Elevate Summer 2014

Living at the height of wellness summer 2014 | Volume 2, Issue 3

Happy Birthday

Castle Rock Adventist Hospital celebrates a year of caring in the community.

Birth Concierge Page 4

Pediatric emergency Guide Page 7

Protecting girls’ knees Page 10

Eating for energy Page 11

Celebrating

the benefits of a

gratitude

Hope in a jar Research shows keeping a gratitude journal not only helps improve your outlook but your physical health, too. No time to journal? Try a jar instead. Whenever something good happens or you simply remember something you’re grateful for, write it on a piece of scrap paper and drop it in your jar.

positive outlook

You know that having a positive attitude makes it easier to get through rough patches in life. But your outlook also plays a role in your overall wellness — for better or worse.

“We know that your attitude can influence your health and even the progression of disease,” says Shauna Rusovick, wellness coordinator at Castle Rock Adventist Hospital. “As a hospital we’ve made it our goal to help people continue to be well and avoid being ill as much as possible, and focusing on your outlook is part of that.”

As Castle Rock Adventist Hospital celebrates its one-year anniversary of serving the community, we look back with gratitude — and forward with an optimistic outlook on the health of our hospital and our community.

Outlook is one of the key principles guiding the CREATION Health Lifestyle, a scientifically proven approach to improved health. Learn more at castlerockhospital.org/outlook.

ELEVATE is published four times annually by Castle Rock Adventist Hospital. As part of Centura Health, our mission is to nurture the health of the people in our community. The information herein is meant to complement and not replace advice provided by a licensed health care professional. For comments or to unsubscribe to this publication, please email us at elevate@centura.org. ELEVATE is produced by Clementine Words LLC. Executive editor is Christine Alexander.

2350 Meadows Boulevard | Castle Rock, CO 80109

ELEVATE

2

Summer 2014

Feeding your thoughts There’s a reason we monitor the viewing habits of our children, whether it’s TV, movies, video games, or the Internet. But what about our own habits? Because our thoughts affect our outlook as well as our actions, what we feed our brains will certainly affect what comes out. Whether it’s viewing violent movies or watching tragedies unfold on the news, take note of your own viewing habits to ensure you’re regularly feeding your mind with images and thoughts that you want in your life.

opportunityisnowhere How do you see the world?

Your outlook influences your beliefs about what’s possible.

When you view the headline above, where is the opportunity — nowhere or now here?

Cover photo: ©Istockphoto.com/diane39, This Page: ©Istockphoto.com/eans, /Lepro; Opposite Page: ©Istockphoto.com/Franck-Boston, /damircudic

Outlook Positivity boosts immunity Did you know that positive thinking can boost your immunity?

Research shows that people with greater activity on the left side of their prefrontal cortex (the part of the brain associated with positive emotions) also tend to have a have a stronger immune response to disease. A healthy lifestyle is still key, but it won’t hurt to use your head.

Start the

school year

off right

Let’s Get Physicals

Does your child need a back-to-school physical or a sports physical, and what’s the difference?

Exam

Frequency

What’s checked

Routine wellchild exam

Recommended annually for every child through age 18

Growth and development, health concerns, immunizations

Pre-participation/ sports physical

Recommended (and often required) if Past sports injuries, prevention your child will be participating in sports, of injuries, health concerns in both school and recreational leagues such as asthma, and how to deal with those during sports

10-15%

Children’s backpacks should weigh no more than 10-15 percent of their weight to avoid injury. And make sure kids — even teens — are wearing them over both shoulders.

Getting Their Zzzs

An estimated 30 percent of children will experience sleep problems at one point during childhood, according to the National Association of School Psychologists. And while “one night of poor sleep is not detrimental, consistently poor sleep is bad for your child’s health,” says Jason Chu, MD, a primary care physician at the newly opened Ridgeline Family Medicine at Castle Pines. Some signs of sleep problems may include increased blood sugar, inability to concentrate, and poor grades. Because the last two can be confused with ADD or ADHD, it’s important to observe and record your child’s sleep patterns and take steps to improve your child’s sleep.

If you’re concerned about your child, talk to your doctor about a sleep evaluation.

Castle Rock Adventist Hospital offers sleep studies for school-aged children.

Call 720-455-3740 to learn more.

Welcome Aboard!

Centura Health Physician Group welcomes Michele Eason-Delhougne, MD. Board certified in internal medicine and pediatrics, Eason-Delhougne also has nine years of experience in urgent care medicine.

She specializes in providing primary care for patients from birth through seniors.

To schedule an appointment with her, please call 303-649-3900. castlerockhospital.org

Doctor’s Bag Jason Chu, MD, is a board-certified family medicine physician who practices at Ridgeline Dr. Jason Chu Family Medicine at Castle Pines. He provides care to patients of all ages, providing ongoing care for chronic conditions such as diabetes and high blood pressure or cholesterol, as well as acute problems from sports injuries to the flu. Like most Castle Rock residents, Chu enjoys an active outdoor life, especially snowboarding and hiking. He is accepting new patients.

Ridgeline Family Medicine now has three offices throughout Castle Rock providing comprehensive primary care to all ages. To make an appointment, call the offices at the numbers below.

Plum Creek, 831 S. Perry St.: 303-649-3120 | The Meadows, 2352 Meadows Blvd.: 720-455-3750 Castle Pines, 250 Max Dr. (evening and Saturday appointments available): 303-649-3350

Summer 2014

3 ELEVATE

At Your

Service

A birth concierge can help you build the ultimate team to support you before, during, and after your child’s birth Having a baby is undoubtedly one of the most memorable experiences of your life, but it isn’t necessarily a relaxing getaway. Yet there are aspects of the experience that can be made much simpler — and more personalized — with the help of a birth concierge. In much the same way that a hotel concierge works to ensure your vacation is tranquil and trouble-free, a birth concierge can help you build a customized and stress-free birth process from before your baby makes its grand entrance to long after you head home with your bundle of joy.

Tina and Josh Stewart with their baby, Laylarose Sophia, and Castle Rock Adventist Hospital’s birth concierge Jacque Northrup.

ELEVATE 4 Summer 2014

Tea Time Join Jacque Northrup, birth concierge at Castle Rock Adventist Hospital, on Tuesday, Aug. 5, over a cup of tea at Manna restaurant to learn more about her services or get your birthing questions answered.

See full details on back cover.

of the connection between mom and baby.

“They’re very educated and really get the importance of things like A birth concierge is a relatively new concept but one that is growing skin-to-skin contact, and how having the baby with the mother means the in popularity. Employed by hospitals or available independently, birth baby’s going to feed better and do better,” Stewart says. “They seem to concierges meet with expectant parents at any point go out of their way to find out the facts and research during the pregnancy to learn more about them, their versus doing what’s easiest for them.” vision for the birth of their baby, and to help provide Besides Northrup, Stewart’s delivery team resources both within and outside the hospital. also included her husband, a doula, and a midwife Over the past year, Jacque Northrup, RN, CLC, (whom Northrup connected her with), as well as a ICCE, education coordinator and birth concierge at videographer and the BirthPlace team of nurses.

Castle Rock Adventist Hospital’s BirthPlace has worked “I can’t say enough good things about the with more than 80 percent of the families who have nurses either. They really have your back and are so delivered their babies at the new hospital. With 19 years supportive. Every one of them was just superb,” she of experience as a labor and postpartum nurse as well “And I felt the hospital itself was like a five-star as 16 years as a birthing educator, Northrup brings vast “They seem to go out of their hotel, says. and the huge windows allowed the views from the expertise to her clients. way to find out the facts and labor room to overlook the mountains so that when you Families meet with Northrup for a private consultation research versus doing what’s were having your baby it felt like you were in nature.” typically within the first 28 to 35 weeks of pregnancy to discuss their needs and their desires for the baby’s birth. She easiest for them.” a good start helps them think about details of the labor and delivery, such Once your baby is born, one of the most important initial decisions you as pain management, fetal monitoring, activities and positions during labor, will make is whether to breastfeed or bottle-feed. While breastfeeding is the members of the birthing team, wishes for post-birth (such as rooming recommended, some women may not be able to breastfeed or they may in and guest policy), and much more. choose not to do so for personal reasons. Either way, you’ll likely need help The consultation also includes a full tour of Castle Rock Adventist and guidance, so immediate and ongoing support — in the hospital and Hospital’s BirthPlace and the completion of all preregistration paperwork. beyond — is critical.

Northrup also helps parents enroll in the hospital’s free birthing preparation Northrup is the lead lactation consultant at Castle Rock Adventist classes, which teach the Lamaze method, or connects them with other Hospital’s BirthPlace, helping new moms learn to breastfeed their types of classes in the community. And Northrup’s job doesn’t end here. newborns and also helping moms who don’t breastfeed through the “If a family needs anything throughout the rest of the pregnancy, I physical changes after birth. become their point person,” she says. “If I can’t answer their question, I’ll “We offer lactation services on an inpatient and outpatient basis as find the right person who can.” well, so moms can continue to get support after baby goes home,” she says. “And we can bring moms back in for a private consultation as well if Creating a plan needed.”

Although most women expect their obstetrician or midwife to be present For her part, Stewart says she had no big problems with breastfeeding at the birth, some are surprised by the number and type of other caregivers daughter Laylarose Sophia, born Feb. 3 at the Castle Rock Adventist coming and going throughout their labor and delivery. The birthing team Hospital BirthPlace. may include nurses and assistants, anesthesiology staff, doulas or labor “Because the nurses are also educated in lactation, you’re getting this coaches, videographers and of course, spouses or birth partners. incredible education while you’re in the hospital. Anytime she wouldn’t With so many people involved, it’s especially important to ensure that all latch on, they’d come in and help me through it,” she says. team members are on the same page. A birth concierge such as Northrup can help parents create a birth plan that is reviewed by all members of the birth team.

For parents Tina and Josh Stewart, Castle Rock Adventist Hospital’s BirthPlace’s open and accommodating approach to labor and delivery Baby Steps was the perfect fit. Stewart wasn’t originally planning to have her baby at the BirthPlace, but that changed after she and her husband met with Call 303-777-6877 to register for Northrup. one of Castle Rock Adventist Hospital’s “To be honest, at other hospitals, I didn’t feel like how I gave birth was FREE prenatal classes, including: going to be my choice, or like my labor was going to be how I wanted it to • Childbirth (4-week series) be,” Stewart says.

• Childbirth Express (one 8-hour “So when I went to Jacque, for everything I asked the answer was ‘No class) • Baby Care (1 session) problem,’ and it was about what I wanted — without judgment. That was a • Breastfeeding (1 session) breath of fresh air.”

Stewart also was impressed with the staff’s expertise and understanding

castlerockhospital.org

Summer 2014

5 ELEVATE

Photos: ©Ellen Jaskol, ©istockphoto.com/Floortje

Offering a personal touch

Reece Rubino with his parents, Jeff and Lesa.

Reece Dr. Eugene Eby

Having a new emergency department in Castle Rock has been an unexpected blessing for a local child with special medical needs

In so many ways, Reece Rubino is like other boys his age. He loves baseball, video games, and movies.

He likes to go to the pool and have sleepovers with his friends. But in his eight years on earth, he’s already faced more challenges than most of us will in a lifetime. Reece suffers from spinal muscular atrophy (SMA), a hereditary disease that causes the voluntary muscles in the arms and legs of infants and children to degenerate. The disease has left Reece unable to sit up or even lift his head. Yet these obstacles don’t prevent Reece from enjoying life or even attending school. His family — and especially his mother, Lesa — makes sure of that.

She also ensures he gets the best care possible, both at home and beyond. While Reece is usually treated at Children’s Hospital Colorado, during a health emergency last fall the Rubinos visited Castle Rock Adventist Hospital’s emergency room for the first time and came home with a better understanding of how to care for Reece’s breathing issues.

“I think it was one of the first times the family had had an episode this severe, and we helped teach them a few techniques and to focus on staying calm, which is really challenging when your child can’t breathe,” says Castle Rock Adventist Hospital emergency physician Eugene Eby, MD. But there was one lesson that Lesa believes helped save Reece’s life: Eby taught them to add more humidity through Reece’s ventilator directly to his face, which helped thin out his secretions to keep his airway clear, she says.

“Dr. Eby was phenomenal. He understood what we were up against without having to explain anything to him,” she says.

She and her family also learned other tips to help Reece breathe better in the future and now feel fortunate to have Castle Rock Adventist Hospital so close by.

“We’re so thankful that we have this new hospital right in our area,” she says.

ELEVATE

6

Summer 2014

Join Reece’s Roundup!

Keeping Reece healthy, mobile, and able to enjoy life is a labor of love for his family and friends — but it’s also an expensive one. To help offset the costs of his care, the Rubinos established Reece’s Roundup, an annual 5k race and 1-mile walk that grew to more than 500 participants in 2013. To register for this year’s race, slated for Aug. 2, 2014, visit reecesroundup.com.

Newborn screening for SMA The Rubinos and other families of children with SMA have been fighting to have SMA added to the list of screenings children receive at birth. And while the American Congress of Obstetricians and Gynecologists doesn’t recommend it for the general population at this time, a newborn screening pilot is currently being conducted in Colorado and Utah to study the issue.

“If there’s a family history of spinal muscular atrophy, genetic counseling, prenatal diagnoses, and carrier testing are certainly recommended,” says Herbert Josepher, MD, a pediatrician at Castle Rock Adventist Hospital, and Reece’s pediatrician. “There’s still no consensus regarding the necessity of preconception and prenatal screening in those without a family history, though.”

Photos: © ellen Jaskol

Raising

When it

can’t wait How to know the right time to take your child to the emergency room

We all want to ensure our children get the care they need in an emergency, but it’s not always clear when the problem is a true emergency, says Stefen Ammon, MD, medical director for emergency services at Castle Rock Adventist Hospital.

“Sometimes with children it is difficult to know what constitutes an emergency and needs to be seen in the emergency department. This is particularly difficult with young children who cannot verbalize their complaints,” he says.

With Ammon’s help, we break down the most common injuries and complaints and identify red flags to help you know when it’s time to go.

MEDICAL CONCERNS

Common Injuries

Red Flags

Common Complaints

Red Flags

Falls

• The fall is equal to the child’s height • The child is in severe distress • The fall caused significant injury to the head or extremity • Complaint of neck or spine pain • Loss of consciousness • Seem confused or not themselves afterward • Persistent nausea and vomiting • Severe headache • “Goose egg” located on the back or side of skull above the ear • Deformity • Significant swelling • Child refuses to bear weight or to use limb

Fever

• 100.4 or higher in an infant 3 months or younger • Lethargy, or child crying incessantly and cannot be consoled

Head injuries

Extremity injuries

Lacerations

• Wound with persistent bleeding after application of firm pressure for 5 minutes • Gaping (edges don’t meet) • Deep or long (more than a 1/2 inch) • A cosmetic concern (facial cut)

Evidence of breathing difficulties

• • • •

Flared nostrils Squeezing/lifting of the ribs Rapid breathing Audible breathing, including wheezing or high-pitched sounds • Color change (turn blue or particularly pale around lips)

GI (nausea, vomiting, diarrhea)

• Blood in vomit or stool • Not improving within 12-24 hours • Dehydration (not urinating at least every 6-8 hours)

Stomach pain • When it’s combined with fever • Tenderness when abdomen is pressed • Right lower abdomen pain (appendix) • “Jump sign” (kids who won’t hop up and down) Allergic reaction

• • • •

Facial/lip/tongue swelling Wheezing Difficulty breathing Lethargy

Castle Rock Adventist Hospital’s ER is part of the Centura Health Trauma System, the region’s largest and most comprehensive network of trauma care and emergency services. castlerockhospital.org

Dr. Stefen Ammon

Castle Rock ER at a glance

Castle Rock residents can rest easy knowing the hospital’s full-service emergency room is there if they need it — including a full spectrum of pediatric care and support — and you don’t need to come by ambulance to use the ER. “We have good relationships with pediatricians in the community, and we are always eager to share information about children seen in the ER with their physicians to ensure that they get the appropriate follow-up,” Ammon says. The hospital also provides inpatient pediatric care for children who do need to be admitted, and can offer referrals to pediatricians and specialists as necessary.

Other general services include: • On-site imaging, including MRI, CT, ultrasound, and X-ray • On-site laboratory services • A helipad if air transport is needed Know before you go Want to know the ER wait time and preregister before you arrive? Now there’s an app for that. Learn more and download it at castlerockhospital.org/ emergency-care.

Summer 2014

7 ELEVATE

Photo: ©Istock.com/ Sean_Warren

TRAUMA INJURIES

Balance Your

Health From food to fitness Women’s Health & Wellness Expo offers the latest in health info

Women’s Health & Wellness Expo

Date: Friday, Oct. 3 • Time: 8 a.m.-noon Location: Parker Arts, Culture and Events Center (PACE), 20000 Pikes Peak Ave. Parker, CO 80138 Cost: FREE Info and Registration: southdenverhealth.org/womens-expo

ELEVATE

8

Summer 2014

pop pills Before you

Three things all women need to know about supplements

Supplements are all the rage, but just because you can purchase most everything over the counter does not mean that you should.

“There’s no way to tell what supplements you may need without considering your age, diet, lifestyle, and how well you are absorbing minerals and vitamins, which can only be understood with a proper blood test and exam,” says Susan Buckley, RDN, CDE, a member of the health and nutrition team at South Denver Cardiology.

Buckley recommends considering these three things when it comes to supplements:

Start with fruits and vegetables

Fruits and vegetables contain dozens of compounds, while supplements may focus on only one or two.

Aim for five to 10 servings of fruits and vegetables a day. Remember, serving sizes may be smaller than you think (1/2 cup of cooked broccoli or carrots; 1 cup of lettuce).

Consider drug interactions

Certain medications interfere with the absorption of vitamins and minerals. For instance, vitamin B12, which helps prevent anemia and keeps nerve and blood cells healthy, is hindered by proton pump inhibitors. Coenzyme Q10, which works as an antioxidant and produces energy for cell growth, is depleted with the use of cholesterol-lowering medications (statins).

Embrace probiotics

Probiotics are “good bacteria” that promote a healthy digestive system.

Found in foods like yogurt, miso soup, and kefir, many people need a higher dose of probiotics than foods alone can provide. Antibiotics kill natural probiotics. “Roughly 70 percent of our immune system is in the gut, so if we lack enough good bacteria, we are more susceptible to disease,” Buckley says.

You should discuss all supplements with your doctor or pharmacist to avoid medication interactions.

Fruits and veggies to go! Put serving sizes of veggies and fruits in containers that you can grab for a snack, take to work, etc.

“Part of eating healthy is making it convenient,” Buckley says.

Learn more about supplements

at the Women’s Health & Wellness Expo presented by Centura Health on Oct. 3!

Photos: ©istockphoto.com/ChristopherBernard, /Mfotophile, /Eraxion, /Irina_Barcari

A

s women, our lives are so busy that we hardly have time to make a doctor’s appointment, much less learn everything we need to stay on top of our health.

Centura Health is here to offer some relief. Join us for four hours and find out the latest in skin care, memory loss, stress reduction, heart health, breast health, and much more. At the second annual Women’s Health & Wellness Expo, women will get all the latest health news through keynote speakers, discussion groups, and an interactive vendor fair. You’ll also be able to sneak in a workout, get free recipes from the nation’s top hospital chef, and much more.

“This year, we have added more options so that there is something for everyone,” says Marti Steger, community outreach coordinator at Porter Adventist Hospital.

Porter Adventist Hospital, Castle Rock Adventist Hospital, Parker Adventist Hospital, and Littleton Adventist Hospital are presenters of the Women’s Health & Wellness Expo.

Other hot topics to be covered at the expo include the role of inflammation in women’s health and how to reduce your risk, as well as loads of nutrition information from the latest on gluten intolerance to the best new supplements. The half-day expo is free.

“Centura Health is a network of care that is here to help women not just when they are ill but also in their efforts to stay healthy,” Steger says. “We want to partner with women through every stage of life.”

the winning

Picture Understanding when an MRI is really the right test for you

When it comes to imaging tests, it’s easy to get confused. Here we take a look at one of the most sophisticated tests, a magnetic resonance image (MRI), from every angle to help you understand what this test can and can’t do and the best time to get one.

Most effective at

Less effective for

Overused for

Underutilized for

Magnetic resonance imaging creates detailed images of your body using a magnetic field, radio waves, and a computer — without X-rays and related radiation. It is noninvasive and painless.

Finding increased fluid or swelling throughout the body. “MRI is particularly sensitive to different amounts of water in tissue, so areas of inflammation that have more fluid will be brighter and easier to differentiate on an MRI,” says David Gilliland, MD, imaging medical director at Castle Rock Adventist Hospital. It’s also effective at detecting even subtle areas of swelling, such as small brain tumors or multiple sclerosis.

Evaluating hard parts of bone or finding subtle areas of bleeding in the brain, as it’s less sensitive to early bleeding. MRI is especially sensitive to any metallic structures, such as an artificial hip or metal implantation in the spine. “That structure is going to cause significant amount of artifact [images that show up on the MRI that don’t actually exist] and often makes it more difficult to interpret,” Gilliland says.

First-line testing in the abdomen or pelvis. Although you might think an MRI can show more than other tests, it actually might show less, Gilliland says. This is because unlike CT, MRI is very sensitive to motion, so if patients have trouble holding still or parts of their anatomy (like their GI tract) are moving, it creates images that are difficult to evaluate.

Evaluating the spine. “There are times when people get regular X-rays when in reality MRI is much more effective,” Gilliland says. “Plain X-rays just show the bone but not much detail in the soft tissues, whereas most problems with nerves in the spine are soft tissue issues.”

Dr. David Gilliland

According to Gilliland, the key to getting the right test for you — and saving yourself money and time — may mean going to the experts.

“There’s no one organ or section of the body that MRI is more or less effective for. Every organ system has some aspects that might be better seen on CT, ultrasound, or plain X-rays, and others that might be better on MRI,” he says.

“Patients and referring physicians need to feel free to consult with a radiologist to find out which test is the best for their needs.”

Text your mammo appointment Need to get your annual screening mammogram but you just never seem to get around to making the call? Castle Rock Adventist Hospital wants to help take this off your to-do list. Just text your name to 720-644-0880 and schedulers will call you within two business days to make your appointment.

castlerockhospital.org

Summer 2014

9 ELEVATE

Photos: ©Istock.com/arfosn, /simonkr

What it does

Safe Landing

Why girls in their teens are more prone to knee injuries, and what you can do to help your daughter avoid them When it comes to knee injuries in young women versus young men, it’s definitely not a level playing field. Female athletes in high school and college can carry a risk for ACL injuries that’s up to six times higher than males in similar sports. And in recent years, we’ve learned a few possible reasons why:

Reducing Their Risk Research shows that neuromuscular training — including plyometric and strengthening exercises — can reduce the risk of ACL injury in young women by as much as

72%

ELEVATE

10 Summer 2014

Loose ligaments The ligaments are looser in a young woman’s body, which increases flexibility — and likelihood of injury.

Levels of estrogen during a young woman’s menstrual cycle also may relax the tissue, making her more susceptible to injury.

Neuromuscular Imbalance Hamstring muscles — those that run up the back of the thigh — tend to be weaker than a female’s quadriceps, which run along the front of the thigh, an imbalance that can put more stress on the knee.

Strengthening their leaps and bounds There are things you can do to help your daughter protect her knees, and it starts with a physical evaluation, says Anthony Sanchez, MD, an orthopedic surgeon at Castle Rock Adventist Hospital who is fellowship trained in sports medicine.

Dr. Anthony Sanchez “I typically assess their core strength and the angles of their pelvis and their knees, and I get the majority of my patients in with a therapist who is going to help them focus on core strength and training their lower extremities,” Sanchez says. “If you catch it early enough in young female athletes, we can really prevent a lot of these injuries.”

Teaching young females how to properly jump and land plays a critical role in prevention. “You may have them jump off a box, for example, and instead of having their legs being far apart and knees bowing in, you want to have them jump with their legs straight and their knees out,” Sanchez says.

He also recommends doing planks and yoga. “I’m a big advocate of yoga. It helps with flexibility as you age as well,” he says.

ACL Angle The anterior cruciate ligament flows through a notch in the thighbone. A female’s knees angle inward so that notch is narrower, making her more susceptible to tearing the ligament.

Check Her Knees If your teen or college-aged daughter plays sports, get her knees screened and learn exercises to help prevent knee injuries at a FREE program with Dr. Sanchez at Castle Rock Adventist Center for Rehabilitation on Wed, Aug. 27. See back cover for details.

Photos: ©istockphoto.com/Christopher Futcher, /sserg_dibrova

Thigh angles A woman’s pelvis is wider than a man’s, which causes thighs to angle toward the knees (hence the term “knock knees”), and puts more pressure on them.

Eating Energy for

Add oomph to your diet — and your day

Keep healthy fats — like monounsaturated fats found in nuts and avocados, and omega-3 fatty acids in salmon — in your diet.

Eating them in combination with fruits and vegetables can actually help you absorb more antioxidants.

So toss that fat-free dressing and top your salad with olive oil and vinegar for an extra pick-me-up.

Skip out (or at least cut back) on energy zappers like sugar, caffeine, and alcohol that can leave you feeling run down.

Choose whole foods over processed foods. That means selecting whole grains like steelcut oats over sugary cereals and eating an apple or orange instead of consuming them in juice form.

Whole foods take longer to digest, helping you maintain energy over a longer time period. castlerockhospital.org

Chef Dan Skay

10%

of women 20-49 are iron-deficient, which causes fatigue and can impair physical and mental endurance.

Seared Salmon & Avocado Spring Rolls Spring Rolls (2 per order) 2 (12-inch) spring roll papers 2 (2-3 ounces) seared salmon fillets 4-6 asparagus spears, fresh 4 slices fresh avocado Shredded carrot, as desired Olive oil mayo, as desired 2 teaspoons chopped fresh Thai basil 2 teaspoons chopped fresh mint

*Yuzu (YOO-zoo) is a traditional Japanese citrus, used almost exclusively for its aromatic rind. Yuzu has an aroma that’s distinct from lemon, lime, or any other Western citrus fruit.

Photos: ©Istock.com/Tomboy2290, ©Ellen Jaskol, ©istockphoto.com/Oliver Hoffmann, /bajinda

Try these quick tips to boost your get-up-andgo, provided by Dan Skay, executive chef at Manna, Castle Rock Adventist Hospital’s FINE DINING restaurant:

Plug your energy drains What factors beyond your diet could be stealing your energy?

Here are three common culprits among women: Too much or too little exercise.

Being inactive can leave you feeling lethargic, but so can working out too hard — and both can increase your arthritis risk. Pump up your routine slowly over time, and listen to your body.

Dehydration. Research has shown that even mild dehydration can cause fatigue and have a negative effect on your mood as well, so carry your water bottle with you and drink up!

A cluttered home or workspace.

Besides leaving you feeling overwhelmed, a messy environment at work or home can be a real energy suck. But tidying up the mess provides a feeling of accomplishment that may just give you the energy to tackle even more tasks you may have been neglecting.

Dipping Sauce (makes enough for 4 servings) 1/3 cup Tamari sauce (gluten-free) 2 tablespoons yuzu* juice 2 tablespoons orange juice 2 tablespoons lemon juice 2 tablespoons mirin rice wine 1/4 teaspoon crushed red pepper, or more to taste

Preparation Soak 1 wrapper at a time in a shallow dish of very hot water until softened, about 30 seconds.

Lift out, let excess water drip off, and lay on a clean, dry cutting board.

Center a strip of seared salmon in the bottom third of the wrapper, leaving a 1-inch border on either side. Arrange 4 thick (or 6 thin) asparagus spear halves (overlapping as necessary) over the salmon. Top the asparagus with 2 avocado slices, 1 tablespoon shredded carrot, and about 2 teaspoons each basil and mint. Fold the wrapper over the filling and roll into a tight cylinder, folding in the sides as you go (like a burrito).

Cut each finished roll in half.

To prepare dipping sauce: Whisk all ingredients together in a small serving bowl. Serve the rolls with the sauce.

Summer 2014

11

ELEVATE

Portercare Adventist Health System

DINE

Non-Profit Org US POSTAGE

FREE

2350 Meadows Boulevard Castle Rock, CO 80109

Castle Rock Adventist Hospital is part of Centura Health, the region’s leading health care network.

Centura Health does not discriminate against any person on the basis of race, color, national origin, disability, age, sex, religion, creed, ancestry, sexual orientation, and marital status in admission, treatment, or participation in its programs, services and activities, or in employment. For further information about this policy contact Centura Health’s Office of the General Counsel at 303-804-8166. Copyright © Centura Health, 2014.

I

t didn’t take long for Castle Rock Adventist Hospital to start caring for the community once it opened its doors a year ago on Aug. 1, 2013. In fact, it was just 10 hours and 57 minutes into opening day when Alexander Mark Palermo made his grand entrance into the world, becoming the first baby to be born at the new hospital.

Elsewhere that day, patients were already receiving emergency care, imaging studies, and even surgery.

“In the first year, we have grown so quickly that we already need additional space,” says Stephanie Preusse, vice president of business development. Plans are already in the works to add space to the hospital and open an additional medical office building on campus in the next 18 months.

The hospital was specially designed to fit the needs and the culture of the Castle Rock community, emphasizing health and wellness through its CREATION Health program and other amenities, such as a community garden, fine dining restaurant, and hub for local activities. “I think the best part has been the ownership. Everybody in the community seems very proud of the hospital and they call it ‘our’ hospital,” Preusse says.

Since opening, the hospital reached these milestones:

247

babies delivered

135

joints replaced

501

surgeries performed

Save Her Knees High school and college-age female athletes are six times more likely to sustain knee injuries than boys. Join the orthopedic experts at Castle Rock Adventist Hospital to understand the reasons behind this and exercises that will lower your risk. Attendees will receive a free screening to understand if they are at risk.

Date: Wed, Aug 27 Time: 4-7 p.m.

Location: Alexander Medical Building, Suite 155 Cost: FREE Register: 720-455-3700

719

mammograms completed

11,249

emergencies treated

Tea for Two If you’re expecting or planning a pregnancy, we’re here to serve you with your very own concierge service. Come to this special tea at Manna Restaurant and meet your birth concierge, Jacque Northrup, to discuss delivery options, creating the birth plan that’s right for you, breastfeeding and night nannies, and any other issues on your mind.

Date: Tue, Aug 5 Time: 2-3 p.m.

Location: Manna restaurant Cost: FREE Register: 720-455-0355

650 physicians on staff covering 38 specialties

100%

community garden rented

153,556

meals served at Manna

Rock Your Ride Bike Event Castle Rock Adventist Health Campus will host the first annual Rock Your Ride in honor of the hospital’s first anniversary. Begin with a nondenominational church service at 8 a.m., followed by a family bike ride at 9 a.m. along Plum Creek Trail to Festival Park, then pedal back to Castle Rock Adventist Hospital to celebrate with a brunch hosted by Manna Restaurant and activities for all ages.

Date: Sun, Aug 3 Time: 8 a.m.-Noon Location: Castle Rock Adventist Hospital Cost: $10 children 4-12, $25 over 13, proceeds benefit youth mental health services Info or Registration: 303-715-7600 or castlerockhospital.org/rockyour-ride

Photo: ©istockphoto.com/RuthBlack

elevate your summer

Kick-start your healthy eating with a nutritious and delicious FREE bowl of soup from the Manna Restaurant. Manna puts fresh fruits and vegetables in the culinary spotlight in their daily preparation of hot and cold soups. Go online to castlerockhospital.org/ manna to view the entire current menu.

Hours: 10 a.m.-9 p.m. daily Expires Sept. 15, 2014

PAID

Denver, CO Permit NO. 4773