Vail Health 2015-2016

Make sure your heart can keep up with your passions.

Don’t let your heart health keep you away from life’s best moments. After working together for decades in Denver, Dr. Jerry Greenberg and Dr. Nelson Prager have joined the Cardiology Institute year-round. Along with the opening of the new Cardiac Catheterization and Electrophysiology Lab, we are making mountains of improvements. Schedule your appointment at one of our three clinic locations.

( 9 70 ) 476 -1 1 1 0 | * Board-Certified Cardiologists

V V M C .C O M /C A R D I O LO GY |

VA I L , E AG L E & F R I S CO

FROM THE PRESIDENT & CEO

Welcome to Vail Health Magazine appy 50 th anniversary

Vail Valley Medical Center! We have come a long way since our early days as the Vail Clinic, tending to ski injuries in the basement of the Red Lion. It’s amazing what can be accomplished with the vision, hard work and generosity of a caring community like ours. Today, VVMC is the world’s most advanced mountain hospital, providing Olympic-quality sports medicine, evidence-based research, modern cancer care and extensive cardiology capabilities — all high-quality services with exceptional outcomes.

Many moments — big and small — comprise the history of a hospital. And because we began, and have remained, the region’s only independent, nonprofit medical center, it is people who we credit for making possible everything VVMC offers today.

In 1964, it was one of Vail’s original investors, John Murchison of Dallas, who sealed the fate of healthcare in the Valley, when Aspen orthopaedist Dr. Bob Oden convinced Murchison that Vail needed its own full-time medical clinic. Murchison and Vail founder Pete Seibert would place "help wanted" ads in medical journals to find Vail’s first full-time physician, Dr. Tom Steinberg. Gordon and Thelma Brittan would lead the initiative for an expanded medical facility to eventually be named Vail Valley Medical Center.

Years later, the ski and racquet sports pioneer, Howard Head, would impact the history of the hospital by making a generous donation to establish Howard Head Sports Medicine. And in 1990, when VVMC leaders teamed up with former Olympian Cindy Nelson and then Vail Associates owner George Gillett to bring Dr. Richard Steadman and Dr. Richard Hawkins to the area, Vail would begin its trajectory to becoming a center of orthopaedics and sports medicine.

The history of Shaw Regional Cancer Center, as told by Dr. Jack Eck on page 46, is yet another example of the vision and generosity of people who care about providing the best for our community and visitors.

As we look back at these pivotal moments, we realize the magnitude of our Master Facility Plan, which will bring the most significant changes to the hospital in its 50-year history. I invite you to learn more about our plans on page 48.

Fifty years ago, the founders of Vail had the vision to know it would never become a first-class resort without first-rate medical care. Today, VVMC prepares for the challenges of the next 50 years in healthcare. Once again, we will turn to the people who believe in the importance of high-quality healthcare in the Valley. They will be the next history makers in a grand story we proudly cultivate.

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 - Trustee 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 Ron Davis Johannes Faessler Reg Franciose, MD Peter Frechette Art Kelton Doris Kirchner Marc Philippon, MD Jay Precourt Richard Steadman, MD Trustee Sally Veitch

Sincerely,

d o r i s k i r c h n e r , president & ceo vail valley medical center

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2015/2016 ANNUAL

FEATURES SPECIAL 50TH SECTION 30 VVMC’s Golden Anniversary

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From one seasonal doctor to a staff of hundreds, VVMC has grown with the community.

Head Start

Everybody knows that breakfast is the most important meal of the day, but it’s not always so easy to come up with something that is healthy, fulfilling and sustainable with today’s dietary demands. Discover some new options and break out of the cereal rut.

32 Families of Vail

People come to ski but stay for the way of life, and part of that is the quality medical care that supports active lifestyles.

37 Docs with a History

From the very beginning, VVMC has had wonderful doctors with a loyal following. Grateful patients and friends share memories of local physicians.

40 VVMC & Me

From delivering babies to helping people survive and thrive, VVMC has been privileged and grateful to be a part of transformative moments in people's lives.

40 Vail Babies

A cross-section of some of the babies that have been born in Vail since 1965.

46 The Story Behind the Name

The Shaws donated $18.5 million to build Shaw Regional Cancer Center, but they were involved in healthcare long before.

48 The Master Plan

As the hospital celebrates its 50th anniversary, the Master Facility Plan will serve as the roadmap for enhancing healthcare in the Valley for years to come.

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The brain experiences age-related changes much like the body does, which can be frightening and bewildering to people and their loved ones. Yet not all changes are irreversible, and not all signify dementia or Alzheimer’s. Find out how to increase the chances of mental acuity and awareness.

Local physicians and therapists are on the forefront of medical research.

Recent studies include the effects of snowfall on ski and snowboard crashes, opportunity for reducing the use of antibiotics and predicting the potential risk of skier injury.

The Aging Brain

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Mountains of Discovery

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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DEPARTMENTS 26

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the team publisher

Emily Tamberino e d i to r

Wren Bova 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

Jim Brown Katie Coakley Shauna Farnell Phil Lindeman Traci J. Macnamara Karen Mason Kimberly Nicoletti Dominique Taylor Preston Utley va i l va l l e y m e d i c a l center executive team

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

24 01 LETTER FROM THE PRESIDENT AND CEO OF OF VAIL VALLEY MEDICAL CENTER

06 BEST BETS 60 BEST IN THE BUSINESS

INSIDER

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18 The Freedom to Play

Unstructured play can be integral in the development of creativity and self-confidence in children.

va i l d a i ly m ag a z i n e g r o u p

20 When Minutes Matter

WELLNESS 07 Oldies, but Goodies

The fitness mavens of Howard Head Sports Medicine offer new twists on old-school exercises.

10 Happy Feet

Susan Ludlow Eric Burgund

Cardiac patients reflect on critical moments that saved their lives.

22 Joint Preservation, Not Joint Replacement

A different kind of orthopaedic care is open to the world, close to home for Vail Valley residents.

OUR CROWD 62 VVMC'S 2014 DONORS

24 What They Never Told You

70 OUT IN THE COMMUNITY

Parenthood is full of the unexpected.

72 MEDICAL DIRECTORY

12 Taking Control

26 Help for Chronic Pain

78 MAPS FOR LOCAL CARE

14 The Sugar Spectrum

Endocrinologist Dr. Rebecca Adochio outlines the best ways to steer clear of high blood sugar.

16 Vitamins — Do You Need Them?

Is nutrition in pill form too good to be true?

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Howard Head therapists focus on mental and physical re-programming to bring chronic pain patients back to their active lives.

Publication Printers, Denver

61 FACES IN THE VALLEY

For those dealing with plantar fasciitis, treatment can provide fuller, more active lives.

Controlling your cholesterol can change your life.

printing

80 ACCOMPLISHMENTS

& COMMUNITY OUTREACH

28 Rural Cancer Center, Big City Specialists

Shaw Regional Cancer Center partners with University of Colorado Cancer Center to offer the best in cancer care.

on the cover Three

generations of the Cogswell family: John, Slade and baby Nash. photo preston utley

WORLD’S

BIGGEST

SKI DAY

TO CONQUER CANCER

l Costume Contest, Live Music All Day, Deck Parties & Celebration Ski Down

l Proceeds benefit Shaw Regional Cancer Center an outpatient department of Vail Valley Medical Center

APRIL 2, 2016

WWW.PINKVAIL.COM

THANK YOU TO OUR PARTNERS:

Best Bets

VAIL VALLEY MEDICAL CENTER PHYSICIANS AND STAFF SHARE THEIR TOP PICKS FOR THE BEST...

TODD WARD, MANAGER AND PHYSICAL THERAPIST, HOWARD HEAD SPORTS MEDICINE

MOUNTAIN BIKING

The Avon Connector trail, up Saddle Ridge, down Lee's Way, and back on the Connector.

You can either ride from Avon or Edwards. It's a nice, long, gradual climb followed by a super fast and flowy descent. It can be shuttled for the downhill alone, but I consider that cheating!

Drew Knerl, Adult Hospitalist

DOG FRIENDLY HIKE Grouse Lake in Minturn is a great trail for any hiker and pup – not too steep, but not too flat. There is loads of water along the way in the stream to keep the dogs cool, and the unbelievably beautiful Grouse Lake at the end of the hike.

SUMMER DAY First, it’s off for a trail run with my best buddy Hank, our yellow lab. We return home for a quick breakfast prior to heading out to meet friends for an early tee time at EagleVail Golf Course.

The course is great, the staff is friendly and the views never get old. A quick lunch, a mountain-bike ride, and finish the day with a barbecue on the deck.

HIKE WITH SEA-LEVEL FRIENDS Surrounded by aspen trees and mountain views of the north side of EagleVail, Paulie’s Plunge (aka Stone Creek Trail) is beautiful. Just within the first ¼ mile you feel like you are deep in the woods. Once you reach the fork in the trail, stay left and continue through a wooded area of amazing wildflowers in the summer or breathtaking foliage in the fall.

Christine Albertson, Events & Outreach Manager

ZACH SMITH, HR SPECIALIST

DAY ON THE MOUNTAIN Nothing beats hitting the Stone Creek Chutes (Beaver Creek) in late January/early February after a night of snowfall. The key is to go early when you can still see your breath and nothing but fresh powder.

Steven Crawford, Technical Services Manager

NEARBY ROCK CLIMBING SPOT Klettergarden, outside of Red Cliff, has easy access, flat landings, and a good range of boulder problems from V0-V11. Detailed information can be found on mountainproject.com.

Roberto Morales, Environmental Health Specialist

FAMILY-FRIENDLY ACTIVITY East Vail snowshoeing on the golf course: stunning views of the mountains, little bridges to cross, big rocks to climb on, and usually a ton of snow. Also it is pretty flat, so the whole family can go.

KIM MITCHELL, MEDICAL LIBRARIAN

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THE VAIL VALLEY

WELLNESS STEP AEROBICS WITH STEPHANIE DREW

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s a physical therapist and longtime fitness instructor, Stephanie Drew of Howard Head Sports Medicine’s Edwards clinic sees parallels between old-school step classes and modern programs like CrossFit and Zumba. Guided classes are a good starting point for newcomers, along with gym regulars who want to shake things up.

FIT TIPS Work your legs. In a step class, most movements naturally hit your large leg muscles (quads, glutes, calves), but don’t treat step like day-to-day walking. Actively engage every leg muscle, every time, and keep a full range of motion — even when you’re tired.

Oldies, but Goodies The fitness mavens from Howard Head Sports Medicine travel back to the ‘70s and ‘80s for new twists on old-school exercises.

BY PHIL LINDEMAN // PHOTOS DOMINIQUE TAYLOR

Move your whole body. Step class might hone in on legs, but aerobics is made for a total-body workout.

Focus on balance to engage your torso, and move your arms to elevate your heart rate.

Make class part of your weekly (or even daily) routine. Consistency is key to any fitness regimen. If you get bored with one class, simply move on to the next.

hen jane fonda tells you to go for the burn, listen. The physical

therapy experts at Howard Head Sports Medicine often refer their patients to tried and true exercises not only to rehabilitate, but also strengthen. If it has worked over the years, it could work for you. And bonus—no leotards needed!

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WELLNESS

PIGEON POSE WITH LAURA OLDEROG

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s yoga wins more and more converts, sports medicine experts have dug deeper into the athletic benefits of poses like pigeon. Laura Olderog, a physical therapist and certified hand therapist at the Vail clinic, says it’s perfect for outdoor junkies — skiers, boarders and the like — to boost core stability. A stronger core means you’re less likely to lose balance, which is the root cause of most knee injuries.

FIT TIPS Feel the full-body stretch. For newcomers, pigeon pose can be surprisingly tough. It hits your hips, pelvis, lower back, deep glutes, hip flexors and core — just about everything from your shoulders down. Ease into the stretch and hold. Readjust if you feel pain.

JUMPING JACKS WITH STEPHANIE DREW

F

itness doesn’t get more basic than jumping jacks.

But like any simple exercise, jumping jacks can be a waste of time if you rush through form and technique. Once you have the basics, the sky’s the limit, with dozens of variations.

FIT TIPS Push for a full range of motion.

With every jump, touch your fingertips at the top and squeeze your thighs at the bottom.

Enjoy the cardio bump. Jumping jacks are a quick, simple way to elevate your heart rate. Try them between strength sets for a more challenging, calorie-burning circuit.

Shake things up. If you get bored with plain-old jumping jacks, turn to modern variations like burpees or other classics like lunges and jumping rope.

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Grab your foot — and pull towards the back of your head. The modified pigeon pose stretches deeper than the basic pose, but it requires much more flexibility through the back and quads. Work to it slowly.

BASIC PUSH-UPS WITH DOUG EMERSON

D

oug Emerson, a physical therapist and clinic director at Howard Head's Gypsum location, is a fan of the push-up. He makes it a total-body workout.

FIT TIPS Stay taut from head to toe. Emerson describes the proper push-up as a “movement plank.” Your upper body does the bulk of the work, but always tighten your core, squeeze your glutes and straighten your spine. Start with three sets of five, then gradually increase the reps.

Push through your pinkies. No matter where your hands are positioned, Emerson says you’ll get the best upper-body workout if you focus on pushing the ground away from you through your pinkies, not your palms.

Get vocal. At the top of each pushup, let out a controlled breath or grunt. It’s often overlooked, but this little tactic maintains tempo and, if nothing else, reminds you to breathe. You can apply the same to weight lifting or any calisthenics.

FUN FACT Jogging for fitness was popularized in the U.S. by Bill Bowerman, an American track and field coach and co-founder of Nike, Inc., after he was introduced to it in New Zealand in 1962.

JOGGING WITH PHILIP GALLOWAY “

O

ne thing I tell my patients is that running is a piece of the puzzle,” Philip Galloway of the Edwards Howard Head clinic says.

“People think that when they get out of shape, they just need to start running, but you need to be in shape already to avoid injury.”

FIT TIPS TREE POSE WITH LAURA OLDEROG

Y

oga is much older than Jane Fonda, yet modern versions of the ancient practice share much in common with retro-style aerobics and calisthenics. Yoga is also wildly versatile, with styles built around poses for strength, flexibility, balance and spiritual well-being. The tree pose is square one.

FIT TIPS Find your breath. It’s the cornerstone of yoga, and conscious, consistent awareness sets the practice apart from other fitness regimens.

Practice the basic pose, then practice again. Tree pose seems simple on the surface, but it highlights all elements of yoga: breath, balance and core strength.

Modify the pose. For the advanced tree pose, stretch your arms wide and gaze at the ceiling — it will challenge your balance.

Start slow. And this doesn’t refer to miles per hour. Whether you prefer the trails or a treadmill, only change one factor (speed, distance, elevation gain) at a time.

Progress even slower. Galloway says 80 percent of runners will have an injury in the course of their running career. The general rule is to bump your mileage by no more than 10 percent each week.

Tap into the cross-training scene.

As the leader of Vail Valley Running Club, Galloway has noticed more runners pick up cross-training programs, which mix road or track work with weight lifting and aerobics.

Embrace the seasons. If cross-training isn’t for you, take your run into the great outdoors. Snowshoeing adds a new level of intensity, and even trail running on dry land is a different kind of challenge.

Howard Head Sports Medicine howardhead.com | (970) 476-1225 See Medical Directory for locations.

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WELLNESS

Active people are prone to injury in their feet due to years of hard, and sometimes repetitive, use.

Happy Feet For those dealing with plantar fasciitis, treatment can provide fuller, more active lives.

ere in the mountains, we

jam our feet into stiff ski boots, hammer them on hikes, and squeeze them into tiny climbing shoes. What are some common ailments of the active community and why is it so important to take care of our feet?

“Our feet form the base of our upright existence,” explains Dr. John Paul Elton, a Harvardtrained foot and ankle specialist with Vail-Summit Orthopaedics. “Whether we are walking, running or standing, it is our feet that support our bodies, help us balance and propel us forward in our activities.” The feet and ankles are the most complex part of our locomotion and 10

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Dr. John Paul Elton.

are, therefore, susceptible to many ailments, he adds. Because of this, we need to pay a bit more attention to caring for our feet and ankles.

Active individuals are at risk of developing problems with their feet. Dr. Elton says some problems develop over time with increased activity, such as plantar fasciitis, tendon problems or stress fractures. “We see these problems more with repetitive motion activities, such as running and hiking.” Other problems result from trauma, such as Achilles tendon ruptures, ligament tears or ankle fractures. “These injuries are more common with court or field sports like football, tennis and soccer, as well as with snow sports like skiing or snowboarding.”

SHUT TERSTOCK / THINKSTOCK

BY KAREN MASON

Preparing for the day’s activity, be it training, competition or standing all day at work should start with the right equipment — namely your footwear. Dr. Elton recommends making sure your gear fits appropriately. “If those running shoes have too many miles on them, then it’s time for some new ones. If they are right out of the box, they will typically need a ‘break-in’ period.”

Outdoor enthusiasts are often so eager to jump into the new season, that they go straight from skiing to biking without missing a beat. “If it’s the transition between seasons or you’re trying an entirely new activity, your body will need a ‘break-in’ period. Start those new activities slower and easier and build-up gradually to the level you want to get to. We are prone to ‘training errors’ when we jump right into the new sport and don’t allow our feet to get used to the new stresses that activity places on them.” In general, Dr. Elton says transition periods become more important as we age, as our tissues are more prone to reconditioning and degenerative injury.

plantar fasciitis: a new treatment option

ACHILIES TENDINOSIS TINY TEARS

PLANTAR FASCIITIS

Dr. Elton performs a minimally invasive procedure for healing plantar fasciitis.

Patients with plantar fasciitis tend to have symptoms referred to the plantar surface of the foot or the bottom of the heel. The classic symptom of plantar fasciitis is when the first few steps out of bed are painful. The pain can be dull and aching, or excruciating to the point of causing someone to hobble or consider crawling their way to the bathroom. “Symptoms typically ease up after the first few steps, but for someone who stands a lot or does a lot of activity, they can actually get worse. The pain tends to get better with rest.”

Patients who are at risk for plantar fasciitis often have a tight Achilles tendon or spend a lot of time on their feet. They are runners or folks who maybe have gotten a little overweight. The disease typically affects just one side, but it can occur in both feet.

The plantar fascia is a thick band of tissue that attaches to the heel bone, and runs underneath the foot all the way out to the toes. There can be some associated inflammation, but the condition is primarily a degenerative condition of the plantar tissue that results from repetitive stress, injury or aging. Bone spurs often form at the attachment site of the plantar fascia to the heel, but are generally not considered to be the cause of the condition.

treatment options

INFLAMATION OF THE PLANTAR FASCIA

The typical non-surgical treatment for plantar fasciitis is multi-faceted and tailored to the individual patient. The physical exam, patient history and x-rays will determine which regimen will be most effective. Non-surgical treatment may include some or all of the following: stretching and strengthening exercises, physical

therapy, supportive footwear, anti-inflammatories, orthotics, heel cups and a night splint to keep the Achilles tendon and plantar fascia stretched out throughout the night.

Dr. Elton says surgery is rarely needed for treating plantar fasciitis. About 90 percent of people will get better with non-operative options after about 6-10 months of treatment.

“This can be particularly trying for active patients who don’t want to put their activities on hold for such a long time,” Elton says.

Second line treatments for someone who isn’t getting better after trying these initial treatments might be candidates for shock wave therapy or steroid injections. “Like most orthopaedic treatments, there’s not one treatment regimen that works for all people.

We tailor the treatment plan for each patient.”

Like most orthopaedic treatments, there’s not one treatment regimen that works for all people."

But there are those extreme cases where surgery does become necessary. And when that happens, Dr. Elton says there are a couple different surgical options for treating plantar fasciitis.

“The classic approach is to make an incision to expose the plantar fascia and remove the diseased part. At the same time, we are releasing the nerve that’s getting pinched.”

However, there is a new minimally invasive procedure for certain patients. “With the minimally invasive technique, we make a tiny incision just over the heel. An ultrasound device is used during the procedure to identify the exact location of the diseased tissue. Then, we insert a small device that simultaneously breaks-up and removes the diseased tissue. The procedure can be performed in about 15 minutes with local anesthetic.” Patients can walk on the foot immediately and most patients return to full activities within four to six weeks.

Dr. Elton points out that not all patients are candidates for minimally invasive treatment because some will have related nerve irritation, or severe Achilles tightness, that may require a separate procedure to correct.

The most important thing when treating plantar fasciitis is to not give up, says Dr. Elton.

“Be patient, and remember that things will get better.”

Dr. John Paul Elton, Vail-Summit Orthopaedics vsortho.com | (970) 569-3240 | See Medical Directory for locations.

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WELLNESS

Taking Control Controlling your cholesterol can change your life.

BY KIMBERLY NICOLETTI

holesterol is often termed the silent

killer because it doesn’t manifest itself through symptoms, or a person’s physical appearance. A 110-pound, 5-foot-4 woman could have a cholesterol count of 250, while an overweight woman’s cholesterol could fall well within the normal range.

Simply knowing your numbers isn't enough. The American Heart Association and American College of Cardiology have cholesterol guidelines that factor in race, age, gender and more. The equation calculates the risk of heart attack or stroke within the next 10 years.

Knowing your risks could make the difference in how you approach your health and lifestyle.

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what does cholesterol have to do with a heart attack?

Dr. Dennis Lipton, a board-certified internist at Vail Valley Medical Center.

Cholesterol is a waxy substance which originates from two sources: the body’s natural process and foods.

Cholesterol isn’t bad in and of itself. In fact, it’s essential for survival; it is used to make up every cell membrane, in order to protect the inside of the cell.

The liver produces as much cholesterol as the body needs. The problem begins when there's too much cholesterol from a diet high in animal or full-fat dairy products. Cholesterol doesn't dissolve in blood — it builds up.

Diets high in saturated and trans fat also cause the liver to produce more cholesterol than normal.

This extra cholesterol can form plaque in the arteries.

Arteries help supply oxygenated blood from the heart to every part of the body. If the plaque breaks open, causing a clot that blocks the artery, blood can’t reach the heart or brain, resulting in a heart attack or stroke, respectively.

good cholesterol or bad cholesterol?

Total cholesterol count doesn’t tell the entire story of risk, because there are two types of cholesterol: bad (LDL) cholesterol increases the risk of coronary disease because it contributes to plaque, while good cholesterol (HDL) provides a protective effect against coronary disease by removing LDL. Higher HDL levels reduce the risk for heart disease.

“You can think of LDL as toxic waste in your blood vessels, which builds up and causes blockages,” says Dr. Dennis Lipton, an internist at Vail Valley Medical Center.

“The HDL is the garbage collector. It gets rid of the LDL and prevents it from doing damage, helping to keep your vessels clean. For people whose diet is laden with excess fat, cholesterol and sugar, the scale is badly tipped in favor of LDL. The damage goes on virtually unchecked.”

If HDL numbers are high, a total cholesterol count over 200 may not be as significant a warning sign as previously believed. However, if LDL is over 190, “that’s cause for treatment,” says Dr. Jerry Greenberg, a cardiologist at Vail Valley Medical Center, adding that a more ideal LDL level is 130.

According to the American Heart Association, about one-third of adults in the United States have elevated levels of LDL. “People who have a total cholesterol of 150 or below and/or an LDL cholesterol of 70 or below almost never have heart attacks,” Lipton says.

how to lower your risk

“This may sound like a lot, but it is really about the size of one medium to large apple and a handful of baby carrots … the idea is that your stomach will get full of healthy food, and you will eat less unhealthy food, lose weight and become healthier.”

In the process, people’s taste buds, which crave sugar, fat and salt, adjust, Lipton says.

“It can take up to six weeks, or even more, for your taste buds to adjust, then you will start to enjoy the taste of vegetables much more than you even imagined,” he says. “The feeling of deprivation passes, and you will feel better than ever. It’s getting through that six weeks that’s the hard part.”

So how do people do it? Some people radically change their diets, cutting sugar, fats and salts and loading up on whole foods, “even though they might not enjoy it,” Lipton says. “For those who want to take it a little more slowly, I would say to start with making one meal a day a whole-foods, plant-based meal. I recommend eating this meal in a state of true hunger — in other words, make sure you are really hungry, and I can assure you that the food will taste better.”

He also suggests gradually changing diet by alternating days of eating wholefoods, plant-based meals with “eating more normally, and gradually phase in more of the healthy days and meals.”

Lifestyle changes, like increased exercise and nonsmoking, also reduce risk of heart attack and strokes. Smoking can cause tighter, smaller arteries, making it more difficult for blood to flow through; the effect of high blood pressure on arteries is like blowing into a balloon, which will eventually pop because it’s only so elastic.

Consuming simple sugars increases triglycerides, which are a form of fat that store excess sugar.

When the body doesn’t use the energy, or calories, it consumes, it stores it as fat; it’s like overfilling a bucket. Eating less sugar and exercising can help keep triglyceride levels in check, Lipton says.

The best route for prevention includes dietary changes, as well as increasing exercise, reducing stress and treating risk factors like hypertension and diabetes.

However, when risk factors increase, statins are often the way to go. Greenberg says they are “enormously safe,” with the most common side effect being muscle aches.

Seven statin drugs are available to lower the amount of cholesterol circulating in the bloodstream.

Overall, heart disease is the No. 1 killer in the United States, and stroke, the fourth.

So, the question becomes: What are you willing to do to make changes?

While cholesterol may be known as the silent killer, it’s certainly not an uncontrollable killer. Each decision regarding lifestyle and diet either decreases or increases the dangerous effect of excess cholesterol.

The effect of high blood pressure on arteries is like blowing into a balloon, which will eventually pop because it’s only so elastic."

Simple changes in diet can drastically change people’s risk factors for coronary artery disease, partially by reducing cholesterol.

“Physicians like Dr. Dean Ornish proved almost 25 years ago that coronary heart disease can be stopped and even reversed with diet and lifestyle change,” Lipton says. “What is that change? It’s eating more of a wholefoods, plant-based diet — more vegetables, fruits, whole grains and legumes (and) less processed grains, sugar, oils, meat, dairy and eggs. If you go all the way with this, you will see the biggest change. I’ve seen cholesterol levels drop almost 100 points, without medications.”

(And, on the other hand, medication needs, especially for blood pressure or blood sugar, can change drastically when people change their diets, he says, so it’s important to consult a doctor when making major dietary changes.)

People can train their bodies, as well as their minds, to eat better. Sometimes, it’s just a matter of learning to eat to nurture your body, as opposed to filling it up. Lipton suggests eating half a pound of raw vegetables and half a pound raw fruit before dinner, and then gradually increasing it to 1 pound each.

WHEN TO GET SCREENED Men who have a family history of coronary or cardiac disease should be screened beginning at age 25, while women with such genetic predisposition should see their doctors at age 35.

For people at a low risk, men should be screened at 35 and women at age 45.

“Coronary disease starts at an earlier age in men than women by about 10 years,” says Dr. Jerry Greenberg, adding that people at low risk for cardiac disease should continue to get screened every three to five years, while those at high risk should see their doctors more frequently.

Dr. Jerry Greenberg, a cardiologist at Vail Valley Medical Center.

Dr. Dennis Lipton, Internal Medicine | vvmc.com/internalmed (970) 477-3090 | See Medical Directory for locations.

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ealthy and active

as most of us are in the Vail Valley, we rarely worry about the amount of sugar we’re consuming. Chug a Mountain Dew for a little pick-me-up? We figure we’ll burn it off after a few powder turns.

If we’re bonking or feeling exhausted, we often think it’s because we went hard on the mountain. Most of us don’t think it could have something to do with our overall blood sugar, and we certainly don’t consider diabetes, especially if we watch what we eat and exercise regularly.

According to the Centers for Disease Control’s 2014 national diabetes statistics, 9.3 percent of the U.S. population has diabetes — 29.1 million people — more than a quarter of whom are not yet diagnosed.

The thing is, even the thin, active and young can contract type 1 diabetes. If you are someone who regularly experiences a “sugar crash” after the rare splurge of soda or candy, it could be a sign that you’re prediabetic.

“Individuals with an increased risk of developing diabetes are more susceptible to the fall in blood glucose [sugar] after consuming a high glycemic index food,” says endocrinologist Dr. Rebecca Adochio, who recently joined the the Vail Valley Medical

The Sugar Spectrum Local endocrinologist Dr. Rebecca Adochio outlines the best ways to steer clear of high blood sugar.

BY SHAUNA FARNELL

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URT YOG

Endocrinologist Dr. Rebecca Adochio.

BREAD

Center staff. “Our bodies work hard to maintain normal blood glucose levels, but when challenged by a rapid increase in sugar into the blood stream, the result can be an increase in the blood glucose level, particularly in those with prediabetes. Eventually, as the body is able to bring the glucose level down, it can result in a ‘crash,’ causing a drop in energy or even hypoglycemic — low blood glucose — symptoms such as nausea, shakes, confusion and extreme fatigue.”

Sometimes people with diabetes start to lose weight, have regular bouts of fatigue and blurry vision, often feel thirsty and urinate frequently. Many times, however, a person can develop diabetes with no signs or symptoms at all.

“Unfortunately, early development of type 2 diabetes can go unnoticed for many years as our bodies can start to adapt to high glucose levels in the body. This is why diabetes is often referred to as ‘the silent killer,’” Adochio says, adding that if untreated, long-term effects of diabetes include kidney failure, blindness, heart disease and loss of limbs. If diabetes runs in your family, Dr. Adochio recommends regular blood screenings.

the new doc in town Vail’s new endocrinologist completed her fellowship training in endocrinology, diabetes and metabolism at the University of Colorado in Denver and spent the last five years in Oklahoma City serving as a clinical endocrinologist at INTEGRIS Baptist Medical Center. There, the population was far less active than that of Colorado, and she treated many cases of type 2 diabetes, most of which were brought on by obesity. For heavy people, a drastic change in diet and activity isn’t always realistic, but even shedding a few pounds can make a big difference.

“Weight control is essential in preventing type 2 diabetes,” Dr. Adochio says. “Even a 5-pound reduction in someone who is overweight can lead to significant metabolic benefits.”

A healthy diet is also key, but when it comes to sugar, sometimes we eat too much of it without even knowing.

Sugar is hidden in unlikely places, even in foods we think are healthy.

sugar in disguise “Common culprits for hidden or ‘added’ sugars include yogurt, bread, peanut butter, applesauce, marinades, sauces and cereals,” Dr. Adochio says.

While many of these foods are some of the first any nutritionist would recommend for examples of a healthy diet, some are definitely better than others, and it’s good to get into the habit of reading labels, paying particular attention to the amount of sugars in a product. You’ll find the numbers for the same type of food can be drastically different.

“If you are unable to find a product without added sugar there are still other options. For example, yogurt is a staple in our family, but I have to work hard to find a flavored yogurt that has a minimal amount of added sugar. An alternative is to buy plain yogurt and add your own fresh fruit or a small serving of fruit preserves in order to minimize the sugar content,” Dr. Adochio says. “We choose peanut butter that is natural or unsweetened, as well as unsweetened applesauce. Bread is a large source of carbohydrates already, so adding sweetener just increases the sugar load to our body. Buying bread that is high in fiber and protein, while low in added sugar can be a challenge, but there are good products available.”

When it comes to sugar, sometimes we eat too much of it without even knowing. Sugar is hidden in unlikely places, even in foods we think are healthy.”

If you’re a big diet drink fan, thinking that the zero calories and zero sugar in what you’re guzzling are doing you good, think again. Dr. Adochio says there are studies showing that drinking sweet beverages, even those comprised of artificial sweeteners, leads to eating more calories for the next meal. There are few benefits to drinking sweet beverages of any sort — even natural juice. Whole fruits and vegetables are much better choices.

when to see a specialist

It's easy to eat sugar unintentionally, as it's often added to so-called "health foods."

CEREAL

PEA

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E

Unlike type 2 diabetes, which can often be prevented, there are many endocrine-related conditions like type 1 diabetes, and thyroid, adrenal and pituitary gland disorders that can cause fatigue, weight gain, weight loss, depression and a host of other symptoms and serious health conditions.

None of these has anything to do with diet or exercise, and the young, fit and active can fall victim, too.

“Most endocrine disorders can affect all populations regardless of lifestyle,” Adochio says, adding that such disorders can be controlled by medication, but must be carefully assessed, maintained and monitored.

If you've been diagnosed with a hormonal disorder by your primary care doctor, gynecologist or other doctor, you should consider seeing an endocrinologist for a second opinion and/or treatment.

“As a specialist, I think our greatest offering is our time — time to listen to the individual needs of our patients and time to focus on a disease process in order to optimize treatment plans and provide the necessary patient education,” says Adochio.

Dr. Rebecca Adochio, Endocrinology vvmc.com/endo | (970) 477-5160 See Medical Directory for locations.

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WELLNESS

Vitamins — Do You Need Them?

Is nutrition in pill form too good to be true?

r. dennis lipton took

Dr. Dennis Lipton, a board-certified internist at Vail Valley Medical Center.

“This is analogous to a symphony orchestra, with all the instruments playing their part,” says Lipton. “Getting an abnormally high amount of one vitamin or mineral is like having too many trumpets playing too loudly. It throws everything off.”

Individual nutrient supplements adversely affect absorption and function of other nutrients in ways that we don’t fully understand. This can transform a normally benign or helpful substance into an apparent carcinogen, just like what happened in the beta-carotene study.

such as Omeprazole, Nexium and the like. Dr. Lipton is quick to point out that these are special cases.

For the general population, there are simply no documented health benefits of packaged vitamin and mineral supplements. There are, however, documented harms. The best insurance that you are getting enough nutrients to thrive is eating a variety of whole foods like vegetables, fruits, legumes, nuts and seeds every day, preferably with every meal.

when vitamins are good

For a complete breakdown on nutrients, Dr. Lipton recommends referencing a food nutrient scoring system called ANDI. ANDI stands for Aggregate Nutrient Density Index, a scoring system that rates foods on a scale from 1 to 1,000 based on nutrient content. ANDI scores are calculated by evaluating an extensive range of micronutrients, including vitamins, minerals, phytochemicals and antioxidant capacities.

The best supplements are derived from ultra-high-nutrient foods, which Lipton encourages we consume in large amounts through our daily diets.

Vitamins can prove to be an asset to some people. Supplements are beneficial to people who cannot meet their nutrient needs. Patients with malnutrition, cancer, liver or kidney disease, and alcoholics need supplements to maintain good health. Individuals with these health conditions will almost always be under the care of a physician, receiving proper treatment and monitoring.

In other instances, Dr. Lipton may recommend vitamin D to people living in northern latitudes with low sun exposure during winter months. Vitamin B12 may be recommended for people who avoid animal products and those on long-term acid-reduction therapy

what’s best for you?

Dr. Dennis Lipton, Internal Medicine vvmc.com/internalmed | (970) 477-3090 See Medical Directory for locations.

THINKSTOCK

a multi-vitamin most of his life. As a health conscious, longevityminded individual, he wanted to make sure he was getting enough nutrients to fuel his active lifestyle. “It seemed pretty logical,” says Lipton.

His perspective on vitamins changed when he learned of a study about smokers who were given beta-carotene supplements to see if they would reduce incidence of cancer. The idea for this study came from the observation that people who have high carotene levels have lower levels of cancer. The results of the study were shocking. It turns out smokers who took the beta-carotene actually had a higher incidence of cancer and overall death. Follow-up studies have indicated there is continued increased risk.

Dr. Lipton stopped taking his multivitamin but is asked regularly by his patients, should I take vitamin and mineral supplements?

His answer: “Our bodies are made to absorb nutrients in their natural state, from food, in just the right proportions and quantities.” For example, carrots contain not only beta-carotene, but also alpha, gamma, delta, zeta, etc., carotene, as well as a huge array of other phytonutrients like lycopene, lutein, polyacetylenes, terpenes, and polyphenols, just to name a few. These nutrients in food are meant to be consumed and absorbed together in a harmonious manner, controlled by your digestive system.

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Big city surgeons Make sure your heart can who call Vail home. keep up with your passions.

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 detection and prevention: colonoscopy and endoscopy 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

JAMES DOWNEY

RN, MSN, CWON

REGINALD J. FRANCIOSE

MD, FACS

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JOHN SCHULTZ

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VA I L & E DWA R D S

BEHIND THE SCENES

INSIDER Julia Kozusko, LPC, a local parent coach and counselor.

he vail area provides

The Freedom to Play Unstructured play can be integral in the development of creativity and self-confidence.

BY TRACI J. MACNAMARA

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plenty of prime playground space for kids and adults, alike. With a mountain environment that offers year-round opportunities for outdoor sports and a rich, creative culture that allows children the chance to take art classes, music lessons, and more, it’s not difficult to fill their schedules with nonstop activity. But chances are that if you’re feeling the pressure of being busy, your kids are feeling it, too.

There’s no disputing the fact that children need playtime, and lots of it. Play helps kids develop essential physical, cognitive, emotional and social skills, but there’s an important difference between structured and unstructured play. And what kids need more than a slew of scheduled activities is the freedom to play in an unbounded, unstructured way.

“Free play lets children learn through all of their senses, and it’s what allows them to develop their creativity and confidence,” says Julia Kozusko, LPC, a local parent coach and counselor.

“More and more, our society wants to shape children who are globally competitive, but unstructured play is an essential building block that can prepare them for bigger tasks in the future,” she says. Kozusko’s company

...And then the space monkey said, "I am seeking the galactic banana."

is Elevated Parenting, and she also facilitates the Incredible Years parenting program with the local non-profit Early Childhood Partners, where more than 300 parents have attended classes over the past nine years.

Unstructured play, often called free play or child-led play, requires unscheduled blocks of time during which children are free to explore their interests or pursue activities that involve imaginative and creative effort.

Yes, both free playtime and structured playtime involve the key element of play, but structured play is often bounded by adult rules, schedules, and goals. In sports practices, for example, where rules provide the boundaries for play and where a competitive drive factors into the outcome, children often do not have as much freedom to explore their interests as they do in an unstructured setting. Likewise, classes or lessons — no matter how well-intentioned — still often follow an ordered framework instead of giving children’s imaginations free rein.

Providing the space for children to free play can free parents up, too. Unstructured play doesn’t need to involve driving to multiple locations, and it doesn’t have to cost anything. Finally, even though the developmental benefits of unstructured play are immense, it’s also important to remember why we play in the first place. As Kozusko says, “The real power in play is that it’s fun.”

A FEW TIPS FOR FREE PLAY IF YOU’RE REALIZING that your children have lots of opportunities for structured activity but little time left for unstructured play, then consider freeing up some of that scheduled time: Let children choose from among open-ended toys that will challenge their creativity. Examples include Legos, blocks, art supplies, dolls, and other toys that spark imagination.

Rotate open-ended toys so that children are excited by ones they haven’t played with in a while.

Give kids time to play with their neighbors. Neighbors are not chosen friends, and they usually vary in age. Allowing your children time to navigate those relationships with kids they'll know for years, and providing them the freedom to ride bikes, sidewalk chalk and brew potions with neighbors is invaluable!

When children are playing together, monitor their social interactions and step in only as needed. Unstructured play encourages children to negotiate social issues such as sharing, and descriptive commenting can help reinforce behavior. Example: “I see that you’re sharing,” or “I noticed that your friend got sad when you took away his toy.”

Be a willing audience for children who are playing creatively; engage in make-believe or role-playing activities.

Keep technology use to a minimum.

Computer games are more passive and less social than unstructured playtime with other children.

Arrange play dates with other children outdoors or in a neutral location. Fresh air and physical activity are great, and children can play without having any arguments over sharing personal toys.

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INSIDER

When Minutes Matter Cardiac patients reflect on critical moments that saved their lives.

ast year, Wally Posner held his

20-year-old daughter, Danielle, as she died in his arms during a snowboarding lesson at Beaver Creek.

Fortunately, Ski Patrol recognized a fairly rare scenario: a 20-year-old going into cardiac arrest, and they revived her through CPR and defibrillation. Just before the incident, Danielle had seemed perfectly healthy, as the Illinois family enjoyed their ski vacation.

More often, older people, like Dave Bentley, experience cardiac emergencies. Bentley felt pain in

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by SHAUNA FARNELL contributions by KIMBERLY NICOLETTI

his chest three years ago, at the end of an energetic ski day. At first, the 65-year-old Cordillera resident attributed the pain to something he had eaten during lunch.

“It was a ski-with-the-guys day — strong, all-out.

We had a late lunch and were halfway down Bear Tree when all of a sudden I started to get a sharp, pressing pain high in my chest,” Bentley recalls.

“There was no throbbing, no tingling of the arm. I thought it was some sort of really bad indigestion.”

By the time Bentley reached the bottom of the mountain, his pain was so intense it was making

Led by interventional cardiology experts, Dr. Jerry Greenberg and Dr. Nelson Prager, Vail Valley Medical Center's new Cardiac Cath & EP Lab provides life-saving intervention.

him sweat. His ski buddy recognized Bentley’s symptoms as a possible heart attack.

In both Posner’s and Bentley’s life-threatening emergencies, they were airlifted to Denver, where cardiologist Dr. Jerry Greenberg awaited.

“Dr. Greenberg was out to meet the helicopter and got me connected to the gurney. He literally jogged into the Cath Lab to get me going. It was that critical,” Bentley says.

Bentley was undergoing a type of heart artery blockage ominously dubbed by medical experts as “The Widow Maker.” Access to a Cardiac Wally Posner with his Catheterization and Electrophysiology Lab daughter, Danielle, (Cath & EP Lab) was critical, and Dr. Greenberg’s whose life was saved by expertise and quick response were life-saving. He a Cath & EP Lab similar inserted a stent to unblock the artery, and Bentley to Vail's new lab. was able to walk away.

But, had circumstances been different — had Bentley been higher on the mountain, had the weather caused a delayed helicopter flight, had his friend not recognized the symptoms — Bentley’s story could have turned out differently. And had Ski Patrol not recognized Danielle’s symptoms, intervened to revive her, and help transport her to Denver, she wouldn’t be spending a semester abroad this year.

That's why Vail's new, state-of-the-art Cath & EP Lab, which opened in February 2015, is critical to saving lives. Vail Valley Medical Center has also brought Dr. Jerry 30 min Greenberg up to Vail full-time, as well Time from as his long-time colleague, Dr. Nelson Primary Cardiac 1 hr Prager, to lead the hospital's CardiolIncident (PCI) ogy Institute and Cath & EP Lab. Dr. 1.5 hr Greenberg specializes in interventional cardiology, and Dr. Prager's specialty areas include electrophys22.5% iology, heart rhythm disturbances, and coronary artery disease.

Wally Posner, Danielle’s father, can’t shake the memory of that December day when his daughter ended up with a rupture in her left artery, due to a rare condition called 15% Spontaneous Coronary Artery Dissection. He faced eight hours of confusion and 1-Year Mortality (%) fear on the way to Denver, traveling in strong winds from Vail by ambulance and then from Idaho Springs by car after Danielle was flown off by helicopter.

Every 30 minutes “If the lab here was in operation at that time, she from PCI without would have gone directly to VVMC for immediate treatment increases diagnosis and treatment rather than being helicopthe risk of mortality tered to Denver,” Dr. Greenberg says. “It’s definitely within the next stressful to watch your daughter being loaded into year by 7.5%. a helicopter and whisked away.”

Although it would have spared Wally Posner hours of anguish to have the Vail Cath & EP Lab in operation when his daughter went into cardiac arrest, he is thrilled that other lives will be saved as a result of the lab.

“The difference of having a facility that could have helped my daughter right in Vail would have been night and day,” Posner says. “What took eight hours would have been cut into two or three hours.

Minimizing that five hours of all the questions — the why, what, how — would have been cut.

Local Dave Bentley What they’re doing with the Cath & EP Lab is survived a blocked artery, thanks to cardiac fantastic … if the lab stops one person or family

PRECIOUS TIME

catheterization.

It’s definitely stressful to watch your daughter being loaded into a helicopter and whisked away.” from experiencing the worry and agony that we experienced, it’s great.”

Heart attacks on the mountain are not uncommon, and in winter, weather conditions have presented major obstacles in travel.

Not every victim’s experience has ended as happily as Bentley and Posner’s, which is why VVMC decided to open its Cath & EP Lab and bring Denver experts to the mountains.

"We are pleased to offer our community and visitors the life-saving technology of a Cath Lab, as well as the expert team of our Cardiology Institute,” explains VVMC 7.5% President and CEO Doris Kirchner.

“Especially as Vail’s aging population requires greater healthcare support and expanded services, the hospital is responding to accommodate this need."

Vail’s new Cath & EP Lab provides immediate treatment for patients having heart attacks and other emergencies.

With the two full-time cardiologists, patients can stay in Vail for everything from pacemaker implants to angiograms, angioplasty, catheter ablation and stents. The Cath & EP Lab will continue to expand in order to be staffed 24-7, but until then, some procedures will still need to performed in Denver, such as cardiovascular surgery.

“When (most) folks come into Vail Valley Medical Center for treatment, they’re going to be cared for right here,” Dr. Greenberg says. “It’s not an automatic trip to Denver.”

Ultimately, this will lead to more happy endings to life-threatening incidents.

“I think I had about a three-hour survival window,” Bentley says. “Transit time to Denver is, in the best of circumstances, about an hour. Having a Cath & EP Lab in town would have greatly expanded my window of opportunity. Bringing this technology to Vail is an enormous life-saver."

Dr. Jerry Greenberg & Dr. Nelson Prager, Cardiology Institute | vvmc.com/cardiology | (970) 476-1110 See Medical Directory for locations.

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INSIDER

THE STEADMAN CLINIC AND STEADMAN PHILIPPON RESEARCH INSTITUTE:

Joint Preservation, Not Joint Replacement A different kind of orthopaedic care is open to the world, close to home for Vail Valley residents.

BY JIM BROWN

having knee replacement surgery at a rate of more than 600,000 a year and hip replacement surgery 120,000 times annually. Both numbers are increasing, even though an August 2014 study in Arthritis & Rheumatology found that up to 30 percent of joint replacement surgery is inappropriate.

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An innovator and mentor in the field of sports medicine, Dr. Richard Steadman created the microfracture procedure to treat knees; it has since been adapted to treat other joints, including the shoulder, hip and ankle.

THINKSTOCK

he numbers are staggering. Americans are

a different approach At The Steadman Clinic and Steadman Philippon Research Institute (SPRI), you don’t hear much about joint replacement. What you do hear, see, and read about is an emphasis on joint preservation.

It is a patient-first, outcomes-driven direction that sets both The Clinic and SPRI apart from others. The doctors and scientists there have more than 25 years of evidence to support their efforts to save joints and allow patients to return to their active lives.

“Dr. Steadman’s goal was to build a database of all the patient-derived outcomes — how the patients felt — along with all the surgical information,” says Karen Briggs, M.B.A., M.P.H., director of SPRI’s Center for Outcomes-Based Orthopaedic Research. “Twenty-five years later, it has allowed us to determine how patients fare based on their opinion and the physician’s opinion.

We publish those outcomes and share that knowledge with the world.”

Briggs adds, “Our advantage is SPRI’s compilation of data and how it is used to advance outcomes-based orthopaedic practice.”

delaying replacement In 2013, Dr. Steadman and his colleagues completed a long-term study showing that many patients were able to delay total knee replacement for up to 10 years, rather than rushing into replacement surgery. For this study, Dr. Steadman was given the Richard O’Connor Research Award by the Arthroscopy Association of North America.

WORKING TO PRESERVE JOINTS MEET SOME OF THE MOST EXPERIENCED PHYSICIANS

in the field of orthopaedics and sports medicine. They're on the cutting edge of joint preservation techniques.

Dr. Steadman // Paving the Way

Dr. Richard Steadman’s landmark validation of the microfracture procedure gave a tremendous impetus to the science of joint preservation. Now, microfracture is often a standard treatment, and the procedure is not limited to knees. National Football League Hall of Famer Bruce Smith is very specific about what joint preservation did for him: “It added at least five years to my career.” Dr. Steadman’s work also paved the way for a flood of successful joint preservation studies by the doctors at the Clinic and the researchers at SPRI. Dr. Philippon // Developing Hip Preservation Techniques

Dr. Marc Philippon, managing partner of The Steadman Clinic and co-chairman of SPRI, uses a joint-preserving arthroscopic technique he developed to cure a painful condition in the hip that was once extremely difficult to repair. One of Dr. Philippon’s patients, Dr. Dawn Ommen, is now a physician herself. “Dr. Philippon performed surgery on both of my hips, including one reconstructive procedure that was the world’s first. Since then, I’ve been able to return to a high level of participation as a triathlete, snow skier, water skier and weight lifter.”

Dr. Millett // Pioneering Shoulder Procedures

Dr. Steadman’s goal was to build a database of all the patient-derived outcomes — how the patients felt — along with all the surgical information.”

The Steadman Clinic’s shoulder specialist, Dr. Peter Millett, was the pioneer of a joint preservation technique called Comprehensive Arthroscopic Management (CAM). The procedure treats osteoarthritis of the shoulder and offers a combination of surgical procedures aimed at addressing all of the major causes of pain in the shoulder region.

Dr. Hackett // Expanding Joint Preservation Frontiers

Dr. Tom Hackett, an elbow, shoulder and knee specialist at the Clinic, says one of his goals as a surgeon is to expand the frontiers of joint preservation. “Our joint preservation techniques don’t work for everybody, but for many, you can buy them several years — sometimes even more — before they have to look at joint replacement.”

Dr. LaPrade // Improving Knee Injury Outcomes

local access, national and international impact Whether you are a patient who lives in the Vail Valley, a visitor from a different part of the U.S., or a guest from another country, you become involved with something bigger and more meaningful than a routine visit to the doctor.

You are part of an initiative that is leading the medical community looking at ways to preserve joints. Your feedback will have an impact on the health of others with similar orthopaedic conditions.

Robert LaPrade, M.D., Ph.D., received the 2013 Orthopaedic Research and Education Foundation (OREF) Clinical Research Award, which is recognized as the equivalent of the “Orthopaedic Nobel Prize.” His study found multiple ways to improve treatment outcomes following injuries to the backside-andaway corner of the knee joint. These types of injuries are usually considered complex and can be devastating for exercise enthusiasts and athletes.

Dr. Clanton // Advancing Ankle Research

Dr. Thomas Clanton and his colleagues recently completed a series of studies on ankle sprains and instability, looking at normal ligaments and their strength and stiffness compared to various methods of repair, reconstruction and reinforcement.

The Steadman Clinic | thesteadmanclinic.com (970) 476-1100 | See Medical Directory for locations.

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INSIDER

you are what you eat — but don’t stress “Your diet in pregnancy can affect your child’s health later in life,” says Dr. Janet Engle, MD FAAP, a pediatrician at Colorado Mountain Medical.

“Eliminating sugar and processed foods and eating nourishing, whole foods can affect your pregnancy and your child’s future health.”

And yet it’s unrealistic to think you will be able to curb your cravings. Don’t beat yourself up. Indulge occasionally, and keep the stress to a minimum.

it’s not you, it’s me

What They Never Told You First lesson of parenthood: expect the unexpected.

BY KATIE COAKLEY // CONTRIBUTIONS BY KIMBERLY NICOLETTI

A common, but often not discussed, issue is postpartum depression and “baby blues.” With changes in hormones, sleep deprivation, a lack of mutual communication skills (other than wailing) and the constant attention babies demand, it’s no wonder you feel bad. So don’t fret if you feel like the bond between you and your newborn doesn’t meet Hollywood’s happy standards.

“I think people should know that it’s okay to not be absolutely head over heels in love with your baby in the first few weeks,” says Dr. Engle.

“It’s okay to need a break, it’s okay to take a break. It’s okay to be a bit sad that your whole life has changed.”

Fighting the feelings usually makes them worse; admitting and

f movies, commercials and well-meaning relatives are

to be believed, pregnancy, birth and raising a child goes like this: get pregnant (enjoy the glow with a tiny bit of swelling), give birth (enjoy the glow after a few minutes of pushing), raise the child (lose the glow and some sleep, but the little angel is totally worth it). ¶ But the truth is: There are cravings, there is chapping, and there are tears (not just the baby’s!), weird and disgusting phenomena and fears. There’s no way to know everything before — or during — parenthood, but there are hints you can pick up along the way.

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Dr. Janet Engle, MD FAAP, is a pediatrician at Colorado Mountain Medical.

working through them helps. If this is a struggle of yours, be sure to speak to your OB/GYN or even your child’s pediatrician about it. In some cases, there may be a physiological reason beyond the sheer exhaustion that is the root of the problem.

is this normal?

There are a million things that can happen to you and your kids, some that you will never have heard of until you’re pacing in the middle of the night, searching the parenting books for some idea of what to do.

Are your ears popping constantly during pregnancy? It might happen while you’re talking, inhaling or yawning, and it might be throwing off your equilibrium and making you dizzy. Don’t worry — it’s a common symptom due to fluid retention during pregnancy. It’ll return to normal after baby’s born.

“They” might have never told you, but expect that first diaper to be a doozy! The black, tar-like sludge is called meconium and should pass within the first few days of baby’s life.

If "all babies are beautiful," then why does yours have zits? It’s quite normal for babies, up to 2 months old, to break out in a pimply facial rash. Don’t reach for the Clearasil — just gently clean your baby’s face, and it will naturally clear up as the maternal hormones circulating in baby’s body clear out. Hairy baby?

Some are born with a fine, downy hair all over their bodies called lanugo. You might wonder if your little one is part animal — but it goes away. Babies can also be born with an excess of fluid, which can collect in their faces and genitals, causing swelling. They’ll excrete the extra fluid during the first few days after birth, and sometimes lose as much as 10 percent of their birth weight.

Jimmy’s a biter? Johnny’s banging his head? Both are quite common, especially in boys. Frustration, anger and fear are sometimes harder to communicate than a good chomp in someone’s arm or a bonk of the head that gets a good, strong reaction out of mom. As language skills develop, so do coping skills and you can expect to see this behavior subside.

You knew your daughter would hit puberty, but you didn’t expect “the change” at age 8. Everyone matures at different rates, and some of her classmates might not hit puberty until they’re 13. Nothing will totally prepare parents for the tremendous changes young adolescents experi-

ence during puberty. Talking about it with your child, your spouse and possibly a counselor will help make the many transitions smoother.

You love your tween son, but suddenly, he stinks. And it’s not just him; it’s everything he comes into contact with — his room, his socks, your car! It’s not his fault; as puberty kicks in, sweat glands become more active. The sweat itself isn’t what smells. Instead, odor is caused by bacteria that lives on the skin and in clothing and feeds on the sweat in those spots that produce it the most — armpits, groin area and feet.

Help him (and yourself) by offering up regular showers, clean clothes, dry shoes, some deodorant or antiperspirants and fresh air.

WHEN TO WORRY LOTS OF EVERYDAY OCCURRENCES or ailments can trip the “worry wire.”

Parents may fear their instinct to take children to the pediatrician will be questioned or the cost of care may not be worth it if nothing turns up, but it’s usually wise to trust your gut.

Fever is a common concern among parents, and in infants under 4 months, anything above 100.4 degrees is cause to visit your pediatrician or the Emergency Department (ED). In school-aged children, however, a fever should not worry parents unless it is extremely high (104 F or higher) or persistent. Fevers are often a sign of the body fighting infection.

back to reality Who told you parenting would be easy? It’s not. So forgive yourself. Be the best parent you can be. Celebrate your victories — big and small.

And take care of yourself. Parents constantly put themselves last: Go without sleep, make sacrifices, do whatever it takes. But if you never put yourself first, you will burn out.

Every parent needs a time out, says Dr. Engle. It’s actually more effective than giving your kids a time out.

Sometimes you need to walk away, take a breather, even take a vacation.

And don’t underestimate your mate’s need for the same. Whether it’s a date night for the two of you, cutting corners and serving a frozen meal for dinner or sending your spouse off for an evening of fun sans children — taking a little time off doesn’t make you selfish or unworthy. It makes you normal.

It's easy for parents to put themselves aside and only focus on their children, pampering them with the best of everything. Though the motivation is selfless, the cycle of self denial can be exhausting.

Remember, you're part of the family, too. Sometimes just talking through the challenges and oddities of parenting can do a world of good.

Rashes can be alarming, but may not require medical attention. If the rash is red, turns white to the touch and turns red again, it’s typically a virus or allergic reaction at play. Benadryl treats allergic reactions quickly and effectively. Small red or purple, non-blanching dots, however, can be a sign of something more serious like meningitis or sepsis and should be seen by a doctor.

"My tummy hurts" is a common complaint among little ones. Worry when excessive vomiting and/or diarrhea lead to dehydration that causes the child to cease urinating. He/she may need IV fluids or a prescription medication to stop the vomiting or diarrhea.

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INSIDER

Physical therapist, Brittney Huntimer.

Help for Chronic Pain Howard Head therapists focus on mental and physical re-programming to bring chronic pain patients back to their active lives.

BY KIMBERLY NICOLETTI // CONTRIBUTIONS BY SHAUNA FARNELL

which perpetuates pain. Pain then leads to doctor visits, and often, a measure of fear, which sends people into a fight-or-flight stress response.

“Those suffering from pain are in a constant mode of fight response,” says Howard Head Sports Medicine physical therapist, Brittney Huntimer, who has a doctorate in PT. “The brain doesn’t know the difference between a tense and relaxed muscle. (Through intervention), they learn to feel the difference, and eventually they can actually physically relax their muscles.”

hronic pain hurts, not

just physically, but also emotionally. But there is hope. Customized, specific interventions, as well as overall lifestyle approaches, can make an enormous difference in the quality of life of people with pain.

Since chronic pain affects various aspects of a person’s life — physical, mental, emotional and social — therapists at Howard Head Sports Medicine 26

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aim to reprogram both the physical and mental realms, which, in turn, affect the emotional and social.

chronic pain as fight-or-flight A variety of causes can contribute to chronic pain, including old injuries, habitual patterns and even emotional trauma. But it tends to involve a shift in muscle groups and brain response,

Howard Head therapists individualize every treatment based on a patient’s needs, so there’s no one magic bullet. However, one of the main things therapists teach involves specific skills to manage pain.

Huntimer recently completed a fellowship in chronic pain management, and she explains how, with chronic pain, the input and output system of the pain response in the brain gets mixed up and generates a pain signal

THINKSTOCK

interventions

when there shouldn’t be one. The goal: to help the brain “reorganize that information so more appropriate signals can be output from tissues to the brain,” she says.

Retraining may include joint mobilization, which, studies have shown, interrupts the pain pattern and helps the brain stop producing pain signals when it’s not necessary.

Huntimer illustrates how the brain goes into a fight-or-flight response after an injury through a scenario about stepping on a nail in the backyard: Let’s say the incident sends a man to the emergency room, he receives a tetanus shot, and his foot hurts for days. The pain centers of the brain decide that event was harmful. So, the next time he steps on a harmless pebble in the yard, the brain recalls the more serious injury with the nail, and “old information rushes into the brain (causing) anxiety, stress, huge pain and (a perception of) danger,” she says. “(But) if you look down and see it’s a pebble, the brain reorganizes the information and says, ‘I’m OK.’” Huntimer teaches patients how to calm the fight-or-flight stress response with cognitive and behavioral interventions.

Another technique therapists may use is neuromuscular education, which retrains the brain to reconnect with specific muscle control. Many patients with lower back pain, for instance, adopt habitual positions or movements, which contribute to their pain. It’s not their fault: “The brain has shut down the use of the stability muscles, and it goes to the stress muscles,” she says, explaining that rather than employing deep abdominal and gluteal muscles, the brain substitutes other muscle groups, which weren’t intended to carry the load, so they become overworked and cause pain.

Placing dry needles into muscular trigger points can also help relax muscles and interrupt the pain signal.

But, as Huntimer points out, a technique like dry needling “isn’t going to be enough.” Patients must learn how they can actively reduce pain through changes in perception and lifestyle.

“We’re trying to teach the person to abolish pain themselves versus relying on us,” she says.

for them. They think they never have a way out, that they may never be normal.” But most of the time, that’s simply not the case.

“There’s great hope in pain management, but it’s the perspective (shift),” she says. “When people have so much constant pain, they stop moving and doing anything. When they do any kind of exercise, it’s a shock to the body, so they think they’re feeling all of this pain,” she says. “So we start with exercises that are not fearful, exercises they enjoy doing, breaking it down in a way that’s not threatening. We work toward small goals.”

Oftentimes, people have lived with pain for so long, it becomes a part of their identity. Sometimes, there isn’t even physical evidence of any injury or debilitation; the longer pain persists, the better the brain gets at producing pain signals — out of habit — even

Dry needling helps relax the muscles and interrupt the pain signal of the brains.

The longer somebody has been in pain, the more the body becomes adept at generating pain signals when there is no actual tissue damage."

though the pain-producing stimulus may no longer exist, she says.

“The longer somebody has been in pain, the more the body becomes adept at generating pain signals when there is no actual tissue damage,” Huntimer explains.

As a result, much of the therapists’ work involves stress management, because, like so many other diseases, stress directly impacts chronic pain.

“When you get stressed out, you tense up more, which contributes to setting off pain signals in the brain,” she says.

The application of cognitive behavioral therapy, which helps people recognize negative thought patterns and provides a method of intervention, gradually becomes one life-long approach.

Though this may sound difficult, it’s like anything else: It becomes a way of life. Huntimer says sometimes it’s as easy as taking five minutes a day to turn off all electronics and focus on breathing exercises or progressive muscle relaxation, in which a person tenses a muscle and relaxes it, to relearn how to relax muscle groups.

The key involves interrupting pain signals so the brain can reorganize its information and stop sending the body into a fight-or-flight response. Through strategic, progressive interventions and education, therapists work with patients to better manage their pain, and allow them to return to the activities they love.

Brittney Huntimer, Howard Head Sports Medicine | howardhead.com (970) 476-1225 | See Medical Directory for locations.

THINKSTOCK

cognitive retraining The first step in fighting chronic pain involves understanding the input/output process of pain, exemplified by the nail injury.

“There is a lot of fear and anxiety associated with the pain,” she says. “In some cases (patients) have been told they have a bulging disc or a degenerative spine. It becomes a life sentence 2 O 15

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INSIDER

Charlie Crevling, Vail Valley Medical Center’s senior vice president of finance and chief financial officer; Peggy Carey, vice president of Shaw Regional Cancer Center; Alexander Urquhart, MD; Patricia Hardenbergh, MD; Michael Glode, MD; and Mark Kochevar, MBA, associate director for administration and finance at CU Cancer Center.

Rural Cancer Center, Big City Specialists Shaw Regional Cancer Center partners with University of Colorado Cancer Center to offer the best in cancer care.

or nearly 10 years,

Shaw Regional Cancer Center has partnered with physicians and staff at the University of Colorado Cancer Center to enhance access to big city specialists and make clinical trials available to patients in the high country.

It’s rare to find highly trained cancer specialists, advanced technology and comprehensive treatment plans in a rural setting like Vail, but Shaw Regional Cancer Center boasts all of the above in the peaceful, healing setting of the Rocky Mountains. And, with access to specialty physicians and clinical trials through the partnership with CU Cancer Center, Shaw patients are getting high-quality care that’s close to home.

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Clinical trials are studies that allow patients access to new, more effective methods of treating cancer with chemotherapy, biotherapy or radiation. Many treatments used today are the result of past clinical trials. CU Cancer Center is the only comprehensive cancer center designated by the National Cancer Institute in the Rocky Mountain region, and as a result of the partnership, there are currently about 10 trials available at Shaw.

“While having a cancer center with Shaw’s capabilities in a rural, mountain setting like Vail is unique and a great benefit to our community and region, we don’t have the capability to offer clinical trials on our own,” explains Doris Kirchner, president and CEO of Vail Valley Medical Center, of which Shaw is an outpatient department.

“That’s why this relationship with CU is so remarkable. Our medical staff learns new ways to improve health and cancer treatment, and our patients are ensured to receive optimal care.”

In addition to clinical trials, Shaw physicians — and, in turn, their patients — benefit from weekly multidisciplinary video tumor boards to discuss interesting and unusual cases.

This allows the high country physicians to virtually connect with other rural cancer care teams and specialists from CU. The goal of the tumor boards is to enhance collaboration and education.

“One of the goals of CU Cancer Center is to bring the latest in cancer care and clinical trials to people in remote areas of Colorado,” says Dan Theodorescu, MD, PhD, the director of the CU Cancer Center. “We need hospital partners like Shaw across the state to make this happen. Without their help, we would not be able to share our expertise on this scale.”

The cancer care teams visit one another on an ongoing basis to strengthen communication, relationships and collaboration. While Shaw’s specialists have trained at some of the most respected medical and cancer treatment centers in the country, including Duke, Johns Hopkins University, Brown University, UCLA and the Dana-Farber Cancer Institute, the partnership has proven valuable.

Michael Glode, MD is the associate director of community engagement for CU Cancer Center and a medical oncology specialist for prostate and genitourinary (GU) cancers at Shaw Regional Cancer Center. “Through our interactions with the colleagues at our affiliate sites,” he explains, “we not only gain knowledge of the challenges and research opportunities we all face, in many cases we also have discovered new ways to approach education and research.”

With the combined expertise of Shaw’s nearly 30 cancer specialists and the support of the CU Cancer Center team, those who love the mountains are staying here for treatment, and through clinical trials, could even set new standards for big city cancer centers.

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

|

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

VAIL INSTITUTE FOR AESTHETIC & RECONSTRUCTIVE SURGERY

CELEBRATING

50 YEARS 1965

1985

Dr. Tom Steinberg becomes Vail’s first full-time doctor, and brings his own exam tables, a microscope and some other lab equipment with him for his new job.

1965 1962

Vail’s founders contract a doctor for the winter months to tend to skiers in what is now the kitchen of the Red Lion restaurant.

19 6 0

1980

VVMC's Golden Anniversary

1980 1972

Nineteen beds are added to the clinic with five full-time physicians, including Dr. Jack Eck.

From one seasonal doctor to a staff of hundreds, VVMC has grown with the community.

1967

The Vail Clinic opens on West Meadow Drive.

1980 30

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1965 Dr. Steinberg's medical bag he toted for treating patients outside the clinic.

1965

1986 1980

2001

Shaw Regional Cancer Center opens in Edwards.

1980 Dr. Jerry Dooher was Vail's first radiologist.

1982

With 204 born, it’s a baby boom!

2020

1970

1980

Vail's clinic is named Vail Valley Medical Center, and 350 surgical operations are performed with 25 full-time physicians on staff.

2002

1970 1985

The Women & Children's Center doubles in size and scope and offers a Level II Nursery. The Ambulatory Surgery Center opens.

1987 GERALD FORD

2014

VVMC begins a Master Facility Plan to build Vail’s hospital of the future.

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families THE COGSWELL FAMILY

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vail

50 YEARS

The Valley’s natural beauty, sense of community and quality healthcare keep multiple generations rooted in Vail.

BY EMILY TAMBERINO PHOTOS BY PRESTON UTLEY

he Vail Valley has an inimitable pull for so many people. Many are drawn to the wild beauty, the never-ending backyard of National Forest terrain and a sense of adventure. But amenities such as outstanding medical care and small-town community values are just as important. For these multi-generational families, there’s no place in the world they’d rather live.

THE HANLON FAMILY

THE BROWN FAMILY

the cogswells What brought John and Patti Cogswell to Vail in 1976 are the same things that have kept them here since — skiing, fishing, hunting and a simple and pure love of the mountains. “Nobody in the world has the quality of life we do,” explains John.

In their early days in the Valley, the Cogswells didn’t have their parents or relatives nearby. Patti describes, “Our friends were our family, and our doctors were our friends and our family.

Everyone took care of each other.”

Once they had their children, Parke and Slade, the Cogswells made quite a few trips to the hospital over the years. Whether it was a broken collarbone, a car accident or stitches, Slade recalls, “You’d walk in and there would be Dr. Bevan, Dr. Petrie, someone you knew, and they’d say, ‘Cogswell’s here again!

He’s all right, he can walk it off. He’s a hockey player!’”

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Slade describes the hospital as warm, welcoming and homey.

He calls his doctors mentors and heroes. His wife, Christina, who the family affectionately refers to as an “import,” has embraced Vail and the intimacy of a small town where you carry your doctor’s cell phone number.

The Cogswells — including the youngest generation, Nash — are guided by a holistic approach to health and wellness. John and Slade ski about 50 days/year, and Nash, who is only 2 ½ years old, already has two ski seasons under his belt. Slade will often call the Cogswell Gallery or Squash Blossom, both family-owned businesses in Vail Village, looking for 34

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his mom only to find out she’s on the hill taking some turns.

Slade says, “I love how in this Valley, you hang your skis up and pull out your bike, get the boat out and go fishing, grab a friend and go hiking. You don’t have to try to be active.”

Slade traveled all over the world and worked in many different places before returning to Vail and starting his family here. Patti explains, “Your children leave, which is really healthy, and you can hardly get an email or phone call from them.

Then, come to find out, they live two miles away from you!”

The Cogswells’ favorite family days include a great meal and some type of outdoor activity — skiing, snow-

shoeing, hiking. Patti says, “It’s very rewarding to realize that we all love the same things. There’s nowhere we’d rather be.”

the hanlons When Bill and Sally Hanlon recall their early days in Vail, they remember a “spirit of enthusiasm.”

Bill explains, “Everybody was a believer. You could see the mountain, and if you skied it, you knew something big was going to happen.

Everyone from the beginning realized we had the finest ski mountain in the world.”

The Hanlons skied every day. At night, they ran the New Gnu. Originally planned to be a supper club,

THE COGSWELL FAMILY PAGE 32, FROM LEFT:

Christina, Slade, Nash, Patrice (Patti) and John Cogswell.

THE HANLON FAMILY PAGE 33, TOP ROW, FROM LEFT: Meg

and Richard Brown, Wendi and Joe Hanlon; BOTTOM ROW: Sally Hanlon, Will and Coco Hanlon, Julie Brown and Bill Hanlon.

it became a standing-room-only, raucous, rock ‘n roll night club.

In 1968, Bill remembers many of the local women becoming pregnant. The women would go see Dr. Steinberg, and he would hand them a piece of paper with confirmation of the pregnancy, as well as a list of doctors in Glenwood Springs or Denver — Steinberg was clear that the small clinic in Vail was not equipped to handle deliveries!

Meg and Joe Hanlon were born in Denver, but grew up 200 yards from Bridge Street in Vail Village. The Hanlons’ friends couldn’t understand then why they chose to live “so far away.”

Bill recalls the hospital starting out in a very small building and

growing as demands increased. He explains, “As we needed things, people got involved in benefits to raise money, and the hospital was usually the recipient. There was a nucleus of people who knew how to get things done and didn’t ask for credits.”

Sally and Bill were two such people — they helped start the Vail Valley Medical Center Family Dinner Dance in 1985. Today, the Dinner Dance is the hospital’s biggest fundraiser and still the only black-tie event in the Valley for all ages and generations.

The Hanlons believe that healthy living is defined by their ability to enjoy their environment. Bill rides his bike every day. They have skiers who range in age from 3 to 79.

Meg says, “We’re lucky the community has been able to build a hospital that’s larger and more complex than the demographics suggest, and we don’t always realize what a benefit that is.”

Bill adds that the caliber of the hospital makes it possible to attract leaders in the medical field — that and the fact that, as he puts it, “There’s no place better than Vail, CO.”

the browns In 1963, when Vi and Byron Brown moved from Denver to Vail with their two sons, Mike and Todd, and a daughter, Cindy, on the way, the town was comprised of one dirt (usually snow-covered) road. Byron had told 2 O 15

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50 YEARS

Vi, “There are 52 weekends in the year, and we’re spending 54 in the mountains. Why not move up?” Vi agreed.

“We always dreamt about the Wild West, and this was our chance to go experience it,” says Vi. They spent their early days driving around to the old mines, exploring the backcountry, and skiing, of course. All three children became ski racers.

Prior to the establishment of the Vail Clinic, now Vail Valley Medical Center, Byron recalls getting Doc Stanley out of the Gilman mines for any medical problems they encountered. When Dr. Steinberg arrived in Vail and the clinic was opened, the Browns “loved him from the start.”

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was a miracle man.” She recalls the Vail Clinic was only one room, so the “waiting area” was comprised of benches on packed-out snow just outside the door.

When the clinic moved to W. Meadow Drive, the building was shared by the school, which was previously outgrowing its quarters in the fire station. Cindy recalls the dreaded moment when the phone would ring in her 3rd grade classroom above the clinic, calling any students who didn’t have their current shots to walk downstairs and get their vaccination. “Everybody hated when that phone rang,” she says. Vi called it “one-stop shopping.”

Vi was one of the women who

spearheaded the Rummage Sale to raise funds for the school/hospital.

The rummage was stored on the second floor of the hospital in a vacant room next to the school, and the sale was hosted in what is now the hospital’s parking lot.

“It came down to the community to make things happen,” says Mike. “People who were not directly involved in building the hospital, didn’t have a chip in the game, still helped to make it happen. Knowing where we started and to see what we have now creates a sense of pride and a sense of relief." Vi adds, “Having a medical center gave us a feeling of community and that we were finally a full-fledged town.”

THE BROWN FAMILY PAGE 33, FROM LEFT: Byron and

Vi Brown, Mike, Jen, and Maddie Brown, Byron, John, Rob and Cindy Crawford.

50 YEARS

Docs with a History From the very beginning, VVMC had wonderful doctors with a loyal following.

Here are some memories shared by both patients and friends.

Dr. Eck

Dr. Gaul

Jack and I roomed together for a number of years in the early days of Vail, and from our time together I realized how dedicated Jack was to his patients.

Many nights, I would hear the phone ring and Jack would roll out of bed at some ungodly hour to head to the clinic to tend to a patient. They were his life.

During that time, Jack and I realized our common love of the outdoors and spent a number of memorable trips backpacking, hiking and canoeing. On one particular canoe trip on the Yellowstone River north of Yellowstone National Park, I learned two very pleasant aspects of Jack’s life: He was excellent with a canoe and knew more birds than Audubon himself. We were paddling a giant 20’ canoe with Jack and I on each end, and my then-girlfriend (and now-wife), Elizabeth, perched in the middle.

Not only did Jack expertly guide us through the rapids, but he also named every bird in sight while doing it. There are many birds on that stretch of the Yellowstone.

Somewhere along the way of our friendship, I learned that Jack could play the piano, which resulted in caroling parties every Christmas season — a tradition that lives on to this day. And ask Jack about my 30th birthday party at the Sandstone 70 condos. Jack had just returned from Vietnam and was in a “celebratory” mood, and we encouraged

Four years ago at the age of 32, I developed congestive heart failure. I had been seeking treatment for some time without answers when my case landed in Dr. Gaul’s lap. The first time I met Dr. Gaul, he came in, pulled up a chair and sat down next to my hospital bed. He told me that I was under his care now and assured me that I would receive appropriate treatment from that day forward. Dr. Gaul has been true to his statement.

I shouldn’t have survived, but I did — and without the heart transplant or defibrillator that were thought necessary for my survival. Dr. Gaul has been there as my physician all along the way. He has always provided individualized medical treatment for me.

BY JIM HIMMES

BY CYNTHIA MILLER

Jack would roll out of bed at some ungodly hour to head to the clinic to tend to a patient." each other about the healthy impacts of beer on your life.

I could relate many more stories about Jack, Tom Steinberg and Bill Bevan but as fellow patrolmen would say, “We’ll save them for an evening and a ‘few’ beers at Donovan’s Copper Bar.”

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50 YEARS

when she “scooched in” a chunk of his tail came off.

True to his calm nature, Dr. Freedman said, “No problem, we can fix this. ” We then hoisted Sancho onto an exam table, anesthetized him, and Dr. Freedman stitched the piece of the tail back in place.

Sancho had a complete recovery, and went on to wag his glorious tail for many years.

I never felt like just another patient on his schedule."

Dr. Petrie

I have never felt like just another patient on his schedule for the day. I can’t imagine that he will ever retire, but if he does, I will insist that he must still see me as a patient.

There are no words or gesture grand enough to show him how thankful my family and I are for all he has done for me. Our community is lucky to have such a fantastic physician who prefers to think outside of the box. I asked my young son what words he would use to express appreciation to Dr. Gaul. His response was, “Dr. Gaul, you are a great doctor and did a great job. Thank you for saving my mom.” I don’t think I could say it any better myself. Thank you, Dr. Gaul!

BY FRED C. WILLIAMS

Dr. Freedman

BY CHARMAYNE BERNHARDT

It was a different time working in Vail in the ‘70s. I was working with Dr. Phil Freedman in what was then Mountain Medical Associates at the Vail Clinic. It was not unusual for Dr. Freedman’s beautiful Golden Retriever and loyal sidekick, Sancho, to be under his desk at times.

One day, the door burst open and Dr. Freedman’s wife came in sobbing and holding a small plastic bag with questionable contents. Sancho was behind her, wagging his tail and decorating the walls with specks of blood. Sancho had inadvertently gotten his tail caught under her chair, and

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There are those who make a difference in your life, and then there are a rare few who actually save your life! Dr. Kent Petrie is the latter.

On March 23, 1984, while skiing in the back bowls, my bindings pre-ejected, causing me to flip and land directly on the back of my neck. After transport to Vail Medical Center, I met Dr. Petrie. Given the nature of my fall and the resulting stiffness in my neck, Kent was convinced I had something much more serious than stiffness. Over the course of the next hour or so, he had me wheeled into/out of x-ray at least half a dozen times. Finally, he got the angle he wanted to confirm his suspicion of a broken neck — specifically a C-2 fracture. A subsequent cat scan actually revealed three breaks at C-2 — and fragments only 5mm from my spinal cord.

If Dr. Petrie had not been so diligent and persistent, I am quite certain an untreated C-2 fracture in three places could have rendered me a quadriplegic (at best) or worse — death from a respiratory system shut-down. Every time I look across at the Gore Range, I count my blessings. My father always called me “lucky,” and indeed I was quite lucky Dr. Petrie was on duty March 23, 1984.

Dr. Yarberry

BY DEB TRAVERS

Dr. Steinberg

BY JIM SPELL

I came to the Valley in 1976. As a volunteer firefighter, I helped with the gondola accident around the same time. Vail Medical Center was a small clinic then, and doctors like Tom Steinberg were stretched to the limit by the tragedy. Dr. Gaul was my first EMT instructor back when he was a paramedic. Dr. Bevan and Dr. Feeney were our family physicians for years. Dr. Petrie assisted with my son's birth when it went south during delivery, and we all had to pitch in. His exact quote to me was, "Can you be an EMT now?" I said yes and took care of my son while the doctors worked on my wife.

But that is not my story...

While not yet a paid member of the fire department (that happened in 1978), I made a living any way I could. One way was as a drummer for the many after ski party bands. After skiing one

day, I realized I had a large cyst on the top of my hand. Unable to play drums because of the pain, I went to Dr. Steinberg in the "emergency room.” He took one look at the top of my hand and sat me down at the table where he instructed me to place my hands on the table.

I assumed he was comparing my functional right hand with my horribly painful left hand. He then took a large medical book from the shelf and I assumed he had to look up what the growth was and how to manage the problem. He called out to “someone” beyond the door.

While I was distracted looking for the recipient of his outburst, he suddenly and without warning slammed the book down on my hand. Writhing in pain, I immediately withdrew my hands from the table and to my amazement, realized the growth had somehow disappeared. Such was my introduction into the subtleties of the "ganglion cyst.” I played drums that night and Tom and I became close friends over the years. Lots of good memories of the early days of "doctoring.”

He suddenly slammed the book down on my hand."

Dr. Steve Yarberry delivered all three of our boys — Tommy, Danny and Joey. When we arrived at VVMC for the delivery of our first child, we were as nervous as any first-time parents.

Tommy was born on June 10, 1993, at 5:37 p.m. We had not found out if we were having a boy or a girl, and when the baby was born Steve announced, "It's an hombre, it's an hombre!"

Having no idea what he was saying — I don't speak Spanish — I started praying.

Through tears I asked, "What is wrong with my baby, what does hombre mean?" Steve laughed and carried Tommy over to me, calmly explaining, "Hombre means boy, Deb. You have a healthy baby boy!" Since then we have always appreciated that "Yarberry humor" and looked forward to each and every visit with Dr. Steve over these many years. We actually think the boys developed their sense of humor in part from our very funny and witty Dr. Steve. Our family considers him to be part of the pack.

Dr. Yarberry with a newborn Tommy Travers.

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VVMC Me &

Aksel Lund Svindal AND THE SKI RACE CRASH

the downhill champ returns. If you know alpine skiing, you know the name Aksel Lund Svindal. The Norwegian phenom is one of the world’s most dangerous men between the gates. He’s also been through countless crashes and injuries in a decade-long career.

It’s a hazard of the job: You fall down, you get back up, you train harder for the next race.

But a 2007 crash on Beaver Creek’s Birds of Prey downhill course was easily one of the most harrowing. Just ask Svindal.

“I crashed hard and passed out,” he remembers. “I wasn't sure exactly what was wrong, but I remember seeing a lot of blood. When we got to the emergency room in Vail and I

saw the look on the doctor’s faces — or maybe how fast they acted — that's when I realized it was bad.”

Svindal’s fateful training run is still difficult to watch. After launching off a mid-course jump, he begins slowly and uncontrollably tilting backwards. He lands on his back, hard, and ejects both skis before tumbling uncontrollably into a safety fence. The crash shattered several bones in his face and left a deep, 6-inch-long gash from his groin to abdomen.

Svindal remembers little from the first day or two after the crash, but Vail Valley Medical Center staff left a lasting impression. He thinks back fondly on two ICU nurses, Mary and Elize. When he returned to the hospital in 2013 for a Norwegian documentary on his career, they were two of the first people he visited before saying “hi” to doctors and ER staff.

“You're so helpless and they're very caring and nice to you,” says Svindal, who returned in 2009 to win the downhill and Super G at Birds of Prey. “I have been to a few hospitals but, luckily, not too many, and never for as long as in the Vail Valley. It's a great hospital, and I was lucky that I got injured in Beaver Creek. They have great doctors and enough great nurses that you never feel alone — more like they're really looking after you.”

– BY PHIL LINDEMAN

CARL EATON BORN 1965

After the ski resort opened in 1962, Carl Eaton was the first baby born in Vail. The son of Vail co-founder Earl Eaton, Carl was the fourth generation of Eatons born in the Valley. Today, Carl lives in Eagle and works as a lift maintenance manager for Beaver Creek. His mother recounts the story of Carl’s unexpected birth in Vail.

The chairlift at Mid-Vail broke down, and Earl had to replace it overnight. He called to check on me, but on the last page of the book I was reading, I went into hard labor.

The telephone at The Lodge at Vail was the hook-up to Mid-Vail. I called that number and it rang and rang.

The desk clerk asked if something was wrong. I said, ” Yes, I’m having my baby. Please call Dr. Garrett at the Red Lion office and find out if he can help me.” He called me back and said he was sending the hotel station wagon to come and get me.

Dr. Garrett tried to get his nurses to come in and help — they thought he was kidding. The station wagon guy was on the Ski Patrol and Dr. Garrett asked if he wanted to watch.

Oh boy!

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•5

FROM DELIVERING BABIES TO HELPING PEOPLE SURVIVE AND THRIVE, VVMC HAS BEEN PRIVILEGED AND GRATEFUL TO BE A PART OF TRANSFORMATIVE MOMENTS IN PEOPLE'S LIVES.

•

Vail Babies

Moffet and Dr. Donald Corenman, a spine and neck surgeon at The Steadman Clinic.

Greg Moffet AND THE DOWD PILLAR

ALLISON JUNE O’NEILL BORN 1987

JOHN ROBERT O’NEILL BORN 1990

HEATHER MCCOY BORN 1986

Heather is currently employed at Colorado Mountain Medical as a medical receptionist. She is also a ski and snowboard instructor with Vail Resorts. Her interests include hiking, backpacking, skiing, snowboarding and cooking.

there’s a wood pillar in Dowd Junction

with Greg Moffet’s name on it. He and the pillar became agonizingly familiar late in July 2011, when the longtime local barreled into it on his road bike and shattered portions of his spine, leaving a painful (albeit invisible) set of initials on the popular route.

So how does Moffet greet his old friend these days?

“I reserve the right to flip that damn thing off when I ride by it,” Moffet laughs. Here’s how he and the pillar first met: During the last leg of a 50-mile solo ride, Moffet cruised onto the fast, winding trail at Dowd. And then he stopped. Or rather, the bike stopped and threw him headlong down the trail.

Moffet was conscious enough to call an ambulance and, despite intense pain, he was still awake when doctors gave their diagnoses: His C1 vertebra was shattered. The injury required rare surgery and an intimidating “halo” head brace to hold his vertebrae in place. The contraption was screwed directly into his skull — he still has scars around his scalp to prove it — and for 12 straight weeks, it was his companion everywhere he went: the sponge bath, the bed, the Vail Town Council race for election.

Moffet admits the early weeks of his recovery are lost in a medicated haze, but he vividly remembers the halo. He also remembers a Vail Valley Medical Center ICU nurse who took the time to sponge bathe him after the accident, when he “must’ve smelled like a goat,” Moffet says. After all, avid cyclists aren’t the freshest roses after a 50-mile ride and ensuing crash.

That fateful day in July wasn’t Moffet’s first encounter with VVMC. (He jokes that the Moffet family has “a frequent flier discount” there.) After 12 exhausting months of surgery and rehab, he grew an affinity for the doctors, nurses and physical therapists who worked with him on a near-weekly basis. That same hospital crew led him back into the saddle for the Vail Gran Fondo in August 2012 — nearly a year to the day after his accident. Since then, he’s won a chair on the Vail Town Council, completed the grueling Triple Bypass Race in 2013 and has hardly slowed down…well, figuratively speaking.

“It almost feels like nothing ever happened,” Moffet says. “I still bike, I still ski, I still do everything I used to do. I’m just a bit stiffer in the neck than I used to be, and I definitely come through Dowd more slowly these days.” – PL 2 O 15

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Trista Sutter AND HELLP SYNDROME trista sutter has graced the glossy pages

of People, OK! and Us Weekly, but when she was pregnant with her first child in 2007, she got a different brand of star treatment at the neonatal ICU at Vail Valley Medical Center.

In 2007, Sutter — a St. Louis native known to reality TV gurus as runnerup on season one of ABC’s “The Bachelor” and star of the original “The Bachelorette” — was eagerly anticipating the birth of her first son, Max. She met her husband on “The Bachelorette,” and shortly after leaving the national spotlight, Trista joined Ryan in Vail. The Valley is noticeably different from her previous homes in Miami and Los Angeles, but after nearly a decade, she began to wholly love the area and trust its community hospital.

“It’s a very small town we live in,” Sutter says, “but knowing we have such a world-class facility with doctors that are so well-educated and experienced, I just feel like there’s never a question in my mind. If we need care, I will take my family there.”

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Sutter became intimately familiar with VVMC and its exceptional medical staff through her delivery of Max. After being admitted at 36 weeks with concerning blood work, she was diagnosed with Preeclampsia and HELLP syndrome, a rare and extremely dangerous liver condition. The only way to prevent her from seizures, coma or death was to deliver Max via emergency C-section.

For five days, Trista received the care she needed to recover and was ecstatic to finally be able to dedicate her time to her new baby.

Otherwise healthy but with underdeveloped lungs from prematurity, Max was the perfect candidate for VVMC’s NICU/Level II Nursery unit. Trista and Ryan felt so well cared for that when their daughter was born in 2009 they thought only of VVMC. Sutter’s frightening experience with Max factors heavily into her book, "Happily Ever After: The Life-Changing Power of a Grateful Heart.” It’s an extension of the frank and graceful dialogue she has with fellow mothers, parents, friends — just about anyone.

“As people know, I’m kind of an open book,” Sutter says. “I love sharing stories, and talking about Max is a great way of letting people know they aren’t alone. Honestly, the fact they took such good care of me and my baby boy — and I’m alive and well to talk about it — that’s incredible.” – PL

MICHELLE BERAN BORN 1985

Michelle works at VVMC in insurance verification. Her interests include photography, scrapbooking and spending time with her husband, Chad, and two daughters, Avery and Payton, who is also a Vail baby.

PAYTON BERAN BORN 2011

MATT DILLON BORN 1988

Matt grew up in the Vail Valley, graduated from Battle Mountain High School and currently attends CU Boulder. Matt competed on a national level in freestyle/mogul skiing with Ski and Snowboard Club Vail and still enjoys skiing at every opportunity. When not skiing, he enjoys hiking and fly fishing and almost anything outdoors.

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VALENTINA VIRION BORN 1995

Valentina is a first-year student of neuroscience at Saint Andrews University in Scotland.

PASCOE “COE” JAMES ROBERTS BORN 1987

JAMIE LEE ROBERTS BORN 1990

After graduating from Fort Lewis College in 2010, Coe returned to the Valley and is a member of the Beaver Creek Ski Patrol. In the summer, he works for Just Us Gardeners landscaping. He was married in September, 2014.

Jamie graduated from Colorado State University in 2012. She is currently living in the Valley and has a website design business in addition to working part time for local architect Beth Levine and building websites.

LUCAS ADAM EDWARD CROSS BORN 1982

PATRICIA AMY CROSS DENNIGER BORN 1985

Lucas is a teacher and wrestling coach at Eagle Valley High School.

He enjoys spending time with his wife, Sara, and his three children: Colby, Karolina and Caleb. Luke also has a passion for hunting.

Tricia is a youth treatment counselor at Denver Children’s Home.

Her interests include hiking, biking, Cross Fit and church.

JESSICA ANN CHRISTENSEN BORN 1988

TWINS MATTHEW ALLEN CHRISTENSEN & KELSEY SUE CHRISTENSEN BORN 1993

LUKE GRAY BORN 1983

Luke has been a member of Vail Ski Patrol for four years. His interests include skiing, river rafting, rock climbing, horseback riding, flyfishing and exploring.

Jessica now lives in Arvada with her husband, Chris, her stepdaughter, Autumn, and her newborn daughter, Olive. She manages several retail stores.

Matthew is attending University of Northern Colorado, Greeley.

Kelsey is living in Glendale and attending CU-Denver.

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Charla Blizzard AND “THE SHAW” survivors call it “the shaw.” Shortly

after Charla Blizzard was diagnosed with stage III breast cancer in early 2011, the Eagle Ranch resident went to Shaw Regional Cancer Center in Edwards for a sit-down with four local doctors. There was a slight disagreement over her diagnoses — fairly common with advanced-stage cancer — but when the conversation ended, everyone agreed she needed treatment, and she needed it immediately.

Yet Charla’s decision on where and when didn’t come as easily. Blizzard’s family in Texas wanted her to return home for treatment at MD Anderson Cancer Center, a world-renowned facility in Houston. But she and her husband had just moved to the Vail area with three children, all less than 8 years old, and with them in mind, she decided to begin her battle close to home.

“It was a really good experience because all of them said, ‘This is your choice, this is your decision,’” Blizzard remembers about her first

meeting with Shaw doctors. “It was all very personal and that made a huge difference.”

From there, Blizzard’s battle with cancer began in earnest. After undergoing a double mastectomy at Vail Valley Medical Center, she dove directly into full treatment: three weeks of chemo, followed by 25 consecutive days of radiation.

“I really had no experience with cancer before this, so it was really overwhelming,” Blizzard says. “It’s almost surreal how friendly and nice everyone at Shaw is. The situation, which is a terrible situation, becomes more manageable. I just feel like the Valley is really a great place to be, a great place to find good people.”

In February 2015, Blizzard celebrated her fourth year being cancer-free. But The Shaw still holds a special place in her heart. She still meets almost weekly for “Fit for Survival,” a fitness program that offers everything from zumba to yoga programs at Jack’s Place, the cancer center’s lodge for patients and caregivers undergoing treatment at Shaw. Blizzard lost nearly 15 pounds during the treatment — “15 pounds I didn’t have to lose,” she says, and Shaw has helped her find a new normal.

“The main thing The Shaw did was help me with my life afterwards,” Blizzard says. ”I was so scared after it happened that I didn’t want to eat anything, put anything in my body.

Everything they do is so your life feels normal again, so you’re not a sick person anymore.” – PL

CHRISTOPHER SCHMIDT BORN 1990

ALEXANDER “A.J.” SCHMIDT BORN 1992

Christopher graduated from Vail Christian High School in 2009, and later earned a bachelor’s degree in hospitality from Northern Arizona University. He works at a local hotel as the front desk supervisor.

A.J. graduated BMHS in 2010 and is majoring in Parks and Recreation at Northern Arizona University in Flagstaff.

GABRIELLA S. GUZIK BORN 1995

CLAIRE E. GUZIK BORN 1997

The sisters have been cattle owners, pig raisers, rodeo queens, dancers and skiers.

Charla gives back to Shaw in many ways, including through fundraisers for the cancer center.

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TANESHIA ESPARSEN LOZANO BORN 1980

Taneshia graduated from BMHS in 1998 and currently works as Dr. Kate Skaggs’ full-time assistant.

She also has her own local cupcake bakery: Dolci. She "got hitched" at the Betty Ford Alpine Gardens, and has been married for 16 years. She and her husband have three boys who were all born in Vail in 1999, 2000 and 2008. She also sits on the board for Red Ribbon Project of Eagle County, which has her teaching the importance of safe sex and birth control in various local schools.

Thanks to EMT Charlene Kirby, right, Barb Schierkolk recovered from a hunting accident.

The Hunter AND THE EMT for nearly 30 years, Barb Schierkolk of

ALEC CAMPBELL

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Eagle knew the EMT who saved her life as simply “that redhead from McCoy.” While names have a way of slipping through mental cracks after three decades, Schierkolk’s situation is far from forgettable.

In November 1982, she was a young mother of two from Arvada, a north Denver suburb, enjoying a rare afternoon of hunting with her husband and friends near Yarmony Mountain.

Then came the unexpected. A young hunter — just 15 years old on his first trip — accidentally shot Schierkolk some four miles from the nearest paved road. The bullet ripped through her right thigh, destroying her femoral artery and cutting her femur nearly in half. Her husband fashioned a makeshift tourniquet with his belt and waited for someone — anyone — to hear his calls for help on CB radio.

Luckily, that redhead from McCoy was listening. At the time, Charlene Kirby was the only EMT responder in western Eagle County. The 32-year-old was also a self-described “ranch wife,” familiar with the rougher side of alpine living, but Schierkolk's injury was easily one of the worst. She brought her father, a career cowboy and lifelong local, on the hour-long ride to rendezvous with the hunting group.

“He said, ‘I saw a side of you I’ve never seen,’” says Kirby, remembering the conversa-

tion the two had during the long, somber ride back from Vail Valley Medical Center. At the time, VVMC was a rural hospital on the rise, and the trauma unit was only in its infancy.

Once Kirby and the ambulance arrived, the ER doctors and nurses stabilized and prepped Schierkolk for a helicopter ride to St. Anthony Hospital in Denver. When she was released eight months later, she owed her leg — and life — to Kirby.

In 1992, Schierkolk’s family moved from Arvada to Eagle County. When she and her husband decided to finally visit Yarmony, she walked on her own with only a knee brace for support.

“God gave me a sense of humor,” Schierkolk says. “If I didn’t have that, looking back on the entire thing would just be tragic.”

Kirby is just as grounded. In 2012, she and Schierkolk finally reunited. The hunter brought a family photo — complete with her two children and two grandchildren — to give to that redhead from McCoy, and the two embraced.

“She lived with me in my psyche and still does,” says Kirby, now manager of urgent care services for VVMC. “She gave me an invaluable gift by coming back to see me. You never know how you’ll touch someone’s life, but for her to take the effort to find me, it was an incredible gift.” – PL 2 O 15

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50 YEARS

The Story Behind The Name The Shaws donated $18.5 million to build Shaw Regional Cancer Center, but they were involved in healthcare long before.

BY KIMBERLY NICOLETTI // PHOTO DOMINIQUE TAYLOR

bout 20 years ago, Harold Shaw told

his doctor and good friend, Dr. Jack Eck, that he was thinking of pulling away from Vail, a second home he and his family had been deeply involved with since the late 1960s. The elevation had become an issue in his older years. But Vail had been so instrumental in the Shaws’ lives — after all, he was one of the original investors in the Ski Resort Lodge — they wanted to help the community, even more than they already had.

In 1982, the Shaws’ son, Hal Jr., died in a car accident on Vail Pass. In honor of his son, Harold donated

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funds to build a new wing onto the hospital, which became the Patient Care Unit, named for Hal, Jr. Shaw also became a board member in the 1980s.

In his elder years, Shaw continued to fly in on a monthly basis for hospital board meetings from his home in Dayton, Ohio, where he had, years prior, worked his way up to serving as the vice president of Monarch Marking Systems Company, before he started investing in Vail real estate in the late ’60s.

“My father had his priorities, and it was primarily the Vail Valley and the hospital, and then the cancer center,” says his daughter, Sally Veitch. “I think my brother’s death put hospitals in the forefront.”

Dr. Jack Eck encouraged Harold Shaw to make a gift that would affect cancer care in the Valley for years to come.

The portraits of Harold and Mary Louise Shaw, benefactors of the Harold W. and Mary Louise Shaw Regional Cancer Center, hang in its entry hallway, welcoming visitors as they arrive.

a few months of conversation Dr. Eck still loves telling the story of how the $18.5 million gift to fund Shaw Regional Cancer Center came about.

When Shaw told Eck he was “interested in doing something more” for Vail and asked Eck’s opinion, the doctor told him about the rising number of cancer patients he was seeing in the Valley. As an internal medicine physician, Eck began working with an oncologist who came to Vail from Denver, first once a month, then once a week as the need continued to grow.

“Dr. Eck treated many local citizens that did not want, or could not leave home, for cancer care,” says Peggy Carey, vice president of Shaw.

Shaw asked Eck how much it would cost to treat cancer in the Valley. When Shaw returned the following month, Eck had an answer: about $7 million. And Shaw said OK. However, the $7 million did not cover patients who needed radiation; they still would have needed to travel to Denver. So, the following month, when Shaw returned, he asked how much a full-service cancer center would cost. Eck researched it and came up with an accurate number the following month.

“About $18.5 million,” Eck answered, saying he actually stuttered because he could “barely get it out.” He had never asked for such a large sum.

“Let me talk to Mary Lou,” Shaw replied, referring to his wife.

“The next month, he came back and said, ‘We’ll do it,’” Eck said. "I just about fell over."

Shaw Regional Cancer Center during its construction.

Shaw Regional Cancer Center today.

DANN PHILLIP COFFEY

the shaw legacy Shaw Regional Cancer Center opened in 2001, about one year after Shaw passed away. However, Shaw had walked the site many times, and his wife, an earlystage breast cancer survivor herself, attended the ribbon cutting. Since its opening, the cancer center has grown to include Jack’s Place, named after Eck, which provides lodging for patients and their caregivers while receiving treatment at Shaw. The idea for Jack’s Place stemmed from a doctor who found a patient from Routt County sleeping in his pickup truck between cancer treatments. Though Jack’s is named after Eck, he remains humble about his involvement in launching Shaw Regional Cancer Center.

“I just happened to be at the right place at the right time, when a patient named Harold Shaw asked me how he could help,” Eck says.

Like Jack's Place, the cancer center was designed to provide whole person care. Comfortable waiting and treatment areas, cascading waterfalls, beautiful gardens and vistas of the Sawatch Mountain Range provide a comforting and healing environment. While the center remains cutting edge, as evidenced by technology like the state-of-the-art Image Guided Linear Accelerator for radiation treatment and 3D Mammography, it also places a premium on providing complementary care, including support services, fitness and nutrition counseling, massage, physical therapy and educational and enriching classes and experiences.

“It’s really become the rallying point around here,” Eck says. “There’s very good evidence that people taken care of in pleasant environments have much better outcomes.”

The next month, he came back and said, ‘We’ll do it.’

I just about fell over.”

– DR. JACK ECK

Patients benefit from a team of caregiving professionals, including a pathologist, radiologist, genetic counselor and plastic surgeon, as necessary. Each patient receives a personalized “whole care plan, which is much more efficient” than treatment in larger urban areas, which usually involves separate appointments with each specialist, Eck says.

“Having the Shaw Cancer Center in Edwards means that mountain residents can receive treatment for cancer from the Shaw team of experts in this beautiful setting, close to home,” Carey says. “It also means people who have second homes here or don’t want to have treatment in a large urban area have a choice.”

Community support and donations made Jack’s Place possible, but the Shaws also continue to support the cancer center. Veitch commutes from Colorado Springs to serve on the board of directors “and supports both the hospital and the cancer center with her wisdom and contributes generously financially,” Carey says. A foundation, set up by Shaw, also helps offset the costs of Jack's Place and the cancer center.

“They’ve done such a fabulous job with it,” Veitch says. “If, God forbid, I have to go through that, I’m coming up there; they have a great staff — very caring people that work there … and the setting: It’s a lovely place.”

The Valley is fortunate Shaw listened, first to his good friends from Dayton, Ohio, who introduced him to Vail, and again to Dr. Eck, who identified the need for comprehensive cancer treatment in the Valley. Shaw began touching lives when he invested in Ski Resort Lodge, but the family continues to be instrumental in saving lives through Shaw Regional Cancer Center.

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50 YEARS

The Master Plan After 50 years, it's time to build Vail's hospital of the future.

f you’ve ever been to the Red Lion in Vail,

The expansion will begin with the construction of the West Wing, followed by the East Wing of the hospital.

EXISTING EVERGREEN LODGE

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you’ve visited the original Vail Clinic. Back then, the leather boots strapped to heavy wooden skis provided plenty of cuts and breaks to fearless skiers during the winter months. There were no beds or operating rooms in the clinic, so patients in bad condition were loaded into an old Chevy station wagon and driven to Denver. “Patch ‘em and dispatch ‘em,” as Vail’s first full-time physician Dr. Tom Steinberg used to say.

Early Vail founders like Pete Seibert and John Murchison knew that a first-class resort was going to need first-rate medical care. After reviewing 135 applicants from around the country, they offered Dr. HELIPAD Steinberg $18,000 BUILDING to move from New Jersey to Vail in 1965.

And things haven’t slowed down since.

“It was real frontier medicine, shall we say,” says Dr. Steinberg.

“We had to make quick decisions and live with them, and EAST WING fortunately we saved EXPANSION most of the people.”

Fifty years later, Vail Valley Medical Center has grown into the world’s most advanced mountain hospital, providing Olympic-quality sports medicine, leading evidence-based research, modern cancer care and extensive cardiology capabilities.

With the same grit that built North America’s most well-known mountain community, the new “locals” successfully built an independent, nonprofit medical center to serve friends and neighbors, along with visitors, celebrities and athletes from around the world.

To understand the growth of the hospital, just look at the tourism and local population increase.

Vail’s number of guests boomed from less than 100,000 lift tickets sold in the first year of the ski company (1962-63) to an estimated 3,000,000 annual skier visits between Vail and Beaver Creek in recent years. To match, the population in Eagle County has jumped from a few thousand to over 52,000 residents.

The hospital moved off of Bridge Street to a new home on West Meadow Drive in those first years.

To keep up with the dramatic growth, multiple expansions and wings were added. Like many hospitals that grow alongside their community, these types of facilities eventually need to be modernized.

The hospital has maximized its space and squeezed every bit of efficiency out of its Vail campus. Some buildings are nearing 50 years of

The new facility includes a state-of-theart Emergency Department and upgraded Patient Care and Intensive Care Units, as well as an updated look that complements Vail's architectural renaissance. *This rendering was proposed to the Town of Vail at the time Vail Health Magazine went to print and may change post publication.

age, and new services that have been added over the years have been placed where room could be found. A $2 billion renaissance in Vail and Lionshead Village, along with new or updated hospitals in neighboring mountain communities, has set new standards.

As Vail Valley Medical Center celebrates its 50th anniversary, the hospital and its many supporters will once again come together to build Vail’s hospital of the future. To meet the needs of the community, VVMC is embarking on a multimillion dollar expansion and renovation that will make Vail a center of medical excellence and improve the healthcare available to the community and its guests.

“This is a significant undertaking,” explains VVMC President and CEO Doris Kirchner, who has overseen the planning process, which began in 2013.

“Through thoughtful evaluation and collaboration, we've developed a Master Facility Plan that will serve as our road map for enhancing healthcare in the Valley.”

Hospital leaders have collaborated with their medical staff and employees, planning and architecture experts and aviation consultants to determine the scope of the new campus. In addition, they have worked closely with the public, neighbors and Town of Vail staff to discuss the feasibility and goals of the plan with one common vision: How to best serve the community.

The state-of-the-art medical campus will directly contribute to improvements in patient care, safety and privacy, and operational efficiencies.

Patient access and parking will be dramatically improved by moving the hospital’s main entrance to South Frontage Road, increasing parking (including covered parking) and making emergency care more convenient.

All hospital services will remain available during the expansion and renovation.

As the area’s only independent, nonprofit hospital, Vail Valley Medical Center’s profits stay local and are reinvested in the community through new services, board-certified physicians, state-of-the-art equipment, improved access, community outreach, charity care and healthcare jobs (with over 850 employees, VVMC is the county’s second-largest employer).

Professional and amateur athletes from around the world make Vail their destination for orthopaedics and sports medicine. And with a host of medical services not typically offered in a small rural hospital —a childbirth center, cardiology and Cardiac Catheterization & Electrophysiology Lab, endocrinology, internal medicine, plastic surgery, and cancer diagnostics and treatment — Vail Valley Medical Center continues to make it possible for locals and second homeowners to live and age in the Valley.

To meet the needs of the community, VVMC is embarking on a multi-million dollar expansion and renovation."

BENEFITS OF VAIL’S FUTURE HOSPITAL THE PROPOSED MASTER Facility Plan will enhance healthcare in the Valley and improve the quality of life for the community.

EMERGENCY DEPARTMENT:

A new state-of-the-art Emergency Department.

PCU & ICU: An upgraded Patient Care Unit and Intensive Care Unit, providing improved privacy and dignity for patients.

HELIPAD: A relocated helipad on the medical center campus with direct access to the hospital, eliminating time-consuming transfers of critical patients and newborns.

ROOM: Appropriate medical space for physician groups.

PARKING: Increased parking capacity, including covered parking.

MAIN ENTRANCE: A new main entrance off of South Frontage Road, thereby removing 100 percent of patient, visitor, emergency and staff traffic from West Meadow Drive.

LOADING ZONE: A new concealed loading zone with an on-site manager to further minimize public impact.

FRESH LOOK: Enhanced appearance to complement the architectural renaissance in the villages and neighborhood.

To learn more about the Master Facility Plan, visit vvmc.com/build.

To get involved, contact the Vail Valley Medical Center Foundation at (970) 569-7766.

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Head Start BEST BREAKFAST FOODS TO FUEL YOUR BODY

BY KIMBERLY NICOLETTI

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Dietitian and nutritionist Katie Mazzia's favorite quick breakfast is avocado on toast.

“

he best way to start the day is with

something healthy,” says internist Dr. Dennis Lipton. We know this intuitively, but when it comes to choosing from traditional breakfasts, which range from eggs and bacon to blueberry muffins and cereal, it’s tricky to nail down the best start.

But with a little knowledge, it’s fairly simple — and can even be quite delicious! The overall goal is to obtain most of your calorie intake through unprocessed vegetables, fruits, whole grains, nuts, seeds and legumes, Lipton says. “If you focus on consuming only the most nutrient-dense foods, the calories, protein, carbs and fats will take care of themselves.” Get a head start on your day with better breakfast habits. 

TO BOOST YOUR METABOLISM “Eat breakfast within an hour to 90 minutes of waking,” says VVMC dietitian, Katie Mazzia.

Healthy Breakfast Recipes KEEP IT LIGHT

Apple Surprise

Cereal To Go

Cut 1 apple in half, and remove the core (plus a bit of the extra flesh around the core). Drop 1 tablespoon of nut butter between the holes, and sprinkle in 1 tablespoon of granola or raisins and top with a bit of cinnamon.

Eat right away or wrap up the whole apple in plastic wrap or foil to go.

1/4 cup nuts

Avocado on Toast

1⁄₃ cup dried fruit

Top 2 slices of wholegrain bread with smashed avocado and a sprinkling of salt and pepper and a drizzle of olive oil.

1/2 cup dry low-sugar, high-fiber cereal Put everything in a baggie together.

Power Boosters 1 tablespoon chia or hemp seeds, ground flax or cocoa nibs

Protein Bonus: Add a cooked egg and make a sandwich for a well-rounded breakfast that will keep you full for hours.

1 tablespoon nut butter MAKE IT FAST

1/4 avocado Add any of these to a smoothie, or hot or cold cereal.

EX TR OOMPA H

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which contain the proper proportion of essential amino acids, as opposed to processed foods with added protein or protein powders.

If you’re used to bacon and eggs Try 1 egg plus 2 egg whites and 1 slice of “natural bacon,” which doesn’t contain nitrates; or 2 oz. of leftover grilled chicken or lean meat quickly sautéed with spinach or ½ cup of a veggie mix, like sweet potato, kale, etc.; or a natural chicken maple breakfast patty in a whole wheat English muffin.

.BREAKFAST OF.

Start the day with a selection of fresh fruit.

.CHAMPIONS: CHOOSE. .YOUR OWN ADVENTURE. For sustained energy levels, lasting up to five hours Eat protein and fiber. A hardy skier or mountain climber breakfast may include a hard-boiled egg plus oatmeal, made with milk or a milk alternative. For a protein boost, add 1 to 2 tablespoons of nuts or hemp seeds and then top with dried or fresh fruit and 1 tablespoon of ground flax. Another option: 1 egg and 2 egg whites scrambled with 1/2 cup vegetables, 2 tablespoons of cheese and seasonings, paired with 2 pieces of whole grain toast or wrapped in a whole wheat tortilla.

If your morning doesn’t include a workout and provides flexibility Eat a small breakfast first, such as a serving of high-fiber, low-sugar cereal with almond milk and then have a healthy snack, like Greek yogurt (which contains more protein than other yogurt) with ½ cup of fruit and 1 tablespoon ground flax, nuts or chia or hemp seeds (for fiber).

If you’re dashing off to work Opt for avocado on toast or a fruit and veggie smoothie.

Though protein fuels the body longer than carbs do, excessively high protein breakfasts are not necessarily better.

“Americans are not protein deficient,” Mazzia says, adding it’s generally better for people to choose whole proteins,

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When shopping for cereals, breads and tortillas Choose products with at least 3 grams of fiber and avoid those with ingredients like food dyes, artificial sugars, polydextrose, and more than 10 grams of sugar.

Cereal brands like Kix, Kashi, Bear Naked Fit, Kind Healthy Grains Granola, Cascadian Farms, Barbara's Puffins, Grapenuts, Cheerios and Shredded Wheat fit the bill.

If you want something quick 1 cup frozen fruit blended with 1 cup milk or alternative milk; 1⁄₃ cup quick oats or 1⁄₃ cup almond meal.

MORE

To get your caffeine (and natural sugar) fix Green tea provides antioxidants, and 4 to 6 oz. of 100 percent fruit juice, herbal or black tea, and even a moderate amount of black coffee are all fine, Mazzia says.

Caffeine suppresses the appetite, so if you drink coffee before breakfast, remember to eat soon afterward. Try to limit caffeine intake to 300 mg a day, knowing that a 16 oz. Starbucks contains about 330 mg and a double shot of espresso adds up to roughly 350 mg.

Energy drinks like Red Bull or Monster result in “false energy” and contain herbs with caffeine, which may be a bad combination, especially if you take prescription medication, she says.

To have on hand Bake some healthy, high-fiber muffins on the weekend and freeze them. (If you juice, you can even add the highnutrient pulp to the muffins.) Then, pop one into the microwave on weekdays.

Or make your own trail mix with 1⁄₃ cup dried fruit (avoid pineapple because it’s high in sugar, and banana chips because they are usually fried and therefore high in fat), ½ cup whole grain cereal, some dark chocolate chips (>70 percent cocoa) and about 2 tablespoons of nuts.

Healthy Breakfast Recipes

HEALTHYY & HEART

Basic Fruit Smoothie

Chocolate Banana Breakfast Quinoa

1 tablespoon chia seeds or fresh mint for garnish, optional

1 cup or more of 100 percent fruit or vegetable blend juice, milk or dairy alternative

1/2 cup raw quinoa (remember to rinse first)

1. Bring 1/2 cup of rinsed quinoa, 1/2 cup water, 1 cup milk and a dash of sea salt to a boil in a small pot.

1½ cups plain regular or Greek yogurt or yogurt alternative

1/2 cup water

1 to 2 cups frozen or fresh fruit or 1 cup fruit and 1 cup fresh spinach or other greens

1 banana, 1/2 mashed, 1/2 cut into slices

(Serves two)

1. Place in blender and blend until smooth.

FOR FRUIT LOVERS

(Serves two)

11/4 cup of milk or milk alternative Dash of sea salt

2 teaspoons honey 2 teaspoons cocoa powder 1/2 teaspoon vanilla extract Handful of walnuts

2. Once boiling, reduce the heat to a simmer and cook, stirring occasionally, until all the liquid has been absorbed (about 10 minutes).

3. Remove quinoa from stove and transfer to a bowl.

4. Mix in the mashed banana, cocoa powder, vanilla and honey. Stir until evenly combined.

For busy families — options kids will love

New dietary guidelines

“Convenience or packaged products don’t (necessarily) mean unhealthy,” Mazzia says. “Look for simple ingredients, and when possible, avoid food additives and preservatives.”

Make a peanut butter and jelly shake, with 1 cup milk, ½ frozen banana, ½ cup frozen or fresh strawberries and 1 tablespoon peanut butter.

Warm a whole wheat or corn tortilla filled with leftovers.

Add 1 tablespoon peanut or almond butter to oatmeal for a protein boost (sprinkle with cinnamon or cocoa powder).

Make an oat shake by blending 1⁄₃ cup oatmeal with 1 cup milk or milk alternative, ½ banana or other fruit and a bit of honey or maple syrup.

Thin with milk as needed and serve with a straw. Note: Do not serve honey to children under 1 year of age.

Cut-up fruit, served with toothpicks and a fruit dip made of Greek yogurt and 100 percent fruit jam, can be a fun way to entice kids to eat fruit and get a burst of protein.

Pair a store-bought nutrition bar with a piece of fruit; just look for bars like Luna and Clif, with 200-250 calories, 8-10 grams of protein and 3-5 grams of fiber.

When it comes to the great egg debate, it turns out eggs, particularly organic or vegetarian fed, are okay again, in moderation. Studies suggest that one egg a day does not result in higher blood cholesterol or increase the risk of cardiovascular disease in healthy people.

Then there’s the milk debate. Mazzia says organic, pasteurized milk provides a balanced mix of carbohydrates, protein, calcium and Vitamin D. Milk alternatives like almond, coconut and rice milk don't contain much protein, but soy does. Lipton recommends non-dairy milks—the less processed and unsweetened (avoid additives like carrageenan), the better.

Mazzia reminds parents with children between 12 months and 2 years that they need whole milk because the extra fat supports their developing brains.

5. Pour the remaining 1/4 cup of milk or milk alternative over quinoa, garnish with banana slices, walnuts, chia seeds or other and enjoy.

Gluten-Free Banana Pancakes (serves two to three)

1 mashed, super ripe banana 2 eggs, or 1 egg and 2 egg whites, or 6 egg whites 2 tablespoons ground flax or 1 tablespoon chia seeds Dash of vanilla Add a teaspoon of your favorite spices (cinnamon, nutmeg,

ready in the mornings, with the requirement that it gets eaten before anything else.

Then provide a few healthy cereal options.

On mornings that we have more time, we make pancakes or waffles (with whole grain flours and nondairy milk and no added oil or sugar) or oatmeal.”

Remember, though breakfast is the most important meal of the day, a huge, protein-packed one won’t provide energy for an entire day, says Rhonda Galer, clinical nutrition manager at Vail Valley Medical Center. But with a bit of planning, it can make an enormous difference in the quality of your morning.

If you focus on consuming only the most nutrient-dense foods, the calories, protein, carbs and fats will take care of themselves.”

VVMC Food & Nutrition | vvmc.com/ nutrition | (970) 479-5058

Model Behavior “Create healthy eating behaviors in your kids by modeling them yourself,” Lipton says. “We always have some sliced fruit

etc.) or a few chopped nuts. Top with plain yogurt and berries if desired.

1. Mash banana with a fork. Beat eggs and combine with mashed banana. Add in any optional ingredients, or use a blender to combine all ingredients and process until smooth.

2. Heat griddle over low heat, spray with a non-stick spray or coat with a little olive oil, then pour batter onto griddle in small circles the size of a silver dollar (any larger and they will be difficult to flip). Flip after edges start to cook and allow the pancakes to cook through.

VIRT DEC ADUOUS ENCE

Overnight Oats The night before, combine 1/2 cup milk or milk alternative, ¹⁄₃ cup rolled oats, 1/2 a banana (mashed), 1/4 cup chopped nuts, and a sprinkle of cinnamon in a sealed container. By morning, you’ll have delicious overnight oats to heat in the microwave for 1-2 minutes or serve cold.

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AGING BRAIN THE BRAIN EXPERIENCES AGE-RELATED CHANGES MUCH LIKE THE BODY DOES, BUT THERE ARE MANY WAYS TO INCREASE THE CHANCES OF MENTAL ACUITY AND AWARENESS.

BY KIMBERLY NICOLETTI

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T WO -T H IR DS O F PEO PLE OV ER T H E AG E O F 50 FE AR G E T T IN G AL ZH EIM ER ’S D ISE A SE,

according to a study presented by local neurologist Dr. Marc Treihaft. And with good reason. Statistics show the lifetime risk of developing Alzheimer’s after age 65 is one out of six women, and one out of 11 men. Though Alzheimer’s makes up 75 percent of the dementias, it is just one of many; others include dementia induced by head trauma, alcohol, vascular disease, Parkinson’s, Huntington’s, ALS and more. The questions become: What is the difference between dementia and normal changes in memory as the brain ages, and what can people do to help prevent, or mitigate, dementia?

IS IT DEMENTIA? ementia acts as an umbrella for a number of neurocognitive disorders. Its hallmarks include the loss of ability to think clearly, and the loss of memory, reasoning and decision-making—all of which affect daily functioning.

Dementia begins with minor cognitive problems, often in the form of slight work and social mistakes. “(People) may go to the basement and forget why they’re there, or pay bills twice,” Treihaft says. “These are normal phenomena to some extent, but if it’s a consistent pattern that one picks up, that changes the game.”

As the brain ages, it’s normal to become mildly forgetful.

“Just because we forget things, it’s not necessarily pathological,” says local psychologist Henry Goetze, PhD. “Some things have no real importance; they are incidental things. As we get older, we start to pay attention to things we can’t remember. Don’t worry so much about that, because there are normal brain changes that occur as we get older. Not all forgetfulness is Alzheimer’s.”

Alzheimer’s is characterized by pathological changes in the brain, namely amyloid plaques and neurofibrillary tangles.

“These are tangles of proteins that are confusing us,” Treihaft says.

Such pathology doesn’t occur to such a damaging degree in the normal aging brain.

“Our brain mass reaches its peak in our 20s and starts to slide off after that,” Goetze says, adding that normal changes are subtle and progress slowly, so they are apparent only occasionally—most often when people are trying to learn something, or remember something, new.

Normal changes include difficulty recalling words, challenges in learning new tasks or learning old tasks in new ways, and slower response time. On the other hand, enduring abilities include semantic and procedural knowledge, motor memory, abstract reasoning, judgment, problemsolving and long-term memory.

While forgetfulness, or mild cognitive impairment, is common, statistics show 70 percent of patients will progress to dementia, though the percentage is lessening with medical advances in treatment and patients’ proactive, healthy lifestyle changes, Treihaft says.

The time to be concerned is when cognitive impairment results in an impairment of functioning, or “not being able to do what you once were able to,” Goetze says. Those who have a family history of dementia have a higher risk of suffering from it themselves, and should be tested.

A number of factors can masquerade as dementia, including: sleep deprivation, responses to anesthesia or chemotherapy, depression, severe anxiety, chronic pain, vitamin B-12 deficiency, head injuries, some types of seizures, migraines, medications ( from antianxiety to sleep aids, narcotics and antihistamines) and emotional trauma.

“When we are under enormous stress, our cognitive sharpness decreases,” Goetze says.

It’s important for people to see a doctor when they experience cognitive impairment because 20 percent of dementias are reversible. Causes include metabolic issues, such as low vitamin B-12, hypothyroid or alcohol consumption; infection, such as syphilis, Lyme’s Disease and HIV; structural problems, such as brain tumor or stroke; inflammation, such as vasculitis; and mental illness. For cognitive issues due to depression, “you treat the depression, and it’s gone,” he says.

Twenty percent of dementias are caused by vascular disease, such as strokes, which can often be treated when identified early.

Dementia reaches a mild or moderate level when shortterm memory problems become consistent. People may forget conversations or movies they just watched, repeat questions, become lost easily and need assistance with personal hygiene.

Patients with late, or severe, stages of dementia usually need full assistance and eventually have difficulty sleeping and eating.

“As we get older, we start to pay attention to things we can’t remember. Don't worry too much about that...

Not all forgetfulness is Alzheimer's. ”

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PREVENTING DEMENTIA ifestyle can go a long way in preventing dementia.

“General good health—healthy body weight—and proper diet are important,” Goetze says. “The enemy of memory is vascular disease, so avoid diets high in fat and cholesterol that block arteries and veins and inhibit blood flow and oxygen to the brain.”

Treating hypertension and diabetes sooner, rather than later, can make a difference between dementia and normal aging. Chronic sleep disturbances can also negatively affect memory. Goetze suggests refraining from alcohol, tobacco and marijuana, especially when young.

“Alcohol is a neuro-toxin. It kills brain cells,” he says. “The more alcohol we drink, the more brain cells we kill off and the higher chances of memory impairment.

“Young men and woman should refrain from both alcohol and marijuana abuse. Both of these substances negatively effect the developing brain and interfere with memory.”

New research also shows that closed head injuries and repetitive concussions can cause dementia. Closed-head injuries are a type of traumatic brain injury in which the skull and dura mater remain intact. Auto accidents, sports accidents and falls contribute to most closed-head injuries.

“Sports such as soccer, football and boxing have been implicated in longer-term memory and motor problems,” he says. “Protect your head.”

And, as it turns out, helmets may not protect brains well enough, so it’s up to sports participants to play it safe.

“Helmets don’t do enough because of the head bouncing in and out of the head plate,” Treihaft says.

Interacting socially and practicing cognitive skills keeps the brain active, though the jury’s still out as to whether they actually help prevent dementia. Still, Treihaft says “it

might protect you a little bit from the decline,” and Goetze and local psychologist Geoge McNeill, PsyD both support the “use it or lose it” theory.

“Stay mentally active,” Goetze says. “Learn new things.

Make new neural connections. Stimulate your mind with new learning.

“Maintain social contacts. Social interaction helps to keep one’s memory sharp.”

DEALING WITH DEMENTIA lzheimer’s is currently incurable, and medications like Donepezil, Memantine and Rivastigmine have minimal effects, Treihaft says. But, there’s hope. Treihaft says we’re sitting on the cusp of a medication breakthrough; he expects effective medications to emerge within a couple of years.

For now, cognitive therapy and medication, including antidepressants, are the best options. In addition, caregivers must attend to their own mental health.

“Most of my time in the office is spent with the caregiver—that’s who’s suffering,” Treihaft says.

Dementia, and specifically, Alzheimer’s, has been called “the long goodbye.”

“It is a very painful and protracted process, which is as painful for loved ones as it is for the patient,” Goetze says.

The Alzheimer’s Association offers support on a local and national level and gives specific recommendations for early-, middle- and late-stage care. These tips can help loved ones understand the disease process, which can reduce frustration.

“Caregivers need to make sure to protect and care for themselves,” Goetze says. “All caregivers need opportunities to ‘recharge’ their batteries with respite care and selfnurturance.”

For both caregivers and people who are simply experiencing the effects of the aging brain (or those with early stages of dementia), McNeill recommends a practice called A New Process Goal.

With it, he teaches people to notice reactions to events, like not being able to recall a word quickly, and simply observe it, rather than hooking in emotionally and becoming upset. His approach is one of acceptance, of “openly embracing one’s experiences, both good and bad, without attempting to change them … (and) acting in service of who you want to be, not in the service of getting your reaction to go away.”

This type of emotional flexibility allows for change to occur without pulling a person into a negative reactionary behavior; instead, a person remains clear about what he or she values, and chooses to act upon those things.

Whether an individual’s aging brain subtly changes within the normal realm of cognitive functioning, or begins to deteriorate quicker through dementia, McNeill’s approach can soften the blow, so to speak.

“We don’t have a choice about our aging brain,” he says, “but we do have a choice about what we do with it.”

“When we are under enormous stress, our cognitive sharpness decreases.”

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From ski and snowboard risks to the overmedication of adults and children, local physicians and therapists are making some brow-raising discoveries right here in Vail.

JACK AFFLECK/VAIL RESORTS

BY SHAUNA FARNELL

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ason moore, PhD, PA knows

that not everything we abide by in the world of medicine is irrefutable fact. Actually, disputing common practices and finding better ways to provide treatment is a passionate side project for some local doctors and therapists whose discoveries are making a significant impact locally, regionally and nationally, too.

“If you want someone to change their perspectives, especially in the medical field, you have to provide evidence-based research,” Moore says. “Medical myth busting is the challenge.”

Moore, an epidemiologist, practices trauma and critical care medicine at Vail Valley Medical Center. He began observing patterns among his patients who had sustained ski and snowboard injuries.

“We noticed that over time, on days when the snowfall was deep, it was more extremity-type injuries— hands, wrists, ankles, et cetera. In the spring, when there was less snow, it was head, chest and abdominal injuries. As I looked into it further, I saw that nobody had studied that component of injuries,” Moore says.

Moore took it upon himself to conduct a study, analyzing a total of over 600 trauma patients who had sustained injuries on regional mountains while skiing and snowboarding, paying special attention to injuries resulting from collisions and also the amount (or lack) of snowfall. While his conclusions were not surprising, they were powerful because they involved real, provable data.

“The injury severity is worse when there’s little snowfall,” Moore says. “If there’s less than two inches of snowfall, the risk of an injury being severe or critical is almost three times higher.”

Moore’s research also shows that the odds of an injury being critical, such as involving major trauma to the head or chest, are greater when there is an inch or less of new snow. Skiers and snowboarders who have taken a tumble in powder know it’s much less painful than a fall on hard-packed snow, but Moore emphasizes that the moral of his findings is when there is more snow, it slows things down on the mountain.

“What we attribute the injuries to is increased speed when there’s less snow. It’s not so much the padding of the powder, but it’s that you go slower when there’s more snow out there. The lesson is, control your speed.

Speed kills,” he says.

One of the leading researchers at VVMC, Moore has published multiple studies over the years. Recently, he evaluated data with seven regional hospitals in a study that concluded that doctors generally prescribe antibiotics that are both too strong for the diagnosed infection and for too long a duration of time for their patients. He authored a related study, specifically addressing the use of antibiotics in pediatric patients with acute bacterial skin and skin structure infection (ABSSSI).

Among the most common infections requiring hospitalization, these infections exert a substantial burden on the healthcare system with approximately three million pediatric healthcare visits per year. Hospitalizations for ABSSI among children has more than doubled over the last 15 years, triggering an increasing cost of 58

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Jason Moore, PhD, is delving into a study on how marijuana use affects injury rates among skiers and snowboarders.

care and need for invasive procedures. "Despite the increasing frequency of hospitalizations for ABSSI among children, there was limited data regarding antibiotic prescription for these kids," says Moore. Recent studies specific to adults demonstrated frequent use of antibiotics for a prolonged period presented opportunity to reduce unnecessary antibiotic use. "We sought to evaluate whether similar opportunities exist in pediatric patients, and found that there is, in fact, opportunity to reduce the use of antibiotics, thus reducing healthcare costs, as well as concerns of parents." Thanks to these studies, hospitals and clinics can now re-educate their providers to avoid over-prescribing.

Next, Moore is delving into a study on how marijuana use affects injury rates among skiers and snowboarders. "It's remarkable to see research coming from a small, rural hospital like Vail Valley Medical Center, but it's extremely rewarding to contribute to the body of medical knowledge and be a part of evolving trends in healthcare," says Moore.

MOVEMENT EVALUATION

a screening like this, you can potentially identify those individuals who are at greater risk for injury and then intervene,” Olson says.

“Maybe its strength and flexibility that needs to be improved. Maybe it’s motor control. In areas of concern indicated by the tests, you can work with the athlete and use the test again to see if these measures have improved the athlete’s performance and decreased the risk of injury.”

The tests have never been used to predict the risk of injury among competitive skiers and snowboarders, and Olson decided to look into it. He began analyzing FMS™ test results and injury rates among a group of 136 Ski and Snowboard Club Vail athletes in August 2010. Set to be completed in August 2015, Olson has been able to determine that although the test has proven both valuable and telling in predicting risk of injury in traditional sports athletes, it’s not as helpful in predicting injuries among competitive skiers and snowboarders. Low scores on the movement test don’t mean the skiers and snowboarders have a higher risk of injury, which is good news for them. On the other hand, the risk of injury is, unfortunately, increased by factors outside of their control.

“Certainly these tests can still be used to assess physical readiness to perform, but they may not be that gold standard for predicting risk of injury that they are for other sports,” Olson says, pointing out that the risk of injury in skiing and snowboarding may be largely based on environmental factors, such as those indicated in Moore’s research.

As a physical therapist at the foot of a ski mountain, Howard Head Sports Medicine’s Thomas Olson has had ample opportunity to help athletes recover from injuries. But what about predicting them before they occur?

Turns out there’s a way to determine the potential risk of injury for traditional sports such as volleyball, football and basketball. It centers around the Functional Movement Screen (FMS)™ and the YBalanceTest™, which are a series of exercises such as squats, lunges, reaches, oneleg balance and flexibility used to evaluate an athlete’s basic movements. If the athlete scores 14 or below on the FMS™— a result showing either low scores in one or more of the exercises or that the athlete has displayed an asymmetry in his or her movements — it has been shown that the athlete is three and a half times more likely to sustain a serious, long-term injury (torn knee ligament, broken bone, etc.) when competing or training in his or her sport.

“The idea is that if you conduct

DOMINIQUE TAYLOR

Physical therapist Thomas Olson is studying a way to determine the chances of injury for individual skiers and snowboarders.

“ It's extremely rewarding to contribute to the body of medical knowledge and be a part of evolving trends in healthcare.”

“Snow conditions are just one of the variables you encounter [related to risk of injury] that aren’t as important in sports like football or volleyball,” Olson says.

“Plus, you’ve got terrain, tuning of equipment … how injuries vary from one hill to the next. When you start thinking about all of that, it’s understandable that there is a lot more to consider.”

“While we are not a research or university hospital, we have special opportunities to learn from our unique mountain setting and contribute our findings to the world,” says Moore.

So, the next time you decide to go all-out, speed skier style when the snow report says no new accumulation, consider the evidence-based research. Vail Valley Medical Center’s physicians and therapists are not only here to provide informed, state-of-the-art care, but they are working hard to save you a trip to the hospital and pharmacy as well.

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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

Roberto Morales, Facilities

Ben Boese, IT

Paul Abbott, MD, Vail-Summit Orthopaedics

PEOPLE PEAK AWARD

QUALITY PEAK AWARD

SAFETY PEAK AWARD

Charmayne Bernhardt, VVMC Foundation

Erin Mundo, Inpatient Pharmacy

Miles Henson, Emergency Department

SERVICE PEAK AWARD

VOLUNTEER OF THE YEAR

Wilber Mendez, Edwards Pharmacy

Anna Policastri

OUTSTANDING SERVICE VOLUNTEER Nancy Berg

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THE COMMUNITY

OUR CROWD

FACES

DONOR APPRECIATION Vail Valley Medical Center hosts an annual Donor Appreciation Reception to thank and celebrate our many supporters. clockwise from top: Carol Moore Mink, John Mink, Gary Oatey and Rosanne Oatey. Jack Chandler, Aubyn Howe and Bob Howe. Vail Health Services Board Member Johannes Faessler, Doe Browning and Jack Hunn. Elaine Kelton, Melissa Whitmer, Vail Valley Medical Center Board Chair Art Kelton, Joe Maslowski and Michele Falivene.

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OUR CROWD

VVMC 2014 DONORS FISCAL YEAR 2014

VVMC PLATINUM MEDALLION SOCIETY $100,000 AND ABOVE Aon Foundation Emily Gunn and Sheila Gunn McCormack Susu and George Johnson, Jr. Mary Sue and Mike Shannon Sally Veitch Agatha and Luitpold Von Finck

VVMC GOLD MEDALLION SOCIETY $50,000 - $99,999 Sonnenalp of Vail Foundation VVMC Volunteer Corps

VVMC SILVER MEDALLION SOCIETY $25,000 - $49,999 Anonymous Bertini and Melvyn Bergstein Kathy and Erik Borgen Kelly and Sam Bronfman Peggy Fossett Pat and Peter Frechette Elise and Victor Micati Molly and Jay Precourt The Willard T.C. Johnson Foundation, Inc. Vail Breast Cancer Awareness Group

GORDON AND THELMA BRITTAN SOCIETY FOUNDER'S LEVEL $15,000 - $24,999 Judy and John Angelo Jean and Paul Corcoran, DDS Ann and Doc Cornwell Amy and Steven Coyer Lucy and Ron Davis Doris and John Kirchner Sheila Gunn McCormack Sara and Eric Resnick Ann Smead and Michael Byram Susan and Steve Suggs Vail Valley Surgery Center, LLC Barbara and Richard Wenninger

PRESIDENT'S LEVEL $5,000 - $14,999 Alpine Bank Anonymous Apollo MD

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NOV 1, 2013 THROUGH OCT 31, 2014 Herbert and Sharon Bank Penny Bank John Becher Eleanor and Gus Bramante, IV Kent Brittan Dorothy Browning Cerner Corporation Kay and Thomas Clanton, MD Thomas Claugus Caryn Clayman Colorado Mountain Medical, P.C. Angela and Peter Dal Pezzo Denver Health and Hospital Foundation Diversified Radiology of Colorado Suzy and Jim Donohue Irene and Jared Drescher Duane Morris LLP Eagle Valley Community Fund Kathleen and Jack Eck, MD El Pomar Foundation Encore Electric Martha Head and John Feagin, MD First Bank of Eagle County Joan Francis Greer and Jack Gardner Catherine Garland GE Johnson Construction Company Donna Giordano The Golden Bear Jeffrey Goldsmith Sheika and Pepi Gramshammer Rainy and Fred Green Gayle Grider McDonald Kim and Thomas Hackett, MD Harold W. and Mary Louise Shaw Foundation Healthcare Outsourcing Network, LLC Rossie and John Hutcheson June and Peter Kalkus Elaine and Arthur Kelton, Jr. Key Private Bank Tara and Bob Levine Deb and Dan Luginbuhl Cynthia McAdam Alison and Tim McAdam Brenda and Joe McHugh Liz and Luc Meyer Sarah and Peter Millett, MD Anne and James Millett Nichols Interactive Linda Pancratz Senenne and Marc Philippon, MD Lou and Gib Reese Ann and Richard Rothkopf

Elise and Paul Schmidt Elaine and Steven Schwartzreich Shaw Outreach Team Sheila Sullivan and Harvey Simpson Steadman Philippon Research Institute / The Steadman Clinic Carol and Hans Storr Sue Talucci Town of Gypsum Town of Vail US Bank Vail Resorts, Inc. Vail Summit Emergency Physicians Vail-Summit Orthopaedics Katie and Bill Weaver Alice and Andy Weydt Sterling Williams

BENEFACTOR’S LEVEL $1,000 - $4,999 Barbara Allen Sara and John Almond Alpine Party Rentals Mary Ellen Anderson Todger Anderson Astra Zeneca Patricia and Chris Aubel Richard Badenhausen David Barbour Barbara and Jack Benson Barbara and Barry Beracha Alix and Hans Berglund Laura and Len Berlik Martha and Bill Bevan, Jr, MD Sue and Sidney Blandford, III Patti and Edward Blender Pamela Bock, MD and Brooks Bock, MD Kara and Farley Bolwell Thomas Brink Noelle Brock Stacy and Mike Brown Virginia Browning Susan and Graham Burton Jeri and Charles Campisi Andrew Canter Peggy Carey Christie and Steve Carver James Cave Taylor Cave Centennial Bank Patsy and Pedro Cerisola Sara and Michael Charles Christy Sports Kathy Langenwalter and Dick Cleveland Colorado Hospital Association Colorado Mountain Medical, PC Judie and Richard Conn

Michelle Connell Laura Cook Julia Dal Pezzo Jacqueline and John Deveric Gail and Carl Dietz Dorothy Distelhorst, DDS Fred Distelhorst, DDS Donelan Family Wines Jane and Matt Donovan The Dusty Boot Eagle County Board of Commissioners Eagle River Professional Firefighters Association Jane and Reed Eberly Linda and Robert Egan Roger Egli Barbara Krichbaum and R. Kent Erickson Sima and Thomas Evans, MD Cookie and Jim Flaum Stephanie and Lawrence Flinn Barry Florescue Craig Foley Sally and Crosby Foster Susan and Harry Frampton Sue and Reg Franciose, MD Laura and William Frick Helen and Robert Fritch Grace and Stephen Gamble Diane Gates Genentech Kitty George GGE Foundation Tracy M. Gillette Georgia and Donald Gogel Lyn Goldstein Jean Graham and Phillip Smith Becka and Stuart Green Allison and Michael Greene Jeanne and Jim Gustafson Valerie and Robert Gwyn Bethany and Jonathan Haerter, DDS Leah Handelsman Stephanie and John Hanson Patricia Hardenbergh, MD and Gordon Hardenbergh, MD Grace Harrigan Haselden Construction Head/Tyrolia Winter Sports, USA Heery Design, Inc. Deborah Wittman and Rik Heid Jeanne and William Hellegas Patricia and Lawrence Herrington Lorraine and H.G. Higbie, Jr. Pam and Steve Holton Nancy and Charlie Hovey Verna and Tom Howard Dan and Debbie Hughes Amy Hunter IBM International Foundation Jackson Building Company Julie and Brice Jackson Shelly and Chris Jarnot Bruce Jarvis Cheryl and Bill Jensen Kathryn and Calvin Johnson Alexia and Jerry Jurschak Erin Keane Anne-Marie and John Keane Cynthia and Peter Kellogg

Iva and Jim King Kitchen Collage Nancy and Richard Knowlton Judy and Alan Kosloff Nancy and Eric Kurzweil Teri and Joe Lebeau John Lictenegger Ann and William Loper Nancy and Richard Lubin Luigi's Pasta House Vanessa and Johnny Lyons Monique Manganelli, MD Margaret and Peter Mason Cyndy and Brice May Maya Restaurant Melanie and Tim McMichael Paul McNamara Peg and Ag Meek Carolyn and Eugene Mercy, Jr. Judy and Robert Meuleman John Middleton Millennium: The Takeda Oncology Company Carol Moore Mink and John Mink Ellen Mitchell Allison and Russell Molina Lisa Monaco Belinda and Eric Monson Amy and Sasha Moritz Jeanne and Dale Mosier Mountain Surgical Associates Vicki and Trygve Myhren Nexgen Hyperbaric, LLC Joyce and Jim Nielsen Northern Trust Nathan Pauls Pediatrix/MEDNAX Services, Inc. Peer Assistance Services Perch Vail Teressa and Anthony Perry Jullie and Gary Peterson Lisa Dillon and Jay Peterson Darci and Hap Pool Ann and Ralph Poucher Rad Technology Medical Systems The Raether 1985 Charitable Trust Rakich Family Charitable Foundation Sharon Randolph Gretchen and Robert Ravenscroft Amy and James Regan John Roberts Margaret Rosenquist Barbara and Howard Rothenberg Tyra and Peter Rudrud Thea Jean and Fred Rumford Suzanne and Bernard Scharf Patricia and Dale Seal Sandra and Kenneth Seward Susanna Johnson and Timothy Shannon Renee Peterson and Roger Shapiro Carol Sharer Chrissy and John Shipp Slifer Smith & Frampton Real Estate Pamela and Richard Smith Margie and Larry Snow Michelle and Matt Spidell Starbucks Edwards Anne and Josef Staufer

Summit Ford, Inc. Trista and Ryan Sutter Tom Swarsen Agnes Hsu-Tang and Oscar Tang Kimberly Taylor Nancy and Jon Tellor Jere Thompson Elaine and Richard Tinberg John Tlapek Laura and Keith Tucker Linda and Stewart Turley Jean Urquhart, MD and Alec Urquhart, MD Vail Cascade Resort and Spa Vail Radio Partners Vail Valley Concours, LLC Steve Vath Elizabeth Vincent Shane Vorster Jackie Hurlbutt and Norman Waite, Jr. Jim Wear Patti and Ron Weinstein Carol and Patrick Welsh Betsy and George Wiegers Alinda and Jim Wikert Heidi Witherell, MD

SUPPORTERS Robert Abrams Charles Adam Holly Adams Janet Adler Jennifer Adu Marilyn and Roger Affa Sandra and Larry Agneberg Nadine Ainbinder Pamela and Basim Ajlouny Kristine Albanese Nancy Albanese Cynthia Alberts Anne and Charles Albertson Christine and Jack Albertson Pamela and Richard Alexander Jill and John Alfond Erin Allen Jocelyn and Mark Allen Karin Allen Lisa Allison Margaret Allon Dave Alonzo Alpine Glass & Mirror Inc. Alpine Vending and Video, Inc. Rama and Narayana Ambati, MD Maria Ammaturo Katrina Ammer Ines Amuchastegui David Andersen Mark Anderson Marybeth Anderson Daniel Andrews Dee and Warren Androus Mark Anesti Bonnie Angus Molly and Michael Ansfield Jackie Anthony Antlers at Vail Aaron Apodaca Joel Appel Lisa Appel James Applegate Adelaida Arakaki Michael Arat Harrison Archer

Darlene and Norman Areno Giancarlo Arizzi John Armiger James Armistead Mary Pat Armistead Courtney and Kevin Armitage Mary Lou and Robert Armour Jean Armstrong Sally Arndt Norris Tim Arnold Margaret and Charles Arnoult Melissa Arp Virginia and Ronald Askew Glenn and Sarah Ast M. Charlotte Atencio Carolee and Russell Atha, Jr. Melanie Atkinson Jeffrey Au Marilyn Augur Lanell Avery Avon Bakery & Deli Susan Axtell Cyndi Azima Judd Babcock Bachelor Gulch Club Tess and Thomas Backhus Patricia and Arnold Bagwell Beth Bailey Kay Bailey Patricia and John Bailey Patricia Bain Jennifer and Tim Baker Susan and Robert Baker, Jr. Dierdre and Ronnie Baker Michelle and Patrick Baldasare Mary Baldo Bruce Baldwin Annette Balera Ball Real Estate, Inc. William Balzano Jennifer Banda Ludden Nina and Robert Bandoni Diane and Eric Bankert Leopoldo Baptista Alla Barash Pamela and Robert Barker David Barnes Jared Barnes Anne Barnett Holly and Brent Barnum Julie Barone Henry Barr Hilary Barrett Nancy Barry Marcella and Robert Barry Karl Barth Carolyn Bartholdson Janine Bartok Patti Jo and Robin Bates Linda and Andrew Battaglia Jeffrey Bauer Thomas Bauer Cynthia Bauerle Collin Baugh Nancy Baumer Judith McBride and Bruce Baumgartner Laura Baxley Sandra Bayer Maria and Guillermo Bayon Francesca and Edward Beach Sue Beasley Marcia Beat John Beaupre Colleen Beauregard Beaver Creek Chophouse Beaver Creek Resort Company Claire Beck Jayne and Paul Becker

Deb Beckman Helen and Bruce Beckwith Clark Bedford Gail Bedingfield Albert Beedie, Jr. Margo and Roger Behler Barbara and Peter Behrendt Wendy Beiswenger Anita and Robert Belden Lynn Bell Sharon Bell Gay Bellrichard Patricia Benedict Rhonda Benitez Jean Bennett Jeffrey Bennett Joyce and Mark Benson Tracey and David Bentley Carrie Benway Kathryn Benysh David Berg Nancy Berg Amanda and Brook Berga Colleen and Kevin Berga Roger Berkowitz Berkshire Hathaway Michael Berland Frank Bernal Ann and Hank Bernbaum Charmayne and Charles Bernhardt Lois and Stan Bernstein Berry Creek Middle School Jennifer Bettenhausen, MD and Timothy Bettenhausen Michael Bettis Beveridge Real Estate Inc. Greg Beye Robert Biesemeyer Joyce and Gerald Biggs James Bigos Christian Bigsby Paul Bigsby Terry Billingsley Rachel Billow Kurt Bingham Anthony Binsfeld Roz Birkelo Daisy Bissett Dorrie Bitzer Maxine and Jerry Bizer Mary and Joe Blair Mike Blakslee Gary Blamire MJ Blanchette Patrick Blanchfield Cooper Blankenship Margaret Blazek Skip Bliss Charla and John Blizzard Laura and Richard Block Jennifer and Brian Bloess Jason Blom Benjamin Blount Jamie Blume Juli Blunt Danette Bodine Thomas Boehland Deborah and David Boillot Alison and Salvatore Bommarito Avanelle and Charles Bond Melanie Boock Alice Boone Kevin Borgert Martha Boswell Helene Bosworth Kean Boucher John Boudreau Thomas Bowers Michelle Bowman Vicky and Garry Boxer, MD Nancy Boyce

FACES

PINKTOBERFEST The Dusty Boot hosted Pinktoberfest to raise breast cancer awareness and funds for Shaw Regional Cancer Center. top to bottom: PJ Berg and her daughter, Darby. Dosimetrist Marisa Sheehan, exercise physiologist Sarah Giovagnoli and vice-president of Shaw Regional Cancer Center Peggy Carey. Chad Strickland and Dave Berg participate in a contest to see who could hold a stein of water the longest.

Marian Boyd Diane Boyer Janet Bozza Lindsi and Paul Bradbury Karen Braden-Butz Jill Bradshaw Kathryn Brady Colleen and Steve Brady Debbie and William Brady Brady, Martz & Associates, PC Dan Brajtbord, MD Lisa Brandmeyer Melissa and Peter Brandrup, DO Claudine Brandt Catherine and Timothy Brandt Katie Branscomb Martha Brassel BeaAnn and Jack Braun Rita and Joerg Braun Patti and Ronald Brave Lynda Brecke Gayle Brehm Edwin Brekke Chris Bremer Kathleen and John Brendza Alison Brent Kathy and David Brewer Ruth and Harold Brewster Priscilla Brewster Brian Hauff Memorial Garden Tania Bricel Don Bricker Heidi Bridgeman Gretchen Brigden Eric Brocklebank Chris Brody Chestina and David Brollier George Bromall Jessica Bromall Sparkman Burt Bronk Theresa Bronold Karen Bronow Suzanne and Richard Bross David Brown Shelly and Kevin Brown Lilia and Nico Brown Lori and Robert Brown Margie and Robert Brown Sidney Brown Geil and Armistead Browning Margaret Wilcox Browning Rachele and Thomas Browning Lois Bruce Edwina and Louis Bruder Lars Brunk Stephen Brunmeier Brush Creek Elementary School Robin and Ronald Buchanan Margaret Buchannan Ruth and Barry Bucher Sue Buchman Merrill and John Buettner Katherine and Roy Bukstein Jean Bullard Avonne and James Bullock Jonathan Bunyak Shan and Caleb Burchenal Jill and Alan Burchill Frederick Burgum Ella Burnett Janie and Bill Burns Edith Busam Mary and Robert Bush Gretchen and Leonard Busse Barbara Butler Butler Health and Beauty Myra and Marvin Butts Spencer Butts Christopher Cain

Mary and Nick Calise Bridget Cameron Nancy and Jack Camilleri Katie and David Campbell Doug Campbell Lynne Campbell Becki and Steve Campbell Theresa Campbell Charlyn Canada Paula Canepa Sue Cannon Tanja Canter Barbara and Paul Cantrell Kendall Carbone Jason Carey Sue Carey John Carlson Ann Carroll Debra and Dennis Carroll Elizabeth Carroll Sharon Carroll Lisa and Bill Carter Mary and David Carter Denise Carter Ed Carter Cascade Village Theatre Casey St. John Interiors Coley Cassidy David Caulkins Kristi Cavanagh John Cawood Cayman Kiss Hair Company Wayne Centrone Marianne Ceriani Maren and Christopher Cerimele Joanne Cermak Joann and Louis Cernak Cerner Corporation Johanna and E.C. Chadwick Jose Chairez Chamonix Crew Carolyn and Gary Chandler Ira Chang, MD Jannie Chang William Chapin, III Charles P. Stanley Cigar Company Jayne and Stan Charles Cynthia and John Chase Karen Chase Sally Chase Randee Cherner Sandra and Robin Cherp Kay Chester Shirley and John Chilton Janis Chittick Bruce Christenson Linda and Beric Christiansen Juan Jose Chuburu Carol Church Robyn and Richard Chwatt Barry Clairmont Victoria and Terrell Clampitt Gary Clapp Dana Clark Susan Clark Cheryl Clayton Ann and Roy Cleghorn Bonnie and Braden Clements Brooke Clements Penny Clough CMT Painting Heidi Cofelice Priscilla Coffin Patti and John Cogswell Lynn and Bill Cohagan Andrea Cohen Holly Cole and Thomas Archy Linda Cole Patricia and Michael Cole Carolyn Coleman Marla and George Coleman Collier Home Care

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OUR CROWD Anne Collins Francis Collins Jim Collins Roger Collins Shelley Collins Martha and Francisco Colon-Pagan Colorado Business Bank John Comer Comerford Insurance Agency, Inc. Cres Compton Amanda Comunale Sharon and Greg Conger Patricia and Steven Conn Christina Connolly Jennifer Connolly Anita Connors Cathleen Conroy Michael Conroy Angelo Cook Brady Cook John Cook Elizabeth Cooney Brenda Coonrod Amanda Cooper Cathryn Cooper Mary Ellen and Stan Cope Mary Copple Greta Coram Kari Corbin Leonard Cordaro Craig Cormack Mary Cornetta-Brown Sunny Corrigan Enrique Cortés Torres Eustaquio Cortina Kathleen and Charles Coskran Suzanne Cosso Nancy and David Costantino Patrick Costin Stacy and Joe Cotroneo Libera and Richard Coughenour Judy and Keith Countryman Loretta and Earl Counts Michelle and David Courtney Sherry and Timothy Coutts Beira Covas Alfred Covello James Covington Kit and Ardy Cowperthwaite Kathleen Cox Kathryn Cox Ryan Cox Craig McNeil Portraiture Patricia Craig Jane Crain Jeanne Crane Susan Crane Karin Crawford Paige Cregon Travis Cremonese Caron and Charlie Crevling Diana Crew Dorothy Cronin Nancy and Andrew Cruce Maureen Crumbine Paige and Chris Cumming Bruce Cummins Diane and Richard Cunningham, Jr, MD Brenda and Andrew Cuomo Bart Cuomo Connie Custer Marguerite Dabbs Cynthia Dahl-Neitzke Lucinda and Andy Daly Carolyn B. Danforth Laura and Bill Danfoth Silvia and Alan Danson Kelly and David Dantas Mary Darretta

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Mary and David Davies Alice Davis Alicia Davis Lynn and Bill Davis Elizabeth Davis Jay Davis Sarah Townsend Davis and Josh Davis Jyll Davis Kathryn Davis Kristin McKnight Davis and Chris Davis Leslie Davis Randi Davis Rebecca Davis Marsha and Ronald Davis TJ Davis Lisa Day Shirley Day Arlene and John Dayton Charles De Chateauvieux Sara Ceubas De Iralo Rosa Mariella De Jong Denis De Souza Paula and Jerry De Young Adina Dean Lisa Dean Susan and Mark Dean, DDS Jane and Thomas DeBenedetto Anne and Dale Decker Deerfield High School Class of 1964 Kevin Deighan Karen and Bill Dejong Joseph Del Duca Sandra Dellarusso Reggie Delponte Courtney Denney Joyce and Clint Dennis Jennifer and Chris Dennison Ashley Dentler Harold Dentler Jeff Dentler Craig Denton Nicole and Kyle Denton Shane DeRolf Katrine Desavino John Destefano Deb Deverell Michael Deverich Carolyn and Henry Dewolf, Jr. Maryanne Diaz Willis Dickens, MD Adam Dickmann Kevin Diebel James Dimitri Michel Dimitri Antoaneta and Daniel Dimitrov Deron Dircksen Joy and Richard Dirkes George Disberger Abigail Dixon Brenda Dixon Shirley and Ronald Dodd Linda Dodson Christine Dolan Katie Dolan Tara and Thomas Dolan Linda Dollahan Shirk Deirdre and Michael Dolphin Becky Donahue Herbert Doneen Nancy and Gerald Dooher, MD Doppelmayr Linda Doran Barry Dorfman Sarah Dorman Amy and Conrad Dorsey Thomas Dosch

Patricia and Anthony Dote, Jr. Jim Doty Catherine Douglas Douglas Conran McLaughlin Trust Luke Dow Sharon Dowdell Barbara and Robert Dowie Jerald Downen Heather and James Downey, MD Charenton Drake Ronald Dreffer Brent Drever Deborah and Norman Dreyfuss Dave Driscoll Krista Driscoll Dan Droy Meg and Jamie Duke James Duncan Dundee Realty Management Corp Cas Dunlap Jewell Dunn Leslie Dunn Will Dunn Lucy and Peter Dunning Louis DuPree Lloyd Dyba Larry Dybvad Joanne Dye Hillary and Matt Dyroff Anton Eagle Eagle Vail Partners, LLC Betsy and Dean Earl Holly and Dan Eastman Beth Eck Marilyn Eck Robert Eckert Catherine and Ulf Edborg Andrea Eddy Dean and Deb Edwards Peggy and Gary Edwards Kris Edwards David Eickholt Lois and Stephen Eisen Jody Ejnes Elements a Day Spa Stephen Elken Stan Ellen Estelle and James Elles Kenneth Elliott Mary and Mark Elliott Jeanie Ellis Beverly and Mike Ellis Kirsty Ellison Carol and Fred Emich III Kathleen and Lawrence Emmons, MD Encana Cares Foundation Thomas Engelbach Vaughn Engler Gail Engvall Robert Epple Amy and Bruce Epstein Carmen Epstein Akiko Erwin Carolyn Erwin John Eschenlohr Jennie Espada Ocasio Ellen and Michael Esposito, Jr. Paul Esserman Jean Richmond and Horst Essl Emilie Egan and Steve Evancho Evans Chaffee Construction Group, Inc. Cynthia and Daniel Evans, Jr. Mary Evans Claire and Marshall Evans

Stanley Evans Joyce and Stephen Evans Bill Ewing Nick Exarhakis Stephanie Exarhakis ExxonMobil Foundation Ottalie Faber-Carlin Eileen Fagan Nora Fahey Maxine and Louis Fantini Fargo-Moorhead Area Foundation Jean and David Farmelo Kenneth Farmer Betty Farrington Sharry Fassett Frances Fayard Mary Hoffman and Daniel Feeney Kathy Feinsinger Carole and Peter Feistmann Diane and Larry Feldman Wendy Feldman Donna Fenske Christine and William Ferguson Susan and James Ferraco Susan Ferrari David Ferris Jonathan Ferris Linda Ferris Eddi Fesler Barbara Fey Mary Lou and Jerry Fiala Kevan Fight Sharron and Greg Finch Elizabeth and Jesse Fink Regina and Kyle Fink, MD Catherine Finkelstein Linda and Raymond Finn, DDS Mary Ellen Fiore Linda and Barry Fischler Roberta and William Fishman Melinda Fitzcharles Robert Fitzgerald Lyn Fitzpatrick-Foster Carolyn Flanagan Leigh Flanagan George Flanders Tim Flannery Marilyn Fleischer Ellen and Bruce Fleisher Megan Fleming Neil Flesher Sara Fleszar Marilyn and Theodore Flick Stacie Flight Cindy and Mark Fliginger Carlos Flores Gretchen Florescue Juan Flores-Robles Cheryl Foley Elizabeth and Dennis Foley Janice Follmer Patricia Foltz Kim Foos Joyce Foran Dawn and Tim Force John Forester Margaret Forken Madeleine Forsyth Kathleen Fort-Carty and Bill Carty Michelle and Brian Foster Donna and William Foutz, MD Bob Fowler Ross Fox Stan Fox Peter Fralick Ingegerd Franberg Shawnna Sisca Frank Victoria Frank

Sarah Franke Joan Taback Frankle Joel Frederick Susan and Jeffrey Freed Anneliese Freeman Eileen and John Frega Patricia Frese Freshies Chris Freud Ms. Allie Frick Annette Fricke Judith Friedman Mitchell Friedman Dawn and Stephen Friedman Friends of The Ore House Paula Friesen Anita and Robert Friesen David Friess Dick Friess Cynthia Engles and Stuart Frith Patricia and David Fritz Guerin Fritzlen Christy Froehlich Martin Frumkin Peter Fuhr Laura and Steve Fuller Janine Fulton Mary Lou Fulton Robert Funking Lori Futerman Miriam and Morris Futernick Scott Futymoski Robert Gagne John Gaither, Jr. Cherry and Dan Gallagher Jackie Gallagher Lauren Gallagher Paul Gallagher Richard Gallant Suzanne Gallegos Cass and Old Dog Galloway Garfield & Hecht David Garner Vicky and John Garnsey Tricia Garrett Catherine and Barry Gassman Charles Gately Kimberly Gauron Barbara Gauzza Sharon Geankoplis Diane and Waldo Geiger Jude Geilenkirchen Greg Geiser Jennifer and Ryan Geller Cheryl and Arthur Germain Kim Gerringer Erin and Chris Gersbach Alex Gerson Boris Gerson Edward Gesdorf Fern Getto Lisa Geyer Vincent Gianatasio Robert Gibb Sarah Gibson Mariana Gigea Gigi's Closette Jane Gilbert Laura Gilbreath Holly and Ben Gill Linda and John Gilles Michele Gillett Rod Girardi Amy Gish Nancy Gladstone Tara Glasebrook Terri and Scott Glasser, MD Adrienne Glazov Roberta and John Gleason Jann Glick Mimi Glode, MD and Michael Glode, MD

Whitney Gober Meredith Gold David Goldberg Nate Goldberg Neal Goldman Norman Goldman Pamela Goldman Carol and Ronnie Goldman Rose Goldman Stewart Goldsmith Lisa Goldstein Joan and Joseph Goltzman Amy Gonzalez Sussy Gonzalez Janet Good Mary Beth Goodspeed Michael Goodwin Carol and Charles Goolsbee Julian Gordan Marshall Gordon Katherine Gormly Margaret and Thomas Gorrie Howard Goss Lynn and John Gottlieb, MD Christine and Bob Gould Grace Church School Luann Graham Patricia Grant Warren Grant Christiane Gras Randi Grassgreen Laura Graves Colleen Gray Karen and Mark Gray Ben W. Green Robert Green Laura Greenwood Randy and Linda Greenwood Laurie and Jim Gregg Ursula Gregg Rosemary Gregory Alison Grimes Carl Grimes Susan and Bennett Grimm, Jr. Julie Grimm Nancy Mezey-Groff and Neal Groff Helen and Charles Grommesh Tracey Gross Beth Grossman Grouse Mountain Grill Mary and Mark Grove Meg Grove Brenda Gruber Karen and Todd Grubin Ruth and Peter Gruenthal Thomas Guccini Nancy and Harry Guest Robert Guiney Cynthia Gulde Dana and Dan Gumber Erica Gunn Janet Gurley Richard Gutfreund Rob Gutman Carol and Steve Gutman Gypsum Chamber of Commerce Gypsum Elementary School Florence Habenicht HaberVision Edward Hafer Barbara Hale Daniel Haley Ann Margreth Hall Audrey Hall Danielle Hall Judy and Gary Hall Jim Hall John Hall Laurie Hall Kathleen and George Haller

Greg Ham Maria and Barry Hammaker, MD Elizabeth Hammer Lisa and David Hammond Eddie Hamrick Kathryn Hanley Margaret Hanlon Blake Hannafan Bill Hansen Cindy Hansen Dustin Hansen Julie and Kirk Hansen Lisa Hansen Christopher Hanson Harborglow, Inc. Lilly and Arthur Hardin Gordon G. Harker Leslie and Donald Harkins Tim Harlan Kelly Harlow Yra Harris Jill and John Harrison Linda Harrison Daneen Harsha Jane and Richard Hart Stephanie Hart Krista Hartman Melissa Hartridge Ivan Hass Mary Hasselbring Randy Hatch Mary Hathorn Judith and James Haupt Jonathan Hauser Debbie and Wayne Hauter Amanda Hawkins Mary Ellen and Gates Hawn Happy Hawn Shannon and Mark Hayman Nancy and Kraig Haynes Kristi Hazen and Justin Hazen Michael D. Healy Dennis Heaney Deborah and Dennis Heaton James Heaton Jon Heaton Julie Heaydon Marsha Hebert Sharon Hecker Albert Heekin, III Kathleen Heftka Craig Held Katherine Campbell and Duane Helleloid Patrice Henning Kathy Chandler-Henry and George Henry Paul Hensel Sally and Wil Hergenrader Rebecca Hernreich David Herron Sally and Hans Hesse Margie Mayne and Roger Hesseltine Kathleen Mundy and Fred Hessler Susan Hewitt Margo and Paul Hields High Altitude Spa Jackie Hijmans Christy Hill Kathleen Hill Jody Hine Mary Hinojosa Polly and David Hinshaw Julie Hinton Anne Hintz Stanley Hirsch Norma and Charles Hirsh Lita Hitchcock Vikki and Stewart Hobbs Christie and Karl Hochtl

Sherry Hofecker Elizabeth Hoffman Jane Hoffman Mary Hoffman Joanna and Gordon Hoffstein Lindsay and Ben Hogan, PA-C Ann Hogg Mary Ellen Hogle A. Bart Holaday Elizabeth Holland Frances Holland Catherine and Graham Hollis Amy Holm Summer Holm Cheryl Holman Kevin Holman Bob Holmes Melissa and Jason Holton Kelly and Michael Holton Noel Honkamp Hollie and Richard Hood Bryan Hooker Ken Hooker Laureen Hopkins Kristin and Kyle Hoppes Sam and Jim Horan Kristen and Fraser Horn Jacqueline and William Hornbeck Michelle Horton Patrick Horvath Matthew Horween Louise and Phil Hoversten Howard and Roberta Goss Charitable Foundation Beth and Richard Howard Frederick Howe Peter Howe Joan and Robert Howe Franklin Hoyos Linda and Jay Hoyt Mary Hoza Ani Hristova Pavlova Marie Hubbard Denise and Dale Huff Todd Huff Kirk and Jay Huffard Barbie and Mark Huggenvik Heather and Jim Hughes Kip Hughes Stanton Humphries Anne Hunter Janet Hunter Patricia Hunter Terry Hunter Todd Hurley Don Hutchings Heather and Trygve Hutto, MD Cliff Hyatt Vina and Thomas Hyde Dwight Hymans Paul Hymers Jay and Chris Hynes Susan Ilsley Gary Ingoldsby Wendy Ingraham Inn & Suites at Riverwalk Dieter Inzenhofer Al Irelan Lisa Irelan Joy A. Irwin Kaye and Vernon Isaacs Julie Iskenderian Rosalie Hill Isom Sandra and Joseph Jacaruso Benjamin Jackman Jan and Donald Jackson Hilda Jacobowitz Betty and Herbert Jacobs Jake Jacobson Debbie and Jeff Jacobson

FACES

HIKE, WINE & DINE Participants hiked at peak foliage while enjoying Beaver Creek’s finest cuisine. The event raised $95,000 to benefit Jack’s Place and Shaw Regional Cancer Center.

Myra and Allen Jacobson Victoria and Steven Jacobson Carol Jaffe Victoria and Kenneth Jaffie Lawrence James Ann Marie Jangro Rivers and Paul Jardis Catherine and Robert Jarnot Wink Jenkins Bobbi Jennings Patricia and Nicholas Jent The Jere D. Creed Family Foundation Inc. Sharon McKay-Jewett and Clay Jewett Jewish Community Board of Akron, Inc. Elizabeth Jocelyn Ann Mond Johnson Bruce Johnson Geri and Chuck Johnson Karin and Dean Johnson Dennis Johnson Susan and Donald Johnson, Jr. Elizabeth Johnson Hattie Johnson Barbara and James Johnson Jeffrey Johnson Kinney Johnson Lynn and Lars Johnson Mary Margaret Johnson Nannette Johnson Nick Johnson Cathy and Richard Johnson Susanne and Ted Johnson Victoria Johnson Dana Johnston Mary Ann Johnston Susan and Daniel Jones Drew Jones Jim Jones Joan Jones Liz Jones Nanette Jones Gretchen and John Jordan, II Julie and Tim Jordan Brett Jorski Natalie Joseph Natalie Martin, MD and Terrell Joseph, MD JP Morgan Chase Bank Juniper Restaurant Karen and Michael Juntunen Michael Kachmer Gerald Kalb Catherine and Peter Kane Anna Kanski Kathryn Kantes Gay and George Kapplinger Lynne Karimi Mary and Terry Karkela Kerma and John Karoly Andrew Karow Lauren Karpiel Cathy and Brice Karsh Summer and Thomas Kassmel Mary Sue and Steve Katz Kevin Kauffman Pam Kaufmann Jacqueline and Robert Kavanagh L. William Kay II Lainie Edinburg and Joel Kaye David Kazarian Fran Keegan Charis Keeler Diane Keely Richard Keibler Kristi Keil Mary Ann Keil

John Kelleher Keller Williams Mountain Properties Linda and Patrick Kelly Carol Kemp Joanne Kemp Rebecca Kennedy Karen and Robert Kern David Kerr Joanna Kerwin Tanya Kessenich Gary Kessler John Kieley Tom Kimball Kimberly's Fine Jewelry, LLC Janice and Dale Kimes Daphne King Carol Kingery Mallie Kingston Julie Kinne Tracy Kinsella Sue Ann Spahr and Richard Kinsler Sandi and Skip Kinsley Bruce Kintz Randall Kipp Christine Kiracofe Lindsey and Travis Kirby Brenda Kirwood William Kitchens Bonnie and Lawrence Kivel Stacey Kivowitz Bill Kizer Pamela Klaus James Kleckner Susan Kleid Scott Klein Ann Devine and Stephen Klein Janet and Thomas Kleinhardt Deena Kleinman Art Kleinstein Lee Klingenstein Emily and Mike Kloser George Kluempke Karen and Buck Klugh Joe Kluk Amy Klunzinger Carolyn Klunzinger Theresa and Gary Klunzinger Rosanne and Jim Klunzinger Dana and Andrew Knerl, MD Charles Knight Mary and Glenn Knippenberg William Knox, IV Bob Koch Diana Koelliker Mike Koenig Elizabeth Kogan Cheryl Kohn, DO and Andrew Edwards Renee Kohrs Valerie and Peter Kompaniez Bridget and Dave Kornder Patricia Kovalan Diane Kovalik Carerie Kozak Jeffrey Koznick Susan and Brian Kraft Cornelia and Donald Kraft Robert Kramer Gregory Kraus Sandra Kraus Ryn Kreidl Louis Kreig Gloria Kreizel Paul Krispinsky, DDS Kris and Michael Krohn William Kruger Lloyd Krulewitz Julie Kucera Marquis Kuhn Gale and David Kunkel

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OUR CROWD Lawrence Kunkle Yelena and David Kurolapnik Susan Roger and Ludwig Kurz Wendi and Brian Kushner Ivy and Frederick Kushner Kuttin Korner Margie and Lawrence Kyte, Jr. KZYR-FM 97.7 Mary Lou La Macchia Sidney La Monte Suzzanne Amass and Christina Lacroix Mark LaCross Mark Lacy Annette Ladt Cindy Lagace Mary Jo Laird Michelle and Jeff Lake Virginia and William Lake, Jr. Nhu Lam Lizette and George Lamb Rae Lamborn Joseph Lambrecht Walter Lamkin Linda Lamont Land Title Guarantee Company Kristina and Jason Landa Thomas Landauer Janice and Lawrence Landry Catherine and Rick Lane Evelyn and Edward Lang, Jr. Judy Langberg Amy Lange Ann and Pepi Langegger George Lantz Marilyn and Jeffrey Lantzy Melanie Ginter and John Lapides Kendra Lasalle Kenneth Lasher Marion Latham Lisa Latterell Gary Lau Ashley Laub Jacqueline and Kenneth Laumann Christina and Josh Lautenberg Joy Layher LA-Z-BOY Logistics Sherri Lazear Candice and Theodore Leach Ford Leboutillier David Lee Janet and Bill Lee Junbae Lee Diane Leeb Andrea and Michael Leeds Sharon and John Leevers Cindy Lefebvre Linda Leffingwell Nathalie Legare Maria Leggett Matthew Leitzinger Alease Lemon Mark Lenfest Rosa Leon de Torres and Mario Torres Loya Caroline and Jeffrey Leonardo Ann and Charlie L'Esperance Jill Lesser Abbie Leverence Roslyn and Arnold Levin Lauren Levine Bronwyn Levitan Renee Lewis Brittany Lichius Victoria Lichius Kathy and Bradley Lichtenheld

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Sheila Liebowitz Kelly Liken Alex Lilley, Jr. Kerri Lin Liddy and Soren Lind Shirley and Donald Linn Scott Linsenbigler, MD Nancy Lipsky and Bill House Melissa Canham Lipton, MD and Dennis Lipton, MD Paul Litowitz Robin and Steve Litt Jill Livingston Karen and Stephan Livingston Sandy and Charles Lloyd, Jr. Stephen Lochmoeller Julie Lohre Betsy Loisel Kelly and Peter Lombardi Kim Long Nicholas Longo Mary Jo Loomans Michael Loos Elizabeth Lorenz Barbara Loring Douglass Loring Keith Loring Heather Losa Louis Family Foundation Paul Lovelace Carol and Douglas Lovell Allen Lowe Jane Lowery LSI Corporation Ann Luark Scott Lucas Susan and Thomas Lundeen, MD Anne Luther Nancy and Charles Luther Christina's Luxuries Mary Ann Lybarger Robert Lynch Stephen Lynch Laura Lynn Lizabeth Lynner Nancy and Steve MacDonald Suellen Mack Joan and Ronald MacLachlan John MacLean Malcom Maclean Tammy and John Maclellan Elizabeth Macleod Fletcher MacNeill Joey Macsalka Madeira on Marco Island Condominium Sharon Madison Mary and Kevin Magee Robert Magruder Joan Maher Zac Mahlum Douglas and Joanne Mair Julie Malec Jim Malernee, Jr. Thomas Mallman Kay Malo Karah and David Maloley, DDS Mary Alice Malone Margaret and Ron Malouf Alan Mandel Phoebe Manders Leslie and Jack Manes Gretchen and Henry Manley, III Mark Manley Ilse Mann Lauren Mann Merrill Mann Sara Manwiller Cindy Mar Mona Marana

Melanna and Jean Marcellot Jackie and Kenneth Marchetti Morgan Marcuccilli Sherie Marek Shirley Marescalchi Lori Marfield Spanky Margolis Emily Marion Denis Mark Roslyn Mark Steve Mark Sandra and John Markley George Markopoulos Judy and Richard Marks Lois Marmont Ron Marquardt Gary Marsden David Marshall Shelly Marshall Brennon Martin Gregory Martin John Martin Margery Martin Monica Martin Waddell Mashburn Margaret Mason Barbara and Richard Massman Lark Masten and Jesse Masten Kelly Masters Sarah and Richard Masters Stephen Masters Christina Mastrogiovanni Trudy and Robert Matarese Nannette Mathias Becky and Philip Matsen Lois Matteson Carol and Mart Matthews Stacey Maule Dana and Brian Maurer, DPM James Maurer Wayne Maw Helma and John Mazon Linnelle and Plinio Mazzucchi Quincy McAdam Thomas McAvoy Lori and Michael McCaffrey Marci and Patrick McCalley Elizabeth McCann Timothy McCaw Ann and Robert McConn, Jr. Jane McCoy Paul McDaniel Sara McDaniel Janifer and Dave McDougall Nancy McGaw Geneva McGervey Ingrid and Sean McGinley Patricia McGivern Carmel and Bill McGuckin Mary and Kent McHose Amanda McHugh Heather and JP McInerny Matthew McIntosh Susan McIntosh Katherine McKay Randolph McKean Nancy McKeever Nancy and Matthew McKenna Linda McKinney Maureen and Denis McKinnon Judy and Bill McKnight Ron McKune Tammy McLaine Kara McLoughlin William McManesTony McMunn Caro McMurty Mary and Matt McNaughton

Kasia and George McNeill, Jr., PsyD Jeanne and Harry McQueeney Carolyn Meadow Laurine and Philip Megna Meg's Designs, Inc. Kate Mehle Bonnie and Stephen Meisel, MD Steven Meisner Torrey Mellgren Heather Melrose Leslie Melzer Ira Mendelson Susan Mendik and Moe Tarkinow Midiam and Matthew Menech Stacy Halverson-Mengedoth and Donald Mengedoth Mente Aviation, LLC Kim and Eric Messmer Tracee Metcalfe, MD Metropolitan Jim Metzger Joy Meyer Atlanta Meynier Marshall Michaelian Monika and Richard Michaels Virginia Michaux Jim Middleton Kathryn Middleton Dennis Milin Debra Miller Andrea and Robert Miller Olivia and Rod Miller Anna Mills Frances and Robert Mills Maria and David Minick Mary J. Minor Minsky Pecan Market and Northeast Dixie Spring Water Minturn Anglers Ann Mintz Gregory Miranda, MD Jane and Harry Misakian Ellen Mitchell Jill Mitchell Kathleen and Peter Mitchell George Mizner, MD Mobile Giving Foundation Kristen Moeller Moffat County United Way Victoria Mohr Susan Montgomery Peter Monty Amanda Moody Kristi Moon Anna Moore Kristine Moore Marti Moore Kathy and Robert Moore S. Jason Moore, Phd, PA-C Carolyn and John Moorman Jody and Jeff Morgan Mark Moriarty Joseph Morin Ellen and Jean-Claude Moritz Laura Awazu and David Moromisato Susan and Joseph Morrill Arthur Morris Michelle and Shawn Morrison Linda and Robert Morrow Patricia Morse Deborah Morton Pamela and Christopher Moryl Patricia Moryl Catherine Moser

Linda Mossman Mountain Surgical Associates Aubert Mowry Jane and August Muhrcke Dawn and Larry Mullin Jill and William Multack Debra Mulvey Delphine Mulvihill Brian Mumaugh Neil Muncaster Michael Munch Rose and James Murphy Molly Murphy Philip Murphy Anne Murray Lisa Murray Hazel and Matthew Murray Michelle Murray and James Cartwright, V Christine and Ronan Murray Steven Murray Amy Musselman Margaret and Patrick Nassaney Kathleen Naughton Thomas Naugle Lannois Neely Mindy Nelkin Barbara Nelson Dave Nelson Barbie and James Nelson Linda and Kirk Nelson Lisa and Mark Neporent Jennifer and Jay Neppel Karen Nern, MD and Thomas Nern Diane and Eric Neste James Neu Robert Newblatt Sandra and D.F. Newman Stephanie and Jay Newman Karen Newman Suzette and Michael Newman Diane Newsom Wendy and Skip Nichamin Inge Nicholl Peggy Nicholls Dave Nichols Carola Nicholson Martha and Todd Nicholson Gretchen Nickel Maria and Julian Nicol Raissa Nicol Rhonda Niederhauser Nina McLemore, LLC Ninety Nines Inc. Washington DC Chapter Rich Nipert Lois Nishimura Donna Noble Terri and Mike Noell Eloise and Red Noland Karen Nold Patricia and Lawrence Noll Susan and John Nolop Rosemary Noona Thomas Noonan Gail and Jim Norman Caroline and Elliot Norquist Northeastern University Glenn Novak Steve Novotny Sandra and Gerald Nowak Katie Noyes Maureen Noyes Sarah Nunnenmacher Marion Nutt Victoria Nuzzo Sandra Nye John Oates William Oates Sharon O'Boyle Gail and John O'Brien

Luke O'Brien Mickey O'Brien Patrick O'Brien Tina Obut John O'Connell Marjorie and Philip Odeen Lucy and Jeremy Oesterle John O'Grady Phyllis O'Grady Lorraine O'Hara Pam O'Hara Suzie O'Hara Tim O'Keefe Renee Okubo Margie O'Leary Paula and Prentice O'Leary Barbara and Allen Olson Catherine Olson Jan and John Oltman Matthew Olton Priscilla O'Neil Ooh La La Hair Salon, LLC Jamie Orbon Candy Orlinsky Deborah Oropeza Robert Orr, MD Joy and David Ortiz Cabot Orton Maria Orvananos Donald Osborn Osprey Dan O'Toole Jennifer Ott Julie Overy Christine Owens Tiffany Owens Patricia Pacey Sandra and Fred Pack Lisa and Rocky Paden Nancy Padnos Cynthia and Gregory Page J. Michael Pakradooni Barbara Palermo Marlys and Ralph Palumbo Mandy and Philip Paolilli Barbara and Preston Parish Park Hyatt Beaver Creek Resort and Spa Foxhall Parker Lloyd Parker James Parkin Kim and Alan Parnass Teresa Ruiz and Manuel Fierro Parra Ashley and Jackson Parriott Laurie Parrott Diane and Roy Parrott Edward Pascoe Joanne Passaro David Patterson Sherrie Patterson Nancy Patton Cecilia Patton-Bolman Debra Paxson Monique Payne Pazzo's West Mike Pearson Robbie Pearson Lisa and David Pease Patricia Peavey Joyce and Robert Pegg Genevieve and George Peirce Lisa Pelchat Jane Pelley Patrick Pelster Maryann Penczak Barbara and Richard Penn Diane and David Pennock Angela and Steve Penrose Peridot Hair Design Laurie and Jeff Perkins Eva Perles Suzanne and Don Perozzi

Elizabeth and Albert Perrino Petals & Pours Nancy and Duwayne Peterson Mary and Jerry Peterson Alden and Henry Pflager, III Allyson Pharr Barnet Phillips Jinnah Phillips, MD Carol and Michael Phillips Robert Pickelner Kent Piesbergen Jackie Pietrzyk Deanna Pinder Shelley and John Pinkham Pinon Real Estate Group Ebby and Ernest Pinson, Jr. Cindy and Addison Piper Britt Pippin Judy Pippin Kay and Thomas Pitcher Diane Pitt Lindsay Pittman and David Bromal Douglas Place MiMi and Keith Pockross Dianne and Emanuel Podgorny, MD Jackie Poehlman Paul Poehlman Grace Poganski Anna Policastri Joan Polin Michael Polk Tim Pomaville Victoria Pond George Pope Gayle and Terry Pope Monica and Daniel Porter Brook and David Portman Herchel Portman Michael Portnoy Portofino Jewelry Abby and Jose Portuondo Hattit and Robert Potts, Jr, MD Brenda and Gregory Poulter, MD Wayne Pourciau Marthe Anne Powell Happy and J.P. Power Jackie and James Power Frances and Richard Power Mary and Dick Pownall Mary and Ron Pressman Carolyn Preston Amber Prince Robin Pringle Lori Priore Sarah Pritchard Bean Prowse Nedra Pudberry Rosemary Pulick Sara and Richard Pylman Jeanne Kane and Michael Quagliano George Quesada Patrick Quigley Hilda and Aniceto Quinones Barry Radell, DDS Bob Rademacher Carolyn and Hollis Rademacher Patricia Ragsdale Wright Ms. Johanna Rahal Margaret Ann Rahe Matt Raino Diana Rambo Guillermo Ramis Peter Ramme Douglas Ramsthel Bill Ranard Mary and Chris Randall David Ransom

Rebecca Ransom David Raphael Mary Pat Rapp Susan Rapson William Rapson Sara and Bill Ratliff Scott Raub, DO Zlatko Rauker Heather and Michael Rawlings Joyce Reece Anne Reed Don Reed James Reed Chris Reeder Mary Reese Carol and Stan Rehn Megan Reichenberg Jane Reichert Terri Reichert Lyn and Richard Reis Tiffany and Matthew Reis Milton Reitman, MD Beverlee Renninger Helen and Jeffrey B. Resnick, DDS Michele and Jeffrey Resnick, MD Ann Rethlake Leobardo Reyes Ashley Reynolds Francis and Karl Reynolds Jennifer and Bernard Riberdy, MD Susan and Peter Riccardella Melanie Rice Lisa Rich Jennifer Riches Marcia Richey Cyndi Richman Rebecca Richmond Marlene and George Riemer Christina Riepe Ira Riklis Betty and Charles Riley Charles Riley, Jr. Rimini Gelato Maureen and Gerald Riordan Ann H. Rittenbaum Sharon and Vern Ritzman, MD DeeAnn Rivera David Rizer Rhena Rizzo RMC Distributing Company Sybil and Tom Roach Andrea Robbins Samaara Robbins Anne Roberts Ann and John Roberts Luann Roberts Mason Roberts Sandra Roberts Virginia Roberts Judy and Ken Robins Charlotte Robson, DVM Rose Rock Janet Rockwell Kathryn and Jim Rockwell Thomas Rodeno William Rodkey, DVM Edwin Rodriguez Lisa Roeder Timothy Roels Bruce Rogers Isha Rogers Margaret and Richard Rogers Kathy Roper Sally and Byron Rose Rayma and Kent Rose Greg Rosen Steven Rosen Donna and Peter Rosenberg Alan Rosenblum

FACES

SUPPORT FOR SHAW The community embraces its local cancer center. top to bottom: Wheels & Wings raised $25,000 for Jack’s Place at Shaw Regional Cancer Center. Students from Gypsum Elementary School raised funds for Shaw by running a 5K through the Girls on the Run program. Eagle River Fire Protection District hosted Pints for Prostate at Crazy Mountain Brewery, raising awareness for prostate cancer and funds for Shaw. Nearly 50 people participated in this year's Cycle-athon with some participants riding for a full eight hours to raise funds for Jack's Place.

Leah Rosine Catherine and Ford Ross Elizabeth and Paul Rossetti Amy Roth, PhD Sallie Dean and Larry Roush Patricia Rowe Linda Roy Ed Rubenstein, CHFC Kristen Rubis Lori Ruderman Randy Ruhlman Mike Ruiz Patricia Ruiz-Roe Bridget and Bill Russell Georgina and Thomas Russo Robert Rutherford Kerry and David Ruttum, MD Garry Ryan Gary Ryan Kathryn Ryan Cindy and Tony Ryerson Jan and Frederick Sackbauer, III Lucille and Ian Sacks Stacy Sadler Natalie and Edward Safee Karen Safran Neil Saldin Ronald Sale Andree and Ronald Saliman Peter Sallerson Robert Salovitch Gail Flesher and David Salvin Roberta Salzman Jim Sampson Susan Sampson David Samson Herman Sanders Patricia and Leonard Sandoval Andrea Sansone Bruno Sarthou Mark Sattler Tosia and Bill Sauter Joan Nesenkar Saylor and George Saylor James Scales Jerry Scales William Scales Lisa and Ken Schanzer Mark Scheel Jeff Schell Diana and Matt Scherr Robert Schilling Lana and Marvin Schillling Kristin Schiminger Jeanie Schlafly David Schlendorf Lynne and Buzz Schleper A.K. Schleusner Walter Schmid Cecilia and Fritz Schmidt Kordula Schmidt Susie and Brad Schneider Susan and Eric Schneider Nancy Schneider Cindy Schons-Foley Herbert Schorpp Carole Schragen Cheryl and Barry Schrager Jill and Scott Schreiner Cindy Schuessler Joanna Schulman Kathryn Griffith Schultz Gina Schwartz Jim Schwartz Kroger Schwartz Daphne Petri and Paul Schwartz Gail Schwinger Karen and Brent Scott Deirdre Sebastian Luke Sebby Russ Sedmak

Elizabeth Smith and William Seed Robert Seeds Carole Segal Melanie Seger Anna Seroka Nancy and Richard Severance Douglas Sewell Sue Sewell Shaun and Bradley Seymour Mike Seymour Judy and Robert Shackouls Brian Shaeffer Pamela and George Shaeffer Lauren Shaeffer Kerry Shannon Meredith and Jay Shapiro Maureen and Les Shapiro Chaye Shapot Kim and Kevin Sharkey Barbara and John Shaul Ben Shaw Ellen Shaw Justin Shaw Karen Shaw Pauline Shaw Peter Shaw Tom Shaw Jennifer Shearson Marisa and William Sheehan, Jr. Shelly's Hair Care Janina Sheppard Patricia and William Sheppard Sally Sheridan Ann and Stephen Sherman Becky and Scott Sherwood Jill and Bill Shimp June Shirai Karen Shoener Elizabeth and Jeff Shroll Carolyn and Gerald Shurb Art Sibley Gretchen M. Sibley Selly Sieber Kimberly Siebert Marcia Siegel Dale Sigal Sign Design & Graphics, LLC Catherine and Peter Silbernagel Mary Clare Silva Dave Silver Josh Silver Robert Sim Bernard Simon Stacey Simon Steve Simonett David Sirois Skea Ski Ltd. Kerry and Jim Skidmore John Slack, MD Eva and Timothy Slattery Keegan Slattery David Slay Beth and Rod Slifer Suzanne Sloan Anne and Michael Slottow SLP Patients Ted Smathers Adam Smith Emily Smith Nancy Smith Jeff Smith Kelley Smith Nancy Smith Devon Decrausaz and Rick Smith Sandra and Steven Smith Laura Smolen Mark Sniezek Kate and Pete Snowden

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OUR CROWD Elizabeth Snyder Heath Snyder Tana Sommer-Belin Sonnenalp Sonreg Solutions Mollie Sorenson Joe Sorge South Dakota Trust Company Mignon and Ric Souto Spa Anjali Westin Resort and Spa Candace Spaid Carole Spanel Elizabeth and Jeffery Spanel Kathleen and Brian Spanel Mike Spear Spearman Family Limited Partnership Nancy Spears Eric Speck Jared Specthrie Robyn Specthrie Carol and Roger Sperry Gina and Steve Spessard Susan and Chris Spiegel Splendido Nancy and David Sposato Scott Spresney Wallace St. John The St. Regis Aspen Melissa K. Stack Gabriela F. Stahl Jane Stampe and Susan Cremer Mike Stang Jerry Stanley Philip H. Stark Pam and Jim Starr Norman Stauffer Cindy Rasmussen and Michael Staughton Marilyn and James Steane, II Jamie Stecher Marla Steele Barbara and William Steele, Jr. Ted Steers John E. Stefanik Mary Jo and Jim Steiert Randi and Justin Steiger Jean Stein Nanci and Larry Steiner Deana and Gerald Stempler Mary Jane Steneman Pamela Stenmark Meg and Michael Stepanek Gary Stern Meline and Leslie Stern Sandi Stern John Stevenson Jean Stewart Pat and Larry Stewart Leta Stewart Linda H. Stewart Maren Stewart Jamie and John Stone John Storr Jeffrey Storz Elena and James Stovall Evelyn and Barry Strauch Kimberly and Eric Strauch, PA-C Maggie Strauss Rebecca Strauss Molly Strautzenberger Todd Street Pia Streeter Mary Kathryn Streit Renee Strong Debra and David Stull Jan Stull Amy Sullivan Ruth and Charles Sullivan Mickey and Don Sullivan

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John Sullivan Sheila Sullivan The Summit Foundation Carole Sumption Dan Sunday Kristen Sunderland Dominic Suszek Barbara Sutter Jeff Swail Joanne Swasey Martine Sween Linda and Larry Swenson Jamie Swift Edwin Swinford, Jr. E Michelle and Keith Sylvain Cheryl Sypniewski Syracusa Sand and Gravel Syracuse Hebrew Day School Julie Szlachta Marcos Szomstein Anne Taibleson Kathie Talbot Suzanne Tangen Brendan Tansill Dhuanne and Douglas Tansill Barrie and William Taraday Kristen Tarrin Joseph Tate Kendace and Franklin Taylor Geraldine and James Taylor Linda and Jay Taylor Judith Taylor Kira and Scott Taylor Larry Taylor Milo Tedstrom Robert Teik Maureen and Ronald Tenbensel Joey Terriquez Jeff Thaler John Theriault Elaine and Alan Thevenet Julie Thilman Tom Thilman Marilyn and Carl Thoma Margaret Thomas Michael Thomas Darci Thompson Samantha Thompson Swan Thung Patrick Tierney Jeanne and Roger Tilkemeier Pamela Timmins Sheryl Tishman Susan and Brad Tjossem Kelly Tobias Benjamin Tolle Debra and John Tolleson Svetlana and Joe Tomasic Penny Tompkins Linda Toskey Lucinda and Daniel Tredwell James Trotter Laurence Trotter Corine Trujillo Jane Trumbo Christopher Trumpower Craig Tuber Belle Tucker Carol Tucker Sonja Tuitele Laura Tumperi Cathleen Turgeon Barry Turkanis Janeil and Charlie Turnbull Janet Turner Justin Turner Matthew Turner Roberta Turner Rosie and Robert Tutag Debra and Harold Tyber Kimberlee and Stephen Tyre Eunice Ugale Ezra and Isaac Ugale

Jan Ugale, MD and Mark Ugale Rob Ullman Mariah and Jon Ulvestad Linda Unland Up the Creek US Bank Foundation/ Employee Matching Gift Program Carl Vail Vail Daily/Summit Daily Vail Honeywagon Ltd. Vail Pet Partners Vail Pinball Association Vail Ski/Bike Tech Inc. Vail Valley Academy of Dance Vail Valley Auto Body Vail Valley Foundation Vail Valley Medical Center Jennifer and Jake Van Beelen Judy Van Bergen Lois and John Van Deusen Barbara and William Van Luven Jennifer Wilson and George Vanderhoof Megan Vanderhorst Claire and Kirk VanHee June and Robert Vanourek Tina and Steve Vardaman Janet Varveris Chyerl Varvil Jeanne Varwig Erin and Christian Vega Garrett Velasquez Marco Ventrella Laura Lee and Raymond Verlinde VHC Joint Venture Lyle Viers Erik Vikjaer Eugene Vilfordi Gloria Villardefrancos Zaida Violante Garcia Michael Vizcarra Mia Vlaar Luiza Vladescu Ronald Vogel William Vogt Kathy and George Vonder Linden Eleanor VonStade Kathy and James Vosberg Joseph Voss Lori and Chuck Wachendorfer Leonard Wachs Deborah Waddell Anne Wagner Jordan Walder Gloria Walker Rosalind Reed and Howard Walker Tiffany Walker Judy Wallace Margaret Wallace Patrick Wallace Mark Walsh Patricia Walsh Rachel Walsh Kathy Walter Jen and Benjamin Wanner Jill and Bob Warner, Jr. Ashley Allen and Edward Warner Patricia and J.R. Watson Monica Watts Judith and Ian Waugh Bernard Weichsel Paul Weil Judith Weingruber Gail Weinnig, TTE Michael Weinshall Roberta Weintraub

Susan Weintraub Harold Weisberg Jill Weiser Gary Weiss Lawrence Weiss Aron Weissler Patti and David Welch Cassidy Wellbaum Wells Fargo Private Bank Irene Wells Marvin Wells John Wencel Dee and Wayne Wenzel, MD Linda and Craig Wescoatt Jan and Ron Wesen Jane West Joyce and Bernie West West Michigan Jazz Society West Vail Liquor Mart Joan and Donald Westerheide Western Eagle County Metro Recreation District Colin Whitaker Dan White Diane White Mindy and Greg White Lai White Patricia White Philip White Karen and Scott White Sheila Whitman Raymond Whitney Susan Whitney Stanley Whittemore Colleen Widlak Ian Widmer Rebecca Steffen and Brian Weiskittel Colette Wilbanks Shelly Wilcox Vali and Willy Wilcox Nick Wilhelm Lisa Anne Wilkes James Wilkins Tammy Wilks Kornfeld Connie and David Willemssen Kristin and David Williams Emily Williams James Williams Jerry Williams Linda and Charles Williams Robert Williams, MD Terry Williams Louise and Hans Willimann David Willoughby Ron Wills Cheryl Wilmoski Francey Jill Wilson Jennifer Wilson and George Vanderhoof Joyce and Kenneth Wilson Peter Wilson Kim Windsor Bruce Winston Barry Winter Ted Wirecki Colleen and David Wirth Heidi Witherell, MD Carolyn and Tom Wittenbraker Barbara Woelk Thomas Wold Jean Hadley, MD and Laurence Wolfe Mike Wolfe Ellen and Michael Wolfson Karen Woodard Betty Ann and Chip Woodland, MD Marcy and Dick Woodrow Elizabeth and Jeffrey Woods Judith H. Woods

Rebecca Woods Amy Woodworth Gary Woodworth Kathleen Wooten Diana Wright Patti and Jim Wright Wyndham Vacation Rentals Colleen and James Yanco Jim Yanco Andrea and Gary Yetman Mark Youker Diane Young Michele Yount Robin Yount Joyce Yurko Margaret Zadoski William Zafian Vinio Zanier Susan and Ronald Zapletal Michelle Zaruba J.D. Zeeman Stuart Zgodny Deanna and Wayne Zink Brian Zipp Ray Zivelonghi Ethan Zohn Michele Zoller Daniel Zollo Mary and Zsolt Rumy Ivonne Zundel Ellen and Anthony Zuppani

Annie Peterson Karl Barth Danelle Rivera Louis DuPree Diane Sanders Randy and Linda Greenwood John Schilling Lana and Marvin Schillling Mary Sue and Michael Shannon Phifer Johnson Foundation Kim Sharkey Michelle and Matt Spidell Judy Sibley Gretchen M. Sibley William Sterett, MD Jacqueline and Robert Kavanagh Mickey Sullivan Jean Armstrong Catherine L. Vecchio Michelle and Matt Spidell Colleen Walker Kimberly Taylor Jody West Janet and Bill Lee Colleen Widlak Michelle and Matt Spidell

TRIBUTE DONORS IN HONOR OF JerriLu Atkins, MD Robert Williams, MD Carmen Celiz Susan and Robert Baker, Jr. Thomas Clanton, MD Sterling Williams Sandi Conner Mollie Sorenson Andrea DiNardo Michelle and Matt Spidell Jack Eck, MD Sam and Jim Horan Jim Sampson Nancy and Charlie Hovey Nancy Mezey-Groff and Neal Groff Vernon Faulconer William Chapin, III William Foutz, MD Matthew Horween Reginald Franciose, MD Mary Ann Johnston Michelle and Matt Spidell Larry Gaul, MD Paul Hymers Ed Rubenstein, CHFC Michael Glode, MD Timothy Roels Nancy C. Goetze Michelle and Matt Spidell Gordon Hardenbergh, MD Nancy Schneider Cherina and Kep Heinitz Pinon Real Estate Group Sara Keegan Wendy and Skip Nichamin Debbie King Ford Suzanne Sloan Iva and Jim King, Jr. Janet Adler Beth Grossman Cheryl and Bill Jensen Ronald Linton, MD Christiane Gras Peter Millett, MD Thomas Guccini Carolyn Meadow

IN MEMORY OF F. Don Allen Marilyn Eck Jim Bain Kathryn Griffith Schultz Jo Brown Alpine Bank Chestina and David Brollier Fred Distelhorst, DDS Jan and Donald Jackson Slifer Smith & Frampton Real Estate Francey Jill Wilson Betty Carroll Sandra and John Markley Dan Carroll Aon Foundation Mary Carroll Debra and Dennis Carroll Nancy and David Costantino LA-Z-BOY Logistics Margaret and Patrick Nassaney David Sirois Ruth and Charles Sullivan Cheryl Wilmoski Sandi Carter Aaron Apodaca Margaret Blazek Ivy and Frederick Kushner Spearman Family Limited Partnership Pat and Larry Stewart Barney Dill Alix and Hans Berglund Berkshire Hathaway Merrill and John Buettner Ann and Doc Cornwell Tara and Thomas Dolan Dan Droy Sally and Crosby Foster Laura and William Frick Robert Gibb Keller Williams Mountain Properties Tracy Kinsella Dana and Andrew Knerl, MD Stephen Lochmoeller

Frances and Robert Mills Peggy Nicholls Ashley and Jackson Parriott Alden and Henry Pflager, III Ann H. Rittenbaum Kerry and Jim Skidmore Melissa K. Stack John Stevenson Vail Valley Academy Of Dance Carol and Patrick Welsh Judith H. Woods Zsolt and Mary Rumy Charitable Foundation Morgan Douglas Susan and Thomas Lundeen, MD Bob Foley Edward Hafer Kenneth Ford Marci and Patrick McCalley Pamela J. Frazier Nancy and Harry Guest Nancy Hughes Eva and Timothy Slattery Ron Jensen Suzy and Jim Donohue Fran Leach Linda and John Gilles Sandy Lewarton James Reed West Michigan Jazz Society William MacFaden Whitney Gober George Mascarenas Town of Vail Mark Pancratz Patti Jo and Robin Bates Laura and Richard Block Brady, Martz & Associates, P.C. Margaret Wilcox Browning Jill and Alan Burchill Frederick Burgum Cres Compton Sherry and Timothy Coutts Cynthia Dahl-Neitzke Emilie Egan and Steve Evancho Fargo-Moorhead Area Foundation Cindy and Mark Fliginger Colleen Gray Becka and Stuart Green Helen and Charles Grommesh Mary and Mark Grove Meg Grove Shannon and Mark Hayman Katherine Campbell and Duane Helleloid A. Bart Holaday Debbie and Jeff Jacobson Karen and Michael Juntunen 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 Cynthia and Gregory Page

Linda Pancratz Gayle and Terry Pope Lyn and Richard Reis Marcia Richey Gina Schwartz Shaun and Bradley Seymour Catherine and Peter Silbernagel Kate and Pete Snowden South Dakota Trust Company Cathleen Turgeon Kimberlee and Stephen Tyre Thomas Wold Tom Randolph Patricia Morse Sharon Randolph Marjorie Roberts Roberts Family Foundation Nancy Secor Ann and Doc Cornwell Frank Smith Dee and Warren Androus Nate Goldberg Cathy and Richard Johnson Sandi and Skip Kinsley Cornelia and Donald Kraft Leslie and Jack Manes Diane and Eric Neste Diane and Roy Parrott VHC Joint Venture William Vogt Bonnie Swarsen Deerfield High School Class of 1964 Christine and Bob Gould Ethan James Taylor Kimberly Taylor Madelyn Thomas Hollie and Richard Hood Barbara A. Williams Patricia Craig Jerry Williams

SHAW OUTREACH TEAM DONORS Barbara Allen Alpine Bank Anonymous Jackie Anthony Courtney and Kevin Armitage Patricia and Chris Aubel Susan Axtell Dierdre and Ronnie Baker Nina and Robert Bandoni Sue Beasley Beaver Creek Chophouse Beaver Creek Resort Company Claire Beck Barbara and Peter Behrendt Barbara and Jack Benson Nancy Berg Diane Boyer Lindsi and Paul Bradbury BeaAnn and Jack Braun Noelle Brock Theresa Bronold Dorothy Browning Ann Smead and Michael Byram Peggy Carey Centennial Bank Cheryl Clayton Kathy Langenwalter and Dick Cleveland Lynn and Bill Cohagan Ann Collins

As always, even from the beginning, we loved our hospital and wanted to support it.

Our contributions came with gratitude for all they had done for us. Now it is important for all of us to step up and continue our support in any way we can. No matter if a person gives $10 or $10 million, it is a gift that brings us together."

– MARTHA HEAD

Elizabeth Cooney Brenda Coonrod Kari Corbin Angela and Peter Dal Pezzo Alice Davis Kathryn Davis Lynn and Bill Davis Deb Deverell Jacqueline and John Deveric Abigail Dixon Suzy and Jim Donohue Joanne Dye Kathleen and Jack Eck, MD Andrea Eddy Dean and Deb Edwards Encore Electric Martha Head and John Feagin, MD Cookie and Jim Flaum Craig Foley Susan and Harry Frampton Sue and Reg Franciose, MD Joan Francis Sarah Franke Dawn and Stephen Friedman Friends of Jack's Place Patricia and David Fritz Greer and Jack Gardner Erin and Chris Gersbach Tracy Gillette Donna Giordano Tara Glasebrook Lyn Goldstein Grouse Mountain Grill Jeanne and Jim Gustafson Margaret Hanlon Grace Harrigan Debbie and Wayne Hauter

Julie Heaydon Kaye and Vernon Isaacs Victoria and Steven Jacobson Cheryl and Bill Jensen Lynn and Lars Johnson Alexia and Jerry Jurschak Gay and George Kapplinger Cathy and Brice Karsh Anne-Marie and John Keane Elaine and Arthur Kelton, Jr. Doris and John Kirchner Karen and Buck Klugh Kris and Michael Krohn Wendi and Brian Kushner KZYR-FM 97.7 Cindy Lefebvre Tara and Bob Levine Fletcher MacNeill Merrill Mann Morgan Marcuccilli Margaret Mason Alison and Tim McAdam Brenda and Joe McHugh Heather and JP McInerny Nancy McKeever Peg and Ag Meek Metropolitan Liz and Luc Meyer Lisa and Bill Middlebrook Andrea and Robert Miller Ann Mintz Allison and Russell Molina Susan and Joseph Morrill Jeanne and Dale Mosier Nexgen Hyperbaric LLC Peggy Nicholls Rhonda Niederhauser

Joyce and Jim Nielsen Terri and Mike Noell Osprey Park Hyatt Beaver Creek Resort and Spa Lisa Pelchat Lisa Dillon and Jay Peterson Brook and Dave Portman Ann and Ralph Poucher Michele and Jeffrey Resnick, MD Rimini Gelato Anne Roberts Amy Roth, PhD Barbara and Howard Rothenberg Ann and Dick Rothkopf Gail Flesher and David Salvin Tosia and Bill Sauter Mary Sue and Michael Shannon Kim and Kevin Sharkey Shaw Outreach Team Marisa and William Sheehan, Jr. Jill and Bill Shimp Sign Design & Graphics, LLC Kerry and Jim Skidmore Nancy Smith Splendido Marla Steele Ted Steers Kimberly and Eric Strauch, PA-C Susan and Steve Suggs Sheila Sullivan Sugar Bar The Dusty Boot Laura and Keith Tucker Jean Urquhart, MD and Alec Urquhart, MD Vail Breast Cancer Awareness Group Vail Daily/Summit Daily Vail Honeywagon Ltd. Jennifer Wilson and George Vanderhoof Tina and Stephen Vardaman Janet Varveris Lori and Chuck Wachendorfer Ashley Allen and Edward Warner Gail Weinnig, TTE Michael Weinshall Marvin Wells Wells Fargo Private Bank Jane West Shelly Wilcox Joyce and Kenneth Wilson Jean Hadley, MD and Laurence Wolfe Patti and Jim Wright

SHAW OUTREACH TEAM TRIBUTE GIFTS IN HONOR OF Jack and Greer Gardner Suzy and Jim Donohue Lisa Middlebrook Charis Keeler

IN MEMORY OF David Mitchell Jocelyn and Mark 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 Beverly and Mike Ellis Joyce and Stephen Evans Ross Fox Grace and Stephen Gamble Jean Graham and Phillip Smith Sally and Wil Hergenrader Margie and Lawrence Kyte, Jr. Evelyn and Edward Lang, Jr. Alex Lilley, Jr. LSI Corporation Deb and Dan Luginbuhl Judy and Richard Marks Elise and Victor Micati Kathleen and Peter Mitchell Lannois Neely Linda and Kirk Nelson Diane and David Pennock Suzanne and Don Perozzi Suzanne Sloan Sue Talucci Geraldine and James Taylor Lucinda and Daniel Tredwell Rosemary (Rosie) and Robert Tutag Vail Pet Partners

GRANTS RECEIVED Colorado Foundation for Public Health and Environment Holy Cross Energy Holy Cross Energy RoundUp Foundation Local Independent Charities of America Northeastern University Peer Assistance Services RETAC State of Colorado - CDOT The Summit Foundation The Edward and M. Patricia Blender Charitable Fund United Way of Eagle River Valley Vail Breast Cancer Awareness Group

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 970-596-7766 or eck@vvmc.com.

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

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COMMUNITY

THIS PAGE clockwise from top left: Accompanied by VVMC employees, the medical center's Vail America Days 4th of July float was awarded the “Most Original Float" prize. ThinkFirst, VVMC’s injury-prevention program, at Lake County Middle School. Members of the Vail Valley Running Club, hosted by Howard Head Sports Medicine. Members of the VVMC Mountain Biking Team. Shaw Regional Cancer Center’s Kim Mitchell with Blizzard, the Sun Safety Dog. Events & Outreach Manager Christine Albertson and Charla Blizzard. OPPOSITE PAGE clockwise from top left: VVMC Trail Running Team members Irv Ray, Amy Partheymuller, Philip Galloway and Dr. Dennis Lipton. VVMC Mountain Biking Team member, Stephanie Drew. VVMC's basketball team, the Rainmen. VVMC Scrubs, the softball team. The Eagle County Rodeo's Tough Enough to Wear Pink raised funds for Shaw Regional Cancer Center.

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MEDICAL DIRECTORY

ail Valley Medical Center is home to over 350 physicians.

Services are offered in Eagle and Summit Counties, including urgent care facilities in Gypsum and Avon, as well as specialty clinics for cardiology and endocrinology, internal medicine, cancer diagnosis and treatment, physical therapy and plastic surgery. 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 is a boutique cancer center serving residents of Colorado and around the country.

AESTHETIC & RECONSTRUCTIVE SURGERY Vail Institute for Aesthetic and Reconstructive Surgery www.vvmc.com/plastics 320 Beard Creek Road, 2nd Floor, Edwards, CO 81632 (970) 569-7656 Dr. Jeffrey Resnick is a board-certified plastic surgeon with over 25 years of experience. Applying the latest innovations in plastic surgery, Dr. Resnick specializes in cosmetic and reconstructive surgery of the face, breast and body contouring.

BREAST HEALTH Sonnenalp Breast Center, Shaw Breast Center & Cancer Clinic See Cancer Diagnostics & Care

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. Patients are drawn to Shaw by our

MEDICAL DIRECTORY

impeccable reputation, Ivy League doctors and top-of-the line equipment – including a new Image Guided Radiation Therapy (IGRT) Linear Accelerator and 3D Mammography. But it’s the rest of the care – courtesy of a dietician, exercise physiologists, geneticist, nurse navigator and a complimentary 12room cancer caring lodge in a stunning setting – that empowers cancer patients to become cancer survivors.

Sonnenalp Breast Center—Edwards 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 www.vvmc.com/jacksplace 332 Beard Creek Road Edwards, CO 81632 (970) 569-7644 Patients traveling to Shaw Regional Cancer Center for treatment are invited to stay with their caregiver at Jack’s Place, a cancer caring lodge.

Overlooking the spectacular Lake Creek Valley and peaks of the Sawatch Mountain Range, Jack’s Place features 12 luxurious private rooms, an inviting common living area, gourmet kitchen, library, yoga and massage rooms.

With a pay-what-you-can philosophy, guests are invited to take respite at Jack’s for

the day or overnight, for as long as they need. Jack’s place was built and funded by the Shaw Outreach Team.

EYE CARE

Shaw Breast Center & Cancer Clinic – Frisco

232 Broadway Street | Eagle, CO 81631 | (970) 928-0105

www.shawcancercenter.com 323 West Main Street, Suite 101 | Frisco, CO 80443 | (970) 668-6400

Eye Center of the Rockies www.eyecenterrockies.com

Eye Center of the Rockies provides eye care and ophthalmology, including medical and surgical care for cataracts,

Shaw Breast Center and Cancer Clinic in Frisco offers the latest in breast screening, including 3D Mammography in a convenient Main Street location. The clinic also offers infusion treatments and provides the greatest knowledge and compassion for patients.

Shaw Regional Cancer Center, Sonnenalp Breast Center, Shaw Breast Center & Cancer Clinic and Jack’s Place are outpatient departments of Vail Valley Medical Center.

EAR, NOSE & THROAT Colorado Mountain Medical See Primary Care

ENDOCRINOLOGY Endocrinology Clinic www.vvmc.com/endo 322 Beard Creek Road Edwards, CO 81632 (970) 477-5160 323 West Main Street, Suite 101 | Frisco, CO (970) 668-6404 Vail Valley Medical Center's board-certified endocrinologists specialize in the diagnosis and treatment of adult diseases related to the hormones of the endocrine system, including 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

glaucoma, retina and LASIK. Dr. Matthew 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.

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 care, orthopaedic and respiratory care are available.

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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337 Sylvan Lake Road Eagle, CO 81631 Using advanced wound care treatments designed to accelerate the healing process and maximize patient comfort, the care team specializes in diabetic, venous stasis, arterial and pressure ulcers, as well as burns and trauma and surgical wounds. Physician referral is required.

Vail Valley Surgery Centers www.vvmc.com/surgery (970) 476-8872 181 W. Meadow Drive Vail, CO 8165 320 Beard Creek Road Edwards, CO 81632 Vail Valley Surgery Centers are world-class, multi-specialty outpatient surgical centers, offering the finest state-of-theart technology, treatment and physician expertise.

Partially owned but not operated

by Vail Valley Medical Center.

For orthopaedic surgery, see orthopaedics.

HEART & LUNG Cardiology Institute www.vvmc.com/cardiology (970) 476-1110

GENERAL SURGERY & WOUND CARE Mountain Surgcal Associates www.vvmc.com/surgeons (970) 479-5036 181 W. Meadow Drive Vail, CO 81657 322 Beard Creek Road Edwards, CO 81632 337 Sylvan Lake Road Eagle, CO 81631 With some of the most respected surgeons in Colorado, Vail Valley Medical Center is home to Mountain Surgical Associates (MSA).

Known for their expertise in emergency and trauma care,

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MSA’s surgeons are experts in: • General surgery: abdominal, thoracic and endocrine • Cancer detection and prevention: colonoscopy and endoscopy • Laparoscopic surgery: hernia repair, gall bladder, colon and reflux disease • Trauma/critical care: aroundthe-clock diagnostic and therapeutic care for critically ill and injured patients

Wound & Ostomy Clinic www.vvmc.com/woundcare (970) 479-5036 181 W. Meadow Drive Vail, CO 81657 322 Beard Creek Road Edwards, CO 81632

108 S. Frontage Road W. #206 Vail, CO 81657 VVMC's Women and Children's Center boasts one of the best nursing staffs in the region.

337 Sylvan Lake Road Eagle, CO 81631

In addition, echocardiography, EKGs, CT angiograms and heart rhythm monitoring services are available.

Cardiac Catheterization and Electrophysiology Lab Vail Valley Medical Center's brand new Cardiac Cath & EP Lab allows cardiologists to visualize the arteries and chambers of the heart, treat abnormalities and diagnose and treat arrhythmias.

Anticoagulation Clinic Vail Valley Medical Center’s Anticoagulation Clinic provides convenient care for patients taking warfarin (Coumadin®), heparin and low molecular weight heparin. 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 Cardiac Rehabilitation delivers care to individuals who have experienced a significant heart event or are involved in maintenance and prevention of further disease. Patients are closely monitored as they follow the guidance of trained professionals to improve strength and endurance.

Cardiopulmonary Services www.vvmc.com/respiratory

323 West Main Street, Suite 101 | Frisco, CO

181 W. Meadow Drive | Vail, CO 81657 | (970) 479-7218

Led by board-certified cardiologists, the Cardiology Institute offers adult cardiology services, including pacemaker implants and the management of coronary heart disease, hypertension, lipid disorders, arrhythmia, vulvular heart disease, cardiomyopathies and congestive heart failure.

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 provides cardiac

Cardiac Diagnostics The Cardiology Institute provides a full range of cardiac diagnostic testing, including nuclear stress testing and stress echocardiograms.

MEDICAL DIRECTORY

stress testing, echo testing and cardiac monitoring, as well as a pediatric cardiology clinic and a sleep disorder center.

Internal Medicine www.vvmc.com/internalmed (970) 477-3090 108 South Frontage Road West, Suite 306 Vail, CO 81657 320 Beard Creek Road Edwards, CO 81632 323 West Main Street, Suite 101 | Frisco, CO Vail Valley Medical Center’s boardcertified internists specialize in the prevention, diagnosis and treatment of diseases in adults of all ages. They help patients achieve optimal health, as well as manage complex or life-threatening chronic illnesses. Women's health is also a focus. No referral is necessary, and all Medicare patients and most people with health insurance can receive an Annual Wellness Visit with 100 percent of the initial costs covered and no out-of-pocket expense to the patient.

INTERNATIONAL TRAVEL & VACCINES

Vail Valley Medical Center’s laboratory is accredited by the College of American Pathologists and offers comprehensive testing.

The laboratory’s team of experts is available for consultations, questions and educational seminars.

Traveler’s Clinic www.vvmc.com/travel 230 Chapel Place, Unit D 101 | Avon, CO 81620 (970) 569-7715 The Traveler’s Clinic is a fullservice provider of immunizations, travel medication prescriptions, medical advice and documentation for world travelers. Immunizations offered include 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

MEDICAL LIBRARY & PATIENT RESOURCE CENTER

Free to the public, the Medical Library loans books, journals, 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.

Kimberly’s Corner 181 West Meadow Drive Vail, CO 81657

VVMC’s Mobile Simulation Lab travels the Central Rockies using Human Simulators to teach and practice current treatment methods through handson training in a risk-free environment.

Located in the atrium of 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 www.vvmc.com/library 322 Beard Creek Road Edwards, CO 81632 (970) 569-7607

OBSTETRICS/ GYNECOLOGY (OB/GYN) Colorado Mountain Medical www.cmmhealth.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

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MEDICAL DIRECTORY

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.

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 Vail Valley Medical Center’s Women and Children’s Center is a labor and delivery unit and Level II Nursery, equipped to handle most babies born after 32 weeks or full-term babies with health concerns. Home to pediatric specialists and neonatal nurse practitioners, the center also offers lactation counseling and childbirth classes, including natural birth seminars, breastfeeding, “I Love My Sibling,” and more.

OCCUPATIONAL HEALTH AND WORKERS COMPENSATION

The Steadman Clinic www.thesteadmanclinic.com 181 West Meadow Drive, Suites 400 & 200 | Vail, CO 81657 | (970) 476-1100

Occupational Health Clinic

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

www.vvmc.com/occmed 181 West Meadow Drive | Vail, CO 81657 | (970) 479-5085

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

230 Chapel Place, Unit D 101 Avon, CO 81620 (970) 569-7715

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.

Occupational medicine offers services specialized to the needs of employees and employers.

Common services include physical exams, drug screening, injury prevention programs and vaccination programs, as well as custom programs built for organizations.

ORTHOPAEDICS & SPORTS MEDICINE

Not owned or operated by Vail Valley Medical Center

Howard Head Sports Medicine

Steadman Philippon Research Institute

See Physical Therapy

Howard Head's clinic at the Westin in Avon offers aquatic therapy.

www.sprivail.org 181 West Meadow Drive | Vail, CO 81657 | (970) 479-9797

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 1140 Edwards Village II, B-105 | Edwards, CO 81632 | (970) 569-3240 Peak One Drive, Suite 180 Frisco, CO 80443 (970) 668-3633 Specializing in knee, shoulder, elbow, hand, spine, foot and ankle injuries, Vail-Summit Orthopaedics (VSO) was founded in 1979 and has been an active part of the community since.

VSO’s physicians are fellowshiptrained and take an integrated approach to injury repair and healthy recovery by creating customized treatment plans.

Not owned or operated by Vail Valley Medical Center.

PHARMACY 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 located inside Vail Valley Medical Center.

The pharmacy retails overthe-counter medications, has a wide assortment of braces and accepts prescription transfers from other pharmacies, telephone prescriptions and multiple insurance plans (insurance card needed).

They also offer adult vaccines, including flu, TdaP (whooping cough), shingles and pneumonia, all administered by vaccine-certified pharmacists.

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MEDICAL DIRECTORY

Edwards Pharmacy www.vvmc.com/pharmacy 322 Beard Creek Road Edwards, CO 81632 (970) 569-7676 Located at the Edwards Medical Campus, the fullservice pharmacy specializes in hormone replacement therapy, drug compounding, medicine flavoring and is an official provider of Burt’s Bees.

A wide array of insurances is accepted and over-thecounter medications and prescription delivery are available. The pharmacy also offers adult vaccines, including flu, TdaP (whooping cough), shingles and pneumonia, all administered by vaccinecertified pharmacists.

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 Frisco: 360 Peak One Drive Suite 370 | Frisco, CO 80443 (970) 668-3169 Gypsum: 52 Lundgren Boulevard | Gypsum, CO 81637 | (970) 777-2700

ing closely with the world's top orthopaedic doctors and researchers, our progressive sports medicine protocols are reshaping physical therapy worldwide. HHSM offers rehabilitative, preventive and nonsurgical therapies.

Services: Aquatic Therapy, Dry Needling, Hand Therapy, Lymphedema Therapy, Occupational Therapy, Orthopaedic Rehabilitation, Pilates, Sports Rehabilitation, Total Joint Therapy, Vestibular Rehabilitation and Men’s & Women’s Health.

PRIMARY MEDICAL CARE

Silverthorne: 265 Tanglewood Lane | Silverthorne, CO 80498 (970) 262-0179

Colorado Mountain Medical

Vail (West Clinic): 181 West Meadow Drive | Vail, CO 81657 | (970) 476-1225

181 West Meadow Drive, Suite 800 | Vail, CO 81657 (970) 476-7600

Vail (East Clinic): 108 South Frontage Road West | Vail, CO 81657 | (970) 479-7291

322 Beard Creek Road, Suite 200 | Edwards, CO 81632 | (970) 926-6340

Howard Head Sports Medicine (HHSM) helps athletes rebuild their body and spirit. Work-

377 Sylvan Lake Road, Suite 210 | Eagle, CO 81631 (970) 328-1650

www.cmmhealth.com

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

Colorado Mountain Medical is a team of primary care physicians and specialists, including Ear, Nose and Throat, OB/GYN, Pediatrics, Family Medicine and Gastroenterology. Their providers offer total family care, emphasizing wellness, as well as well as treatment of illness.

UROLOGY

Not owned or operated by Vail Valley Medical Center.

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.

These 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 nonsurgical options), bladder cancer and more.

They also perform many office and surgical procedures, including vasectomies.

Not owned or operated by Vail Valley Medical Center.

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

SLEEP DISORDERS

Colorado Mountain Medical www.cmmhealth.com (970) 926-6340

Rocky Mountain Urology (970) 928-0808

Owned and operated by Vail Valley Medical Center.

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GYPSUM URGENT CARE

EAGLE

EDWARDS

EXIT #147

EXIT #163

ARROWHEAD

Eagle County Airport

EAGLE HEALTHCARE CENTER

HOWARD HEAD PT

BEAVER CREEK

Cardiology Institute Colorado Mountain Medical Howard Head (PT) Mountain Surgical Associates

BEAVER CREEK MEDICAL CENTER (SKI SEASON ONLY) Howard Head (PT)

GYPSUM GYPSUM / EAGLE

EAGLE

EDWARDS

BEAVER CREEK TO AVON

GE LA VIL RD

EDWARDS MEDICAL CAMPUS

EAGLE COUNTY AIRPORT

COSTCO

SANTE FE FURNITURE

LINDBERGH DR

L DA

EAGLE HEALTHCARE CENTER

ON AV

VAN SYL

GYPSUM URGENT CARE

RDS EDWA

D

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LAK

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ON

LUNDGREN BLVD

MCGREGOR DR

AT GYPSUM RECREATION CENTER

COOLEY MESA RD

VALLEY DRIVE

HOWARD HEAD PT

ERS

OFF

BEARD CREEK RD

HIGHWAY 6 / GRAND AVE

D

SR ACCES

BEAVER CREEK MEDICAL CENTER

Colorado Mountain Medical Edwards Pharmacy Endocrinology Howard Head (PT) Internal Medicine Mountain Family Health Center: Edwards Mountain Surgical Associates Shaw Regional Cancer Center Sonnenalp Breast Center The Steadman Clinic Vail Institute for Aesthetic & Reconstructive Surgery Vail Valley Surgery Center — Edwards

FRISCO SPECIALTY CLINIC Shaw Breast Center & Cancer Clinic Cardiology Institute Endocrinology Internal Medicine

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 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

AVON

VAIL FRONTAGE RD

SW

GU

LCH

AVO N

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HOWARD HEAD PT

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VAIL MEDICAL CAMPUS

D

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EN

BEAVER CREEK VILLAGE

FRONTAGE RD

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CENTENNIAL LIFT

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BEAVER DAM RD

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AVON URGENT CARE TO BEAVER CREEK

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ANNUAL REPORT

ACCOMPLISHMENTS & Community Outreach Fiscal Year 2014 | AT A GLANCE Net Patient Service Revenue

220,896,593

Provision for Bad Debt

(14,851,026)

Other Operating Revenue

14,691,208 372,500

Net Asset Release from Restrictions

Total Revenue:

221,109,275

EXPENSES Salaries, wages and benefits

76,902,644

Supplies and materials

61,370,266

Purchased Services

23,018,762

Depreciation and Amortization

14,552,073 781,181

Interest

Total Expenses:

176,624,926

Capital Expenditures:

16,975,071

MILESTONES VVMC was named one of the top “150 Great Places to Work in Healthcare” by Becker’s Healthcare for providing an excellent work environment and outstanding employee benefits.

The new state-of-the-art Frisco Specialty Clinic opened in 2014 and includes the only breast center in Summit County to offer 3D Mammography. In addition, the clinic offers medical oncology, cardiology, internal medicine, and endocrinology services.

Named the best healthcare event in Colorado, Pink Vail 2014 had more than 1,600 participants, 3,855 donors, and 260 volunteers. All helped raise over $466,000 for patient care and survivorship programs, exceeding the 2014 fundraising goal by more than $100,000.

VVMC embarked on a Master Facility Plan that will directly contribute to improvements in patient care, safety and privacy, and operational efficiencies (see page 48).

CHARITY & UNCOMPENSATED CARE A Uncompensated Self Pay/Charity Care 3,986,182

VVMC built a state-of-the-art Cardiac Catheterization and Electrophysiology Lab, providing life-saving care in the Valley (see page 20).

B Medicaid Shortfall 13,704,033

Shaw Regional Cancer Center saw a 96.9 percent five-year survival rate for Stage I breast cancer patients, nearly 5 percent greater than the national average.

C Medicare Shortfall 45,352,381 D Commercial Insurance Shortfalls 40,327,475

Total:

103,370,071

Number of Physicians on Medical Staff

283

Number of Beds

58

Number of ED & Urgent Care Visits

80

26,244

Number of Babies Delivered

503

Number of Surgeries Performed

6,965

Vail Health

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The Steadman Clinic and Steadman Philippon Research Institute was designated a National Medical Center by the United States Olympic Committee, one of two medical centers to earn the title in the country.

The Sun Safety program visited 22 schools where they educated 1,200 preschool to first-grade students about skin cancer prevention.

VVMC's ThinkFirst program educated over 12,000 people about brain and spinal cord injuries and gave out 788 bike helmets and 366 ski helmets.

You deserve the same treatment as the world’s top athletes. Trust Howard Head Sports Medicine to help rebuild your body and spirit. Working with the planet’s top orthopaedic doctors and researchers, our progressive sports medicine protocols are reshaping physical therapy.

(970) 476-1225

|

HOWARDHEAD.COM

|

9 EAGLE & SUMMIT COUNTY LOCATIONS

The best healthcare out there, is right here.

From modest beginnings 50 years ago, Vail Valley Medical Center has grown into the world’s most advanced mountain hospital, providing Olympic-quality sports medicine, leading evidence-based research, modern cancer care and extensive cardiology services.

Thanks to the vision and determination of compassionate community members, Vail is home to an independent, nonprofit medical center that provides high-quality care to locals in our region and visitors from around the world.

(970) 476-2451

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VVMC.COM

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F R O M VA I L TO G Y P S U M