Vail Health 2014-2015

Make sure your heart can keep up with your passions.

We’ve made a mountain of improvements like our new cardiologists and capabilities, including pacemaker and ICD implantation. Call us today to schedule a cardiac assessment at one of our three office locations.

(970) 476-1110

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V V M C . C O M / C A R D I O LO G Y

* Board Certified Cardiologists. No referral necessary. Check with your insurance provider.

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VA I L , E AG L E & F R I S C O

FROM THE PRESIDENT & CEO

Welcome to Vail Health Magazine n independent , nonprofit

hospital for 50 years!

From modest beginnings in the old Mill Creek Court Building in 1965, Vail Valley Medical Center (VVMC) has grown into one of the world’s most advanced mountain hospitals, providing Olympic-quality sports medicine, leading evidence-based research, modern cancer care and extensive cardiology services — all high-quality services with exceptional outcomes.

Over the past five decades, our community has successfully built an independent, nonprofit medical center. In line with this vision, VVMC keeps hundreds of jobs and resources local, better serving our region and visitors from around the world. It’s been quite a journey so far, and we are just as excited about the next 50 years, including breaking ground on the Vail "hospital of the future" in 2015.

As a center of health and wellness in one of the healthiest counties in America, we are delighted to provide another edition of the award-winning Vail Health Magazine.

Though only the third edition, Colorado Healthcare Communicators awarded this publication Colorado’s “Nonprofit Project of the Year”. This magazine and medical directory is your guide for active, healthy living in Eagle County and beyond.

I invite you to learn about women’s often ignored risk for heart disease from experts at our new Cardiology Institute on page 50. With the addition of renowned cardiologists, VVMC was able to expand our cardiology services to include pacemaker and ICD implants and a cardiac catheterization lab (opening in 2014). With an aging population in Eagle County, these additions will save lives and allow for advanced cardiac treatments close to home.

We’ve also added Internal Medicine, Endocrinology and 3D mammography to our list of capabilities. Dr. Dennis Lipton of VVMC Internal Medicine teaches us how to beat mountain-specific seasonal allergies on page 18 and we follow one paitents journey to dispell the myth that mammograms hurt on page 34.

As a leader in mountain healthcare, VVMC and our partners at The Steadman Clinic were recently named a National Medical Center by the U.S. Olympic Committee – one of only two in the country. Our mission is to provide superior health services with compassion and exceptional outcomes, and we hope this is evident in our expanding services, low infection rate, free community services and top-rated patient satisfaction scores. On behalf of our amazing medical providers, support staff, volunteers and Board of Directors, thank you for your continued confidence in VVMC and your sustained support. I hope you enjoy Vail Health Magazine!

Vail Valley Medical Center Board of Directors primary purpose : operations

Art Kelton – Chair Dick Cleveland Reg Franciose, MD Chris Jarnot Doris Kirchner Charlie L’Esperance Jeff Shroll Susan Suggs Wayne Wenzel, MD

Vail Health Services Board of Directors primary purpose : strategy & fiduciary

Michael Shannon – Chair Andy Arnold Mel Bergstein Sam Bronfman II Ron Davis Johannes Faessler Reg Franciose, MD Peter Frechette Randi Jaerbyn Art Kelton Doris Kirchner Jay Precourt Richard Steadman, MD Sally Veitch

Sincerely,

Doris Kirchner president & ceo vail valley medical center

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2014/2015 ANNUAL

FEATURES 34

What Hurts More Than a Mammogram?

Every day, women engage in painful beauty routines. Yet those same women sometimes avoid mammograms due to the discomfort and fear they cause. Local veterinary technician Cathy Wetzel braves the world of beauty-induced pain to help spread the word. By Kim Fuller

38

Side by Side

Instead of using personal time off for a relaxing vacation, a team from VVMC headed to Tanzania for a four-week-long volunteer trip that was focused on a new maternity ward in Haydom.

By Shauna Farnell

46

Good Eats

Just because it’s healthy doesn’t mean food has to be uninteresting. Terra Bistro’s Kevin Nelson shares some of his lively, inventive recipes that use such nutritional powerhouses as sprouted quinoa, portobello mushrooms and carrots.

By Kim Fuller

40

A Glance at Your Gland

If you’re eating healthily, exercising moderately and getting enough sleep, but are still tired and run down, it might be time to look at your thyroid.

Hypothyroidism and hyperthyroidism are common, but are dangerous when left untreated. By Shauna Farnell

43

Kamper the Conqueror

Emergency Department Doctor Matt Kamper decided to tackle Colorado’s 14ers in 2009. He recently completed his goal, and at 52 became the oldest person to summit all of the state’s official (and a couple unofficial) 14ers. By Kim Nicoletti

50

54

56

It surprises people that more women than men die of cardiovascular disease. Because the symptoms are different and less obvious, it’s important for women to get regular tests and checkups, as well as be well informed as to the risks.

By Kimberly Nicoletti

Gluten-free diets are all the rage, but VVMC dieticians Melaine Hendershott and Katie Mazzia bring some clarity to the subject. For those who aren’t sensitive to it, eliminating gluten can mean forgoing some essential nutrients.

By Shauna Farnell

When Mike Brumbaugh moved to Vail 23 years ago, he knew he was home. The local business owner has picked up several sports along the way, including skiing, cycling, paddling, ice climbing and rock climbing. He packs in as many adventures as possible. By Shauna Farnell

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Gluten — Good or Bad Idea?

Work Hard, Play Harder

ANTHONY THORNTON

Happy Heart

A surgeon who does beautiful work.

Having practiced in Santa Monica, California for over two decades, Dr. Jeffrey Resnick is a master at face, breast and body contouring.

His artistic talents are available full-time right here in the Vail Valley, so you can take your looks to the next level and recover in this serene alpine setting. A very beautiful combination indeed. ( 970 ) 5 69 -76 5 6

| VVMC.COM/PLASTICS

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E D WA R D S , C O L O R A D O

VAIL INSTITUTE FOR AESTHETIC & RECONSTRUCTIVE SURGERY

2014/2015 ANNUAL

DEPARTMENTS 18

20

the team publisher

Lindsay Warner Hogan e d i to r

Wren Bova p h oto e d i to r

Dominique Taylor c r e at i v e d i r e c t i o n

Ali & Aaron Creative m a r k e t i n g d i r e c to r

Michael Holton co n t r i b u to r s

14 AND PRESIDENT OF VAIL VALLEY MEDICAL CENTER

WELLNESS 07 Exercises for Every Age

Find the right moves, whether you’re 20 or 60

12 Eternal Youth

Age gracefully — and minimally — with these insider tips

14 Expert Traveler Tips

From motion sickness to leg aches and pains, fight travel woes

16 Fix Your Form

Improve your results by fine-tuning these familiar exercises

18 Sniffling and Sneezing — Begone Don't let seasonal allergies get the upper hand

INSIDER 20 Bouncing Back After a Fall

It takes a lot of prevention to keep Vail's future ski and snowboard stars healthy and competing

22 Lifting the Taboo

It’s time to talk about suicide — the second-leading cause of death for young adults

24 The Forefront of Recovery

30 Gold Standard

Retiring surgeon Dr. J. Richard Steadman leaves a legacy of innovative procedures and patient care

31 What to Expect

Expert advice for pregnant moms’ real questions

32 The Acid Reflux Test

59 FACES IN THE VALLEY

26 First on the Scene

60 VVMC’S DONOR CIRCLE

Today’s kids will be tomorrow’s scientists, so the Steadman Philippon Research Institute is nurturing them now

printing

Publication Printers, Denver

OUR CROWD

70 OUT IN THE COMMUNITY 72 DIRECTORY OF

28 The Future of Science

Nicholas Brown Peggy Carey Charles Crevling Brian Foster Dr. Barry Hammaker Doris Kirchner Laura Millard Luke O’Brien Sheila Sherman Rick Smith

For those suffering from acid reflux, there is a simple, life-changing procedure available

New and improved techniques deliver better options and results for patients of Vail-Summit Orthopaedics

What to do when you encounter an injured or incapacitated person and help is still on its way

va i l va l l e y m e d i c a l center executive team

MEDICAL SERVICES

78 MAPS FOR LOCAL CARE 80 VVMC’S FINANCIAL

INFORMATION FOR THE 2013 FISCAL YEAR

on the cover Ashley Dentler is

a physical therapist and certified strength and conditioning coach at Howard Head Sports Medicine.

Responsible for treating patients on the patient care unit as well as all post-operative patients with both medical and orthopaedic diagnoses, she's an avid biker and enjoys playing outside. photo zach mahone

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SHUT TERSTOCK / ASSOCIATED PRESS

01 LETTER FROM THE CEO

Brent Bingham Shauna Farnell Kim Fuller Christine Hall John LaConte Ross Leonhart Zach Mahone Karen Mason Justin McCarty Kim Nicoletti

Big City Surgeons Who Call Vail Home With some of the most respected Denver Health surgeons in Colorado on our team, Vail Valley Medical Center is fortunate to be the home of Mountain Surgical Associates (MSA).

Known for their expertise in emergency and trauma care, they are also experts in: b General surgery: abdominal, thoracic and endocrine b Laparoscopic surgery: hernia repair, gall bladder, colon and reflux disease b Cancer surgery: breast, colon and rectal, endocrine, lung and melanoma b Trauma/critical care: around-the-clock care for critically ill and injured patients b Wound and Ostomy: treatment of acute and chronic wounds

SUE ARFORD RN, MSN, CWON

JAMES DOWNEY

REGINALD J. FRANCIOSE

MD, FACS

MD, FACS

BARRY HAMMAKER

JASON MOORE

MD, FACS

PhD., PA

JOHN SCHULTZ

(970) 479-5036

MD, FACS

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VVMC.COM/SURGEONS

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VA I L & E D WA R D S

B�

BUSINESS Each year, Vail Valley Medical Center honors its top employees in several Peaks of Excellence categories. Nominated by peers or supervisors, winners are reviewed and selected by a special committee and celebrated at an annual reception.

Additionally, honors are bestowed upon the top volunteers and the Physician of the Year for their excellence in service and care.

FINANCE PEAK AWARD

GROWTH PEAK AWARD

PHYSICIAN OF THE YEAR

PEOPLE PEAK AWARD

QUALITY PEAK AWARD

SAFETY PEAK AWARD

SERVICE PEAK AWARD

VOLUNTEER OF THE YEAR

OUTSTANDING SERVICE VOLUNTEER

Candace Smith

Whitney Gober

Simone Horness

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Kevin Heinz

Merrill Mann

Gail Nash

Tracee Metcalfe

Lizzie Anderson

Meg Mason

THE VAIL VALLEY

WELLNESS balance

40 rotation

50+

Exercises for Every Age

plank

Preventing injury is a little different at 60 than it is at 20 PHOTOS DOMINIQUE TAYLOR

squats

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WELLNESS oward head sports medicine is known for being the best in helping people recover from an injury.

But what you may not know is that they also specialize in injury prevention (not just rehabilitation) through exercise. In fact, some of the world’s best athletes train with Howard Head in hopes of avoiding the wear-and-tear injuries that sports often cause. We worked with Howard Head’s Philip Galloway to learn what general injuries are common among age groups and what exercises can be done to combat those injuries and keep you active and healthy. »

50+ SINGLE LEG BALANCE SINGLE LEG BALANCE REACH FORWARD

B

alance begins to deteriorate as you enter your 50s and 60s. The loss of balance can impact your fun — and the likelihood that you’ll stay on your feet when challenged by an icy patch. By practicing balance exercises, you can fight those forces of nature.

SINGLE LEG BALANCE ON A PILLOW

Begin by focusing your gaze on a fixed point. Keep your eyes glued to that point and lift one leg.

SINGLE LEG BALANCE REACH BACK LEFT

Increase the difficulty by standing on something soft (like a pillow or towel) or an unstable surface.

Make this exercise more dynamic by balancing on one foot and reaching as far to the front, back left and back right as possible. Repeat on the other leg.

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SINGLE LEG BALANCE REACH BACK RIGHT

SINGLE LEG BALANCE ON A BOSU BALL

PIC TURED: IRV RAY, HOWARD HEAD RUNNING CLUB MEMBER

WHAT TO DO

40s I SHOULDER EXTERNAL ROTATION AT SIDE

SHOULDER INTERNAL ROTATION AT SIDE

n your 40s, your rotator cuffs will tear easier than they would have in your 20s and 30s. But preparing your body to withstand that shoulder stress is as easy as picking up a theraband from a sporting goods store and fastening it to a wall in your house.

WHAT TO DO

EXTERNAL ROTATION AT 90 DEGREES

INTERNAL ROTATION AT 90 DEGREES

With your elbows flexed to 90 degrees, rotate away from your body and then return to the start position. Make this more effective by placing a rolled towel under your armpit to hold the form. For the shoulder internal rotation, turn around and do the reverse of the previous exercise.

PIC TURED: KELLY DANTAS, FORMER HOWARD HEAD PATIENT

For added challenge, take the rotation exercises above and add a 90-degree bend in your elbows.

SHOULDER EXTENSION WITH EXTERNAL ROTATION

Next, try shoulder extensions using the theraband. Start with your arms out front, thumbs pointing out and elbows locked.

Pull the bands to your pocket area and squeeze shoulders back and down. Keep in mind what your mother always told you — no slouching.

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30s I

f you made it out of your 20s without any knee problems (or even if you didn’t), it may be time to start thinking about your back.

The core strength you had leftover from your college days is likely fading.

By keeping yourself strong through your midsection, you’ll also decrease your chances of hurting your lower back.

WELLNESS

V SIT ON GROUND

V SIT WITH LEGS LIFTED

PLANK

SIDE PLANK

PLANK WITH ALTERNATING LEG LIFT

SIDE PLANK WITH LEG LIFT

PLANK ON A BALL

PLANK ON A BALL WITH SINGLE LEG LIFT

BRIDGE

SINGLE LEG BRIDGE

For a V sit with legs lifted, sit on the ground with your feet elevated, keeping your spine straight and hold the position for 10-15 seconds.

For a flat plank, prop up on your elbows and toes with your back straight. For a side plank, prop up on one elbow and the side of one foot, keeping your body in a straight line. For increased difficulty, add a leg lift or unstable surface such a ball.

For bridge, lie on your back, digging your heels into the ground. Lift your hips until your body is in a straight line. For increased difficulty, only use one leg and rotate legs.

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PIC TURED: ERIC DYBA, CURRENT HOWARD HEAD PATIENT

WHAT TO DO

20s T DOUBLE LEG SQUAT

he 20s and younger are about feeling indestructible, but you are still certainly at risk for injury from moving incorrectly during activity. By working on the positioning of your lower body while performing athletic moves, you can reduce the likelihood of many common knee injuries.

WHAT TO DO

SINGLE LEG SQUAT

While at home or in the gym, practicing correct form in squats — double leg, single leg or plyometric — will improve your form and carry over into your sports. It’s all about alignment: Keep the hips and knees aligned over your feet, and keep your chest and shins parallel deep into the squat.

PIC TURED: MARY SCOT T, FORMER HOWARD HEAD PATIENT

For single leg squats, keep the same form as double leg squats but you also need to keep your hips level as you lower into the squat.

PLYOMETRIC SQUAT

For plyometric squats, maintain the same form again, but you will have the added challenge of 2.5x the weight, which your muscles will have to control and still keep your body aligned.

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WELLNESS MOOD AND CONCENTRATION

SKIN, VISION, BRAIN

A wide variety of physical activity reduces anxiety, depression and stress, while increasing self esteem and the ability to sleep.

Eat antioxidants, which attack the molecules that cause widespread cell damage and are linked to most chronic diseases such as Alzheimer's, heart disease, cancer and diabetes.

Eternal Youth

EYES

Cataracts are more common at high elevations, so always opt for eyewear that offers UV protection.

While aging is inevitable, longevity is accessible. Local experts share the best ways to extend your years from the inside-out

HEART

Exercise relieves stress, which is one of the risk factors people can control. So do meditation and restorative yoga.

BY KIM FULLER // PHOTO ZACH MAHONE

JOINTS Howard Head Sports Medicine inpatient therapy manager Ashley Dentler is a physical therapist and certified strength and conditioning coach.

SKIN

JOINTS

Engage in 30-60 minutes of daily aerobic and anaerobic activity, and avoid injury with warming up as well as stretching.

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Wear sunscreen and stay moisturized.

Eat your fruits (2 cups daily), veggies (3 cups daily) and omega-3 fatty acids (2 grams daily).

"Joint health is so important, because mobility and activity are two of the secret ingredients to longevity and quality of life," says Dr. Peter Millett, director of shoulder surgery and a shoulder, knee, elbow and sports medicine specialist at The Steadman Clinic.

"Without good joint health, it becomes difficult to remain active and independent."

Millett says a sedentary lifestyle, versus one of movement, can lead to many disease processes, such as arthritis, obesity, diabetes or heart disease.

A healthy lifestyle that promotes both aerobic and anaerobic activity is key, Millet explains. He recommends thirty to sixty minutes of daily activity, with appropriate warmup and stretching to help prevent injury. Activities such as yoga or tai chi can help with

one's balance and may prevent falls later in life, he adds.

"Extra pounds at the waistline translate into extra loads at the hip, knee and ankle joints, which over time can contribute to osteoarthritis and other degenerative conditions."

SKIN Dr. Karen Nern, board-certified physician and owner of Vail Dermatology, says studies have shown that nutrition really does affect your skin.

"People who increase their intake of fruits and vegetables are proven to have more red and yellow in their skin," Nern says. "This makes their skin look better."

Exposure and tanning beds will increase aging in skin and the risk of skin cancer.

Nern recommends moisturizing skin with a cream while

the skin is still moist, and to use products with antioxidants (Vitamin C, Vitamin E, phloretin, ferrulic acid, idebenone), a broad spectrum sunscreen with zinc, as well as skin products that contain antiaging components, like retinol, which is a form of Vitamin A that helps with fine lines.

STRESS Jennifer Straw, registered nurse at Vail Valley Medical Center, certified yoga instructor and wellness coach, says that stress is one of the modifiable risk factors for heart disease and other diseases.

"You can't do anything about your age or your family history, but you can work to manage stress in healthy ways," says Straw.

Exercise is one great stress reliever, since it releases endorphins that make you feel great, and since the effects stay with you beyond your workout.

"I have always found that finding activities that you truly enjoy is the best way to get regular exercise in your life," Straw shares.

She recommends meditation and restorative yoga as great tools to manage stress while resting your body from exercise, which she says is also necessary. And don’t forget down time.

"It’s important to take rest days to let your muscles recover and rebuild,” she says.

tered dietician at Shaw Regional Cancer Center. "If you feel healthy, vital and have a good quality of life you feel young."

Hendershott explains that the earlier you start fueling your body with what keeps you young, the younger your body will remain, and you will reduce the risk of "feeling old."

Just like children are so often told: "eat your fruits and veggies." Hendershott says lots of fruits and vegetables, omega-3 fatty acids and whole grains are the key to eating for longevity.

Fruits and vegetables are important for their antioxidant richness, she explains, which means they combat free radicals — molecules that cause widespread cell damage and are linked to most chronic diseases such as Alzheimer's, heart disease, cancer and diabetes.

"Antioxidants also make you look great from the inside-out," she says. "They help fight skin-damaging free radicals, keep your vision sharp and protect your brain."

The goal should be to have two cups of fruit and three cups of veggies per day, and to incorporate at least two grams of omega-3 fatty acids per day from fatty fish, walnuts and ground flax seeds to reduce chronic inflammation in the body.

helps to fight off disease and other health conditions, and helps maintain better sleeping habits and more restful sleep.”

And “exercising” doesn’t mean spending hours in a gym.

“Exercise can be small activities throughout your day or week that add up in the end,” Dentler says. Studies show that simply walking most days helps reduce risk of dementia by over 30 percent, and that mindful movement activities like yoga are great for reducing stress and prevention falls. Current recommendations are to exercise at least 150 minutes per week.

Margaret Brammer, social worker and survivorship coordinator at Shaw Regional Cancer Center, says physical activity can have extraordinary long-term benefits — not just for a person's body, but also for their mind and spirit as well.

"Study after study is showing us that incorporating some sort of physical activity is a great way to reduce anxiety, depression and stress,” Brammer says.

“Physical activity helps regulate our mood, helps us sleep better and increases our self-esteem."

When we take care of our bodies, we feel more alert, our concentration improves, our mood lifts and we find situations more manageable.

"We only have one life, so we deserve to have it be as happy, healthy and stress-free as possible,” Brammer says.

Without good joint health, it becomes difficult to remain active and independent."

EXERCISE

NUTRITION "Certainly, staying young is more based on how you feel, rather than your age on paper, or even how you look," says Melaine Hendershott, regis-

Exercise is essential to anti-aging. “It not only helps to maintain the body's normal physiological functions, it also emotionally rejuvenates the mind and soul,” says Ashley Dentler, Howard Head Sports Medicine physical therapist.

“Exercise helps to control your weight, boosts your energy and maintains a healthy emotional state and mood. It also

EYES Dr. Matthew Ehrlich, board-certified ophthalmologist, says he often sees patients in their 30s and 40s who have not seen an eye doctor in five to 10 years.

"But what I cannot empha-

size enough is the importance of a good, annual eye exam with dilation,” Ehrlich says.

Ehrlich explains how preventative, yearly exams are how people don't miss dangerous and even deadly conditions, like melanoma skin cancer in the back of the eye.

UV protection for the eyes is essential in our sunny and high-altitude environment, and Vitamins A, C, E and zinc have been proven to help detour macular degeneration, a serious condition of vision loss that is associated with aging eyes.

"Fish oil is also great for dry eyes, since they fatty acids help keep tear film healthy and moist," he says.

Ehrlich recommends paying close attention to the eye history of your family members, in order to help predict an onset of cataracts, which is a clouding of the lens of aging eyes.

"We see more early cataracts here in the mountains than at sea level," Ehrlich says.

SUPPLEMENTS Katie Mazzia, nutritionist at Vail Valley Medical Center, says supplements are not a substitute for healthy eating.

Supplements provide single nutrients and may not work the same as a combination of nutrients from eating a whole food, Mazzia explains.

She says broccoli is considered a "superfood" for all its nutrients (color, flavor, fiber, vitamins, minerals, etc.), not just because it's high in Vitamin C. "As we age, there may be a place for supplements for those who are deficient in certain vitamins or minerals, such as Vitamin B12, Vitamin D, calcium or iron," says Mazzia.

Overall, she says, work on improving your diet first, and always check with your doctor and pharmacist first before staring any kind of supplement.

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WELLNESS .MOTION SICKNESS.

Expert Traveler Tips Navigating Vail’s mountains, Costa Rica’s jungles and Tuscany’s country roads is easier with help from the Traveler’s Clinic

BY KIM FULLER

t doesn’t take much to feel

off balance when you’re on the road (or in a plane or on a train). When we change our physical environment, slightly or dramatically, we can be more sensitive to physical ailments — without the benefit of our existing healthcare structure. Sometimes you can’t avoid an adventure that’s a little under-the-weather, but you can plan ahead and be prepared for the issues you’re most likely to encounter.

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What to Take London recommends taking medications for motion sickness before the symptoms set in, so it’s important to pay attention to your physical reactions when traveling — and plan ahead.

Several over-the-counter prescriptions are available for mild to moderate motion sickness, she says, including Bonine or Dramamine. These medications can cause drowsiness, so driving and alcohol consumption should be avoided. London says that for longer journeys, a scopolamine transdermal patch may be necessary; it is placed behind the ear and can provide up to 72 hours of medication.

“There are some non-medicinal therapies that are appealing to travelers, such as acupuncture wristbands,” London says. “Although controlled trials are limited or do not show clear benefits in a number of clinical trials.”

How to Avoid Motion Sickness London recommends the following ways to help stop motion sickness before it starts: Select a position in the most stable part of a vehicle, such as the mid-point of a ship, or the wing seats on a plane.

Ensure a seat with good visibility.

Focus on a distant point, or take over driving the vehicle.

Create good ventilation.

Avoid reading.

Eat small, low-fat meals; avoid alcohol and smoking.

Avoid becoming overheated.

Take an over-the-counter motion sickness medication before symptoms set in.

DOMINIQUE TAYLOR

At the Travelers' Clinic, registered nurse practitioners such as Lucia London help people prepare for trips with immunizations and other recommended medications.

Lucia London, advanced registered nurse practitioner with Vail Valley Medical Center Traveler’s Clinic, says motion sickness consists of a group of signs and symptoms that develop in response to real or perceived motion.

“These include cold sweats, nausea, hypersalivation, vomiting or sensation of body warmth,” explains London.

“Motion sickness can result from exposure to movement or from visual suggestion of movement; traveling through water, on land or in air can trigger motion sickness, although sea sickness is most common.”

Susceptibility to motion sickness varies individually, London says, but is most common in women, especially during pregnancy, as well as in children ages 2 to 12, and those who suffer from migraine headaches.

.EAR PAIN. Barotrauma, or ear pain, affects those flying, especially during ascent and descent, as air in the middle ear and sinuses will expand and contract.

London says to facilitate the free flow of air and to prevent pain, it is helpful to chew (something like gum, for example), and to yawn. She recommends offering a drink to young children and a pacifier to infants.

.LEG SWELLING. During long flights (four hours or more), London says blood flow in the legs is reduced, blood becomes more viscous (thicker), and a blood clot may form, causing a deep vein thrombosis (DVT).

"DVT is related to multiple factors," says London, "such as duration of flight, environmental factors in the cabin, such as a dry cabin atmosphere, and personal risk factors."

Although many episodes of DVT are without symptoms, London says some symptoms of the condition may include the following: swelling in the lower or whole leg; leg becomes warm or discolored.

Clots in the leg can become detached and travel via the venous circulation to the lungs, causing a pulmonary embolism (PE). She says symptoms of a PE include breathlessness, chest pain with deep breathing, and occasionally coughing up blood.

COMMON TRAVEL AILMENTS ( AND WHERE SYMPTOMS APPEAR )

MOTION SICKNESS

ACUTE MOUNTAIN SICKNESS

EAR PAIN

Prevention London offers the following advice to prevent leg swelling during travel: Wear comfortable, loose clothing that is not tight at the waist or knees.

Get up and walk around the cabin hourly; aisle seats are best for this.

Exercise calf and thigh muscles by extending and flexing ankles and knees.

Do not cross knees or ankles.

Drink plenty of fluids.

Drink alcohol and coffee only in moderation.

If you have personal risk factors, compression stockings are recommended. (Some risk factors include: obesity, age greater than 50, late pregnancy or the first 12 weeks postpartum, varicose veins, recent surgery in the past four to six weeks, limb immobilization with casts, oral contraception or hormone replacement therapy.)

.ACUTE MOUNTAIN. .SICKNESS. “Altitude sickness occurs when one ascends more rapidly than the body can adjust to the reduced atmospheric pressure and decreased oxygen delivery to the body’s cells at a higher altitude,” London explains.

She says symptoms of acute mountain sickness include headache, loss of appetite and fatigue, and can progress to nausea, vomiting and extreme lassitude (physical weariness).

“Non-steroidal anti-inflammatory drugs such as ibuprofen are effective in treating headaches associated with high altitude,” says London. “And they may also prevent headaches when taken a few hours prior to ascent.”

For some travel itineraries to extremely high altitudes, consider the medication Acetazolamide (Diamox), which improves one’s acclimatization and does not mask symptoms, London adds. She says this needs a prescription, and its use should be discussed with your travel practitioner.

TRAVELER’S CLINIC The VVMC’s Traveler’s Clinic, located in Occupational Health Clinic in Avon, next to Avon Urgent Care, is a great resource for those planning to travel to foreign countries. In addition to supplying information and administering both recommended and required vaccinations, staff members can offer information on diseases that can be contracted through food, water and insects, as well as advice on specific health concerns and/ or risks associated with certain countries.

The clinic is open Monday through Friday, 8 a.m to 4:30 p.m. Visit vvmc.com/travel, or call (970) 569.7715 for more information.

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How to Acclimate to Altitude

LEG SWELLING

Prevent altitude sickness with London’s advice: Ascend gradually; spending a day in Denver can be helpful.

Avoid alcohol consumption and stay hydrated with lots of water.

Participate in mild exercise for the first 48 hours.

Do not ascend directly to altitudes greater than 9,800 feet, if possible, especially if coming from sea level.

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WELLNESS

1

Fix Your Form

by KIM FULLER

FEATURING VAL VASQUEZ, PHYSICAL THERAPIST HOWARD HEAD SPORTS MEDICINE, GYPSUM

ISES E X E R CD O I N G

YO U’R E E C T LY R I N CO R

1 | SQUAT

Full-body exercise for leg and core strength. form critique : Don't lean too

far forward; this will increase stress on your lower back. Stack your shoulders over your hips. Knees commonly collapse inward due to hip weakness, so keep your knees directly over your ankles. Shifting weight to one side is common, which demonstrates muscle imbalance or lack of motion in the hip, knee or ankle. Keep your heels on the ground and put your weight on them.

2 | PLANK

Full-body strengthening pose for core and abdominal strength. form critique : Abdominal weak-

ness often causes the lower back to sag. Push through your elbows which will keep shoulder blades against ribcage. Do not allow shoulder blades to squeeze together or lift off back which is known as “scapular winging.”

Do create a solid plank, with no sloping in your shoulders, back or hips.

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3 | LUNGE

Increases leg and glute strength. form critique : Don't lean

forward when you are bending your knees and lowering your body into lunge; keep your chest up over your hips. Often, feet are not separated enough in the lunge, or the back leg is not bent, causing the knee of the front foot go forward (past the toes).

This increases stress on the front knee.

Don't allow your front knee to collapse inward; keep it in line over your ankle.

4 | BICEP CURLS

For arm strength in the biceps. form critique : Too much weight

often leads to swinging weights or using momentum to lift the weight; correct this by decreasing the weight.

Core weakness may create rotation in the body during the curl. Focus on keeping your torso straight and your shoulders square. Don't flex forward or extend through the lower back to pull up the weight. Reduce the weight to rely on the strength of the bicep to curl the weight upward.

5 | ROWS

Exercises to increase back and arm strength — specifically the lattissmus "lat" dorsi and the biceps. form critique : Don't rotate your

4

ANTHONY THORNTON / ZACH MAHONE

body or swing the weights when pulling weight back towards your body; this is caused by core weakness, or trying to lift too much weight.

Focus on keeping your shoulders parallel to the ground. The weight in your hand should not touch your ribs. Keep your elbow in line with your shoulder, and lift your wrist and the weight up in line with your elbow and shoulder. Do put your hand on a bench to support your upper body; this prevents you from extending through your lower back when pulling the weight upward.

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WELLNESS

Sniffling and sneezing BEGONE VVMC’s internal medicine doc explains how to understand and fight seasonal allergies

race yourself because the onslaught

is coming: sneezing, runny nose; puffy, watery eyes — inexplicable waves of exhaustion. Once the warm weather kicks in and the snow begins to melt, it happens. And anyone under the impression that seasonal allergies don’t strike way up here in the high country of Colorado need only talk to someone — one in five individuals, according to statistics — whose life is overrun by these symptoms every spring. Luckily there are ways to avoid this misery, not to mention save significant dollars on stockpiling Kleenex.

What is the most common culprit for seasonal 18

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Dr. Dennis Lipton

allergies around Vail? Like most places, it’s pollen.

While Eagle County might not have the same profusion of plants and trees as say, Knoxville, Tenn. (rated

by WebMD as the worst allergy city in the U.S.), there is no shortage of pollen producers in these parts. Not only do evergreen trees produce a large amount of pollen, but so do trees you don’t commonly think of in Rocky Mountain alpine areas.

“The allergy season in the Vail Valley is mainly in the spring and summer. Pollens from trees such as big sagebrush and willow are most prevalent during this time,” says Dr. Dennis Lipton, internal medicine physician at Vail Valley Medical Center. “Any flower-

THINKSTOCK

BY SHAUNA FARNELL

ing plant or pollinating grass can also trigger allergies.

Fortunately, since the climate here is fairly dry, mold is not that common a culprit. Also, dog and cat hair is a frequent culprit that should not be overlooked.”

The evergreens are abundant at 8,000 feet and above, and aspen groves (which also produce pollen) are absolutely everywhere in Vail and Beaver Creek. In Avon and westward, however, the slopes are coated in sagebrush and the valley floor and Eagle River corridor are teeming with willows. If you’re in doubt of the prevalence of pollen in the Vail Valley, simply park your car next to a pine tree, willow or thatch of sagebrush for an hour in May or June (depending on the snow thaw and ensuing bloom) and it will literally be caked in a yellow dust by the time you get back.

Sagebrush If you are allergic to pollen Willows specifically — even though it’s not that specific because pollen comes Evergreens from so many different trees and Aspens plants — you have what is referred to as hay fever, characterized by sneezing, runny nose, scratchy throat POLLEN ALLERGIES, KNOWN AS HAY and watery, itchy eyes. For people FEVER allergic to pet dander, spring and summer is also when shedding happens and animal hair is floating around in abundance.

COMMON VAIL VALLEY ALLERGENS

Just like people can suddenly develop an allergy to a medication they have been taking for years, people can suddenly develop allergies to dust and pollen in the environment.”

works best for you can involve a trial and error process.

“Second generation antihistamine medications like Allegra, Zyrtec or Claritin — or their generthe onset ic equivalents — are popular because they While some individuals develop allergies as chilwork well and are generally non-sedating,” dren, others take them on suddenly, even in areas Dr. Lipton says. “Other antihistamines where they have lived their entire lives, exposed like Diphenhydramine or Chlorphenirato pollen that never bothered them before. mine work very well but are generDog “People with a personal history of allerally very sedating. If symptoms are gies are certainly more prone to getting mainly nasal, a steroid nasal spray Cat them again and they can run in families,” Dr. like Fluticasone can work wonders. If Molds Lipton says. “People who have asthma or symptoms are mainly ocular — itchy, eczema in childhood can also be more prone watery eyes — antihistamine eye to allergies through their lifetime. Otherwise drops can work well. The localized it can be hard to predict where and when altreatments like eye or nose drops are OTHER lergies develop. Just like people can suddenly less likely to cause systemic side effects.”

ENVIRONMENTAL develop an allergy to a medication they have Medication affects each individual ALLERGIES been taking for years, people can suddenly develop differently and sometimes a person allergies to dust and pollen in the environment.” can try several products and still not be Those who are new to seasonal allergies might relieved of symptoms. This is when trackmistake them for a spring cold or virus. The telling symptoms and history of one’s condition with tale difference is that allergies stick around. an internal medicine doctor can be useful.

“Allergy symptoms and upper respiratory “If symptoms are severe or don’t respond infection symptoms can be very similar to usual treatments, the next step is test– runny/stuffy nose, sore throat, and ing or referral to an allergist. I can order Steroid nasal sneezing. Seasonal allergies, however, blood panels that check for antibodies spray Fluticasone tend to me more persistent and last to common allergens. An allergist can Antihistamine longer. Seasonal allergies do not do patch testing on the skin to diseye drops include fever or severe sore throat, cover the problem,” Dr. Lipton says. and coughing is much less comSometimes it takes medication NON-SEDATING mon. Antihistamines can help the several days to begin fighting sympANTIHISTAMINES symptoms either way but are more toms effectively, so it’s important to SUCH AS SEDATING effective with seasonal allergies.” know when your symptoms are the ANTIHISTAMINES Allegra, Zyrtec When you are allergic to someworst and begin taking medicine beDiphenhydramine or or Claritin thing such as pollen or pet dander, forehand as a preventative measure, then Chlorpheniramine your body produces histamines, a continue it throughout allergy season. chemical that causes your nasal and “It can take some experimentation to MEDICATION eye membranes to swell. Antihistamines see which medication works best,” Dr. LipOPTIONS shut down this process and prevent sympton says. “If someone has testing that indicates toms. There are a number of over-the-counter a specific allergen, a series of allergy shots from antihistamines available, but finding the one that a specialist can really help with symptoms.”

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BEHIND THE SCENES

INSIDER

Bouncing back after a fall What it takes to get Vail’s future ski and snowboard stars back on their feet and stronger than ever

BY SHAUNA FARNELL

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On-snow training is only one component of an athlete's strength and conditioning program, as evidenced by athlete Heidi Livran, running zigzags with Jake Wuth.

olympics in February – skiers flying around gates or down a moguls course at high speeds, snowboarders spinning off jumps and out of the halfpipe – you couldn’t help but wonder how they do it and how they get to that level. You marvel at how they don’t get hurt.

The truth is that like any professional sport, especially with the inherently high risk of skiing and snowboarding, becoming a star sometimes does involve getting hurt.

Luckily for our future ski and snowboard stars, this valley offers a finely oiled machine comprised of health care professionals, trainers and therapists that keeps athletes performing at the top level and bouncing back strong from setbacks.

The valley’s next wave of Olympians begins with Ski and Snowboard Club Vail (SSCV) – the club that produced America’s most recognized skier Lindsey Vonn. As a testament to SSCV’s ongoing star power, of the 12 SSCV athletes at the Sochi Games, three came home with medals – golds for SSCV alumni alpiner Mikaela Shiffrin and snowboarder Kaitlyn Farrington and silver for Japanese snowboarder Ayumu Hirano.

The Vail club works with a team of local medical professionals and therapists who are not only ready to spring the moment there is any sort of injury or setback, but also provides specialized training for all of the

JUSTIN MCCART Y

atching the

ASSOCIATED PRESS / DOMINIQUE TAYLOR

Competitions are intense for athletes, such as snowboarder Kaitlyn Farrington and skier Mikaela Shiffrin.

KAI

A AEL

MIK

things this way. We have someone physically there and we get them in right away,” says Dr. Rick Cunningham of Vail-Summit Orthopaedics. “We make sure [any injury] is addressed immediately and that we treat it and get them back on the hill and competing again.”

Often times an athlete’s injury doesn’t require surgery, so instead of seeing Dr. Cunningham or another surgeon, the athlete goes for detailed therapy at Howard Head Sports Medicine, which not only treats injuries for SSCV and the US Ski and Snowboard Team but provides state-of-theart preventative exercise and conditioning programs that mitigate the inherent risk of the sport. They strengthen athletes to avoid injury in the first place.

“We endeavor to minimize injuries and maximize performance, teach proper movement patterns at a young age and perpetuate the dream of becoming at Olympic athlete,” says Howard Head physical therapist Matt Mymern, who points out that top-level skiing and snowboarding requires finetuning of the body’s overall mobility, core stability, mental acuity, lower extremity strength and shoulder stability. Howard Head conducts highly advanced tests using the most current research and technology to ensure that an athlete is 100 percent in all of these areas prior to competition.

Every SSCV athlete

overloading the injured body part. This streamlined process between the ski and snowboard club, trainer, orthopedist and therapist is a unique privilege for athletes in the Vail Valley.

“Nothing can halt a budding career in its tracks quite like missing quality development and training time due to injury,” says Howard Head’s Luke O’Brien, physical therapist and vice president of Howard Head Sports Medicine.

“We tailor individualized treatment plans that address all of the athlete’s performance needs and not just their injury. We have them returning to snow fitter and stronger than before the injury.”

N

What we ask these athletes to do is very risky."

is closely screened by a rotation of medical and physical therapy specialists for any kinds of movement dysfunction — knees folding inward during squats, ankles coming off the floor during lifts — and those movements are corrected.

In the unfortunate case of an injury, a customized plan is made for each athlete that takes them from diagnosis to complete recovery as quickly as possible. The treatment team assesses how much training time the athlete needs before returning to snow, the strength and conditioning work needed to restore safe, normal movement and how to maintain cardiovascular fitness and strength without

T LY

club’s disciplines (alpine and Nordic racers, mogul, free skiers and snowboarders), strengthening athletes and reducing injuries.

“What we ask these athletes to do is very risky,” says SSCV Human Performance Director John Cole.

“We look at someone like (SSCV Olympic skier) Aaron Blunck who’s flying over 20 feet out of the halfpipe — 40 feet from the apex of his jump to the bottom of the pipe — and we do a very detailed analysis of the movement patterns and injury risk. We have to take a hard look at how we build programs for these young athletes.”

As an example, about seven years ago the club focused new training on female alpine racers — for whom the most common injury is ACL tears — on hip and posterior leg strengthening. This came after a discovery that female skiers were potentially susceptible to knee injuries when a postural valgus stance (in which a part of the leg is bent outward) was found in functional movement screening. This specialized programming reduced the rate of ACL tears among full-time club athletes by 20 percent.

“To be able to have on-site care at the club is gigantic for us,” Cole says. “If we have an injury beyond treatment relief, say a potential ACL injury, we ask the family who their preferred medical provider is – VailSummit Orthopaedics or The Steadman Clinic – and get those athletes in right away. The clinic’s doctors and ATCs understand the time-sensitive nature and how fast we need to get these athletes assessed.”

Specialist Chris Cail of Vail-Summit Orthopaedics is actually on the hill with SSCV. In the event of a significant injury, he expedites the athlete to the necessary medical specialist.

“We tend to not miss

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?

INSIDER

The Suicide Taboo Suicide prevention is rooted in communication, openness and recognition or about 20 years, Molly Fiore

struggled with thoughts of suicide. She floated from careers in marine biology and medicine to business and athletic training, but nothing seemed to fit.

Then she reached a crisis, where death seemed to be the only answer. She felt that no one understood her pain. But as it turns out, she’s not alone.

From 2007-2011 in Eagle County, there were 37 suicides and 60 hospitalizations due to attempts.

About 8.3 million adults in the United States — 3.7 percent — reported having suicidal thoughts within the past 12 months in a 2009 study by the Center for Disease Control. About 1 percent of the adult population made suicide plans within that year, and half of those attempted suicide.

Residents in the Rocky Mountain region statistically have higher occurrences of suicide, according to the American Association of Suicidology.

At the moment of Fiore’s biggest crisis, she surrendered, and a new thought entered her mind: “What if I live my life for myself — give myself permission to live my life how I want?” she asked herself. Now, she’s an author, motivational speaker and the executive director of Eagle Valley’s suicide prevention coalition, Speak Up, Reach Out. While many people fear talking about sui-

SIGNS OF SUICIDE A person might be considering suicide if he or she:

by KIMBERLY NICOLETTI

cide, especially to someone who is actively suicidal, the fact is that talking about suicide can not only reduce the stigma it currently carries, but also, it can save lives. Open communication increases the chance that a person at risk for suicide will ask for help.

“If there’s one antidote to suicide, maybe, it’s hope,” Fiore said. “It’s hope, whether it’s sharing a personal story of overcoming suicidal ideation or holding on to the hope for them until they’re able to overcome it themselves.”

The key is to listen to a person’s pain with compassion. Sometimes, people don’t understand the level of despair people who contemplate suicide are experiencing, and they believe a person is just being selfish or seeking attention — especially if the suicidal ideation (the act of putting thoughts into words) is ongoing. But Don Bissett, a licensed professional counselor and social worker at Vail Valley Medical Center, believes “every instance of suicidal ideation is serious, whether it’s the first time or one of many times.” He hopes people will listen to others’ pain, and from there, come up with a safety and treatment plan with the help of a professional.

“When someone voices suicidal thoughts, they are often met with judgment, and that is exactly

Talks about wanting to die or to kill himself.

Talks about feeling trapped or being in unbearable pain.

Looks for a way to kill herself, such as searching online or buying a gun.

Talks about being a burden to others.

Talks about feeling hopeless or having no reason to live.

Sleeps too little or too much.

Withdraws or becomes isolated.

Increases the use of alcohol or drugs.

Shows rage or talks about seeking revenge.

Acts anxious or agitated; behaves recklessly.

Displays extreme mood swings.

NOTE // The risk of suicide is greater if a behavior is new or has increased and if it seems related to a painful event, loss or change. This is not an exhaustive list of signs; symptoms vary person to person.

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The yellow ribbon is an emblem for suicide awareness.

"The Yellow Ribbon Suicide Prevention Program" is a community based program primarily developed to address youth/ teen/young adult suicides (ages 10–25) through public awareness campaigns, education and training and by helping communities build capacity."

The program began in September 1994 after the suicide of 17 year old Mike Emme.

.WHERE TO GET HELP..

National Suicide Prevention Lifeline: 1.800.273.TALK (8255) Denver Metro National Suicide Prevention Lifeline: 888.885.1222

Speak Up, Reach Out: www.speakupreachout.org, 970.748.4410, info@speakupreachout.org (crisis line number is the same as National Suicide Prevention Lifeline)

Suicide Prevention Resource Center: www.sprc.org (same number as National Suicide Prevention Lifeline)

what they do not need … It is the psychological level of pain that motivates their suicide attempt. The problem is that they cannot bear the pain,” Bissett said. “When people speak with compassion and appreciation for the pain that leads to the suicidal thoughts, they are doing exactly the right thing.”

Many people consumed with suicidal thoughts don’t say anything because they fear medication or hospitalization. Not all people considering suicide need medication, as sometimes suicidal ideation has more to do with a temporary situation than a biochemical imbalance. And only in extreme cases are people hospitalized; many people with suicidal ideation can stay at home with a solid safety plan, which often includes securing weapons and medications, staying home with a loved one or caregiver and agreeing on a set amount of time to refrain from driving and consuming alcohol. Sobriety is often important in a safety plan because “a significant percentage of people are intoxicated when they complete their suicide plan,” Bissett said.

Speak Up, Reach Out teaches students and people in the community to ACT: Acknowledge, Care and Tell. Last year, trainers taught 1,200 middle- and high-school students to identify symptoms of depression and suicidality and encouraged kids to seek help through the use of ACT.

"When someone voices suicidal thoughts, they are often met with judgment, and that is exactly what they do not need.”

“If you have more eyes out in the community to spot the crises — the verbal and behavior cues … (then) we’re not losing people when they’re in crisis; we’re helping people when they get to that point,” Fiore said. “The (community) need is huge.”

Suicidal thoughts and attempts are significantly higher in young adults, ages 18-29 years, and suicide accounts for 20 percent of deaths for persons ages 15-24. The higher rates in young people involve their impulsivity and the fact that they don’t consider the permanent consequence of suicide, Bissett said.

“I often say that suicide is a permanent solution to a temporary problem,” he said. “They will get through this; they may just not know how — how to navigate the crisis ahead. But with support and the right plan, they can get through it.”

Fiore has found this to be true. Even though thoughts of suicide still pop up, she no longer takes them seriously or beats herself up for having them. She describes her thoughts like a train station: all kinds of trains go through, but that doesn’t mean she has to ride every one.

“I realize, ‘Oh, it’s just a thought,’ and I don’t have to give my thoughts so much weight or meaning — or make (myself) wrong for having them,” she said.

Instead, she continues to walk along and share her story, which, in turn, gives others the freedom to share theirs.

2.4%

7.8%

12.8%

15.8% Students reported that they had seriously considered attempting suicide during the 12 months preceding the survey.

Students reported that they had made a suicide attempt that resulted in an injury, poisoning, or an overdose that required medical attention.

Students reported that they had attempted suicide one or more times during the 12 months preceding the survey.

Students reported that they made a plan about how they would attempt suicide during the 12 months preceding the survey.

YOUNG PEOPLE AND SUICIDE In a 2011 nationally-representative sample of youth in grades 9-12

SUICIDE RATES BY AGE AND SEX AGES

AGES

AGES

AGES

15-24

25-34

45-54

55-64

leading cause of death

leading cause of death

leading cause of death

leading cause of death

3rd 2nd 4th 8th Suicide rates for FEMALES are highest for ages 45-54.

Suicide rates for MALES are highest for ages 75 and older.

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INSIDER

The Forefront of Recovery Vail-Summit Orthopaedics doctors utilize new-and-improved techniques to give patients better options — and better results

it was january of what 38-year-

old Brian Kruse calls the “big snow year of 2010” when he hit a patch of solid snow while skiing on Vail Mountain and was thrown violently forward. Since he didn’t come out of his ski, he wasn’t sure what happened, but he knew it was bad.

As soon as he got home, he called Vail-Summit Orthopaedics to make an appointment. “I was not familiar with Dr. John Paul Elton, but I’ve always used Vail-Summit Orthopaedics for ski injuries so that’s why I called,” recalls Brian.

Dr. Elton is a Harvard-trained foot and ankle specialist who joined VailSummit Orthopaedics in 2010 after 24

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by KAREN MASON

completing his Fellowship Training at Brigham and Women's Hospital in Boston. He told Brian he had ruptured his Achilles tendon and discussed operative and non-operative treatment options. Brian elected to have the rupture repaired, which can require a long recovery period.

“Then he started explaining what he was going to do by literally pulling out a pen and drawing on the paper I was sitting on,” recalls Brian.

Dr. Elton is one of the few foot and ankle surgeons in the United States utilizing a new procedure to repair Achilles ruptures using a minimally invasive technique. He published a paper on the topic for the American Ortho-

paedic Foot & Ankle Society in 2010.

Dr. Elton says the new technique has been shown to have equivalent outcomes with less risk of wound or infection problems than with older techniques. His preference is to repair all Achilles ruptures with this technique, but says a minority of ruptures are not amenable to this technique for one reason or another.

“At the time, I didn’t know all he did was ankles,” says Brian. “Once I started asking around, I learned he is the 'goto guy' for anything to do with feet and ankles. His humbleness and simplicity in explaining things comforted me.”

The older method of treating Achilles ruptures was to either place the patient’s leg in a cast to immobilize the ruptured tendon, or use a very large incision on the back of the leg.

The cast does not allow motion at the ankle and Brian says that’s exactly the opposite of what Dr. Elton wanted him to do. “He wanted me to get my range of motion back as soon as possible.”

The minimally invasive or limited open approach to repairing the tendon requires a small incision on the back of the leg overlying the rupture that is just large enough to put the tendon ends back together and repair it with strong sutures in the tendon. The patient is placed in a splint for about 10 days, then

BEN KOELKER

Local skier and Vail-Summit Orthopaedics patient Brian Kruse skis Rodeo Park in Beaver Creek.

a removable boot so they can start walking on it and moving the ankle.

Since it was such a great snow year, Brian was determined to get back on the slopes one more time before the end of the season. Three months after his surgery, his 5-year-old niece came out. Brian skied the bunny slope with her. “My surgery made it possible for me to ski with my niece for her very first time, which was cool.”

Today, Brian is 100 percent. And when he’s on skis or doing anything athletic, he says he can’t tell which Achilles was ruptured.

active person, the decision to go ahead with surgery is fairly simple,” says Dr. Dorf. “But with partial tears, the decision process is more complicated. Do you give it time and let it come all the way to failure? Or do you choose to be aggressive and fix it right away?”

But now a new surgical technique being utilized by some surgeons, including Dr. Dorf, is starting to change that. “I have started using what’s called a ‘trans cuff ’ technique,” says Dr. Dorf.

“Instead of operating on the rotator cuff from above and completing the tear, I can now look at the part of the

The new technique is making the decision to have surgery that much easier for active people suffering from a partial tear a better way to repair partially torn rotator cuffs “The shoulder business is more elective surgery here in ski country,” remarks Dr. Erik Dorf, an upper extremity specialist with VailSummit Orthopaedics. “In the fall and the spring, I typically see two to three rotator cuff tears per week.

In the winter, less people want to have shoulder surgery so they often wait until the end of the season to have these injuries evaluated.”

The rotator cuff is a group of four muscles and their tendons that stabilize and rotate the shoulder.

Eighty percent of the rotator cuff tears Dr. Dorf sees are degenerative. His typical rotator cuff injury patient is middle aged or older and leads a very active lifestyle.

Dr. Dorf explains that as you get older, the blood supply to these tendons decreases, leaving them more susceptible to degenerative tearing. Rotator cuff tears come in many varieties. “Most often, a rotator cuff tear begins slowly and will continue to tear further with continual use.

Sometimes patients come to see me right away with a partial tear; other times they wait and don’t see me until they have a complete tear.”

In the past, surgeons have repaired a partially torn rotator cuff by operating from above the cuff and actually completing the tear during surgery and then repairing it as though it was a complete tear. Because the surgery was for the most part the same whether you had a partial or full thickness tear, deciding whether or not to operate on a partial tear was difficult.

“When you have a complete tear in an

cuff that is torn from underneath, put anchors in it from that underneath location, and repair just the tear itself. The technique allows the fibers that are still there to remain attached. We are now repairing just the part of the cuff that was torn.”

Dr. Dorf says the new technique is making the decision to have surgery that much easier for active people suffering from a partial tear. “What it means for patients is a shorter recovery time, an equally good outcome, and an earlier return to sports and activities.” He adds that it also expedites physical therapy.

“We can get them into therapy that much sooner and be that more aggressive with their rehab program,” he says.

“The real advantage is that patients can be more aggressive with their decision to have surgery and stop the progression of the tear so that we’re not dealing with a full thickness tear down the road. It’s a nice middle ground.”

OUR DOCTORS Your best outcome is ensured by a fully-integrated team approach at Vail-Summit Orthopaedics.

Each physician works closely with a licensed Physician Assistant (PA) to provide patients with a seamless continuity of care. The relationship between a physician and PA is built on trust and mutual respect and helps create a culture of patient service that Vail-Summit Orthopaedics is known for. In addition to their sub-specialties, each physician also specializes in orthopaedic trauma.

Dr. Paul Abbott speciality: Shoulder,

Sports Medicine

Dr. Rick Cunningham speciality: ACL, Knee &

Shoulder, Partial & Total Knee Replacement

Dr. Erik Dorf speciality: Hand & Upper

Extremity, Sports Medicine

Dr. John Paul Elton speciality:

Foot & Ankle

Dr. Peter Janes speciality:

the doctors of vailsummit orthopaedics

Hand, Wrist & Knee

The doctors at Vail-Summit Orthopaedics believe that every patient deserves the best possible outcome.

That’s why they’ve obtained the highest possible training for their specialty, going over and beyond what is required of a general orthopaedist.

The staff also goes the extra mile to make sure patients spend more time with doctors, and less time waiting for them. This allows physicians to customize a treatment plan that fits the way patients want to live, work and play. VSO believes the best medicine is practiced at that place where doctor and patient connect with each other in a meaningful way.

Dr. Terrell Joseph speciality: Hand & Upper

Extremity, Knee Surgery

Dr. Scott Raub speciality: Spine Care,

Electrodiagnostic Testing

Dr. William Sterett speciality: Knee &

Shoulder, Joint Preservation

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25

INSIDER

it’s all fun and games until

someone pokes out an eye — or breaks a leg, hits a tree, trips over the cat, falls off a cliff… you get the idea. Accidents happen.

When you’re the first person to show up after some mishap or other, you can make a big difference: You can help.

Dr. Gayle Braunholtz is a partner in the Vail Valley Emergency Physician Group, which staffs the emergency department at Vail Valley Medical Center. She's also the medical director of Gypsum Urgent Care. It's safe to say she knows a thing or two about injuries and sudden threats to a person’s well being.

At the top of the list, of course, is "call 911."

The sooner an ambulance crew is on the way, the better. Of course, there are times when seconds count and help is minutes away — and that’s where you come in. Here’s Braunholtz’s advice about what to do when you’ve got an injured person on your hands.

bleeding wounds

Dr. Gayle Braunholtz

First on the Scene When misfortune strikes, you can make things better

BY SCOTT N. MILLER // PHOTOS DOMINIQUE TAYLOR

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For a badly bleeding area, apply direct pressure over the wound. That should at least slow the bleeding enough until help arrives. "Don't release pressure to check if the wound has stopped bleeding," she says.

A tourniquet — a tightly wrapped bandage that stops all circulation between the wound and the heart — "should be reserved for a life-over-limb scenario," she says. "A properly applied tourniquet becomes excruciatingly painful within 15 to 20 minutes, and should be left to professionals whenever possible.”

broken bones With broken bones, the best way to assist is by helping someone stay still and as comfortable as possible.

Braunholtz notes that broken bones have sharp edges that can poke through the skin, or worse — sever an artery or nerve. A makeshift splint can help stabilize a broken bone.

While moving a broken-bone patient as little as possible is always advisable, there are exceptions — if someone is head-down in a tree well, or in the middle of a road, moving to safety is a good first step.

STROKE TEST INCLUDES:

THE RECOVERY POSITION burns With burns, cold water is always a good idea. If a burn has broken the skin, try to find antibiotic ointment, since burns can become infected. Seeking medical help is advisable for any burn that completely circles an area — all the way around an arm, for instance — or any burn bigger than the palm of your hand.

opposite:

When dealing with broken bones, you can improvise a makeshift splint (as with a belt and stick) to immobilize the injured area.

concussions Concussions are a bit different, because the symptoms aren't always outwardly obvious. Braunholtz says any time someone hits his or her head in a fall or other accident, there's always a risk of concussion. Symptoms may not appear right away, but can include headache, nausea, blurred vision, decreased concentration or memory loss.

If you develop any of these conditions after hitting your head, Braunholtz's advice is to seek medical attention. "Concussions should not be taken lightly," she explains.

"These symptoms indicate that your brain was rattled. It needs time to recover."

If you're skiing or biking, that means avoiding the risk of further falls for at least one to two weeks after being symptom-free.

The consequences of a second injury can be dire: "A second injury too soon after a first injury can lead to second impact syndrome. Symptoms might include chronic headaches, cognition problems, and, in some instances, even permanent disability or death."

WHEN A PERSON becomes unconscious, death is not necessarily imminent.

Place them in the recovery position to help boost their chances of survival: 1 Place the patient on their side or three quarters prone so that the mouth is down (allowing for secretions to drain out) and chin is up (keeping the airway open).

2 Limbs should be positioned to keep the patient in place.

For example, the leg and arm not touching the ground is moved forward to act as a "kickstand" to keep the patient from laying completely face down on the ground.

Ask the person to smile and show his or her teeth.

Have the person close his eyes and hold his hands palms up and outstretched in front of him.

Ask the person to say, "You can't teach an old dog new tricks."

The smile should be symmetric, the arms shouldn't drift down and the patient shouldn't have difficulty with this phrase. If all three signs are abnormal the chance of the person having a stroke is greater than 85 percent.

Again, call 911 immediately, make the person comfortable and get the person to a hospital as quickly as possible. If a person qualifies for the clot busting medicine “tPA” then the sooner they get it the better.

heart attack Which leads us to the toughest of all emergencies — sudden cardiac arrest. If someone collapses in front of you, check for consciousness and call 911. If there is any chance that they are breathing, place them in the recovery position. This will protect their airway while they are unconscious. Thousands of fatalities occur every year in cases where the cause of the unconsciousness was not fatal but airway obstruction led to suffocation. See box for info on the recovery position.

Many public and private buildings have "automated external defibrillators," or devices that will shock a person's heart back to action. If one of those isn't available, there's the age-old standby — cardiopulmonary resuscitation, or CPR. Classes are available for free through Starting Hearts (www. startinghearts.com). A basic class takes three to four hours and could save a life.

Screen someone who might have had a stroke with the Cincinnati prehospital stroke scale.

strokes A stroke — the sudden loss of blood to the brain — can be a bit like a concussion, in that the symptoms aren't immediately apparent. But with strokes, the quicker someone gets help, the better.

There are any number of stroke symptoms, including garbled speech and numbness on one side of the body.

Braunholtz says the "Cincinnati prehospital stroke scale is a quick and easy way to screen someone for signs of stroke."

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INSIDER

The Future of Science Steadman Philippon Research Institute launches community education initiative PHOTOS JOHN MCMURTRY & ANGELICA WEDELL

ealizing that the next generation

of scientists, teachers and physicians resides in our own communities, the Steadman Philippon Research Institute (SPRI) has created the Education and Public Outreach Committee (EPOC) in partnership with the Eagle County School District, Vail Mountain School and Vail Christian Academy.

EPOC’s mission is to inspire and introduce the science, technology, engineering, and mathematics-oriented fields to elementary, middle and 28

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high school students. The curriculum is directed by the scientists and physicians of SPRI, and the centerpiece of activity is the world-class research labs located at Vail Valley Medical Center.

The team of scientists offers laboratory tours, scientific presentations, mentoring of student projects, involvement in school science fairs, and internships. “Having world-class research scientists as a sounding board really gives students a sense of validation and pride,” said Gabe Scherzer, a Vail Mountain School science teacher.

THE STEADMAN CLINIC DOCTORS Marc J. Philippon, MD speciality: Hip

Randy W. Viola, MD speciality: Hand,

Wrist & Elbow

Donald S. Corenman, MD, DC speciality: Spine & Neck

Tom Hackett, MD speciality: Knee,

Shoulder & Elbow

THE THREE-TIERED PROGRAM INCLUDES: Tours of the SPRI Laboratories by fifth graders.

School visits by SPRI staff scientists while students are in sixth, seventh and eighth grades, including science fairs, classroom or assembly lectures and support for science-related projects such as robotics competitions.

Invitations for high school students to join the SPRI Science Club. Members will have an opportunity to meet physicians and scientists, attend an orthopaedics lecture series and participate in research projects. They will also receive a SPRI Science Club T-shirt as a member gift.

Since 2011, the EPOC program has provided lab tours for fifth through twelfth grade Eagle County School District and Vail Mountain School students, mentored middle school science fairs, lectured at school assemblies and provided two summer high school student internships.

According to Coen A. Wijdicks, Ph.D., director of the Department of BioMedical Engineering, “Our young scientists hold the key to the future.

These experiences allow students to exercise the resources they learn in their science classes and apply scientific methods and techniques to various topics and experiments. It is very rewarding mentoring the students and working with them on ways to better understand the dynamics behind producing an authentic experiment.”

Our young scientists hold the key to the future.”

Peter J. Millett, MD, MSc speciality:

Shoulder & Elbow

David C. Karli, MD speciality: Spine & Neck

Thomas O. Clanton, MD speciality: Foot,

Ankle & Knee

Through the Steadman Philippon Research Institute's program, local students are exposed to technology, mathematics, engineering and science.

opposite: The Education

and Public Outreach Committee starts working with kids when they are in elementary school, and continues through high school to inspire and introduce science.

Rob LaPrade, MD, PhD speciality: Knee

Thos Evans, MD speciality: Interventional

Pain Specialist

Steven Singleton, MD speciality: Knee and

Sports Medicine

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INSIDER

Gold Standard Leader, innovator and mentor Dr. J. Richard Steadman retires from surgical practice this year

dr. j. richard steadman

t's one thing to make a name for

yourself in the medical field, but it's entirely another to create an unforgettable impact. Such is the case with Dr. J. Richard Steadman, a pioneer in the field of orthopaedic surgery.

Steadman retired from his surgical practice this year, leaving behind him an unprecedented number of surgical innovations.

Originally from Texas, Steadman began his practice in 1970 in South Lake Tahoe, California. In 1988 he founded the Steadman Sports Medicine Research Foundation. Two years later Steadman moved his practice to Vail and together with Dr. Richard Hawkins created the Steadman Hawkins Clinic. In 2004 Hawkins left the area and the practice was renamed The Steadman Clinic. In 2005 Dr. Marc J. Philippon joined on and the research institute became the Steadman Philippon Research Institute (SPRI). Following Steadman's retirement, both facilities will maintain his name in his honor and he will stay on as chairman emeritus at The Steadman Clinic and remain co-chairman of SPRI. Steadman first gained international recognition through revolutionizing post-surgical rehabilitation. He created techniques that 30

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by ROSANNA TURNER

As Dr. Steadman retired in 2014, his former patients are encouraged to follow-up with other Steadman Clinic knee experts: Dr. Steve Singleton, Dr. Tom Hackett or Dr. Robert LaPrade.

shortened and strengthened the healing process and he developed a procedure called "microfracture," which repairs damaged cartilage. Later in his career he was still on the forefront of surgical research with his technique known as the "package," which restores normal movement to stiff arthritic knees.

Through his work, Steadman helped many athletes get to the top of the podium. In 1976 Steadman treated women's downhill skier Cindy Nelson, who won bronze in that year's Olympic Games. In 1979 he treated Olympic ski racer Phil Mahre, who went on to win a silver and gold in the slalom. He treated elite athletes for decades and served as U.S. Alpine Chief Physician at the Winter Olympics from 1976-2006. Many athletes say they owe their careers to Steadman, for without his progress in both surgery and rehabilitation, they might not have been able to return to their sport after a serious injury.

Although world-class athletes have been some of his most publicized patients, Steadman also improved the lives of many patients locally. One of Steadman's goals was to help non-athletes stay active longer, and he treated over 12,000 patients during his time in Vail. To him this was just as rewarding as seeing a pro athlete be able to compete again. Through his leadership, Steadman brought international acclaim to not only The Steadman Clinic and SPRI but also helped elevate Vail Valley Medical Center as a destination for high-quality surgical treatment.

"For years, he has been a pioneer in the world of sports medicine. He retired from his surgical practice, but his groundbreaking contributions in sports medicine will continue forever," said Dr. Marc J. Philippon, managing partner of The Steadman Clinic.

Steadman's name has become synonymous with knee surgery but he was also a role model in the truest sense.

He showed his patients, colleagues, and those he mentored that the best care is a result of compassion and a deep desire to push the limits of what's possible for patients after major surgery.

REFLECTIONS LOOKING BACK ON DR. STEADMAN'S CAREER & INFLUENCE

Dr. Steadman improved the lives of so many during his career and left a legacy of a top-notch clinic that will continue his quest to treat patients from all walks of life.

DORIS KIRCHNER PRESIDENT & CEO VAIL VALLEY MEDICAL CENTER

A generation of professional athletes and grateful patients owe their livelihood and mobility to his successful, pioneering and exceptional delivery of innovative orthopaedic healthcare.

MIKE SHANNON, CHAIRMAN OF VAIL HEALTH SERVICES

In 1993 Dr. Steadman first told me that how the patient feels is the most important outcome of the surgery. He listens and learns from every patient.

KAREN BRIGGS, DIRECTOR FOR THE CENTER FOR OUTCOMESBASED ORTHOPAEDIC RESEARCH AT SPRI

Dr. Steadman has been a mentor and inspiration to me for the last 20 years.

An amazing surgeon, his real secret has been the way he listens to and cares for his patients.

DR. PETER J. MILLETT, MD, MSC, DIRECTOR OF SHOULDER SURGERY, THE STEADMAN CLINIC

INSIDER

Expecting Mothers A Q&A with one of Vail's resident experts

Dr. Pamela Bock

fter practicing

medicine in Detroit for 20-plus years, Dr. Pamela Bock moved to Vail in 2008. An expert in women’s health, infertility and adolescent gynecology, one of her favorite moments over the course of her job is delivering babies. Below, she answers questions from expecting mothers.

Q

I was out of shape when I got pregnant, and I spent most of the first trimester feeling miserable. Now that I'm feeling a little bit better, what sort of activities can I engage in to get myself back into shape?

A

We recommend that people start gradually, sometimes just 10 to 15 minutes a day. You want to work up to 30 minutes at least 5 times a week, if not every day. That’s a good thing to aim for, and start slowly. A lot of people ask about the heart rate. If you can talk comfortably while you’re doing your exercise, then that’s good.

Walking is underrated. It’s something women can do throughout their pregnancy.

Swimming, it’s very soothing because you have the buoyancy.

If you’re already a runner, you can run. But pregnancy is not the time to start to learn how to run.

Light weight lifting is fine, but we don’t like you to do anything too strenuous on your back in the second and third trimesters.

Pilates and yoga are good, too.

There are a lot of benefits for women who stay active: They have shorter labors, and they tend to tolerate the labor better as well as keep up with the demands of the pregnancy. Listen to your body, and make sure you consider hydration and sunblock.

Q

What is the best thing or things I could be doing for myself and my baby while I'm pregnant?

A

Nutrition is the big one — eat well. Get enough fiber, fruits and vegetables. Also, get enough rest. Exercise. And social support: The dad or partner being involved is always very positive.

Q

Are there any challenges specific to Vail's altitude when it comes to being pregnant and giving birth?

A

On the plus side: living at this altitude, most women are pretty healthy and into active sports. We have a healthy population. There are some studies that say babies at a higher altitude are a lower birth rate, but the bottom line for me is patients are active and healthy.

They’re very much a part of the pregnancy and are very, very invested in it, more than I’ve seen in other communities.

On the down side, we do have to caution people on how active they can be. We counsel people as far as skiing or snowboarding, to avoid that.

They might not only hurt themselves, but also hurt the baby.

As for the challenges, because

we are higher, we’re prone to dehydration. And we need more sun protection, too, especially during pregnancy due to the hormones that create a mask of pigmentation.

Q

It's hard to navigate all of the information out there and know what's a good source and what isn't. Are there any online or book sources for general pregnancy info that you recommend?

A

We give women "What to Expect When You're Expecting" and I also like the Mayo Clinic's "Guide to a Healthy Pregnancy." Another one is “The Mother of All Pregnancy Books.”

And as far as websites, the Mayo Clinic has a good and reliable women’s health section, as does the National Institute of Health.

But, if you’re a patient with Colorado Mountain Medical, you can sign up for the Patient Portal. It enables you to message your doctor directly. If you’re my patient and you have a question, you can just send it to me, I pick up the message and respond to it, say perhaps that it’s nothing to worry about, or you should come in. So many times people sit home and wonder, “Should I call or shouldn’t I?” My advice is, when you’re asking that question, the answer is you should.

The Patient Portal gives you a way to do that without leaving a message with a nurse.

Q

I have visions of giving birth without having any pain medications, but I don't know how realistic it is. What do you suggest a woman consider when making this decision?

A

Giving birth is like taking a road trip: You know where you’re headed, but you don’t know what’s going to happen along the way. Birthing plans are great and you can investigate what you’re interested in, but it concerns me when someone is very rigid one way or the other.

You can have a guideline, but be flexible. You just never know, and the endpoint is a healthy mom and healthy baby.

There are lots of options for pain management. We have IV meds that can be given, which help with the pain. And an epidural, which is administered in the spine, will make it so you don’t feel the contractions.

One of our practitioners does hypnobirths, which is more like guided imagery, and people use that as a management for their pain. Also, there are the Bradley and Lamaze methods, which are more holistic approaches. And sometimes doulas come to the hospital with patients, and help coach them, educate them on the transitions. I love it when a doula is a part of the situation, because they’re experienced and can be very helpful.

Q A

How well equipped is the VVMC Women and Children’s Center?

It’s very nice. They are all private rooms, so you can labor, deliver and recover in the private rooms. We have all the modern conveniences to keep you comfortable, plus 5 doctors who work in obstetric care.

It used to be, you had to be 37 weeks — what we consider full term — to give birth in Vail.

But our neonatal center can handle births from 34 weeks and beyond. That was a big step, to have that kind of backup.

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INSIDER

The Acid Reflux Test A simple procedure can produce big payoffs for those suffering from acid reflux

BY KIMBERLY NICOLETTI // PHOTOS ANTHONY THORNTON “we’d just finished climbing at the rec center

in Gypsum,” Jeff Shroll remembers. “I was beating on my chest, complaining about the acid reflux that I’d had for a decade or more. He looked at me and said, ‘I can fix that.’ I said, ‘I’m listening.’”

“He” was Dr. Barry Hammaker. The fix was an elective surgery called laparoscopic fundoplication and it changed Jeff Shroll’s life.

Jeff is an active, busy guy. Originally from Grand Junction, he made his way to Gypsum from Crested Butte and has been the town manager for 20 years. He has coached track at Eagle Valley High School for 17 seasons, enjoys running, climbing, skiing, lifting weights, fly fishing, hunting and is determined to bag all of Colorado’s 14ers.

However, his gastroesophageal reflux disease (GERD), better known as acid reflux, was hampering his ability to do the things he loved.

“Running, weight lifting — really during any kind of cardio workout, that acid reflux would kick up,” Jeff says. “My stomach gets to going and that stuff comes back up and it would 32

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Dr. Barry Hammaker

cause problems. Or if it was a good powder day and I was skiing really hard, I’d get down to the bottom of a great run and I’d feel terrible.

“I hated that chest burning. I just hated it.”

The “chest burning” is heartburn, which is a symptom of acid reflux. Here’s what happens: at the entrance to the stomach, at the bottom of the esophagus, is a valve.

This valve usually closes as soon as food passes through. If it doesn’t, or if it opens too often, acid produced by the stomach can splash up into the esophagu — heartburn. Acid reflux disease is when this painful burning happens more than twice a week.

Acid reflux doesn’t occur just during physical exertion. Stress can aggravate the condition and it can affect sleep, too.

“It’s all tied together,” Jeff explains. “Stress is a part of life, but I also have a stressful job. When you have a stressful job, you need a good night’s sleep, but you can’t get a

Gypsum Town Manager Jeff Shroll's life changed after climbing at the town's rec center with Dr. Barry Hammaker.

good night’s sleep because of acid reflux.”

Another way to release stress is by exercising, but acid reflux can be aggravated by physical exertion, creating a lose-lose cycle for Jeff.

So when Dr. Hammaker said he might be able to fix Jeff ’s acid reflux, Jeff was ready to listen.

“Gastroesophageal reflux disease is a common problem and there are ways to address acid reflux with dietary and lifestyle modifications,” says Dr. Hammaker, a surgeon at Mountain Surgical Associates at Vail Valley Medical Center. “Things like losing weight, avoiding an excess of caffeine and alcohol, avoiding large meals and not eating right before bedtime. We often recommend lifestyle modifications either before or in conjunction with medicine to see what kind of improvement you can get.”

Most people with standard acid reflux do not need surgery. For many people who have acid reflux or indigestion, taking a pill like Nexium or Prilosec once or twice a day controls the problem and produces results. However, medication doesn’t work for everyone.

“When medicine isn’t working, you need to have a proper evaluation to make sure that there’s not something else going on that’s much more serious, like cancer,” says Dr. Hammaker. “We’ll take a detailed history, find out what treatments have worked and what has failed. We’ll do a lot of diagnostic testing, like an upper endoscopy, a pH study; we’ll have a look around, maybe do a biopsy of the esophagus, all to make sure that it’s acid reflux.”

Once all of the tests and studies are completed and the final diagnosis is acid reflux disease, then laparoscopic fundoplication might be the next step. An elective surgery, laparoscopic fundoplication is a procedure that recreates the valve between the esophagus and stomach. It’s generally accompanied with an overnight stay in the hospital, followed by diet limitations for 30 to 90 days after surgery. A relatively new procedure, the end result is a repaired valve that’s not too loose and not too tight, allowing food to travel to the stomach but preventing acid from splashing into the esophagus.

Jeff underwent laparoscopic fundoplication in December 2009 and is enjoying life in a way that he couldn’t before the surgery.

He’s eating what he wants, when he wants and is pursuing his outdoor passions with vigor.

“I had a hard time doing 14ers back then (before the surgery).

I’d get my heart rate up and the lack of oxygen would aggravate it,” says Jeff. “It has been way helpful — it’s easier running up and down peaks without acid reflux.”

Jeff has crossed 45 peaks off of his list so far.

“I’ve joked with Dr. Hammaker, ‘why didn’t I climb with you 10 years earlier to find out about this procedure?’” Jeff says. “If I had known about this years ago, I would have stood in line. This procedure really provided relief and was a great help for me; I know it could do the same for others.

“He’s the guy that does the real thing. I’m just a happy patient.”

If I had known about this years ago, I would have stood in line.”

MOUNTAIN SURGICAL ASSOCIATES MOUNTAIN SURGICAL Associates (MSA) is home to some of the most respected surgeons in Colorado. Specializing in emergency and trauma case, they are also experts in: GENERAL SURGERY:

abdominal, thoracic and endocrine LAPAROSCOPIC SURGERY:

hernia repair, gall bladder, colon and reflux disease CANCER SURGERY: breast, colon and rectal, endocrine, lung and melanoma TRAUMA/CRITICAL CARE:

around-the-clock diagnostic and care for critically ill and injured patients WOUND AND OSTOMY:

treatment of acute and chronic wounds The team at MSA, consists of: SUE ARFORD, RN DR. JAMES DOWNEY DR. REGINALD FRANCIOSE DR. BARRY HAMMAKER JASON MOORE, PH.D, PA DR. JOHN SCHULTZ

Since his surgery, Jeff Shroll works out several times a week without suffering the consequences of acid reflux.

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What hurts more than a

Mammogram?

When you’re talking beauty and cosmetic regimens, it turns out most things do…

by Kim Fuller

PHOTOS DOMINIQUE TAYLOR

e know there’s no substitute for inner beauty. But when it comes to the external variety, women are well schooled in the “no pain, no gain” philosophy.

Whether it’s huffing and puffing through a spin class or seeing stars during a bikini wax, beauty takes work.

And no small amount of practice, either.

So why do so many women put off or avoid getting potentially life-saving mammograms? Discomfort? Awkwardness?

Last year, breast cancer survivor Geralyn Lucas visited Vail as the featured speaker at the Vail Breast Cancer Awareness Group’s 19th annual Celebration of Life luncheon, and she asked that very question. At 27, Lucas found a lump during a breast self-exam — earlier than most would expect. "I thought I had to be 40 or my mom

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ini Bik ax W

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34

had to have breast cancer. I was wrong," Geralyn says.

Eighteen years down the road, Lucas is committed to spreading awareness about the importance of early detection. She teamed up with ABC News’ Sara Haines with an inspired idea: On camera, the duo wandered through New York City subjecting themselves to various activities in the name of beauty, and compared them to the pain and discomfort of getting a mammogram.

Such a good story inspired a local version. Local veterinary technician Cathy Wetzel has two sisters-inlaw who have fought breast cancer. Both are survivors, due in part to early detection. Her paternal grandmother had a double mastectomy in the early 1980s, so she has a personal interest in the message. She volunteered to help recreate the story, and photographer Dominique Taylor caught it all with her camera. The upshot? As far as pain goes, mammograms don’t have anything on high heels. »

ME

ft Fa cel i

Wearing High Heels

PAIN LEVEL 5 AFTER 5 HOURS, AND THEN UNBEARABLE A vet tech at Vail Valley Animal Hospital, Wetzel doesn’t wear heels at work. She has to move quickly and efficiently on a semi-slick floor, so they don’t make sense for her. But in the spirit of taking one for the team, she gave it a go. She chose a pair about three inches high with a thin heel. "It makes everything feel out of line and miserable,” she says. “It hurt during the day, but at night I went home and I ended up getting cramps in my feet." After her lunch break, she couldn’t bear to wear them anymore. “It sucked,” she says. “I won't lie, it wasn't fun. "

h Facial wit s Extraction

Acupuncture PAIN LEVEL 1-2

At the acupuncturist, Wetzel had needles inserted into her face, her arms and down the right side of her body in hopes of triggering some healing in the neck, elbows and shoulders. "I have had acupuncture before and some of the needles really hurt when they put them in, but usually they only hurt for like 20 or 30 seconds,” she says. “You can still feel them but they don't hurt anymore.” Wetzel loves the relaxed feeling post-acupuncture, so she doesn’t mind the mild sting of the needles.

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Tattoo

PAIN LEVEL 4

Chemical Peel

Brow Waxing PAIN LEVEL 3.5

Though it’s nothing like a bikini wax, eyebrow waxing is still no picnic. "It's so quick,” Wetzel says. “If it was something that you would have to sit and put up with for more than five minutes at a time, then it would be bad.” The procedure might have been fast, but the recovery took a little longer. “I was all red and puffy for the next five hours at work, so it was kind of funny,” she says.

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Wetzel trucked down to Glenwood Springs for her first tattoo. She showed up with a picture of what she wanted. It ended up different than what she thought it would be, but she likes it a lot. "It was really quick,” she says.

“He got it done in less than an hour…and that would be probably a 4 on the pain scale — not terrible. There are certain parts that hurt more, like when he was doing the coloring in, which hurt more than the outline. It's a sharp hurt, similar to bee stings, but a bunch of them." Wetzel’s grandparents were apple farmers with 1,000 acres of orchard, and her mother, who passed away 2 years ago, had a house filled with apples. They were surrounded by apples, and ate them every day. “So it's an apple at the top and it comes down like a heart,” she says about the tattoo. “I really like it.”

air H r e Las moval Re

Better Technology The Shaw Regional Cancer Center’s Sonnenalp Breast Center now offers 3D Mammography

Eye Lift

Lasik

Mammogram PAIN LEVEL 3

Wetzel is in her 40s, and she does self-breast exams often and gets mammograms routinely. To date, she’s had five. “I would so much rather hear the bad news earlier, rather than later,” says Cathy. “Hopefully I will never have to hear the bad news, but it’s so common; there are a lot of women who I know in the valley who have or have had breast cancer.” Most mammograms take about 15 minutes to complete, though the uncomfortable part is much faster.

"It's a squeezing … they do it very quickly,” she says. “You’re standing there for maybe a minute or two and getting squeezed, but it's not bad." Wetzel likes the atmosphere at the Shaw. “The technicians are great, and will talk about anything to make you not think about having your boob squeezed,” she says.

THE

Finish GA

ME

MAMMOGRAPHY takes images of breasts in a way that is similar to a CT (computed tomography) scan. Instead of a static image, the 3D mammo takes images of the breasts in “slices” (think loaf of bread), so radiologists have more information.

“Like the pages of a book, every page has more info on it,” says Colleen Berga, manager of the Sonnenalp Breast Center.

“Having this technology reduces our rate of callbacks for additional testing, and increases detectability rates.”

Shaw adheres to the American Cancer Society guidelines for mammography, and recommends that women start mammo screenings at age 40, and every year thereafter.

If you have a strong family history of cancer and/or breast cancer, you should start screening 10 years earlier than the age a family member was diagnosed (if you mother was diagnosed at 40, start your screening at 30).

Also, see your physician if you have breast concerns, or feel a lump, experience nipple discharge, skin appearance or texture change and/or unilateral breast pain.

Right now, mammography is the “gold standard” for breast imaging, Berga says, at about 85 percent detection sensitive. If mammography is combined with breast ultrasounds, the sensitivity increases to 90 to 95 percent.

To schedule an appointment for a mammogram, call the Sonnenalp Breast Center at (970) 569-7690.

Berga said to see your primary care physician prior to getting a clinical breast exam, to determine what type of screening to schedule.

For more information, visit www.shawcancercenter.com.

side by side VAIL MEDICAL TEAM SHARES REWARDS AND CHALLENGES OF THEIR INTENSIVE VOLUNTEER TRIP

ome people vacation at the beach; others

spend their time engaged in something more goal-oriented and charitable. Last September, six members of the Vail Valley Medical Center staff opted to donate four weeks of their personal time off and traveled to Tanzania to share their expertise. Dr. Kent Petrie, Jaime Paulus, Jane Brandes, Lindsey Bischoff, Rachel Connealy and Sarah Connealy helped the Foundation for African Medicine and Education (FAME), Haydom Lutheran Hospital and Rift Valley Children’s Village. “I have always been interested in other cultures and third world healthcare,” says Brandes. “The disparity that exists in the developing world, especially with health, is of great concern to me.”

Brandes, a VVMC nurse and her husband, Peter, a paramedic, have a history in Africa. The couple moved there to work at Haydom Lutheran Hospital for a full year in 2001 with their then 7 and 9-year-old children.

The couple has forged many close friendships in the community, so they’ve returned again and again.

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YOU CAN HELP

BY SHAUNA FARNELL

The Haydom hospital is largely supported by the Norwegian Lutheran Mission, which is facing the possibility of pulling its funding in 2015.

To donate or find out how to help keep the hospital in operation, visit www.lifewithoutcarelosinghaydomhospital.org

“Premature babies don't do well in Africa. There simply are not the medical resources, equipment or staff available to support their needs.”

The focus of this last trip was primarily Haydom’s hospital and its new maternity ward, where Dr. Petrie assisted with several deliveries, coaching nursing and medical staff and walking them through management of challenges such as post partum hemorrhage and newborn resuscitation.

Nestled in a village of closely packed shanties with holes for windows, the Haydom hospital and its 400 beds is by far the most developed building in the area, but by American standards the facility is extremely basic.

The maternity ward undertakes more than 5,000 deliveries annually. This number is particularly striking because, as Brandes points out, in Tanzania, most births still happen at home. In spite of its relative sophistication, the hospital reflects the ghastly health concerns rampant in this poverty-stricken country, a far cry from the scene of controlled illness and healing one is likely to witness at VVMC or any first world medical facility.

“The patients there are very ill and death is ever present.

Infants and children die daily from things you would never see in this country,” Brandes says. “Oftentimes the women who come for delivery are already in trouble. They have labored at another even-more-remote facility and were then brought to Haydom. The same for infants. Some are brought in after a home delivery that didn't go well or they were born at a health dispensary far away and an ambulance — a Land Cruiser with a mattress in the back — brought them to the hospital. Premature births are common due to chronic malaria, poor nutrition, limited prenatal care and all the other problems of poverty. Premature babies don't do well in Africa. There simply are not the medical resources, equipment or staff available to support their needs.”

Given this reality, even after four weeks of nonstop work, the VVMC crew was still left with a biting sense of unfinished business.

Dr. Kent Petrie holds a healthy newborn in Haydom's new maternity ward.

opposite:

The team from VVMC donated 4 weeks of personal time to the hospital and community of Haydom, Tanzania. Vero, a midwife, and Rachel Connealy attend a patient at Haydom Lutheran Hospital.

“I’m not sure one could ever accomplish everything they wanted in Haydom,” Paulus says.

One accomplishment Paulus, Bischoff and the Connealys achieved while in Tanzania was to make the acquaintance of a young local girl and sponsor her so she could attend school. The Brandeses plan to return to the country in 2016 — if not sooner — to attend their nursing friend Veronica’s graduation with a degree in midwifery.

Possibly the most rewarding aspect of the trip was the continuous flow of appreciation from the patients and staff at Haydom. The display of gratitude came after each successful delivery, educational presentation, equipment contribution or simply from a helping hand.

“The rewards are continuously present — a smile from a patient or family, a curtsy from an infant’s mother, children running up to us to hold our hands. The people there value western healthcare and treat us with great respect.

The hospitality is like no other place I've ever been. The people are extremely kind and welcoming,” Brandes says.

Besides the heart-swelling sense of reward from such focused work in a community like Haydom, Dr. Petrie points out that such experiences lend an incredible perspective upon returning to first world medical care and general way of life.

“I appreciate our system of medical care when I come back from these trips,” Petrie says. “You see how the situation is in Tanzania and think, ‘How much do we really have to complain about?’”

Downtown Haydom bustles with activity.

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Your gland A GLANCE AT

Vail’s new endocrinology clinic diagnoses and treats thyroid disorders

BY SHAUNA FARNELL

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you’re in your 20s and loving life.

You ski, hike, bike and get outside to play in the mountains whenever possible. You eat healthily, don’t drink too much and get plenty of sleep. Yet you’re always tired, and you're gaining weight. It just doesn’t make sense.

Does any of this sound familiar? It could be your thyroid.

The thyroid is a gland in the neck that produces a hormone affecting many organs in the body, including the heart, liver and muscles. If your thyroid is under producing — a condition called hypothyroidism — there are indeed symptoms, but they may take a while to present themselves. As Dr. Monique Manganelli puts it, “everything slows down.”

The symptoms may vary depending on the age of onset, the duration and severity of the deficiency. Some of the early symptoms may include general fatigue or cold intolerance. The hair may fall out or become coarse. The skin is often dry and rough. Due to this slowdown in metabolism, patients may gain some weight in spite of no dietary change. The bowels slow down and patients often complain of constipation. From a psychological standpoint, these patients may start to feel a little ‘blue’ or have clinical depression.

Sometimes it’s impossible to know exactly what is causing the thyroid to be underactive. It is not caused by your lifestyle or anything you are — or aren’t — doing. One of the most common causes of hypothyroidism is chronic autoimmune process.

“This is when you develop antibodies against your own thyroid. It’s genetic. It can just turn on … similar to when you develop antibodies when you get sick that work against bacteria, except this is working against your own tissue,” Manganelli says.

A mystery of genetics, women are eight times more likely than men to develop hypothyroidism and may have additional symptoms such as irregular menstruation or fertility difficulties while men may suffer from decreased libido or sexual function.

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COMMON CAUSES OF THYROID ISSUES

On the opposite end of the spectrum is hyperthyroidism — five times more likely to develop in women than men, in which there is an excess of thyroid hormone in the body. The most common cause is again an autoimmune process, this one called Graves' Disease. More common in younger women, Graves Disease is when your antibodies, rather than destroying the thyroid and causing it to under produce as in hypothyroidism, actually stimulate the gland. Less common causes for both hypo and hyper thyroid include thyroid inflammation, certain medications and excessive consumption of iodine. Symptoms of hyperthyroid are nearly the opposite of those of hypothyroid.

VVMC Endocrinology staff see a lot of hyperthyroidism and the symptoms are usually more dramatic. Patients are often very uncomfortable. They may feel very anxious, jumpy or jittery and they may be losing weight in spite of an increase in appetite. They may be very heat intolerant and perspiring a lot. They are just so hyper that their heart is racing and they may be very short of breath. They may also have muscle weakness, a decrease in stamina or insomnia as well.

Although thyroid disorders are not caused by lifestyle choices such as what you eat or how much exercise you get, it’s important to note that the active high elevation lifestyle shared by most Vail Valley residents and visitors can exacerbate the symptoms of thyroid disease.

“With hyperthyroid, you’re already working way too hard, so when you add altitude to it and exercise, you’re putting yourself at real risk,” Manganelli says. "We saw a patient the other week — a woman in her 20s — who came in to town to meet a friend. She collapsed while she was having dinner. She was discovered to be hyperthyroid and probably managed it in New York, but skiing and the elevation was too much. Those with hypothyroid are already fatigued and when they come up to this altitude, they may not become toxic like hyperthyroid patients, but they’re going to feel so much more fatigued. They’re going to have a hard time with exercise and stamina. It’s hard to overcome that. It’s hard on the body.”

It’s true that the thyroid needs iodine to function properly and in rare cases, excessive or deficient amounts of iodine can lead to hypo or hyperthyroid disease, but this is not com2 O 14

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THYROID DISORDER

Stats

HYPERTHYROIDISM There is an excess of thyroid hormone in the body.

Women are five times more likely than men to develop it.

HYPOTHYROIDISM Thyroids under-produce, making bodily systems slow down.

Women are eight times more likely than men to develop it.

FACTS

According to the National Endocrine Information Service …

4.6 percent of Americans have hypothyroidism and 1 percent has hyperthyroidism.

Different thyroid diseases occur at different ages.

Women are much more likely than men to develop hypo or hyperthyroidism and women 60 and older are at the most risk.

They are not caused (or cured) by diet or lifestyle.

mon in the United States. The VVMC Endocrinology staff recommend that individuals aim for the Recommended Daily Allowance of iodine, perhaps slightly more for pregnant women.

Another natural substance, a trace mineral called selenium helps with thyroid health, but as far as treatment for thyroid disorders, there are no natural cures.

The only way to treat thyroid hormone deficiency is to replace it with a daily thyroid hormone pill.

Hypothyroidism can be diagnosed by a physical exam, which may include an enlarged thyroid gland or goiter, in addition to a simple blood test. It may take a little time to find the right dose for the patient, but patients do start to feel significantly better.

Treating hyperthyroidism can be a little more difficult because the hormones that have already been over-produced cannot be removed. However, there are pills that can block future production of thyroid hormone or a one-time dose of radioactive iodine, which essentially destroys the thyroid gland. Surgery is sometimes used to treat it in rare situations.

If left untreated, hypothyroid patients will progressively feel more fatigued, may continue to gain weight and generally “feel lousy.” It takes a 42

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long time for the thyroid hormone levels to become dangerously low.

Consequences can be much more serious if hyperthyroidism goes untreated. “Untreated hyperthyroidism can progress rapidly to a toxic state with complications that can lead to cardiac arrhythmias, shock or rarely death." Manganelli says.

No doctor is ever going to discourage a healthy diet and an active lifestyle, especially for patients with hypothyroid issues. As far as exercise for hyperthyroid patients, especially in a place like Vail where people have a tendency to be overactive, doctors have specific guidelines to make sure they’re not overdoing it.

For patients with hypothyroidism, the team at VVMC Endocrinology advise a healthy, calorie-controlled diet and exercise to maintain metabolism. With hyperthyroid patients, the body is already working out without them knowing. Once they have their thyroid under control they can work out, preferably with a trainer to establish a safe exercise program, to start to increase the muscle mass that may have been lost during their hyperthyroid state.

Learn more by calling VVMC Endocrinology at (970) 477-5160 or visit vvmc.com/endo

Causes are often hard to identify but can be genetic, autoimmune-related, caused by surgery, radiation, exposure to iodine, pregnancy or certain types of medication.

Hypothyroidism is cured by a daily dose of thyroid hormone medication while hyperthyroidism is cured by daily thyroid hormone blocking medication, onetime radioactive iodine treatment or surgery.

If untreated, hypothyroidism can cause obesity, joint pain, infertility and hyperthyroidism can cause heart issues, strokes and even death.

If untreated during pregnancy, thyroid disorders increase the risk of miscarriage, pre-term delivery and may affect the baby’s growth and brain development.

KAMPER CONQUEROR When Dr. Matt Kamper tore his rotator cuff during a ski fall in December 2008, he didn’t just take a surgical approach to fixing it; he also self-prescribed a life-altering route.

BY KIMBERLY NICOLETTI

BEN CONNORS

Dr. Matt Kamper is the eleventh person — and eldest — to ski all of Colorado’s Fourteeners.

Pike's Peak, June, 2009.

Mount Harvard, February, 2010.

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BACKCOUNTRY SAFETY

BEFORE YOU GO… gency doc had grown up in Boulder, skiing and hiking Vail and Summit County’s mountains. He loves his work in Vail’s ER for the past 15 years, due to the overall environment both in and outside of work.

However, one “minor” frustration nagged at him: Work kept him so busy, he didn’t have enough time to ski.

Granted, he managed to squeeze in 40-50 days a season, but those “days” only consisted of an hour or so of precious turns eked in before his shifts began. “Summer would come, and I wasn’t done skiing,” Kamper says.

His frustration reached a critical point in January 2009, when he spent eight weeks recovering from shoulder surgery. “I couldn’t do anything,” he says. “It drove me nuts … (but) I had a lot of time to think about things.”

By the end of the eight weeks, not only had his shoulder healed, but also his one frustration with work and recreation transformed. “I turned it around to a positive,” he says. “I realized the ski mountaineering season begins when the lifts close, and the snow is more safe and stable, and I have more time. I’d grown up doing high-altitude backcountry skiing, and I realized I should have been doing it all along. I decided to take on 14ers as a project because it had a defined, prescribed list.”

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Capitol Peak, May, 2010.

TAKE AN AVALANCHE SAFETY COURSE Learn to recognize avalanche terrain. Most avalanches travel in paths, on smooth, broad, steep exposed slopes of between 25 and 60 degrees, but there are many exceptions.

Remember: If you can ride through it, an avalanche can slide through it.

Practice searching for your companions’ avalanche transceivers until everyone feels confident about their ability to locate each beacon quickly.

Research your route and snow conditions in the exact location(s) you plan to ski. Call your local avalanche warning center and check the current and forecasted weather before heading into the backcountry. Be prepared to adjust plans and/or routes accordingly.

Your attitude and the attitude of your companions can often mean the difference between a safe trip and catastrophe.

JARRET T LUT TRELL

vail valley Medical Center emer-

STAYING SAFE

BACKCOUNTRY SAFETY

Kamper is a confident skier and navigator — and his partners appreciated him hauling heavy first aid kits up and down the mountain, even though he never had to use them. His partners often brought better mountaineering skills, such as technical roping.

Though Kamper never had to pull out his first aid kit for his partners, his knowledge came in handy on Cameron Point (an unofficial 14er — even official counts of Colorado’s 14ers differ, varying from 53 to 54). Kamper hesitates to call it an avalanche, but he fell and slid with a bunch of snow at 10 a.m. He knew he tore the ligament in his left thumb, so he called into the medical center and scheduled surgery at 6 p.m. Dr. Viola pinned his thumb joint internally and molded a splint so that Kamper was conquering 14ers within a week.

And skier’s thumb wasn’t the only major glitch Kamper ran up against during his four-year journey.

“This kind of endeavor can be really hard on relationships,” he says, adding that his girlfriend was “extremely patient” and even joined him on a couple of trips.

Some peaks, like Capitol, which Kamper describes as the scariest because it required a long traverse on a steep slope above a cliff, also demanded nearly 24 hours of physical exertion; Kamper started climbing Capitol at 11 p.m. and finished the following day at 8 p.m.

Despite the challenges, Kamper wouldn’t trade his self-prescribed “treatment” for anything.

“My passion for skiing, and for being outdoors in general, is a fabulous gift that I received from my parents, and this project brought me to realize just how profound and valuable that gift really is,” Kamper says. “I am working on conveying it to my children and look forward to hearing about their adventures when they're older.”

ONCE YOU'RE THERE… Always carry avalanche equipment, including avalanche transceiver, probe and shovel Stay alert, and constantly be on the lookout for anything that indicates the potential for a slide.

Cross potential avalanche slopes one at a time — each person should be 100+ yards from the next person.

Avoid traveling in the backcountry alone or leaving the group.

Don't assume a slope is safe because there are tracks going across it. Wind, sun and temperature changes are constantly altering snowpack stability.

Never travel in the backcountry on the day after a big storm. Allow the snowpack to settle for at least 24 hours.

Don't hesitate to voice concerns or fears.

Above info from the National Ski Patrol, www.nsp.org Other resources: www.americanavalancheassociation.org Colorado Avalanche Information Center: avalanche.state.co.us/

BRIAN MILLER

GETTING READY And so the work began. Kamper is a strong skier, but he had to hone his mountaineering skills. He studied maps, guidebooks and blogs, and eventually mastered skills like rappelling with his skis on. By April 2009, he skied his first 14er: Quandary Peak. That spring, he bagged 14 peaks.

But not every ascent and descent went as smoothly as that first spring. Several peaks took multiple attempts to ski — bad weather or adverse conditions, including higher-than-expected avalanche danger, impeded progress.

Crestone Needle took three attempts: Time ran out on the first attempt; the snow never softened and remained a sheet of glass on the second; and finally, on the third try, “we were not going to be denied,” Kamper says.

A highlight of the journey was skiing with partners, some of whom he met through 14er forums or met on the trails. “One of the best things are the people you meet along the way,” he says. “Anytime you take on a difficult project with somebody, you form a bond.”

One of his partners, Jordan White, was the youngest to ski all of Colorado’s 14ers, at age 23. Kamper still holds the record as the eleventh person to ski all of the 14ers.

He is also the oldest, finishing at age 52. “Age didn’t get in the way at all,” he says. “The great thing about doing this, is, it really is a team sport. Everybody you go out with brings a different set of skills and strengths.”

Mount of the Holy Cross, March, 2011.

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good eats NUTRITIOUS, ALL-NATURAL CUISINE DOESN’T HAVE TO BE BORING

BY KIM FULLER // PHOTOS ANTHONY THORNTON

ating “healthy” is generally easier said than consumed,

yet more and more, restaurants are jumping on board with a greater diversity of well-balanced offerings. Terra Bistro in Vail Village is known for their elite yet mindful cuisine, with a wide range of both delicious and health-conscious menu items.

Although decadence still can be enjoyed with sweetbreads and duck dishes, red wine and sweet dessert finales, Terra Bistro gives guests the option to eat a little lighter, with a kitchen that is always willing to cater to personal dietary preferences or restrictions.

"I personally have always believed — and it's become the core of Terra Bistro's directive — that when it comes down to it, you are what you eat," says Terra Bisto managing partner Kevin Nelson. "I know it's simplistic, but we just believe that if you begin with perfect ingredients that are fresh and not manipulated in any way, and begin your creative process from there, you get to an end result that pleases the guest on all levels — beyond just the typical dining experience.": Recipes provided by Kevin Nelson, head chef of Terra Bistro in the Vail Mountain Lodge. »

Mushrooms are terrific immune boosters.

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Parsnip & Pine Nut 'Pilaf' in Portobello

TAMARI ROASTED CARROTS, ARUGULA, CURRIED EGGPLANT SAUCE

.Nutrition Facts.

PARSNIP PILAF IN GRILLED PORTOBELLO MUSHROOMS

Serving Size 112g Calories 80 Calories from Fat 30 Total Fat 3.5g 5% DV Saturated Fat 0.5g 3% DV Trans Fat 0g Cholesterol 0mg 0% DV Sodium 12mg 1% DV Total Carbohydrate 12g 4% DV Dietary Fiber 4g 16% DV Sugars 4g Protein 3g Vitamin A 0% DV Vitamin C 15% DV Calcium 2% DV Iron 4 % DV

TAMARI ROASTED CARROT MIX

Serving Size 107g Calories 90g Calories from Fat 35 Total Fat 4g 6% DV Saturated Fat 0g 0% DV Trans Fat 0g Cholesterol 0mg 0% DV Sodium 290mg 12% DV Total Carbohydrate 11g 4% DV Dietary Fiber 3g 12% DV Sugars 4g Protein 2g Vitamin A 210% DV Vitamin C 8% DV Calcium 2% DV Iron 4% DV

Parsnip Pilaf in Grilled Portobello Mushroom 6

portobello caps, gills and stems removed, seasoned with olive oil, salt & pepper, and grilled

Tamari Roasted Carrot Mix

Eggplant Sauce, Curried

4

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organic carrots, peeled and cut into bite-sized pieces

1/2 cup chickpeas 2

tablespoons vegetable oil

1

FOR THE PARSNIP RICE, COMBINE THE FOLLOWING

tablespoon tamari soy sauce

1

tablespoon fresh grated ginger

2

cups shredded raw parsnips

2

teaspoons lime juice

2

tablespoons toasted pine nuts, chopped fine

2

cups parsnip rice

Squeeze of lime juice Sea salt to taste PROCEDURES (WHEN MUSHROOMS ARE COLD)

Sea salt and pepper to taste 1. Combine all and roast in convection oven at 375° to 400° for 20 to 30 minutes until tender and partially charred/caramelized.

2. Serve.

large eggplant, cut in half

1/2 cup olive oil, plus more to coat raw eggplant 1

small white or yellow onion, rough chopped

2

teaspoons chopped garlic

1

teaspoon grated fresh ginger

1

teaspoon ground cumin

1/2 teaspoon ground coriander 1/4 teaspoon chili powder 2

teaspoons curry powder

1

tablespoon tomato paste

1

can organic coconut milk Sea salt – to taste

3. Store the filled mushrooms in the cooler until ready to heat and serve.

1. Rub eggplant with olive oil and season with salt and pepper. Place on a baking sheet with onions and roast in the oven until soft, about 30 to 40 minutes at 375° to 425°. Let cool and using a spoon, remove the flesh of the eggplant and set aside with the roasted onion.

4. Serve with Tamari Roasted Carrots, Arugula, and Curried Eggplant Sauce.

2. Heat the oil in a pot and sweat the chopped garlic until aromatic.

1. Trim the grilled portabellos into 2 1/2 inch squares.

2. Fill each square with 2.5 ounces of parsnip rice.

3. Add the spices, cook for 2 minutes.

SAY WHAT? recent study showed modest weight loss in those who replaced one cup of mushrooms for red meat in their diet for one year. Mushrooms are also a good source of dietary vitamin D2, and they are the only plant vegetable to be a significant source of vitamin D.

4. Add the tomato paste, coconut milk, and the eggplant onion mixture and bring to a simmer.

5. Remove from heat and let cool.

6. Puree in a blender and pass through fine mesh strainer or chinoise.

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House Sprouted Quinoa Lettuce Cups

AVOCADO, BALSAMIC-MACERATED TOMATOES AND BASIL AÏOLI

Sprouted Quinoa Lettuce Cups

Balsamic-macerated Tomatoes

Basil Aioli 8

garlic cloves

TO SPROUT QUINOA

4

1

teaspoon salt

1. Cover quinoa with water using at least twice the amount of water to quinoa.

1/4 cup fine diced red onion

1

shallot — rough chopped

2

tablespoons fresh lemon juice

2. Soak quinoa in a bowl for at least 12 hours.

1/2 cup extra virgin olive oil

2

tablespoons white balsamic vinegar

2

cups fresh basil leaves

3

fresh egg yolk or 3 tablespoons pasteurized egg yolk

3. Drain the quinoa and allow to dry.

4. Cover the quinoa with a breathable lid such as a coffee filter or cheesecloth.

5. Rinse the sprouting seeds twice a day and allow to dry each time. The seed is soft when finished, and best eaten in 2-3 days. The more days that you repeat the rinsing and drying process, the longer the sprouts will become.

6. Once the quinoa has reached the desired stage, refrigerate and enjoy.

1

avocado

6

tablespoons heaping of balsamic-macerated tomatoes

6

tablespoons heaping of sprouted quinoa

4

tablespoons basil aioli

6

Bibb lettuce leaves

Fill each lettuce leaf with equal parts of the above ingredients – drizzling the sauce last.

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1 2

cups fine diced roma tomatoes cup fresh basil, chiffonade tablespoons balsamic vinegar Sea salt and fresh pepper to taste

Combine all and let marinate overnight.

2 1/4 cups Extra Virgin Olive Oil

1. Combine all except oil in food processor until well blended.

2. Slowly add oil in a steady stream while blending …

SAY WHAT? There are multiple benefits to sprouting your seeds, legumes and grains. hen these foods are sprouted, the seed literally turns inside-out and releases more nutrients to be absorbed as vitamin C, iron, zinc and B-vitamins. Sprouts are also good sources of fiber and protein.

Sprouts as a part of a daily diet can help to manage blood sugars and reduce insulin levels, she says, which has been shown to provide benefits for those with Type 2 Diabetes.

3. Pass aioli through a medium or fine mesh strainer to remove any unblended fibers and pieces.

.Nutrition Facts.

CURRIED EGGPLANT SAUCE (FROM PAGE 47)

Serving Size 47g Calories 80 Calories from Fat 70 Total Fat 8g 12% DV Saturated Fat 2.5g 13% DV Trans Fat 0g Cholesterol 0mg 0% DV Sodium 5mg 0% DV Total Carbohydrate 3g 1% DV Dietary Fiber 1g 4% DV Sugars 1g Protein 1g Vitamin A 0% DV Vitamin C 2% DV Calcium 0% DV Iron 2% DV

SPROUTED QUINOA LETTUCE CUPS

Serving Size 125g Calories 260 Calories from Fat 230 Total Fat 25g 38% DV Saturated Fat 3.5g 18% DV Trans Fat 0g Cholesterol 10mg 3% DV Sodium 60mg 3% DV Total Carbohydrate 8g 3% DV Dietary Fiber 4g 16% DV Sugars 2g Protein 2g Vitamin A 20% DV Vitamin C 20% DV Calcium 2% DV Iron 6% DV

If you have problems digesting legumes, try sprouting them before cooking as the starches responsible for gas formation are broken down and become more digestible.

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AS THE NUMBER ONE KILLER OF WOMEN, HEART DISEASE HAS A NEW NEMESIS WITH VAIL’S NEW CARDIOLOGY INSTITUTE

BY KIMBERLY NICOLETTI

SHUT TERSTOCK

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TYPES OF CARDIOVASCULAR DISEASE Cardiovascular disease is a catchall phrase for any disease of the heart. Though patients suffer from many types of heart disease, only three main things can go wrong with the heart: problems with the electrical system, the pumping system and the “plumbing,” or arteries.

THE PUMP AND PLUMBING

Every 60 seconds a woman dies from heart disease.

What has traditionally been a men’s issue has now become the leading killer of women, responsible for more deaths annually than the next five causes of women’s death combined.

A SILENT THREAT Within the past 15 years, the medical establishment has become much more aware of women’s heart disease and has aimed to educate everyone.

In the past, most of the emphasis regarding heart disease was aimed at men, because men presented symptoms earlier, says cardiologist Dr. Jerry Greenberg. But as research progressed, the medical community became aware that “women not only catch up, but also surpass men as they age” when it comes to heart disease, Greenberg says.

Though estrogen may help protect premenopausal women against heart disease by increasing the production of HDL, or “good” cholesterol, simply giving women estrogen after menopause does not seem to prevent heart disease. “Cardiovascular diseases are the most common cause of death and disability of women in the United States,” Greenberg says. “Between the ages of 45 and 64, one in nine women develop symptoms of some form of cardiovascular disease. After age 65, (the statistics increase) to one in three women.”

As the hardest-working muscle in the body, the heart pumps approximately 5 quarts of blood each minute, through 60,000 miles of blood vessels. It consists of four chambers connected by a valve. The blood flows into the atria, or top chambers, and out of the bottom, or ventricles.

Heart failure occurs when the ventricles are not strong enough to pump blood out, and both sides of the heart work against each other, so the “squeezes” are not synchronized. This differs from a heart attack, which usually results from blockage in blood vessels that cut off the blood supply to the heart. Heart failure can develop from a heart attack or from conditions like high blood pressure.

“A repeating theme (in women) is that outcomes are often worse in, and with regard to, all of the modalities that we have available to us,” Greenberg says.

The main concern with women and coronary heart disease is: Women don’t experience the same symptoms as men.

For example, major symptoms of a heart attack in men include pressure, burning, arm or shoulder pain, shortness of breath, cold sweats, nausea and weakness. However, symptoms in women can include pain in the upper back, jaw or neck, flu-like symptoms, feelings of anxiety, loss of appetite, and general discomfort.

Symptoms in women are not always typical. Though the No. 1 symptom in both sexes involves chest pain, women are more likely to experience chest pain induced by rest, sleep or mental stress, as opposed to physical exertion, which usually causes men’s symptoms, Greenberg says.

Women may also feel very fatigued; they may just feel like they have a severe flu.

Oftentimes, women’s symptoms are less pronounced, so they tend to seek medical attention less frequently than men.

Another complication comes in the form of women’s “plumbing,” the arteries.

“Women’s arteries are typically smaller and potentially more susceptible to injury,” Greenberg says, “and this fact tends to make some of our therapeutic modalities like heart cauterizations and angioplasties more difficult, and have worse outcomes than men.”

Autopsies reveal that plaque develops

The Statistics Heart disease is the No. 1 killer of women, and is more deadly than all forms of cancer combined.

Heart disease causes 1 in 3 women’s deaths each year, killing approximately one woman every minute.

An estimated 43 million women in the U.S. are affected by heart disease.

Ninety percent of women have one or more risk factors for developing heart disease.

Since 1984, more women than men have died each year from heart disease.

The symptoms of heart disease can be different in women and men, and are often misunderstood.

1 in 31 American women dies from breast cancer each year, and 1 in 3 dies of heart disease. source: american heart association

THE CARDIOLOGY INSTITUTE (970)476-1110 vvmc.com/heart Clinics in Vail, Eagle and Frisco.

• Interventional and general cardiology • Anticoagulation clinic • Cardiac diagnostics • Cardiac rehabilitation

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Managing Heart Disease Risks for Women by Age

20s

• Know your cholesterol and blood pressure numbers • Check your family history • Avoid smoking • Drink in moderation • Choose contraceptives carefully

30s

• Tame your stress • Develop heart-healthy habits such as eating healthily, exercising regularly and getting a good night's sleep • Choose contraceptives carefully

40s

• Balance stress with personal needs • Exercise regularly • Get regular checkups

50s

• Monitor changes in your body and discuss with your doctor • Know your numbers (cholesterol, blood pressure, etc...)

• Exercise regularly • Eat healthily

60s

• Know your risks • Keep moving • Have open communication with your doctor 52

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by the late teens or early 20s in much of the population, due to diet and lifestyle choices, such as smoking. Plaque begins as a fatty streak, irritates vessels and then acts as a speed bump. People can live with a 50 to 60 percent artery blockage and not know it, but then a stressful event — be it as simple as exercise or complex as trauma — causes a rupture. The body responds to the bleeding by forming a clot, which can cause a heart attack.

TREATMENT Treatment includes blood-clot-reducing medication, acute catheter-based intervention and/or bypass surgery. Also, chewing an aspirin as soon as heart attack symptoms occur helps thin blood and prevents clotting. “In addition to medicine, there are early invasive strategies, which reduce the adverse effects that coronary heart disease can have on the patient, such as diagnostic heart catheterization, percutaneous coronary intervention, and, at times, coronary artery bypass surgery,” Greenberg says.

By 2015, Vail Valley Medical Center will open its state-of-the-art catheter lab. The lab will allow patients having heart attacks to receive the current standard of care in Vail, which includes a door to reperfusion time of less than 90 minutes. Each patient will be brought to the heart catheterization laboratory, where the blocked artery is documented and then opened to restore normal blood flow to the heart muscle. “This intervention dramatically limits damage to the heart and the overall complication rate,” Greenberg says.

MOST COMMON ELECTRICAL PROBLEM Within the heart, movement of electrical signals causes the chamber to contract and relax. The most common electrical problem, especially at high elevation, is atrial fibrillation, in which the upper chamber of the heart doesn’t squeeze, but the bottom does, causing an abnormally fast and chaotic heart rate, or quivering.

Atrial fibrillation affects about 2.7 million Americans, according to the American Heart Association, and that number is expected to increase by at least 200 percent in the next 35-45 years, partially because risk increases with drug use, hypertension and an aging population; chances of suffering atrial fibrillation increase by 2 percent a year after age 50, so that by age 90, almost everyone has it. In addition, the higher people go in elevation, the more prominent it is.

Symptoms include heart palpitations, or sudden pounding, fluttering or racing, as well as a lack of energy, dizziness, chest

pain or pressure and shortness of breath.

Patients with atrial fibrillation are five times more prone to suffer a stroke because the blood doesn’t move as effectively as it should, so it clots.

Treatment includes medications that thin blood, as well as external cardioversion, which essentially shocks the heart in hopes

The main concern with women and heart failure is: Women don’t experience the same symptoms as men. of bringing it back into rhythm, and ablation, a surgical procedure. “The cardiology field is very successful in the ability to get the heart back into its normal rhythm,” Greenberg says. “(And) the various treatments are much more effective if identified early, before the problem becomes permanent.”

PREVENTION Proper diet, exercise, blood pressure control and cholesterol counts are essential to prevent, and control, heart disease.

Women shouldn’t consume more than 20 grams of fat per day, limiting calories from saturated fats to less than 7 percent of their total caloric intake.

Restricting sodium to less than 2,500 mg a day, avoiding trans fats, and choosing heart-healthy oils are important, too.

Greenberg recommends moderate intensity physical activity for at least 30 minutes most days of the week — and 60-90 minutes for weight management.

He suggests a body mass index (BMI) of less than 25 kg per meters squared and a waist measurement of less than 35 inches.

Of course, he tells patients to stop smoking and avoid environmental smoke. If women do smoke, they should avoid all contraceptives, he says.

Optimal blood pressure should be 120/80 or below. Cholesterol total should be less than 200, with the “bad” LDL less than 120-130, and the HDL greater than 50 in women. Women with heart disease or heart disease risk factors should decrease LDL

Regular activity is a key part of maintaining cardiovascular health.

numbers and increase HDL even more.

Treatment of high cholesterol, hypertension, and diabetes should be actively managed by a physician. Any recent acute coronary syndrome, coronary intervention or cerebral vascular event should warrant consideration for participation in a cardiac rehabilitation program. Women should also consider aspirin therapy — under the advisement of a doctor — if they are over age 65, Greenberg says.

Since symptoms of heart disease in women can be masked as other conditions as benign as the flu, the doctors at the cardiology institute encourage women to be proactive in prevention, screening and seeking treatment. They say that women of all ages are at risk, adding that they just saw a 21-year-old snowboarder in the ER complaining of arm pain; at first, ski patrol thought she had fallen on her arm, but it turned out to be heart disease. “It’s better to be safe than be sorry,” Greenberg says.

Some Stats and Factoids Cardiovascular disease is the LEADING CAUSE OF DEATH in Colorado, killing on average ONE COLORADAN EVERY HOUR. Despite this, Colorado is one of the HEALTHIEST STATES in terms of percentage of heart disease.

And Eagle County is one of the four HEALTHIEST COUNTIES IN COLORADO in terms of heart disease.

HEALTHY LEVELS • Sodium less than 2,500 mg • Blood pressure at or less than 130/85, though the goal is 120/80 • Total cholesterol less than 200 • LDL less than 120-130 with no risk factors, 100 if there are risk factors (family history, etc.) and 70 if there is known vascular disease

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GOOD OR BAD IDEA? Gluten should only be avoided by those with celiac disease or gluten sensitivity

BY SHAUNA FARNELL

here’s no question that gluten-free diets

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Vail Valley Medical Center dietitians Melaine Hendershott and Katie Mazzia help patients distinguish healthy eating from fad diets.

DOMINIQUE TAYLOR

have taken America by storm, but it’s important to keep in mind that gluten itself is not the bad guy. A protein composite derived from wheat and a few other grains, gluten is not an inherently unhealthy component of the diet such as refined sugar or saturated fat. It is simply a substance to which many people have in recent years discovered their digestive tracts and other bodily functions disagree. This lack of harmony might present itself by a series of uncomfortable symptoms or, more seriously, a diagnosis of celiac disease.

“People with gluten intolerance either have celiac disease or gluten sensitivity,” says Katie Mazzia, clinical dietitian at Vail Valley Medical Center. “Celiac disease is an autoimmune condition that affects the lining of the small intestines. If you have celiac disease, your body will not absorb nutrients properly.”

CELIAC DISEASE When the body doesn’t absorb nutrients, it can lead to serious health problems such as osteoporosis, anemia and vitamin D deficiency. Celiac disease and gluten intolerance often have the same symptoms. A person with either often knows there is an issue because consuming something containing gluten — bread, pasta, beer, many kinds of sauces and even vitamins, pills and cosmetics — causes one or many of a variety of symptoms: bloating and stomach pain, diarrhea, constipation, fatigue, joint pain or vomiting, to name a few. The cause of celiac disease, which can only be confirmed by blood tests and screening, is unknown, but is believed to be hereditary and more prevalent in females and Caucasians. The treatment is a strict, gluten-free diet. For individuals who are sensitive to gluten but who don’t have Celiac disease, choosing to go without it is more a matter of their own comfort (preventing symptoms) rather than to sidestep or mitigate a major health concern.

“If you have some symptoms of gluten intolerance, seek the advice of your doctor first, then possibly see a gastrointestinal specialist for diagnosis of celiac disease,” says VVMC Dietitian Melaine Hendershott.

“After properly educating yourself on gluten-free eating, you can adopt a gluten-free diet to see if this helps your symptoms. You will need to trial the diet for at least two weeks to see if your symptoms improve, but it’s a good idea to try it for a whole 30 days.”

“Gluten-free packaged foods can be higher in fat and calories and lower in B vitamins and iron.”

Fruits, vegetables and nuts are gluten free, as are some whole grains such as quinoa, millet and buckwheat.

SHUT TERSTOCK

LIVING WITHOUT GLUTEN Rachel Zehms, a 36-year-old Vail local, was never diagnosed with celiac disease but 11 years ago, when she realized that drinking beer and eating pizza, bread and pasta was causing severe joint pain, she cut gluten out of her diet. “Within 24 hours after eating a sandwich or anything with gluten, I’d notice swelling in my finger joints, then it moved to my shoulders and legs. There were times I was in so much pain I could barely walk at night," she says. “I decided to avoid gluten and I felt 80 percent better within two weeks.”

By now, avoiding gluten is second nature to Zehms, but she says it takes a bit of effort and research for anyone newly discovering a gluten intolerance. “The most challenging thing is when you’re looking for something affordable and quick,” she says. “You need to educate yourself on all the things that have gluten. Sometimes it’s in things you wouldn’t expect, like sauces.”

When shopping, it’s comforting for GF (glutenfree) eaters to know that all fresh fruits, vegetables, nuts and meats are naturally gluten free, as are many other foods. As evidenced by the $12.4 billion in annual gluten-free product sales, you can find a GF version of just about anything.

Keep in mind, gluten-free products are not necessarily healthier. In many cases, they may actually be less healthy. “Gluten-free packaged foods can be higher in fat and calories and lower in B vitamins

Favorite Local Restaurants FOR GF DIETS

AGAVE JUNIPER KELLY LIKEN LARKBURGER LARKSPUR LA TOUR MARKO’S PIZZERIA OLD FORGE PIZZA SWEET BASIL TERRA BISTRO TIMBER HEARTH GRILL VIN 48 YAMA SUSHI YELLOWBELLY

and iron,” Mazzia points out. “When you take out that gluten, you have to add different mixed flours or potato starch. I always recommend reading the nutrition labels and buying gluten-free products with at least three grams of fiber per serving.”

For someone who has no issues with gluten, Mazzia says it’s always healthier to choose whole wheat over white breads and pastas. She cites quinoa, faro, bulgur, brown rice and wild rice as high-fiber grains.

Of these, only quinoa and rice are gluten-free. Other healthy GF grains include millet, corn and buckwheat.

“Gluten-free diets are not for everyone,” Hendershott says. “It’s never a bad idea to add more variety to your diet using popular gluten-free grains, so feel free to purchase some GF pastas, cereals or cook with more quinoa or rice as sides rather than breads or wheat products. You’ll always find something GF nearly everywhere, even if it means a burger or chicken sandwich with no bun or a salad. Most important is educating yourself on how sensitive you are — can you handle a little cross-contamination or none at all? What foods contain gluten? And find a good balance of other foods to substitute for the gluten favorites in your life.”

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Work Hard

play

HARDER Venture Sports owner and athlete embodies the popular slogan better than anyone in town

Local athlete Mike Brumbaugh followed his wife into rock climbing and has since climbed all over the world.

BY SHAUNA FARNELL

W

hen mike brumbaugh moved

to the valley 23 years ago, he was, like many who land here, chasing snow. Having grown up in Florida, the operator of Avon’s Venture Sports was a latecomer to skiing, but once he tasted powder, he was hooked.

“My dad was a teacher and teachers don’t take their kids on ski vacations. So I literally didn’t see snow before my freshman year in college.”

Attending Western State College and living in Crested Butte and Steamboat Springs, it wasn’t until Brumbaugh moved to the Vail Valley that he felt he was in the right place.

“Every mountain town is cool but Vail is special. Our snow is much more consistent than any other place. We have great skiing, climbing, biking, golfing … everything. I feel blessed that I ended up here.”

Brumbaugh’s athletic interests morphed and multiplied along with his years in town.

A skier and cyclist, he added paddling to the mix as well as a penchant for vigorous athletic endeavors on very little sleep. It was one such impulse that possessed he and two friends to attempt to break the speed record

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for rafting through the Grand Canyon, a feat that typically took recreational paddlers about three weeks. Brumbaugh’s posse set out to do it in five days. They put in at the start of the canyon at 3 a.m. and paddled a whopping 60 miles downriver from the end point, not in five days but just four. As far as he knows, nobody has ever done it faster.

“It was one of those things people said couldn’t be done,” he says. “We said, ‘all right, let’s go do it.’ It wasn’t a sanctioned race. We just put in, put our heads down and paddled. The Grand Canyon is pretty dang easy. It’s just long.”

It is especially long if you are living off of nothing more than a few Snickers bars.

“We kind of forgot our food,” Brumbaugh says. “We got to the beach the first night.

I had the stove. I looked at my buddy and said, ‘OK. Who has the food?’ We all looked at each other. We just had our snacks. We ended up poaching food from raft parties.”

It was about that time — after Brumbaugh put his wedding ring up for collateral for a supply of food at the end of the river to get he and his buddies back home — that his wife first tried rock climbing. Already an ice climber, Brumbaugh was curious to try

Braumbaugh often sacrifices sleep to fit play in, while also running local sports shot Venture Sports and being married.

tackling walls with his hands and feet. So he jumped on the bandwagon … and took off at full speed. He had found his calling.

“I always like to say the reason I climb is my wife. It’s a good hall pass.

It’s her fault that I like it so much.”

Brumbaugh gets good use out of the hall pass. He sets off to climb as often as possible, even in the winter.

Sometimes he’ll put in a 12 or 14-hour workday at the shop, drive to Utah — usually Moab or Zion — sleep in his car, climb a big wall and then drive home.

“People always say, ‘you’ve got a business. You’re married. How do you fit it in? How do you balance it all?’

Usually I sacrifice sleep. I’m willing to drive through the night, work long days and drink a lot of Red Bull.”

Brumbaugh’s climbing excursions have taken him around the world. He was helicoptered in to climb Canada’s mighty Bugaboos last year. He’s scaled a vertical mile of rock called The Stipend in Norway. He was part of the group to make the first-ever ascent up El Gigante in northern Mexico. He’s climbed in Sweden, Corsica and all over Europe. He’s got a tentative trip to Pakistan planned.

His longest continuous climb (so far) was 14 hours up the infamous piece of rock in Yosemite Park on El Capitan called The Nose. The climb itself, which he and his buddy started at 5 a.m. wearing headlamps, was not that daunting. The sheer exhaustion didn’t set in until they lost their way getting back to the car, adding about three unnecessary hours of walking.

“It was just a paved road and we were about a quarter mile to the car,” Brumbaugh recalls. “I offered to buy all the meals for the rest of the trip if my buddy went to get the car and picked me up.”

When setting off to climb, Brumbaugh’s motto is “the bigger the better.”

He has hauled up walls with 100 pounds of gear on his back, slept thousands of feet off the ground in a cot attached to the vertical rock. He always goes with at least one friend — somebody he knows and trusts, because, unlike a ski or biking buddy, when rock climbing, “you are basically putting your life in their hands and vice versa,” he says.

For Brumbaugh, rock climbing is “a microcosm of life,” only delightfully more simple.

“It’s problem solving, that’s what climbing is. It’s good meditation time. No matter what’s going on, you’re focusing on a 4-foot section of rock you have to get past. No matter what’s going on, you’re only thinking about surviving. Getting up there and not seeing another person, seeing a golden eagle flying below you … it’s pretty neat.”

.It's problem solving,. .that's what climbing is. It's. .good meditation time.".

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PINK VAIL 2014 was a wild success with nearly 2,000 participants and volunteers RAISING OVER $460,000 to help patients at Shaw Regional Cancer Center.

FOR MORE INFORMATION, VISIT PINKVAIL.COM

PinkVail 2014 clockwise: Team Tutus For Tatas volunteering at the Henry's Hut Disco Party, Live music by Hardscrabble, Top Fundraiser and member of Vail Gondolas Club, Elise Micati won a special edition Pink Vail snowboard from Weston Snowboards, Both the slopes and the lifts were a sea of pink, Participants at the Two Elk Country Deck sponsored by FirstBank.

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THE COMMUNITY

OUR CROWD

FACES

ZACH MAHONE

2013 VVMC FAMILY DINNER DANCE The 33rd Annual Family Dinner Dance, held on December 28, was a night of dinner and dancing with proceeds benefiting the remodel of the Vail Valley Mecical Center ICU. clockwise: The dance floor was packed with music by Funkiphino; the best dancers on the floor; local artist Charmayne Bernhardt did a live painting for the auction; Donna Giordano and guest.

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OUR CROWD

VVMC 2013 DONORS FISCAL YEAR 2013

NOV 1, 2012 THROUGH OCT 31, 2013

(GIFTS OF $75+ INCLUDED)

VVMC PLATINUM SOCIETY $100,000 AND ABOVE Carol and Keith Brown May Family Black Mountain Ranch Shaw Outreach Team The Gilbert Reese Family Foundation

VVMC GOLD MEDALLION SOCIETY $50,000 - $99,999 Eagle Springs Charitable Foundation Joan Francis Pat and Peter Frechette Martha Head and John Feagin, MD Susu and George Johnson, Jr. Molly and Jay Precourt Mary Sue and Michael Shannon Sonnenalp of Vail Foundation John Tyler Vail Breast Cancer Awareness Group VVMC Volunteer Corps

VVMC SILVER MEDALLION SOCIETY $25,000 - $49,999 Kathy and Erik Borgen Peggy Fossett Donna Giordano Sheika and Pepi Gramshammer Keith Wold Johnson Charitable Trust Doris and John Kirchner Sheila Sullivan and Harvey Simpson The Willard T.C. Johnson Foundation, Inc. Vail Valley Surgery Center, LLC

GORDON AND THELMA BRITTAN SOCIETY FOUNDER'S LEVEL $15,000 - $24,999 Jean and Paul Corcoran, DDS Ann and Doc Cornwell Lucy and Ron Davis Duane Morris, LLP Brooke Gray Ann Becher Smead and Michael Byram US Bank Vail Valley Surgery Center

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PRESIDENT'S LEVEL $5,000 - $14,999 Janet and Paul Abbott, MD Alpine Bank Apollo MD Anesthesia Helen S. and Merrill L. Bank Foundation, Inc. Bertini and Melvyn Bergstein Marlene and John Boll Foundation James Cargill, II April and Art Carroll Colorado Mountain Medical, P.C. Amy and Steven Coyer Sandi Dean Denver Health & Hospital Foundation Diversified Radiology of Colorado Suzy and Jim Donohue Irene and Jared Drescher Eagle Valley Community Fund Kathleen and Jack Eck, MD Encore Electric FirstBank Craig Foley Dawn and Tim Force Greer and Jack Gardner Nick Gordon Marilyn Greenspan Kim and Thomas Hackett, MD Georgina Hartland Nancy and Charlie Hovey, Jr. Geordy Johnson Kalkus Foundation, Inc. Elaine and Art Kelton, Jr. Margie and Lawrence Kyte, Jr. Tara and Bob Levine Deb and Dan Luginbuhl Cynthia McAdam Alison and Tim McAdam Brenda and Joe McHugh Elise and Victor Micati Ellen Mitchell Joyce and Jim Nielsen Northern Trust Linda Pancratz Sara and Eric Resnick Slifer Smith & Frampton Real Estate Steadman Philippon Research Institute Carol and Hans Storr Susan Talucci Town of Vail Linda and Stewart Turley Vail Resorts, Inc. Vail Summit Emergency Physicians Vail Valley Cares

Vail-Summit Orthopaedics Sally Veitch Rachel and David Viele Barbara and Richard Wenninger Alice and Andy Weydt The Wheless Foundation Eleanor Willock Marcy and Dick Woodrow

BENEFACTOR'S LEVEL $1,000 - $4,999 Sara and John Almond Alpine Party Rentals Anne and David Altchek Axel's Collin Baugh Barbara and Jack Benson Barbara and Barry Beracha Eric Berg Laura and Len Berlik Charmayne and Charles Bernhardt Charmayne Originals Brett and Winston Berry Martha and Bill Bevan, Jr. Anthony Binsfeld Sue and Sidney Blandford, III Patti and Edward Blender, DDS Pamela Bock, MD and Brooks Bock, MD Suzanne and Fred Boettcher Denise Delaney and Glenn Bourland Eleanor and Gus Bramante, DDS BeaAnn and Jack Braun Regina Brinkerhoff Kent Brittan Noelle Brock Larry Broderick Kelly and Sam Bronfman Dorothy Browning Bradley Bruce Lois and Richard Bruce Ruth and Barry Bucher Carolyn and Gary Cage, MD Jeri and Charles Campisi Peggy Carey Centennial Bank Patsy and Pedro Cerisola Cerner Corporation Sara and Michael Charles Cynthia and John Chase Kay and Thomas Clanton, MD Club Corp Robert Cohen Thomas Conners David Courtney Caron and Charlie Crevling Paige and Chris Cumming Angela and Peter Dal Pezzo

Lucinda and Andy Daly Debbie and David Darrough Mary and David Davies Devon DeCrausaz and Rick Smith Gail and Carl Dietz Paulette and Gilbert Digiannantonio Lisa Dillon and Jay Peterson Fred Distelhorst, DDS Vincent Duncan Dusty Boot Eagle River Fire Protection District Jane and Reed Eberly Catherine and Ulf Edborg Lainie Edinburg and Joel Kaye Peggy and Gary Edwards El Pomar Foundation Holly and W. Elliott, II Christine and Tom Engleby Cynthia Engles E-Town Pauls Family Foundation, Inc. Diane and Larry Feldman Regina and Kyle Fink, MD Cookie and Jim Flaum Noreen and Darryl Flores Barry Florescue Ceil and Steve Folz Michelle and Brian Foster Lorraine Fry Grace and Stephen Gamble Vicky and John Garnsey Margie and Thomas Gart Larry Gaul, MD Amy Gish Sharon and Herbert Glaser Georgia Wall and Donald Gogel The Golden Bear Carol and Ronnie Goldman Lyn Goldstein Carol and Charles Goolsbee Lynn and John Gottlieb, MD Ingrid and Dan Graham Jean Graham and Philip Smith Becka and Stuart Green Michael Greene Neal Groff Steven Gutman Valerie and Robert Gwyn Heidi Ham Stephanie and John Hanson Patricia Hardenbergh, MD and Gordon Hardenbergh, MD Grace Harrigan Haselden Construction Healthcare Outsourcing Network, Inc. Heery Design, Inc. Jeanne and William Hellegas Betsy and Mike Henritze Sally and Wil Hergenrader Lorraine and H. Higbie, Jr. High Altitude Spa Clairlee Hawn-Hirsch and Robert Hirsch Joanna and Gordon Hoffstein Dawn and Frank Holmes, III, MD Pam Holton Aubyn and Robert Howe Amy Hunter Carol and Richard Hunton

Julie and Brice Jackson Jackson Building Company Bruce Jarvis Cheryl and Bill Jensen Kathryn and Calvin Johnson Gretchen and John Jordan, II Alexia and Jerry Jurschak June and Peter Kalkus Diana and Jim Kaylor Barbara and Tim Kelley Cynthia and Peter Kellogg Mary and William Kennedy Amy Klunzinger Nancy and Richard Knowlton Judy and Alan Kosloff The Joyce and Paul Krasnow Charitable Foundation Allison Krausen and Kyle Webb Ron Kruszewski Dori and Bert Ladd Kathy Langenwalter and Dick Cleveland Robert Lentz Ann and Charlie L'Esperance Ann and William Loper Becky Lowe Nancy and Richard Lubin Luigi's Pasta House - Eagle Vanessa and Johnny Lyons Devinder Mangat, MD Merrill Mann Margaret and Peter Mason Leni and Peter May Shirley and William McIntyre, IV Dominique McLerran Melanie and Tim McMichael Peg and Ag Meek Judy and Robert Meuleman Nancy Mezey-Groff Lisa and Bill Middlebrook Sheri and Michael Mintz Peggy and Vaughn Morgan Kathy Morrow Jeanne and Dale Mosier Kathleen Mundy and Fred Hessler Vicki and Trygve Myhren Chupa R.A. Nelson Rachel Nelson and Jay Rush Karen Nern, MD and Thomas Nern The Nickel Foundation Paula and Prentice O'Leary OSI Industries Osprey Parsons Brinckerhoff Group Administration, Inc. Rena Paterson Lisa and David Pease Pediatrix/MEDNAX Services, Inc. Diane and David Pennock Perch Renee Peterson and Roger Shapiro Senenne and Marc Philippon, MD Michele Pirozzi Fred Pool Premiere Legal Advantage, Inc. Sherry and Alex Preston Gretchen Price Carolyn and Hollis Rademacher The Raether 1985 Charitable Trust

Rakich Family Charitable Foundation Gretchen and Robert Ravenscroft Amy and James Regan Anne and Ron Riley Sharon and Vern Ritzman Laura and Richard Robert Roberts Family Foundation Diane Romero Rose Community Foundation Margaret Rosenquist Amy Roth, PhD Barbara and Howard Rothenberg, MD Ann and Richard Rothkopf Thea Jean and Fred Rumford Suzanne and Bernard Scharf Elaine and Steven Schwartzreich Barbara and Don Segal Sandra and Kenneth Seward Susanna Johnson and Timothy Shannon Ronald Simon Slifer Designs Pamela and Richard Smith Patricia and William Smith, Jr. Debbie Solie Marilyn and James Steane, II Jo Stanchina Anne and Josef Staufer Gaye Steinke William Sterett, MD Susan and Steve Suggs Tom Swarsen Keri and Mark Talucci Tom Talucci Agnes and Oscar Tang Nancy and Jon Tellor The Barry Foundation Jere Thompson Patrick Tierney Corine Trujillo Rosemary and Robert Tutag Lissa Tyler and Mike Larson Jean Urquhart, MD and Alec Urquhart, MD Vail Radio Partners Vail Valley Concours, LLC Vail Valley Foundation Tracey Van Curan Lois and John Van Deusen Leo Vecellio Vin 48 Elizabeth Vincent Jackie Hurlbutt and Norman Waite, Jr. Linda and Phil Waldbaum Katie and Bill Weaver Gail Weinnig, TTE Wells Fargo Private Bank Carol and Patrick Welsh Wiegers Family Foundation Kristin and David Williams Alinda and Jim Wikert Jane Wilner Deborah Wittman and Rik Heid Andrea and Gary Yetman Susan and Ronald Zapletal

SUPPORTERS Sally Ann and Alan Aarons Jan and Wayne Abbott Peter Abuisi Joseph Acac

ZACH MAHONE

Rose and Dean Aden Shirlee Aden Jennifer and David Adkins Marilyn and Roger Affa Sandi and Larry Agneberg Sally Agnoletto Maria and Lucas Aguilar Nadine Ainbinder Anne Albertson Christine and Jack Albertson Julie Albritton Alerus Financial Pamela and Richard Alexander Jill Alfond Nancy and Brad Allen Jocelyn and Mark Allen Mike Allen Rhonda Allen-Hickman and Michael Hickman Wallace Allison, Jr. Dave Alonzo Jean and Donald Alperti Lorie Amass Suzanne Amass and Christina Lacroix Amgen Foundation Maria Ammaturo Carey Anderson Corey Anderson Ernest Anderson Patricia and Joel Anderson Kim Anderson Lori Anderson Shannon Anderson Christina Andrews Dee and Warren Androus Bonnie Angus Maria Anjier Molly and Michael Ansfield Jackie Anthony Any Occasion, Inc, Joel Appel Lisa Levin Appel Annie and Tom Apple Christine Apriceno Michael Arat Mary P. Armistead Courtney and Kevin Armitage Mary Lou and Robert Armour Donna and Mark Arnold William Arnold Margaraet and Charles Arnoult Laurie Ashley Virginia and Ronald Askew Sarah and Glenn Ast M. Charlotte Atencio Carolee and Russell Atha, Jr. JeriLu Atkins, MD and Dale Atkins Patricia and Chris Aubel Avon Liquors AXA Foundation Toni Axelrod Judd Babcock Isha Babel Denise Babinski Tess and Thomas Backhus Patricia and Arnold Bagwell Patricia and John Bailey Patty Bailey Patricia Bain Dierdre and Ronnie Baker Shelly and Patrick Baldasare Mary Baldo Wiliam Balzano Nina and Robert Bandoni Bank of America Foundation Laura and Jonathan Banks Pamela and Robert Barker Susan and Donald Barnes

Jared Barnes Anne Barnett Holly and Brent Barnum Henry Barr Brian Barrett Hilary Barrett Marcella and Robert Barry Mary and Seth Barsky Karl Barth Janine and Matt Bartok Karen Bartok-Browne Patti Jo and Robin Bates Nancy Baumer Judith McBride and Bruce Baumgartner Matt Bayley Lee and Ed Beach Marcia Beat Danielle Beaudette John Beaupre Beaver Creek Chophouse Beaver Creek Merchant's Association Beck Company Margo and Roger Behler Kurt Belisle Sharon Bell Stephanie Ben Maria Bender Patricia Benedict Ghada Benitez Jean Bennett Shana Bennett Joyce Bennis Joyce and Mark Benson David Bentley Kathryn Benysh Lin Bercher Dina Berg Colleen and Kevin Berga Alix and Hans Berglund Scott Bergman Michael Berland Janice and Charles Berlik Frank Bernal Ann and Hank Bernbaum Hans Bernhard Lois and Stan Bernstein Jen Bettenhausen, MD and Timothy Bettenhausen Cheryl Beuttas Lori Beyer Rajnish Bhuyan Susan Biddle Clay Bidwell Robert Biesemeyer Joyce and Gerald Biggs Ella Bindley Thomas Bischoff Bill Bishop Sharon and Britt Bishop Daisy Bissett Maxine and Jerry Bizer Sawyer Blair Cindy and Bill Blakey Delroy Blaske Donna and Jack Blatchford Margaret Blazek Bonnie Blecha Charla and John Blizzard Laura and Richard Block Benjamin Blount Deborah Blount R.H. Bluestein and Company Sue Blumberg Barbara and William Blume Julia Blumenfeld Darrell Bogardus Larry Bohn Deborah and David Boillot Adriana Bombard Alison and Salvatore Bommarito Avanelle and Charles Bond

FACES

HIKE, WINE & DINE Hikers trek 4 miles through aspens while enjoying Beaver Creek's finest cuisine. Proceeds benefit Jack's Place and Shaw Regional Cancer Center. top to bottom: Ribbons adorn the trail to honor and remember cancer fighters; hikers from the Vail Daily; Spirit of Survival employees; Lynn Davis, Suzy Donohue, Noelle Brock and Peggy Nicholls.

Debbie and Tab Bonidy Rhea Bonk The Bookworm Randi Borgen Jaerbyn and Patrick Jaerbyn Virginia Borges Martha Boswell Kean Boucher John Boudreau Tamira Boudreau Richard Bourret Jo Dee Bowen Nancy Boyce James Boyd Diane Boyer Melissa Boyes Bridget Bradford Betsy Bradley Debbie and William Brady Brady, Martz and Associates, P.C. Dan Brajtbord, MD Margaret Brammer Pamela Brandmeyer Catherine and Timothy Brandt Martha Brassel Gayle Braunholtz, MD and Alan Braunholtz Jeff Brausch Patti and Ronald Brave Nolan Brawley Susan and Bob Breeden Paul Breitenwischer Alice Brekke Edwin Brekke Kathleen and John Brendza Marka and Jimmy Brenner Kathy and David Brewer Priscilla Brewster Cindy and Dave Bright Thomas Brink Tim Broas Dana Brocious Eric Brocklebank Linda and George Brodin Burt Bronk Karen Bronow Holly Brooking Suzanne and Richard Bross Laura Brown Libby Brown Michael Brown Lilia and Nico Brown Lori and Robert Brown Margie and Robert Brown William Brown Margaret Wilcox Browning Werner Bruggemann Rebecca and Paul Brun Stephen Brunmeier Brush Creek Elementary School Kathleen Buchan Margaret Buchannan John Buckingham Maegan Buckler David Buell Brenda Buglione Avonne and James Bullock Charles Bumgarner Jill and Alan Burchill Angela Burgess Kelly Burgesser Frederick Burgum Debbie Burman Steve Burmeister Michael Burney Janie and Bill Burns Michael Burns Stephen Burrill Frank Burton Edith Busam Mary and Robert Bush

Gretchen and Leonard Busse Butler Health and Beauty Nora Butrym Myra and Marvin Butts Spencer Butts Shay and John Cahill Veronica and Paco Calderon Frank Calhoun Mary and Nick Calise Nancy and Jack Camilleri David Campbell Katherine Campbell and Duane Helleloid Margaret Campbell Robert Campbell Becki and Steve Campbell Charlyn Canada Candi Johns Salon, Inc. Nicole Cannella Andrew Canter Tanja Canter Jason Carbone Kendall Carbone Charles Carey Wendy and Michael Carey Donna Carlberg Robert Carlson Ann Carroll John Carroll Timothy Carroll Mary and David Carter Robert Carter Steve Carver Cascade Village Theatre Amy and Ian Casey Joanne Casey Sara and Fernando Castillo Juan Castillo Crystal Castruita Nancy and Leo Catalfano Joyce and Tracy Caton Katherine Cattanach Ellie and David Caulkins Harry Cebron Central Wyoming Neorosurgery, LLC Joann and Louis Cernak Evelyn Centrone Joel Cervantes Judie and John Chain, Jr. Jose Chairez Kathy Chandler-Henry and George Henry Bryan Chapin William Chapin, III Susan and Paul Chapman Chapter IG, PEO Sisterhood Karen Chase Sally Chase Lyon Chavez Lara Chavis Norma and Juan Carlos Checa Nancy Cheek, RLT II Charlene Chen Sandra and Robin Cherp Teresa Cherry, MD E.B. Chester Chippen Nails Susanna Chlipala Betsy Chosnek Meg Christensen Linda and Beric Christiansen Pete Chronis James Cinamon Joann and John Cirullo Kevin Claire Barry Clairmont Victoria and Terrell Clampitt Anne Clark Dana Clark Phyllis and Michael Clark Susan Clark Caryn Clayman

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OUR CROWD Cheryl Clayton Jean Clegg Cindy Clement Marita Clifford Penny Clough Patricia and Michael Clowdus Jana Coady Len Coady Aaron Coburn Heidi Cofelice Bonnie and Mark Coffman Robert Cofsky Patti and John Cogswell Bill Cohagen Lesli and Rich Cohan Arnold Cohen Dolores Cohen Elizabeth Coker Holly Cole Marla and George Coleman Joan Coleman June Coleman Kitchen Collage Collett Enterprises, Inc. James Collett Collier Home Care Anne Collins Francis Collins James Collins Evelyn and John Collins, Jr. Sharon Colon Martha and Francisco Colon-Pagan Colorado High School Baseball Umpires Association Columbine Bakery John Comer Cres Compton Gilbert Comstock Patricia and Steven Conn Eileen Connelly Anita Connors Timothy Connors Cathleen Conroy Michael Conroy Elizabeth Cook Lisa Cook Paige Cook Cathy Cooney Beth Cooper Benjamin Cooperman Mary Ellen and Stan Cope Rosalie Corbett Kari Corbin Julie Corcoran Leonard Cordaro Donald Corenman, MD Craig Cormack Linda Cormack Michelle Costanzo Libera and Richard Coughenour Fred Coulson, III Judy and Keith Countryman Loretta and Earl Counts David Courtney Sherry and Timothy Coutts Alfred Covello James Covington Joel Cox Julie Cox Kathryn Cox Frances and Richard Craig Aaron Crane Paige Cregon Brian Cripe Jeffrey Crohn Liz Cronin Ron Crotzer Nancy and Andrew Cruce Bruce Cummins Lynn and Peter Cunningham Diane and Richard

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Cunningham, MD Susan Curcio Cymaron Foundation D.J.'s Hair Shoppe Marguerite Dabbs John Daggett Cynthia Dahl-Neitzke Lisa and Robert Dale Ronald D'Alessandro Karen Dammen Jonathan Damon Sheryl Dando Kelly and David Dantas Rhonda and Donald Davidson Jonathan Davies Alice Davis Alicia Davis Lynn and Bill Davis Elizabeth Davis Davis Graham & Stubbs, LLP Harvey Davis Sarah Townsend Davis and Josh Davis Kelly Davis Margo Davis Dawkins Family Foundation Catherine and Hanley Dawson Shirley Day Arlene and John Dayton Iovanna de Iraola Sara De Iraola Robert De Simone Dennis De Souza Jerry De Young Betsy Dean Susan and Mark Dean, DDS Jane and Thomas DeBenedetto Anne Decker Barbara Deem Deerfield High School Class of 1964 William DeJong Pamela and Armando Del Bosco Suzanne and Daniel Delaney Dusty (Philip) Delario Nancy and Ken Deline Sandra DellaRusso Cynthia Dellinger Sheila Dell'Osso Lynne and Frederick Deming Robert Dendinger Joyce Dennis Michael Dennis Sharon Dennis Nancy and Craig Denton Nicole and Kyle Denton Neal Dermer Robert DeRolf Mary Ann Derryberry Julianne Desevo Carol Desmond Rosa Detorresleon Amy and James Deuble Deb Deverell Jacqueline and John Deveric Michael Deverich Marily DeWall Carolyn and Henry Dewolf, Jr. Doris Dewton and Richard Gretz Laura Diamandopoulos Willis Dickens, MD Cari Dietz Terry Dinkin Joy and Richard Dirkes Abby Dixon Shamoon Doctor Shirley and Ronald Dodd Andrew Dodds

Katie Dolan Starr Doll Deirdre and Michael Dolphin Debbie and Jim Donahugh Jane and Matt Donovan Sarah Dorman Judith Dorner Amy Dorsey Thomas Dosch Cathie Douglas Deb Douglas Heather Douglas Barbara and Robert Dowie Heather and James Downey, MD Stephen Doyle Charenton Drake Dreaming Tree Spa & Boutique Marlene Dreesen Kathleen and David Drescher Margarita Dreyer Meg and Jamie Duke Peggy and Cleive Dumas Helen and Bowie Duncan Debra Duncan James Duncan Leslie Dunn Alicia and Peter Dunn Steven Dunn Corrine and Richard Dunster Louis DuPree Dusty Boot Patricia Duty Hillary and Matt Dyroff AmericInn Eagle Eagle Diner Betsy and Dean Earl Michael Easbysmith Holly and Dan Eastman Michael Eber Beth Eck Robert Eckert Andrea Eddy James Edwards Tom Edwards Emilie Egan and Steve Evancho Linda and Robert Egan Matthew Ehrlich, MD Erling Eide Larry Eilts Elements a Day Spa Stephen Elken Mary and Mark Elliott Jeanie Ellis Beverly and Mike Ellis Michael Elsberry The Mathilde U. & Albert C. Elser Foundation David Emmerling Kathleen and Lawrence Emmons, MD Denise England Sheryl and Bob Engleby Audre Engleman and Dimitri Moursellas Rachel English Melinda and Stan Epperson Gina Erickson Ryan Erickson Akiko Erwin Jenny and Wendell Erwin Virginia and John Eschenlohr Rosa Escobar Ellen and Michael Esposito, Jr. Paul Esserman Evans Chaffee Construction Group, Inc. Cynthia and Daniel Evans, Jr. Joyce and Stephen Evans Michele and Chris Evans Victoria Even

Nora Fahey Maxine and Louis Fantini Brad Farans Elliott Farber Fargo-Moorhead Area Foundation James Fariss Kenneth Farmer Betty Farrington Robert Faulk Ingegard Fehr Lynn Feiger Carole Feistmann Gary Feldman Christine and William Ferguson Susan Ferraco Marisa and Joseph Ferrara, MD David Ferris Linda Ferris Terrance Ferry Michael Ferson Gerald Fiala Linda and Buzz Finn, DDS Zachary Fintel Ryan Fischer Sam Fischer Linda and Barry Fischler Roberta Fisher Roberta and William Fishman Bob Fiske Ann Fitzgerald John Fitzgerald Russell Flancis Marilyn Fleischer Sharon Fleischer Ellen and Bruce Fleisher Tina Fleishman, PsyD and Frank Johnson Gail Flesher and David Salvin Leigh Flesher Neil Flesher Cindy and Mark Fliginger Robert Flood Paige Flores Cheryl Foley Dennis Foley Linda Foley-Wasser Kim Foos Foothills Family Medicine Malcolm Forbes Forbes Real Estate Group Brandon Ford Amanda and Peter Ford Debbie and Rob Ford Kymberly Fordham John Forester Margaret Forken Jonathan Forster Ginny and John Forstmann Madeleine Forsyth Susan Forsyth Patti Forthofer Sally and Crosby Foster Georgia Fourlis Donna and William Foutz, MD Gregory Fowler Justin Fowler Robert Fowler Morgan Fox Ross Fox Susan and Harry Frampton Sue and Reginald Franciose, MD Kathy and Gary Frank Shawnna Frank Sarah Franke Parris Frantz Susan and Jeffrey Freed Bennett Freedman David Freeh Anneliese Freeman

Jessica French Jean and Michael French Patricia Frese Chris Freud Mary and Olin Friant Laura and William Frick Annette Fricke Edie and Claus Fricke Cynthia Fried Sharon and Barry Friedman Judith Friedman Maureen and Michael Friery Anita and Robert Friesen Barbara Friess David Friess Katherine Friess Alyse Frishman Kristin Frisk Frites Stuart Frith Patricia and David Fritz Guerin Fritzlen Sue and Orv Froeschle Martin Frumkin Nora Fryklund Thomas Fuller Gladdie Funke Robert Funking Miriam and Morris Futernick Rita Gale Cherry and Daniel Gallagher Sheehan Gallagher Jorge Gallardo Ballart Lana Gallegos Suzanne Gallegos Cass and Old Dog Galloway Gallun Snow Associates, Inc. Linda and John Galvin Regina Gambino Ronald Gangemi David Ganick Laura Garden Claire Gareleck Catherine Garland Chris Garlich David Garner Suzi Gartner Robert Gary Catherine and Barry Gassman Charles Gately Diane Gates Kimberly Gavin Bonnie Gehrmann Philip Gelatt Maxine Gelfand Kitty George Linda and Rolland Gepford Kathryn and John Gerhold, MD Cheryl and Arthur Germain Michael Gerrity Erin and Chris Gersbach Betty Gerstley, MD Edward Gesdorf Fern Getto David Geyer Vincent Gianatasio Alan Gibeley Gibson Enterprises Rondi Gifts Wendy Gilbertson Darcy Giles Holly and Ben Gill Mehrnaz Gill Linda and John Gilles Helen and Ty Gillespie Rose and George Gillett, Jr. Daniel Gilliland Dawn and John Girard Edie Gitlin Stosh Gizinski Sean and Cory Glackin Terri and Scott Glasser

Dolores Gleason Newton Gleason Sharron Gleason Lori and Timothy Gleason Leslie Glendining Janine Glennon Susan and Dan Godec Michael Godner Denise Goergen Thomas Goettsche B. Goggins Lewis Gold David Goldberg Sandra Goldberg Donna Goldfarb Neal Goldman Joel Goldstein, MD Kathryn Goltz Joan and Joseph Goltzman Barbara Goncharoff Laure Gongaware Margaret Gonring Suzanne and Randy Goodwin Marshall Gordon Gore Range Brewery Mallory Gorman Margaret and Thomas Gorrie Howard Goss Ken Gotobed Kelly and Michael Gottlieb Christine and Bob Gould Todd Goulding Phil Goyen Linda Grabe Candy Grams Josef Pepi Gramshammer Brent Granger Lisa Granger Ronad Granger Sharon Granzo Christiane Gras Randi Grassgreen Suzanne and Larry Graveel Doug Gray Karen and Mark Gray Greater Kansas City Community Foundation Greater Twin Cities United Way Claire and Thomas Greaves Douglas Green Megan and Tom Green William Green Sherri Greenberg Donald Greenfield Susan Greenway Courtney Gregory Mike Gregory Ellen Greiper Weinberg Rob Grems Sandi and Randy Griffin Susan and Bennett Grimm, Jr Danice Grisham Philip Gross Brian Grossman Susan Grossman Group 970 Mary and Mark Grove Todd Grubin Carla Guarascio Thomas Guccini Nancy and Harry Guest Dana Gumber Joni Gunn Patricia Gurevich Janet Gurley Jeanne and Jim Gustafson Eladio Gutierrez Nicole Gutman Robert Gutman Diana Hackfeld Edward Hafer Mary Beth and Michael

COURTESY KEVIN PEARCE

Hagearty, DDS Mary and James Hagen Bobbi and Topper Hagerman Rosemarie and Kurt Hahn Judson Haims Kathleen Hall Ty Hall Kathleen and George Haller Bonnie and Jim Hamilton Megan Hamilton Robert Hammaker Beth Hammer Lisa and David Hammond Joanna and Anthony Hankins Bill Hansen Allison and Chad Hansen Cheryl and Daniel Hansen Dustin Hansen JoAnne Hansen Lilly and Arthur Hardin Jean Harmon and Paul Randall Elizabeth Harris Lynne and Richard Harris Yra Harris Jill and John Harrison Daneen Harsha Barbara Hart Jane and Richard Hart Judith and Larry Harwick Ivan Hass Nancy Hassett Julia Hastings Karin Hathaway Scooter Hathorn Whitney Hathorn Jonathan Hauser Mollie Hay Anne Hayes Shannon and Mark Hayman Shirley Haynes Daniel Heard Deborah and Dennis Heaton William Heavey Julie Heaydon Craig Held Linda Hendricks Kate and Ned Hentz Rebecca Herbert Robert Hernreich Courtney Herring Matthew Hesse Richard Hessek Susan Hewitt Hi Cranes, Inc. Margo and Paul Hields Bobbie Higer Barbara Higgins Jackie Hijmans Christy Hill Kathleen Hill Lori Hill Maggie and John Hillman, MD Zachary Hines Mary Hinojosa Polly and David Hinshaw Anne Hintz Norma and Charles Hirsh Lita Hitchcock Cherryl Hobart and Martha Rehm Vikki Hobbs Amy Hobgood Dale Hobson Christie and Karl Hochtl Ronald Hoffner Corey Hoffstein Joanna and Gordon Hoffstein Lee Hoffstein Lindsay and Ben Hogan, PA-C A. Bart Holaday

Callie Holland Dennis Holland Elizabeth Holland Julie Hollander Rosemary Holliday Summer Holm Cheryl Holman Diane and Robert Holmes PMG Mountain Homes, LLC Eileen Honchock Rebecca and Christopher Hooper Laureen Hopkins Pamela Hopkins Kristin and Kyle Hoppes Mary Hopsicker Bonnie Horbal Fraser Horn Mo Horning and Steve Cardinale Katie Horsman Holly Horvath Patrick Horvath Missy and David Hoster Louise and Phil Hoversten Beth and Richard Howard Frederick Howe Lucy Howland Linda and Jay Hoyt Katie Hoyt Mary Hoza Todd Huck Dale Huff Todd Huffman Mark Huggenvik Kip Hughes James Hungerford E Ann Hunter Ellis Hunter Tom Hunter Elizabeth Hurry Martha Hussain Don Hutchings Francis Hussey Heather and Trygve Hutto Cat and Gerry Huttrer Glenn Huwa Cliff Hyatt Thomas Hyde Vina Hyde Alice Hymel Nancy Icke Gary Ingoldsby Claudia Ingraham John Ingraham Rex Ingram Inmark Integra Auto Center Invest in Others Charitable Foundation Dieter Inzenhofer Jerome Isaacs Julie Iskenderian Rosalie Hill Isom Sandra Jacaruso Pia Jacobs Yvonne Jacobs Jennifer Jacobsen Jake Jacobson Myra Jacobson Victoria and Steven Jacobson Victoria and Kenneth Jaffie Kshama and Eric Jaiswal Sherri Jaksha Joe Jamar Daryl James Ann Marie Jangro Robert Jangro Scott Jangro Shelly and Christopher Jarnot Catherine and Robert Jarnot JBS Dorothy Jeffrey

Bobbi Jennings Patricia and M. Jent Becky Jewell Michelle Jirenec and John Fee Cynthia Job Karen Johansen Amanda Johnson Bill Johnson Dean Johnson James Johnson Nick Johnson Patricia Johnson Cathy and Richard Johnson Susanne and Ted Johnson Wayne Johnson Evie Johnston Makenna Johnston Mary Ann Johnston Susan and Daniel Jones Jim Jones Janet and Stephen Jones Audrey Jorgensen Natalie Joseph JP Morgan Chase Bank Juniper Restaurant Karen and Michael Juntunen Michael Kachmer Felicia Kalaluhi Harriet and Harry Kalish Kary Kaltenbacher Patty and Stanton Kamens Catherine and Peter Kane Gay and George Kapplinger Mary and Terry Karkela David Karli, MD Caroline Karlin Kerma and John Karoly Brice Karsh Beth Kase Daryl Katauskas Loretta Katauskas Jacqueline and Robert Kavanagh L. William Kay II Charis Keeler Richard Keibler Keil Urogynecology Byron Keil Loretta Keller Sandra and Thomas Kelly, MD Carol Kemp Joanne Kemp Alexander Kennedy Cheryl Kennedy Janet Kennedy Ned Kennedy Holly and Kevin Kenny Mary Kenny Moynihan Terry Kermoade Karen Keros Joanna Kerwin Vanessa Kerzner Susan Kiely Donna King and Kurt Lemme Julie Kinne Sandi and Skip Kinsley Lee Kirch Dale Kistler, MD Bonnie and Lawrence Kivel James Kleckner Stephen Klein Shane Kleinstein Julie Klotz Theresa and Gary Klunzinger Rosanne and James Klunzinger Jeffrey Klunzinger Dana and Andrew Knerl, MD Lena Knight William Knox IV Rebekah Koenigbauer

FACES

KEVIN PEARCE FILM SCREENING An emotional documentary shows Kevin Pearce, who was expected to podium in the 2010 Olympics, after a halfpipe training accident ended his dreams and left him fighting for his life after a traumatic brain injury.

Former pro snowboarder Kevin Pearce speaks to a sold-out Vilar Center crowd about recovering from a traumatic brain injury; Kevin rides Beaver Creek Mountain with the VVMC team; Kevin and Kim Greene’s selfie.

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OUR CROWD Linda and Mark Kogod Cheryl Kohn, DO Jeanne Kolnik Valerie and Peter Kompaniez Ellen and Jack Koransky Darlene Kordonowy and Jay Abbott Elizabeth and Frank Korn Barbara Kort Michele Kosiara Andrea Koski Mary Ann Koson Lorraine Kottra and David Williams Jeffrey Koznick Kristina Koznick Richard Kraemer Susan and Brian Kraft Cornelia and Donald Kraft Robert Kramer Gregory Kraus Ryn Kreidl Nancy and Carl Kreitler, Jr. Jane Kreke Barbara Krichbaum and R. Kent Erickson Susan Gordon and Roy Krochmal Carol Krueger Lucy Kuhn Gale and David Kunkel Lawrence Kunkle Yelena and David Kurolapnik Tracy Kurt Nancy and Eric Kurzweil Cindy Kushner Kuttin Korner KZYR-FM 97.7 Sarah and Robert Ladd Annete Ladt Rebecca Laird, MD and Stephen Laird, MD Jeff Lake Karen Lampl Thomas Landauer Jim Landis Curtis Landry Janice Landry Steve Landry Jacquelyn Landt Christine Lane Evelyn and Edward Lang, Jr. Marilyn and Jeffrey Lantzy Melanie Ginter and John Lapides Diane Larsen, PC Brad Laskin Karen and Greg Latham Jean Latham Ethan Lauer Bettan Laughlin Laura Launikitis Broy Laurel and Harry Sandell Christina and Josh Lautenberg Peter Lawless Irby and Andrew Lawrence, MD Chad Layman Sherri Lazear Teri and Joe LeBeau Brian Lee David Lee Janet and Bill Lee Mingo Lee Dianne Leeb Andrea and Michael Leeds Abby Leeper William Leeper Brett Lefebvre Linda Leffingwell Gregory Leif Laura Leitzinger

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Alease Lemon Mark Lenfest Caroline Leonardo Lerner Family Foundation Barbara LeTourneau Roslyn and Arnold Levin Bronwyn Levitan Sally Levitt JoAnn and Ed Levy Rita and Kenneth Lewis Renee Lewis Jennifer Liang Sue and Greg Lickus Philip Liebowitz Alex Lilley, Jr. Doug Lilyquist Ann and George Limbach Clarine and Marlin Linder Ulf Lindroth Cheryl Lindstrom and Eric Johnson Bev Linkletter and Paul Weiden, MD Shirley and Donald Linn Kate and Benjamin Linscott Stephen Lintemuth Irmgard and Charles Lipcon Paul Litowitz Robin and Steve Litt Sandy and Charles Lloyd, Jr. Kelly Lloyd Suzi and Jim Locke Ellen and Willard Lockwood Alejandro Loera Dorothy Logan Kelly and Peter Lombardi Sherry Long Nicholas Longo Diane Loosbrock Keelan Losa James Lousararian Carol and Douglas Lovell Allen Lowe LSI Corporation Ann Luark Susan Lubbers Hilliard Lubin Luigi's Pasta House Thomas Lundeen, MD Luciano (Barney) Lusina Nancy and Charles Luther Christina's Luxuries Kelly and David Lyle Janette and Robert Macaulay, MD Nancy MacCallum Peter MacDonald Judith Macintosh Erika Mackintosh Joan and Ronald MacLachlan John MacLean Fletcher MacNeill Kathryn and Joe Macy Madeira on Marco Island Condo Margie Maeder Joan Maher Joanne Mair Jim Malernee, Jr. Thomas Mallman David Maloley Jeane and Gary Manchester Natalia and Leonard Mandor Mane Street Hair Design Leslie and Jack Manes Devinder Mangat, MD Ilse Mann Marc Mann Kara Manns Dieneka Manzanares Erin Markel Andrea Markezin Judy and Richard Marks Debbie Marquez

Gary Marsden William Marsh John Martin Monica Martin Rick Martinez Ron Martinez Susan Marton Patti Martyak Chuck Maschal Jennifer and James Mason Barbara and Richard Massman Sarah and Richard Masters Christina Mastrogiovanni Trudy and Robert Matarese Katherine Mathias Lois Matteson Carol and Mart Matthews Dana and Brian Maurer, DPM James Maurer Marlene Maurer Maximum Comfort Pool & Spa Inc. Mitchell May Paula May Emily Maynard Susan and Brandon Mays Helma and John Mazon Katie Mazzia David McArthur Judith McBride Marty McBride Marci McCalley Mark McCammon Donna and Jack McCarthy Tim McCaw Ann and Robert McConn, Jr. Margaret McCormick and Jeff Brown, MD Robert McDermott, MD Carolyn McDonald and Stephen Ziemba Suzanne McDonald Janifer McDougall Mary Ann and Jim McEntee Maria McEvoy M. Geneva McGervey Ingrid and Sean McGinley Carolyn and Rolland McGinnis Patricia McGivern Arthur McGrath Jeanine McGrath Mary and Kent McHose Amanda McHugh Heather and John McInerny Sharon McKay-Jewett and Clay Jewett Randolph McKean Nancy and Matthew McKenna Linda McKinney Nina McLemore Jean McLoughlin Kara McLoughlin McMurray Mary and Matt McNaughton Dani and Vince McNeill Sandra McNight Jeanne and Harry McQueeney Bernard McShavitz Carolyn Meadow Philip Megna Kate Mehle Bonnie and Stephen Meisel, MD Steven Meisner Leslie Melzer Susan Mendik and Moe Tarkinow Stacy and Donald Mengedoth Merle Norman Cosmetics

John Merritt Ralph Merritt Pixie and Robert Messey Tracee Metcalfe, MD Mary Anne Metternick John Meyer Liz and Luc Meyer Heather Micati Robert Miller Carolyn and Scudder Miller Roberta Millet Sarah and Peter Millett, MD Maria Minick Carolyn Miranda Susan Mirus Jane and Harry Misakian Catherine Miskell Kathleen Mitchell B Ray Mize George Mizner, MD Steve Mnookin Andrea Modlin Allison and Russell Molina Michael Moniz Erin Monroe Belinda and Eric Monson Mario Montalvo Amanda Moody Carol and Hale Moore Kathy and Robert Moore Rosalyn Moore S. Jason Moore, PhD, PA-C Leslie and Doug Moorhead Caroline and Thomas Moorhead Carolyn and John Moorman Roberto Morales Donna Moran Ricardo Moreno Contro Jean Morgan Jody and Jeff Morgan Mark Moriarty Joseph Morin Ellen and Jean-Claude Moritz Kaia and Misha Moritz Susan and Joseph Morrill Alan Morris Arthur Morris Robert Morris Suzanne Morris, MD Tirion Morris Virginia Morris Howard Morrison Pauline Morrison Michelle and Shawn Morrison Linda and Robert Morrow David Morton Pamela and Christopher Moryl Patricia Moryl Catherine Moser James Mossman Amanda Moszkowski Bob Moulton Mountain Beverage Lori and Kevin Mowder JT Mueller Laurie Mullen Dawn and Larry Mullin Jill and William Multack Debra Mulvey Delphine Mulvihill Lisa Muncy-Pietrzak, MD Cortney Murphy Rose and James Murphy Hazel and Matthew Murray Michelle Murray and James Cartwright, V Ron Murray Wayne Myer Mary Jane and Robert Myers Dorothy and Jonathon Nagl Gail and Chuck Nash

Martin Nash Leslie and Robert Nathan Elizabeth and Gregor Neal Kay Neal Craig Cormack Nebraska TMT, LLC John Neerhout Cindy Nelson Barbie and James Nelson Linda and Kirk Nelson Julie and O.B. Nelson Richard Nelson Donna and Gerald Nemanic Perry Nemeck Mark and Lisa Neporent Family Foundation Diane and Eric Neste Deborah Nettles Ann Newman and Andy Arnold Sandra and D.F. Newman Stephanie and Jay Newman Penny Newmark Heidi Niblack Wendy and Skip Nichamin Inge Nicholl Maureen and Jim Nicholls Peggy Nicholls Nancy Nichols Todd Nicholson Maria and Julian Nicol Natalie Nicol Rhonda Niederhauser Jennifer and Jay Nieppel Enid and John Nilsson Larry Nisonoff Amy Niswanger Teresa NoBear Gregory Noethen Pat and Brian Nolan Deirdre Nolan Eloise and Red Noland Karen Nold Patricia and Lawrence Noll Susan and John Nolop Magdelena Nopper Burt Nordstrand Gail and Jim Norman Caroline and Elliott Norquist Dorothy and Henry Norton Lesley Norton Mauri and Nancy Nottingham Steve Novotny Sandra and Gerald Nowak Tammy Nowicki Vanessa and Rob Nowlin Dorothy Nugent Sarah Nunnenmacher Rickie Nutik Don Nyman Sheri O`Donnell Deb Oakes John Oates Rosanne and Gary Oatey Kelly Oberg Monika and Konrad Oberlohr Edward O'Brien Gail and John O'Brien Luke O'Brien Sharmon O'Brien Laurie and David O'Connell William O'Connor Sherry Odenthal Don Odom Sheri O'Donnell Jean and Ray Oglethorpe Susan Ogrocki Kellye O'Kelly Renee Okubo Dawn O'Leary Kristina O'Leary Mark Oliff Sally O'Loughlin

Barbara and Allen Olson Catherine Olson Cindy Olson Diane Olson Jan and John Oltman Carole Onderdonk Donna Oplinger Nancy and Larry O'Reilly Michael O'Reilly Barbara Orr Joy and David Ortiz Gerogiana Ortiz Dexter Donald Osborn Carol and Michael Osgood Kerri Oskouei Frederic Oudoul Tiffany and Anthony Owens Kimberly Oxendine Amelia Pace Lisa Paden Lorraine and Dennis Page, OD Cynthia and Gregory Page Barbara Palermo Shawn Palermo Judith and Michael Palmer Tish Palmer Kenneth Palmgren Marlys Palumbo Beth Pappas Barbara and Preston Parish Diane Park Sue and Dennis Parker Diana and Joseph Parker Lloyd Parker Martha Parker Robert Parker James Parkin Rhoda Parrish Laurie Parrott Diane and Roy Parrott Annette Parsons David Partridge Edward Pascoe Jack Pasini Rahul Patel Daniel Patterson David Patterson Jeff Patterson Susie Patterson Carol Pattison Nancy Patton Nancy Paverick Herb Pavey Steve Pawlak Elizabeth Paxson Paula and Jim Paxton Monique Payne Patricia Peavey Judy and Thomas Pecsok Joyce and Robert Pegg Shelley Peister Lisa Pelchat Jane Pelley Patrick Pelster Maryann Penczak Steve Penrose Kelly Percifield Janet Perdzock Peridot Hair Design Michelle Perillo Suzanne and Don Perozzi Charles Perrin Peyton Perry Petals & Pours David Peters John Peters Mike Peters Nancy and Duwayne Peterson G. Virginia Peterson Andrej Petrenko Martha and Kent Petrie, MD Sherry Petska

MORT MULLIKEN

Coco and Frank Pettee Ruth Anne Pettinichi Cynthia Pettit Ann Phelps Arley and Jason Philips Joyce Phillips Joseph Phoenix Robert Pickelner Howard Picking Kacee Picot Jackie Pietrzyk Cathy Pilone Pinon Real Estate Group Ebby Pinson Richard Pipkin Kay and Thomas Pitcher Diane Pitt Loree Pitts Mary and Garrett Plepel Drew Plotkin Robert Plotkin Claudia Podgorny Dianne and Emanuel Podgorny, MD Alan Pogue Anna Policastri Joan Polin Doug Poore Juliette Pope Gayle and Terry Pope Victoria Pope Monica and Daniel Porter Brook and David Portman Herchel Portman Hattit and Robert Potts, Jr. Ann and Ralph Poucher Wayne Pourciau Jackie and James Power Mary and Dick Pownall Mary and Ron Pressman Jim Preston Julie Preston Mike Preston Anne Prinzhorn Lisa Proctor Rosemary Pulick Helga and Warren Pulis Diane and Todd Purse Carol Pyka Jeanne and Michael Quagliano Hilda and Aniceto Quinones Robert Rademacher Jean and Bruce Rader Wanda Radetti Bob Ragonese Margaret Rahe Shelly Raichart Anne and John Rainey Rebecca Ramert-Richmond Guillermo Ramis Angela Ramsey Mary and Chris Randall Nelson Rapozo Cindy Rasmussen and Michael Staughton Patti Rasmussen Carolyn Rathjen Sara and Bill Ratliff Scott Raub, MD Madeline Read and Stephen Bandak Joyce Reece Anne Reed Rosalind Reed and Howard Walker Lisa Reeder Mary Reese Janet Refior Terri Reichert Carolyn and Robert Reintjes Lyn and Richard Reis Tiffany and Matthew Reis Jane and Michael Reisinger

Milton Reitman, MD Barbara and Gary Rende Kathi Renman Michele and Jeffrey Resnick, MD Diane Rexrode William Rey Annette Reyes Leobardo Reyes Francis and Karl Reynolds RD Richardson Marcia Richey David Richhart Candace Riden Pat Rieman Marlene and George Riemer Carol Riggs Ira Riklis Kirstin Riley C. Lee Rimel Patrice Ringler Maureen and Gerald Riordan Doug Rippeto Steven Rittvo DeeAnn Rivera Kerry and Justin Roach Catherine and Kevin Roach Andrea Robbins Samaara Robbins Anne Roberts Jamie Roberts Sandra Roberts Susan Roberts Virginia Roberts Judy Robins Kimberly Robinson Paul Robinson Charlotte Robson, DVM Shari and Jeffrey Rodeen William Rodkey, DVM Edwin Rodriguez Margarita Munoz and Noe Rodriguez-Serna Bruce Rogers Mark Rohde Dan Rohman Paula Rohr Cherie and John Rollins Sarah Roman Stacy and Christopher Romer Wes Ronning Rosalind Reed Associates Rayma and Kent Rose Manjiri Rose Cassidy Rosen Carol Rosenbaum Alan Rosenblum Philip Rosenthal Catherine and Ford Ross Terie and Gary Roubos Patricia Rowe Ed Rubenstein, CHFC Kristen Rubis Robin and Scott Ruff Teresa Ruiz and Manuel Fierro Parra Ronda Russ Lori Russell Agnes and Dennis Ryan Gary Ryan Thomas Ryan Javier Saade Jan and Frederick Sackbauer, III Caroline Sada Stacy Sadler Ronald Saliman Salon Axis Salon Nouveau Robert Salovitch Anna Salvadore Kristina Sampson Lynda and Peter Sampson

FACES

PAD THE BRA The ladies (and gentlemen) of Cordillera celebrated Pad the Bra this year at the Micati home, raising funds to bring 3D mammography to the valley. top to bottom: Nancy Cruce, Margie Kyte, Elise Micati and Lissa Tyler; music by The Fabulous Femmes; John Merrit, Polly Hinshaw and Rick Smith; Peggy Edwards and Jane Schultz.

Leesa Samuels Herman Sanders Patricia and Leonard Sandoval Richard Sandoval Stacey and Jay Sapp Thomas Saunders, U.S.A. Ret. Adam Savin Pam Saxon Pietrina Saxton The Sebastian Hotel Jamie Schauss Sally Schauss P.K. Scheerle and Bruce Bolyard Jeff Schell Nicole Schelter Robert Schilling Ann Schimmel Carol Schimmer Julie Schlossinger Juergen Schmeja Leslie Schmid Ellen Schmidt William Schmidt Nancy and John Schneider Foundation Susie and Brad Schneider Susan and Eric Schneider Jean and Leonard Schneiderman Karlheinz Schoenberger Lillian and John Schoening Herbert Schorpp Tom Schorr Pamela and Thomas Schouten Carole Schragen Jill and Scott Schreiner Mary Jane and Charles Schultz Diane and Louis Schultz John Schumacher Gina Schwartz Alan Schwed Gail Schwinger Jack Scott Karen Scott Dale Seal Elizabeth Smith and William Seed Kitty Banner Seemann Carole Segal Susan Senter Linda Sepp Sue Sewell Shaun and Bradley Seymour Judy and Robert Shackouls Pamela and George Shaeffer Jeff Shainholtz Nancy and Stephen Shane, CLU, CHFC Patricia Shanks Maureen and Les Shapiro Carol Sharer Joyce Sharp Hobie Sheeder Marisa and William Sheehan Cynthia Strauss and Harry Sherr Charles Sherwood Scott Sherwood John Shillington Carolyn and G.K. Shurb Jamie Sidle Muriel and William Sidwell Leah and Michael Sievers Bart Sigler Catherine and Peter Silbernagel Karen Silverman Suzanne and Mark Silverthorn Stacy Silverwood

Robert Sim Michael Simmonds Shelley and William Simmons Liz Simonton Kris Sims Stephen Sinacore Jill Sinding Charles Singer Elaine Singleton Ken Singleton Singletree Property Owners Association Rita and Scott Skelton Kindra Skluzacek Andre Skweir John Slack, MD Ronald Slates Eva and Timothy Slattery Laurie and Gene Slaughter Page and Michael Slevin Beth and Rodney Slifer Suzanne Sloan Douglas Slothower Kay Small Brittany Smith Chance Smith Denis Smith Eric Smith Graham Smith Julie Smith Kelley Smith Nancy Smith Becky and Pete Smith Randy Smith Jean and Ben Smusz Craig Snapp Elizabeth Snorf Barbara Snow Margie and Larry Snow Kate and Pete Snowden Brett Snyder Elizabeth Snyder Heath Snyder Debra and Gregory Sokolik Lauren and Berton Solomon Joan and Bob Solon Rochelle Some Christie and Scott Somes Kathleen Sommer Patty Sommerville Cuny Deborah Sopinsky South Dakota Trust Company Lisa Spagnolie Sue Ann Spahr and Richard Kinsler Carole Spanel Elizabeth Spanel Kathleen Spanel Lorraine Spargo Specialty Sports Venture, LLC Robyn Specthrie Stephanie Spence Carol and Roger Sperry Gina and Steve Spessard Matt and Michelle Spidell Susan and Chris Spiegel Frank Spratlen Judy Spresney Scott Spresney Jason Sproles Peter Stadler Kiersten Stais Jerry Stanley Kevin Stanley Ruth Stanley Starbuck Surveyors Pam and Jim Starr Frank Stasiowski Marissa Stauffer Molly Stautzenberger Gay and Richard Steadman, MD Marilyn and James Steane, II

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OUR CROWD Jamie Stecher Karen and Gary Steele Marla Steele Kate and Ronald Steele Mary Jo and Jim Steiert Randi and Justin Steiger Jean Stein Nanci and Larry Steiner Deana and Gerald Stempler Mary Steneman Pamela Stenmark Meg and Michael Stepanek Jamie and Ken Stephen Robert Stephens Kathryn and William Stephenson Meline and Leslie Stern Nancy Stevens Larry Stewart Pat Stewart Dawn Stewart-Sheaffer Carolyn Stimpson Diane Stine Jamie and John Stone Arthur Strasburger Evelyn and Barry Strauch Kimberly and Eric Strauch, PA-C Rebecca Strauss Pia Streeter Pamela Stricker Shannon and Peter Struve Stephen Stubbendick Jan Stull Don Sullivan Mary Kane Sullivan Carla Summers Tamara Sundvold Robert Sunich Laurie and Elias Sutton Lynn and Dennis Swanstrom Sue and Daniel Sweeney Sweetbaum Sands Anderson, PC Dennis Swenson Linda and Larry Swenson Sophia Symko Francesca Symmes Lucille Syracusa Mark Syracusa Kathleen Talbot Emily and Mark Tamberino Dhuanne and Douglas Tansill Leigh and Steve Tarrant Geraldine Taylor Larry Taylor Linda Taylor Team Black Bear, LLC Joanne Teik, PA-C Stephanie Tell Frederick Telling Linda and David Temin Temperatsure Maureen and Ronald Tenbensel Deborah Tennant Kate Tennant Michael Tennant Michael Tennenbaum Janet and Paul Testwuide Cathy Tetzlaff David Tharp Gwendolyn Tharratt Elaine and Alan Thevenet Stacy Thibedeau James Thibodeau Jeffrey Thiel Think First Foundation Malgorzata Thomas Michael Thomas Joel Thompson Patricia Thompson Patty Thompson Peggy Thompson

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James Thorpe Robin Thorsen Kim and Will Tickner Christopher Tierney Gretchen Tilden Jeanne and Roger Tilkemeier Kelly Tobias Penny Tompkins Rosemary Jo Tongish Harriet Boudreau and Denise Tourangeau Town of Gypsum Rindy and Barry Townsend Kathy Ann Travis Lucinda and Daniel Tredwell Ilse Treister Amy Trombly Laurence Trotter Trudo Letschert Corp.

Heidi Trueblood Christina Trujillo Katie Tucholke Carol Tucker Cami Tuininga Diane Tulp Laura Tumperi Cathleen Turgeon Barry Turkanis Berta Turner Kathleen and James Turner Jeffrey Turner Matthew Turner Richard Turner Kate Turnipseed Catherine and Scott Turnipseed John Tvrdik L. Wylene Twombly Debra and Harold Tyber Carroll Tyler Kimberlee and Stephen Tyre Sandra and Howard Tytel TZ Financial Eleanor Uddo Gavin Ugale Jan Ugale, MD and Mark Ugale Darlene Ulickey Vail Cascade Resort & Spa Vail Marriott Mountain Resort & Spa Vail Pet Partners Valerie and Tom Van Alsburg Jennifer and Jacob Van Beelen Jack Van Valkenburgh Jen and George Vanderhoof William Vanluven June and Robert Vanourek Sherry Vanskyhawk Tina and Stephen Vardaman Chyerl Varvil Barbara and Jeffrey Vender Veraison Beverage Distributors Raymond Verlinde VHC Joint Venture Eugene Vilfordi Zaida Violante Garcia Daniel Virnich Amanda and Steven Visosky Luiza Vladescu Ronald Vogel William Vogt Kathy and James Vosberg Deborah Waddell Bill Wailes Michael Hollomon and Eric Wailes David Walford Robert Walker Sara Walker Patrick Wallace Heather Waller

Nancy Walrath Trudy and Bob Walsh Kathy Walter Judy and Phil Walters Sandra and Gregory Walton Janis and Roger Ward Jill Warner Jill and Robert Warner, Jr. Joy and Benjamin Warren Susan and Tom Washing Sharon Watson Jan and Stephen Watson William Watt Carole and Mike Watters Judith Waugh Karin and Bob Weber Deborah Webster and Stephen Blanchard Bernie Weichsel Bill Weikel Andrew Weiner Judith Weingruber Gail Weinnig TTE Patti and Ron Weinstein Gunnel and Hal Weiser Clarice and Ramon Weiss David Welch John Welch Margot and Norman Welch Kathryn Weller Sarah and Doug Wells Melinda and Robert Welter Andrew Wendt Susan Wendt Joyce Wertheimer Joyce and Bernard West West One Salon, LLC West Vail Liquor Mart Donald Westerheide Magda and Pat Weydt Paul Weyman Gregory Wheeler Cathy White Mindy and Greg White Joseph White Philip White Katherine Whitman Sheila Whitman Stanley Whittemore Donna Whittington Kelly Whitworth Warren Widmann Ian Widmer Marni Wight-Garrison Colette Wilbanks Jann Wilcox Shelly Wilcox Vali and Willy Wilcox Lindsey and Patrick Wilhelm Robert Wilhelm Lisa Anne Wilkes Neil Willenson Kimberly Williams Linda and Charles Williams Robert Williams, M.D. Terry Williams Kristen Willimon Laura and Steve Wilner Jane and Thomas Wilner Joyce and Jim Wilson Kenneth Wilson Patti Wilson Kim Windsor Ellen Winston Barry Winter Kathleen and Alex Winters Colleen and David Wirth Jan Wisor Carolyn and Tom Wittenbraker Barbara Woelk Joan Wojtko Thomas Wold David Wolf

Jake Wolf Franklin Wolfe Laurence Wolfe Martha Wolfe Richard Wolfe Marilyn Wolfe-Kirk Barbara and Charles Wolff Ellen and Michael Wolfson William Wood, Jr. Thomas Woodell Betty Ann and John Woodland, MD Rebecca Woods Gary Woodworth Allison Wright Betsy and Bud Wright Velda and R.B. Wright Christopher Wunder Kristena Wyatt Anna and Bruce Yanke Wayne Yetman Mark Youker Diane Young Linda and James Young Juli Young Lawrence Young Patricia Young Jacqueline and Frank Youngblood William Zafian Nori Zastrow Stan Zemler Zengo Zengo Restaurant Kathy and Jon Zeschin Kathy and Stuart Zimmerman Zino Ristorante Amy Zoller Ellen and Anthony Zuppani Barry Zvibleman Allison Zweig Deborah Zwick, MD and Mort Mulliken

TRIBUTE DONORS IN MEMORY OF Memorial Sylvia Ackerman Karen Silverman Memorial Vino Anthony Toni Axelrod Beaver Creek Merchant's Association Margaret Blazek Joy and Richard Dirkes Abby Dixon Sarah Franke Margie and Tom Gart Ingrid and Dan Graham Sandi and Randy Griffin Courtney Herring Bobbie Higer Sandra and Thomas Kelly, MD Darlene Kordonowy and Jay Abbott Susan Gordon and Roy Krochmal Mary Anne Metternick Pat and Brian Nolan Patti Rasmussen Rose Community Foundation Pam and Jim Starr Dawn Stewart-Sheaffer Rosemary Jo Tongish Patti and Ron Weinstein Memorial Jim Bain Jan and Wayne Abbott Margaret Blazek Chapter IG, PEO Sisterhood Kathryn Griffith Schultz PA Jacobs

Mary Jane and Robert Myers Jane and Michael Reisinger Memorial Abe Baker Sally Ann and Alan Aarons Memorial Robert A. Becker Rosemary and Robert Tutag Memorial Kalani Biniecki Deborah and Dennis Heaton Memorial Ines Distelhorst Charlyn Canada Deb Deverell Richard Dirkes Michael Eber The Mathilde U. & Albert C. Elser Foundation Marilyn Fleischer Edie and Claus Fricke Nancy and Harry Guest Martha Head and John Feagin, MD Diane Larsen, PC Kay and Thomas Pitcher Helga and Warren Pulis Carol and Roger Sperry Patricia Thompson VVMC Volunteer Corps Memorial Morgan Douglas Nancy and Brad Allen Thomas Lundeen, MD Memorial Virginia Erickson Mary Sue and Michael Shannon Memorial Delores Foughty Rosemary and Robert Tutag Memorial Wayne Gilbert Linda and John Gilles Memorial Will Godec E.B. Chester Tom Edwards Tina Fleishman, PsyD and Frank Johnson JoAnn and Ed Levy Ralph Merritt Molly and Jay Precourt Terie and Gary Roubos Gail Flesher and David Salvin Singletree Property Owners Association Team Black Bear, LLC Raymond Verlinde Sarah and Doug Wells Wiegers Family Foundation Memorial Burdge F. Green Nancy and Ken Deline Deborah Zwick, MD and Mort Mulliken Christie and Scott Somes Memorial Warren Greenspan Marilyn Greenspan Memorial Mom & Dad Huttrer Cat and Gerry Huttrer Memorial Lana Lee Renee Peterson and Roger Shapiro Memorial Brian Lefebvre Laura and Jonathan Banks Nancy and Leo Catalfano Jean and Michael French David Ganick Vicky and John Garnsey Todd Goulding Eileen Honchock Brett Lefebvre Sherry Long Nancy MacCallum

Leslie and Doug Moorhead Jean and Bruce Rader Sarah Roman Harriet Boudreau and Denise Tourangeau Carolyn McDonald and Stephen Ziemba Memorial Allan Macrossie Joy and Richard Dirkes Memorial David Mitchell Jocelyn Allen Barbara and Barry Beracha Maxine and Jerry Bizer Nancy Boyce Patti and Ronald Brave Victoria and Terrell Clampitt Nancy and Andrew Cruce Deirdre and Michael Dolphin Peggy and Gary Edwards Emilie Egan and Steve Evancho Linda and Robert Egan Joyce and Stephen Evans Ross Fox Grace and Stephen Gamble Sally Hergenrader Margie and Lawrence Kyte, Jr. Evelyn and Edward Lang, Jr. LSI Corporation Deb and Dan Luginbuhl Judy and Richard Marks Elise and Victor Micati Kathleen and Peter Mitchell Linda and Kirk Nelson Diane and David Pennock Suzanne and Don Perozzi Suzanne Sloane Jean Graham and Philip Smith Susan Talucci Geraldine Taylor Lucinda and Daniel Tredwell Rosemary and Robert Tutag Vail Pet Partners Memorial Marie Claire A. Moritz Ellen and Jean-Claude Moritz Jamie and Don Sidle Memorial Bill Osterberg Carolee and Russell Atha, Jr. Memorial Bud S. Palmer Dori and Bert Ladd Memorial Timothy Palmer Trudy and Bob Walsh Memorial Mark Pancratz Alerus Financial David Barbour Patti Jo and Robin Bates Laura and Richard Block Brady, Martz and Associates Alice Brekke Margaret Wilcox Browning Jill and Alan Burchill Sherry and Timothy Coutts Cynthia Dahl-Neitzke Robert Dendinger Kathleen and Jack Eck, MD Emilie Egan and

KEVIN HEINZ & CHRISTINE ALBERTSON

Steve Evancho Fargo-Moorhead Area Foundation Cindy and Mark Fliginger Nora Fryklund Shannon and Mark Hayman Katherine Campbell and Duane Helleloid A. Bart Holaday Mary and Terry Karkela Susan and Brian Kraft Madeira on Marco Island Condo Gary Marsden Ann and Robert McConn, Jr. Jennifer and Jay Neppel Tim O'Keefe Barbara and Allen Olson Frederic Oudoul Cynthia and Gregory Page Linda Pancratz Gayle and Terry Pope Lyn and Richard Reis Marcia Richey P.K. Scheerle and Bruce Bolyard Gina Schwartz Jack Scott Shaun and Bradley Seymour Catherine and Peter Silbernagel Kate and Pete Snowden South Dakota Trust Company The Barry Foundation Cathleen Turgeon Kimberlee and Stephen Tyre Thomas Wold Memorial Sandy Pickford Matt and Michelle Spidell Memorial Clinton Renney Margie and Lawrence Kyte, Jr. Memorial Marjorie Roberts Luciano (Barney) Lusina Ann Phelps Roberts Family Foundation Memorial William Sargent Mary and Seth Barsky Memorial Nancy Secor Ann and Doc Cornwell Memorial Joe Smead Jim Jones Memorial Frank Smith Dee and Warren Androus Jo Dee Bowen Cindy and Dave Bright Bill Cohagen Joel Cox Suzy and Jim Donohue Jenny and Wendell Erwin Ginny and John Forstmann Linda and John Galvin Grace Harrigan Inmark Cathy and Richard Johnson Alexia and Jerry Jurschak Diana and Jim Kaylor Barbara and Tim Kelley Holly and Kevin Kenny Sandi and Skip Kinsley Cornelia and Donald Kraft Dr. and Mrs. Bruce Malone Leslie and Jack Manes Carolyn and Rolland

McGinnis Peggy and Vaughn Morgan Diane and Eric Neste Dorothy and Henry Norton Carol and Michael Osgood Diane and Roy Parrott RD Richardson Pamela and Thomas Schouten Beth and Rodney Slifer Temperatsure VHC Joint Venture Diane and Jim Viers William Vogt Carole and Mike Watters Karin and Bob Weber Patti and Ron Weinstein Robert Wilhelm Betsy and Bud Wright Memorial Warren Stanchina Jo Stanchina Memorial Michael Stanley Rita and Kenneth Lewis Memorial Bonnie Swarsen Mr. and Mrs. Jean Casou Deerfield High School Class of 1964 Amy and James Deuble Christine and Bob Gould Leah and Michael Sievers Barbara and Jeffrey Vender Bev Linkletter and Paul Weiden, MD Memorial Sue Zastrow Lynn and John Gottlieb, MD

IN HONOR OF Sue Arford Susan Talucci Charmayne and Charles Bernhardt Jean and Paul Corcoran, DDS Charla Blizzard Brush Creek Elementary School B. Goggins Robert Boykin Larry Eilts Gene Branscome Katherine Whitman Gayle Braunholtz, MD Jane and Thomas DeBenedetto Jessica French Henrik Brusletto Ingegard Fehr Katherine and Jim Clancy Missy and David Hoster Ty Collins Rindy and Barry Townsend Paula Conwell Maria Bender Richard Cunningham, MD Barbara and Gary Rende Jean and Ben Smusz Lucy and Ron Davis Carol and Ronnie Goldman Edward Dent, MD Anna Policastri G. Dittones Betty Gerstley, MD Jack Eck, MD Fred Distelhorst, DDS Barbara and Tim Kelley Sue and Greg Lickus

Mary Reese Cynthia Strauss and Harry Sherr Kristin and David Williams Johanna Farrar Pinon Real Estate Group Reginald Franciose, MD Mary Ann Johnston Sandra and D.F. Newman Rena Paterson Ross Freed Robert Schilling Larry Gaul, MD Patricia and Joel Anderson John Comer Clairlee Hawn-Hirsch and Robert Hirsch Ed Rubenstein, CHFC James K. Griffeth Larry Eilts Jean Hadley, MD Carol and Hale Moore Barry Hammaker, MD Jane and Thomas DeBenedetto Patricia Hardenbergh, MD Mark Lenfest Susan Mirus Nancy and John Schneider Foundation Cherina and Kep Heinitz Pinon Real Estate Group Amy and Scott Hudgins Kelly and Michael Gottlieb Lois and Jerry Jacobs Trudy and Bob Walsh Diana Johnson L. William Kay, II Ronald Linton Christiane Gras Mario Lobo Sheila Whitman Brenda and Joe McHugh Carol Desmond Elise and Vic Micati Deb and Dan Luginbuhl Peter Millett, MD Jim Malernee, Jr. Erin Monroe and All Other Fighters and Survivors Erin Monroe Annie Peterson Karl Barth Katherine Quinn, RN Jessica French Danelle Rivera Louis DuPree Becky Ross Nancy Walrath Shaw Regional Cancer Center Bonnie and Jim Hamilton John Slack, MD Patricia and Joel Anderson John Comer Clairlee Hawn-Hirsch and Robert Hirsch Barbara and Gary Rende Richard Steadman, MD Thomas Saunders, U.S.A. Ret. Barbara Steele Kate and Ronald Steele Mark Stephens, MD Jackie and James Power William Sterett, MD Mark Lenfest Thomas Saunders, U.S.A. Ret. Emmie Urquhart Julie Hollander

FACES

PRETTY IN PINK Eagle County businesses united to raise awareness and funds for Breast Cancer Awareness Month throughout the month of October. Funds supported “The Gap Fund,” helping women in need cover the gap their insurances don’t pay. top to bottom: PJ of the Dusty Boot in Eagle hosted Beer, Boobs and Brats; the Cut-A-Thon by Allegria at the Park Hyatt Beaver Creek; Greater Eagle Fire Department sporting their pink T-shirts.

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OUR CROWD Susanne and Ted Johnson Karen Vacca Cat and Gerry Huttrer Randall Viola, MD Larry Eilts Melinda and Robert Welter Diane Voytko-Osborn, MD Linda and David Temin Jody West Janet and Bill Lee Connie Wolf, MD Fred Distelhorst, DDS Steven Yarberry, MD Fred Distelhorst, DDS Christie and Karl Hochtl Andrea Yetman Marla and George Coleman Harvey Davis Melinda and Stan Epperson Holly and Ben Gill Rita and Kenneth Lewis Donna Moran Judy and Thomas Pecsok

GRANTS RECEIVED Eagle County Board of Commissioners Eagle County Schools Board of Education Ned Hentz Holy Cross Energy RoundUp Foundation RETAC Slifer Smith & Frampton Real Estate State of Colorado State of Colorado Prim. Care Fund State of Colorado - EMTS State of Colorado - CDOT State of Colorado - WWC State of Colorado - CDOT Susan G. Komen for the Cure - Aspen Affiliate Think First Foundation Greater Twin Cities United Way United Way of Eagle River Valley Vail Breast Cancer Awareness Group Vail Valley Cares

STEINBERG HERITAGE SOCIETY These donors have made a provision for VVMC for its affiliates in their estate plan.

If you would like to be added to this list, please contact Dr. Jack Eck at 970-4775177 or eck@vvmc.com.

Kathleen and Jack Eck, MD Elaine and Arthur Kelton, Jr. Kathy Langenwalter and Dick Cleveland Linda Pancratz Suzanne and Bernard Scharf Linda and Craig Wescoatt

VVMC VOLUNTEER CORPS DONORS Holly Adams Christine and Jack Albertson Carolyn Ayers Norma Aziz Geraldine Ball

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Chris Bella Linda Belleville Nancy Berg Colleen and Kevin Berga Rondi Berge Charmayne and Charles Bernhardt Mariette and Scott Blackett Joan Bornstein Joyce Bradley Debbie and Pete Brill Amy Brooks Jo Brown Megan Bryant Janie and Bill Burns Joseph Burns Darcy Buster Norman Bye Ron and Cristina Byrne Veronica and Paco Calderon Susan Campbell Peggy Carey Ashley Carney Patricia and Pedro Cerisola Jamie Chadwick Norma Champion Sara and Michael Charles Lara Chavis Joyce and John Chizmadia Cinebistro Cathy Coburn Barbara Cole Holly Cole Jeffery Cole Kathy Cole Anne Collins The Collins Family Foundation Tamara Converse Shannon Crockett Patty and Richard Cuny Bernice Davie Lucy and Ron Davis Michele Davis Pamela and Barry Davis Susie Davis Adina Dean Devon DeCrausaz and Rich Smith Anthony De Los Santos Sharon Dennis Jacqueline and John Deveric Doris Dewton and Richard Gretz Kellie Dexter Dorothy Distelhorst, DDS Fred Distelhorst, DDS Diversified Radiology Didi Doolittle Amy Dorsey Colleen Downard Caron Doyle Eagle Valley Community Fund Jane and Reed Eberly Kathleen and Jack Eck, MD The Mathilde U. & Albert C.\Elser Foundation Shaun Evans Christine Faucett Gail and Terrance Ferry FirstBank Jessica Fisher Cookie and Jim Flaum Erika Frahm Jeanne Fritch Jean Ann Fusco Fuzziwigs Greer and Jack Gardner Sandra Gaylord Debra and Richard Geddes DJ Gibson Linda and John Gilles Andrea Glass

Jeanne Glennon Stephanie and Earl Glenwright Barbara Goncharoff Mallory Gorman Lynn and John Gottlieb, MD Marilyn Greenspan Pat Gregory Nancy and Harry Guest Bethany and Jonathan Haerter, DDS Bobbi and Topper Hagerman Maria and Barry Hammaker, MD Polly Hastie Mollie Hay Deb Hayda Marty Head and John Feagin, MD Ashley Lynn Heimburger Susie Helmerich Sandy Helt Barbara Hibben John Hill Mary Hinz Brandy Hoeve Barbara Hogoboom Summer Holm Tracy Horn Nancy Hovey Ann Hutchison Alex Hyde Joe Infantino Sandy and Joseph Jacaruso Jan and Donald Jackson Terry Janssen Alice Jaramillo Matthew Jaramillo Debby Jasper Jewish Community Board Marilyn Johnson Michelle Kaufmann Katherine Kellen Elaine and Arthur Kelton, Jr. Karen and Robert Kern Nikki and Nick Kern Joanna Kerwin Sandi and Skip Kinsley Lindsey and Travis Kirby Doris and John Kirchner John Kirkutis Dorothy Klein Melinda Kniffen Bob Kurlander Land Title Guarantee Company Jacqueline and Mark Landt Ann Langegger Sutton Laurie Kara and Buddy Lazier Niki Lee Lovely Nails Daniel Ludwick Joe Macomber Devinder Mangat, MD Kathleen Manley Tessa and Chris Manning Melanna Marcellot Debbie Marquez Paula Martin Jen and James Mason Trudy and Robert Matarese Maureen Mayer Tim McCaw Mary Ann and Jim McEntee Hannah McKeever Laura and Steve McKeever Merle Norman Ingrid Middaugh Charlotte Mintz Audrey Moran Kathy Morrow Kelly and Geoff Moser

Mountain Surgical Associates Laurie Mullen Melissa Murphy Jennifer Nielsen Joyce and Jim Nielsen Karen Nold Joan Norris and Jim Lamont Deborah O'Neill Vickie and Kelly Ortega Lisa and David Pease Lindsey Peck Louanne and Tom Perfretti Judy Pitkin Diane Pitt Debbie Poole Sarah Pritchard Chris Ralston April Ramker Susan Rapson Jane and Michael Reisinger Francis and Karl Reynolds Jennifer Roberts Esteban Rocha Patricia Roe Kathy Rohlwing Karen Rosenbach Donna and Peter Rosenberg Jan Rosenthal Steve Rosenthal Gussie Ross Marc Rouse Elli Roustom Beth and Mark Ruark Chrissy and Fred Rumford Lynda and Peter Sampson Carole Schragen Tricia Schulteis Heather Schultz Elaine and Steven Schwartzreich Deb and Timothy Scully Erin Seabury Nancy Shane Kim and Kevin Sharkey Shaw Outreach Team Steve Sheldon Skihaus Rachel Smiley Karla Smith Ann Snyder Nancy Snyder Lois Solomon The Steadman Clinic Marilyn and James Steane, II Mary Jo and Jim Steiert Wendy Stewart Carrie Stockert Ken Stone Shelley Stortz Sweet Basil L. Teach Lance Thompson Stewart Title Pentti Tofferi Hope and Ed Tudanger US Bank Vail Breast Cancer Awareness Group Vail International Dance Festival Vail Resorts Vail Marriott Vail Valley Animal Hospital Vail Valley Medical Center Ivonne VanLovern Tina and Stephen Vardaman Andy Vesque Sandy Wall Patti and Ron Weinstein Linda Wells Ashley Werner Alice and Andy Weydt Lai Whide Ida White

Shari Wilson Kim Windsor Emily Wolf Liz Woodrich Marcy and Dick Woodrow Yellow Dog Ranch

SHAW OUTREACH TEAM DONORS Support of Jack's Place, Hike Wine and Dine and other capital projects.

Julie Albritton Alerus Financial Alpine Bank Amgen Foundation Lori Anderson Dee and Warren Androus Jackie Anthony Courtney and Kevin Armitage Ann Newman and Andy Arnold Donna and Mark Arnold Laurie Ashley M. Charlotte Atencio Patricia and Chris Aubel Toni Axelrod Dierdre and Ronnie Baker Shelly and Patrick Baldasare Pamela and Robert Barker Susan and Donald Barnes Jared Barnes Beaver Creek Merchant's Association Sharon Bell Maria Bender Barbara and Jack Benson Lin Bercher Rajnish Bhuyan Margaret Blazek Charla and John Blizzard Bravo Randi Borgen Jaerbyn and Patrick Jaerbyn Tamira Boudreau Jo Dee Bowen Eleanor and Gus Bramante, DDS Pamela Brandmeyer BeaAnn and Jack Braun Kathleen and John Brendza Cindy and Dave Bright Noelle Brock Kathleen Buchan Brenda Buglione Centennial Bank Jill Chalfant Lara Chavis Charlene Chen Susanna Chlipala Anne Clark Cheryl Clayton Jean Clegg Bill Cohagen Elizabeth Coker Collier Home Care Anne and Art Collins Colorado High School Baseball Umpires Association Kari Corbin Joel Cox CYMARON Foundation Angela and Peter Dal Pezzo Lynn and Bill Davis Harvey Davis Margo Davis Lucy and Ron Davis Shirley Day Pamela and Armando Del Bosco

Sharon Dennis Mary Ann Derryberry Carol Desmond Deb Deverell Laura Diamandopoulos Lisa Dillon and Jay Peterson Joy and Richard Dirkes Abby Dixon Suzy and Jim Donohue Kathleen and David Drescher Patricia Duty Eagle Valley Community Fund Kathleen and Jack Eck, MD Andrea Eddy Holly and W. Elliott, II Encore Electric Audre Engleman and Dimitri Moursellas Kenneth Farmer Ingegard Fehr Marisa and Joseph Ferrara, MD Cookie and Jim Flaum Ceil and Steve Folz Foothills Family Medicine Ginny and John Forstmann Sally and Crosby Foster Susan and Harry Frampton Sue and Reginald Franciose, MD Joan Francis Sarah Franke Patricia and David Fritz Nora Fryklund Thomas Fuller Sheehan Gallagher Gallegos Corp.

Lana Gallegos Linda and John Galvin Greer and Jack Gardner Vicky and John Garnsey Catherine Gassman Larry Gaul, MD Kitty George Betty Gerstley, MD Holly and Ben Gill Linda and John Gilles Donna Giordano Cory and Sean Glackin Dolores Gleason Lyn Goldstein Suzanne and Randy Goodwin Lynn and John Gottlieb, MD Todd Goulding Phil Goyen Ingrid and Dan Graham Suzanne and Larry Graveel Claire and Thomas Greaves Becka and Stuart Green William Green Susan Greenway Sandi and Randy Griffin Carla Guarascio Joni Gunn Jeanne and Jim Gustafson Bonnie and Jim Hamilton Allison and Chad Hansen JoAnne Hansen Patricia Hardenbergh, MD and Gordon Hardenbergh, MD Grace Harrigan Elizabeth Harris Barbara Hart Julie Heaydon Courtney Herring Hi Crane, Inc. Summer Holm Cheryl Holman Dawn and Frank Holmes III, MD

Rebecca and Christopher Hooper Katie Hoyt Todd Huck Rex Ingram Inmark Victoria and Steven Jacobson Sherri Jaksha JBS Cheryl and Bill Jensen Michelle Jirenec and John Fee Amanda Johnson Raenette Johnson Susanne and Ted Johnson Jim Jones Alexia and Jerry Jurschak Gay and George Kapplinger Brice Karsh Diana and Jim Kaylor Barbara and Tim Kelley Sandra and Thomas Kelly, MD Elaine and Arthur Kelton, Jr. Holly and Kevin Kenny Vanessa Kerzner Susan Kiely Sandi and Skip Kinsley Doris and John Kirchner Amy Klunzinger Theresa and Gary Klunzinger Rosanne and James Klunzinger Michele Kosiara Mary Ann Koson Susan Gordon and Roy Krochmal Janet and Bill Lee Tara and Bob Levine Sue and Greg Lickus Robin and Steve Litt Kelly Lloyd Kelly and David Lyle Vanessa and Johnny Lyons Fletcher MacNeill Margaret and Peter Mason Christina Mastrogiovanni Maximum Comfort Pool & Spa Inc. Susan and Brandon Mays Alison and Tim McAdam Mark McCammon M. Geneva McGervey Carolyn and Rolland McGinnis Brenda and Joe McHugh Heather and John McInerny Dani and Vince McNeill Peg and Ag Meek Mary Anne Metternick Liz and Luc Meyer Lisa and Bill Middlebrook Susan Mirus Allison and Russell Molina Kathy and Robert Moore Donna Moran Peggy and Vaughn Morgan Susan and Joseph Morrill Robert Morris Jeanne and Dale Mosier Gail Nash Peggy Nicholls Rhonda Niederhauser Joyce and Jim Nielsen Amy Niswanger Pat and Brian Nolan Deirdre Nolan Dorothy and Henry Norton Vanessa and Rob Nowlin Sheri O'Donnell Michael O'Reilly Carol and Michael Osgood Susie Patterson

Lisa and David Pease Lisa Pelchat Janet Perdzock John Peters Renee Peterson and Roger Shapiro Pinon Real Estate Group Claudia Podgorny Brook and David Portman Ann and Ralph Poucher Diane and Todd Purse Angela Ramsey Mary and Chris Randall Patti Rasmussen Mary Reese Sara and Eric Resnick RD Richardson Maureen and Gerald Riordan Sharon and Vern Ritzman Kerry and Justin Roach Rose Community Foundation Cassidy Rosen Amy Roth, PhD Barbara and Howard Rothenberg, MD Ann and Richard Rothkopf Robin and Scott Ruff Kristina Sampson Broy Laurel and Harry Sandell Patricia and Leonard Sandoval Suzanne and Bernard Scharf P.K. Scheerle and Bruce Bolyard Carol Schimmer Julie Schlossinger Tom Schorr Pamela and Thomas Schouten Carole Schragen Jill and Scott Schreiner Kitty Banner Seemann Marisa and William Sheehan Cynthia Strauss and Harry Sherr Karen Silverman Suzanne and Mark Silverthorn Page and Michael Slevin Beth and Rodney Slifer Nancy Smith Debra and Gregory Sokolik Christie and Scott Somes Matt and Michelle Spidell Susan and Chris Spiegel Starbuck Surveyors Starbucks Pam and Jim Starr Gay and Richard Steadman, MD Stephen Stubbendick Susan and Steve Suggs Nancy and Jon Tellor Temperatsure Patty Thompson Peggy Thompson Rosemary Jo Tongish Linda and Stewart Turley Rosemary and Robert Tutag Greater Twin Cities United Way Jean Urquhart, MD and Alec Urquhart, MD US Bank Vail Jazz Festival Vail Valley Concours, LLC Vail Valley Foundation Vail Valley Surgery Center, LLC Jen and George Vanderhoof Sherry Vanskyhawk Tina and Stephen Vardaman

I give to Pink Vail because it is my favorite ski day of the year and I know how much it means to support the patients and cancer survivors at Shaw. I feel good about helping to make treatment easier and to make survivors stronger and healthier than before they had cancer."

Kathy and James Vosberg VVMC Volunteer Corps Susan and Tom Washing Carole and Mike Watters Karin and Bob Weber Deborah Webster and Stephen Blanchard Patti and Ron Weinstein Kathryn Weller Wells Fargo Private Bank Andrew Wendt Joseph White Stanley Whittemore Vali and Willy Wilcox Robert Wilhelm Kristin and David Williams Colleen and David Wirth Betty Ann and John Woodland, MD Betsy and Bud Wright Barry Zvibleman

Nancy and Stephen Shane, CLU, CHFC Becky and Pete Smith Lynn and Dennis Swanstrom Kathleen and James Turner L. Wylene Twombly Bill Wailes Michael Hollomon and Eric Wailes Clarice and Ramon Weiss Andrew Wendt Linda and James Young David Brock Suzy and Jim Donohue Susan and Joseph Morrill Vanessa and Rob Nowlin Lisa and David Pease US Bank

SHAW OUTREACH TEAM TRIBUTE GIFTS

IN HONOR OF SHAW OUTREACH TEAM Greer and Jack Gardner

IN MEMORY OF Dale Aden Rose and Dean Aden Shirlee Aden Rhonda Allen-Hickman and Michael Hickman Anne Clark Linda Cormack Mary Ann Derryberry Suzy and Jim Donohue Nora Fryklund Wendy Gilbertson Bobbi and Gene Hagerman Diane and Robert Holmes Glenn Huwa JBS Diane Larsen, PC Karen and Greg Latham Jean Latham Virginia Morris Martin Nash OSI Industries Diana and Joseph Parker Arley and Jason Philips

WOMEN OF CORDILLERA PAD THE BRA DONORS Annie and Tom Apple Axel's Madeline Read and Stephen Bandak Collin Baugh Judith McBride and Bruce Baumgartner Matt Bayley Stephanie Ben Susannah Bene Barbara and Jack Benson Barbara and Barry Beracha Eric Berg Maxine and Jerry Bizer Cindy and Bill Blakey Suzanne and Fred Boettcher Nancy Boyce Debbie and William Brady Patti and Ronald Brave Marka and Jimmy Brenner Priscilla Brewster Laura Brown

Lois and Richard Bruce Rebecca and Paul Brun Ruth and Barry Bucher Steve Burmeister Veronica and Paco Calderon Peggy Carey Judie and John Chain, Jr. Cynthia and John Chase Lyon Chavez Chippen Nails Victoria and Terrell Clampitt Aaron Coburn Kitchen Collage David Courtney Paige Cregon Nancy and Andrew Cruce Paige and Chris Cumming Lucy and Ron Davis Sandi Dean Denise Delaney and Glenn Bourland Sheila Dell'Osso Kathleen and Jack Eck, MD Lainie Edinburg and Joel Kaye Peggy and Gary Edwards Linda and Robert Egan Joyce and Stephen Evans Diane and Larry Feldman Regina and Kyle Fink Cheryl Foley Craig Foley Ceil and Steve Folz Sally and Crosby Foster Kathy and Gary Frank Lorraine Fry Grace and Stephen Gamble Rondi Gifts Terri and Scott Glasser Nick Gordon Megan and Tom Green Ty Hall Betsy and Mike Henritze Sally and Wil Hergenrader Polly and David Hinshaw Cheryl Holman Laureen Hopkins Linda and Jay Hoyt Carol and Richard Hunton Sandra Jacaruso Daryl James Janet and Stephen Jones Juniper Restaurant Patty and Stanton Kamens Diana and Jim Kaylor Linda and Mark Kogod Nancy and Carl Kreitler, Jr. Margie and Lawrence Kyte, Jr. Jim Landis Suzi and Jim Locke Becky Lowe Deb and Dan Luginbuhl Vanessa and Johnny Lyons Kathryn and Joe Macy Natalia and Leonard Mandor Devinder Mangat, MD Judy and Richard Marks Debbie Marquez Katherine Mathias Donna and Jack McCarthy Nina McLemore Dani and Vince McNeill Pixie and Robert Messey Nancy Mezey-Groff Elise and Victor Micati Robert Miller Sheri and Michael Mintz Carolyn and John Moorman Kathy Morrow Deborah Zwick, MD and Mort Mulliken Kathleen Mundy and Fred Hessler

Hazel and Matthew Murray Linda and Kirk Nelson Julie and O.B. Nelson Rachel Nelson and Jay Rush Karen Nern, MD and Thomas Nern Joyce and Jim Nielsen Rosanne and Gary Oatey Gail and John O'Brien Jean and Ray Oglethorpe Kerri Oskouei Lorraine and Dennis Page, OD Sue and Dennis Parker Paula and Jim Paxton Lisa and David Pease Diane and David Pennock Michele Pirozzi Premiere Legal Advantage, Inc. Sherry and Alex Preston Jeanne and Michael Quagliano Carolyn and Hollis Rademacher Anne and John Rainey Carolyn and Robert Reintjes Juniper Restaurant Annette Reyes Doug Rippeto Laura and Richard Robert Anne Roberts Diane Romero Ann and Richard Rothkopf Richard Sandoval Ann Schimmel Senta Schleder Susan and Eric Schneider Jean and Leonard Schneiderman Carole Schragen Mary Jane and Charles Schultz Diane and Louis Schultz Shaw Outreach Team Kris Sims Julie Smith Jean Graham and Philip Smith Pamela and Richard Smith Joan and Bob Solon Lorraine Spargo Stephanie Spence Peter Stadler Karen and Gary Steele Meg and Michael Stepanek Kathryn and William Stephenson Nancy Stevens Susan and Steve Suggs Carla Summers Keri and Mark Talucci Susan Talucci Linda and David Temin Kim and Will Tickner Trudo Letschert Corp.

Deanna Turner and Nicolaas Swanepoel Rosemary and Robert Tutag Lissa Tyler and Mike Larson Tracey Van Curan Lois and John Van Deusen David Walford Judy and Phil Walters Janis and Roger Ward Jan and Stephen Watson Gunnel and Hal Weiser Katherine Whitman Lindsey and Patrick Wilhelm Jane and Thomas Wilner Barbara and Charles Wolff Susan and Ronald Zapletal Zengo Zengo Restaurant Zino Ristorante

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COMMUNITY

THIS PAGE clockwise from top left: Educating women about self breast exams at the GoPro Mountain Games, VVMC mountain bike race team, The VVMC Simulation Team hosted the "Scare-O-Meter" at Minturn Halloween, VVMC softball team, Kim Greene educates kids on brain injury prevention and helmet use, (middle) Brian Marschall at the Gypsum Daze Mud Run. OPPOSITE PAGE clockwise from top left: Sun Safety, VVMC Staff at Gypsum Daze, Shaw staff at the Gypsum Rec Center Cyclothon, Shaw Prostate Mustache event at Crazy Mountain Brewery, Team VVMC at the Aspen Race for the Cure Event, Finalist in the mustache contest 2 O 14

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MEDICAL DIRECTORY

ail Valley Medical Center is home to nearly 300 physicians.

The medical center stretches throughout Eagle County, including urgent care facilities in Gypsum, Avon and Beaver Creek, as well as specialty clinics and centers for cancer diagnosis and treatment, cardiology, physical therapy, plastic surgery and uninsured primary care. The main campus in the heart of Vail is a level III trauma center, level II nursery, 58 bed hospital and home to some of the world’s most celebrated surgeons.  72

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Shaw Regional Cancer Center specialized in personalized cancer care that focuses on the mind and body.

AESTHETIC & RECONSTRUCTIVE SURGERY

BREAST HEALTH

Vail Institute for Aesthetic and Reconstructive Surgery

See Cancer Diagnostics & Care

www.vvmc.com/plastics 320 Beard Creek Rd, 2nd Floor Edwards, CO 81632 (970) 569-7656 The latest innovations in plastic surgery, with a special focus in cosmetic and reconstructive surgery of the face, breast and body contouring. Dr. Jeffrey Resnick is a board certified plastic surgeon with over 25 years of experience. Dr. Resnick moved his practice from Santa Monica, California, where he was on the clinical faculty at UCLA and USC for 20 years.

Sonnenalp Breast Imaging Center

CANCER DIAGNOSTICS & CARE Shaw Regional Cancer Center www.shawcancercenter.com 322 Beard Creek Road Edwards, CO 81632 (970) 569-7429 Shaw Regional Cancer Center provides high-quality, compassionate cancer care that’s close to home. With Jack’s Place, an intimate lodge that accommodates patients

MEDICAL DIRECTORY

and their caregivers, Shaw is the premier cancer center for residents and second homeowners from across Colorado. By combining the expertise of highly trained physicians and cancer specialists with advanced technology and the healing powers of nature, compassion, fitness and nutrition, Shaw Regional Cancer Center provides an innovative, holistic approach that empowers cancer patients to become cancer survivors.

Shaw Regional Cancer Center.

Jack’s Place, with a pay-whatyou-can philosophy, treats the spirit with a yoga studio, tai chi classes, massage, meditation room, gourmet kitchen and library. Jack’s place was built and funded by the Shaw Outreach Team.

Providers: Patricia Hardenbergh, MD, Alexander Urquhart, MD, Mike Glodé, MD, The Mountain Surgical Associates group, Urology, Plastic Surgery, Radiology, Pathology

Open Summer 2014

Sonnenalp Breast Imaging Center www.vvmc.com/breasthealth 322 Beard Creek Road Edwards, CO 81632 (970) 569-7690 Established in 2002, the Sonnenalp Breast Center provides the most sophisticated technology available for breast imaging and diagnosis of breast cancer in the Rocky Mountains, including 3D mammography.

The Breast Center features a relaxing, spa-inspired interior in a private setting.

The knowledgeable and compassionate radiologists, patient navigator and mammography technologists provide the best care and expertise to guide patients in pursuit of breast health.

Jack’s Place, A Cancer Caring House www.vvmc.com/jacksplace 332 Beard Creek Road Edwards, CO 81632 (970) 569-7644 Jack’s Place provides convenient and comfortable day or overnight lodging for patients and a caregiver while receiving treatment at

Shaw Breast Center & Cancer Clinic – Frisco

EYE CARE Eye Center of the Rockies www.eyecenterrockies.com 232 Broadway Street | Eagle, CO 81631 | (970) 928-0105 Eye Center of the Rockies provides eye care and ophthalmology including medical and surgical care for cataracts,

glaucoma, retina and LASIK. Currently, Dr. Ehrlich is the only ophthalmologist who practices full-time in Eagle County and sees patients (including children) for routine eye exams, eyeglass prescriptions and contact lens fittings.

Not owned or operated by Vail Valley Medical Center.

www.shawcancercenter.com 323 West Main Street, Suite 101 | Frisco, CO 80443 | (970) 668-8970

Shaw Breast Center and Cancer Clinic in Frisco offers the latest in breast screening, including 3D mammography, in our new, convenient location in Frisco, Co. The clinic will also offer infusion treatments and provide the greatest knowledge and compassion for patients.

EAR, NOSE & THROAT Colorado Mountain Medical See Primary Care

ENDOCRINOLOGY Endocrinology Clinic www.vvmc.com/endo (970) 477-5160 320 Beard Creek Road Edwards, CO 81632 377 Sylvan Lake Road Eagle, CO 81631 730 North Summit Boulevard #102 | Frisco, CO 80443 108 South Frontage Road West, Suite 306 Vail, CO 81657 Endocrinology specializes in diabetes, thyroid disorders, metabolic and weight disorders, menopause and hormone therapy, osteoporosis, adrenal gland disorders and pituitary disease.

VAIL VALLEY MEDICAL CENTER | 181 W. Meadow Drive Vail, CO 81657 | (970) 476-2451 | www.vvmc.com

EMERGENCY & URGENT CARE SERVICES IF YOU ARE EXPERIENCING A MEDICAL EMERGENCY, CALL 911 FOR IMMEDIATE HELP Vail Valley Medical Center Emergency Department www.vvmc.com/emergency 181 W. Meadow Drive Vail, CO 81657 (970) 479-7225 Open Mon – Sun, 24 hrs

Vail Valley Medical Center Emergency Department (ED) is a 24-hour facility staffed

by Board Certified emergency physicians. A Level III Trauma Center, emergency trauma care is provided to infants, pediatrics, adolescents, adults and geriatrics.

Beaver Creek Medical Center 1280 Village Road | Avon, CO 81620 (970) 949-0800 Open Mon – Sun, 8 AM – 5:30 PM During ski season only

Beaver Creek Medical Center is located in Beaver Creek Village.

The clinic offers emergency care services with a 12-bed treatment area, two of which are critical care.

X-ray, lab services, occupational health services, wound, orthopaedic and respiratory care is available on-site. No appointment is needed.

Open during ski season only.

Avon Urgent Care 230 Chapel Place | Avon, CO 81658 (970) 949-6100 Open Mon - Sun, 8 AM – 8 PM

Gypsum Urgent Care 410 McGregor Drive Gypsum, CO 81637 (970) 777-2800 Open Mon - Sun, 11 AM - 8 PM

Avon and Gypsum Urgent Cares are both equipped to manage most emergency medical situations, including wound, orthopaedic and respiratory care.

They also feature critical care trained nurses, on-site x-ray and lab services such as urinalysis, quick strep, influenza, pregnancy, occult blood and glucose testing.

Appointments are not necessary.

TREATING: Abrasions, bruises, scrapes and lacerations Cough, cold, fever and flu symptoms Respiratory or urinary tract infections Ear, eye, nose and skin infections Minor burns Minor fractures Sprains and strains Intestinal illness, including dehydration

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MEDICAL DIRECTORY

GENERAL SURGERY & WOUND CARE Mountain Surgcal Associates www.vvmc.com/surgeons 181 W. Meadow Drive | Vail, CO 81657 | (970) 479-5036 Located within Vail Valley Medical Center, Mountain Surgical Associates is known for their expertise in emergency and trauma care, the surgeons are experts in: • General surgery: abdominal, thoracic & endocrine • Cancer surgery: breast, colon and rectal, endocrine, lung and melanoma • Laparoscopic surgery: hernia repair, gall bladder, colon and reflux disease Providers: Barry Hammaker, MD, FACS, Reginald Franciose, MD, FACS, James Downey, MD, FACS, John F. Schultz, MD, and Jason Moore, PhD, PA-C

Using advanced wound care treatments designed to accelerate the healing process and maximize patient comfort, the care team specializes in diabetic ulcers, venous stasis ulcers, arterial ulcers, pressure ulcers, burns and trauma and surgical wounds.

Physician referral is required.

HEART & LUNG

Provider: Sue Arford, RN, MSN, WOCN

Open Wednesdays Cardiology is the medical specialty involved with treating and diagnosing conditions of the heart and blood vessels. Cardiologists evaluate the heart, treat defects and diseases of the heart; monitor irregular heartbeat (arrhythmia) and assist in lowering cholesterol and blood pressure.

181 W. Meadow Drive Vail, CO 8165 320 Beard Creek Road Edwards, CO 81632 (970) 476-8872

Partially owned but not operated

by Vail Valley Medical Center.

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337 Sylvan Lake Road | Eagle, CO 81631 | (970) 476-1110

www.vvmc.com/surgery

181 W. Meadow Drive | Vail, CO 81657 | (970) 479-5036

Vail Health

108 S. Frontage Rd. W. #206 Vail, CO 81657 (970) 476-1110

Vail Valley Surgery Centers

www.vvmc.com/woundcare

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www.vvmc.com/heartlung

For orthopaedic surgery, see orthopaedics

Vail Valley Surgery Centers are world-class, multi-specialty outpatient surgical centers, offering the finest state-ofthe-art technology, treatment and physician expertise.

Located in Vail and Edwards.

Wound & Ostomy Clinic

Cardiology Institute

Anticoagulation Clinic www.vvmc.com/heart 108 S. Frontage Rd. W. #206 Vail, CO 81657 (970) 471-4948 Vail Valley Surgery Center is home to some of the world's most celebrated surgeons.

322 Beard Creek | Edwards, CO 81632 | (970) 471-4948 337 Sylvan Lake Road | Eagle, CO 81631 | (970) 471-4948

Vail Valley Medical Center’s Anticoagulation Clinic provides convenient care for patients taking warfarin (Coumadin®), heparin and low molecular weight heparin. These medications, also called blood thinners, control the blood’s ability to clot. Careful monitoring can prevent bleeding and clotting complications. The staff provides assessments, reviews and adjusts medications, checks for possible drug interactions, provides patient education and guides the management of blood thinners for invasive procedures. Call for appointment availability.

Cardiac Rehabilitation www.vvmc.com/cardiac180 322 Beard Creek Road Edwards, CO 81632 (970) 569-7780 Delivering care to individuals who have experienced a significant “heart event” or are involved in maintenance and prevention of further disease, the staff builds and monitors exercise programs and provides clinical support and education.

MEDICAL DIRECTORY

Cardiopulmonary Services www.vvmc.com/respiratory 181 W. Meadow Drive | Vail, CO 81657 | (970) 479-7218 Cardiopulmonary medicine deals with the heart and lungs, specializing in respiratory care, cardiology, electroencephalography (EER) and sleep services.

Cardiopulmonary Services provides diagnostic and therapeutic interventions to routine and critical care clients.

Dr. Samuel Brescia from Rocky Mountain Pediatric Cardiology offers a pediatric cardiology clinic, assisting patients with suspected or known heart disease from newborn to age 18. The clinic includes: cardiac stress testing, echo testing, cardiac monitoring, pediatric cardiology clinic and sleep disorder center.

Internal Medicine www.vvmc.com/internalmed (970) 477-3090 320 Beard Creek Road Edwards, CO 81632 377 Sylvan Lake Road Eagle, CO 81631 730 North Summit Boulevard #102 | Frisco, CO 80443 108 South Frontage Road West, Suite 306 Vail, CO 81657 Internal medicine deals with the prevention, diagnosis and treatment of diseases in adults of all ages with no problem being too big or too small. Drs. Lawrence Gaul and Dennis Lipton are board-certified internal medicine physicians, passionate about helping people live healthier lives.

INTERNATIONAL TRAVEL & VACCINES Traveler’s Clinic www.vvmc.com/travel 230 Chapel Place, Unit D 101 | Avon, CO 81620 (970) 569-7715 The Travelers Clinic is a full-service provider of

immunizations, travel medication prescriptions, medical advice and documentation for world travelers. Immunizations offered: Hepatitis A & B, Influenza, Yellow Fever, Measles, Mumps, Rubella, Varicella, Rabies, Meningococcal Disease, Tetanus/Diphtheria, Japanese Encephalitis, Polio, Typhoid Fever and Pneumococcal Disease.

Laboratory & blood work

Laboratory www.vvmc.com/lab 181 W. Meadow Drive | Vail, CO 81657 | (970) 479-7280 Walk-ins welcome: Mon – Sun, 7 AM – 8 PM Vail Valley Medical Center Laboratory, which runs around the clock, conducts tests on specimens, like blood and body fluids, in order to get information about the health of a patient as pertaining to the diagnosis, treatment and prevention of disease. Examples include: Testing blood for ‘markers’ to determine if a patient has certain types of cancer or had a heart attack; Growing and identifying types of bacteria to determine what is causing a patient’s infection; Testing to find ‘compatible’ blood for patients that need blood transfusions.

OCCUPATIONAL HEALTH AND WORKERS COMPENSATION Occupational Health Clinic www.vvmc.com/occmed 230 Chapel Place, Unit D 101 | Avon, CO 81620 (970) 569-7715 181 West Meadow Drive | Vail, CO 81657 | (970) 479-5085 Occupational medicine offers services specialized to the needs of employees and employers. Common services include physical exams, drug screening, injury prevention programs, vaccination programs as well as custom programs built for organizations.

VVMC's Women and Children's Center boasts one of the best nursing staffs in the region.

MEDICAL LIBRARY & PATIENT RESOURCE CENTER Kimberly’s Corner 181 Wet Meadow Drive Vail, CO 81657 Located in the atrium of the Vail Valley Medical Center, Kimberly’s Corner is a patient resource center, as well as a place for patients, guests and employees to relax. The resource center features a peaceful décor and provides computers and select books and journals.

Medical Library at Shaw Regional Cancer Center

magazines, audio books, videos and children’s materials.

The wide-ranging, up-todate healthcare collection is open to patients and the community. The library is home to the region’s only certified medical librarian and offers many personalized services, including reference, interlibrary loan and document delivery, material loans, databases and over 320 electronic journals.

ORTHOPAEDICS & SPORTS MEDICINE Howard Head Sports Medicine

www.vvmc.com/library

See Physical Therapy

322 Beard Creek Road Edwards, CO 81632 (970) 569-7607

The Steadman Clinic

Free to the public: The Medical Library loans books, journals,

www.thesteadmanclinic.com 181 West Meadow Drive, Suites 400 & 200 | Vail, CO 816573 | (970) 476-1100

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MEDICAL DIRECTORY

OBSTETRICS/ GYNECOLOGY (OB/GYN) Colorado Mountain Medical www.colmtmed.com 181 West Meadow Drive, Suite 800 | Vail, CO 81657 (970) 476-5695 322 Beard Creek Road, Suite 200 | Edwards, CO 81632 | (970) 926-6340 377 Sylvan Lake Road, Suite 210 | Eagle, CO 81631 | (970) 328-1650 With locations in Vail, Edwards and Eagle, Colorado Mountain Medical is home to all five Eagle County OB/GYNs, specializing in women’s health, laparoscopy, hysteroscopy, urinary incontinence, infertility and in-office procedures, including Essure.

Physicians: Gale Santa Maria MD, FACOG, Cheryl Kohn, DO, Pamela Bock, MD, FACOG, Rochelle Bernstein, MD, FACOG and Keith Samuels, MD. Not owned or operated by Vail Valley Medical Center.

ORTHOPAEDICS & SPORTS MEDICINE (CONT.)

Not owned or operated by Vail Valley Medical Center.

360 Peak One Drive, Suite 340 | Frisco, CO 80443 | (970) 668-6760

Steadman Philippon Research Institute

322 Beard Creek Road Edwards, CO 81632 (970) 476-1100

181 West Meadow Drive | Vail, CO 81657 | (970) 479-9797

The Steadman Clinic is a worldrenowned orthopaedic clinic with facilities in Vail, Edwards and Frisco. Specializing in knee, hip, shoulder, elbow, hand, spine, foot and ankle injuries, The Steadman Clinic’s experience and research have led to significant advances in orthopaedics and sports medicine.

Physicians: Marc J. Philippon, MD, Randy W. Viola, MD, Donald S. Corenman, MD, D.C., David C. Karli, MD, Tom Hackett, MD, Peter J. Millett, MD, M.Sc., Thomas O. Clanton, MD, Robert F. LaPrade, MD, PhD and Thos Evans, MD.

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www.sprivail.org

Founded in 1988 by orthopaedic surgeon Dr. J. Richard Steadman, the Steadman Philippon Research Institute is an independent, nonprofit organization, known throughout the world for research into the causes, prevention and treatment of orthopaedic disorders.

Not owned or operated by Vail Valley Medical Center.

Vail-Summit Orthopaedics www.vsortho.com 108 S. Frontage Road West (US Bank Building), Suite 300, Vail, CO 81657 | (970) 476.7220

Edwards Pharmacy specailizes in compounding, creating custom medications for taste, doze and form.

1140 Edwards Village II, B-105 | Edwards, CO 81632 | (970) 569.3240 Peak One Drive, Suite 180 Frisco, CO 80443 (970) 668.3633 Vail-Summit Orthopaedics, specializing in knee, shoulder, elbow, hand, spine, foot and ankle injuries, was founded in 1979 and has been an active part of the community since.

Vail-Summit Orthopaedics’ physicians are all fellowshiptrained and take an integrated approach to injury repair and healthy recovery by creating customized treatment plans.

Physicians: Paul J. Abbott Jr., MD, Rick Cunningham, MD, Erik Dorf, MD, John Paul Elton, MD, Peter Janes, MD, Terrell Joseph, MD, Scott Raub, DO, William Sterett, MD. Not owned or operated by Vail Valley Medical Center.

Women and Children’s Center www.vvmc.com/childbirth 181 West Meadow Drive | Vail, CO 81657 | (970) 479-7181 The Women and Children’s Center is a labor and delivery unit and a level II nursery, equipped to handle most babies born after 32 weeks or fullterm babies who have health concerns or illnesses. Home to pediatric hospitalists and neonatal nurse practitioners, the center also offers lactation counseling and childbirth classes, including natural birth seminars, breast feeding, “I Love My Sibling,” baby care and more.

PHARMACY Edwards Pharmacy www.vvmc.com/pharmacy 322 Beard Creek Road Edwards, CO 81632 (970) 569-7676

MEDICAL DIRECTORY

Located at the Edwards Medical Campus, the fullservice pharmacy specializes in hormone replacement therapy, drug compounding, medicine flavoring and is an official provider of Burts Bees.

A wide array of insurances are accepted and over-thecounter medications available.

Eagle Valley Pharmacy (Vail Village) 181 W. Meadow Drive | Vail, CO 81657 | (970) 479-7253 The only pharmacy located in Vail Village, the Eagle Valley Pharmacy is inside of Vail Valley Medical Center. The pharmacy retails over-thecounter medications, has a wide assortment of braces and accepts prescription transfers from other pharmacies in-state or out-of-state, telephone prescriptions from out-of-state doctors and multiple insurance plans (insurance card needed).

PHYSICAL THERAPY Howard Head Sports Medicine www.howardhead.com Avon: The Westin, 126 Riverfront Lane | Avon, CO 81620 | (970) 845-9600 Beaver Creek: 1280 Village Road | Avon, CO 81620 | (970) 949-5522 Eagle: 377 Sylvan Lake Road | Eagle, CO 81631 (970) 328-6715 Edwards: 322 Beard Creek Road | Edwards, CO 81632 | (970) 569-7777 Gypsum: 52 Lundgren Boulevard | Gypsum, CO 81637 | (970) 777-2700

body and spirit. Working closely with the planet’s top orthopaedic doctors and researchers, their progressive sports medicine protocols are reshaping physical therapy worldwide.

Not owned or operated by Vail Valley Medical Center.

Mountain Family Health Center: Edwards www.mountainfamily.org 320 Beard Creek Road Edwards, CO 81632 (970) 945-2840

PRIMARY MEDICAL CARE Colorado Mountain Medical www.colmtmed.com 181 West Meadow Drive, Suite 800 | Vail, CO 81657 (970) 476-7600 322 Beard Creek Road, Suite 200 | Edwards, CO 81632 | (970) 926-6340

Howard Head Sports Medicine is the region's leading physical therapy provider and has nine locations throughout Eagle and Summit counties.

Mountain Family Health Center provides high-quality, integrated primary, behavioral and dental healthcare with special consideration for the medically underserved, regardless of ability to pay.

SLEEP DISORDERS

UROLOGY Colorado Mountain Medical www.cmmhealth.com (970) 926-6340 The board certified urologists have decades of experience in adult and pediatric urology.

In addition to general urology care, the urologists diagnose and treat many conditions of the urinary tract, including enlarged prostate (benign prostatic hyperplasia), kidney stones, prostate cancer, low testosterone, incontinence (including non-surgical options), bladder cancer and more. They also perform many office and surgical procedures, including vasectomy.

Not owned or operated by Vail Valley Medical Center.

Owned and operated by Vail Valley Medical Center.

See Cardiopulmonary Services under Heart & Lung

377 Sylvan Lake Road, Suite 210 | Eagle, CO 81631 (970) 328-1650 Colorado Mountain Medical is a team of primary care physicians and specialists including Ear, Nose and Throat, OB/GYN, Pediatrics, Internal Medicine and Gastroenterology. The providers offer total family care, emphasizing wellness and preventative medicine, as well as treatment of illness or injury.

Family Medicine Physicians: Jen Bettenhausen, MD, Ed Dent, MD, Jon Feeney, MD, Jean Hadley, MD, Eric Olson, DO, Marc Peck, MD, Diane Voytko, MD, Steve Yarberry, MD, Susan Vickerman, DO, JerriLu Atkins, MD Internal Medicine Physicians: Mark Stephens, MD, Mindy Cooper, MD, William Foutz, MD

Vail (East Clinic): 108 South Frontage Road West | Vail, CO 81657 | (970) 479-7291

OB/GYN Physicians: Gale Santa Maria, MD, FACOG, Cheryl Kohn, DO, Pamela Bock, MD, FACOG, Rochelle Bernstein, MD, FACOG, Keith Samuels, MD

Howard Head Sports Medicine helps athletes rebuild their

Gastroenterology & Hepatology Physician: Stephen Laird, MD, MS

Services: Aquatic Therapy, Dry Needling, Hand Therapy, Lymphedema Therapy, Occupational Therapy, Orthopaedic Rehabilitation, Pilates, Sports Rehabilitation, Total Joint Therapy, Vestibular Rehabilitation and Women’s Health.

Vail (West Clinic): 181 West Meadow Drive | Vail, CO 81657 | (970) 476-1225

Additional locations in Silverthorne and Frisco.

Ear, Nose & Throat Providers: Casey Strahan, MD

Pediatric Physicians: Janet Engle, MD, Leslie Fishman, MD 2 O 14

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EAGLE

EDWARDS

EXIT #147

EXIT #163

ARROWHEAD

Eagle County Airport

EAGLE HEALTHCARE CENTER

HOWARD HEAD (PT)

BEAVER CREEK

Cardiology Institute Colorado Mountain Medical Endocrinology Internal Medicine Howard Head (PT) Mountain Surgical Associates

BEAVER CREEK MEDICAL CENTER (SKI SEASON ONLY) Howard Head (PT)

GYPSUM GYPSUM / EAGLE

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Cardiac Rehabilitation Colorado Mountain Medical Edwards Care Clinic Edwards Pharmacy Endocrinology Howard Head (PT) Internal Medicine Mountain Family Health Centers: Edwards Shaw Regional Cancer Center Sonnenalp Breast Center The Steadman Clinic Urology Services Vail Institute for Aesthetic & Reconstructive Surgery Vail Valley Surgery Center — Edwards

EDWARDS MEDICAL CAMPUS

VAIL

HOWARD HEAD (PT) AVON

EXIT #176

EXIT #167

VAIL MEDICAL CAMPUS AVON URGENT CARE

Cardiology Institute Cardiopulmonary Services Colorado Mountain Medical Eagle Valley Pharmacy Endocrinology Emergency Department Howard Head (PT) Internal Medicine Mountain Surgical Associates The Steadman Clinic Steadman Philippon Research Institute Vail-Summit Orthopaedics Vail Valley Surgery Center Women & Children’s Center Wound Care Clinic

Occupational Health The Traveler’s Clinic

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ANNUAL REPORT

ACCOMPLISHMENTS & Community Outreach Fiscal Year 2013 | AT A GLANCE Net Patient Service Revenue

211,523,939

Provision for Bad Debt

(14,617,996)

Other Operating Revenue

14,839,677 355,275

Net Asset Release from Restrictions

Total Revenue:

212,100,895

EXPENSES Salaries, wages and benefits

73,072,495

Supplies and materials

63,398,598

Purchased Services

21,653,624

Depreciation and Amortization

15,182,205

Interest

1,025,112

Total Expenses:

174,332,034

Capital Expenditures:

17,072,073

MILESTONES Shaw Regional Cancer Center saw a 96.9% fiveyear survival rate for Stage I breast cancer patients, nearly 5% greater than the national average.

Think First educated over 12,000 people about brain and spinal cord injuries and gave out 790 bike helmets and 189 ski helmets.

VVMC has an impressively low number of surgical site infections.

In 2013, VVMC saw about 1/4 the number of infections predicted using criteria set by CDC. The predicted surgical site infection rate was 1% and VVMC only saw a rate of 0.28% infections.

VVMC’s Cardiac Disease Prevention Screening saw 247 underserved Eagle County residents, resulting in an average of -18 points in total cholesterol, -27 points in LDL and increased physical activity (34.9%) and decrease in high fat foods (22.8%).

CHARITY & UNCOMPENSATED CARE A Uncompensated Self Pay/Charity Care 2,017,571 B Medicaid Shortfall 8,607,343 C Medicare Shortfall 42,960,963 D Commercial Insurance Shortfalls 42,182,927

Total:

95,768,804

Number of Physicians on Medical Staff

289

Number of Beds

58

Number of ED & Urgent Care Visits

80

25,273

Number of Babies Delivered

442

Number of Surgeries Performed

7,198

Vail Health

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VVMC added Internal Medicine, Endocrinology and enhanced The Cardiology Institute in 2013.

Pink Vail raised $350,000 to support cancer survivors and won best healthcare event in Colorado.

Howard Head Sports Medicine staff contributed to publishing 8 research articles in peer-reviewed academic journals — advancing the science of physical therapy and sports medicine.

Dr. Peter Millett was selected as a Top 28 U.S. Shoulder Surgeon by Orthopedics This Week.

VVMC Marketing Department won 8 Colorado Healthcare Communicator Awards — more top honors than any other healthcare organization in the state and included Judges Choice Nonprofit Project of the Year for Vail Health Magazine.

(970) 476-1225

| HOWARDHEAD.COM

| 9 EAGLE & SUMMIT COUNTY LOCATIONS

The perfect setting to conquer cancer.

What brings patients to us is our impeccable reputation, Ivy League doctors, and top-of-the-line equipment – including a new Linear Accelerator and 3D mammography. But it’s the rest of the care, courtesy of a dietician, exercise physiologists, nurse navigator and a complimentary 12-room cancer caring lodge in a stunning setting, that keeps everyone’s spirits lifted to their absolute peak.

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S H AWC A N C E R C E N T E R .C O M

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