October 2013 Thrive
October 2013 Thrive issue of The Tribune's health tab.
October 2013 THRiVE » NORTHERN COLORADO WELLNESS nc Take your best shot Getting vaccinated is the best way to avoid the flu. Page 6. » INSIDE: BEWARE THE TANNING BED • NATIONAL TEEN DRIVER SAFETY WEEK • HEALTH EVENTS 2 n HEALTH THRIVENC n September 25, 2013 y Comf t & Convenience your hometown LOCATED in OPTIONS Like Chemo & Brachytherapy e Competent, y y WE’VE GOT THE BIG C THING DOWN. When your doctor drops the big C, you’d go to the ends of the earth to find the best cancer treatment. Fortunately, you don’t have to. The Banner Health cancer centers, located throughout northern Colorado, handle even the most complicated cancers with leading edge treatments like high dose rate Brachytherapy. This radiation therapy delivers treatment from inside the body to very specific affected areas, which typically results in fewer side effects. Innovative treatment options like this will have you saying, C-ya cancer. y by some of the most CARING, COMPASSIONATE & y BannerHealth.com/COcancer • Greeley: (970) 350-6680 • y /NorthColoradoMedicalCenter North Colorado Medical Center McKee Medical Center Sterling Regional MedCenter September 25, 2013 n THRIVENC OCT. HEALTH EVENTS « Body Check ... What you need to know: Head to Toe, by appointment Oct. 1 and 15 at Summit View Medical Commons, 2001 70th Ave. in Greeley. This head-to-toe health assessment gives you the tools to put your health first by receiving a comprehensive set of preventive health screenings. Invest in your health today! This screening includes: Health Fair Panel (fasting blood work-please fast 10-12 hours), sleep questionnaire, lung function test, body composition, weight and Body Mass Index, hip and waist measurements, health education with a wellness specialist, EKG with results read by a board-certified cardiologist, bone density screening, Peripheral Arterial Disease screening including: education about peripheral vascular disease, stroke, stroke prevention and osteoporosis prevention, ankle brachial index, ultrasound of the carotid vessels, ultrasound of the aorta (screenings are read by a board-certified radiologist). Upon Request: colorectal take-home kit, $10, Prostate Specific Blood Antigen screening, $23. Cost for screening is $175. Payment is due at time of service, Wellness Services cannot bill insurance. Call (970) 350-6070 to schedule an appointment. All results are sent to your personal physician and to you. Banner Health Clinic in Loveland. Topics covered include the difference between pre-diabetes and diabetes, what you can do to prevent type 2 diabetes and how to develop a lifelong plan to help keep your blood sugars in the normal range. Part one of a three-part series, continued Nov. 5 and 12. Cost is $30 for the series. One supporter may accompany each participant at no additional charge. To register, call (970) 392-2344. HEALTH n 3 « CT Heart Score, 1 p.m. and 2 p.m. FOR THE TRIBUNE Call (970) 350-6070 to schedule an appointment. Cost is $100, payment is due at time of service. NCMC Wellness Services is not able to bill insurance. « STAR — support touch and reach « PAD Screening (Peripheral Vascu- lar Disease), 1-3 p.m. Oct. 1 and 15 at Summit View Medical Commons. NCMC’s Peripheral Vascular Disease Screening program offers the education and prevention proven to be the best tools for fighting vascular disease and stroke. Patients receive Ankle brachial index: evaluation of leg circulation, carotid artery disease screening: ultrasound of the carotid vessels, abdominal aortic aneurysm screening: ultrasound of the aorta, CardioChek fingerstick: lipid panel, health education with a wellness specialist and health information packet. breast cancer survivors (Breast Cancer Support Group), 5:30-7 p.m. Oct. 3 at NCMC Cancer Institute Conference Room. For more information, call Betty Parsons at (970) 339-7137. by calling toll-free 877-277-8975; choose option No. 2. Tickets can also be purchased at the door for $25. A portion of all proceeds benefit the NCMC Breast Center Fund, providing mammograms for under-insured women in northern Colorado. For more information, visit www.bannerhealth.com/NCMCspirit. Appointments preferred; please fast 12 hours prior to blood draw. Cost varies; payment is due at time of service. NCMC Wellness Services will not bill insurance. « Meal in a Bowl Cooking Class, « Greeley’s Diabetes Information « Spirit Girls’ Night Out — Funda- mentally Female, 6-8:30 p.m. Oct. 3. at UNC Ballroom, 2045 10th Ave. in Greeley. An evening of storytelling through art, music and comedy! Created by speaker and storysmith Renee Rongen, Fundamentally Female takes you on a sidesplitting journey to capture the elusive, universal spirit of every woman. Tickets are $20, and can be purchased prior to the event at the NCMC Gift Shop, Accessories with a Flair!, 801 8th Ave. Suite 4 or Group/Support Group, 6:30-7:30 p.m. Oct. 8 at NCMC Union Colony Room. For people with diabetes, their family, friends, caregivers or anyone with an interest in diabetes. Teri Sieg RD, CDE will speak. Free. For more information, call (970) 392-2344. 6-7:30 p.m. Oct. 9 at NCMC Cardiac Rehab Kitchen. We’ll explore some international options for savory recipes served in a bowl. Taught by Mary Branom, R.D. Call (970) 350-6633 to register. Cost is $10. Monday-Friday at NCMC. CT Heart Score provides a non-invasive test that accurately measures the amount of calcified plaque in the arteries. The procedure begins with a fast, painless computed tomography CT exam. CT, more commonly known as CAT scanning, uses x-rays and multiple detectors to create interior images of the heart. The Heart Score program includes a 10-minute consultation with a wellness specialist, focusing on cardiac risk factor education, identification of non-modifiable and modifiable risks and lifestyle behavior change options. Call (970) 3506070 to schedule an appointment. Cost is $199, payment is due at time of service. NCMC is not able to bill insurance. « Diabetes and Pregnancy classes, by « Prostate Cancer Support Group, 5:30-7 p.m. Oct. 17 at NCMC Cancer Institute Lobby. For more information, call Julianne Fritz at (970) 350-6567. « Blood Tests, 7-8:45 a.m. Oct. 9 and 23 at NCMC and Oct. 16 in Johnstown. For NCMC, come through entrance No. 6. The Johnstown location is Johnstown Family Physicians, 222 Johnstown Center Drive. To schedule an appointment, call (970) 350-6633. « Walk with a Doc, Oct. 19 at Sanborn Park, 2031 28th Ave. Informal health talk followed by 30-minute walk and healthy snacks. For more information, visit www.WalkwithaDoc.org. « Pre-Diabetes Class, Oct. 29 at appointment or class schedule. Group and individual sessions 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 monitoring, medications, problem solving, healthy coping and reducing risks. The goal is to help you and your baby stay healthy. No referral needed for group sessions; referral from provider is required for individual appointments. Classes are $10, individual sessions are billable to insurance. For more information, call (970) 392-2344. 4 n HEALTH THRIVENC n September 25, 2013 Just in case you missed a day... National Teen Driver Safety Week puts the spotlight on smart driving National Teen Driver Safety Week is a time designated by Congress each year to raise awareness of teen driver safety topics and to encourage safe teen driver and passenger behavior. Now in its seventh year, the National Teen Driver Safety Week takes place Oct. 20-26. This year’s theme is “It Takes Two: Shared Expectations for Teens and Parents for Driving.” It takes a parent/guardian and a teen working together to develop a safe, skilled driver while a teen is learning to drive. The initiative behind National Teen Driver Safety Week was prompted by a series of tragic crashes involving Pennsylvania high school students. More than 50 cosponsors introduced the resolution creating National Teen Driver Safety Week in October 2007. The initiative was supported by the traffic safety experts at The Children’s Hospital of Philadelphia and State Farm Mutual Automobile Insurance Co. Getting behind National Teen Driver Safety Week offers opportunities for parents, students, schools, and communities to support the new teen drivers on the roadways. Here are some tips to get started: » Advocate for 65-plus hours of supervised driving practice. » Know what you don’t know. A study by Children’s Hospital of Philadelphia found that “75 percent of serious teen crashes were due to a critical teen driver error, with the three common errors: driving Lyn too fast for road condi- TAUSAN DRIVE tions, being SMART distracted, and failing to detect a hazard.” » Make sure and teach your teen critical driving skills. » Develop house rules for the first year of independent driving. » Encourage safe teen driver and passenger behavior at your school through the program “Ride Like a Friend. Drive Like You Care.” Student leaders and club members can work with teachers and school administration to plan and conduct a set of in-school program activities that span 3-5 school days. These activities encourage safe in-car behaviors such as buckling up and respecting the driver. “Ride Like a Friend. Drive Like You Care” can be conducted throughout the school year. An ideal time would be during National Teen Driver Safety Week, which is held annually during the third week of October. The website for the campaign: www.ridelikeafriend.org » Spread the word. Get your friends involved in creating a National Teen Driver Safety Week campaign at your school that helps teens and parents set clear expectations to develop safe, skilled drivers. For campaign ideas, visit “Ride Like a Friend. Drive Like You Care” Facebook page. To help other teens do the right thing as a passenger and a driver, learn about messaging to motivate. Parents and guardians: Remember you are role models for safe driving behavior for your teen driver. Lyn Tausan is a retired school administrator and resides in Greeley with her husband. She is the marketing/public relations specialist for DRIVE SMART Weld County. Call Us & Skip The Waiting Room! Open 7 Days A Week; Extended Hours 1-866-467-5230 Visit website for additional locations and hours: 2928 W. 10 th St., Greeley, CO 80634 NextCareColorado.com September 25, 2013 n THRIVENC HEALTH n 5 GREELEY EMPLOYERS LAUDED FOR SUPPORT OF NURSING MOTHERS By Mike Schwan For The Tribune C olorado state law requires employers to support nursing mothers. The law states employers must provide a private space for expressing milk, the space cannot be a bathroom stall, and adequate break time to pump breast milk are the minimum requirements. However, many employers go the extra mile to encourage employees to meet their breastfeeding goals. Here are two shining examples of employers who support breastfeeding at work: minute, and then they have to try to find a place where they can relax and pump without interruption.” » The University of Northern Colorado is another employer in Greeley Alena M. Clark, associate professor of the nutrition and dietetics program and Yvette Lucero-Nguyen, director of the UNC Women’s Resource Center. UNC has two fully equipped lactagram” to make it easy for staff to pump in their own work area by renting a portable privacy screen. Both students and staff members appreciate the breastfeeding support that UNC has provided. Tiffany Wood, staff member of UNC, said she sincerely appreciates the lactation program at UNC. “Words can’t express my sincere gratitude for the lactation station at UNC. If it wasn’t for the lactation station there is no way I would have been able to provide my son with the best nutrition possible while working full time.” In order for a nursing mother and her baby to receive the maximum health benefits, the American Academy of Pediatrics recommends feeding your baby only breast milk for around the first six months of life and then continuing breastfeeding in combination with nutritious foods for at least one year. However, most working moms do not follow the recommendation due to barriers at work, including lack of flexibility for break time to pump breast milk, lack of an area to pump and store breast milk, and lack of support from supervisors and coworkers. Mike Schwan is a health communications specialist for the Weld County Department of Public Health and Environment. FOR THE TRIBUNE » State Farm Insurance of Greeley has outstanding breastfeeding support, including a designated mom’s room with a sink, comfortable chair and a refrigerator to store breast milk. Malyka Korgan is an underwriter for the auto operations division, and she said State Farm does a great job. “State Farm has many great benefits, one of them being the mom’s room,” she wrote in an email. “I have had three babies during my time at State Farm, and I have utilized the mommy rooms for all three of them. I have heard stories of mothers that don’t have this benefit available to them and struggle to get away from their desk for a quick “ Words can’t express my sincere gratitude for the lactation station at UNC. If it wasn’t for the lactation station there is no way I would have been able to provide my son with the best nutrition possible while working full time. Staff member at the University of Northern Colorado that has an outstanding lactation support program for its staff and students. The program was designed by tion stations on campus that they offer employees and students. They also have a “Screen Rental Pro- Tiffany Wood 6 n HEALTH THRIVENC n September 25, 2013 TAKE YOUR BEST SHOT Vaccinations are the best way to avoid the flu By Sarah Moe email@example.com F lu season is coming, and aside from the inconvenience of missing days of work and school if the disease is contracted, it kills about 64,000 people every year. That’s why experts say it’s important to prepare now to avoid getting the disease during flu season, which runs from roughly OctoberMarch. The most important to take is to get a flu vaccine. Roxane Conant, wellness senior manager with North Colorado Medical Center in Greeley, said the vaccination is a good idea for anyone older than 6 months. “Really, the flu vaccine is the most important step in preventing the flu,” Conant said. The vaccine is available as a flu shot, of course. The shot prevents against what are predicted to be the most prevalent strains of influenza in a given year. Typically the vaccine prevents against three strains, a trivalent. This year, there is also a version that prevents against four strains, a quadrivalent. Of the 135 million to 139 million doses prepared this year, about 32 million will protect against four strains. These are especially useful in protecting children. There also is a nasal mist version of the vaccine, FluMist. This version is good for the needle-wary, but pregnant women and adults aged 65 and older cannot get it, though they should still get vaccinated. While vaccination is a good idea for everyone, children and the elderly are more at risk for complica- » Whooping cough outbreak linked to missed vaccinations A recent Kaiser Permanente Institute for Health Research study shows that undervaccination increases the likelihood of children contracting whooping cough. According to a Kaiser news release, more parents are choosing to vaccinate their children on an alternative schedule. Nearly half of children younger than 2 had received some vaccinations late. Children aged 3-36 months who were undervaccinated, or who missed at least one of the four scheduled DTaP vaccines against whooping cough, were 18-28 times more likely to contract the disease. The study, published in JAMA Pediatrics, came after the largest U.S. whooping cough outbreak in 50 years in 2012. In the study, the immunization records of 323,247 children born between 2004 and 2008 were analyzed. Pertussis, or whooping cough, is a highly contagious bacterial disease. The uncontrollable violent coughing can be deadly to infants, but the DTaP vaccine is 98 percent effective in preventing the disease. Staff reports FOR THE TRIBUNE » Where to vaccinate » North Colorado Medical Center/Banner Health has several upcoming flu shot clinics for the public. A flu shot is $25 and the nasal flu mist is $30. Walk-in clinics are 7 a.m.-5 p.m. Sept. 25-26, 8 a.m.-1 p.m. Sept. 28 and 8 a.m.-1 p.m. Oct. 19. Banner Health also has flu shots available at several upcoming events. For more information visit www.bannerhealth.com. » Walgreens has flu vaccinations available now. Prices start at $31.99 for a standard flu shot. Walgreens also has the nasal flu mist, 65 plus vaccine, four-strain vaccine and allergy-friendly vaccine. All are available on a walk-in basis. » Many drugstores and offices have flu shot clinics available. » Contact your family health provider for more information on where to get vaccinated, and what type of vaccine is best for your family. tions from the flu, so it’s especially important that they protect themselves. Vaccination should also be a priority for people with medical conditions such as asthma, heart and lung problems, endocrine disorders, diabetes, metabolic problems or a weakened immune system, such as those weakened by HIV/AIDS. This year, there is also a high risk for American Indians and Alaska natives. Anyone who lives or works with others who have medical conditions also should make sure they’re vaccinated. People infected with influenza can spread the disease for several days before showing any symptoms. Up to 50 or 60 people could be infected before the person realizes they are sick themselves. Paul Poduska, infection preven- tionist with University of Colorado Health at Poudre Valley Hospital in Fort Collins, said that this rule goes for health workers, as well. At PVH, all employees who do not have a medical reason not to are required to get a flu vaccination. Those who cannot get the vaccine must wear a mask to protect patients. “The last thing we want to do is give any of our patients influenza,” Poduska said. Anyone who gets vaccinated now is looking out for the future because the flu doesn’t generally hit Weld until about January. The scientists who create the vaccine every year look even further forward. Months before flu season begins, they must determine what strains are likeliest to attack in a given year, and protect against those strains with the vaccine. The weather in the southern hemisphere helps with that. “We often watch to see what hap- pens in the southern hemisphere, because they go first,” Poduska said. Despite the research, there’s no way to predict how bad flu season is going to be. Because of this unpredictability, many Weld residents are cautious. LuEtta Legleo of Greeley gets her flu shot every year. “I think it’s better to be safe than sorry,” Legleo said. September 25, 2013 n THRIVENC HEALTH n 7 BEWARE THE TANNING BED Young white women still embrace indoor tanning despite cancer risks Los Angeles Times Indoor tanning is a great way to get skin cancer — especially if you start young. People who use tanning beds, sunlamps or tanning booths before age 35 are up to 75 percent more likely to develop melanoma, and those who begin before 25 may double their risk of other types of skin cancer. So we are once again surprised to find that indoor tanning remains popular with the young women whose fair skin makes them the most vulnerable to the harmful effects of ultraviolet radiation. The latest evidence comes from researchers at the Centers for Disease Control and Prevention. In a research letter published online Monday by JAMA Internal Medicine, they report that 29.3 percent of white high school girls went to an indoor tanning parlor at least once a year, and 16.7 percent went “frequently” — at least 10 times in a 12-month period. In addition, 24.9 percent of white women younger than 35 indoor-tanned at least once a year and 15 percent did so “frequently.” Why is this a problem? As we explained after a 2011 survey by the American Academy of Dermatology found that 32 percent of white women under the age of 30 had visited a tanning parlor in the previous year (including 8 percent who did so on a weekly basis): “The reason tanning turns your skin brown is that it becomes damaged by ultraviolet radiation. This is true regardless of whether those UV rays come directly from the sun or from an artificial source, like a tanning bed or sunlamp. Both shortwavelength UVB and the relatively longer-wavelength UVA damage the DNA in skin cells, increasing FOR THE TRIBUNE the risk of malignant melanoma and squamous and basal cell carcinomas. (And even if you don’t care about cancer risk, consider that UV waves break down the collagen in your skin, causing it to wrinkle.)” The CDC says indoor tanning is dangerous, and the U.S. Food and Drug Administration warns consumers that the UV radiation from sunlamps and tanning beds “poses serious health risks.” The World Health Organization’s International Agency for Research on Cancer says UV-emitting tanning devices are “carcinogenic to humans.” The U.S. Department of Health and Human Services agrees, saying that exposure to sunlamps or sunbeds is known to be a human carcinogen.” (Spray tans seem to be OK, since they don’t involve UV radiation.) The statistics reported in JAMA Internal Medicine were gathered as part of the 2011 Youth Risk Behavior Survey and the 2010 National Health Interview Survey, both administered by the CDC. Although survey-takers may have been less than truthful about their tanning practices, the researchers found the results troubling. “Indoor tanning is widespread among non-Hispanic white female high school students and adults ages 18 to 34 years, and the frequent use of indoor tanning is common,” they wrote. “This widespread use is of great concern given the elevated risk of skin cancer among younger users and frequent users.” What will it take to reverse this trend? California is one of a handful of states that has made it illegal for minors to use tanning beds, and at least 33 states regulate the industry in some way, according to National Conference of State Legislatures. Some cities restrict the use of indoor tanning salons by minors as well. The Patient Protection and Af- fordable Care Act aims to discourage indoor tanning by imposing a 10 percent tax on tanning services, among other things. The U.S. Preventive Services Task Force has found that peer counseling and videos that emphasize how tanning ages the skin are two interventions that actually work. A 2010 report in the Archives of Dermatology, however, reported that one out of three indoor tanners could be addicted to the practice. That may help explain why 1 in 50 melanoma survivors told CDC interviewers that they continued to go to tanning parlors. 8 n HEALTH THRIVENC n September 25, 2013 CAN TWITTER MAKE YOU FITTER? The Dallas Morning News DALLAS — On a recent Saturday, Pat Wagner knew she should have been getting ready for boxing class. The 60-year-old Carrollton resident spent the last five years cutting her weight in half, dropping 150 pounds and adopting an entirely new lifestyle. She’s no stranger to hard work or hard workouts, but on this day there were just too many distractions. Errands to run. Laundry to do. A game on TV. She wondered — couldn’t she take it easy? Wagner began scrolling through her Twitter feed. She saw a post from her personal trainer, Steven Williams. He was already in his own boxing class, and the post made Wagner decide to get up and get there, too. “We all run up these excuses in our mind,” Wagner says, “and we might know realistically that there shouldn’t be an excuse, but it’s amazing what the body can do and what the mind can make up.” Wagner is a living example of how social media can help you lose weight. A quick scroll through Pinterest or a Google search for “motivation” shows that networking sites are brimming with weight-loss inspiration. But there’s science behind the idea, too, according to a January study published in the Journal of the American Medical Informatics Association. Participants who self-monitored their weight loss via Twitter had lower body mass indexes after six months than those who didn’t. It’s also become a useful tool for trainers who want to motivate clients toward their goals, and clients who are looking for an extra push. “The Twitter nudges do that,” Wagner says. “They just reach out and say, ‘Hey, get off your butt and » NEED INSPIRATION? Here are a few sites and feeds worth sampling: » www.blogilates.com » Twitter: blogilates » Instagram: blogilates » www.sparkpeople.com » www.toneitup.com » www.muffin-topless.com » http://sweat-sparkles.tumblr. com/ Gym Inspiration on Twitter: » goldsgym » 24hourfitness » equinoxs if you will,” Valdez says. When Gold’s Gym runs a weight-loss challenge, posting before-and-after pictures is particularly motivating, Valdez says. “They’re motivated by results and motivated by people who have actually seen success.” BLOG-BODY CONNECTION MCCLATCHY NEWSPAPERS go do this. I’m doing it, you need to do it.’” GETTING PERSONAL Williams, Wagner’s trainer, says he uses Twitter, Instagram and Facebook to keep his clients motivated during the crucial hours when they’re working toward their goals outside the gym. “It’s almost like I’m with them throughout the day as well,” Williams says. “They always have a way to get hold of me, so it’s almost like I’m with them 24/7.” Williams frequently sends out motivational quotes and reminders or posts pictures of a workout or healthy meal. It’s a not-so-subtle message for clients who, like Wagner, might be lacking motivation. “It’s like, they’re in here working, why aren’t you, basically,” Williams says. Williams’ social media sites are also a means for his clients and other visitors to Gold’s Gym in Uptown Dallas, where he works, to connect with one another. He’s seen them share best practices and lean on one another through particularly tough workouts. “It’s just this endless cycle of mass information exchange,” Williams said. He says his own healthy habits make easy fodder for motivational posts. When he cooks a healthy meal that also looks delicious, he makes sure to snap a picture and post it for his followers; it’s just a little check that might help them adjust their own habits. Gold’s Gym general manager Edgar Valdez said social media has become a key, recommended component of the trainer-client relationship. It’s almost like free marketing for individual trainers. He encourages both parties to follow each other on social media, and he’s seen specific trainers amass a huge following. “It keeps them engaged and gets them going to the next level, That motivation can be just as powerful, and perhaps even more important, for those who seek inspiration outside the gym. Twitter, Instagram and other social media allow online bloggers — who essentially function as free personal trainers for clients across the country — to keep up with followers who turn to them for health and fitness advice. Cassey Ho, founder of the website Blogilates, says social media helps her followers feel as if they can connect with the Californiabased personal trainer. “A lot of times they use that community as if they were like my clients, and so I’m really kind of like their personal trainer,” Ho says. Ho pointed to a recent partnership with the site “DietBet,” a social dieting game. Users agree to submit a set amount of money, weigh in and agree to a 4 percent weight-loss goal. Those who meet it at the end of the month split the pot. Ho’s followers lost more than 31,000 pounds. “To get the word out, Twitter and Instagram were really big,” Ho says. Each month, Ho releases a calendar with daily workouts. The calendars have their own hashtags, a symbol used to make topic searches easier on Twitter. A recent month’s calendar featured the tag .thisisMYJULY, created by Ho to connect community members. She says this allows followers to ask about exercise modifications or answer one another’s questions when she’s not available. “Hashtags are big because it creates a sense of community and it’s a great way for people to find each other,” Ho says. She also asks for check-ins to promote accountability. They might take the form of a “sweaty pic,” a sort of social media selfportrait posted after a challenging routine, or a tweet of text rating the workout’s intensity. Followers often send her their own motivational quotes and pictures — phrases they like, beforeand-after photos or pictures of her recipes they’ve tried at home. Instagram, Ho says, is particularly good for promoting her “Cheap Clean Eats” recipes or sharing a healthy meal she’s found at a restaurant. It also works for “transformation Tuesday” pictures of members who’ve lost weight or toned up by following her plans. Ho says that, despite the focus on change, her social media posts aren’t all about losing weight. “A lot of these girls are just looking for inspiration to just live a better life,” Ho says, “whatever that might mean for them.” September 25, 2013 n THRIVENC HEALTH n 9 TRiBUNE MEDiCAL DiRECTORY ACUPUNCTURE ASSISTED LIVING BALANCE 2013 BANNER HEALTH CLINIC 222 Johnstown Center Drive Johnstown, CO 80534 Phone: (970)587-4974 Professionals: Cara Brown, MD J.Matthew Brown, MD Joseph Gregory, MD Courtney Isley, MD Stephen Kalt, MD, Internal Medicine Thomas Kenigsberg, MD CARDIOVASCULAR INSTITUTE (NCMC) 1800 15th Street, #310 Greeley, CO 80631 Phone: (970) 392-0900 Professionals: 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; Stephen Zumbrun, MD (970) 350-6953 Missy Jensen, FNP-C PHYLLIS HAMAR, L.A.C. BONELL GOOD SAMARITAN 708 22nd Street Greeley, CO 80631 Phone: (970) 352-6082 Fax: (970) 356-7970 www.good-sam.com Master of Science, Traditional Chinese Medicine NCCAOM Board Certified 710 11th Ave., Ste. 106 Greeley, CO 80631 970-539-0324 LIFE CARE CENTER OF GREELEY- ASCENT 4800 25th Street Greeley, CO 80634 Phone: (970)330-6400 Professionals: Cozette Seaver, PT; Leslie Vail, PT WESTLAKE FAMILY PHYSICIANS, PC 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Richard Budensiek, DO; Janis McCall, MD; Frank Morgan, MD; Jacqueline Bearden, MD; Angela Mill, MD Website: www.bannerhealth.com GRACE POINTE CARDIAC VASCULAR SURGERY 1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com MEADOWVIEW OF GREELEY FAMILY PHYSICIANS OF GREELEY, LLP-CENTRAL 2520 W. 16th St. Greeley ,CO Phone: (970) 356-2520 Professionals: 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. 5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Web Site: www.meadowviewofgreeley.com HEART FAILURE CLINIC (NCMC) DENTISTRY ALLERGY AND ASTHMA THE BRIDGE ASSISTED LIVING 4750 25th Street Greeley, CO 80634 Phone: (970)339-0022 COLORADO ALERGY & ASTHMA CENTERS, P.C. 7251 W. 20th Street, Bldg N, Ste 1 Greeley, CO 80634 Phone: (970) 356-3907 ASCENT FAMILY DENTAL Scott Williams, DMD 3535 W. 12th Street, Suite B Greeley, CO 80634 Phone: (970)351-6095 www.dentalgreeley.com AUDIOLOGY 1136 E. Stuart St, Bldg 3, Ste 3200 Ft. Collins, CO 80525 Phone: (970) 221-1681 4700 E. Bromley Ln., Ste 207 Brighton, CO 80601 Phone: (303) 654-1234 www.coloradoallergy.com Professionals: Dr. Daniel Laszlo Dr. John James ALPINE ALL ABOUT HEARING FAMILY PHYSICIANS OF GREELEY, LLP-COTTONWOOD 2420 W. 16th Street Greeley ,CO 80634 Phone: (970) 353-7668 Professionals: 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. NORTHERN COLORADO ALLERGY & ASTHMA 1124 E. Elizabeth Street, #E-101 Fort Collins, CO 80524 Phone: (970)221-3372 Fax: (970)493-9237 3820 N. Grant Avenue Loveland, CO 80538 Phone: (970)461-0225 Fax: (970)593-0670 Web Site: www.allabouthearing.com Professionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-A Cheryl Hadlock, M. S., CCC-A JULIE KAVANAUGH, D.D.S. 3400 W. 16th Street, Suite 8-E Greeley, CO 80634 Phone: (970)351-0400 www.drjuliekav.com CARDIAC, THORACIC & VASCULAR SURGERY (NCMC) 1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4391 Professionals: Lyons, Maurice I. Jr. DO Richards, Kenneth M. MD Tullis, Gene E. MD RALPH R. REYNOLDS, D.M.D., M.D. Oral Surgery 7251 W. 20th St. Building H, Suite 2 Greeley, CO 80634 (970) 663-6878 www.reynoldsoralfacial.com FAMILY PHYSICIANS OF GREELEY, LLP-WEST 6801 W. 20th Street, Suite 101 Greeley ,CO Phone: (970) 378-8000 Professionals: 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. Greeley Phone: (970) 330-5391 Loveland Phone: (970) 663-0144 Ft. Collins Phone: (970) 221-2370 www.NCAAC.com Professionals: Dr. Vel Kailasam, MD Krishna C. Murthy, MD Loran Clement, MD Michael Martucci, MD AUDIOLOGY ASSOCIATES 2528 16th Street Greeley, CO Phone: (970)352-2881 Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A ENDOCRINOLOGY ENDOCRINOLOGY CLINIC (NCMC) 1801 15th Street, Ste 200 Greeley, CO 80631 Phone: (970)378-4676 Fax: (970)-378-4315 www.bannerhealth.com Professionals: Nirmala Kumar, MD Kimberly Rieniets, MD Corinn Sadler, MD MIRACLE-EAR CARDIOLOGY ALZHEIMERâ€™S/SKILLED CARE 708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 Web Site: www.good-sam.com BONELL GOOD SAMARITAN 2404 17th Street Greeley, CO 80634 Phone: (970)351-6620 749 S. Lemay Avenue, Suite A1 Fort Collins, CO 80524 (970)221-5225 UNC AUDIOLOGY CLINIC FAMILY PRACTICE MEDICINE KENNETH M. OLDS GRACE POINTE 1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com MEADOWVIEW OF GREELEY Gunter Hall, Room 0330 Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 Web Site: www.unco.edu/NHS/asls/clinic.htm Professionals: Diane Erdbruegger, Au.D., CCC-A; Erinn Jimmerson, M.A., CCC-A Jennifer Weber, Au.D., CCC-A BANNER HEALTH CLINIC 1300 Main Street Windsor, CO 80550 Phone: 970-686-5646 Fax: 970-686-5118 Providers: Jonathan Kary, M.D. Trina Kessinger, M.D. Anthony Doft, M.D. 6801 W. 20th Street, Suite 208 Greeley ,CO 80634 Phone: (970)330-9061 WESTLAKE FAMILY PHYSICIANS, PC 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Richard Budensiek, D.O.; Jacqueline Bearden, MD; Tong Jing, MD; Janis McCall, MD; Frank Morgan, MD; David Puls, D.O. www.bannerhealth.com 5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Web Site: www.meadowviewofgreeley.com BANNER HEALTH CLINIC 100 S. Cherry Ave., Suite 1 Eaton, CO 80615 Phone: (970)454-3838 Professionals: Marianne Lyons, DO Lance Barker, DO, Internal Medicine 10 n HEALTH THRIVENC n September 25, 2013 TRiBUNE MEDiCAL DiRECTORY TRiBUNE MEDiCAL DiRECTORY FUNERAL SERVICES 2010 2013 NURSING HOME REHABILITATION WORK OUT WEST ALLNUTT & RESTHAVEN FUNERAL SERVICES 702 13th Street, Greeley, CO Phone: (970) 352-3366 650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-3208 8426 S. College Avenue, Ft. Collins, CO Phone: (970) 667-0202 2100 N. Lincoln, Loveland, CO Phone: (970) 667-1121 1302 Graves Avenue, Estes Park, CO Phone: (970) 586-3101 Health & Recreation Campus 5701 W. 20th Street Greeley, CO 80634 Phone: 970-330-9691 www.workoutwest.com BONELL GOOD SAMARITAN 708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 Web Site: www.good-sam.com 1720 60th Avenue Greeley, CO 80634 Phone: (970)353-7773 Fax: (970)330-9708 Web Site: www.good-sam.com HOME HEALTH CARE CARING HEARTS HOME HEALTHCARE 6801 W. 20th Street, Suite 207 Greeley, CO 80634 Phone: (970)378-1409 FOX RUN SENIOR LIVING Susan Goodrich, LCSW Banner Health Clinic-Loveland Pediatrics Loveland Pediatrics Loveland CO Banner Health Clinic- Windsor 1300 Main Street Windsor CO, 80550 Renee Rogers, LMFT Banner Health Clinic 1300 Main Street Windsor, CO 80550 Banner Health Clinic 303 Colland Drive, Fossil Creek Fort Collins, CO 80525 CENTENNIAL HEALTH CARE CENTER 1637 29th Ave. Place Greeley, CO 80634 Phone: (970) 356-8181 Fax: (970) 356-3278 OBSTETRICS & GYNECOLOGY BANNER HEALTH GYN CONSULTANTS 1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970)353-1335 Professionals: Susan Carter, MD 2410 W. 16th Street Greeley, CO 80634 Phone: (970)352-6353 Professionals: Neil Allen, MD Laurie Berdahl, MD GASTROENTEROLOGY REHABILITATION AND VISITING NURSE ASSOCIATION 2105 Clubhouse Drive Greeley, CO 80634 Phone: (970) 330-5655 Fax: (970) 330-7146 Web Site: www.rvna.info Professionals: Crystal Day, CEO BREEN, JOHN F., MD (NCMC) 1801 16th Street Greeley, CO 80631 Phone: (970)350-6071 Fax: (970)350-6702 INFECTIOUS DISEASE NEPHROLOGY BANNER HEALTH OB/GYN CLINIC GREELEY MEDICAL CLINIC HOSPICE INTERNAL MEDICINE 1900 16th Street Greeley, CO 80631 Phone: (970) 350-2438 Professionals: Donal Rademacher, MD HOSPICE OF NORTHERN COLORADO Administration Office 2726 W. 11th Street Road Greeley, CO 80634 Phone: (970)352-8487 Fax: (970)475-0037 BANNER HEALTH CLINIC 2010 16th Street Greeley, CO 80631 Phone: (970)350-5660 www.bannerhealth.com Professionals: Danielle Doro, MD Giovanna Garcia, MD NEUROLOGY WESTLAKE FAMILY PHYSICIANS, PC 5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 Professionals: Jacqueline Bearden, MD; Richard Budensiek, D.O.; Janis McCall, MD; Frank Morgan, MD; David Pols, D.O. www.bannerhealth.com PATHWAYS HOSPICE 305 Carpenter Road Ft. Collins, CO 80550 Phone: (970)663-3500 Fax: (970)292-1085 Web Site: www.pathways-care.org MEDICAL EQUIPMENT & SUPPLIES BANNER HOME MEDICAL EQUIPMENT (NCMC) Phone: (970)506-6420 ONCOLOGY & HEMATOLOGY CANCER INSTITUTE (NCMC) 1800 15th Street, Greeley, CO 80631 Phone: (970) 350-6680 Toll Free (866) 357-9276 Fax: (970)350-6610 Professionals: Jeffrey Albert, MD Elizabeth Ceilley, MD Brian Fuller, MD Benjamin George, MD Samuel Shelanski, MD Kerry Williams-Wuch, MD Alice Wood, MD Ariel Soriano, MD INDEPENDENT ASSISTED LIVING GRACE POINTE DOWGIN, THOMAS A., MD. CENTERS FOR GASTROENTEROLOGY 7251 W. 20th St., Bldg J Greeley, CO Phone: (970)207-9773 3702 Timberline Ft. Collins, CO Phone: (970)207-9773 2555 E. 13th Street, Suite 220 Loveland, CO Phone: (970)669-5432 Website: www.digestive-health.net MENTAL HEALTH SERVICES 1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 Website: www.gracepointegreeley.com NCMC - BEHAVIORAL HEALTH MEADOWVIEW OF GREELEY 5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 Website: www.meadowviewofgreeley.com Dr Patricia Al-Adsani, Child and Adolescent Psychiatry Banner Health Clinic-Internal Medicine 2010 16th Street, Suite C Greeley, CO 80631 Banner Health Clinic- Windsor 1300 Main Street Windsor, CO 80550 Shawn Crawford, LPC Banner Health Clinic 222 Johnstown Center Drive Johnstown, CO 80534 Banner Health Clinic-Internal Medicine 2010 16th Street, Suite C Greeley, CO 80631 Stephanie Carroll, LCSW, CACIII Banner Health Clinic 1300 Main Street Windsor, CO 80550 Banner Health Clinic Fossil Creek 303 Colland Dr Fort Collins, CO 80525 Elise Pugh, LPC Banner Health Clinic Westlake 5623 W 19th St Greeley CO 80631 Banner Health Clinic 1300 Main Street Windsor, CO 80550 INDEPENDENT ASSISTED LIVING W/SERVICES CENTENNIAL NEUROLOGY Dr. David Ewing 7251 W. 20th Street, Unit C Greeley, CO 80634 Phone: (970) 356-3876 OPTOMETRY FOX HILL VISION CLINIC NORTH COLORADO GASTROENTEROLOGY (NCMC) 2010 16th Street, Ste. A Greeley, CO 80631 Phone: (970)378-4475 Fax: (970)378-4429 Professionals: Tong Jing, MD Mark Rosenblatt, MD Ahmed M. Sherif, MD Yazan Abu Qwaider, MD NEUROLOGY CLINIC (NCMC) 1800 15th Street, Suite 100B Greeley, CO 80631 Phone: (970) 350-5612 Fax: (970) 350-5619 Professionals: Barbara Hager, MD Todd Hayes, DO William Shaffer, MD Christy Young, MD 2001 46th Avenue Greeley, CO 80634 (970) 330-7070 Professionals: Dr. Nancy Smith, OD Dr. Tarry Harvey, OD Website: www.foxhillvision.com ORTHODONTICS GREELEY ORTHODONTIC CENTER 2021 Clubhouse Dr., Suite 110 Greeley, CO 80634 Phone: (970) 330-2500 Fax: (970) 330-2548 E-Mail: firstname.lastname@example.org Website: www.DoctorK.com Professionals: Dr. Gary J. Kloberdanz NEURO-SURGERY BRAIN & SPINE HEALTH AND FITNESS BANNER HEALTH NEUROSURGERY CLINIC 1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970)350-5996 Professionals: David Blatt, MD Beth Gibbons, MD STUDIO Z FITNESS ORTHODONTIC ASSOCIATES OF GREELEY, PC 3483 W. 10th Street, Unit A Greeley, CO 313-6924 or 388-7956 Professionals: Bradford N. Edgren, DDS, MS 3400 W. 16thSt., Bldg 4-V Greeley, CO 80634 Phone: (970) 356-5900 Website: www.drbradsmiles.com September 25, 2013 n THRIVENC HEALTH n 11 TRiBUNE MEDiCAL DiRECTORY ORTHOPEDICS 5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 Web Site: www.bannerhealth.com Professionals: Randy M. Bussey, MD Riley Hale, MD Daniel Heaston, MD Thomas Pazik, MD Kelly R. Sanderford, MD Steven Sides, MD Linda Young, MD 2013 SURGICAL ASSOCIATES OF GREELEY PC (NCMC) 1800 15th St. Suite 210 Greeley, CO Phone: (970)352-8216 Toll Free: 1-888-842-4141 Professionals: Molly Decker, DO; Michael Harkabus, MD; Jason Ogren, MD; Samuel Saltz, DO; Robert Vickerman, MD PODIATRY MOUNTAIN VISTA ORTHOPAEDICS FOOT & ANKLE CENTER OF NORTHERN COLORADO P.C. 1931 65th Ave., Suite A Greeley, CO 80634 Phone: (970) 351-0900 Fax: (970) 351-0940 NORTHERN COLORADO REHABILITATION HOSPITAL 4401 Union Street Johnstown, CO 80534 Phone: (970) 619-3400 Website: NCRH@ernesthealth.com 5881 W. 16th St. Greeley, CO 80634 Phone: (970)313-2775 Fax: (970)313-2777 SPEECH LANGUAGE PATHOLOGY BANNER REHABILITATION CENTER 1801 16th Street Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858 4401 Union Street Johnstown, CO 80534 Phone: (970) 443-0925 Web Site: www.footandanklecolorado.com Professionals: Daniel J. Hatch, D.P.M. Mike D. Vaardahl, D.P.M. PEAKVIEW MEDICAL CENTER NORTHERN COLORADO REHABILITATION HOSPITAL 4401 Union Street Johnstown, CO 80534 Phone: (970) 619-3400 Website: NCRH@ernesthealth.com URGENT CARE PEDIATRICS PULMONARY/CRITICAL CARE SKILLED CARE/REHAB SUMMITVIEW URGENT CARE 2001 70th Avenue Greeley, CO 80634 Phone: (970)378-4155 Fax: (970)378-4151 www.bannerhealth.com Professionals: Susan Beck, MD Thomas Harms, MD Susan Kelly, MD Amy E. Shenkenberg, MD Linda Young, MD BANNER HEALTH CLINIC 6801 W. 20th Street, Suite 201 Greeley, CO 80634 Phone: (970)350-5828 www.bannerhealth.com Professionals: Amanda Harding, MD James Sando, MD NORTH COLORADO PULMONARY (NCMC) 1801 16th Street Greeley, CO 80631 Phone: (970)392-2026 Professionals: Kelli Janata, DO Robert Janata, DO David Fitzgerlad, DO Michael Shedd, MD Danielle Dial, NP UNC SPEECH LANGUAGE PATHOLOGY CLINIC Gunter Hall, Room 0330 Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 Web Site: www.unco.edu/NHS/asls/clinic.htm Professionals: Lynne Jackowiak, M.S., CCC-SLP Julie Hanks, Ed.D Patty Walton, M.A., CCC-SLP PEDIATRIC REHABILITATION BANNER REHABILITATION CENTER 1801 16th Street Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858 PROSTHETICS & ORTHOTICS SURGERY GENERAL & TRAUMA UROLOGY MOUNTAIN VISTA UROLOGY 5890 W. 13th Street, Suite 106 Greeley, CO 80634 Phone: (970)378-1000 Professionals: Curtis Crylen, MD David Ritsema, MD James Wolach, MD www.bannerhealth.com CERTIFIED PROSTHETICS & ORTHOTICS, LLC (GREELEY LOCATION) 1620 25th Avenue, Suite A Greeley, CO 80634 Phone: 970-356-2123 Fax: 970-352-4943 PERSONAL RESPONSE SERVICE BANNER LIFE LINE (NCMC) 2010 16th Street, Suite C Greeley, CO 80631 Phone: 1-877-493-8109 (970) 378-4743 HANGER PROSTHETICS & ORTHOTICS PHYSICAL THERAPY HOPE THERAPY CENTER (Formerly North Colorado Therapy Center) 2780 28th Avenue Greeley, CO 80634 Phone: (970)339-0011 Website: www.GCIinc.org Professionals: Chris Denham, PT; Kryste Haas, OT; Kathie Hertzke, PTA; Moni Kohlhoff, PT; Alex Luksik, PTA; Jeanne Rabe, PT; Howard Belon, PhD, Clinical Psychologist 7251 West 20th Street, Building M Greeley, CO 80634 Phone: (970)330-9449 Fax: (970)330-4217 2500 Rocky Mountain Avenue, Suite 2100 North Medical Office Building Loveland CO 80538 Phone: (970) 619-6585 Fax (970) 619-6591 Website: www.hanger.com Professinal: Ben Struzenberg, CPO Michelle West, Mastectomy Fitter BONELL GOOD SAMARITAN 708 22nd Street Greeley, CO 80631 Phone: (970)352- 6082 Fax: (970)356-7970 Website: www.good-sam.com VEINS VEIN CLINIC (NCMC) GRACE POINTE 1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 Website: www.gracepointegreeley.com 1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4591 Professionals: Maurice I. Lyons Jr., DO Kenneth M. Richards, MD Gene E. Tullis, MD REHABILITATION SPORTS MEDICINE ASCENT AT LIFE CARE CENTER 4800 25th Street Greeley, CO 80634 Phone: (970)330-6400 Website: www.lcca.com Professionals: Annie Bennett Leslie Vail Phone: (970)350-6160 MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 Web Site: www.bannerhealth.com Professionals: Randy M. Bussey, MD Riley Hale, MD Daniel Heaston, MD Thomas Pazik, MD Kelly R. Sanderford, MD Steven Sides, MD Linda Young, MD NORTHERN COLORADO REHABILITATION HOSPITAL 4401 Union Street Johnstown, CO 80534 Phone: (970) 619-3400 Website: NCRH@ernesthealth.com 1800 15th Street, Suite 200 Greeley, CO 80631 Phone: (970)378-4433 866-569-5926 Fax: (970)378-4440 Professionals: Michael W. Johnell, MD BARIATRIC SURGERY (NCMC) BANNER REHABILITATION SURGERY WESTERN STATES BURN CENTER (NCMC) 1801 16th Street Greeley, CO 80631 Phone: (970)350-6607 Fax: (970)350-6306 Professionals: Gail Cockrell, MD Cleon W. Goodwin, MD BURN NORTH COLORADO SPORTS MEDICINE 1801 16th Street Greeley, CO Phone: (970)392-2496 12 n HEALTH THRIVENC n September 25, 2013 L ike most World War I survivors, Hitler had been exposed to a significant amount of noise in the trenches and sheer speculation would suggest that he had some highfrequency sensori-neural hearing loss. While that is speculation, there is documented situational and medical evidence suggesting that Hitler incurred a more severe hearing impairment during World War II as a result of the July 20, 1944 assassination attempt. Since about 1938 there had been various plots within the German Army and the German Military Intelligence Organization to depose Hitler. Early leaders of these plots were mostly Hitler and National Socialist Party adversaries but had no plans to forcefully take over the German government. As the war moved on and looked hopeless, the goals changed to ridding Germany of Hitler and negotiating with the Allies. Operation Valkrie he July 20 plot was developed as a modification of Operation Valkyrie (Unternehmen Walküre) which had been approved by Hitler. The plan was to be used if there was a general breakdown in civil orders resulting from Allied bombing of German cities or an uprising of the forced laborers from occupied countries working in German factories. Operation Valkyrie called for the creation of a Reserve Army. The reserve army which included members of the Kreisau Circle, a group of influential military and civilians that opposed Hitler and the National Socialist Party. By mid-1943 the tide of war was turning decisively against Germany and the German Army plotters and their civilian counterparts became convinced that Hitler should be assassinated so that a government acceptable to the western Allies could be formed, and a separate peace negotiated in time to prevent a Soviet invasion of Germany. Thus, the Circle changed the Valkyrie plan from one that simply maintained order to a plot not only assassinate Adolf Hitler but also his henchmen Hermann Goering and Heinrich Himmler. The plan, headed by high ranking German Army officers, General Friedrich Olbricht (Above), Major General Henning von Tresckow, sought to take control of German cities, disarm the SS, and arrest the Nazi leadership once assassinations had been accomplished. T of Poland (1939), The Battle of France (1940), Operation Barbarossa (Invasion of the Soviet Union, 1941), and Tunisia, 1942. While in Tunisia in 1943, Stauffenberg was directing the movement of a column of units near Mezzouna when his vehicle was strafed by a P-40 fighter bomber and he suffered multiple severe wounds. He spent three months in a hospital in Munich, where he lost his left eye, his right hand, and two fingers on his left hand and was decorated for these wounds and his courage. He was sent to his home in southern Germany in 1942 to rehabilitate but by this time he had come to share two basic convictions with many resistance German military officers that: 1. Germany was being led to disaster. 2. Hitler’s removal from power was necessary. fter the Battle of Stalingrad in December 1942, despite his religious scruples, Sauffenberg concluded that assassinating the Führer was a lesser moral evil than Hitler remaining in power. From early September 1943 until 20 July 1944, Stauffenberg became the driving force behind the plot to assassinate Hitler and take control of Germany. With the help of his friend General Henning von Tresckow, he united the conspirators and drove them into action. After several unsuccessful attempts to meet Hitler, Göring, and Himmler when they were all together, Stauffenberg finally decided that it would extremely difficult to get them all at once so went ahead with the attempt at Wolfsschanze (Wolf’s Liar) on 20 July 1944. Hitler’s Hearing Loss left. Eventually, a guard knocked and opened the door, urging him to hurry as the meeting was about to begin. As a result, Stauffenberg was able to arm only one of the bombs and then returned to the briefing room, where he placed the briefcase under the conference table on the left side of the table leg, as close as possible to Hitler. Some minutes later, he excused himself from the meeting to make a telephone call. When the explosion tore through the hut, Stauffenberg was convinced that no one in the room could have survived, so he moved on to make his escape. lthough four people were killed and almost all survivors were injured, Hitler himself was only slightly wounded. The diagram presents the positions of various individuals to the bomb (in red). While Stauffenberg originally placed the bomb to the left of the table leg close to Hitler, Colonel Heinz Brandt moved it to the right of the table leg; that, and the fact that Hitler had a habit of almost laying on the map while looking at troop movements, probably sheltered him from the major portion of the blast. In the diagram, the position of the bomb is in red. Hitler was only 6-12 feet away from the blast. In an explosion, the initial concussive force of a blast wave is immediately followed by high-velocity shock waves that impart more energy into whatever they’re passing through, be it a concrete wall, your vital organs, or a wooden table containing maps during a staff meeting. When the blast happens, the four officers on Hitler’s right, positions 2,3,4,5 are killed, while Hitler, position 1, and two officers to his left, positions 23 and 24 are virtually unhurt and two officers to their left, positions 22 and 21 are wounded. One look at the room suggests that if the bunker had been used for the meeting, all of the people in the room would have died instantly from the blast. While Hitler’s private physician removes 150 splinters from Hitler there is also blood coming from his ears. Based upon reports from the scene and Hitler’s personal physician suggest that he probably suffered an acoustic trauma created by the blast. A A Count von Stauffenberg Joins the Conspiracy orn in 1907 at Stauffenberg Castle in the city of Jettingen-Scheppach, Count von Stauffenberg (known to history as Claus Phillip Maria Schenk Graf Justinian von Stauffenberg) was a German aristocrat. Like his brothers, Claus was carefully educated in the liberal arts but eventually settled on a military career. In 1926 he joined the family’s traditional regiment, the Bamberger Reiter-und Kavallerieregiment 17 (17th Cavalry Regiment) in Bamberg, Germany in 1926. In 1930 he was commissioned as a leutnant (second lieutenant) and studied modern weapons at the Kriegsakademie in Berlin but remained focused on the use of horses which still carried out many of the transportation duties for the German Army. Although he agreed with some of the Nazi Party’s nationalism, he found much of its ideology repugnant and he never joined the party. Stauffenberg remained a practicing Catholic and vacillated between a strong personal dislike of Hitler’s policies and a respect for what he perceived as Hitler’s military acumen. On top of this, the growing systematic ill treatment of Jews and suppression of religion had offended his personal sense of Catholic religious morality and justice. Stauffenberg became a highly decorated officer after serving in the Conquest B The July 20, 1944 Explosion ocated deep in the forests of Rastenberg, Germany (Now Poland), Hitler’s Headquarters on the Eastern Front consisted of intensely guarded buildings and bunkers. On the day in question, Hitler reschedules his July 20 staff meeting for 12:15 PM as he was supposed to meet Mussolini that afternoon. The location of the meeting had also been unexpectedly from the usual subterranean Führerbunker to Albert Speer’s wooden barrack/hut due to very hot weather that day. Normally the staff meeting was conducted in the Führerbunker built with thick walls, ceiling and no windows to withstand air attack; but the new venue, a wooden barrack building, had windows that were open and much less rigid construction than the Führerbunker, which will significantly reduce the intensity of the bomb blast. L risk of hemorrhage as well as edema (swelling brought on by fluid buildup). The brain is not much better off. Recently military physicians studying the effects of barotrauma on US Armed Forces have compared the effects of an explosive blast on the human body to the act of squeezing a tube of toothpaste—blood and bodily fluids are forced into your brain and skull, resulting in edema. ccording to Otolaryngologists at the US Army Surgical Institute at Ft. Sam Houston, tympanic membrane perforation is the most common primary blast injury based upon a retrospective study of US service members injured in combat explosions in Afghanistan or Iraq and treated at Ft. Sam Houston between March 2003 and July 2006. The results of the evaluation of 463 wounded patients indicated that 15% of the patients had a tympanic membrane perforation. A total of 97 tympanic membrane perforations occurred among 65 patients. The average surface area involved was 41% and more than one third of the perforations were central or anterior-inferior. Most (83%) patients reported symptoms, most commonly diminished hearing (77%) and tinnitus (50%). Outcome data were available for 77% of perforations with 77% spontaneous healing occurred in 48%. The remainder (52%) had surgical intervention. The most common audiogram abnormality was mild high frequency hearing loss. Tympanic membrane perforation occurs in 16% of explosion injured patients. Most patients are symptomatic and many have large perforations requiring operative intervention. An explosion causes a large amount of energy to be displaced, creating a shock wave and a very loud sound. This loud sound may be powerful enough to destroy a person’s ability to hear, either temporarily or permanently. itler’s Hearing Loss As for Hitler, he was very close to the blast. His physician noted blood from his A H ears right after the blast and for some time afterwards, suggesting tympanic perforation (described as shattered eardrums in the literature) and he was treated by Dr. Erwin Geising, an ENT whom Hitler had seen for a reoccurring furuncle over the years but he did not record much other information about the specifics of the impairment and the residual impairment created by the perforations. Most audiologists realize, however, that a tympanic perforation can create no hearing loss or a maximum conductive loss of 40-60 dBHTL depending upon the frequency and the extent of the damage. If one considers that the Fuhrer may have had some sensorineural hearing loss from noise exposure in the trenches during WWI, then combining that with the blast perforations, there is a real possibility that an existing sensorineural impairment created could have been exacerbated. It is also well known that Hitler was given no less than 73 different medications, some routinely during the years 1941-45, by his personal physician, Dr. Theodor Morell. While it is sheer speculation, based upon his noise exposure history and what we know of blast injury, it is possible to estimate Hitler’s hearing loss with a 70% chance of accuracy at 35-40 dB loss for the low frequencies, and an 50-60+ dB loss for the high frequencies for the left ear, but much worse for the right ear that was exposed to the blast. It is also highly likely that he experienced significant tinnitus as well. It is well known that hearing loss reduces a person’s interactions and social capabilities, which could be a partial explanation for why the Fuhrer was very antisocial and rarely seen in public after the July 20, 1944 plot. Whatever the specifics of Hitler’s hearing loss, he probably had a significant hearing impairment at the time of his death, or if he did escape to South America escape as some suggest, for the rest of his life. T The Bomb he bomb that exploded has been reported to be 1 kilogram of Hexite plastic explosive, packed in a simple brown wrapper and placed inside a briefcase. The detonator was a standard timed type, utilizing acid that would eat through a thin copper wire at a set rate before releasing a pin to strike the detonator cap and set off the bomb. This type of bomb had been used routinely by the French Resistance and the English OSS. One kilogram of plastic explosive is enough to bring down a sizable iron bridge, or to collapse a bunker. This type of bomb was also employed by US forces to destroy bunkers in and around Normandy as it could bring down several feet of reinforced concrete, so it seemed quite adequate to kill Hitler, even if only half of it exploded. S The Bomb Blast tauffenberg entered the briefing room carrying a briefcase bomb and a back-up bomb in the event that the first one did not explode. After the usual courtesies, he left the room to arm the first bomb with specially adapted pliers, made very difficult with the loss of his right hand and two fingers on his Hearing Loss from Explosions hen a bomb detonates, the energy released from the explosion radiates outward in all directions at once at speeds between 3 and 9 km per second. As this Miller, a co-researcher at Michigan, that the noise-induced hearing loss prevention concoction could be sphere of energy expands, it compresses and accelerates the surrounding air available within two years. molecules into a supersonic blast wave. This overpressure only exists for a few milliseconds, but it is the primary cause of explosive injuries and property damage. The closer to the source of the blast, the more severe the compression. As a blast wave passes over an area, it leaves literally nothing behind. The supersonic wall of air Robert M. Traynor is the CEO and practicing audiologist at Audiology Associates, leaves a near-perfect vacuum in its wake. In another study funded by the Oklahoma Medical Research Foundation, So, a split second after the body is severely Greeley, Colorado with particular emphasis in amplification and operative researchers Dr. Robert Floyd and retired Army surgeon, Inc., Dr. Richard Kopke, M.D., discovered a compressed, it is subjected to an equally monitoring. Dr. Traynor holds degrees from the University of Northern Colorado combination of two compounds stopped damage to the inner ear caused by acute acoustic trauma – massive opposing depressurization force. something like anthe IED exploding. Although what the1973, compounds were theythe felt University of Phoenix (MBA, 2006) as well (BA, 1972, MA Ed.D., 1975), Unfortunately, explosion isn’t over they did not indicate that,“This isimmediately a very exciting finding,” Dr. Floyd, who holds the Merrick Foundation Chair in Aging yet as air rushes in to said fill the as Post-Doctoral Study at Northwestern University (1984). He taught Audiology atmospheric void “The left behind by is the blast Research at OMRF. research still at a pre-clinical stage, but we’re hopeful that we soon can begin at the University of Northern Colorado (1973-1982), University of Arkansas for wave, pulling debris, objects, and people testing in humans. back towards the source of the explosion. Medical Sciences (1976-77) and Colorado State University (1982-1993). Dr. Thisrecently, blast wind isKathryn strong enough to hurl a at SouthernTraynor More Dr. Campbell's work Illinois University involves the use of anthe US Army Reserve, Medical Service Corps is a retired Lt. Colonel from human body several meters. Those caught antioxidant called D-methionine, a component of fermented protein and currently serves as an Adjunct Professor of Audiology at the University of by the blast wind while standing up are the most vulnerable to being carried away. But it Florida, the University of Colorado, and the University of Northern Colorado. isn’t this blast wind itself that injures it’s the For 17 years he was an Audiology Consultant to major hearing instrument and blunt-force trauma. This barotrauma wreaks equipment manufacturers providing academic and product orientation for their havoc on the innards, especially air-filled organs like lungs, ears, and stomach, as well domestic and international distributors. A clinician and practice manager for as at joints and ligaments where tissues of over 35 years, Dr. Traynor has lectured on most aspects of Audiology in over differing densities meet. This often causes hemorrhaging, and it may even result in forty countries. organ rupture. The lungs are especially at that is found in yogurt and cheese. The antioxidant, in concentrated W Robert M. Traynor, Ed.D., MBA, FAAA Author’s Bio: