december 2012 thrive

THRiVEnc» NORTHERN COLORADO WELLNESS

December 2012

» INSIDE: SAFEGUARD AGAINST HYPOTHERMIA • DIABETES ON THE RISE • DECEMBER EVENTS

Technology is a breath of fresh air

Motion management technique helps NCMC focus more on treating cancer. Page 6

THRIVENC n November 28, 20122 n HEALTH

71st Avenue & 20th Street, Greeley • Next to Banner Summit View Urgent Care.www.BannerHealth.com/NorthColoradoER • (970) 395-2626

It matters which emergency care you choose.

If you want to keep your treatment close to home, it matters which emergency care you choose. Banner North Colorado Emergency Care in west Greeley gives you convenient access to top expertise and advanced technology 24-hours-a-day, seven-days-a-week. And, if you need to be admitted, you’ll be able to stay right here in Greeley and receive treatment at North Colorado Medical Center, rather than be transferred out of town. So the next time an emergency happens, keep your care close and get to Banner North Colorado Emergency Care.

November 28, 2012 n THRIVENC 3HEALTH n

«Gifts That Keep Giving: For Body, Mind and Spirit, 6:30-8:30 p.m. Dec. 6, NCMC Cancer Center Lobby, 1801 16th St. in Greeley. A festive celebration of the season. The body: Massage, aroma therapy and the gift of quality health care. Meet and greet our brand new physicians. For the mind: Relaxation and other tips for de-stressing, remembering the important things — finding joy. For the spirit: Beautiful seasonal music, art for your soul, enjoying a festive evening with other women like you. There will also be appetizers, beverages and desserts. Free for Spirit of Women members; $10 for non-members. Call (970) 392-2222 to register.

«Blood Tests, 7-8:45 a.m. Dec. 12 and 26, North Colorado Med-ical Center, Union Colony Room, Area C on the ground floor, 1801 16th St. in Greeley. Wellness Services offers low-cost blood

screenings open to community members. Some immuniza-tions also are available upon request and availability. Participants need to fast for 12 hours before the blood draw. To make an appointment, call (970) 350-6633.

«Body Check Head To Toe, Dec. 4 and 18 at the Sum-mit View Medical Commons, 2001 70th Ave. in Greeley. Head-to-toe health screen-ings include blood work, sleep questionnaire, lung function test, body composition, hip and waist measurements, health education, EKG with results, bone density, peripheral arterial disease screenings, ultrasound of carotid vessels and ultrasound of aorta, $175. To schedule an appointment, call (970) 350-6070.

«CPR for health care providers recertification, 3-5:30 p.m. Dec. 10. at North Colorado

Medical Center, Longs Room, second floor, 1801 16th St., in Greeley. This class is designed for licensed and nonlicensed health care providers. Topics covered include cardiopulmo-nary resuscitation, airway ob-struction and rescue breathing for adult, children and infants. The certification is valid for two years. Cost: $50. To register, call (970) 350-6633.

«CPR for health care providers skills check, 3:30-4:30 p.m. Dec. 3 at NCMC, Wellness Conference Room, 1st Floor, 1801 16th St. in Greeley. This class is designed for licensed and non-licensed health care providers who need to recertify through the American Heart Association. The certification is valid for two years. Renew your CPR certification by complet-ing an online CPR module (at www.onlineaha.org). Fee for CPR for Health Care Providers

includes skills check with a certified American Heart As-sociation instructor. Separate fee for online course, payable online. To register, call (970) 350-6633.

«Cooking Class: One pot meals, 6-7:15 p.m. Dec. 11 at North Colorado Medical Center, Cardiac Rehab Kitchen, 1801 16th St. in Greeley. Quick and easy one pot meals help take the chill out of winter and save you time during this busy season. Recipes and samples are included. Taught by Mary Branom, R.D. Cost: $10. To register, call (970) 350-6633.

«CT Heart Score Screening, 1 and 2 p.m. Mondays-Fridays at North Colorado Medical Center, 1801 16th St. in Greeley. This is a noninvasive test that measures the amount of calci-fied plaque in the arteries. The Heart Score program includes

a 10-minute consultation with a wellness specialist, focusing on cardiac risk factor education, identification of nonmodifiable and modifiable risks, and life-style behavior change options. To make an appointment, call (970) 350-6070. Cost: $199.

«PAD Screening (Peripheral Vascular Disease), 1-3 p.m. Dec. 4 and 18 at Summit View Medical Commons, 2001 70th Ave. in Greeley. Cost: $100.

« Living Well with Diabetes Program, individual appoint-ments and group classes in Greeley, Loveland, Windsor and Johnstown by calling (970) 392-2344. Education offered for patients with diabetes, and

their care givers or families, to provide knowledge, skills and tools to successfully manage their diabetes. Topics include nutrition, activity, monitoring, medications, problem solving, healthy coping, reducing risks, weight loss, insulin, or consider-ing insulin pump therapy.

«Diabetes and Pregnancy education, Offered weekly at North Colorado Medical Center, 1801 16th St. in Greeley. For women with type 1, type 2, or Gestational Diabetes to teach skills needed to care for themselves during pregnancy. Topics include: healthy eating, being active, blood glucose

December health events

Turn to Events on P.4

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monitoring, medications, problem solving, healthy cop-ing and reducing risks. The goal is to help you and your baby stay healthy. Cost: $10. Call (970) 392-2344 to schedule an appointment.

«Diabetes Information Group, 7-8 p.m. Dec. 11 at North Colo-rado Medical Center, Colonial Room, 1801 16th St. in Greeley. For people with diabetes, their

family, friends, caregivers or anyone with an interest in diabetes. To register, call (970) 392-2344.

«Prediabetes class, meets at North Colorado Medical Center, 1801 16th St. in Greeley. Call (970) 392-2344 to sign up for a three-class session. This class will teach the difference between prediabetes and diabetes; what you can do to prevent type 2 diabetes; how to develop a lifelong plan to help keep your blood sugars in

the normal range. Cost: $30.

«Cancer Support Group, 5:30-7 p.m. Tuesdays at North Colo-rado Medical Center, 1801 16th St. in Greeley.

«Breast Cancer Support Group, 5:30-7 p.m. Dec. 6 at North Colorado Medical Center, 1801 16th St. in Greeley.

«Man-to-Man Prostate Cancer Support Group, 5:30-7 p.m. Dec. 20 at North Colorado Medical Center, 1801 16th St. in Greeley.

Events from P.3

As we launch the holiday season, it’s time to think about your health. Most people worry about the extra pounds they may pile on, but North Colorado Medical Center would like you to also think about staying safe when out-doors in the cold temperatures.

Hypothermia is a condition where your body loses heat faster than it can produce it. Normal body temperature is 98.6 degrees — a body temperature below 95 degrees is con-sidered an emergency and immediate medi-cal attention is required.

According to the Centers for Disease Con-trol and Prevention, the following are the warning signs of hypothermia:

Adults: » Shivering, exhaustion» Confusion, fumbling hands» Memory loss, slurred speech» DrowsinessInfants: » Bright red, cold skin» Very low energyAnyone exhibiting these signs needs im-

mediate medical attention. The experts at NCMC advise getting the person exhibiting

these signs to the emergency department as quickly as possible.

If that is not possible, the CDC suggests the following:

» Get the victim into a warm room or shel-ter

» Remove any wet clothing» Warm the center of the body first —

chest, neck, head and groin. If an electric blanket is available, the CDC advises to use it. Skin-to-skin contact under loose, dry layers of blankets, towels, clothing, etc. also can help.

» Give warm beverages — but not alcohol. If the person is unconscious do not try to force fluids.

» If the person is unconscious apply CPR and continue doing so until you reach the hospital.

» Get medical attention as soon as pos-sible.

Hypothermia is a serious condition and can cause heart attack or death.

Winter carries its own health risks

By Banner HealthFor The Tribune

You can find information about hypo-thermia by going to the Health Library at http://healthlibrary.bannerhealth.com/. Search keyword: hypothermia.

»» For»more

HYPOTHERMIAJust in case you missed a day...

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CO_GreelyTribune_4C_0812.indd 1 8/16/12 4:43 PM


T he election results put an end to the threat of a Republican repeal of the

health care law, but not to the pub-lic’s emotional response to it.

Fueled by contradictory cam-paign claims, the public’s reaction ranges widely. Many Republicans fear interference with their medi-cal care, while many Democrats are jubilant that everyone will be able to obtain health insurance for the first time, some with a subsidized price or even free.

But many people remain utterly confused about what the law will change.

Fifty-one percent of Colorado voters chose Obama — even though 55 percent of Coloradans surveyed in exit polls said they favored repeal of the health care law, according to the Colorado Health Institute.

Experts say that the new rules will come quickly to allow full im-plementation of the law in just 14 months, and that will help sort out both what’s real, and what needs fix-ing.

Up to half a million Coloradans are expected to obtain health insur-ance as a result of the law.

According to the Kaiser Family Foundation, the changes by 2014 include:

» Insurance companies won’t be able to refuse anyone coverage. Re-jection for pre-existing conditions and age will be barred.

» Families of four with incomes up to about $100,000 can expect tax credits to reduce the cost of in-surance.

» Most people will be required to buy insurance. Religious exemp-tions are allowed.

» The tax for refusing to buy in-

surance starts at $95 a year, and ris-es to $695 or 2.5 percent of income.

» Insurance rates will drop for older people and rise for younger people.

» Employers of 50 or more full-time staff will have to provide health insurance or pay a tax.

» Tobacco users can be charged extra for health insurance.

Already:» Employers with 25 workers or

fewer may be eligible for tax credits.» Insurance price hikes are lim-

ited. Charges for executive salaries and administration are limited. Insurance companies that violated these rules have paid millions of dol-lars in refunds to customers.

People like Dr. William Plested, a former president of the American Medical Association who retired to Bayfield in southwest Colorado, have issued dire warnings that the

law will make cost containment more important than the best treat-ment for the patient. Plested expects a deluge of new rules in the coming months that will prove him correct.

Some people at Colorado ral-lies for Republican candidate Mitt Romney said they expect outright rationing of health care because of high costs.

But Alfred Gilchrist, CEO of the Colorado Medical Society, says physicians will speak up if any of that shows up. “To the extent that the law is impacting patient care, we’re going to be hearing about it,” and the CMS will pass physician concerns onto lawmakers and the Obama administration — whether the impact is positive or negative, Gilchrist said.

“Very few laws are ever written perfectly,” he noted.

One state legislator is a physician

herself, Sen. Irene Aguilar, a Demo-crat from Denver. She hopes for “an open and honest and mature dis-cussion” about health care now that the election is over.

And “the people who know how to save money and deliver good care are the physicians,” so she hopes to see them have greater influence in implementation.

But there’s much left uncertain, largely because of funding short-ages at the state and federal level. Most important, some 200,000 Coloradans may — or may not — gain free health insurance by being added to Medicaid, the government insurance program for low-income Americans.

The law raises the income limit for Medicaid for a single person to about $16,000, just above a full-time minimum wage.

Michele Lueck of the Colorado

Health Institute said that the peo-ple who would benefit include “the worker who you see each morning when you buy your coffee, the bag-ger at your grocery store, the server who made your sandwich today, the clerk at the dry cleaning counter.”

Lueck said Colorado’s Legislature will debate in January whether to ac-cept federal funding to insure those people from 2014 to 2016. The state may have no costs for this, except for administration. But Lueck warned the funding might be reduced in federal budget negotiations.

Starting in 2017, Colorado’s cash-strapped government must start paying a small percentage of the in-surance cost for these 200,000 peo-ple, and that adds up into hundreds of millions of dollars. Colorado’s willingness to pay is in doubt.

The election also switched con-trol of the Colorado House of Rep-resentatives from Republican to Democratic. That puts Democrats in charge of both houses and the governor’s office. Aguilar said she thinks Democrats will be more in-terested than the very skeptical Re-publicans in taking federal funds to cover more people with health insurance.

Democrats are more aligned with the idea that “we pay for health care one way or another — we pay for it now, or pay for it later with compli-cations,” Aguilar said.

Gov. John Hickenlooper, a Dem-ocrat, hasn’t announced his position.

But the Colorado Hospital Asso-ciation strongly supports the Med-icaid expansion, spokesman Julian Kesner said. That’s because it would provide coverage to many people, and allow hospitals to reduce their $1.4 billion annual cost of care for people who don’t have insurance or don’t have enough insurance, he said.

ELECTION ENSURES OBAMACARE WILL ACTUALLY TAKE EFFECT

By Ann ImseColorado Public News

FOR THE TRIBUNE


A new technology that sharpens ra-diation therapy for cancerous

tumors has been recently commissioned at North Colorado Medical Center in Greeley — improving the chances of eradicating the disease and lessening the chance of recurrence. And it’s all based on the tech-nique of motion manage-ment.

According to Dr. Brian Fuller, a radiation oncologist at NCMC, tumor move-ment was once a factor that did not receive as much attention as it should have. Acknowledging that breath-ing could potentially shift the position of a tumor is key to developing methods that ensure doses go directly to the cancer and nowhere else.

“What we’re hoping to achieve is improved tumor control with less toxicity,” Fuller said. “Cancer moves. And it is very important to be able to carefully deliver radia-tion therapy to the tumor and to be able to escalate the dose to the tu-mor without damaging surround-ing normal tissue.”

This tactic is made possible by a four-dimensional CT scan — a de-vice that takes into account all three dimensions in addition to time. This CT scan is effective in its abil-ity to generate more slices (cross-sectional images of the body) than the standard 3D CT scan. With the 4D scan, about 10 slices per couch position are created, which allows doctors and physicists to view a full breathing cycle of the patient.

“Each slice is a little instance in time,” said Alex Markovich, the supervisor of medical physics at NCMC. “When the patient is receiv-ing treatment, they’re breathing, and the tumor will move; there’s no way around that. But with the 4D CT approach, we’re able to do a lot more slices, and we’re able to create

a movie of the tumor in motion.”Once experts see the way the

mass shifts, which varies from pa-tient to patient, they’re able to plan their radiation to go to a certain focus position — ensuring that the radiation doesn’t miss the tumor and affect surrounding structures.

“This is really important, espe-

cially for lung cancer, pancreas can-cer and liver cancer — tumors that will likely move with each breath,” Markovich said. “Those types of cancers need to get a lot of dosing without damaging the healthy tis-sue. The chance of us missing the tumor is minimized by this tech-nology because we know where the tumor is and how it moves.”

Though the use of this technolo-gy is new to the center — it has only been implemented on two NCMC patients so far — the actual equip-ment has been at the facility for two years. But there had not been

a team to push the technology until recently. That’s where Markovich and his crew of physicists came in. They learned about the technology and took the steps to initiate its use.

“One of our primary roles is to learn how it works, explain and ed-ucate the rest of the staff on how it works — and then do what we call a quality assurance test. So we test it to make sure it’s running properly because this is really complicated equipment that can have some glitches, so we have to make sure it’s running properly so the patient is treated properly and safely.”

BREATH OF FRESH AIR

JOSHUA POLSON/[email protected]

ALEX MARKOVICH, SUPERVISOR OF medical physics at North Colorado Medical Center, recently points out a tumor that was monitored with the 4D CT scan at NCMC’s Cancer Institute. The scan is able to create a movie so doctors can track the movement of a tumor when patients breath.

By Joshua [email protected]

Motion management technology helps NCMC focus more on cancer

This is really important, especially for lung cancer, pancreas cancer and liver cancer —

tumors that will likely move with each breath. Alex Markovich

supervisor of medical physics at NCMC“


5 TIPS TO KEEP YOUR FAMILY HEALTHYWant to get your family off on a healthier track? It doesn’t have to mean radical change.

Here are five little ways to produce big results.

FITNESSThe family that plays to-

gether stays together.Everyone knows that

regular physical activity will improve your health. Fitness icon Dr. Kenneth H. Cooper is an ardent advocate of ex-ercise who still works out at 81. It wasn’t always that way.

He didn’t exercise when he was a medical resident and had a cardiac incident at 29. He knew he had to change his life, and when he did he brought his wife and two kids along for the run. The result? A healthier fam-ily and a closer one.

“Sunday afternoons we all ran together from the time my daughter was 10 and my son was 5. We were known as the running fam-ily. Now I walk briskly with my 6-year-old grandson.”

» Cooper’s tip: “Find a game your family enjoys and play together. I’ve been married 53 years and now to have my son (Dr. Tyler Coo-per) follow in my footsteps, taking over the aerobics center, it’s a dream come true.”

» Note: The American Academy of Family Physi-cians recommends exercis-ing four to six times a week for 30 to 60 minutes at a time and advises consult-ing with a doctor before you start. Cooper adds that if you want to go for a family run, do it before dinner be-cause running after a heavy

meal can strain the heart. If you want to exercise af-ter dinner, make it a gentle walk.

NUTRITIONSwap healthful ingre-

dients for the unhealthful ones.

You don’t need to toss your comfort foods, says Cindy Kleckner, a regis-tered and licensed dieti-tian at Cooper Clinic. As part of her “recipe rehab” program, Kleckner shows people how to modify cook-ing techniques to get that “fried feeling” by breading and baking foods in small amounts of oil. She also sug-gests swapping fatty ingre-dients in baking, such as oil, for healthier options such as applesauce, mashed banana or mashed prunes.

“I call it revitalizing your recipes for better health,” Kleckner says. “It’s not about taking away foods you love but making them better.”

» Kleckner’s tip: Let a professional dietitian get you started.

» Note: Missy Chase Lapine’s Sneaky Chef series shows how to add healthy vegetable purées to recipes. The Mayo Clinic offers a guide to healthy substitu-tions at www.mayoclinic.com/health/healthy-reci-pes/NU00585.

MEDICALKeep on schedule with

these apps.One of the biggest chal-

lenges to keeping a busy family on track for medi-cal appointments, vaccina-tions and medications is re-membering when they are. Dr. Philip J. Aponte, vice president of informatics at

HealthTexas Provider Net-work in Dallas, says there are lots of good apps that can help. He relies on Mi-crosoft Health Vault for his family, which is free at mi-crosoft.com/en-us/health-vault/.

“Inevitably, whether you’re going to a different physician or filling out a life insurance policy, you’re someplace where you need to recall information, and it seemed silly that I had to find a paper folder and search for it. Now I have the app on my iPhone and I can show the doctor all my med-ications and my laboratory data. I can track my weight and set goals, see if there might be any problems with drug interactions. When I had to register my daughter for kindergarten, it was easy because I had all her medi-cal information there.”

» Aponte’s tip: An app can simplify your life, but only if you commit to dili-gently updating it.

» Note: Consider your

goals when you decide what medical app is right for you. Some will help you track glucose levels or can be con-nected with other devices, including scales.

MENTALJust say yes to family din-

ners.Teens do better in school

and are less likely to abuse prescription drugs, use il-legal drugs, smoke or drink when they have regular fam-ily dinners, according to a 2007 report by the National Center on Addiction and Substance Abuse (CASA) at Columbia University. Plus, even if they don’t come out and tell you, 84 percent of teens prefer to have dinner with their families.

Dr. Nancy Donachie, medical director of Seay Behavioral Health Center at Texas Health Presbyte-rian Hospital of Plano, says her top tip for parents is to “have dinner with the fam-ily with the TV off and take the opportunity to engage

in conversation.” Dr. Sarah Feuerbacher, clinic director of the Southern Methodist University Center for Family Counseling, agrees.

» Feuerbacher’s tip: “It isn’t just about the tasty food we put into our mouths, al-though that allows for con-versation and even laughter about the guacamole com-petitions we create or how many dinners in a row I can burn the bread. Just yes-terday my 2-year-old said, and I kid you not, ‘This is where mama burns food’ as he pointed to his kitchen playset oven. It is about the dancing that we do while we cook, or recognizing some-one is a great flavor inventor, or playing outside with the dogs while our food is on the grill, or watching my baby bounce in his seat and laugh while he takes in his family having fun as one of his first memories.”

» Note: Check out CA-SA’s Family Day-A Day to Eat Dinner With Your Chil-dren program, at www.casa-

familyday.org/ for ideas on how to get started.

SLEEPTurn off the phone —

you, too, parents.If your kids are strug-

gling, consider the possibil-ity that their cellphones are interfering with their sleep. Fifty-six percent of teens bring their cellphones into their bedrooms and use them, with texting espe-cially popular in the hour before trying to go to bed, according to the 2011 Sleep in America Poll from the National Sleep Foundation, a nonprofit group based in Washington, D.C.

Before you wag that fin-ger, however, look in the mirror. Parents need to turn off their cellphones, too, says Dr. Kara Starnes, a pe-diatrician with Texas Health Presbyterian Hospital of Al-len.

“I think you have to be a good role model,” Starnes says. “I hate when I see par-ents come into the room and they have their phones attached. It makes it harder when you have a teenager and they say, ‘Why do I have to put my phone down when you won’t put down yours?’ You have to sit down and explain why it’s impor-tant to change the behaviors together.”

» Note: Technological fixes include setting a timer on the television and work-ing with your cellphone car-rier to limit the hours and the callers from whom you can receive calls and texts. Starnes also recommends talking to your doctor about starting a sleep hygiene program that works for the whole family.

McClatchy Newspapers

FOR THE TRIBUNE


Diabetes prevalence rates jumped dramatically across the nation be-tween 1995 and 2010, researchers at the U.S. Centers for Disease Control reported in Friday’s edition of the Morbidity and Mortality Weekly Re-port.

Using data from the Behavioral Risk Factor Surveillance System, an annual phone survey of adults 18 and older, the investigators found that overall, the median prevalence of diagnosed diabetes went up from 4.5 percent in 1995 to 8.2 percent in 2010.

Prevalence increased in all states, the District of Columbia and Puerto Rico, with the median up from 4.5 percent to 8.2 percent. Diabetes rates were highest in the South and in Ap-palachia, where Alabama, Mississip-pi, South Carolina, Tennessee, Texas and West Virginia all had 2010 rates

above 10 percent. Rates also exceeded 10 percent in Puerto Rico.

The states with the lowest preva-lence of diabetes, between 6.0 percent and 6.9 percent, were Alaska, Colo-rado, Connecticut, Iowa, Minnesota, Montana, North Dakota, Oregon, South Dakota, Wisconsin, Vermont and Wyoming. In California, 8.6 per-cent of the people had the disease — a 38 percent increase over 1995.

All told, rates increased 50 percent or more in 42 states, and 100 percent or more in 18 states. The largest in-creases were in Oklahoma (up 226 percent,) Kentucky (158 percent,) Georgia (145 percent,) Alabama (140 percent,) and Washington (135 per-

cent.)CDC representatives said the new

numbers were a mere taste of what’s to come unless public health agencies figure out how to combat Type 2 dia-betes, which was diagnosed in an es-timated 18.8 million people in 2010.

“These rates will continue to in-crease until effective interventions and policies are implemented to prevent both diabetes and obesity,” said Ann Albright, the director of the health agency’s Division of Diabetes Translation, in a statement.

The new prevalence statistics did not include women with gestational diabetes or people with diagnoses of borderline diabetes or “prediabetes.”

Also this week, the CDC launched Diabetes Interactive Atlases, a new tool to help Americans track diabe-tes incidence in different parts of the country and within states, as well as information on obesity and physical activity.

CDC reports diabetes rates rise dramaticallyLos Angeles Times

For more on diabetes and diabe-tes prevention, go to the CDC’s webpage on diabetes, www.cdc.gov/diabetes/.

»» For»more

Thirty of the 50 largest U.S. cities prohibit smoking in-doors at all workplaces, restaurants and bars, the federal government report-ed. Just 12 years ago, only San Jose, Calif., had such a law.

As of Oct. 12, 16 of the largest cities had compre-hensive smoke-free laws, and 14 additional cities were covered under state laws, the Centers for Dis-ease Control and Preven-tion reported this week.

Overall, nearly half of Americans are covered by state or local smoke-free laws, compared with less than 3 percent in 2000, the CDC said in its report published in the agency’s Morbidity and Mortality Weekly Report.

“Smoke-free laws save

lives and don’t hurt busi-ness,” said Thomas Frieden, the director of the CDC, who said communities have made “tremendous progress” in protecting people from secondhand smoke.

Ten of the 20 cities with-out these laws are in the South, the CDC said.

“If we continue to prog-ress as we have since 2000, all Americans could be pro-tected from secondhand smoke exposure in work-places and public places by 2020,” Tim McAfee, direc-tor of the CDC’s office on Smoking and Health, said in a statement.

The 2006 surgeon gen-eral’s report said there is no risk-free level of expo-sure to secondhand smoke. Cigarette use kills 443,000 Americans a year, accord-ing to the government.

30 of largest U.S. cities have no-smoking lawsLos Angeles Times

FOR THE TRIBUNE

This year, along with the holiday presents you buy and wrap with bows, give another gift to your nearest and dearest. Give the gift of health.

By making healthy food choices and adding physi-cal activity to daily routines, you may reap benefits like having more energy and us-ing more calories. You may also help to make a brighter future for yourself and the people you love.

To help, the Weight-

control Information Net-work, a national informa-tion service of the National Institute of Diabetes and Digestive and Kidney Dis-eases, part of the National Institutes of Health, offers these tips for a healthy holi-day season:

CONTROL PORTIONS» Eat a healthy snack

before going to holiday par-ties. This may help you to feel full and prevent you from making unhealthy food choices.

» Make half your plate fruits and vegetables.

» Split dessert with a friend or family member.

» Pack a small cooler of fresh fruit, sliced raw veg-etables and fat-free or low-fat yogurt if your holiday plans include road trips.

KEEP MOVING» Get at least 150 min-

utes each week of moder-ately intense physical ac-tivity. Divide these minutes up over the week as your schedule allows. Remem-ber, some physical activity is better than none.

» Keep track of your progress with a physical ac-

tivity journal or log. Record date, time and activity. Set goals and reward yourself.

»» Get moving indoors with a walk around a shop-ping mall or through a museum, for days with bad weather.

You can find more tips and ideas in the booklets “Just Enough for You: About Food Portions” and “Walking...A Step in the Right Direction.” For your copies and further infor-mation, call WIN at (877) 946-4627 or go to www.win.niddk.nih.gov/publi-cations.

Celebrate the healthy wayBy North American Precis Syndicate


TRiBUNE MEDiCAL DiRECTORY 2012ACUPUNCTURE

PHYLLIS HAMAR, L.A.C.Master of Science, Traditional Chinese MedicineNCCAOM Board Certified710 11th Ave., Ste. 106Greeley, CO 80631970-539-0324

WESTLAKE FAMILY PHYSICIANS, PC5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Richard Budensiek, DO; Janis McCall, MD; Frank Morgan, MD; Jacqueline Bearden, MD; Angela Mill, MDWebsite: www.bannerhealth.com

ALZHEIMER’S/SKILLED CARE

BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352-6082Fax: (970)356-7970Web Site: www.good-sam.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Web Site: www.meadowviewofgreeley.com

ASSISTED LIVING

BONELL GOOD SAMARITAN708 22nd Street Greeley, CO 80631Phone: (970) 352-6082Fax: (970) 356-7970www.good-sam.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Web Site: www.meadowviewofgreeley.com

THE BRIDGE ASSISTED LIVING4750 25th StreetGreeley, CO 80634Phone: (970)339-0022

AUDIOLOGYALPINE ALL ABOUT HEARING1124 E. Elizabeth Street, #E-101Fort Collins, CO 80524Phone: (970)221-3372Fax: (970)493-92373820 N. Grant AvenueLoveland, CO 80538Phone: (970)461-0225Fax: (970)593-0670Web Site: www.allabouthearing.comProfessionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-ACheryl Hadlock, M. S., CCC-A

AUDIOLOGY ASSOCIATES2528 16th Street Greeley, CO Phone: (970)352-2881Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A

MIRACLE-EAR2404 17th Street Greeley, CO 80634Phone: (970)351-6620

749 S. Lemay Avenue, Suite A1Fort Collins, CO 80524(970)221-5225

UNC AUDIOLOGY CLINICGunter Hall, Room 0330Greeley, CO 80639Phone: (970)351-2012/TTYFax: (970)351-1601Web Site: www.unco.edu/NHS/asls/clinic.htmProfessionals: Diane Erdbruegger, Au.D., CCC-A;Erinn Jimmerson, M.A., CCC-AJennifer Weber, Au.D., CCC-A

BALANCE

LIFE CARE CENTER OF GREELEY- ASCENT4800 25th StreetGreeley, CO 80634Phone: (970)330-6400Professionals: Cozette Seaver, PT;Leslie Vail, PTCARDIAC VASCULAR SURGERY

CARDIAC, THORACIC & VASCULAR SURGERY (NCMC)1800 15th Street, Suite 340Greeley, CO 80631Phone: (970)378-4593Fax: (970)378-4391Professionals: Lyons, Maurice I. Jr. DORichards, Kenneth M. MDTullis, Gene E. MD

CARDIOLOGY

CARDIOVASCULAR INSTITUTE (NCMC)1800 15th Street, #310Greeley, CO 80631Phone: (970) 392-0900Professionals: James H. Beckmann, MD;Harold L. Chapel, MD;John Drury, MD;Lin-Wang Dong, MD;Cynthia L. Gryboski, MD;Cecilia Hirsch, MD;Paul G. Hurst, MD;Brian Lyle, MD;Randall C. Marsh, MD;Arnold Pfahnl, MD; James E. Quillen, MD;Gary A. Rath, MD;Shane Rowan, MD;Ahmad Shihabi, MD;

HEART FAILURE CLINIC (NCMC)(970) 350-6953Missy Jensen, FNP-C

DENTISTRYASCENT FAMILY DENTALScott Williams, DMD3535 W. 12th Street, Suite BGreeley, CO 80634Phone: (970)351-6095www.dentalgreeley.com

GREELEY DENTAL HEALTH1600 23rd Avenue Greeley, CO 80634Phone: (970)353-4329www.greeleydentalhealth.comProfessionals:Randy C. Hatch, DDSCharles W. Johnson, DDS

JULIE KAVANAUGH, D.D.S.3400 W. 16th Street, Suite 8-EGreeley, CO 80634Phone: (970)351-0400www.drjuliekav.com

DENTISTRY - HYGENE

AABSOLUTELY SMILES1135 N. Lincoln Avenue, Suite 4 Loveland, CO 80537Phone: (970)622-0970Fax: (970)622-0971www.aabsolutelysmiles.com

DENTISTRY - PEDIATRIC

PEDIATRIC DENTAL GROUP2003 46th Avenue Greeley, CO 80634Phone: (970)330-4600www.pediatricdentalspecialties.comProfessionals: David Strange, DDS, MSMalcolm Strange, DDS, MSCourtney College, DDS, MSJustin Cathers, DDS, MSGary Belanger, DDS

ENDOCRINOLOGY

ENDOCRINOLOGY CLINIC (NCMC)1801 15th Street, Ste 200Greeley, CO 80631Phone: (970)378-4676Fax: (970)-378-4315www.bannerhealth.comProfessionals: Nirmala Kumar, MD

FAMILY PRACTICE MEDICINE

FAMILY PHYSICIANS OF GREELEY,LLP-CENTRAL2520 W. 16th St.Greeley ,CO Phone: (970) 356-2520Professionals: Joanna H. Branum, M.D.;Ann T. Colgan, M.D.;Jennifer D. Dawson, D.O.; Douglas A. Magnuson, M.D.;Lori A. Ripley, M.D.;Andrew P. Stoddard, M.D.;D. Craig Wilson, M.D.

FAMILY PHYSICIANS OF GREELEY,LLP-COTTONWOOD2420 W. 16th StreetGreeley ,CO 80634 Phone: (970) 353-7668Professionals: Christopher T. Kennedy, M.D.; Daniel P. Pflieger, M.D.; Mark D. Young, M.D.; Stacey L. Garber, M.D.Amy E. Mattox, M.D.

FAMILY PHYSICIANS OF GREELEY,LLP-WEST6801 W. 20th Street, Suite 101Greeley ,CO Phone: (970) 378-8000Professionals: Daniel R. Clang, D.O.; Tamara S. Clang, D.O.;R. Scott Haskins, M.D.;Mathew L. Martinez, M.D.; Chima C. Nwizu, M.D.;Michelle K. Paczosa, D.O.; Jeffery E. Peterson, M.D.;Kyle B. Waugh, M.D.;Charles I. Zucker, M.D.KENNETH M. OLDS6801 W. 20th Street, Suite 208Greeley ,CO 80634Phone: (970)330-9061

MEDICAL ARTS PRACTICE1300 Main StreetLoveland, CO 80550Phone: (970)686-5646Fax: (970)686-5118Professionals: Lance Barker, DOJonathan Kary, MDTrina Kessinger, MDPharmacy on site - open to the public.

WESTLAKE FAMILY PHYSICIANS, PC5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Richard Budensiek, D.O.; Jacqueline Bearden, MD; Janis McCall, MD;Angela Mills, MD Frank Morgan, MD;David Pols, D.O. www.bannerhealth.com


TRiBUNE MEDiCAL DiRECTORY 2010TRiBUNE MEDiCAL DiRECTORY 2012FUNERAL SERVICES

ALLNUTT & RESTHAVEN FUNERALSERVICES702 13th Street, Greeley, CO Phone: (970) 352-3366650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-3208 8426 S. College Avenue, Ft. Collins, CO Phone: (970) 667-02022100 N. Lincoln, Loveland, CO Phone: (970) 667-11211302 Graves Avenue, Estes Park, CO Phone: (970) 586-3101

GASTROENTEROLOGY

DOWGIN, THOMAS A., MD.CENTERS FOR GASTROENTEROLOGY7251 W. 20th St., Bldg JGreeley, CO Phone: (970)207-97733702 TimberlineFt. Collins, CO Phone: (970)207-97732555 E. 13th Street, Suite 220Loveland, CO Phone: (970)669-5432Website: www.digestive-health.net

NORTH COLORADO GASTROENTEROLOGY (NCMC)2010 16th Street, Ste. AGreeley, CO 80631Phone: (970)378-4475Fax: (970)378-4429Professionals:Mark Rosenblatt, MDAhmed M. Sherif, MDYazan Abu Qwaider, MD

HEALTH AND FITNESS

WORK OUT WESTHealth & Recreation Campus5701 W. 20th StreetGreeley, CO 80634Phone: 970-330-9691www.workoutwest.comHOME HEALTH CARE

CARING HEARTS HOME HEALTHCARE6801 W. 20th Street, Suite 207Greeley, CO 80634Phone: (970)378-1409

REHABILITATION AND VISITING NURSE ASSOCIATION2105 Clubhouse DriveGreeley, CO 80634Phone: (970) 330-5655Fax: (970) 330-7146Web Site: www.rvna.infoProfessionals: Crystal Day, CEO

HOSPICE

HOSPICE OF NORTHERN COLORADOAdministration Office2726 W. 11th Street RoadGreeley, CO 80634Phone: (970)352-8487Fax: (970)475-0037

PATHWAYS HOSPICE305 Carpenter RoadFt. Collins, CO 80550Phone: (970)663-3500Fax: (970)292-1085 Web Site: www.pathways-care.org

INDEPENDENT ASSISTED LIVINGGRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919Website: www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Website: www.meadowviewofgreeley.com

INDEPENDENT ASSISTED LIVING W/SERVICES

BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352-6082Fax: (970)356-7970Web Site: www.good-sam.com

FOX RUN SENIOR LIVING1720 60th AvenueGreeley, CO 80634Phone: (970)353-7773Fax: (970)330-9708Web Site: www.good-sam.com

INFECTIOUS DISEASEBREEN, JOHN F., MD (NCMC)1801 16th StreetGreeley, CO 80631Phone: (970)350-6071Fax: (970)350-6702

INTERNAL MEDICINEBANNER HEALTH CLINIC2010 16th StreetGreeley, CO 80631Phone: (970)350-5660www.bannerhealth.com Professionals: Giovanna Garcia, MDSteven Kalt, MD

MASSAGE THERAPY

HEALING TOUCH MASSAGE @ CENTER FOR WOMEN’S HEALTH1715 61st AvenueGreeley, CO Phone: (970)336-1500 Professional: Becci Payne, Certified Massage Therapist

MEDICAL EQUIPMENT & SUPPLIESBANNER HOME MEDICAL EQUIPMENT (NCMC)Phone: (970)506-6420

MENTAL HEALTH SERVICES

NCMC - BEHAVIORAL HEALTH928 12th StreetGreeley, CO 80631Professionals: Cheryl Giambrone, LPCElise Pugh, LPCShawn Crawford, LPCLaura Grotenhuis, LPCTia Lewis, LPCRenée Rogers, LMFTCleopatra Songa, LCSW, CACIIISusan Goodrich, LCSWDr Michael Fuller, Adult PsychiatryDr. Amy Laurent, Adult PsychiatryDr Nicholle Peralta, Adult PsychiatryDr Patricia Al-Adsani, Child and Adolescent PsychiatryJose Vasquez, Psychiatric Nurse Practitioner

MIDWIFERY CARECENTER FOR WOMEN’S HEALTH1715 61st AvenueGreeley, CO Phone: (970)336-1500Professionals: Marie Foose, CNM; Krista O’Leary, CNMKaren Vorderberg, CNMNEPHROLOGY

GREELEY MEDICAL CLINIC1900 16th StreetGreeley, CO 80631Phone: (970) 350-2438Professionals: Donal Rademacher, MDNEUROLOGY

CENTENNIAL NEUROLOGYDr. David Ewing7251 W. 20th Street, Unit CGreeley, CO 80634Phone: (970) 356-3876

NCMC NEUROLOGY CLINIC1800 15th Street, Suite 100BGreeley, CO 80631Phone: (970) 350-5612 Fax: (970) 350-5619Professionals: Jeffery Siegel, MDWilliam Shaffer, MD; Todd Hayes, DOChristy Young, MD

NURSING HOME REHABILITATIONCENTENNIAL HEALTH CARE CENTER1637 29th Ave. PlaceGreeley, CO 80634Phone: (970) 356-8181Fax: (970) 356-3278

OBSTETRICS & GYNECOLOGYCENTER FOR WOMEN’S HEALTH1715 61st Ave.Greeley, CO Phone: (970)336-1500Professionals: Stewart Abbot, MD; Michael Plotnick, MD;Marie Foose, CNM;Krista O’Leary, CNM;Karen Vorderberg, CNM;Bea Bachenberg, WHCNP;Kecia Doll, Licensed Esthetician;

WESTLAKE FAMILY PHYSICIANS, PC5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Jacqueline Bearden, MD; Richard Budensiek, D.O.; Janis McCall, MD;Angela Mills, MD Frank Morgan, MD;David Pols, D.O. www.bannerhealth.com

ONCOLOGY & HEMATOLOGY

CANCER INSTITUTE (NCMC)1800 15th Street,Greeley, CO 80631 Phone: (970) 350-6680Toll Free: (866) 357-9276Fax: (970)350-6610Professionals: Elizabeth Ceilley, MDBrian Fuller, MDKerry Williams-Wuch, MDAriel Soriano, MD

ORTHODONTICS

GREELEY ORTHODONTIC CENTER2021 Clubhouse Dr., Suite 110Greeley, CO 80634Phone: (970) 330-2500Fax: (970) 330-2548E-Mail: [email protected]: www.doctork.comProfessionals: Dr. Gary J. Kloberdanz

ORTHODONTIC ASSOCIATES OF GREELEY, PC3400 W. 16thSt., Bldg 4-VGreeley, CO 80634Phone: (970) 356-5900Website: www.dredgren.comProfessionals: Bradford N. Edgren, DDS, MS


TRiBUNE MEDiCAL DiRECTORY 2012ORTHOPEDICS

MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101Greeley, COPhone: (970)348-0020Fax: (970)348-0044Web Site: www.bannerhealth.comProfessionals: Randy M. Bussey, MDDaniel Heaston, MDThomas Pazik, MDShelly Remley, PA-CKelly R. Sanderford, MDSteven Sides, MDLinda Young, MD

PEDIATRICSBANNER HEALTH CLINIC6801 W. 20th Street, Suite 201Greeley, CO 80634Phone: (970)350-5828www.bannerhealth.com Professionals: Amanda Harding, MDJames Sando, MD

PEDIATRIC REHABILITATIONBANNER REHABILITATION CENTER1801 16th StreetGreeley, COPhone: (970)350-6160Fax: (970)378-3858

PERSONAL RESPONSE SERVICE

BANNER LIFE LINE (NCMC)2010 16th Street, Suite CGreeley, CO 80631Phone: 1-877-493-8109(970) 378-4743

PHYSICAL THERAPY

HOPE THERAPY CENTER(Formerly North Colorado Therapy Center)2780 28th AvenueGreeley, CO 80634Phone: (970)339-0011Website: www.GCIinc.orgProfessionals: Chris Denham, PT; Kryste Haas, OT;Kathie Hertzke, PTA;Moni Kohlhoff, PT;Alex Luksik, PTA;Jeanne Rabe, PT;Howard Belon, PhD, Clinical Psychologist

NORTHERN COLORADOREHABILITATION HOSPITAL 4401 Union StreetJohnstown, CO 80534Phone: (970) 619-3400Website: [email protected]

PODIATRYFOOT & ANKLE CENTER OF NORTHERN COLORADO P.C.1931 65th Ave., Suite AGreeley, CO 80634Phone: (970) 351-0900Fax: (970) 351-0940

4401 Union StreetJohnstown, CO 80534Phone: (970) 443-0925Web Site: www.footandanklecolorado.comProfessionals: Daniel J. Hatch, D.P.M. Mike D. Vaardahl, D.P.M.

PULMONARY/CRITICAL CARENORTH COLORADOPULMONARY (NCMC)2010 16th Street, Ste AGreeley, CO 80631Phone: (970)392-2026Fax: (970)392-2028Professionals: David Fitzgerald, DOKelli R. Janata, DORobert J. Janata, DO

PROSTHETICS & ORTHOTICS

CERTIFIED PROSTHETICS &ORTHOTICS, LLC (GREELEY LOCATION)1620 25th Avenue, Suite AGreeley, CO 80634Phone: 970-356-2123Fax: 970-352-4943

CERTIFIED REHAB SERVICES, INC.(FT COLLINS LOCATION)1709 Heath ParkwayFort Collins, CO 80524Phone: 970-482-7116Fax: 970-498-9529

HANGER PROSTHETICS & ORTHOTICS7251 West 20th Street, Building MGreeley, CO 80634 Phone: (970)330-9449 Fax: (970)330-42172500 Rocky Mountain Avenue, Suite 2100North Medical Office Building Loveland CO 80538 Phone: (970) 619-6585 Fax (970) 619-6591Website: www.hanger.comProfessinal: Ben Struzenberg, CPOMichelle West, Mastectomy Fitter

REHABILITATION

ASCENT AT LIFE CARE CENTER 4800 25th StreetGreeley, CO 80634Phone: (970)330-6400Website: www.lcca.comProfessionals: Annie BennettLeslie Vail

BANNER REHABILITATIONPhone: (970)350-6160


PEAKVIEW MEDICAL CENTER5881 W. 16th St.Greeley, CO 80634Phone: (970)313-2775Fax: (970)313-2777

SKIN CAREKECIAS SKIN CARE @ CENTER FOR WOMEN’S HEALTH1715 61st AvenueGreeley, CO Phone: (970)336-1500 Professinal: Kecia Doll, Licensed Esthetician

SKILLED CARE/REHAB

BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352- 6082Fax: (970)356-7970Website: www.good-sam.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919Website: www.gracepointegreeley.com

SPORTS MEDICINE

MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101Greeley, COPhone: (970)348-0020Fax: (970)348-0044Web Site: www.bannerhealth.comProfessionals: Randy M. Bussey, MDDaniel Heaston, MDThomas Pazik, MDShelly Remley, PA-CKelly R. Sanderford, MDSteven Sides, MDLinda Young, MD

NORTH COLORADO SPORTS MEDICINE1801 16th StreetGreeley, COPhone: (970)392-2496

SPEECH LANGUAGE PATHOLOGY

BANNER REHABILITATION CENTER1801 16th StreetGreeley, COPhone: (970)350-6160Fax: (970)378-3858


UNC SPEECH LANGUAGE PATHOLOGY CLINICGunter Hall, Room 0330 Greeley, CO 80639Phone: (970)351-2012/TTYFax: (970)351-1601Web Site: www.unco.edu/NHS/asls/clinic.htmProfessionals: Lynne Jackowiak, M.S., CCC-SLPJulie Hanks, Ed.DPatty Walton, M.A., CCC-SLP

SURGERY GENERAL & TRAUMA

BARIATRIC SURGERY (NCMC)1800 15th Street, Suite 200Greeley, CO 80631Phone: (970)378-4433866-569-5926Fax: (970)378-4440Professionals: Michael W. Johnell, MD

SURGERY WESTERN STATES BURN CENTER (NCMC)1801 16th StreetGreeley, CO 80631Phone: (970)350-6607Fax: (970)350-6306Professionals: Gail Cockrell, MD Cleon W. Goodwin, MD BURN

SURGICAL ASSOCIATES OF GREELEY PC (NCMC)1800 15th St. Suite 210 Greeley, CO Phone: (970)352-8216Toll Free: 1-888-842-4141Professionals: Lisa Burton, M.D.;Michael Harkabus, M.D.; Jason Ogren, M.D.;Samuel Saltz, D.O.; Robert Vickerman, M.D.

URGENT CARE

SUMMITVIEW URGENT CARE2001 70th AvenueGreeley, CO 80634Phone: (970)378-4155Fax: (970)378-4151www.bannerhealth.comProfessionals:Thomas Harms, MDAmy E. Shenkenberg, MDLinda Young, MD

UROLOGY

MOUNTAIN VISTA UROLOGY5890 W. 13th Street, Suite 106Greeley, CO 80634Professionals:James Wolach, MDCurtis Crylen, MDwww.bannerhealth.com

VEINS

VEIN CLINIC (NCMC)1800 15th Street, Suite 340Greeley, CO 80631Phone: (970)378-4593Fax: (970)378-4591Professionals:Maurice I. Lyons Jr., DOKenneth M. Richards, MDGene E. Tullis, MD


The wait is over.

Greeley Emergencyand Surgery CenterA service of Medical Center of the Rockies

6906 10th St. | Greeley(Next to King Soopers Marketplace at 71st Ave. and 10th St.)

Greeley’s new emergency and surgerycenter offers convenience and comfort.

GreeleyER.com

Patients across the nation are weary of waiting in emergency rooms.

But the long wait is over in Greeley.

Designed to reduce emergency wait times and increase patient comfort and convenience, Greeley Emergency and Surgery Center is now open.

Check out some of the features of Greeley’s newest medical facility:

• 10 private, spacious exam rooms,

• Two kid-friendly emergency exam rooms.

• Two operating rooms and three recovery rooms.

• Full laboratory services available 24 hours a day, seven days a week.

• A diagnostic imaging department open 24 hours a day, seven days a week. (Some procedures need to be scheduled.)

december 2012 thrive

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