

“Stay open-minded about what kids will tell you. Be prepared. If your child knows you keep the lines of communication open, they will tell you what they’re thinking.”

Depression: Signs and Symptoms There are numerous signs that indicate depression, but be careful not to confuse depression with the hormonal mood swings that characterize adolescence.

Dr. Diana Hill advises parents to seek help for depression if their teens’ symptoms “are clustered together and are present most of the day for longer than two weeks.”

The following are signs of depression: • Social withdrawal, or lack of interest in activities • Drastic changes in eating habits, sleep or 24

dress • Depressed mood or feelings of worthlessness and guilt • Irritability • Low energy or fatigue • Negative performance in school • Lack of positive response – not laughing • Uncharacteristic behavior, such as increased lying Information obtained from therapists Patti Dunlap, Kristin Keating and psychologist Dr. Diana Hill.

HEALTH 2011

Depression Deterrents Local experts have plenty of advice about improving the family environment.

“Parents need to be involved in their kids’ lives, but not overbearing,” says Patti Dunlap, a counselor in Longmont. “But often times, parents are too stinking busy.”

Dunlap also recommends that parents be open with each other as to how they’re raising their children, especially in split and divorced families. She says consequences and affirmation for behavior need to be consistent in both parents’ houses, which gives stability to teens.

Kristin Keating, a counselor who specializes in trauma, thinks communal family meals are a key component in nurturing teens. “I read an article about a study on (the success of) Rhodes scholars. The study asked ‘what are the common ingredients in family life?’

“A vast preponderance of the Rhodes scholars sat down as a family to meals. Having that ritual of eating together – parents don’t realize how important that is,” Keating says. “If a family places that as a priority, it can be done. Parents can ask questions to their children, and ask

them how they are. Parents are (also) modeling behavior for their kids.”

Keating says the growth experienced in the teen years is as medically important as that which occurs in childhood.

“They need you more than ever, in those transitional years,” Keating says. “They call adolescence the second ‘toddlerhood.’ It’s a very important developmental stage.”

Most important of all, parents need to be in constant communication with their children.

But be careful not to overwhelm them if you think there’s a problem.

“If a parent thinks their teen is depressed, the first thing they should do is talk to their teen about the specific behaviors and symptoms that they have noticed,” says Dr. Diana Hill, a practicing psychologist in Longmont. “Parents should try and hold off from bombarding their teen with questions, but rather offer support, listen and validate their feelings, as opposed to trying to change them.”

– Aliese Willard

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HEALTH 2011

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ADULTS

New procedure helps bring relief for chronic sinusitis

By Kristi Ritter

Longmont Times-Call

With more than 37 million Americans affected by chronic sinusitis annually, Dr. Raj TerKonda from the Longmont Clinic says it’s one of the most common chronic health problems in the country today.

This chronic sinus inflammation causes people to suffer from sinus infections, headaches, facial pressure, nasal congestion and drainage, dental pain and fatigue.

TerKonda says these sinus problems typically come from an obstruction in the drainage or chronic inflammation due to allergies.

People who are more prone to the chronic sinusitis are those who have had chronic allergies, cystic fibrosis, immune deficiencies and auto immune diseases.

In the clinic’s spring issue of the Pulse newsletter, TerKonda notes that sinusitis patients previously had two options for treatments: the first being traditional antibiotics and topical nasal steroids, or sinus surgery known as Functional Endoscopic Sinus Surgery. The surgery requires anesthesia for the patient while bone and tissue are removed from the sinus passageways to allow for drainage. Patients would typically be out of work for a week recovering, he says.

That’s no longer the case with an advanced procedure called Balloon Sinuplasty that has given TerKonda great results in

Courtesy Acclarent 26

opening sinus passageways in a noninvasive procedure.

“This new procedure has really revolutionized the opening up of the forehead sinuses,” he says. “I’ve been doing this procedure for years in the operating room with great success, and now I can do it as an office procedure.”

Longmont Clinic and TerKonda became the first office in Colorado to be certified and approved to be able to provide this in-office procedure in January.

Balloon Sinuplasty uses a small catheter and balloon to open and expand the blocked sinuses by moving bone and tissue to open the passageway. The catheter end is equipped with a lighted wire that makes this procedure doable in the office. Placed through the nostril into the blocked sinus, once in place the balloon is “then inflated to gently restructure and open the sinus passageway, restoring normal sinus function,” TerKonda notes in the newsletter.

The in-office procedure makes this technology available without the risks and recovery of anesthesia, allowing for a shorter recovery. It’s also less expensive, saving patients and insurance companies thousands of dollars.

“This procedure has been studied more than any other sinus treatment with good results and better studies,” TerKonda says.

“These studies have shown better than 90 percent effective in keeping the sinuses open.”

The procedure is short and typically complete in less than two hours, and patients may be able to return to work the next day – much shorter than the traditional surgery requiring a weeklong recovery.

TerKonda says Balloon Sinuplasty is ideal for patients who have not received relief from sinus symptoms through other methods, or are ineligible for traditional sinus surgery.

HEALTH 2011

By Summer Stair

Longmont Times-Call

One in four women suffer from heavy periods, caused by abnormal uterine bleeding.

While the effects of AUB can be physically draining, it can also take a toll on a person mentally, emotionally and socially as it can interfere with daily life.

Often referred to as menorrhagia, a medical term for menstrual periods that are too heavy, too frequent or last too long, heavy periods can be bothersome if not down right draining. While there are several options available from hormone therapy to a Mirena IUD with progesterone in it, many women fear having to go through an invasive surgery such as a hysterectomy. Recent breakthroughs have made it possible for women to find relief through in-office procedures that can eliminate or lessen a woman’s AUB.

HEALTH 2011

ADULTS

Take control and eliminate abnormal uterine bleeding

Dr. Heather M. Keene, of Full Circle Health Associates in Longmont, offers patients these less invasive options, which include Her Option and NovaSure.

Both procedures are done directly in the office and therefore are often a cheaper option, Keene says. Depending on the procedure, each one is done differently. Her Option is a cryoablation technique which uses freezing temperatures to destroy the tissue lining of the uterus, which sheds during your period causing bleeding. NovaSure is an endometrial ablation that removes the uterine lining by using electric energy, or as Keene says, “it in theory burns off the lining.”

So how do you know if you have AUB? Keene says once a woman has been treated with other options that have not worked or is soaking at least one pad or tampon every hour during their period, heavy periods that last for more than seven days, clot formation, and paleness or fatigue due to anemia, are all good candidates for the procedure.

Depending on which option is chosen by your doctor, there are risk factors involved.

These include poking a hole in the uterus or infection. Keene says while these risks are rare, patients should be aware of them.

Both procedures performed by Keene take less than an hour, and after three months the patient will know if the procedure worked.

According to Keene, 50 percent of women have no bleeding, 35 percent have decreased bleeding and 15 percent go on to require a hysterectomy.

Keene also cautions that while the procedures can eliminate or decrease periods, they are not a form of birth control. Patients who get NovaSure or Her Option need to consider some form of permanent birth control, because once the procedure is done an accidental pregnancy would be dangerous.

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ADULTS

Paul Litman

A healthy way to cleanse

By Laurel Toney

Longmont Times-Call

With claims for fast weight loss and detoxifying the body in order to be healthier, cleanses have become popular for various purposes. Cleanses come in endless varieties, but before drinking lemonade for two weeks straight, there are some issues healthconscious people should consider.

Franziska Bishop, M.S., in Longmont, says the first thing to consider is there are different reasons for fasting, cleansing or detoxing, one of which is for religious purposes.

If a fast or cleanse is being considered for health reasons, Bishop says that starving the body of nutrients doesn’t make sense if you’re trying to promote overall health.

“You can feed your body with things that help with digestion and overall wellness,” she says. The body and its organs are designed to cleanse minute-by-minute, and limiting calories and nutrients does not aid this process, she says. Instead, eating cleanly and healthfully can promote the body’s natural detoxification system and help people feel better.

Jane Reagan, a registered dietitian with Essential Nutrition in Boulder, says the reason to do a cleanse is to remove toxins from the 28

body, whether that’s to lose weight or decrease the toxin load in the body, but agrees with Bishop. “Some cleanses are health-promoting, and others are dangerous.”

Cleanses can range from the widely-publicized “Master Cleanse” to raw food diets and juice fasting. One good thing that a cleanse might offer, Reagan says, is that it gives an individual the opportunity to carefully examine their diet and pay attention to everything they’re eating. The process causes a person to look at both their emotional and physical health and their relationship with food, she says.

Safe cleanses can lead to feeling better, Reagan says, with effects such as an increased immune system and more energy.

Both Bishop and Reagan say there’s little evidence that detoxing diets work to decrease the toxins in the body, but they can have benefits, though both say they’re not intended for the long-term.

Bishop suggests those who are thinking about a cleanse focus on foods that are easily digested, such as fruits and vegetables, for a short time. “Take a week or two, a month or just two days to focus on what you’re putting in your body,” she says, “whether you call it cleansing or clean living.” Bishop says HEALTH 2011

“Take a week or two, a month or just two days to focus on what you’re putting in your body, whether you call it cleansing or clean living.�

during this time, focusing on eating “close to nature� is key, so avoid things that come from boxes, bottles or bags.

Reagan says vegetables, fruits and enzymes help the body detoxify naturally, so upping the intake of these beneficial foods and minimizing non-nutritious foods can give the body a break. “A lot of our foods have a great deal of toxins and chemicals in them,� so cleaning up one’s diet is a good idea. “You don’t need to fast to do this,� she says.

Those who fast for weight-loss or to promote health may be doing more harm than good. Fasting means that muscle will break down, Bishop says, and weight lost is likely water weight that will come back once the cleanse is over. Consuming too few calories could also lead to losing weight too quickly and depleting healthy muscle, says Reagan, and people don’t learn how to make better choices through the process.

Fasting-type cleanses can also lead to fatigue, headache, nausea as well as nutrient deficiencies in the long-term, Reagan says.

– Franziska Bishop, M.S.

Good cleanses include good food, Reagan says. Colorful fruits and vegetables like broccoli, cauliflower, kale and Brussels sprouts have nutrients that support liver detoxification. Also include lean protein, as well as raw nuts and seeds while eliminating refined sugars and caffeine.

Bishop agrees that simplifying one’s diet for a temporary period is ideal, and recommends reducing salt intake, consuming a lot of water and developing an awareness of how certain foods make you feel. Powerful nutrition and antioxidants can recharge organs and improve overall health, and Bishop says if options are limited but more nutrients are consumed, individuals will automatically consume less food, helping with a weightloss goal without dangerous side effects.

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ADULTS

Keeping a healthy prostate

By Esteban L. Hernandez Longmont Times-Call

Dr. Sean Manion, a urologist working for Longmont Clinic, says that many issues regarding medicine are anything but straightforward. One thing that is straightforward however, is that as people age, their health slowly deteriorates. For men, one issue in particular should be a focus as their age progresses: their prostates.

“Prostate health is very important to all men,” Manion says. “The prostate is prone to many problems, such as benign enlargement (BPH), cancer development, infection and inflammation.”

Prostate cancer is especially important for men to be aware of. Manion’s colleague and fellow urologist Dr. Troy Malcom says prostate cancer is the most common cancer in men and second leading cause of death in men. Malcom says two issues typically affect men as they age: voiding and urination difficulties, and prostate cancer. However, Malcom says that the two issues are not necessarily related. He further explains that voiding issues are usually connected with non-cancerous prostate growth, while prostate cancer usually has no symptoms.

Knowing When to Get a Prostate Exam Manion says virtually all men will experience some sort of prostate problems, minor or significant, at some point in their lives.

30

He also explains what the prostate is, offering details about its functions. “The prostate is a gland situated at the base of the bladder,” he says. “It’s purpose is to produce fluid to keep sperm alive for conception.”

Malcom cites the American Urologic Association’s current guidelines for men to receive their first prostate exam, which suggest a baseline of age 40 for all men. Like Malcom, Manion recommends that men with a family history of prostate cancer should begin screening with a physical exam and a prostate specific antigen (PSA) blood test at around age 45. “Others can wait until age 50,” Manion says. “Family history means a father, paternal uncle or brother with prostate cancer.”

There are steps a man can take to keep his prostate healthy, but as Manion points out, there is no way to specifically focus health on the prostate. “What we have learned is that common general healthy activities promote prostate health just as they promote general health. These are activities such as healthy foods, minimize red meats, regular exercise, good sleep patterns.” Manion suggests running as another beneficial activity for men, but he does not necessarily imply building an extensive running regime. “It’s important that men understand that if they are not particularly physically active or eating healthy, taking small steps to improve themselves is OK. They don’t need to run a marathon, just walking 1 to 2 miles a day is a great way to start.”

While keeping a prostate healthy requires a healthy diet and exercising, preventing prostate cancer is a different story. “Unfortunately, at this time, there is no diet, exercise or pill that can prevent prostate cancer,” Malcom says.

Early detection, like most cancers, is key.

This is helping keep survival rates for prostate cancer excellent for men, Manion says. “Of course every case is different, and very aggressive cancers with no hope of cure occur. It’s impossible to make any specific statement, but the key to successful manageHEALTH 2011

ment of prostate cancer as with all cancers is early detection.”

Talking to a Doctor About Your Prostate Talking to a doctor about a prostate may present a potentially uncomfortable situation for a man, but as Malcom says, there is a simple solution. “Simply ask,” he says.

“Urologists, like myself, are usually happy to see men to discuss their individual situation and risk in detail.”

Manion agrees, but he understands how some patients can be reluctant to speak about such issues due to embarrassment. But again, like Malcom, Manion suggests patients be open and frank. “It’s very important to understand that patients need never be embarrassed about this or any medical issue.

As much as the patient may feel their symptoms or questions are perhaps unusual, I can guarantee the physician has discussed the same problems with other patients on numerous occasions.”

Manion says people often take their health for granted, until something goes wrong. For men, this can be especially true when the discussion turns to their prostates.

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ADULTS

Talking with your doctor is key to successful migraine management Article Resource Association

Americans are all too familiar with the headaches caused by daily life, but nearly 30 million Americans experience more than “just a bad headache.”

Migraines are different from the everyday headache and are characterized by throbbing head pain, usually located on one side of the head, often accompanied by nausea or vomiting and sensitivity to light or sound.

Typically, migraine sufferers work with a doctor to treat their condition, and discussions during these office visits play an important role in developing a patient’s migraine management plan. Findings from a new national survey released by the National Headache Foundation and GlaxoSmithKline suggest that migraine patients could be doing more to make the most out of their medical visits.

The survey of 1,218 migraine patients and 533 doctors found that patients saw their doctor an average of six times in the past year, but 70 percent of these visits were related to other health conditions. Despite this, nearly two-thirds (63 percent) of patients reported migraines were discussed during vis-

“The survey results show patients and doctors are having important conversations about migraine management; however, these conversations are not always robust or the primary purpose of a patient’s visit, making discussion points unclear,” says Robert Dalton, executive director of the National Headache Foundation.

Here are some steps patients can take to help have better conversations with their doctor about migraines.

• Prepare for a conversation with your doctor so you get everything out of it that you want. Keep a migraine diary. Be organized, specific, direct and ready to talk details. Be prepared to provide information on your migraine history and general medical history. Track your attacks and how you treat them. Note the date, length of each migraine, severity, symptoms, triggers and impact on your life. Track medication taken, when, for how long and how effective it was in relieving pain and symptoms.

According to the survey, almost all doctors (96 percent) agreed that tools such as a migraine diary, medication usage tracker, pain severity scale or symptoms checklist would

help them have more meaningful conversations with their patients about migraines.

• Visit a physician specifically about your migraines. Call the National Headache Foundation for a state-by-state list of member physicians or visit www.headaches.org.

• If you are taking medication to treat your migraine attacks and are still experiencing migraine pain, you owe it to yourself to let your doctor know. Sometimes solving the problem starts with asking the right questions: Do you want more relief from your migraine medicine?

Do you ever take more than one medicine to treat a single migraine attack? Do you ever need more than one dose of your prescription migraine medicine to treat a single migraine attack? If you answered yes to any of these questions, tell your doctor.

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its where migraine was not the primary reason for the visit.

HEALTH 2011

ADULTS Left: Eye irritation (ocular rosacea) includes watery or bloodshot appearance, irritation, burning or stinging. Right: Facial redness (erythematotelangiectatic rosacea). Flushing and persistent redness with visible blood vessels. (Courtesy National Rosacea Society)

Rosacea skin disorder more cosmetic than painful

By Kristi Ritter

Longmont Times-Call

Often misunderstood, rosacea is a facial skin disorder that affects more than 16 million Americans, with additional masses undiagnosed. This chronic disorder is defined by its red-faced, acne-like appearance that causes not only discomfort to a person’s reflection, but decreases personal confidence resulting in a lack of desire to attend social and professional engagements.

Dr. John Fueston, board certified dermatologist at Twin Peaks Dermatology in Longmont, says rosacea manifests in different forms and symptoms for each person. Often it starts with a background redness to the face that can sometimes be brought on in people who flush easily or get red from eating certain foods.

“As time goes on, small blood vessels develop on the face, which contributes to the background redness,” he says. “People then will often get red bumps similar to acne bumps.”

In some cases, rosacea may also occur on the neck, chest, scalp or ears. Some patients will also have irritated eyes that appear watery or bloodshot. If severe eye problems persist, Fueston says it can lead to cornea problems. While these are some of the typiHEALTH 2011

cal symptoms of rosacea, Fueston says rare forms can cause an enlargement of the nose from swollen and bumpy excess tissue. This condition is called rhinophyma and is more common in men.

Fueston says rosacea is more common in people with fair skin, those who blush easily and in women, and typically starts between the ages of 40 to 50. Rosacea can also be somewhat genetic, he says.

“Rosacea is not infectious or contagious, and is not a sign of any internal problems,” Fueston says. “So don’t blame yourself if you get it.”

Rosacea is typically not a painful disorder and is more cosmetic than anything according to Fueston, who adds that treatment varies for each patient depending on their exact symptoms.

According to the National Rosacea Society website at www.rosacea.org, patients can control bumps, pimples and redness associated with rosacea with oral and topical cremes and medications that can provide some immediate control. Beyond that, longterm use of a topical therapy can maintain remission.

Fueston says laser treatment can be used to remove small blood vessels or background redness, and in the extreme cases with nose en33

In papulopustular rosacea, patients have persistent facial redness with bumps or pimples. (Courtesy National Rosacea Society)

largement, plastic surgery may be an option.

Proper skin care will be vital to people who have rosacea, so patients should check with their physician or dermatologist to find a routine that works best with their skin, according to the National Rosacea Society website. It will also be important to use a sunscreen with an SPF of 15 or higher to protect skin from sun exposure. Cosmetics may also help camouflage the symptoms of rosacea and should be used with the guidance of a physician or dermatology.

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HEALTH 2011

By Summer Stair

BOOMERS

Treat varicose veins early Longmont Times-Call

With 60 percent of women and 40 percent of men suffering from some form of vein problem, it is no surprise that 15 to 25 percent of adults will be affected by varicose veins.

Dr. Horaico Gutierrez, board certified radiologist with Essential Vein Care at Twin Peaks Medical Imaging in Longmont, says venous disease, especially varicose veins, is largely under diagnosed. This is because patients and clinicians often fail to recognize that daily symptoms, such as leg swelling and discomfort patients experience, are associated with the enlarged malfunctioning veins in their legs. Patients often seek help for cosmetic reasons but are surprised to discover how well they feel following treatment of their venous problems.

Varicose veins, which are gnarled, bulging veins in the legs, occur when veins are not

Dr. Horacio Gutierrez injects a patient during a venous sclerotherapy session.

(Paul Litman/Times-Call) HEALTH 2011

Dr. Horacio Gutierrez, of Essential Vein Care at Twin Peaks Medical Imaging, injects a patient during a venous sclerotherapy session. (Paul Litman/Times-Call)

properly returning blood from the lower leg to the heart. When venous valves that are in charge of preventing backflow of blood to the foot become faulty, blood begins leaking down the leg in the wrong direction causing pressure to build up. This results in twisted malfunctioning veins. Once this starts happening within the leg more varicose veins will start forming, say Gutierrez and Dr. Richard Levine, medical director at Mountain View Dermatology, Cosmetic Surgery and Vein Center in Boulder.

Common symptoms experienced with varicose veins include swelling of the legs and ankles, aching, heaviness and fatigue in the legs, cramping and throbbing with some cases leading to restless leg syndrome, and hyper pigmentation or a brownish coloring of the skin. If left untreated symptoms can progress and lead to ulcerations that can be hard to treat.

While varicose veins most commonly begin to develop between the ages of 30 and 50, it can occur earlier. Risk factors that make a person more prone to varicose veins include family history, pregnancy, age and gender. Gutierrez notes that while not as common other risk factors include increased weight, wearing of tight garments and occupational risks, such as sitting or standing for long periods of time.

Before seeking out help there are things that can be done at home to help minimize 35

varicose vein symptoms such as wearing compressions stockings, elevating legs at the end of the day and exercise to promote healthy blood flow in the body. It is important to note that once these symptomatic measures are no longer working a doctor should be consulted. “Overtime it only gets worse, so it is worth looking in to,” Levine says. “The longer you have it, the more surface veins there are that have to be addressed.”

While the procedure for getting rid of varicose veins used to require a general anesthesia in a hospital with several weeks of recovery, it is now a simple, in-office procedure that takes about 45 minutes with an effectiveness rate of 98 percent. This procedure is called endovenous laser therapy or EVLT. It works by delivering laser energy through a small puncture in the leg to close the diseased vein. Once the diseased vein is treated the other veins can go back to normal size. “It’s simple once you have gotten rid of the bad vein the blood is now being diverted to healthy veins,” Gutierrez says.

Results from the procedure can almost be

Veins are injected during a sclerotherapy session.

(Paul Litman/Times-Call)

seen immediately with the complete effect known after six weeks, Gutierrez says. Veins that have not returned to normal can then be removed in the office using phlebectomy (venous removal through tiny incisions) or treated with sclerotherapy, which involves a simple injection into affected veins.

Both Gutierrez and Levine urge those experiencing these symptoms to not wait, if it is not varicose veins it could be another vein problem. The longer a person waits, the harder the problem is to treat.

Health Health 201 1

View this book online at www.TimesCall.com

The Health book presents medical and allied health professionals in all specialties with pictures, brief profiless and advertising.

The book includes content focusing on various areas of health, including prevention, treatment and tips on finding an effective professional.

36

HEALTH 2011

BOOMERS From left; Blanca Arevalo, Josefina Denton and Maria Alejandre get ready to rehearse the next song with other members of the baile folklòrico at the Longmont Senior Center. (Paul Litman/ Times-Call)

Staying active, de-stressing through dance for elderly people

By Esteban L. Hernandez Longmont Times-Call

The sounds of a Latin rhythm and a sharp accordion fill the walls inside the Longmont Senior Center’s gym. Here, the court is turned into a stage for nine women who begin to dance across the hardwood, gripping long dresses with their hands.

“Left,” shouts Myriam Port as she directs the ladies during a rehearsal. “Right. Now forward.”

Port is not a director, but rather, as part of the group of senior women who dance baile folklorico at the Senior Center, she simply serves as a leader. After all, she considers all of the group members close friends.

The group is a staple on the elderly home performers circuit, and also travel to nearby towns like Boulder, Lafayette, Louisville and Erie.

“We dance so we don’t have to stay home,” Port jokes. “We are exercising. We are all very good friends. This is a tight group. We know each other’s lives.

For seniors, keeping an active lifestyle HEALTH 2011

may seem like the ideal lifestyle choice to help support physical health. It’s finding the right activity to keep themselves active that may seem a bit more difficult to discover.

As Port and her group of fellow dancers discovers, dancing serves a treble of purposes: for one, it helps the women stay healthy through exercise; two, it helps relieve stress; and three, it forms, as this close band of women exemplifies, relationships that develop into friendships.

The 14 women, not all of which were present during the afternoon rehearsal, represent several different nationalities including Colombia, Mexico, El Salvador, Honduras, United States and Vietnam. The group rehearses on Mondays and Fridays from 3 to 5 p.m., but Port says that when they are scheduled to perform, they usually rehearse nearly every day.

Maria Alejandri, who serves as the group dressmaker, says her troupe of dancers share a special principle.

“We have a creed: The heart never ages, it’s the body that wrinkles,” she says.

For Maria, the group allows her a chance 37

Ladies from the baile folklòrico group rehearse at the Longmont Senior Center. The group performs anywhere they are invited. (Paul Litman/Times-Call)

to relieve some stress from her dressmaking.

“Dressmaking is something tedious, annoying, involving a lot of work,” she says.

At the Vistas, a senior living campus in Longmont, a similar story on the value of dance for senior citizen’s health is unfolding.

Donna Stang, activities director at the Vistas, spoke about Maxine Baker, who at 95 years, has yet to lose a step in her dancing.

“She has danced her entire life, and she continues to dance,” Stang says. “We have entertainment once a week, and she dances every time. She has said that it keeps her young.” Baker’s enthusiasm is perhaps influenced by a routine she kept with her husband, as Stang says Baker would dance every Friday night with her husband.”

Other benefits follow suit for Baker. “She says when she is dancing, she is always happy because it brings back wonderful memories for her. Stang says that Baker has vowed to never simply sit while music is played, saying that Baker told Stang that her dancing keeps Baker limber and even keeps arthritis at bay.

“Music is the universal language of all people,” Stang says “If you could watch the faces of our seniors when singing is taking 38

Josefina Denton rehearses with other members of the baile folklòrico. (Paul Litman/Times-Call)

place, they are smiling, they are happy, they are tapping their feet. It is absolutely wonderful.”

HEALTH 2011

Audiology and Hearing Aids

Gina Muhlberg Front Range Otolaryngology 1551 Professional Lane Suite 280 Longmont, CO 80501 720-494-9111 www.frontrangeent@ yahoo.com frontrangotolaryngology@ yahoo.com

Jamie Gilgren, Au.D. Hearing Rehab Center 2350 17th Ave. Suite 102 Longmont, CO 80503 303-485-9720 www.hearingrehabcenter.com jamie@hearingrehabcenter.com

Practices or Hospital Affiliation: Front Range Otolaryngology Education, Training & Certification: Master of arts in audiology, certificate of clinical competence in audiology Number of Years in Practice: 31 Professional Affiliations: American Speech and Hearing Association; American Academy of Audiology Professional and Community Service Activities: Coal Creek Rotary

Specialties: Hearing evaluations, hearing aid evaluations, hearing aid repairs, Bluetooth technology, hearing protection, swim plugs and sleep plugs.

Education, Training & Certification: Doctor of audiology from Pennsylvania College of Optometry, board certified by the American Board of Audiology.

Number of Years in Practice: Nine Professional Affiliations: American Board of Audiology Professional and Community Service Activities: Volunteer for Colorado F.E.A.T. and volunteer for U.S. Forest Service Health Plans Accepted: Most health insurances accepted, except Medicaid

Audiology and Hearing Healthcare

Chiropractic

D’Anne Rudden, Au.D., CCC-A 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: 17 Professional Affiliations: Colorado Academy of Audiology, American Academy of Audiology, American Board of Audiology, American-SpeechLanguage-Hearing Association Professional and Community Service Activities: Executive Board Colorado Academy of Audiology Health Plans Accepted: Medicare and all major insurance plans accepted HEALTH 2011

PROFILES

Audiology

Michael Larimore, D.C., C.C.S.T. Larimore Chiropractic and Massage 1225 Ken Pratt Blvd., Suite 222, Longmont, CO 80501 303-772-3100 www.larimorechiropractic.com drmike@larimorechiropractic.com Practices or Hospital 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: 20 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: Most insurance accepted.

Call for verification.

39

PROFILES

Dermatology

Dermatology/Mohs Micrographic Surgery

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

Dermatology Center of The Rockies 1551 Professional Lane Suite 135, Longmont CO 80501 303-532-2810

www.dermatologyoftherockies.com fax@dermatologyoftherockies.com

Practices or Hospital 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: Seven 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

Practices or Hospital Affiliation: Longmont United Hospital, Mckee Medical Center, Estes Park Medical Center Specialties: Mohs Micrographic Surgery Education, Training & Certification: Doctor of Osteopathic Medicine from Chicago College of Osteopathic Medicine Midwestern University; Intern at Sun Coast Hospital, Largo, Fla., Rotating; Residency of Dermatology at Largo Medical Center, Fla.,; fellowship at Mohs Micrographic and Reconstructive Surgery at Center for Surgical Dermatology; Director Ronald Siegle Md., Westerville, Ohio; Board Certified Number of Years in Practice: One Professional Affiliations: AAD, ASDS, ACMS Professional and Community Service Activities: 9News Health Fairs and skin cancer screenings Health Plans Accepted: All major health plans

Dentistry

Dentistry

Thomas P.S. Drake Jr., D.D.S. Smile Designers Family Dentistry 1246 N. Main St. 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: 21 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 See our ad on page 34

40

Aaron M. Bruce, DO

Adrienne M. Hedrick, 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: Five Professional Affiliations: Colorado Dental Association, American Dental Association, BoulderBroomfield 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

HEALTH 2011

General & Specialty Surgery

Steve Sampson, D.M.D. Smile Designers Family Dentistry 1246 N. Main St. Longmont, CO 80501 303-678-7800 www.smiledesignersteam.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: Eight 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 See our ad on page 34

Medical & Cosmetic Dermatology

Kristin M. Baird, MD Dermatology Center of The Rockies 1551 Professional Lane Suite 135, Longmont CO 80501 303-532-2810

www.dermatologyoftherockies.com fax@dermatologyoftherockies.com

Practices or Hospital Affiliation: Longmont United Hospital, Mckee Medical Center, Estes Park Medical Center, University of Colorado at Denver and Health Science Center Specialties: Minimally invasive cosmetic procedures including tissue fillers, wrinkle treatments and corrective lasers for photo damaged and aging skin.

Education, Training & Certification: MD from Virginia Commonwealth University/Medical College of Virginia; Intern at VCU/MCV, Internal Medicine; Resident/Chief Resident at VCU/MCV, Dermatology; Board Certified Number of Years in Practice: Nine Professional Affiliations: AAD, ASDS Professional and Community Service Activities: 9News Health Fair and skin cancer screenings.

Health Plans Accepted: All major health plans HEALTH 2011

Charles G. Jones, M.D., F.A.C.S. 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 Practices 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 at Boulder Number of Years in Practice: 31 Professional Affiliations: Fellow American College of Surgeons, Diplomat American Board of Surgery, Colorado Medical Society, Boulder County Medical Society, BVIPA, Denver Academy of Surgeons Professional and Community Service Activities: Medical missions to Mexico, Africa and Nepal, Health Care Hero Award, Clinica Family Health Service Award, Boulder Rotary, Everest expeditions

PROFILES

Dentistry

Low Vision Program

Seniors With Low Vision Program Center for People With Disabilities 10351 Grant Street Suite 1 Thornton, CO 80229 303-790-1390 cpwd.org Beth@cpwd.org Practices or Hospital Affiliation: Serves Boulder, Broomfield, Adams, Arapahoe and Jefferson counties Specialties: Assistance with adaptation to blindness and low vision for people ages 55 and older.

Education, Training & Certification: Education, experience and a personal understanding bring a unique approach to services.

Number of Years in Practice: The Center For People With Disabilities has been serving individuals since 1977. The OIB program has been established for more than 20 years.

Professional Affiliations: Center for Independent Living Professional and Community Service Activities: Low vision peer support groups, home visits, annual forum, networking, information and referrals, staff training for other agencies.

Health Plans Accepted: Services free of charge 41

PROFILES

Ophthalmology

Peter Andrews, M.D.

William L. Benedict, M.D.

Eye Care Center of Northern Colorado - Longmont, Lafayette & Greeley 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center, Exempla Good Samaritan Specialties: Board certified and fellowship-trained cornea, external disease and refractive surgery specialist. Lasik, ICL’s (Implantable Collamer Lenses) and Intacs.

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: Seven Professional Affiliations: American Medical Association, American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery; International Society of Refractive Surgeons

Eye Care Center of Northern Colorado - Longmont, Lafayette & Greeley 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Practices or Hospital Affiliation: Longmont United Hospital 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: 18 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.

Ophthalmology

Ophthalmology

Dale Johnson, M.D. Front Range Eye Physicians 1319 Vivian St. Longmont, CO 80501 303-772-3611 www.FrontRangeEye Physicians.com frontrangeeye@comcast.net 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: 34 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

42

Ophthalmology

Mohammad Karbassi, M.D. Front Range Eye Physicians 1319 Vivian St. Longmont, CO 80501 303-772-3611 www.FrontRangeEye Physicians.com frontrangeeye@comcast.net Practice or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center, Avista Adventist Hospital 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, board certified by American Board of Ophthalmology Number of Years in Practice: 14 Professional Affiliations: American Academy of Ophthalmology, American Board of Ophthalmology; American Society of Cataracts and Refractive Surgery; Colorado Medical Society.

Health Plans Accepted: Most insurance plans HEALTH 2011

Joel S. Meyers, M.D.

Ophthalmology

Irene Olijynk, M.D.

Eye Care Center of Northern Colorado Longmont & Lafayette 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Board certified, fellowship-trained ophthalmologist. Specializes in oculoplastics, cataract surgery and cosmetic plastic and reconstructive surgery.

Education, Training & Certification: Bachelor of arts in biology University of Colorado at Denver, doctor of medicine 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: 19 Professional Affiliations: American Academy of Ophthalmology, American Medical Association, Colorado Society of Eye Physicians and Surgeons

Eye Care Center of Northern Colorado 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net 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: 31 Professional Affiliations: American Academy of Ophthalmology, Colorado Medical Society, Colorado Society of Eye Physicians and Surgeons

Ophthalmology

Ophthalmology

Terry Robinson, M.D. 500 Coffman St. Suite 500 Longmont, CO 80501 303-776-3937 mdmyeye@comcast.net

Practices or Hospital Affiliation: Longmont United Hospital and sole practice Specialties: Cataracts, glaucoma, retinal disease: macular degeneration and diabetic eye treatment Education, Training & Certification: Bachelors of medicine from the University of Nebraska-Lincoln, medical degree from University of Nebraska Medical School, honors rotation in Ophthalmic Pathology Wilmer Eye Institute at John Hopkins Medical School, ophthalmology categorical internship USC Doheney Eye Center, residency at University of Nebraska Medical Center Number of Years in Practice: 28 Professional Affiliations: Fellow American Academy of Ophthalmology, Boulder and Colorado Medical societies, Colorado Society of Eye Physicians and Surgeons Professional and Community Service Activities: Educational seminars and local health fairs HEALTH 2011

PROFILES

Ophthalmology

Micah Rothstein, M.D. Eye Care Center of Northern Colorado - Longmont, Lafayette & Greeley 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Board certified, fellowship-trained specialist in glaucoma. Specializes in the management and treatment of glaucoma and also performs 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: Eight Professional Affiliations: American Board of Ophthalmology, Association of Cataract and Refractive Surgeons, American Academy of Ophthalmology, American Glaucoma Society 43

PROFILES

Ophthalmology

Elisha Tilton, M.D.

Sara Heffler, O.D.

Eye Care Center of Northern Colorado - Longmont, Lafayette & Greeley 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Specialties: Board certified, fellowship-trained ophthalmologist and retinal specialist. Specializes in the surgical and medical treatment of vitreoretinal disorders and complications of cataract surgery and ocular trauma.

Education, Training & Certification: Bachelor of science degree in animal physiology and neuroscience from the University of California-San Diego, doctor of medicine from the University of Vermont, vitreoretinal fellowship training at the Lahey Clinic in Boston Professional Affiliations: American Academy of Ophthalmology, Association of Research in Vision and Ophthalmology Professional and Community Service Activities: Provides educational seminars to the community

Front Range Eye Physicians 1319 Vivian St. Longmont, CO 80501 303-772-3611 www.FrontRangeEye Physicians.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, bachelor of health sciences from Chadron State College Number of Years in Practice: 16 Professional Affiliations: American Optometric Society Health Plans Accepted: Vision Service Provider, Medicare, Pacificare, Blue Cross Blue Shield, Secure Horizons, CIGNA, Aetna, TriCare and most other major insurance plans

Optometry

Otolaryngology

Robert Krone, O.D. Eye Care Center of Northern Colorado Longmont & Lafayette 300 Exempla Circle, Suite 120, Lafayette, CO 80026 303-772-3300 www.eyecaresite.com info@eccnc.net Specialties: Comprehensive eye care, including family eye care exams for glasses and contacts; specialty medical contact lens fitting.

Education, Training & Certification: Bachelor of biology from Northern Illinois University, doctor of optometry from Illinois College of Optometry Number of Years in Practice: 23 Professional Affiliations: Colorado Optometric Association Professional and Community Service Activities: Provides educational seminars to the community

44

Optometry

Kevin Cavanaugh Front Range Otolaryngology and Facial Plastic Surgery 1551 Professional Lane, Suite 280, Longmont, CO 80504 300 Exempla Circle Suite 200, Louisville, CO 80026 720-494-9111 FrontRangeENT@yahoo.com Practices or Hospital Affiliation: Longmont United Hospital, Avista Hospital, Exempla Good Samaritan Hospital, and Estes Park Medical Center Specialties: Otolaryngology Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, Disease of the Ear, Nose and Throat Education, Training & Certification: Doctor of medicine from Loyola-Chicago Medical School in 1995. Otolaryngology Head & Neck Surgery M.D. residency at Loyola-Chicago Medical School from 1995 to 2000. Board Certified in 2001 from The American Board of Otolaryngology. American Academy of Facial Plastic and Reconstructive Surgery fellowship in Houston from 2000 to 2001.

Number of Years in Practice: Nine HEALTH 2011

Warren Schutte, M.D.

Plastic & Reconstructive Surgery

Joel S. Meyers, M.D.

Front Range Plastic and Reconstructive Medicine 2030 Mountain View Drive, Suite 500, Longmont, CO 80501, 303-872-8250 www.frontrangeplasticsurgery.com info@myfrps.com Practices or Hospital Affiliation: Longmont United Hospital, Poudre Valley Health System, Banner Health System Specialties: Cosmetic and reconstructive facial surgery, cosmetic and reconstructive breast surgery, tummy tuck, corrective surgery following weight loss, hand surgery. Reconstruction after cancer or injury.

Education, Training & Certification: Medical school at the University of Nebraska Medical Center, general surgery residency at the University of Kansas-Wichita, and plastic and reconstructive surgery residency at the University of TennesseeChattanooga.

Professional Affiliations: AMA, American Board of General Surgery Professional and Community Service Activities: He enjoys boating, skiing, kayaking and cycling.

Health Plans Accepted: Most major health plans

Meyers Aesthetic Center & Medical Spa 1400 Dry Creek Drive Longmont, CO 80503 303-682-3386 www.eyecaresite.com/ aesthetics/ spa@eccnc.net Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Oculoplastic 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: 19 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

Podiatry - Foot and Ankle Surgery

Podiatry - Medicine & Surgery

Stacy M. Atherton Mountain View Foot & Ankle Clinic, PC 1305 Sumner St. Suite 200 Longmont, CO 80501 303-772-3232 footandanklecolorado.com Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgical Center, McKee Medical Center, Medical Center of the Rockies Specialties: Trauma and reconstructive surgery of the foot and ankle, pediatrics, wound care of the lower extremity Education, Training & Certification: Bachelor of Science from Texas State University, Temple University School of Podiatric Medicine. Four-year surgical residency at Temple University Hospital in Philadelphia.

Number of Years in Practice: Three Professional Affiliations: Associate of the American College of Foot and Ankle Surgeons Professional and Community Service Activities: Channel 9 Health Fair Health Plans Accepted: Most health plans accepted. Please call the office to verify.

HEALTH 2011

PROFILES

Plastic and Reconstructive Medicine

Peter Hartlove, DPM, FACFAS Mountain View Foot & Ankle Clinic, PC 1305 Sumner St., Suite 200 Longmont, CO 80501 303-772-3232 footandanklecolorado.com Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Non-surgical and surgical foot and ankle care, pediatrics 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: 32 Professional Affiliations: American Podiatric Medical Association, Colorado Podiatric 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 45

PROFILES

Podiatry

Scott W. Taylor, DPM

Pattie Dunlap, MA

Longmont Foot and Ankle Clinic 1330 Vivian St. Longmont, CO 80501 303-776-9122 longmontfootandankleclinic @gmail.com Practices or Hospital Affiliation: Longmont Surgical Center Specialties: Non-surgical and surgical foot and ankle care, sports medicine Education, Training & Certification: University of Colorado, California College of Podiatric Medicine, Phoenix Baptist Hospital Surgical Residency Number of Years in Practice: 10 Professional Affiliations: American Podiatric Medical Association, Colorado Podiatric Medical Association Professional and Community Service Activities: Sports medicine for local running and triathlon events, community lectures Health Plans Accepted: Medicare, Medicaid and most major plans

Plain Talk Therapy LLC 1430 Nelson Road Suite 203 Longmont, CO 80503 303-775-5903 www.plaintalktherapy.vpweb.com www.womensconcerns .vpweb.com Practices or Hospital Affiliation: By being honest with ourselves, and each other in the case of couples, we can realistically work toward coming to terms with the reasons things bother us, as well as work toward viable solutions and courses of action. She employs methods or therapy from Gestalt, solution-focused therapy, humanistic and person-centered theories.

Specialties: Individual and couples therapy, women’s group, cancer Education, Training & Certification: Masters in Clinical Mental Health Counseling Professional Affiliations: Colorado Counseling Association (membership chairman) Professional and Community Service Activities: Thursday night women’s group to discuss issues such as empty nest, care of parents, finding work, dating again, health changes, and life changes.

Health Plans Accepted: Sliding fee scale available

Refractive Surgery

Sedation, Cosmetic & Family Dentistry

Peter Andrews, M.D. Eye Care Center of Northern Colorado - Longmont, Lafayette & Greeley 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com info@eccnc.net Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center, Exempla Good Samaritan Specialties: Board certified and fellowship-trained cornea, external disease and refractive surgery specialist. Lasik, ICL’s (Implantable Collamer Lenses) and Intacs.

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: Seven Professional Affiliations: American Medical Association, American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery; International Society of Refractive Surgeons 46

Psychotherapy & Counseling

Dr. Cliff E. Rogge, DDS Artistic Smiles 920 S. Hover St. Longmont, CO 80501 303-485-8888 ArtisticSmiles.org DrCliffRogge@msn.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: 21 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: In last five years, Rogge has donated more than $100,000 of free dentistry to the community HEALTH 2011

Offering trusted, quality plastic surgery care to make you look and feel your best.

Breast Augmentation Breast Lift Eyelid Surgery Face Lift Fractionated CO2 Laser

Lip Augmentation Liposuction Rhinoplasty Tummy Tuck General Reconstructive Surgery

tel. 303.872.8250 www.frontrangeplasticsurgery.com Locations in Longmont and Loveland

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