FREE Take One
2014
Health on the
Rio Grande
A Guide to Health Services in the San Luis Valley
Valley Publishing
852-3531 • 835 First Ave. • Monte Vista
Health on the Rio Grande 2014
Inside You’ll Find...
Features How to sneak fruits and vegetables into any recipe ——— 2 Mineral County welcomes new dental clinic MCPH offers flu vaccines ———— 3 ASU receives support for alcohol, drug education Role of dental hygienists in healthcare ——— 4 Full-time oncologist joins SLV Health team SLVH brings neurology back to the Valley ———— 6 Ultrasound technology at RGH first class ———— 7 Celiac disease versus gluten intolerance 8 Diabetes cases growing in the U.S. and the world — 10 SLV BHG offers many options ———— 11 Training for EMS students at TSJC will have a new twist this year ——— 12 Healthy habits lower your cancer risk 14 Plants can improve indoor air ——— 15 Back to school means elevated risk for lice —————— 16
Page 1
Mendoza named CMO of VWHS VWHS proud of FP/OB doctors ———— 17 PT Schmidt joins Valley-Wide Prescription drug abuse in SLV — 18 The power of a positive attitude Laughter is good medicine ——— 20 Medical marijuana controversy continues ——— 21 Medical Service Directory — 22 & 23 CCH celebrates perfect score in lab testing CCH hits 365 days without a patient fall —————— 24
Page 1 The Bridge Colorado State Veterans Center, Homelake 3 Cottonwood Dental 7 Heart of the Rockies Regional Medical Center 13 High Valley Healing 11 15 The Legacy Mountain Air Oxygen 12 Rio Grande Hospital Inside back cover 5 Rio Grande Inn 17 Rio Grande Pharmacy 17 Rio Grande County Public Health Santi, Richard DDS 11 Shoppelocal.biz 2, 19 Inside front cover SLV Health SLV Foot & Ankle 7 SoCo Medical Services, LLC 5 Trinidad State Valley Campus 9 Valley-Wide Health Systems 3 Visiting Angels 5 21 William Storms Allergy Clinic
“We Are Independent!�
#PC BOE 'SBO .D$VMMPVHI IBWF DBMMFE ćF #SJEHF BU "MBNPTB UIFJS IPNF TJODF MBTU /PWFNCFS i8F E SBUIFS CF BU PVS PXO IPNF w #PC TBJE iCVU * HVFTT UIBU T OPU QPTTJCMF 8F OFFE UIF DBSF TP JU IFMQT UP CF MJWJOH IFSF w ćF .D$VMMPVHI T XIPTF UXP TPOT GBSN JO UIF 4BSHFOU BSFB IBWF CFFO NBSSJFE ZFBST IBWJOH NFU PO B CMJOE EBUF XIJMF 'SBO 8PSMFZ XBT BUUFOEJOH UIF 6OJWFSTJUZ PG $PMPSBEP JO #PVMEFS 4IF XBT BO POMZ DIJME BOE IFS GBUIFS BTLFE #PC XIP HSFX VQ JO 4UFSMJOH UP GBSN XJUI IJN 1SJPS UP UIFJS NBSSJBHF #PC XBT JO UIF "SNZ GPS › ZFBST BOE XBT JO $IJOB XIFO UIF CPNCT XFSF ESPQQFE PO +BQBO ćF DPVQMF USBWFMFE B MPU UISPVHI UIF ZFBST JODMVEJOH B WBDBUJPO BSPVOE UIF XPSME PO UIF TVQFSTPOJD $PODPSEF ćFZ IBE UIFJS PXO QMBOFT UPP BOE USBWFMFE UIF TUBUFT ićFZ UBLF HPPE DBSF PG VT IFSF w 'SBO TBJE BCPVU UIF #SJEHF i*U T B HPPE TZTUFN BOE UIF QFPQMF BSF BMM OJDF (PJOH IPNF XPVME NFBO DPPLJOH BOE EPJOH EJTIFT w
$BSSPMM 4U t 1I
www.AlamosaAssistedLiving.com
Bob and Fran McCullough
Page 2
Health on the Rio Grande 2014
How to sneak fruits and vegetables into any recipe
Fruits and vegetables are the building blocks of a healthy diet. But many people do not eat the recommended number of servings of produce.That’s especially true among growing children, who can benefit greatly from the vitamins and nutrients fruits and vegetables provide. According to the latest data from the NPD Group, a market research firm, Americans eat a little more than half a cup of fruit and a cup of vegetables per day. This is less than half of what the government recommends. The data is similar in Canada, where researchers at Concordia University found that Canadian adults ages 30 to 60, especially those from lower socioeconomic backgrounds, aren’t consuming the daily recommended levels of fruits and vegetables. Anyone who eats roughly 2,000 calories per day should strive to consume between two to three cups of vegetables and two cups of fruit per day. Produce helps to fight disease because it contains healthy antioxidants, fiber, minerals and vitamins. Eating four cups per day may seem difficult, but there are many ways to incorporate fruits and vegetables into everyday recipes.
* Substitute pureed fruit, like figs, pears and apples, for oil in recipes for cakes and cookies. This will ensure the baked goods are moist but with a lot less fat. * Add fresh berries or raisins to breakfast cereals and oatmeal. * Add cauliflower or squash to boiled potatoes before mashing them to increase the nutritional punch and flavor of mashed potatoes. * Blend fruits and vegetables to create smoothies for breakfast or lunch on the go. * Bake hearty muffins or breads with sweet potato or carrots in the batter. * Mix stewed tomatoes in with your broth soup base to make a vegetable or chicken soup even more nutritious. * Opt for vegetables piled high atop a slice of pizza in lieu of meats or extra cheese. * Divide your dinner plate into quadrants, filling half of the plate with vegetables, one quarter with meat and the remainder with a whole grain. * Replace lettuce on a sandwich or burger with a fresh leaf of spinach. While you’re dressing your sandwich, add a slice of tomato, too.
* Substitute fresh vegetables and fruit slices for chips when serving dips and salsas. Kale chips are growing in popularity. * Give children a cup of sliced grapes with their lunches as a refreshing and healthy snack. * Shred vegetables into a hearty “slaw” and top it with a vinaigrette or a typical mayonnaise-based dressing. * Blend other vegetables into your pasta sauce. * Use vegetables instead of pasta in traditional dishes. Layer eggplant
slices to make a lasagna. Or use a spiral slicer to slice zucchini or carrots when making homemade noodles. * Fruit salad is often a refreshing snack or dessert. Having fruit already diced in a large bowl makes it more convenient to eat and possibly more enticing to children. * Make a vegetable roll-up, filling pizza dough with broccoli or spinach and shredded cheese. * Mix together an avocado, 1/4 cup of cocoa powder and 1/4 cup honey to create a healthy alternative to chocolate pudding. * Use pureed vegetables to thicken cheese sauce for macaroni and cheese recipes. * Shred vegetables and add them to beaten eggs for omelets or scrambles. LS148384
Health on the Rio Grande 2014
Page 3
Mineral County welcomes new dental clinic BY LYNDSIE FERRELL CREEDE—Mineral County officials have finally announced the opening of their new dental clinic in early October. Office manager Lori Dooley reported that the clinic has successfully contracted a dentist for the clinic. Brian Talley comes to Mineral County from Durango. Talley has eight years experience in general dentistry and is licensed in pediodontist, making him certified to treat and care for
children. “We’re very excited.” said Dooley. On Saturday, Sept. 20, the clinic will be hosted an open house for the public to meet Dr. Talley, as well as the staff. The dental office, located behind Mineral County Public Health, will be open at least two days every other week or according to appointments and needs. A hygienist is in the process of being hired by Dooley and will be available opposite hours of
MCPH offers flu vaccines CREEDE— Mineral County Public Health will have seasonal flu shots available starting Sept. 30 and every following Tuesday and Wednesday. Cost is $25 cash or check. Medicare can be billed with a copy of the card provided and the correct mailing address. Those who have Medicare with an HMO or PPO should see their primary care provider. Pneumovax 23 vaccine will also be available. Children with CHP+ or Medicaid may receive free flu vaccination, as well as qualifying adults on a first come first serve basis. The CDC recommends a yearly flu vaccine for everyone six months of age and older as the first and most important
step in protecting against this serious disease. While there are many different flu viruses, the seasonal flu vaccine is designed to protect against the top three or four flu viruses that research indicates will cause the most illness during the flu season. People should begin getting vaccinated soon after flu vaccine becomes available, ideally by October, to ensure that as many people as possible are protected before flu season begins. It takes about two weeks after vaccination for antibodies to develop in the body and provide protection against the flu. For more information, please call Mineral County Public Health at 719-658-2416.
the dentist. Recent issues had caused the clinic to stall its opening date due to licensing problems with a previous dentist. Stephen Barton was originally going to fill the dentist spot, but was unable to do so because of infractions that caused the loss of his license to practice. Barton has been practicing within two other dental offices without proper licensing. On the DORA website it shows several infractions against Barton’s license beginning in 1982. However, during the 9Health fair this past April a routine check showed Barton’s license was valid, meaning his license was revoked sometime between April and now. County officials were able to stop Barton’s contract process in its tracks just in time. Office manager Dooley began to grow suspicious of Barton’s license
status when attempts to order equipment were stalled by Barton. A more current check on his license revealed that it was no longer valid and officials cut all ties with Barton immediately. Janelle Kukuk and Dooley began searching for a new dentist immediately after Barton’s faults came to light. They wasted no time and were able to get back on track only weeks later. The dental clinic will be a huge relief for the residents of Mineral County. Once the clinic becomes self-sustaining, funds coming into the clinic will remain within the county and benefit the residents within. Operational costs are being funded by a grant issued to the clinic in July. Mineral County residents can take a sigh of relief; no longer having to travel for dental services will be a huge help for many of them.
Page 4
Health on the Rio Grande 2014
ASU receives support for alcohol, drug education ALAMOSA—The Adams State University Counseling Department recently received a grant from the Coalition of Colorado Alcohol and Drug Educators (CADE) to increase alcohol prevention work on campus. Lis Tomlin, counseling center assistant director wrote the grant. She said the CADE Project represents the CADE’s initiative, a statewide coalition of campus alcohol and drug educators, to support the implementation of evidence-based practices on Colorado campuses. To receive the $1,000 stipend, Tomlin applied for the grant with a written proposal of an evidence-based practice to be implemented on campus, in effort to address alcohol and drug education. “We have received approval for this, and I will be speaking
Lis Tomlin with CADE staff next week to discuss how to use the grant funding and what support we might need form them,” Tomlin said. “I will also be attending a CADE annual training this year, in order to gain more knowledge about campus implementation and connect with other CADE
Project participants across the state.” According to Tomlin, the CADE Project Adams State will implement is the Brief Alcohol Screening and Intervention for College Students (BASICS) curriculum. This is a harm-reduction approach to talking to students about drugs and alcohol. BASICS will be carried out by both licensed and interning counselors at the ASU Counseling Center. BASICS is a SAMHSA Model program and Tomlin said she hopes to utilize the curriculum to assist students in understanding their drug and alcohol habits. “We will be working with housing staff, as they will be referring students after their second campus violation with drugs and/ or alcohol.” Tomlin recently accepted the position as assistant director
of the Counseling and Career Center and coordinator of disability services. She has a master’s degree in counseling, with special training in addictions, and is a licensed professional counselor and nationally certified counselor. As the assistant director of counseling, Tomlin will supervise interns in their internship phases, maintaining a client caseload and contributing to prevention and awareness efforts on campus. She is also teaching the Prevention Awareness Crew class, an upper level undergraduate psychology class. “As the coordinator of disability services, I assist students in obtaining classroom accommodations and additional resources they may require.” For more information about the Adams State CADE Project call 719-587-7746.
Role of dental hygienists in healthcare Oral hygiene is an important component of overall health. Many people are unaware that conditions of the mouth can translate into medical concerns elsewhere in the body. Overlooking routine dental exams and proper cleaning techniques at home can prove costly and unhealthy mistakes. While dentists typically get all the credit for helping people maintain healthy smiles, dental hygienists are often the unsung heroes of the dental profession. Hygienists typically undergo training to handle many of the routine services offered during a standard visit. Upon entering the examination chair, you will likely be greeted by a dental hygienist. He or she may take images of your teeth and begin examining your mouth for any abnormalities. The hygienist is usually See HYGIENE on Page 5
File photo
Health on the Rio Grande 2014
Page 5
HYGIENE responsible for facilitating the cleaning process. He or she will remove tartar from the teeth, administer fluoride treatments and polish the teeth. Dental hygienists will defer to the dentist to examine X-rays and assess the overall health of your teeth. Should dental caries need to be cleaned and filled or more extensive oral work need to be performed, the dentist will take over and the hygienist will assist. Dental hygienists also may be instrumental in educating patients on proper oral care. They may demonstrate flossing and brushing techniques and may even recommend certain products. Some hygienists take courses in psychology so they will have a better understanding of personality traits and phobias in patients and be able to make patients more comfortable in
Continued from Page 4 government or private organithe dentist’s chair. Dental hygienists primarily zations. • Corporate: These hygienists work in dental offices. Today’s dental hygiene professional has focus on the sale of services and many career options to explore, products that support the oral says the American Dental Hy- health industry. • Education: Some hygienists gienists’ Association. The ADHA notes that the fol- choose to enter the classroom lowing ca- rather than the dental office. reer paths Educators are in high demand, p r o v i d e and many colleges are actively some ad- seeking dental hygiene instrucd i t i o n a l tors. Dental hygienists require options f o r h y - a certain level of training and licensure. Criteria may gienists. • Clini- vary depending on where you cian: As a clini- live, and this may include cian, the hygien- certificates or degrees. More ist will assess, information is available by p l a n , diagnose, and docu- contacting the Commission ment treatment of oral diseases on Dental Accreditation in the while collaborating with other United States or the Canadian health professionals. Clinical Dental Hygienists Association. services take place in commu- TF14A601 nity clinics, hospitals, prisons, and schools. • Public health: Public health hygienists provide care to patients who would otherwise not have access to dental care. r 1SJNBSZ $BSF 1SPWJEFS GPDVTFE PO DPOUJOVJUZ PG DBSF State, provincial or other public r 1SPWJEJOH RVBMJUZ DBSF GPS BEVMUT BOE BEPMFTDFOUT
health services may be run by
Visit our IMPROVED Web Sites for the latest local news!
SoCo Medical Services, LLC Deb Rice, ANP r /PX BDDFQUJOH NPTU NBKPS JOTVSBODFT r :FBST &YQFSJFODF BT B OVSTF QSBDUJUJPOFS ZFBST PG DBSJOH GPS SFTJEFOUT JO UIF 4BO -VJT 7BMMFZ
www.montevistajournal.com www.mineralcountyminer.com www.conejoscountycitizen.com www.southforktines.com www.centerpostdispatch.com www.delnorteprospector.com
$ QHZ RSWLRQ IRU KHDOWKFDUH WKDW RČ?HUV WKH SHUVRQDO WRXFK LQ D XQLTXH &OLQLF 6DQ -XDQ $YH a $ODPRVD &2 (719) 589-4400
:DON LQV :HOFRPH
Page 6
Health on the Rio Grande 2014
Full-time oncologist joins SLV Health team
ALAMOSA—Committed to providing cancer services to the greater San Luis Valley community, San Luis Valley Health brought Dr. Penny Cooper, the organization’s first full-time oncologist, on board this past March. Cooper came to San Luis Valley Health from Durango, Colo. and had spent 22 years in Indianapolis at Indiana Oncology Hematology Associates. Over the past six months, Cooper has continued to see an increase in the number of patients that are being treated at San Luis Valley Health. “It has been a very positive experience, coming to San Luis Valley Health,” said Cooper. “As I have become more acclimated with the systems, our clinic has been able to handle more patients, and that is a good thing because we can treat more Valley residents close to their homes.”
Dr. Cooper also noted that over the past six months, she has seen a wide array of conditions that include several different types of cancer and most of the cases have been able to be treated at San Luis Valley Health. “We have seen everything from breast and colon cancer to gastric cancer and several types of sarcomas,” Cooper noted. “I am very impressed with the services that San Luis Valley Health offers to treat these conditions. Many of my patients have expressed their appreciation at being able to stay close to home during an already difficult and stressful time.” Services such as chemotherapy, infusion services and PET/CT scans have helped keep patients close to their homes, whereas in the past they may have to leave the San Luis Valley to receive those services. This has cut down on the travel cost for patients.
Courtesy Photo
San Luis Valley Health’s first full-time oncologist Dr. Penny Cooper works with a patient. “We have treated many lym- CEO of San Luis Valley Health. phoma cases, for instance,” said “We met a previously unfulfilled Cooper. “This was something that need when we brought Dr. Cooper used to have to be sent to Denver.” on board. She brings a tremendous “We take a lot of pride in be- amount of expertise to our orgaing able to offer services close nization, and we are fortunate to to home,” stated Konnie Martin, have her on our team.”
SLVH brings neurology back to the Valley
MONTE VISTA—SLV Health made a dynamic hire when Dr. Bill Cooper stepped on board in June. Cooper becomes the San Luis Valley’s only neurologist, a service that residents had to leave the area to receive prior to his arrival. “It is a real privilege to bring neurology services to the San Luis Valley,” Cooper stated. “I think there is a real need, and I am looking forward to serving those that call this beautiful area home.” A 1978 graduate of Brown University Medical School, Cooper has over 30 years of experience in Neurological Medicine. His career has taken him to several places across the country, but he spent over two decades practicing in Indianapolis. Most recently, Cooper worked in private practice in Durango at Durango Neurology, P.C. Cooper also spent two years of his career at the University of Colorado Health Sciences Center, both as a Clinical Fellow and as the Instructor/ Director of the EMG Laboratory. Cooper has a special interest in
neuromuscular diseases, including neuropathies and myopathies and in treating peripheral nerve injuries and entrapments. “We are very pleased that Dr. Cooper has joined our organization,” said Greg McAuliffe, chief medical officer of San Luis Valley Health. “His experience in neurology will be a great asset for the community of the San Luis Valley.” Cooper is certified by the American Board of Psychiatry and Neurology and has licenses to practice medicine in both Indiana and Colorado. He has been published in numerous publications, offering insight on everything from strokes in young adults to neuromuscular disorders. Cooper is also a diplomat of the American Board of Electrodiagnostic Medicine. Cooper’s wife, Dr. Penny Cooper, joined San Luis Valley Health in March of 2014 and became the organization’s first full-time oncologist. Cooper can be reached at San Luis Courtesy Photo Valley Health’s Monte Vista Clinic by Dr. Bill Cooper works with a patient at the Monte calling 719-852-9400. Vista Medical Clinic.
Health on the Rio Grande 2014
Page 7
Ultrasound technology at RGH first class DEL NORTE—Rio Grande Hospital uses the latest in ultrasound technology. The ultrasound department at the Rio Grande Hospital in Del Norte is comprised of highly trained, specialized, experienced and caring technicians. Ruben and Nicole Arredondo are both registered diagnostic medical sonographers with 25 years of combined ultrasound experience. Their credentials include certifications to perform general, obstetric and gynecologic, vascular and echocardiographic exams. In order to provide the best subspecialty expertise within the practice, our technologists work in an interactive, consultative manner using PACS (Picture Archiving and Communication System) so that the most expert interpretation is delivered. Skilled ultrasound exams currently performed include: general See ULTRASOUND on Page 15 Nicole and Ruben Arredondo
Courtesy photo
Page 8
Health on the Rio Grande 2014
Celiac disease versus gluten intolerance Many people are familiar with the gluten-free movement, even if they don’t tailor their diets around gluten-free foods. What began as a relatively unknown dietary restriction among people diagnosed with a certain intestinal disease has branched out to include many other people who avoid gluten for various health reasons. A sensitivity to or intolerance of gluten is not the same as suffering from celiac disease, a condition that requires people to refrain from eating gluten. Understanding the differences between the disease and the decision to avoid gluten can make it easier to understand the various effects gluten has on the body. What is gluten? Gluten is a protein composite found primarily in wheat and other grains, such as barley, rye and spelt. The stored proteins of corn and rice are sometimes called glutens, but their compositions differ from true gluten. Gluten often is found naturally in foods and is an important source of protein. Gluten also may be added to foods to supplement their protein content. Gluten gives dough its elasticity and helps breads rise and keep their shape. Gluten usually gives baked goods a chewy texture. Baking will make gluten molecules come together, which stabilizes the shape of the final product. Gluten also may be used as a stabilizing agent in other foods, like sauces and ice cream. Celiac disease Celiac disease is an autoimmune disorder linked to the consumption of gluten. The Celiac Disease Foundation says the disease affects one in 100 people across the globe.
File photo
Foods that contain grains, such as breads and pasta, can trigger a reaction for those with gluten intolerance or celiac disease. When those with celiac disease eat foods that contain gluten, their bodies see the protein as a foreign invader. As a result, the body mounts an immune system response and ends up attacking itself in the area of the small intestine, which is responsible for nutrient absorption. When the small intestine is damaged severely, it is unable to extract vitamins and minerals from food, leading to various health problems, including malnutrition. In many cases, celiac disease is hereditary. A person with a first-degree relative, meaning a parent, child or sibling, with celiac disease has a one in 10 risk of developing celiac themselves, according to the CDF. In some instances, all it takes is one instance of consuming gluten to trigger an immune system reaction that continues for life. There is no cure for celiac disease, and those diagnosed with
the disease must avoid gluten to prevent serious health problems. Left untreated, celiac disease can lead to anemia, infertility, neurological conditions, and intestinal cancers. Gluten sensitivity When consuming gluten, a person with gluten sensitivity or intolerance does not experience symptoms as severely as one who has celiac disease does. For example, those with sensitivity do not experience small intestine damage or develop the autoantibodies found in the tissue of those with celiac disease. A research team led by celiac expert Alessio Fasano, MD, discovered that gluten sensitivity is associated with an immune response that is very different from the response seen in celiac disease patients. According to the study, which included a four-month gluten challenge, individuals with gluten sensitiv-
ity showed no signs of intestinal damage or increased permeability, but they did exhibit an increase in an innate immunity marker. This is different from the immune response seen in celiac disease, which is noted by an increase in an adaptive immune marker. Despite this, those with a gluten sensitivity may still exhibit similar symptoms to celiac disease. These include intestinal pain, bloating, diarrhea, and cramps. In addition, depression, skin rashes and irritability may occur. People who suspect a gluten sensitivity or celiac disease should visit a doctor for a simple blood test. Gluten should be avoided only if advised by a doctor, and individuals should not self-diagnose and treat symptoms. More information on celiac disease is available at Celiac. org. TF14A597
Health on the Rio Grande 2014
Page 9
Page 10
Health on the Rio Grande 2014
Diabetes cases growing in the U.S. and the world BY JOHN MCEVOY What is diabetes? Diabetes is a disease in which the bloodstream has too much blood sugar, or glucose (a type of sugar). In a healthy person without diabetes, an organ in our bodies called the pancreas creates insulin, which converts this sugar into a fuel that our cells can use. Without insulin regulation, the body has an overabundance of fuel (too much sugar). A good analogy is just as a car is powered by gasoline to fuel it, our bodies are powered by glucose in our blood. The engines of our bodies are the cells and to convert the sugar into a usable fuel, insulin is needed. The proper amount of insulin will normally take the glucose from the bloodstream and bring it to the cells of the body where energy is needed so we can operate normally. There are basically two types of diabetes. Diabetes I, or insulin dependent diabetes, is an autoimmune disease where the pancreas cannot create any insulin because antibodies mistakenly attack it creating a situation where a person must inject insulin on a regular basis with meals. Diabetes II is when the body becomes resistant to insulin. If one is overweight, inactive and has an unhealthy diet, the body can stop insulin from working. Almost all cases of type II diabetes are caused by being overweight. There is a debate about whether or not a simple cure for type II can be a change of diet and proper exercise. Cure or not, it is a good idea to eat healthy and get daily exercise. Both types are serious and
cause a variety of problems in the long and short-term and may include loss of vision and in extreme cases loss of limbs due to nerve damage. According to the American Diabetes Association and the most recent National Diabetes Statistics Report: 29.1 million Americans, or 9.3 percent of the population, had diabetes in 2012. In 2010 the figures were 25.8 million and 8.3 percent. In 2012, 86 million Americans age 20 and older had prediabetes; this is up from 79 million in 2010. What is the cause of this increase? According to a Jan 15, 2012 article in Scientific American Magazine, www.scientificamerican.com: Diabetes Mystery: Why Are Type 1 Cases Surging? “Increases such as the ones that have been reported cannot be explained by a change in genes in such a short period,” says Giuseppina Imperatore, who leads a team of epidemiologists in the Division of Diabetes Translation at the U.S. Centers for Disease Control and Prevention. “So environmental factors are probably major players in this increase.” According to americashealthrankings.org, the past year in Colorado the prevalence of diabetes increased from 6.7 percent to 7.4 percent of adults. Diabetes has been on the rise in the state since the 1990s. One of the largest diabetes institutes in the world is the Barbara Davis Center for Diabetes (BDCCD) in Colorado. The center is part of the University of Colorado School of Medicine and has its dedicated building on the Anschutz Medical Campus in Aurora, Colo. According to an article by
File photo
Chris Casey, published online by the CU Newsroom, (www. barbaradaviscenter.org) during a conference at The Aspen Ideas Festival in June of this year, Dr. Marion Rewers, MD, PhD professor of pediatrics and clinical director at BDCCD, one of the nation’s leading clinical researchers on diabetes, gave a presentation explaining that environmental factors are the main cause of diabetes I. “We have seen in the past 5060 years this relentless epidemic
of childhood diabetes,” said Rewers. “Wherever you go— Europe, the U.S.— you see the same pattern. Every 20 years there are twice as many kids diagnosed with type I diabetes so it cannot be caused by any genetic shifts. It has to be something out of the environment.” According to the above-mentioned article, with worldwide rates of childhood diabetes on the rise, BDCCD is leading the race to discover a vaccine, or special diet to stem the rise of diabetes.
Health on the Rio Grande 2014
Page 11
SLV BHG offers many options BY TERESA L. BENNS
SAN LUIS VALLEY — San Luis Valley Behavioral Health Group (formerly SLV Community Mental Health) has centers across the Valley working to help all those experiencing mental health difficulties, from those simply seeking to improve their outlook on life to more debilitating problems. The SLVBHG site lists a wide array of disorders treated, including work, family and health related stressors, anxiety and depression, grief and loss, substance abuse, eating disorders and post-traumatic stress disorder (PTSD). Pain management counseling also is available at the clinics. The therapy provides a combination of managing pain narcotics with services like physical and behavioral therapy, to utilize all approaches to the problem. The therapy has helped patients recover from and learn to manage chronic pain efficiently and effectively. In order to address these issues, the clinics engage in healthrelated advocacy, counseling and providing resources. Several types of therapy are available, including individual counseling, couples and family counseling, family therapy and group therapy. The clinics also offer community resources and outreach. One of the examples of the resources provided is special tips
File photo
for different times of the year that prove stressful to most people. For fall these tips offered are offered with students in mind, but can come in handy for everyone. • Pack a lunch to save money and calories and get rid of leftovers. • Walk whenever possible, even if it means parking on the far corner of parking lots or parking the car farther away than usual from a given destination. Purchase a pedometer to track those steps. • Drink lots of water to help flush the system and keep hydrated. Keep a glass or bottle of water at the workspace and in the car. Use water to replace
sugary drinks like soda. Or try non-caloric flavored waters. • Office workers can exercise at their desks to help keep fit. Glute squeezes, tummy tighteners, toe tappers, squats, upper body stretches and leg raises —all can help keep sedentary folks fit. • Replace that desk candy with healthy snacks like fruit pieces, granola, whole-wheat crackers, nuts, sunflower seed and other selections. This keeps workers away from the vending machine calorie temptations.Abowl of fruit on the desk also reminds snackers to make those calories count. • Reserve sweets for special occasions such as birthdays,
holidays and so on. When workers bring in sugary snacks grab a fruit from the fruit bowl. Suggest that all birthdays be celebrated on one day. • A beer or glass of wine is fine for those who tolerate them well, but should be limited to one or two. Chase down with a glass of water as alcohol is dehydrating. Stress management e-newsletters are available on the website at: http://www.sanluisvalleyhealth.org/services/behavioralhealth. SLV Behavioral Health clinics are located at various locations in the Valley. To find one nearby, call 719-589-8008 or visit their website.
Page 12
Health on the Rio Grande 2014
Training for EMS students at TSJC will have a new twist this year
ALAMOSA—A surprise is waiting for the Trinidad State EMS (Emergency Medical Services) students in Alamosa this fall. Placed in the corner of the classroom, is a moveable life-sized replica of an ambulance – minus the cab, engine and wheels. “I wanted the students to work in a confined space with limited supplies,” said Jeff Torr, Trinidad State EMS instructor. Hospital emergency rooms have almost unlimited access to specialized personnel and equipment whereas the typical ambulance has very limited space and supplies and is generally staffed by only one person to see to the needs of the patient. When Torr presented his idea to Deb Haverfield, EMS program director at Trinidad State, she enthusiastically supported him. He approached Sierra Vista Lumber, Alamosa Building Supply, The Floor Store and Sherwin-Williams Paint about donating materials.All saw the potential and were more than willing to help. Having established his own construction business in 1977, Torr’s background enabled him
to take the ambulance blueprints donated by Braum North West, Inc., modify them slightly due to space constraints and build the mock-ambulance in his own shop and then move it to the college piece by piece. While EMS student, Fantasia Aragon relocated supplies in the classroom to make room for the unit, Torr disassembled and transported it to the college. With the help of EMS student, Gary Stieduhar, and maintenance personnel, Larry Hunter and Francisco Lucas, the unit was reassembled in the Courtesy Photos classroom. Bored after retiring Brent Montoya stands next to the artwork he created for the from the postal service and the mock ambulance. military, Stieduhar chose EMS training, not only for an exciting third career, but for a chance to give back to the community. The Trinidad State EMS Department inAlamosa now has a reasonably stocked “ambulance” complete with a computer-controlled SimMan Kelly manikin. These life-like models can mimic all types of medical emergencies like heart attacks and respiratory problems, even birth, thus enabling students
See TSJC on Page 15
Jeff Torr and Deb Haverfield prepare to use the program’s new hydraulic gurney to place the SimMan Kelly manikin into the classroom ambulance.
Inside the ambulance Deb Haverfield is positioned at the head of the patient to manage his airway while Jeff Torr starts an IV.
Health on the Rio Grande 2014
Page 13
Page 14
Health on the Rio Grande 2014
Healthy habits lower your cancer risk Certain types of cancer are more likely to strike certain types of people than others. For example, while men can be diagnosed with breast cancer, women are far more likely to develop the disease. But just because a person’s risk of developing cancer is low, that does not make that person immune from the disease. As a result, it’s important that men and women take steps to lower their cancer risk. One of the more effective ways to lower your risk for cancer is to ensure your lifestyle choices are as healthy as possible. Choosing habits that benefit your short- and longterm health can reduce your risk for cancer and a host of additional ailments. * Maintain a healthy weight. According to the American Cancer Society, men and women who are overweight or obese are at a greater risk of several types of cancer, including cancer of the esophagus, pancreas, colon and rectum, breast, kidney, and thyroid. The National Cancer Institute defines obesity as someone with a body mass index, or BMI, of 30 or above, while someone with a BMI between 25 and 29.9 is considered overweight. Maintaining a healthy weight or shedding excess weight if you are already at an elevated risk for cancer can lower your risk for cancer and other potentially debilitating diseases, including diabetes, high blood pressure and stroke. * Quit smoking. Smokers might be surprised to learn that tobacco use, according to the ACS, is responsible for nearly 20 percent of all deaths in the United States. That might have something to do with tobacco’s role in causing more than a dozen types of cancer and its
File photo
Regular physical activity is associated with a reduced risk of certain cancers, including cancers of the breast and colon. link to heart disease, emphysema and stroke. But smoking can even harm nonsmokers unfortunate enough to spend time in the vicinity of smokers. Such nonsmokers take in nicotine and thousands of additional chemicals, including carbon monoxide and cadmium, a chemical element used in batteries, when people smoke near them. In addition, a study published in the New England Journal of Medicine found that nonsmokers exposed to second-
hand smoke were 25 percent more likely to have coronary heart disease compared to nonsmokers not exposed to smoke. Secondhand smoke is especially harmful to children, as kids whose parents smoke around them get bronchitis and pneumonia more often than kids whose parents abstain from smoking in their presence. * Exercise regularly. The NCI notes that there is strong evidence that physical activity is associated with reduced risk of certain cancers, including
cancers of the breast and colon. More than 60 studies published in North America, Europe, Asia, and Australia have indicated that physically active women have a lower risk of developing breast cancer than inactive women, with some active women reducing their risk by as much as 80 percent. Studies conducted around the world have produced similar findings with regard to colon cancer. Research has consistently indicated that adults who increase their physical activity, be it in intensity, duration or frequency, can reduce their risk of developing colon cancer by 30 to 40 percent relative to adults who are sedentary. The ACS suggests adults include at least 150 minutes of moderateintensity exercise or 75 minutes of vigorous activity in their weekly routines, though many studies have found that 30 to 60 minutes of moderate to vigorous physical activity per day is the most effective way to reduce cancer risk significantly. * Reduce alcohol consumption. While many adults may be quick to point out the benefits that a glass of wine can have with regard to a person’s risk of heart disease or stroke, the National Toxicology Program of the U.S. Department of Health and Human Services as recently as 2011 listed the consumption of alcoholic beverages as a known human carcinogen. Alcohol consumption is a major risk factor for various types of cancers, including head and neck cancers, esophageal cancer, liver cancer, and breast cancer. Adults who continue to consume alcohol should do so in moderation, which the ACS defines as no more than two drinks per day for men and no more than one drink per day for women. AC149478
Health on the Rio Grande 2014
Page 15
ULTRASOUND carotid, upper extremity venous (bi/unilateral), lower extremity venous (bi/unilateral), renal artery doppler, mesenteric doppler and visceral doppler Scheduling an exam Clinics are held every Tuesday
Continued from Page 7 and Thursday at Rio Grande Hospital. Referrals are accepted from most physicians in the San Luis Valley. To schedule an ultrasound exam, please call the Rio Grande Hospital Radiology Department at
719-657-4152. For any questions regarding appropriate exams or prep, call Ultrasound Manager Ruben Arredondo at 719-657-2510. Check out our new website at rio-grande-hospital.net for other services provided.
Continued from Page 12 to practice on “dummies” before located in like areas. The seating they try their skills on humans. is also similar and allows for up to If additional practice is needed, two assistants, one at the patient’s the trial run on a manikin can be head to assist with breathing and the reviewed and repeated. The instruc- other at the patient’s side. tor also has the ability to change The department is currently the manikin’s responses during working to create an “apartment” treatment to simulate the changing in another EMS classroom to conditions a patient may exhibit. enable students to respond to a These computer controlled “dum- call, address the situation, and mies” can even be programmed to then move the patient to the mock talk to the students while reacting ambulance. By combining the to treatment. The ambulance is “apartment” experience with the stocked and arranged to match mock-ambulance training, the dean average ambulance used in the partment personnel hope to create San Luis Valley. Even the compart- an environment in which students ments are similar with the supplies can learn and practice skills for
all EMS training levels from first responders to paramedics. To add a finished look to the side of the ambulance, Torr asked Brent Montoya, 41, and a Trinidad State Graphic Design student, to create the artwork. Older students are common at the Trinidad State Alamosa campus. “That’s why all of the EMS classes are held in the evening,” said Torr, “so these students can maintain their day jobs while working toward new goals.” EMS students range in age from 18 to 70 and beyond and gender numbers are about the same. This wide age span for EMS person-
nel is helpful since patients often have a more favorable response to someone closer to their own age. “It’s nice in the classroom too,” said Haverfield. “They help each other. The younger ones bring a lot of excitement, and the older ones bring maturity and life experiences.” EMS training is intense and time-consuming and is not for everyone. Those who do become certified say they derive a great deal of satisfaction when they see someone they helped during a medical emergency and know that person is doing well because of the actions they took.
ultrasounds, abdomen complete, renal complete, pelvic complete, obstetrical (first, second, third trimester), breast, testicular, thyroid, non-vascular extremities, echocardiography, adult, pediatric, vascular ultrasound,
TSJC
Plants can improve indoor air Indoor air quality is not often an issue in the warmer months, when many homeowners open their windows to let the fresh air of the great outdoors enter their homes in abundance. But once the temperatures begin to dip and windows start to close, indoor air quality can suffer. Musty air is not only uncomfortable, it’s also unhealthy. Volatile organic compounds, or VOCs, can build up inside a home, especially when windows are kept shut for long stretches of time, which is often the case in winter. Indoor plants can counter such stale air, in some cases filtering out VOCs to make the air inside a home more breathable and healthy. The following are a handful of houseplants that can improve indoor air quality. * Aloe: Many of us know aloe for its restorative properties with regard to treating burns and cuts, but aloe also improves indoor air quality by helping to clear a
home of the byproducts, including formaldehyde, of chemical-based household cleaners. Aloe loves the sun, so if you hope to keep an aloe plant healthy through the winter, be sure to place the plant in a window that gets lots of sun. * Gerber daisy: Like aloe, a gerber daisy needs ample sunlight, and tends to only withstand winters in warmer climates. But homeowners who live in such climates may still keep their windows closed in winter, and those that do can use these colorful, lowmaintenance flowers to remove trichloroethylene, a chemical that clothes may be exposed to during the dry cleaning process. * Golden pothos: The golden pothos can survive a winter, but homeowners should be careful not to let the plant dry out, which can happen if they are directly exposed to sunlight. A golden pothos vine will grow quickly, so a hanging basket is a great way to
keep one inside a home, where the plant can help fight formaldehyde. * Ficus benjamina: Also known as a weeping fig, the ficus benjamina can be difficult to overwinter. But that does not mean your ficus benjamina, which can filter pollutants such as benzene, formaldehyde and trichloroethylene from a home, won’t make it through the winter. You just need
to figure out the right watering and light conditions for the plant. * Warneck dracaena: The warneck dracaena, or dracaena deremensis, fights pollutants created by varnishes and oils. The warneck dracaena is a sturdy houseplant that is difficult to kill, but it still thrives in temperatures that are between 70 F and 80 F. FH149525
Page 16
Health on the Rio Grande 2014
Back to school means elevated risk for lice
Millions of children will soon be heading back to the classroom. Although the return of school may elicit smiles from parents who have spent the entire summer trying to keep kids busy and out of trouble, when kids start bringing home notices of head lice outbreaks, those wide grins may fade. Although head lice can strike just about anyone anywhere, it seems to proliferate in close quarters, like those of a typical classroom. Children who keep backpacks and belongings beside other students’ items may unwittingly pick up lice and bring them home, where they can infect the child and other members of the family. The Centers for Disease Control and Prevention says lice are parasitic insects that can be found on people’s heads and bodies. Lice feed on human blood. There are three types of lice that live on humans: head louse, body louse and pubic “crab” louse. Only the body louse is known to spread disease. Lice are wingless parasites that can only crawl to their host for feeding. They cannot jump or fly like fleas. By and large, lice are relatively harmless creatures, though they can be a nuisance. Lice bites are known to cause irritation and inflammation on the scalp. Persistent scratching may lead to infection. Lice do not signal that a person has bad hygiene, and a child who contracts lice should not be embarrassed. Lice are a common problem among students. Lice are small and grayishwhite in appearance, and they are usually no larger than a sesame seed. They can move fast, so usually lice infestation is identified by spotting the lice eggs, which are called nits. These look like tiny, yellow or tan dots before they hatch. Lice lay nits on the hair shaft close to the scalp.
File photo
Returning to school means keeping an eye open for head lice. This is the ideal temperature for keeping the eggs warm until they hatch. Many lice nymphs will feed on blood every day to grow into adult lice. However, a louse can survive up to two days off of the scalp. That means a person can “catch” lice from a hat or a piece of clothing if a louse climbed into the material. Treating head lice means ridding the head of all nits and adult lice. A special comb is used to capture the tiny eggs. This can be a painstaking process, particularly for children with
long hair. Topical insecticides in lotion and shampoo are used to kill the lice. However, these products may not penetrate the nits, so the topical solution may need to be applied several days later to kill any emerging lice. The best way to combat lice is to emphasize prevention. Children should not share combs, brushes, scarves, hats, or other clothing. They also should avoid close physical contact with someone who has lice. Should a child get lice, he or she should stay home from
school and the nurse should be notified. Wash all objects that the child has used and launder all clothes, towels, linens, and other items in hot water to kill any lice. Vacuum the home frequently to remove lice or fallen hairs with attached nits from upholstered furniture and rugs. Back to school season reintroduces kids and their parents to lice. Parents and their kids can take certain preventive measures to greatly reduce youngsters’ risks of coming down with lice. TF149536
Did you know? The Centers for Disease Control and Prevention say that roughly 30 percent of the population complains of chronic back pain in a given year. Lower back pain is a problem that plagues millions of people and can lead to lost hours of work, poor quality of life and reduced mobility. In fact, according to Global Burden of Disease 2010, low back pain is the single leading cause of disability worldwide. People spend around $50 billion each year on back pain treatments.
One solution to back pain is to consult with a chiropractor. The American Chiropractic Association says chiropractic spinal manipulation is a safe and effective pain treatment. It also can help return mobility and flexibility to the back. With addiction to pain medications such a prevalent problem in both the United States and Canada, chiropractic care may be a good first step to alleviate pain and discomfort in the back. TF14A605
Health on the Rio Grande 2014
Page 17
Mendoza named CMO of VWHS SAN LUIS VALLEY—Earlier this year Gigi Darricades, president/chief executive offi cer of Valley-Wide Health Systems, Inc., recently welcomed board members and staff members of the organization and many people from the medical community and the greater community to a reception honoring Phillip Mendoza, MD as the organization’s new Chief Medical Officer (CMO). Darricades also extended appreciation to former CMO Ricardo Velasquez, MD for his many years of dedication to the organization. Valley-Wide has clinics in the San Luis Valley, the lower Arkansas Valley and Cañon City.
Since arriving in October 2011, Mendoza has practiced at one of Valley-Wide’s newest facilities, the Edward M. Kennedy Health Clinic in Monte Vista. Mendoza has a special interest in giving all Valley-Wide patients access to a provider who knows their name and can help them navigate the complex health care system. Velasquez began his family medicine career with a fouryear stint in the San Luis Valley. Since his return to Valley-Wide, Velasquez has worked as a staff Courtesy photo physician, interim chief execuDr. Phillip Mendoza and Dr. Ricardo Velasquez tive officer, and since 2003 as CMO. As an ardent supporter of rural medicine, Velasquez consulting capacity in which he and the changing health care will remain at Valley-Wide in a will work with the organization environment.
VWHS proud of FP/OB doctors SAN LUIS VALLEY— Valley-Wide Health Systems is proud to offer excellent continuous care all through life with its family practice/ OB physicians. Alamosa Family Medical Center’s Dr. Tammy Gregg, Dr. Kris Steinberg and Dr. Barbara Troy are not only board certified to deliver babies, but will also provide excellent care to
their young patients as they grow through adolescence, into adulthood and continue to provide care through aging. The physicians will be there working with patients all through all the joys and challenges in life. Valley-Wide has clinics and providers throughout the Valley, call 719-589-3658 to schedule an appointment.
Did you know? People with diabetes know they must monitor their blood sugar levels on a daily basis. It’s vital to maintain a healthy level of blood sugar, and doing so often comes down to making smart dietary choices. Those who have diabetes should be careful when choosing sweeteners and foods that may cause rapid changes in their blood sugar. Agave syrup, a derivative of the agave plant, may provide a solution for diabetics. Agave has long been used in Mexico and other parts of Latin America as part of a traditional diet. Its recent introduction to the Ameri-
can market is likely a byproduct of increased interest in diabeticfriendly foods. Agave syrup has a low glycemic index, which is used to determine a food’s ability to raise blood sugar to a particular level within a given period of time. However, not all agave nectar and syrup is produced in the same way, so products often differ with regard to how they affect blood sugar levels. Individuals with diabetes should exercise caution when introducing new foods into their diets and should continue to carefully monitor their blood sugar levels. HW146241
Page 18
Health on the Rio Grande 2014
PT Schmidt joins Valley-Wide
MONTE VISTA—Trevor Schmidt, PT, DPT joined the Valley-Wide Health Systems physical therapy department June 30. He is a graduate of the Doctor of Physical Therapy program at Southwest Baptist University in Bolivar, Miss. He did his physical therapy observation hours with the current staff at Valley-Wide and was drawn back due to the department’s professional culture. “The time spent observing at Valley-Wide was my first direct experience with PT. The staff I worked with played a major role in my decision to continue on
with my PT studies.” Schmidt is eager to treat a wide range of patient ages and diagnoses. He especially is interested in manual therapy and hopes to progress his skills through mentorship within the department and continuing education courses. He also enjoys working with patients with all orthopedic issues from a sprained ankle to recovering from surgery. He looks forward to using various manual therapy techniques and therapeutic exercises to help patients find relief when dealing with chronic pain.
Schmidt has a family connection to the San Luis Valley through his wife. He spent five years here while fulfilling physical therapy requirements at Adams State University, which subsequently mark his longest stretch living in one area. Schmidt is fluent in Spanish having grown up in Ecuador. He enjoys playing or watching almost any sport, learning something new and hanging out with friends around a good bonfire. For more information call Valley-Wide at 589-5149.
Trevor Schmidt
Prescription drug abuse in SLV BY LYNDSIE FERRELL
SAN LUIS VALLEY— Prescription drug abuse is a severe problem that affects the entire nation and the San Luis Valley is by no means an exception. Made up of smaller communities the Valley sees its fair share of drug-related issues. Prescription narcotics are one of the leading causes for addiction in the community, only coming a close second to more severe drug addictions, such as heroine, methamphetamines or alcohol. Health officials from ValleyWide Health Systems have formed a prevention coalition that focuses on the well being of Valley communities. Their goal is to bring a better understanding of prescription drugs and healthier alternatives for pain management. The San Luis Valley Prevention Coalition (SLVPC) meets a few times a year to discuss ideas and future plans for the community. During the spring and the fall months the coalition gets together with local law enforcement to coordinate a Prescription Drug Take Back Day. The Drug Enforcement Administration (DEA) came up with this idea in order to provide a safe alternative for disposing of prescription drugs. More often than not, the drugs are either sold illegally or used recreationally.
File photo
Local sheriff’s offices, as well as pharmacies and other safe locations have been chosen for the event. For more information and a list of sites, visit www.takebackyourmeds. org The SLVPC has also devised a contract to help clarify guidelines expected of patients who have no other choice than to use narcotics, whether for pain or any other ailment. The contract was created within the coalition and is used in all of the area’s health facilities. The contract is very strict as far as how long a person will be needing the medication, how often the medication is to be used, the risks involved with taking the drug, as well as the consequences for breaking the contract. In addition to the contract, patients are put on a pain management schedule that inhibits overuse
of narcotics. By using this method health officials are decreasing the risk of addiction, overdose and death. Though the problem of prescription drug use is by no means resolved, the management plan will help tremendously. If and when a patient is removed from the program or “fired,” information as to why and how are recorded into a national database that can only be accessed by licensed physicians. Once removed, a patient will not be given a second chance. Teens are the main target of prescription drug abuse according to recent studies. Due to the fact that the drugs are easily accessible within the communities makes a recipe for disaster. It’s as simple as opening the medicine cabinet for some, which is why the DEA formed the “Take back your meds” day.
Some persons who have chronic pain medication often find themselves with an overabundance of the medication and look for ways to deplete the drug in order to get a refill at the appropriate time. By doing this they seem to not be in violation of their contract and are ensured to receive the same amount at refill time. Not only do they continue to remain in good standing of the contract, but they also put extra cash into their pockets.Awin-win situation? Probably not. According to sources health officials are well aware of the workings within the prescription drug abuse situation. Not only do they have access to the national database that records all narcotic prescriptions, they can also identify certain traits that come with an addictive nature. “It’s pretty hard to fool us. We are very aware these days and we have access to all kinds of information,” said Mary Smith from the Mineral County Health Clinic. It is not a secret that the Valley suffers from addiction in several areas. Law enforcement, as well as health officials are working hard to eliminate the problem completely, though it may take some time. As long as there are drugs, there will be addicts.
Health on the Rio Grande 2014
Page 19
Provided by your home town newspaper,
Shoppe is the only online directory featuring local businesses available on your smartphone, tablet or computer. Find exclusive deals and specials, make reservations, or schedule your next appointment. Visit Shoppe today and experience a new way to find local businesses where and when you need them.
www.shoppelocal.biz 719-852-3531
835 First St. Monte Vista
+ Shoppe™ is a trademark of News Media Corp.
Page 20
Health on the Rio Grande 2014
The power of a positive attitude A balanced diet, exercise, genetics, and even certain medications can work in concert to make a person healthy. But a person’s demeanor also can factor into personal health. The Mayo Clinic says that whether or not a person is an optimist or a pessimist can affect many areas of his or her health and well-being, and those who see the glass as half-full may ultimately be healthier than those who see it as half-empty. Positive thinking can make it easier to manage stress. The body responds differently based on an individual’s mood, and it may produce stress hormones if a person’s outlook is negative. Such stress hormones can compromise the immune system, increase blood pressure and even reduce the body’s ability to burn fat effectively. Thinking negatively and being on edge also can increase a person’s risk for developing cardiovascular disease and aging prematurely. Conversely, maintaining a positive attitude can be good for your health. Studies have shown that thinking positively can lower rates of depression and anxiety, increase life expectancy and provide greater resistance to certain illnesses, such as the common cold. A 2012 preliminary study from researchers at Stanford University found that daughters of mothers suffering from depression were able to witness their own stress levels go down on a real-time brain scan as they switched from negative thoughts
File photo
Laughter and positive thinking can be good for your health. those without a natural inclinato happy ones. Researchers are unsure why tion for optimism. But because positive thinking has such pro- positive thinking boasts such found effects. But in addition significant health benefits, men to limiting stress-releasing and women might want to try the hormones, positive thinking may following methods to embrace inspire people to live healthier their optimistic side. lifestyles that make them more * Exercise. Start an exercise likely to get routine physical ac- regimen, as physical activity tivity and eat a healthy diet. Happy naturally reduces stress and can people also may be less likely to improve mood. use tobacco products or alcohol as * Embrace humor. Surround a coping mechanism when deal- yourself with others who bring a ing with elevated stress levels, and smile to your face. Look for ways such people will not have to deal to laugh as much as possible. with the side effects that can come Rather than go out to dinner or a with these unhealthy behaviors. bar with friends, head to a comedy Becoming a more positive club. Choose comedies at the thinker can take a little effort for movie theater and find humor in everyday happenings. * Identify areas that need change. Think about moments bodies. Endorphins that promote in life that may bring you down an overall sense of well-being and or inspire negative reactions. If relieve pain can be released from work is problematic, figure out a hearty bout of laughter. Further- ways to make it better and work more, laughter can increase blood toward improving the situation. flow throughout the body, which * Be supportive of yourself. protects against hypertension and Consider what you would say to heart attack. others and then treat yourself the
Laughter is good medicine Laughter combined with positive thinking is a prescription for good health. Research shows laughter relaxes the entire body, relieving physical tension and stress for up to 45 minutes. Laughter decreases stress hormones and increases infection-fighting anti-
same way. Would you be overly negative or derogatory toward a complete stranger? Probably not, and there is no reason to be harsh with yourself, either. Push negative thoughts away. * Volunteer. One way to see the world in a more positive light is to help others who may be less fortunate than you. Volunteering not only helps others, but it also can help you put your own problems in perspective. Volunteering also helps you feel good about your efforts, which can translate into positive thinking. * Think like a child. Take a cue from youngsters and find joy in the little things. Let children be the leaders in activities and mimic what they do. You just may find yourself laughing more and enjoying yourself. Being silly for a little while is one way to recapture the feelings of youth. Positive thinking is more than the subject matter of self-help books. It’s a viable way to improve personal health and live longer. LS148382
Health on the Rio Grande 2014
Page 21
Medical marijuana controversy continues
COLORADO—Marijuana, or cannabis sativa, has been part of humankind’s medicine chest almost as long as history has been recorded, perhaps even before. There was a time when today’s controlled substances were common medicines. For example, a strong tea brewed from marijuana, mixed with mineral oil was once considered a liniment for arthritis, especially of the hands. “The People’s Home Library,” printed in 1919, covers cannabis and cocaine as easily as camphor, quinine and lard, offering recipes for salves, syrups, infusions and enemas, not only containing common herbs and substances, but many that are no longer mentioned or in use. Modern research suggests that cannabis is a valuable aid in the treatment of a wide range of ailments, including neuropathic pain, or pain from nerve damage, nausea, seizures, glaucoma and disorders in which the body moves involuntarily. Marijuana is also a powerful appetite stimulant for patients suffering from HIV, the AIDS wasting syndrome, the affects of chemotherapy and even dementia. Other conditions are subject to approval by each state’s board of health. Its uses were accepted long before 1937, when Congress passed laws making marijuana illegal. Films such as “Reefer Madness” and outdated school health information added to the stigma, yet cannabis continued to be used in secret by people who believed in its medicinal properties. As society and modern medicine make progress with medical marijuana laws, new uses and treatments are being discovered and a whole new quality is emerging. It’s no longer just a street drug. Physicians who may prescribe marijuana are careful to state that it is a relief from the symptoms, not a cure for diseases. In addi-
tion, Colorado Senate Bill 109, signed into law on June 7, 2010, limits the authority of physicians to recommend cannabis therapy to patients with which the doctor has had a prior counseling relationship. Even though medical marijuana is becoming legal in more states, the 78-year-old fear and stigma remain. In 1972, the U.S. Congress placed marijuana in Schedule I of the Controlled Substances Act because they considered it to have “no accepted medical use.” Since then, 20 of 50 US states and DC have legalized the medical use of marijuana. Proponents of medical marijuana argue that it can be a safe and effective treatment for the symptoms of cancer, AIDS, multiple sclerosis, pain, glaucoma, epilepsy, and other conditions. They cite dozens of peer-reviewed studies, prominent medical organizations, major government reports, and the use of marijuana as medicine throughout world history. Opponents argue that it is too dangerous to use, lacks FDAapproval and that various legal drugs make marijuana use unnecessary. They say marijuana is addictive, leads to harder drug use, interferes with fertility, impairs driving ability and injures the lungs, immune system and brain. They say that medical marijuana is a front for drug legalization and recreational use. Fifty-four percent of voters approved Amendment 20 on Nov. 7, 2000, amending the Colorado constitution to recognize the medical use of marijuana. The law took effect on June 1, 2001, removing state-level criminal penalties on the use, possession and cultivation of marijuana by any patient who possess written documentation from a physician affirming that he or she suffers from a debilitating condition and advising that they “might benefit from the medical use of
marijuana.” Patients must have this documentation in their possession at all times. heir primary Patients, or their egally have on caregivers, may legally n two ounces hand no more than of usable marijuana, and may cultivate no moree ana than six marijuana plants. al A confidential nt state-run patient entifiregistry issues identifi lif i cation cards to qualifying patients. Those who do not join the registry or possess greater amounts of marijuana than allowed by law may argue the “affirmative defense of medical necessity” if they are arrested on marijuana charges. The medical use provisions in Colorado do not include reciprocity provisions protecting visitors from other medical use states. With the recent legalization of recreational marijuana usage in the states of Colorado and Washington, a new wrinkle has appeared in the fabric of herbal medicine. The historic first, legal sales of recreational marijuana to those 21-and-older began the morning of Jan. 1, 2014 at select dispensaries in Colorado— the first state in the nation, and the first government in the world, to control and regulate a legal recreational marijuana industry. Voters in the two states approved recreational marijuana
in 2012, but Colorado was first to implement the laws. Medical marijuana is more widely accepte accepted by law enforcement and governmental gove entities, while the federal fed government has kept a cautious eye on the marijuana indusm try in general. Colorado House Bill Co 11284, signed into llaw on June 7, 2010, establishes state provisions i i regulating medical cannabis dispensaries, requiring medical marijuana dispensing facilities to obtain state and local licensing approval and to be in compliance with all local zoning codes. Dispensaries must pay a state licensing fee, shall be located no closer than 1,000 feet from a school or daycare, although municipalities have the authority to issue exemptions to this rule. Operators must oversee the cultivation at least 70 percent of the marijuana dispensed at the center. Licensed dispensary owners are required to undergo criminal background checks by the state. Dispensation of recreational marijuana is still being closely watched, and law enforcement officers disagree on whether it is legal or not, since federal law still lists it as a controlled substance, although the U.S. Attorney General has stated that he isn’t interested in its enforcement.
Page 22
Health on the Rio Grande 2014
Medical ACUPUNCTURE
Cindy Atencio Alamosa 588-0531 Loretta Covert Moffat 256-4553 Healthy Moose Chiropractic Alamosa 589-9639 SLV Alternative Health Acupuncture Alamosa 588-0531
San Luis Valley Health Stuart Avenue Clinic Alamosa 589-8122
CHIROPRACTIC
Healthy Moose Chiropractic Alamosa 589-9639
San Luis Valley Health Monte Vista Medical Clinic Monte Vista 852-9400 Stuart Avenue Clinic Alamosa 589-8122 Sussex, Steven S. Alamosa 589-5861 Trenholm Chiropractic La Jara 588-7437 Wiley Chiropractic Alamosa 589-5163 Williams Family Chiropractic Monte Vista 852-4032 Clinics
CLINICS
Jackson, Vaughn D., M.D. La Jara 274-6000
Rio Grande Hospital Clinics Creede 658-0929 Del Norte 657-2418 Monte Vista 852-8827 South Fork 873-5494
Rock Creek Family Medicine Alamosa 589-2370 Saguache County Clinic Saguache 655-2533
San Luis Valley Health Antonito Clinic 376-2308 La Jara Clinic 274-5000 Monte Vista Medical Clinic 852-9400 RMC Clinic 589-8028 Stuart Avenue Clinic 589-8082 SoCo Medical Services, LLC Alamosa 589-4400
Valley-Wide Clinics Alamosa Family Medical Alamosa 589-3658 Cesar Chavez Family Medical Center Center 754-2778 Convenient Care Community Clinic Alamosa 589-2562 Edward M. Kennedy Health Clinic Monte Vista 852-2512 Guadalupe Health Center Antonito 376-5426 Moffat Family Health Center Moffat 256-4025 San Luis Health Center San Luis 672-3352 Sierra Blanca Medical Center Alamosa 589-3658
DENTAL
Avalon Wellness Center Alamosa 589-4771 Avant, Daniel Alamosa 589-5804 Christensen, Eugene Antonito 376-2295
Service Directory Combes, Craig A Monte Vista 852-2589
Cottonwood Dental Alamosa 589-5272 Erekson, Joshua Alamosa 589-2257 Fitzpatrick, Brian Alamosa 589-3756 Harding Dental Group South Fork 873-5846 Mejia Family Dental Alamosa 589-4953 Mills, Mark J Monte Vista 852-3011 Roberts, Brian Monte Vista 852-5432 Santi, Richard Monte Vista 852-2552 Schiffer, Steve Alamosa 589-4946
Sweet Tooth Dental Alamosa 937-2227
Valley-Wide Health Systems - Dental Alamosa Dental Clinic Alamosa 589-9691 Center Dental Clinic Center 754-3584 Edward M. Kennedy Dental Clinic Monte Vista 852-4533 Ernesto Pacheco Dental Clinic San Luis 672-3502 La Jara Dental Clinic La Jara 274-8948 Williams, Richard Alamosa 589-3686
EYE CARE
Abba Eye Care Alamosa 589-2020
Hinkley, David Monte Vista 852-3442 Monte Vista Eye Care Center Monte Vista 852-3412
Rocky Mountain Eye Center Alamosa 589-0825 Wal-Mart Vision Alamosa 589-1500
FITNESS
Alamosa Family Recreation Center Alamosa 589-2105 Alive Bodyworks & Fitness Monte Vista 852-4444 Anytime Fitness Alamosa 589-6520 Curves for Women Alamosa 587-2037 Monte Vista Athletic Club Monte Vista 852-0786 Valley Health and Fitness Alamosa 589-3288
HEALTH EDUCATION Adams State College Alamosa Health Care Admin. 587-7161 Nursing Program 587-8171
Trinidad State Junior College Alamosa 589-7000
HEARING
Ears 2 U Hearing Center Alamosa 587-9820 Mountain Care Hearing Center Alamosa 589-2100 San Luis Valley Health Alamosa 589-8025
Health on the Rio Grande 2014
Page 23
Medical HOME HEALTH/ SUPPLIES
Alamosa County Public Health Alamosa 589-6639 All Care Alamosa 589-2199 Apria Healthcare Alamosa 589-2551 At Home Healthcare Alamosa 589-6425 Conejos County Nursing Service La Jara 274-4307 Costilla County Nursing Service San Luis 672-3323 LinCare Alamosa 589-5818 Mountain Air Oxygen Alamosa 589-2573 Rio Grande County Public Health Del Norte 657-3352 Rocky Mountain Home Health Supplies Alamosa 589-9417 Roth Medical Alamosa 589-3889 Saguache County Public Health Saguache 655-2533 Visiting Angels 719-852-6968
HOSPITALS
Conejos County Hospital La Jara 274-5121 Rio Grande Hospital Del Norte 657-2510 San Luis Valley Regional Medical Center Alamosa 589-2511
MENTAL HEALTH
Creative Resources Monte Vista 852-2453 Diana’s Counseling Services Alamosa 588-8885 E Susan Young, Consulting & Counseling Alamosa 589-5283 San Luis Valley Behaviorial Health Group Alamosa 589-3671 Antonito 376-2511 Center 754-3927 La Jara 274-5154 Monte Vista 852-5186 San Luis 672-0331 San Luis Valley Counseling Clinic Alamosa 589-5800 SLV Family Resources Alamosa 589-2974 The San Juan House Counseling Center Alamosa 580-0808 Tu Casa Domestic Violence Sexual Assault 589-2465 Alamosa 852-2722
MISCELLANEOUS HEALTH
Blue Peaks Development Services Alamosa 589-3515 Colorado Choice Health Plans Alamosa 589-3696 High Valley Healing Alamosa 206-3345 Moffat/Crestone 256-4006 Planned Parenthood Alamosa 589-4906 Womens Resource Center
Service Directory Alamosa 589-6698 Valley Food Co-op Alamosa 589-5727
NURSING HOMES/ ASSISTED LIVING Casa De Oro Adult Day Service Inc La Jara 274-4350 Colorado State Veterans Monte Vista 852-5118 Evergreen Nursing Home Alamosa 589-4951 Juniper Village Monte Vista 852-5138 Rio Grande Inn La Jara 274-3311 San Luis Care Center Alamosa 589-9081 The Bridge Alamosa 587-3514 The Legacy Monte Vista 852-5179
PHARMACIES
Alamosa Pharmacy Alamosa 589-1766 City Market Food & Pharmacy Alamosa 589-6656 La Jara Healthmart Pharmacy La Jara 274-5109 Rio Grande Pharmacy Del Norte 657-3513 Safeway Food & Drug Alamosa 587-3076 Valley-Wide Health Systems – Pharmacy Alamosa 589-3633 Walgreens Alamosa 589-3165
PHYSICAL THERAPY Alamosa Rehabalitation Alamosa 589-5149 At Home Healthcare Alamosa 589-6425 Evergreen Nursing Home Alamosa 589-4951 Juniper Village Monte Vista 852-5138 Peak Therapy Del Norte 657-9279 Rebound Physical Therapy Crestone/Saguache 866-539-6144 Rio Grande Hospital Del Norte 657-2510 Rio Grande Rehab Monte Vista 852-57081 San Luis Care Center Alamosa 589-9081 Up & At ‘Em Therapy Alamosa 937-2254 San Luis Valley Health Alamosa 589-8100 La Jara 274-6025 Monte Vista 852-5144 VWHS Rehabilitation Services Alamosa 589-5149 Monte Vista 852-2512 San Luis 672-4406
PODIATRY
San Luis Valley Foot & Ankle Clinic Alamosa 587-0330
Page 24
Health on the Rio Grande 2014
CCH celebrates perfect score in lab testing
LA JARA—The laboratory staff at Conejos County Hospital (CCH) recently participated in a series of proficiency tests required by federal law. In order to maintain the ability to provide laboratory services to patients, CCH and other hospitals are mandated to participate in such tests and score at or above a certain level. CCH was pleased to learn that the laboratory staff scored a perfect 100 percent on each of the measures they were tested on. “This was a stellar achievement by Brent Lehto and his team,” said CCH Administrator Kelly Gallegos. Lehto is CCH’s Laboratory Manager. The proficiency tests are administered by the American Association of Bio Analysts, an organization that provides hospitals and their labs with a
series of specimens that may have some form of disease or contamination. The laboratory staff is then required to use the individual services they perform on a daily basis to test and provide a diagnosis of what is happening with each individual specimen. “The American Association of Bio Analysts will then compare our responses to what everyone else received,” said Dr. Kendal Knaus, SLV Health’s medical director for laboratory services. “They send us back what can be equated to a report card, and we got a 100 percent. This is truly a significant accomplishment.” Both the CCH and SLV Regional Medical Center labs are staffed 24 hours a day, seven days a week for inpatient and emergency testing. Combined, Courtesy Photo both labs perform approximately The laboratory staff at CCH recently scored a 100 percent on a 180,000 tests per year. series of proficiency tests.
CCH hits 365 days without a patient fall LA JARA—In a testament to the level of dedication to patient safety that is practiced, the staff at Conejos County Hospital (CCH) recently celebrated a pretty remarkable feat. CCH recently eclipsed the one-year mark of having zero patient falls. “I am beyond proud, yet very unsurprised, that our staff worked so hard together to make this happen,” said CCH Administrator Kelly Gallegos. “It is great to celebrate this milestone but even greater that we have established a standard of excellence that our patients have come to expect.” A total team effort Gallegos noted that to achieve a milestone like this, it takes everyone on the team doing their own individual part. “So many people worked together as one unit to make this happen,” Gallegos noted. The project was led by Ceci Lopez, CCH’s registered nurse
Courtesy Photo
CCH Chief Administrator Kelly Gallegos (front, left) is joined by members of the fall prevention program. in charge of quality and safety. Lopez and team noted that there was a lot of planning and strategy around preventing falls that contributed to the group’s success, as well as a large amount of teamwork. “The Fall Prevention Program
was initiated facility-wide,” explained Lopez. “All employees are accountable for preventing falls. They are the extended ‘eyes and ears’ of the nursing staff whenever they are in the patient care areas. Teamwork at CCH has proven to promote
patient safety.” Continuing the effort As Gallegos stated above, it is an accomplishment to reach the milestone of no patient falls for one year, but even more important is that the bar has been set and this is what patients can come to expect during their stay. “In no way will our efforts become more relaxed now that we have eclipsed one year with no patient falls,” said Gallegos. “Now we are trying to get to two years.” San Luis Valley Health CEO Konnie Martin weighed in on the accomplishment, stating, “We are both proud and pleased with the attention to detail and the commitment that CCH staff has shown over the past year to get to this point. Patient safety is one of our organization’s top priorities, and we are pleased at the amount of progress that has occurred at CCH.”