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HEALTHY, HAPPY BABIES Starting your infant out right March 21, 2013 + Do you need to go on a ‘Digital Diet’ ? + New Asthma test helps doctors prescribe treatment

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Healty, Happy Babies; Starting your infant out right

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Page 1: Healthline March 2013

HEALTHY, HAPPY BABIESStarting your infant out right

Complimentary

HealthLineOf Northern Colorado

MONTHLYMarch 21, 2013

+ Do you need to go

on a ‘Digital Diet’ ?

+ New Asthma test

helps doctors

prescribe treatment

Page 2: Healthline March 2013

Nomatter where you arein northern Colorado...

we’re here for you.With more than 40 physician choices in clinics throughout northern Colorado,

Colorado Health Medical Group is here to meet your primary health care needs.

Looking for a doctor? Immediate appointments may be available. Call today.

Dr. Pamela Levine

Dr. John Ebens

Dr. Brienne Loy

pvhs.org/clinics

F O R T C O L L I N SFamily Health Care of the Rockies(New location)2121 E. Harmony RoadSuite 230970.392.4752

Poudre Valley Internists4674 Snow Mesa Drive, Suite 100970.392.4752

Colorado Health Medical GroupInternal Medicine1107 S. Lemay Ave., Suite 240970.392.4752

G R E E L E YGreeley Medical Clinic1900 16th St.970.392.4752

Peakview Medical Center5881 W. 16th St.970.392.4752

Poudre Valley Medical Group is nowColorado Health Medical Group.

L O V E L A N DFoxtrail Family Medicine(Partnership of University of Colorado Healthand Associates in Family Medicine)1625 Foxtrail Drive970.619.6900

Colorado Health Medical GroupPrimary Care3850 N. Grant Ave., Suite 100970.392.4752

Medical Clinic at CenterraNorth Medical Office Building2500 Rocky Mountain Ave.970.392.4752

Colorado Health Medical GroupPrimary Care1327 Eagle Drive970.392.4752

W I N D S O RWindsor Medical Clinic1455 Main St.970.392.4752

Page 3: Healthline March 2013

Health Line of NorthernColorado is a monthlypublication producedby the Loveland DailyReporter-Herald. Theinformation providedin this publication isintended for personal,noncommercial,informational andentertainmentpurposes only anddoes not constitute arecommendationor endorsementwith respect to anycompany, product,procedure or activity.You should seek theadvice of a professionalregarding your particularsituation.

For advertisinginformation contact:Linda Story,advertising director:970-635-3614

For editorial:Misty Kaiser,[email protected]

contentscontents

also insidealso inside

Health, HappyBabies - Startingyour infant outright_________

PAGE 4

▲ Asthma: A new test helpsdoctors prescribe treatment Page 8

Uncommon Sense .....................................10

Nutrition ....................................................12

Health Calendar .........................................16

Health Briefs..............................................17

on the coveron the cover

▲ PUT IT DOWN:Do you need to go on

a digital diet? Page 14

Page 4: Healthline March 2013

Rhema ZlatenHealthline

With a newlife developing inthe womb, moth-ers have a lot to doto prepare for theirchild’s introductionto the world. Preparingfor the first few weeksand months after birth is ascrucial as the mother takingcare of her body during thegestational growth period.Breastfeeding is an optionmany mothers pursue tonourish their new bornbabies, and estab-lishing a healthyeating and sleepingrhythm can be a bitof a roller coasterride for both motherand baby.

Amy Casey is alactation consultantfor McKee MedicalCenter in Loveland. Shemakes rounds to see newmothers in the hospital to helpthem establish these essential liferhythms.

“Something that we are starting justrecently is helping babies get skin toskin [contact] within 5 minutes after de-livery,” Casey said. “Studies show thishelps with breastfeeding later. Babiesand mothers love it, and it reallydoesn’t require a lot of extra effort on

ourpart ... and then fromthat point, once they nurse initially,we are trying to help the mother getthe breastfeeding going every threehours. At first, babies have such a tinytummy. The colostrum the baby getsthose first few days is so easy to digest.

They requirethe calories andnutrients often inorder to get thetotal calories they

need everyday.Also nursing oftenin the early dayscreates strong milkproduction.”

In the early daysof breastfeeding,babies need 8 to 12feedings every 24hours.

“That won’tchange untilthe baby has

enough fatcells to last

longer,about sixweeksor 10

pounds,”Casey said.

“After thatthey can have

a long sleepstretch of up to five

hours, but still work-ing for the eight feedings.

When mom’s milk comes in, in theearly days they can have a long stretchof sleep as long as they are getting inthose feedings. Most people don’t reallyknow before the baby comes that theyare going to have to feed this babyevery three hours for a long time. Theirclock is so different than ours. I think

HEALTHY, HAPPY BABIESStarting your infant out right

HHLL on the cover

2 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, March 21, 2013 ...

Page 5: Healthline March 2013

even as adults when I gothree hours without a snackor a drink of water, I have tohave something! So the babyis really wanting the frequentfeeding and the frequentskin to skin. Then as theyget a little older, as they areintroduced to solids, the feed-ings will start gradually goingdown.”

Although breastfeedingis a natural process, womenand babies both must stilllearn how to work with eachother. To help coach womenthrough hurdles to latchingand milk production, Caseyhosts a breastfeeding supportgroup at the hospital. She canweigh babies before and aftera feeding to measure howmuch the baby is digesting.

“I like to also be able toobserve the feeding so I cansee, based on how the babyis positioned and how theylatch on, what is potentiallycontributing to problems,”she said. “Also by lookingat the mother’s nipple, I cantell what the baby has beendoing. If they have given themother a wound, I can sug-gest various methods to helpthe latch. Often it helps evenat the next feeding.”

Sarah Mills is a BradleyMethod™ natural child-birth educator at Birth MojoBoulder. Her son is now twoyears old and she nursedhim through a few medicalhurdles. She recommendsbeginning conversationsabout breastfeeding beforethe baby comes.

“You have energy andmore time to look into yourresources,” Mills said. “If youwait until you have a newbornor you are unfamiliar withyour resources or you haven’tbuilt your support system, itis harder when you are sleepdeprived. Connect with yourcommunity.”

Mothers can prepare tothe best of their abilities, butit is impossible to prepare forall circumstances. Mills’ sonexperienced a medical is-sues called tongue tie, whichprevented him from latching.She was able to correct theissue a few days after birththrough the help of a lactationconsultant.

“While you can try ev-erything to be prepared, youjust never know if there is amedical issues or a lifestyleroadblock to a smooth startfor you,” Mills said. “I wasempowered to see hiccupsand seek out a lactation con-sultant to help figure out whatis going on. She correctedthe medical problem andgave us tools and resourcesto maintain that nursing rela-tionship while we figured outthe medical side. As soon ashis tongue tie was dealt with,at three days old, he latchedright after that. We still usedsome breastfeeding helpersfor the first six weeks. At thetime I was just so in it, andI just felt really committedto breastfeeding. I felt likeI had a good care plan andthat I was just doing whatI needed to do and that Iwas just happy for it. Whenwe got out of that six weekperiod, I realized how mucheasier it was to breastfeed.”

To establish her milksupply, Mills focused onsetting up a birthing stationat her house with a giantbottle of water. She alsomade sure to get the extracalories her body craved byfocusing on good nutritionand fluid intake. She alsosupplemented with pumpingbreast milk to get her supplyestablished while her sonwas struggling with latchingand not eating as much.

“Those early days areimportant in establish-

ing your supply for the longterm,” Mills said.

As far as establishinghealthy sleeping rhythms,Mills read a lot of parentingstyle books and then builther own plan based on herintuition and listening to theneeds of her son.

“Newborn care is one ofthose things where you canhave some tools, but youreally don’t know how it worksuntil you are doing it,” Millssaid. “I was also fortunate tohave been on the tail-end ofmy friends’ having babies.I was able to see a lot ofdifferent parenting styles inaction. I paid attention to theones that made sense to me.It is confusing, but I tell mystudents that you really trulyjust need to go with your gut.Books say one thing, friendssay another. There were timeswhen I had to physically stop,

stand still in the room andthink about what my heartand head were truly saying. Iwould have a purposeful timelistening to what my mommygut told me. Another thingthat is helpful is having yourmommy village, whether thatis friends or your family orgo to a group or a La LecheLeague meeting. It is niceto be able to compare notesto a group of women whounderstand what you aretalking about. Your husbandmay be completely support-ive and understanding, butyou still need your mommyvillage. This is key to keepingyour sanity during your baby’snewborn phase.”

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Kristi HousleyPA-C

Days, Evenings, WeekendsWeekdays 9AM to 9PMSaturday 9AM to 6PMSunday Noon to 6PM

Walk-ins welcome.Appointments available.

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Edwin Risenhoover,M.D.

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Thursday, March 21, 2013 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 3...

Page 6: Healthline March 2013

How do you know whether you should go to an urgent care facility or theemergency room? Here’s a guide to help you decide which facility is the best option.

This is a guide and is not intended as a tool to diagnose injuries or illnesses.Call 911 immediately if someone is unconscious, having trouble breathing,

has suffered a serious injury or may be having a heart attack.

EMERGENCY DEPARTMENT:Severe injuries and illnessesIn general, if the illness or injury seems more critical than something you’d see yourfamily doctor for, or if you need care during the middle of the night, go to the emergencydepartment at the hospital.

• Head injuries, or a sudden, verysevere headache or loss of vision(could be the sign of a stroke).

• Chest pain or other heart attacksymptoms-call 911.

• Serious lacerations, severebleeding, poisoning or brokenbones.

• Intoxication, overdose orattempted suicide.

URGENT CARE:Minor injuries and illnessesIn general, if the illness or injury is something you’d normally see your family doctor for butyou can’t get an appointment right away or it’s after hours, urgent care is the right choice.

• Sprains and strains• Headache• Sore throats and coughs• Ear infections• Fever or flu symptoms

• Minor burns• Minor lacerations requiring a

few stitches• Minor animal bites• Worker’s compensation injuries

Urgent Care3850 North Grant Ave. (second floor)Loveland970.624.5150

Emergency Department2500 Rocky Mountain Ave.Loveland970.624.1600

4 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, March 21, 2013 ...

Page 7: Healthline March 2013

What should I know about detox diets and colon cleansesbefore starting one?

The goal of these diets is to rid the body of toxins that may cause a wide range of medicalailments (fatigue, headaches, fibromyalgia and more) with weight loss as a bonus.

These diets often involve a multi-day regimen with a period of fastingand a restricted diet. Many programs also include laxatives and aliquid-based concoction.

Diets that recommend very few calories can lead to malnutrition,dizziness, fatigue and nausea. Laxatives can also cause dehydration.

Advocates of detox diets claim a variety of health benefits, but thereis no supporting medical research. A healthy diet and exercise arerecommended over these diets.

Consult your physician before beginning a weight loss programor detox diet to learn the risks and set safe weight loss goals.

Ask the Expert:Detox Diets

WhereExpertsWork Best.

Grant Taylor, D.O.Family MedicineBanner Medical ClinicHarmony RoadAppointments – (970) 204-9069

To find a Banner Health physician in your area, visit www.BannerHealth.com/BMGAccepting Kaiser Permanente Members

/BannerHealth

Thursday, March 21, 2013 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 5...

Page 8: Healthline March 2013

New asthma test helps doctorsprescribe treatmentsBy Gracie Bonds StaplesThe Atlanta Journal-Constitution(MCT)

Fall and winter can wreakhavoc on asthma sufferers.Parents of asthmatics knowthis, perhaps, better thananyone.

Inhaled corticosteroids,which might have an impacton children’s growth, areoften used to treat thecondition. But, for some, thetherapy may be unnecessary.

A new, noninvasive breathtest called fractional exhalednitric oxide, or FeNO, hastaken away much of theguess work about whether apatient should be on inhaledcorticosteroids. The test ishelping to guide treatmentdecisions and is the first tomeasure airway inflamma-tion — the major underlyingcause of asthma.

“With one breath into ahandheld device, physicianscan measure the level ofinflammation in a patient’slungs,” said Dr. StanleyFineman, an allergist at theAtlanta Allergy & AsthmaClinic. “If FeNO levels arehigh, that signals that thepatient’s lungs are inflamedand the asthma is out of con-trol.” By measuring airwayinflammation, physicians candetermine whether a steroidis the appropriate therapyand at what dose.

In 2010, Atlanta was the“asthma capital of the U.S.”and among the top 20 worstcities for air pollution, accord-ing to the Centers for DiseaseControl and Prevention.Twelve percent of Georgiachildren suffer from asthmacompared to 9 percent ofchildren nationally.

The culmination of pollu-

tion, pollen count and barri-ers to accessing medical careall contribute to the difficultyin managing patients withasthma.

Atlanta’s springs havebeen especially hard on MattBrown’s 8-year-old daughterHannah Claire.

Twice this past year,Fineman has had to resort tocorticosteroids use so Han-nah could breathe. And, eachtime, Brown said, he and hiswife have worried about howlong-term use might impacther growth.

“Taking any medicinecan lead sometimes to an-other illness, which leads tosomething else, so you don’talways know if you’re better,”he said.

Although there is causefor concern, Fineman said,parents should talk to theirdoctors before starting orstopping steroid use.

“In general, inhaledsteroids are much less riskythan oral steroids,” he said.“A child is better off taking aninhaled steroid on a regularbasis than taking an oral

steroid every few months.”This is because inhaled

steroids go straight to theairway where the inflamma-tion is and therefore have

less systemic absorption withfewer potential long-term sideeffects.

“One of the things peopleneed to understand is that

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6 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, March 21, 2013 ...

Page 9: Healthline March 2013

the use of corticosteroidscan be lifesaving,” Finemansaid. “As long as you moni-tor the effects and the sideeffects, then you should beable to control any potentialside effects and minimizethem.”

We asked him to recallthe three most commonquestions parents haveabout steroid use.

Q: How do I know whetherinhaled corticosteroids arenecessary?

A: A physician typicallydetermines whether inhaledcorticosteroids are thebest course of treatment,based on the severity of thepatient’s asthma. Tradition-ally, a physician will talk topatients about their historyand symptoms (coughingor wheezing), perform aphysical exam and testing

— like lung function, to geta clearer picture of each pa-tient’s individual asthma. Bymeasuring FeNO levels, phy-sicians can better determineif steroids are the appropri-ate course of treatment andif dosage might need to beincreased or decreased.

Q: If my child isn’t takinghis or her medication asdirected, will my doctor beable to tell?

A: Sometimes, but notalways. In general, it isvery difficult to measurea patient’s adherence tomedication because asthmais such a variable disease,meaning symptoms can waxand wane depending upona patient’s exposures to trig-gers. Studies have shown,however, that FeNO levelscan be helpful in determin-ing whether patients have

been taking their steroidmedication as directed bytheir physician.

Q: How can I talk to mydoctor about adjusting mychild’s dosage?

A: The three most impor-tant pieces of informationthat a parent, caregiver orindividual should share withtheir doctor are the typesof symptoms that the childhas been experiencing, howfrequently the child needs touse their bronchodilator in-haler and what sort of physi-cal limitations the asthmasymptoms have been caus-ing. If a patient’s asthma isunder control, a physicianmay consider reducing thedose. If the asthma is notunder control, you mightwant to adjust medication ortreatment recommendations.

©2013 The Atlanta Journal-Constitution (Atlanta, Ga.); Visit The Atlanta Journal-Constitution (Atlanta, Ga.) at www.ajc.com; Distributed by MCT Information Services

MANAGINGASTHMA• Get an accurate diagnosis.

That’s not always as easyas it might sound.

• Work with your doctor tofind out what is triggeringthe asthma symptoms.

• Prepare an asthma man-agement plan to optimizefunctioning.

• Monitor your asthma man-agement plan to make surethat it’s working for you.

• Take precautions to avoidexposure to things that cantrigger your asthma.

Source: Dr. Stanley Fine-man, past-president of theAmerican College of Allergy,Asthma & Immunology;partner at Atlanta Allergy &Asthma Clinic’s Kennestoneand East Cobb locations

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Loveland: 3470 E. 15th Street / Loveland, Colorado 80538 / Phone: 970-663-3975 / Toll-Free: 888-663-3975

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Thursday, March 21, 2013 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 7...

Page 10: Healthline March 2013

Dear Dr. Beth, I am in my50s and my fiancé is in herlate 40s. When we first metalmost two years ago we werevery attracted to each otherbut both of us wondered ifour life experiences and back-grounds would really make uscompatible enough to havea serious relationship. Ourrelationship has turned out tobe great and we are planningto get married. However, I’mstill worried about our differ-ences getting in the way of along-term relationship. Forexample, she doesn’t havechildren and I have childrenand young grandchildren Iwant us to be involved with.

Also, she has been singlemost of her life and I wasin a 30 year marriage. Herfriends include several formerboyfriends and my friends areall long-term married couples.Are we on the road to troubledown the line?

Cultural and life experiencedifferences of all kinds canaffect our romantic relation-ships and even our friend-ships, so the question isone worth thinking about.Clearly you do have somesignificant differences in yourbackgrounds and life experi-ences. This neither doomsyour relationship nor assuresits success. Given that youhave been together for almost

two years, you have probablyalready come to terms withmany of these backgrounddifferences. This can pavethe road to successful resolu-tion of other issues that mayarise as you move into a morecommitted relationship.

The answer to your ques-tion depends a lot on howflexible each of you are andwhether you can step intoeach other’s shoes whenquestions of cultural differ-ence arise. For example, ifshe understands the impor-tance of your family relation-ships and has been open toforming relationships withyour children, grandchildren,and other members of yourextended family, the fact that

she has no children of herown should pose no problem.In fact, couples that marry atolder ages can have conflictsabout whose family membersthey spend time with and howmuch time they are goingto spend with each other’sfamilies. If your fiancé doesn’thave children, this actuallyreduces the potential for con-flict in this arena.

Similarly, many long-timemarried people are now singledue to divorce or death of aspouse. Frequently, they havehad more than one relation-ship prior to meeting a newperson they want to marry.While it may not be your cul-tural etiquette to have friend-ships with ex-dating partners,

Should difference in life experience matter to along-term relationship?

HHLL Uncommon Sense

Dr. Beth FiresteinLicensed Psychologist

Dr. Young is board certified inOrthopedic and Hand Surgery.He and his staff will provide youwith individualized care quicklyand conveniently. Dr. Youngsees patients in the office onTuesdays, Wednesday morningsand Thursdays and we canoften get you in the same day ifnecessary.

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8 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, March 21, 2013 ...

Page 11: Healthline March 2013

this need not be a problemfor the two of you as longas you feel secure that herpast relationships are trulyfriendships with no lingeringromantic feelings.

If you are not a particu-larly jealous person, thesefriendships can be positivefor your relationship with yourfiancé. Such friends can offera unique window of insightinto her character and pastexperiences. In addition, thefact that she has been able toend other romantic relation-ships and transi-tion to friend-ship with thosepartners alsosays somethingquite positiveabout her. Theability to do thisis actually prettyrare.

Your differentlife experiencesare less impor-

tant than whether you havecompatible interests, sharedvalues, and a common vi-sion for your future. Thesedifferences in life experiencekeep the relationship freshand interesting and can evenenrich your relationship inunexpected ways.

Dr. Beth Firestein is a licensedpsychologist. She has 27 yearsof therapy experience and haspracticed in Loveland for morethan 16 years.

She may be reached by callingher office at 970-635-9116, viaemail [email protected] by visitingwww.bethfirestein.com.

Uncommon SensewithBeth Firestein

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vin Felix andPalomares, PA-dedicated to the

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Thursday, March 21, 2013 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 9...

Page 12: Healthline March 2013

By Linda GassenheimerMcClatchy-Tribune News Service(MCT)

Stir-fried, crisp chicken with cashewnuts is a popular Chinese dish. It’s easyand quick to prepare at home.

Toasted sesame oil is available inmost supermarkets. Toasting the ses-ame seeds gives the oil a deep, nutty,sesame flavor. Rice vinegar is a mildcondiment made from fermented rice.

Brown rice takes about 45 minutesto cook. There are several brands ofquick-cooking brown rice available.Their cooking time ranges from 10 min-utes to 30 minutes. I find the 30 minuterice has more flavor, but any quick-cooking rice will work for this dinner.

I call for a small amount of drysherry in the chicken recipe. You canbuy small bottles or splits of sherry at

most liquor stores.Note: Chinese recipes have more

ingredients than other recipes, but take only

a few minutes to cook. It’s worth a little extra

effort for true Chinese flavor without extra

carbohydrates.

HELPFUL HINTS:• The secret to crisp, not steamed, stir-

frying is to let the ingredients sit for

about a minute when added to the hotwok before tossing them. This allowsthe wok to regain its heat after thecold ingredients have been added.

• White vinegar diluted with a little watercan be used instead of rice vinegar.

• For easy stir-frying, place all of theprepared ingredients on a cuttingboard or plate in order of use. Youwon’t have to look at the recipe onceyou start to cook.

• Make sure your wok is very hot beforeadding the ingredients.

COUNTDOWN:• Marinate chicken.• Place water for rice on to boil.• Prepare remaining chicken ingredi-ents.

• Make rice.• Stir-fry chicken.

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May 14, 2013 at 2:00 PMPart 2,“If I can’t talk, how will theyknow what I need’’ Guidelines tohelp selecting a health care agent.

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10 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, March 21, 2013 ...

Page 13: Healthline March 2013

CHINESE CHICKEN WITHCASHEW NUTS¼ cup lite soy sauce¼ cup rice vinegar¼ cup dry sherry2 tbsp chopped fresh ginger (or 2 tsp groundginger)3 medium cloves garlic, crushed½ pound boneless, skinless chicken breast,cut into ½-inch pieces2 tsp sesame oil1 medium red bell pepper, sliced (1 cup)1 tsp cornstarchSalt and fresh ground black pepper¼ cup cashew nuts2 scallions, sliced

Mix soy sauce, vinegar, sherry, ginger andgarlic together in a small bowl. Add chickenand marinate while you prepare the otheringredients. Heat a wok or skillet over highheat and add sesame oil. Remove chickenfrom marinade with a slotted spoon, reserv-ing liquid. Add chicken to wok and stir-fry2 minutes. Remove to a plate. Add red bellpepper. Stir-fry 2 minutes. Mix the cornstarchwith reserved marinade. Add marinade andchicken to the wok and stir-fry 2 minutes withthe peppers. Remove from heat. Add salt andpepper to taste. Sprinkle cashew nuts and

scallions on top and serve over rice.

Makes 2 servings.Per serving: 372 calories,16 g fat,

4 g saturated fat, 68 mg cholesterol, 30 g protein,

21 g carbohydrates, 2 g dietary fiber, 11 g sugars,

1,281 mg sodium.Exchanges/Choices: 1 ½ carbohy-

drate, 4 lean meat, 3 fat.

———

QUICK BROWN RICE1 1/3 cup water½ cup quick-cooking brown rice2 cups broccoli florets1 tsp sesame oilSalt and freshly ground black pepper

Bring water to a boil over high heat andadd rice. Bring back to a simmer, lower tomedium heat, cover and cook 25 minutesor according to package instructions. Addbroccoli florets, cover, and continue to cook5 minutes. The water should be evaporated.If not, remove the cover and cook a few min-utes further. If the rice becomes dry before itis cooked, add more water. Add oil and saltand pepper to taste.Makes 2 servings.Per serving: 210 calories, 4 g fat,

1 g saturated fat, no cholesterol, 7 g protein,39 g

carbohydrates, 4 g dietary fiber,1 g sugars, 22 mg

sodium. Exchanges/Choices: 2 starch, 1 vegetable,

½ fat

———

SHOPPING LIST: 1 medium red bell pep-per, 1 small bunch scallions, 1 smallpiece fresh ginger (or ground ginger), 1small package broccoli florets, ½ poundboneless, skinless chicken breast, 1small bottle lite soy sauce, 1 small bottlerice vinegar, 1 small bottle dry sherry,1 small bottle toasted sesame oil and 1small package unsalted cashew nuts

STAPLES: Garlic, quick-cooking brownrice, cornstarch, salt, and black pep-percorns

———(From “Mix’n’Match Meals in Minutes

for People with Diabetes” by Linda Gassen-heimer, published by the American DiabetesAssociation. Reprinted with permission fromThe American Diabetes Association. To orderthis book call 1-800-232-6733 or order onlineat http://store.diabetes.org)

Distributed by MCT Information Services

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Thursday, March 21, 2013 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 11...

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By Alexia Elejalde-RuizChicago Tribune (MCT)

Cellphones, for many people, havemorphed into an extra appendage,always within reach except for that timeyou accidentally left it at home and suf-fered a minor panic attack.

Our constant connectedness hasits benefits - it’s hard to imagine atime when some useless trivia dispute,without a smartphone’s instantaneousGoogle search, would simply go un-resolved. But when people can’t getthrough dinner without responding totheir phone’s pings, or they avoid vaca-tions for fear of being somewhere with-out cell reception, or they so restlesslycheck their Facebook and Twitter feedsthat they walk blindly into traffic - it maybe a sign that the white-knuckled grippeople have on their phones is actuallythe phones’ grip on them.

Some experts caution about thehazards of cellphone overload.

Dr. Elias Aboujaoude, a StanfordUniversity psychiatrist and the author of“Virtually You: The Dangerous Powersof the e-Personality,” said people “losethe ability to be in the moment” whenthey’re bombarded by messages theyfeel compelled to react to.

Daniel Sieberg, a former scienceand technology reporter, wrote the book“The Digital Diet: The 4-Step Plan toBreak Your Tech Addiction and RegainBalance in Your Life” after his reli-ance on gadgets hurt his relationshipswith his friends and family and lefthim feeling distracted, disconnectedand isolated. Now the leader of mediaoutreach at Google, Sieberg said he’smore grounded and productive sincebecoming intentional about his digitalconsumption.

People need to recognize the goodand bad of cellphones and makeconscious choices about when and howmuch they use their devices, said NancyBaym, author of “Personal Connec-tions in the Digital Age” and a principalresearcher at Microsoft Research.

Even the most tech-savvy folks prac-tice moderation.

Duke University professor Cathy Da-vidson, who is on the board of Mozilla,the software company behind Firefox,said her peers will take a full monthoff from technology when they go onvacation, not just unplugging from theirmachines but also advising people thatcorrespondence sent during that timewill not be acknowledged.

“The point of technology is that youshould control it; it shouldn’t controlyou,” said Davidson, author of “NowYou See It: How the Brain Science of At-tention Will Transform the Way We Live,Work and Learn.”

THINK YOUCAN HANDLE IT?

If not 20 seconds pass before youitch to take another look at your phone,you may benefit from a digital diet. Hereare 14 exercises to help you practice

phone restraint.• Charge your phone outside of your

bedroom so you don’t plunge intothe digital stream as soon as youopen your eyes, said Daniel Sieberg,author of “The Digital Diet.”

• Don’t check your work email untilyou get to work. Remember whenwork was the only place you couldcheck it? The company survivedthen, and it will continue to survive.

• Keep your phone off the table duringmeals so that you’re not interruptedor tempted to fiddle with it, Siebergsaid.

• Play “phone stack” when dining withfriends to give everyone a financialincentive to focus on the flesh-and-blood humans in front of them.Here’s how: Everyone puts theirphones on the table, face down,stacked one on top of the other. The

PUT IT DOWN:Not forever. Just for a minute. ANXIOUS?

12 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, March 21, 2013 ...

Page 15: Healthline March 2013

first person to grab his/her phonehas to pick up the whole tab.

• Experience something first, postabout it later, Sieberg said. Interrupt-ing the activity you’re engaged in totweet or post photos of said activitydistracts from your enjoyment of theexperience _ especially when youthen keep checking to see if anyonehas commented. Wait until later topost. It will still have happened.

• When you compose your out-of-office reply for a vacation, say thatany correspondence sent during thattime will self-destruct; if it’s impor-tant, people will just have to contactyou upon your return.

• Leave your phone behind when yougo on a walk or to the gym or takea lunch break or any other time youdon’t really need it. Recognize thefact that you have survived without itupon your return.

• Log out of Facebook every time you

close the page, suggests NancyBaym, author of “Personal Connec-tions in the Digital Age.” Just havingthe extra step of logging on eachtime you pull up Facebook can makeyou reconsider whether it’s reallywhat you want to do.

• Establish “tech breaks,” duringwhich you spend a minute or twocatching up on your virtual socialconnections before turning yourphone on silent and placing it facedown, suggests research psycholo-gist Larry Rosen. Wait 15 minutesbefore you allow yourself to look atyour phone again (set an alarm). Asyou become accustomed to letting itsit, lengthen the time between techbreaks.

• Take 10 minutes out of each houror two to put away your technologyand do something that neuroscien-tists have found calms the brain,Rosen said. Look at nature, listen tomusic, exercise, talk live to a friend,meditate.

• Abstain from automatically whippingout your phone any moment youfind yourself alone. Instead, take inthe scene around you. Strike up aconversation with a stranger. Thinkdeep thoughts.

• Only look at your phone when you’renot engaged in another task _ notwhile you’re walking, not while you’redriving, not while you’re paying foryour coffee, not while you’re in themiddle of a conversation.

• Put your phone in the trunk whileyou drive.

• Keep your phone on silent. Whenyou happen to look at it later, youcan see what you missed. iPhoneusers can also use the new “Do NotDisturb” feature that quiets incomingcalls or messages for a designatedperiod of time while allowing certain“favorite” contacts to ring through.___(c)2013 Chicago TribuneVisit the Chicago Tribune at www.chicago-tribune.comDistributed by MCT Information Services

All faiths or beliefs are welcome.

ecovery in mind, body and spirit.To learn more, call(970) 624-5458.

R

Thursday, March 21, 2013 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 13...

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CHRONIC OBSTRUCTIVEPULMONARY DISEASEWhen: 1 p.m.-3 p.m., 3/26– Nutrition1 p.m.-3 p.m.,4/2 – Personal Power/Ad-vance Directives1 p.m.-3 p.m.,4/9 – Wrap up1 p.m.-3 p.m.,4/16 – New session beginswith respiratory overviewWhere: McKee Conferenceand Wellness Center, 2000Boise. Ave., LovelandCost: FreeCall: (970) 635-4015

LOVELAND DIABETESSUPPORT GROUPSpeaker: Sanofi DiabetesA1C Champions: Hear fromreal people with diabetesabout how they successfullymanage their diabetes.When: 3/28 7-8:30 p.m.Where: McKee Conferenceand Wellness Center, 2000Boise Ave., LovelandCost: FreeCall: 970) 622-1950

LOVELAND COMMUNITYHEALTH FAIRParticipants who had theirblood tested may pick upresults and visit educationalbooths and free and low-cost screenings that day.When: 4/13 , 8 a.m.-1 p.m.Where: McKee Conferenceand Wellness Center, 2000Boise Ave.Cost: Free. Low-cost screen-ings available.Call: (970) 669-9355 formore information

BREAST-FEEDING SUP-PORT GROUPWhen: Mondays, Wednes-days and Fridays (exceptholidays), 10-11 a.m.Cost: FREE. No need toregister

Call: (970) 669-9355

BLOOD PRESSURESCREENINGHave your blood pressurechecked by a WellnessSpecialistWhere: McKee WellnessServices, 1805 E. 18th St.Suite 6, LovelandWhen: Monday throughThursday, 8 a.m.-4:30 p.m.Cost: FREECall: (970) 669-9355

YOGA SUPPORT GROUPFOR ANYONE TOUCHEDBY CANCERJoin us for gentle yoga andholistic therapy education.Where: McKee Medical Cen-ter Cancer Center LobbyWhen: 1st and 3rd Thursdayof every month 5:30-6:30p.m.Cost: freeCall: (970) 635-4054 toregister

CAREGIVER CANCERSUPPORT GROUPWhere: Call for locations anddates.Cost: FREECall: (970) 635-4129

CAREGIVERS SUPPORTFor caregivers of elderlyadults. The group focuseson providing support andeducation about commu-nity resources and behav-ior issues, particularly forpeople with Alzheimer’s andmemory impairment.Where: First ChristianChurch, 2000 N. LincolnAve., LovelandWhen: Third Thursday of themonth, 1:30-3:30 p.m.Cost: FREE. Care of elderlyadult family members orfriends is available throughStepping Stones Adult DayProgram during meeting

times at no charge.Call: (970) 669-7069

CANCER SUPPORTWhere: McKee CancerCenter lobbyWhen: Tuesdays (exceptholidays), 5:30-7 p.m.Cost: FREECall: (970) 635-4129

MAN TO MAN SUPPORTGROUP FOR PROSTATECANCERWhen: 5:30 p.m.-7 p.m.,Fourth Thursday of eachmonthWhere: McKee Conferenceand Wellness CenterCost: FreeCall: (970) 622-1961

BREAST CANCERSUPPORT GROUPWhere: McKee CancerCenter lobbyWhen: Nov. 8, 5:30-7 p.m.Cost: FREECall: (970) 622-1961

TOTAL JOINTEDUCATIONPhysical therapists andoccupational therapistsprepare patients for surgery.This program is coordinatedthrough your physician’soffice as part of the surgeryscheduling process.Where: McKee Conferenceand Wellness CenterWhen: Thursdays, 3 p.m.Cost: FREECall: (970) 635-4172 toregister

WISE WOMENSUPPORT GROUPA free, community group forwomen 55-100 who wouldlike to connect with otherwomen sharing similar lifechallenges. There is a dis-cussion topic for each groupand time for personal shar-

ing. Facilitated by psycholo-gist Dr. Beth Firestein.Where: Daz Bog CoffeeShop, 556 N. Lincoln Av-enue, Loveland.When: Thursday, 3/21,4/4, 5/2, 6/16 11:15am-12:30pm. (Come early if youwould like to get coffee or asnack).Call: Dr. Beth Firestein at(970) 635-9116.

“IMPROVING YOUR BOT-TOM LINE,”

McKee Spirit of Wom-en, The Seasons Club andBanner Health physicianPhillip Rhoads, MDt, inviteguests to have lunch and tolearn about the all-importantbottom line at an upcomingevent.

“Improving your Bot-tom Line,” is March 29 atthe McKee Conference andWellness Center, 2000 BoiseAve. Doors open at 11 withlunch at 11:15 a.m. and thepresentation at noon. Costis $7 and includes a boxlunch. Register by calling(970) 635-4097.

Colon cancer is a topicmost people aren’t comfort-able discussing. Gettingthe latest information aboutprevention is important,especially after age 50. TheSeasons Club and Spirit ofWomen have planned thisevent to provide a safe andopen forum for you to getstraight answers to yourquestions. Dr. Rhoads is anew Banner Health physi-cian in Northern Coloradospecializing in Internal Medi-cine and Pediatrics.

To learn more aboutthis event, please visit www.bannerhealth.com/McKee-Spirit or www.bannerhealth.com/McKeeSeasonsClub.

HHLL Health Calendar

14 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, March 21, 2013 ...

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NCMC, MCKEE RANKEDIN 100 TOP HOSPITALSTruven recognition fol-lows recent HealthgradesdistinctionGREELEY, CO – TruvenHealth Analytics SM, for-merly Thomson Reuters,announced today that NorthColorado Medical Center andMcKee Medical Center areamong the nation’s 100 TopHospitals based on overallorganizational performance.

According to Truven,the study evaluates 10 areas:mortality; medical complica-tions; patient safety; averagepatient stay; expenses; profit-ability; patient satisfaction;following clinical standardsof care; and post-dischargemortality and readmissionrates for heart attack, heartfailure, and pneumonia. Thestudy is celebrating its 20th

year, and has been conduct-ed annually since 1993.

McKee is owned andNCMC is operated by BannerHealth, one of the country’slargest nonprofit health caresystems with 23 hospitalsin seven states. In addition,Banner Boswell MedicalCenter in Sun City, Ariz., wasnamed to the list. BannerHeart Hospital in Mesa, Ariz.,was previously recognized asa Truven Top 50 Cardiovascu-lar Hospital.

In Colorado, McKee andNCMC comprise two of thefour hospitals named to thelist. NCMC was recognizedamong teaching hospitalsand McKee among mediumcommunity hospitals.

This recognition followsthe recent announcementthat McKee and NCMCwere recognized by Health-

grades in the top 5 percentof hospitals nationally asDistinguished Hospitals forClinical Excellence. NCMCwas recognized by Health-grades as a Top 100 Hospitalplacing it in the top 2 percentof hospitals nationally.

“These recognitions byTruven and Healthgrades rep-resent the commitment andcollaboration that our employ-ees demonstrate day in andday out,” said Sheldon Stad-nyk, Banner Health WesternRegion chief medical officer.“We accept this distinctionin the name of our patientsas well. The desire to createa safe and ideal outcome foreach individual who entruststheir care to us is what drivesBanner and all of its hospi-tals. We hope to build on thissuccess as we enter the eraof healthcare reform.”

For more informationabout the awards, pleasevisit www.bannerhealth.com/mckee or www.bannerhealth.com/ncmc.

About Banner HealthHeadquartered in

Phoenix, Banner Health isone of the largest, nonprofithealth care systems in thecountry. The system manages23 acute-care hospitals, theBanner Health Network andBanner Medical Group, long-term care centers, outpatientsurgery centers and an arrayof other services includingfamily clinics, home care andhospice services, and a nurs-ing registry. Banner Healthis in seven states: Alaska,Arizona, California, Colorado,Nebraska, Nevada and Wyo-ming. For more information,visit www.BannerHealth.com.

HHLL Health Briefs

www.columbinehealth.comwww.columbinehealth.com

THE WEXFORD

LAKEVIEW COMMONSNORTH SHORE HEALTH & REHAB

COLUMBINE POUDRE HOME CARE

Thursday, March 21, 2013 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 15...

Page 18: Healthline March 2013

You’re walking around with your

own medical chart and you prob-

ably didn’t even know it. Granted,

information in that chart – also

known as your very own blood –

needs to be translated for you to

get a clear picture of your health.

That translation can take place

during the 2013 Loveland Com-

munity Health Fair. Blood draws

and Memory Screenings will be

done March 18-March 23 and

March 25-March 27, from 6:30

a.m. – 9:30 a.m. Walk-in ap-

pointments are welcome. Physi-

cians can learn plenty about your

health just from a few simple

tests on your blood. Physicians

can check the function of your

organs, for diseases and condi-

tions and for the effectiveness of

treatments if you have undergone

any.

Much of the information that

comes back from a blood test

isn’t written in laymen’s terms,

so it’s important to sit down

with your health care provider

to review your results. We also

offer free consultations with local

health care providers the day of

the health fair when you pick up

your results.

Rest assured, our laboratory pro-

fessionals review each screening.

If something catches their atten-

tion, they make a personal call to

that person to highlight the find-

ing and encourage that person to

make an appointment with his or

her health care provider.

It’s a good idea to have a basic

understanding of what the results

can tell you and if you need to

consider additional screening.

The Complete Blood Count(CBC) -- The CBC is one of the

most commonly ordered blood

screening tests and is used to

present a general picture of a

person’s overall health. It can

help diagnose illness or disease

for people with many signs or

symptoms and monitor treatment

of many disease states including

anemia and leukemia.

The Chem 24 – Normal test

results are a significant part of

ruling out illness/disease. These

results also establish a baseline

“normal” for each person. This

is useful to monitor changes that

may occur in your lifetime. The

Chem 24 Chemistry Panel in-

cludes measurements of choles-

terol, HDL, LDL, triglycerides, risk

ratio, iron, thyroid, glucose, along

with several heart, liver, kidney

and muscle enzymes.

Prostate specific antigen (PSA)

-- Prostate Cancer is the most

common cancer found in men

in the U. S. It occurs in about

1 out of 10 men during their

lifetime. This is an optional blood

screening for men. The American

Urological Association and the

Prostate Cancer Education Coun-

cil recommend annual prostate

screenings for all men age 50

and over (earlier if positive family

history).

Hemoglobin A1c (A1c blood

screening) -- The Hemoglobin

A1c gives a picture of the aver-

age amount of glucose in the

blood over the past few months.

It can help with treatment of

diabetes and for certain people,

this test may be used to screen

for and diagnose diabetes and

pre-diabetes.

For more information about the

Loveland Community Health Fair,

please visit www.bannerhealth.

com/lovelandhealthfair.

The Loveland Community

Health Fair is 8 a.m. to 1 p.m.

on Saturday, April 13 at McKee

Conference and Wellness Cen-

ter, 2000 Boise Ave., Loveland.

Get your ‘chart’ checked atLoveland Community Health Fair

PAID ADVERTORIAL

16 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, March 21, 2013 ...

Page 19: Healthline March 2013

Colon cancer claims the lives of over 50,000men and women each year.

Check our website for screening guidelines.www.Digestive-health.net

Get it checked!

Fort Collins • (970) 207-9773Rand F. Compton, MD • Thomas A. Dowgin, MD • Rebecca C. Dunphy, MDMark N. Durkan, MD • Rodney R. Holland, MD • Joseph X. Jenkins, MD

Robert A. Simmons, MD

Greeley • (970) 207-9773Thomas A. Dowgin, MD

Loveland • (970) 669-5432Daniel A. Langer, MD • Crystal M. North, DOStephen R. Sears, MD • Lewis R. Strong, MD

Page 20: Healthline March 2013

Ask the Expert:Heart Attack

What do I need to know about heart attacks?It is very important to call 911 if you suspect you or a loved one is having a heart attack.

Paramedics will use special equipment to assess your condition on the scene,and may implement a Cardiac Alert.

ACardiac Alert notifies CVI cardiologists and cardiac catheterization lab staffmembers at McKee Medical Center to be ready to treat you upon arrival.

Patients who are treated quickly as a result of McKee’s Cardiac Alert program:• Experience fewer immediate complications from the heart attack• Have less heart muscle damage• Are less likely to suffer from long-term heart failure

Time is muscle – the faster the artery is open, the better the patient outcome.

WhereExpertsWork Best.

Jim Quillen, M.D.CardiologistCardioVascular Instituteof North ColoradoAppointments: (970) 203-2400

McKee Medical Center & North Colorado Medical CenterAccepting Kaiser Permanente members.

www.BannerHealth.com/CVI