Prime April 2015

SPRING - APRIL 2015

DEBATE Va c c i n at i o n

PG. 4 Winning the battle against depression

PG. 6 Healthy Hearts program serves and protects kids

PG. 15 Paths to the health-care profession

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Taking care of yourself so you can be there.

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PG.12

PG.16

Vaccination debate

Not everyone believes getting their children vaccinated is the right thing to do. But health professionals say vaccines keep us all healthy.

PG. 4

Sleep on it

Most Americans don’t get enough sleep. We’ve got some tips on what you can do to make sure you maximize your shut-eye.

PG. 8

Winning the battle against depression

Back in the saddle

PG. 15

Doctors often turn to prescription drugs to A new heart procedure makes it possible for a restore metal health. But a North Range Loveland woman to resume her active lifestyle.

Behavioral Health doctor says what you eat may be more important to your mental wellbeing than any pill you can take.

Sitting is the new smoking Experts say a sedentary lifestyle may be as bad for you as smoking cigarettes. Here’s what you can do about it. PG. 10 Healthy Hearts program serves and

PG. 10

PG. 6

protects kids

The Healthy Hearts program teaches kids the importance of good health choices.

PG.11 Exercise tips \\ Rules of the road

PUBLISHER Bart Smith EDITOR Randy Bangert General manager Bryce Jacobson CREATIVE MANAGER Kyle Knoop BUSINESS MANAGER Mike Campbell MANAGING EDITOR Nate A. Miller

Paths to the health-care profession

No matter what you’re best at, there are many ways you can work in the health-care field.

PG. 17

Feeling tired?

If you never seem to have enough energy — even right after you wake up — you might be dealing with sleep apnea. And experts say it’s a slippery slope.

| PG. 18 April’s health events | PG. 19 Prime medical directory | PG. 23 Nightingale awards

CONTRIBUTING WRITERS Kelly Ragan Allison D. Bluemel Trenton Sperry

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Diet may be key battleground in fight against depression

By Kelly Ragan For Prime

S

arah Gallegos’ mother told her they were going out for ice cream. Instead, Gallegos found herself visiting her first therapist.

Rather than ice cream, therapists fed Gallegos her first pills for her depression. They didn’t help, she said.

“They diagnose you with so much stuff,” she said. “They always had me on medication. I remember being so tired I couldn’t talk, like a zombie.”

Gallegos remembers always being in trouble as a kid and always being sad. She eventually fell into drug and alcohol abuse. She was what mental health experts called a frequent flyer, in and out of mental institutions from 14-18, Gallegos said. She never seemed to be getting the treatment she needed.

“The more they medicate you, the less they have to talk to you, the less they have to deal with you,” Gallegos said.

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PRIME \\ APR. 2015

It took decades for her to find a therapist willing to work with her without medication.

But Gallegos, now 47, finally found one at North Range Behavioral Health.

Dr. Michael Mullin, the medical director of North Range Behavioral Health and co-owner of the Wholeness Center in Fort Collins, believes many patients are overmedicated, and he believes in a more holistic approach.

It’s a niche for him, in fact. He thinks mental health treatment is about more than stifling the symptoms with medication rather than solving the problems.

The use of psychiatric medication has skyrocketed since 2000, said Mullin. For example, the number of children using antidepressants is up 25 percent nationally. The use of psychiatric medication has tripled in the last 15 years, such as medication for ADHD. Medication for kids under the age of 5 is up 370 percent since 2000.

“This is about overall health in general,” Mullin said. “It’s about how ill kids seem to be, not just mentally ill but the rates of asthma have increased significantly, allergies, the amount of kids that come in with reoccurring ear infections or are picky eaters, who have GI distress.”

The GI tract, a home to microorganisms is supposed to have a good balance between

bacteria and bad bacteria. If that gets skewed, there is more opportunity for bad bacteria to colonize the gut. And if that’s the case, your gut isn’t the only thing that could be at fault.

Studies are in the works to define more clearly the relationship between probiotics and brain function.

Micronutrients have decreased dramatically in our food supply, Mullin warns. A diet lacking in Zinc, Magnesium, 5HTP, L-Theanine and Inositol can result in unstable moods.

“Your gut is the second-largest nervous system in the body, and it’s the second-largest immune system,” Mullin said. “So when that system isn’t functioning correctly, there’s going to be a lot of crossover. We see that expressed a lot in kids with their ability to pay attention and regulate their mood.”

Mullin sees kids ages 8-9 at North Range Behavioral Health expressing the first symptoms of what school systems often flag as ADHD. They’re the fidgety, unfocused, anxious kids in class.

“A quarter of those kids just end up being on medication,” Mullin said. “Instead of looking at a check list someone presented to me and trying to make a diagnosis off that, I try to look at the kid as a whole. How are their relationships? How is the family dynamic?

How are peer relationships? Any changes in finances? Any changes in psychosocial pressures? In addition to any other physical challenges like being chronically ill with asthma, ear infections, picky eaters.”

About 25 percent of Mullin’s patients are entirely on a non-pharmaceutical regimen.

Mullin commonly recommends increasing

protein intake, especially in the morning, as protein is the ultimate mood moderator.

“One of the biggest realms of advice for dietary intervention is switching over to having dinner for breakfast,” Mullin said. “It’s having the meal with the higher protein content in the morning.”

Since the economic crisis, the numbers of those dealing with depression have gone up.

In Weld County, there are significant cases of psychosocial pressures, financial pressures, familial challenges, Mullin said.

“Kids are like the canary in the coal mine,” Mullin said.

Children usually feel the effects of environmental stressors before other parts of the family.

“Especially as financial pressures increase, dietary options decrease,” Mullin said. “We typically try to teach about the food groups you can still get on a relatively simple budget.”

About a quarter of children in Weld struggle with hunger, said Bob O’Connor, executive director of Weld Food Bank.

Families that seek help from the Weld Food Bank can expect to receive meals containing produce, dairy and meat. Emergency food boxes are designed by nutritionists to meet FDA nutritional standards, he said.

Gallegos is now working for North Range Behavioral Health as a peer specialist. She has been free of prescription psychiatric drugs for six years.

She now eats more fruit and vegetables. Her church, The Adventure in Windsor, recently taught her how to cook without oil. To others struggling with mental health issues, other than changing their diets, she recommends frequent exercise and enough sleep.

Now with grown children of her own, Gallegos has surmounted the mental illness that plagued her life.

“I still get depressed,” Gallegos said. “I still sit there and cry. I allow myself to feel that way only for a certain amount of time.”

She usually allows herself 10 minutes. She hasn’t taken medication in about six years.

After a lifetime of uphill battles, Gallegos has settled into steady employment and is sober. She has a car for the first time.

“God gave me another chance,” Gallegos said.

Symptoms of depression in adolescence: • More irritability • Lack of interest in previously pleasurable activities • Difficulty with concentrating • Social withdrawal • Disrupted sleep patterns, particularly in the ability to fall asleep

Symptoms of dietary issues in young children: • Depression • Irritability • Anxiety • Insomnia

Symptoms of dietary issues in adults: • Chronic fatigue • Chronic, unidentifiable pain • Disrupted sleep patterns • Difficulty paying attention, making associations

Tips • Avoid caffeine after noon • Limit alcohol • Limit screen time: 30 minutes on, 30 minutes off, no technology 90 minutes before bed • Increased face-to-face socialization • 30-40 minutes of aerobic activity 4 times per week

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Healthy Hearts serves and protects children

By Karla Oceanak UCHealth

S

omeone should really sew those superhero costumes with a double H on the chest.

After all, they travel in teams, swooping into schools on their strategic mission.

They carry cool gadgets — plastic heart models, stethoscopes, blood pressure cuffs, cholesterol kits.

Their weapon is education.

They are members of the Healthy Hearts group, and they are out to ensure that our youth charge forward in life with strong cardiovascular systems.

They are on a mission, as about 23 percent of elementary students who have been screened have borderline or high cholesterol, and about the same percentage are overweight or obese.

A community service of University of Colorado Health and the brainchild of cardiologist Dr. Gary Luckasen 20 years ago, Healthy Hearts teaches children in Larimer and Weld counties about how the heart and cardiovascular system work and how diet and exercise choices affect heart health.

“Even back then, it was becoming apparent that kids as young as three were developing plaque in their arteries,” said Luckasen. “I thought we needed to start doing something to prevent it.”

In the coming year, the free program will be visiting 55 elementary schools and eight high schools, said Healthy Hearts program coordinator NaNet Puccetti. “We’ll be educating about 8,000 young people, and we’ll be screening over half of them. This gives us an excellent opportunity to change lives for the better.”

School visits and screenings

A Healthy Hearts educator typically visits fourthor fifth-grade classrooms three days in a row for 45-minute sessions, covering topics such as heart anatomy, cholesterol, nutrition, exercise and tobacco avoidance. By the end of the third session, the kids know which cholesterol is the good kind (HDL), how many minutes of exercise they should be getting each day (at least 60), how big a serving of vegetables is (the size of their fist), and much more.

“We do a pre- and post-education test with the kids to gauge their knowledge gain,” said Meghan Willis, one of the Healthy Hearts educators. “We also do three- and six-month follow-up surveys to see if they’re retaining the information and using it to make healthy choices in their lives. Our data shows that after Healthy Hearts educates them, the kids are making positive long-lasting changes, such as cutting back on sugary foods and drinks, getting more physical activity and avoiding secondhand smoke.”

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After the teaching comes the testing. On a recent day, five Healthy Hearts clinicians descended on Eyestone Elementary School in Wellington. In minutes, they’d set up a miniature heart health clinic in a small spare room.

Soon fifth-graders began to meander in. They took seats in one of four testing stations, where a Healthy Hearts educator explained what she’d be doing, took the child’s blood pressure and pricked the child’s finger for the cholesterol test. The children also rotated in and out of the fifth station, where an educator measured and recorded each child’s height and weight.

Light-bulb moments

“Do I get to keep the blood?” wondered another student. “And what’s the blood for again?”

It’s common for children to have light-bulb moments while they’re being screened.

“I can’t believe that what I eat can actually affect my heart!” said one girl.

When a boy shared that he can’t exercise because he lives in an apartment, the Healthy Hearts educator brainstormed with him ways to be physically active that fit his circumstances.

In this manner, each Healthy Hearts screening participant receives 10 to 15 minutes of one-on-one heart-health coaching in addition to body mass index, blood pressure and non-fasting cholesterol scores, which the children bring home to their parents in a sealed envelope.

Getting families involved

About 23 percent of screened elementary students have borderline or high cholesterol, and about the same percentage are overweight or obese. Those with concerning results are invited, along with their parents and siblings, to participate in Healthy Hearts for Healthy Families.

During the class, which meets once a week for six weeks, educators use fun games and activities to teach families about making healthy snacks, incorporating exercise into their daily routines, and shopping for good food on a budget. The class will soon be offered in Spanish as well as English.

Schools that are interested in learning more about Healthy Hearts can call program coordinator NaNet Puccetti at 970.624.5298.

“We made a lot of healthy changes as a result of the family program,” said mom Nicole Lovelace.

“We wear Fitbits and strive to reach 10,000 steps a day through family activities like taking walks together or shooting hoops. We’ve also changed our eating habits. For example, we try to eat fish once a week now.

“This is a great improvement, as we used to eat fish once a year! We’ve also eliminated sugary drinks.”

Healthy hearts for the long haul

Healthy Hearts also educates and screens tenthgraders. When they happen to rescreen students who were screened in elementary school, Puccetti isolates those results to determine if the program is having a long-lasting impact.

Almost 82 percent of rescreened young people either maintained a healthy cholesterol score or lowered their cholesterol. Of the 20 percent who were overweight or obese in elementary school, about a third achieved a healthy weight by tenth grade.

“Our data indicates that Healthy Hearts kids may be more likely to become healthy highschoolers,” said Puccetti.

What’s more, Healthy Hearts invites kids with high numbers to participate in research studies on ways to lower cholesterol and increase physical activity, for example. The results of these studies will benefit future generations of children.

That double H on the chest would look great in red. Any volunteers to sew costumes out there?

Karla Oceanek​is a freelance writer and children’s author in northern Colorado.

Registered nurse Stacey Fox performs a finger stick for cholesterol screening as part of University of Colorado Health’s Healthy Hearts program.

(Photo courtesy of University of Colorado Health)

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Associates, Inc., Greeley, Colorado with particular emphasis in amplification and operative monitoring. Dr. Traynor holds degrees from the University of Northern Colorado (BA, 1972, MA 1973, Ed.D., 1975), and when it goes in the other, the University of Phoenix (MBA, 2006) as well as Post-Doctoral Study at the sound phase shifts slightly.

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Heart procedure puts woman back in the saddle

By Karla Oceanek UCHealth

Y

ou wouldn’t have known it to look at her, but Sheri Linnell’s heart was failing.

Up until May 2014, the 70-year-old took several 30-mile bike rides a week— up and down the mountain roads west of Fort Collins and backcountry skied in the winter. When she wasn’t biking or skiing, she ran. Not jogged, ran.

But then came a day when the super-fit Linnell fell behind. “I noticed when I was backcountry skiing that I was no longer able to keep up with my husband and friends,” she said, “especially when we were climbing hills.”

Linnell’s problem turned out to be aortic stenosis, a heart-valve condition that prevents blood from pumping efficiently. As it worsens, it leads to symptoms such as breathlessness, fatigue and fainting. Because Linnell was in such good shape, her symptoms were much subtler — but to her, equally debilitating.

It was in May that she and her husband, Tom, flew to southern Italy for a three-week cycling tour. “We ride 30 to 40 miles a day on those trips, carrying all our own gear,” she said. “The bikes are heavy. I was finding it difficult, even when we weren’t climbing hills. And I was really worn out at the end of the day.”

So after less than a week in Italy, the Linnells called it quits. They packed up their bags and returned to Colorado to meet with the team of doctors at the Heart Valve Clinic at Medical Center of the Rockies in Loveland.

“When we met with Sheri, I saw a young, active person,” said Dr. Mark Guadagnoli, a surgeon with the University of Colorado Health. “People like her typically do very well after open heart aortic valve replacement surgery, but in her case, there was a risk that the incision wouldn’t heal well.”

The risk was due to a health scare Linnell had triumphed over 14 years ago. She’d had breast

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PRIME \\ APR. 2015

cancer, and part of the treatment that had saved her life then was radiation to the chest. Problem is, the radiation that helped kill off the cancer cells had also done permanent damage to the surrounding skin and muscles. In fact, the radiation was likely the cause of Linnel’s heart-valve problem. And it would make open-heart surgery perilous.

“Soft tissues that have been irradiated don’t heal well,” said Guadagnoli. “If we were to do open-heart surgery to replace Linnell’s aortic valve, the heart itself would likely have done well, but the incision may not have properly healed. She could have ended up dying of a wound healing problem.”

Linnell’s predicament was a catch-22. Without aortic valve replacement, her symptoms would continue to worsen. Ultimately, aortic stenosis would kill her. “The mortality rate is 50 percent in two years without valve replacement,” said cardiologist Dr. Brad Oldemeyer, another member of Linnell’s care team.

But with traditional aortic valve replacement, she was also in danger.

Fortunately for Linnell and her doctors, a relatively new form of aortic valve replacement provided the perfect solution— a newer, less-invasive technique called transcatheter aortic valve replacement, or TAVR. During TAVR, a multi-physician heart valve team consisting of two interventional cardiologists, two cardiac surgeons and an additional cardiologist specializing in ultrasound of the heart work together to place a collapsible artificial valve into the heart through a catheter. A physician inserts the catheter through a small incision in either the upper thigh or below the ribcage, guiding it via a wire through blood vessels and up to the heart.

Critically for Linnell, no large chest incision would be necessary.

Using ultrasound and X-ray to see what they’re doing, doctors position the new valve inside the diseased valve and within seconds, it goes to work.

TAVR was approved by the FDA in November 2011 for patients who can’t tolerate open-heart surgery. The first MCR TAVR took place in May 2012, and since then, the team has completed many TAVRs and become one of the busiest programs in the state.

As predicted, Linnell’s TAVR, was a success.

Today, just a few months later, the retired Colorado State University exercise science professor is back on her bike, putting scores of younger people to shame. Just this morning she and a friend biked 10 miles up Poudre Canyon and down again.

“I’m taking it slow,” she said after the “This winter, I hope to be back-country skiing at Cameron again.”

Karla Oceanek​is a freelance writer and children’s author in northern Colorado.

Sitting is the New Smoking From head to toe, why a sedentary lifestyle is bad for your health and what you can do about it

By Lindsey Gerdes Kaiser Permanente

Dr. Lindsey Gerdes Dr. Lindsey Gerdes is a family medicine physician practicing at Kaiser Permanente’s Greeley Medical Offices

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PRIME \\ APR. 2015

There’s been a lot in the news lately on how bad sitting is for our health. Several studies have shown sitting too long can have a variety of negative impacts on our health, such as an increased risk for heart attack or stroke.

One recent study even showed that sitting for more than six hours each day is as bad for us as smoking.

Many of us spend our time at work sitting in our spongy desk chairs, in front of our glowing computer screens, typing away and not moving very much. The easiest suggestion I can give you is if you can stand, then stand!

But it might not always be an option. There are, however, some things you can do to start making a difference in the way you feel, and it’s not all about exercise.

Take a look at these common head-to-toe problems brought on by sitting too long and a simple solution for each: Headaches You’ve been looking at your computer screen for a while and now your head hurts. This could be a tension headache.

What you might consider doing is meditating for a moment.

Relax, roll your shoulders back, stretch and take a few deep breaths. Even better, get up and walk around the office a little bit.

This will increase oxygen to your brain, which releases endorphins

and will help to ease the pain of the headache.

Neck Pain Getting a pain in your neck is, well, a pain in the neck. Looking down at the screen or cradling the phone between neck and ear could be the issue. Try adjusting your screen. You should always be looking at your screen perpendicularly. This helps from flexing your neck and shoulders to see it. You’ll also be less likely to lean in or stare at your screen.

As for the phone, use a head set to avoid neck strain.

Back Problems A root cause for your mid or lower back pain could be your chair. Maybe it’s not at the right height or you’re hunched over.

Adjust your seat to fit the normal curve of the lower part of your spine. Sitting back in your chair more can help with this, too. You should be able to fit two or three fingers between your knees and the edge of the seat. The most important is to get moving. To avoid back pain, stretch during the day. Schedule 5-minute breaks on your calendar every couple hours to stand up and do it; simply walking to the bathroom on another floor instead of the bathroom closest to you can help. Your back will thank you.

Sore Hands Extending your hands out to reach the keyboard or hitting the keys with excessive force can do some seriously painful damage.

Scooting just a tad closer to the computer will help. Also, slow down the typing just a bit or have a softer touch on the keys. HINT: If the person nearest you can hear every keystroke you might be typing too hard.

Achy Knees This could be caused by several different things, all of which are pretty easily fixed. For starters, your seat might not be high enough. You should be able to plant your feet firmly on the ground, with your knees just slightly lower than your hips.

If repositioning your chair isn’t an option, elevate your feet on a stool or stretch your legs out with a walk Numb Feet This doesn’t happen often but if it does, it means you need to move more. Your blood might not be reaching your feet properly, which causes that sensation like bees are buzzing on your feet. It drives me crazy. The easiest way to avoid that feeling is to stand up or even just move around. It’ll help to start circulating the blood more effectively.

These are just a few ailments and simple remedies that might help you start feeling better while sitting at work and home.

Remember, it’s important to make the time to take care of ourselves, getting up and moving every couple hours can make a big difference to improve our overall health and wellness.

Fitting exercise into your busy schedule

Who has the right of way on the road?

By Lyn Tausan DRIVE SMART Weld County

T Lyn Tausan Lyn Tausan is a retired school administrator and resides in Greeley with her husband.

She is the marketing/public relations specialist for DRIVE SMART Weld County

he concept of the right of way is important to understand since the law never really grants the right of way. The law simply states when the right of way must be yielded. Right of way can be used when the law permits its use by requiring others to yield the right of way to you. Failure to yield the right of way leads to crashes in all states. There are some ways to reduce this probability when driving. Right of way must be yielded to other drivers in the following instances:

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» At a yield sign » To pedestrians in a crosswalk » To persons using a seeing eye guide dog » To persons using a white cane with or without a red tip » At uncontrolled intersections where vehicles are already in the intersection » At “T-”intersections where you must yield to oncoming pedestrians, cars, etc. » When driving on an unpaved road that intersects with a paved road » When returning to the roadway after the car is parked Every driver, motorcyclist, moped rider, bicyclist, and pedestrian must do everything possible to avoid a crash. When you yield the right of way to another vehicle, you are letting them go before you in the traffic situation. Few areas of traffic safety are more misunderstood than the “yield to the driver on the right” rule. This is the rule that controls most intersections when drivers arrive at an intersection simultaneously. Here are some examples: » You arrive at a stop sign at the same time as another driver in a cross street, and he is on your right. You yield (give up) the right of way to that driver by letting him go first. If you arrive at an uncontrolled intersection at close to the same time, the driver who actually reached the intersection last is the driver who must yield the right of way. » If two vehicles meet on a narrow mountain road in which there is only room for one vehicle to travel at a time, the vehicle going downhill must yield to the vehicle traveling uphill. The downhill vehicle should pull over enough to allow the other vehicle through; unless it is more practical for the uphill vehicle to find a wider space or turnout.

A driver should never assume that other drivers will start or complete any maneuver and should never insist on the right of way nor attempt to force their way into traffic. Drivers should try to anticipate other drivers’ actions as well as yielding whenever needed or required by law.

A Federal Highway Administration study of 40,000 drivers at intersections controlled by stop signs revealed that two-thirds of drivers failed to stop. A driver cannot assume that other drivers will automatically yield the right of way.

Therefore, it is critical to pay careful attention to the other driver’s intentions and actions while at intersections. Giving up the right of way to other drivers also helps to avoid crashes, as does gaining eye contract with all operators of motor vehicles that come directly into conflict with you. Drivers should attempt to be both courteous and diligent toward other drivers.

By Carlee Rosen - For Prime We’ve all heard the benefits of regular exercise—weight loss, disease prevention, improved mood, better sleep, etc. While most of us know that we should exercise every day, it can feel impossible to find the time to fit it into our busy schedules. Sometimes twenty-four hours a day doesn’t seem like enough to fit in work, family, school, shopping, and all of our other priorities.

Most of the time the problem with exercising isn’t motivation—it’s simply finding the time to do it. Here are 8 ways to get you up and moving more often: Wake up earlier. Set your alarm thirty minutes to an hour earlier than normal, and commit to working out right when you wake up in the morning. You can even sleep in your workout clothes to make it easier on yourself.

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1. Squeeze in mini-sessions.

Take five minutes every hour and go for a walk, or do push-ups or lunges.

Even though this isn’t a full workout, it still gets you moving and adds up!

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places. Park far away from the entrance at the grocery store or take the stairs instead of the elevator. If you ride the bus to work, get off a stop early and walk the rest of the way.

2. Exercise at home. There is no need to spend hours at the gym when you can fit in quick exercises at home.

Do jumping jacks during commercial breaks, lunges while you’re microwaving food, or walk around the house while you talk on the phone.

5. Do what you like. Find an activity that is fun for you, such as dancing or hiking.

You are more likely to stick with an exercise routine if you enjoy doing it, instead of viewing it as a chore.

6. Involve the whole family.

Don’t let your kids be your excuse! Go for a family walk or bike ride after dinner. If your kids play sports, walk laps around the field while they practice.

3. Find a friend. Find someone who wants to do the same activities as you, and make it a date.

This will make the time go by faster and be more enjoyable! Hold each other accountable for showing up, and motivate each other to push yourselves.

7. Keep records. Use an app or write down logs of your workout every day. This will help you stay motivated and make it easy to see what you’ve accomplished.

4. Take the long way. You can easily get extra steps in while going to your usual

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Carlee Rosen is the campaign coordinator for the Make Today Count Campaign through the Northern Colorado Health Alliance

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hen Heather Jordan was pregnant with her oldest son David, now 9 years old, she came across the Andrew Wakefield’s 1998 study that spurred concern over the side effects of vaccinations on children.

The study, which has been discredited by the medical community since its publication, asserted there was a link between the MMR vaccine and autism.

Following her son’s birth, Jordan, a LaSalle resident, refrained from vaccinating her son until he was 2 years old, when she was swayed by advice and medical evidence of the safety of the vaccines.

“I think that we need to trust our medical community for what they went to school for,” she said. “It’s what they do.”

However, the vaccination debate concerning the link between autism and vaccines remains sensitive for Jordan.

She is now the mother of a second son, 4-year-old Tyler, born with autism, and a daughter, 20-month old Delilah, who has a congenital heart defect resulting in a weakened immune system.

Both Tyler and Delilah were vaccinated in compliance with CDC recommendations, she said.

Jordan said she could tell something was different with Tyler as soon as he was born, but that it took years for a formal diagnosis to come into play.

“I never had any doubt in my mind that I didn’t do something to cause this,” she said. “He was just different.”

When she met with pediatricians, Jordan said they reassured her that her son’s autism was not caused by any one specific factor and were relieved that she would continue to choose to vaccinate.

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Parents grapple with questions about

vaccinating their children

By Allison D. Bluemel For Prime

Heather Jordan, LaSalle, is a mother of four, including her three biological children and stepson. Jordan began her pregnancy of her eldest son not planning to have him vaccinated, but after receiving information from her doctors decided to vaccinate her children when her son was 2 years old.

“I was already duped by the Wakefield study,” she said.

“I vaccinate the kids, and I don’t believe any of the information (from that study).”

Not only does Jordan believe in the benefits and protection that vaccinating affords her sons, but the practice actively ensures that her daughter does not contract a potentially fatal disease when exposed to recently vaccinated or nonvaccinated people.

“She gets vaccinated on time, and she gets any non-required vaccines,” Jordan said. “I have to be very careful, especially around flu season and other children. People carry a lot of germs and certain things that may not affect healthy people can affect her.”

No matter how diligently she follows the vaccination schedule and monitors her daughter’s environment, she can only control so much and heavily relies on herd immunity.

“Any body who is not vaccinating their kids are taking advantage of the herd immunity,” said Dr. Robert Pederson, pediatrician with UCHealth Pediatrics in Greeley.

“It has to be roughly 90 percent of greater to get her immunity where you’re not going to risk being exposed.”

Herd immunity refers to the percentage of a population that must be vaccinated to protect the entirety of the population from a disease.

“So many parents are lucky to not know that feeling that something is wrong with your child and you can do nothing,” Jordan said. “You’re relying on everyone else to do something.”

Vaccine Debate in the Medical, School Community While debate over the effectiveness and safety of vaccinating children remains a discussion in Colorado, which ranks with the lowest rate of MMR-vaccinated kindergarteners in the country, medical and school officials encourage parents to vaccinate when possible.

The Centers for Disease Control reported a MMR two-dose rate of 81.7 percent in Colorado for 201314, compared to the national average of 94.7 percent.

While some parents choose not to vaccinate their children because of medical reasons, many take the route of a personal exemption, which allows them to refrain from vaccination for personal reasons.

The debate surrounding the safety of vaccines originated with the Wakefield study, but recent measles outbreaks have reawakened discussion, Pederson said.

“The Internet gives parents the ability to find anything they want,” he said.

Though the Internet makes information readily available to

second dose at 6 months.

“There are certain illnesses that we just aren’t as worried about when they’re older,” Pederson said. “When you delay the vaccine you’re missing that time to protect kids from those illnesses.”

Concern stems from a misunderstanding of the role of livevaccines and their side effects, he said.

“The vaccinations work by tricking the body into thinking you’ve been exposed to an illness,” Pederson said.

“People think we’re injecting the virus and that it can shed and cause illness.”

However, while the live-viruses are used in the MRR and Chikenpox vaccines, the virus has been altered so that, in most cases, it cannot cause illness.

Vaccination rates among kindergarteners Vaccine

Colorado

National

Measles, mumps and rubella (MMR) Diphtheria, tetanus, whooping cough (DTaP) Chickenpox (Varicella)

81.7% 80.9% 81.7%

94.7% 95% 93.3%

Source: Centers for Disease Control and Prevention, children 5 years of age

parents, Pederson said that sometimes they do not look as critically as they should at the validity of a source.

Incomplete research done online is partially responsible for the concerns of parents who question if an infant’s or child’s immune system can handle vaccines, he said.

“There are parents who still don’t believe that there’s no correlation between autism and the vaccine,” he said. “Now there’s also people that are delaying the vaccination because they think the immune system isn’t up to handling it.”

However, the CDC recommends vaccinating infants at birth with the Hepatitis B vaccine and continuing a

Pederson noted that recently vaccinated children and adults only post a threat to the immune systems of those already immunecompromised, such as Jordan’s daughter.

When parents visit the pediatrician, Pederson said the goal is to get them as much information on vaccinating and the importance of it as possible.

“Hopefully parents are realizing that these illnesses aren’t totally eradicated and they’re still a threat and really the vaccination are the best of preventing those things,” he said.

Due to the long-term success of vaccines, he said, many American families have been able to go

most their lives without seeing the consequences of a low vaccination rate.

“Vaccinations have really helped this country a lot and terribly deadly diseases are prevented,” said Dr. Olukemi Akinrinola, a pediatrician with North Colorado Medical Center in Greeley.

Akinrinola, who did part of her medical education in Nigeria, said it’s apparent how much vaccinations have helped American families when compared to countries that do not have similar access to vaccines.

“It’s important that we don’t go back to the Dark Ages; the threat of these diseases is real,” she said.

However, since the recent measles outbreak in California, she said she has seen an up tick in parents who are willing to vaccinate their children or would like more medical information on the topic.

“It’s becoming more apparent to parents that the consequences can be real,” Akinrinola said.

School districts in Weld County, including the Greeley-Evans School District 6, have done their part to educate parents by providing informational materials on the importance and CDC recommended time table of vaccines, District 6 Spokeswoman Theresa Myers said.

“If it is because of a lack of resources, then we make sure they are referred to agencies that can help them,” she said. “We continue with these contacts until the immunizations are complete, or in the rare case that the parents opt their children out of immunizations.”

For Eaton mother-of-two Kira Nicole, the pamphlet passed out at her daughter’s school detailing vaccination rates spurred her to learn more about the issue and ultimately decide to vaccinate.

“When we see disease rates climbing and vaccination rates falling, it’s pretty scary,” she said. “I think we’re going in the wrong direction.”

“When we see disease rates climbing and vaccination rates falling, it’s pretty scary,” -Kira Nicole

Dr. Olukemi Akinrinola, pediatrics with North Colorado Medical Center in Greeley.

Dr. Robert Pederson, pediatrician with UCHealth Pediatrics in Greeley.

How Much Sugar is in Your Drink?

Health professionals have recently begun voicing concerns about the amount of sugar in our diets.

Fanta: 19 cubes

Green Tea: 13 cubes

Gatorade: 11 cubes

Red Bull: 13 cubes

Mountain Dew: 19 cubes

Orange Juice: 11 cubes

In this graphic,the Make TODAY Count!

Campaign takes a look at sugary drinks.

Make TODAY Count! is focused on helping residents make everyday choices, and take everyday steps, to stay healthy and strong as individuals and as a community.

The campaign involves all of Weld County — individuals and families, schools and churches, organizations and businesses. Its goal is to engage people in making simple choices every day.

Grape Juice: 10 cubes

Lemonade: 17 cubes

Frappuccino: 15 cubes

Sprite: 13 cubes

Pepsi: 17 cubes

Apple Juice: 8 cubes

Healthy drink options: no sugar!

Water

1% or Unsweetened Water with skim milk Tea fruit

Source: makeTODAYcount.org 14

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Too much sugar can increase the risk of:

Type 2 diabetes

Heart disease

Obesity Cavities & tooth decay

For more information go to:

There are many paths to the health-care profession

By Marc Ringel

Centennial Area Health Education Center

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few years ago I served on the admissions committee of the University of Colorado School of Medicine. My job was to interview too many qualified applicants for way too few slots in the upcoming freshman class. Based on their records, everybody who’d been offered Dr. Marc Ringel interviews had: scored well Dr. Marc Ringel is a member of the on the standardized Medical board of the Centennial Area Health College Admission Test (for Education Center. which many had been tutored); gotten great grades in college; and filled their extracurricular time with volunteer jobs. Taken at face value, the applicants were not only smart and studious, but they were all extraordinary human beings, driven to seek a medical career by boundless desire to serve. Unfortunately, the service section of many applications felt like it had been padded with activities chosen to improve candidates’ chances of getting in, rather than out of a real passion for caring.

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How then was the admissions committee to choose? When we did one-onone candidate interviews we were instructed to look for evidence that the eager young person before us was a team player. The emphasis these days, at least at CU, is to produce doctors whose style is more collaborative than the traditional doctor-on-a-pedestal model.

CO_Prime Magazine Ad - 0115.indd 1 1/14/2015 4:51:24 PM I can’t really know how well I did at sussing out candidates’ ability to play well with others. It’s hard to get a good sense of another person in the space of 45 minutes face-to-face plus fifteen minutes reviewing her written record.

The person-to-person skills that are so critically important to most any career in health care are not objectively measurable by any brief procedure or test.

My colleagues and I did what anyone does when sizing up another person. We relied heavily on our human intuition to help us judge who would be a good doctor.

A friend recently told me that the director of housekeeping at the hospital where she works hires employees based on their interpersonal skills. She tries to select people who will be kind, caring, energetic and flexible when they are in patients’ rooms. Most anybody can be taught to clean.

Unlike mopping and restocking linens, not everybody can learn biochemistry and anatomy at the level of detail I had to in order to become a doctor. I’m lucky to have that aptitude. With a different set of abilities or interests I expect I could have been very happy in any number of other professions, medical or otherwise.

Once you apply to a training program be assured that they will see that your scholastic aptitudes are matched to the field you’ve chosen. Your main task is to ACCEPTING NEW PATIENTS select a path that resonates with your passions. Intuition is especially important here. For example, if high-touch caring is what really calls you, certified nurse · Se Habla Espanol assistant may be just the right job for you, in itself or as the first step on a trail · Children's Colorado Medicaid, CHP and most other insurances accepted to higher-paying, higher-status occupations whose core is caring directly for · Same Day Treatment Available in Most Cases people. At the other extreme, if touch and one-on-one are not your thing and · Parents always welcome to accompany children to treatment area intellectual puzzles are, you might head toward a career in laboratory research.

There are more routes through the forest of professional training than there · In-Office sedation available two days per month are people. In these days of ubiquitous information technology you can do · Spacious and kid-friendly lobby a large chunk of the preparation for many health careers online. Part time · Friendly, experienced Dentists and Staff caring for your children training is also a common option. · School excuses given for missed classroom time So, if you’re interested in a health career or even think you might be interested, first look into your heart. Then get good advice, get exposed, and get educated. Centennial Area Health Education Center can help you. Check out 2400 W 16th, Suite A, Greeley, CO 80634 our website http://www.cahec.org/. Or give us a call at (970) 330-3608.

(970) 395-1000 Office • www.smiles4kidsgreeley.com

Smiles 4 Kids Greeley

Sleep on it:

Average American’s don’t get enough shut-eye. Here’s what to do about it

By Trenton Sperry For Prime Photo illustration by JIM RYDBOM/For Prime

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etting a good night’s sleep is one of the best ways to increase productivity, attentiveness and overall health, but the average American isn’t catching enough Zs. Dr. Kelli Janata, a pulmonologist and sleep specialist at North Colorado Medical Center in Greeley, said work is one of the biggest contributing factors to a lack of sleep.

“We’re expected to continue to work all the time,” Janata said, “so society has put sleep on the back-burner.”

Although the right amount of sleep can vary from person to person,

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Janata said adults age 20 and up usually need seven to eight hours.

“Some short sleepers say they only need five hours of sleep before they feel rested, and some heavy sleepers say they need 10,” she said. “Really we need to start to focus on symptoms of sleepiness than on the number of hours people are getting.”

Janata said people who wake up in the morning and can’t shake off the yawns could be suffering from a lack of quality sleep, which could be due to constant kicking, certain medications or medical conditions like insomnia or sleep apnea.

Because of the range of possibilities, pinpointing the exact cause can take

some investigating.

“I go through minute by minute with my patients what they do during the day,” she said. “iPads and iPhones are the focus of some of the biggest studies right now. When you use them at night, that is a blue-green wave that comes from that light. Your eyes detect that, and it delays the brain’s release of melatonin for about two hours.”

Use of electronics in bed compounds teenagers’ tendency to delay their circadian rhythms, meaning their internal clock tells them to fall asleep at a later time.

“There was actually a study that came out here about a month ago

that showed kids who keep iPhones in their room at night have more fragmented sleep,” Janata said. “It doesn’t have to be on their bed or on their nightstand, just in their room somewhere.”

She said infants need anywhere from 14-16 hours of sleep in a 24-hour period, and toddlers to teenagers require a solid 10 hours beneath the covers. Identifying whether they’re getting enough sleep can be a challenge, she said, because children display very different signs of lack of sleep.

“Kids manifest hyperactivity and begin to lose focus easily,” Janata said. “That’s where some parents

7 tips to get more and better sleep 1. Turn off electronics at about 8 p.m. Dr. Kelli Janata, a pulmonologist and sleep specialist at North Colorado Medical Center in Greeley, said television is a little better than smartphones or tablets because of its distance from you, but do your best to limit the amount you watch.

2. Make sure your bedroom is cool. Janata said heat shuts melatonin off in the brain, so sleeping in a cooler environment will help you get better quality sleep.

3. Take a hot shower three hours before you head to bed. Avoid taking one right before bed, Janata said, because the heat will actually make you want to stay awake. Instead, give your body time to cool back down as it prepares to rest.

4. Don’t exercise two hours before you plan to sleep. Exercise produces adrenaline, Janata said, which will make it difficult for you to sleep.

5. Read a book before bed. Don’t resort to that e-Reader, Janata said, because the blue-green waves of light it emits actually delay the release of melatonin in your brain. Instead, pick up an old-fashioned paperback.

6. Go to bed and wake up at the same times every day. Janata said a consistent bedtime routine will accustom your body to getting the right amount of sleep, and it will be easier for you to go to sleep and wake up in the morning.

will begin to believe there’s some (Attention Deficit Disorder). I will get a child started on sleep study first, and I know some pediatricians who will start a sleep study as soon as a parent mentions signs of ADD or ADHD.” Aside from drooping eyelids and a lack of motivation, being chronically fatigued can result in serious medical conditions, Janata said. Therefore, it’s best to see a physician if you’re waking up in the morning and not feeling rested.

“Untreated, it can lead to diabetes, hypertension, strokes or obesity,” she said. “It’s often a slippery slope to these conditions, as well, and hard to reverse.”

7. If you can’t sleep, don’t stay in bed. You should associate your bed with sleeping, not with a lack of it, Janata said. Instead, get up and go to a different room in your home to do something particularly boring, like reading a dictionary backward. When you feel yourself getting tired, go back to bed and try to sleep again.

Dr. Kelli Janata, a pulmonologist and sleep specialist at North Colorado Medical Center in Greeley

Sleep apnea can be slippery slope

By Jason Webb Banner Health/For Prime

Waking up tired and battling daytime fatigue can be signs of a potentially serious breathing disorder affecting you when you sleep. The disorder is obstructive sleep apnea, and it causes brief interruptions in breathing while a person sleeps.

Sleep apnea affects men and women of all ages, and according to the National Sleep Foundation, more than 18 million people suffer from it. Some of the common signs include snoring, waking with a headache and having someone witness the apnea.

North Colorado Medical Center pulmonologist and sleep specialist Kelli Janata, says, while snoring can be a symptom of sleep apnea, not everyone who snores has pauses in breathing. She says the telltale sign is how you feel during the day.

“Fatigue is the number one sign,” says Janata. “If you go to sleep and wake up feeling tired and are tired throughout the day, you should speak with your doctor.”

A patient with sleep apnea can suffer from an array of other conditions because of it, according to Janata. People with untreated sleep apnea may have high blood pressure or diabetes and could suffer a stroke.

“When you struggle against your airway, your body releases adrenaline and sugar,” says Janata. “Your blood pressure increases and your heart rate goes up.”

Determining if a person has sleep apnea begins with a complete examination of their nighttime routine. This includes when they go to bed, when they fall asleep, if things wake them in the night and their average time asleep.

The physician may order additional studies to determine the cause of the problem. Two options include an overnight stay in a sleep lab with close monitoring or a home sleep test.

A sleep study in a lab allows specialists to monitor the person throughout the night and watch for things that may be interrupting their sleep. This test is used for people with complex medical issues and risks for other sleep disorders, such as restless legs and narcolepsy. A home test, according to Janata, has been shown to be as reliable as the in-lab study for detecting sleep apnea, but comes with a lower cost and the convenience of sleeping at home.

The equipment for the home test is set up in the lab, and the patient is given instruction on how to use it for the study. When the patient is ready to go to sleep, a probe goes on the finger, another goes in the nose and a band goes around the chest. No sleep specialists come into your home.

“People on oxygen, those who have trouble setting up the equipment and people with heart rhythm problems may not qualify for a home sleep test,” Janata says.

For those who do qualify, one night of data is all that is typically needed. The home test unit collects information on oxygen levels in the blood and any apnea events throughout the night. That data and the testing unit are returned to the doctor for analysis.

If the test shows the patient has sleep apnea, there are several different options for treatment. Treatments range from changing sleep position to surgery, but the most common is wearing a Continuous Positive Airway Pressure device, often known as a CPAP. “CPAP is the standard therapy,” says Janata. “It is a mask you wear at night that puts pressure in the airway to keep it from collapsing.”

If a patient has problems adjusting to the CPAP mask, Janata says a special pillow to keep them sleeping on their side or an oral appliance that keep the jaw forward may help. In some cases, surgery to break and move the jaw forward may be necessary.

If you are suffering from any sleep problems, Janata urges you to talk to your doctor.

“Don’t ignore sleepiness. It’s not healthy,” says Janata.

Jason Webb is a public relations specialist for Banner Health.

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HEALTH Events Calendar Powerful Tools for Caregivers, 9-11:30 a.m., April 1, April 8, Greeley Medical Clinic.

STAR, 5:30-7 p.m., April 2, NCMC Cancer Institute Conference Room. Support, touch, and reach breast cancer survivors (Breast Cancer Support Group). For further information please contact: Betty Parsons at (970) 339-7137.

Safe Sitter, 8 a.m.-2 p.m., April 2, Family Fun Plex. Safe Sitter is a one-day, six-hour curriculum designed for 11-13 year-olds.

Call (970) 350-9400 for more information.

Friends and Family CPR, 2-3:15 p.m., April 2, Family Fun Plex. This class is taught by American Heart Association instructors and intended as a complement to the Safe Sitter babysitting course. Call 970-350-9401 for more.

Aint Nobody Got Time For Fat!, 6:30 p.m., Thursday, April 2, High Plains Library District Building, 2650 29th Ave., Greeley. If you want to be healthy, you don’t have time for the serious health consequences that come with being overweight. Pre-registration is required at 970-392-2222 or email spirit. of.women@bannerhealth.com.

CT Heart Score, Monday-Friday, 1 p.m., 2 p.m., North Colorado Medical Center. The cost is $199. NCMC Wellness Services is not able to bill insurance. Payment is due at the time of service. Call (970) 350-6070 to schedule an appointment.

Cardiac Education Classes, 3:45 p.m., 5:30 p.m., Mondays and 8:45 a.m., 10:30 a.m., Wednesdays, Cardiac Rehab classroom. Call (970) 350-6204 to confirm class times and dates. All classes are free.

Cooking Classes, “Meatless Meals,” 6-7:30 p.m., April 6, Cardiac Rehab Kitchen, NCMC. Come and learn a variety of fun and healthy cooking options. Recipes and samples are included. The cost is $10 per class unless otherwise noted. Payment due at the time of registration. Call (970) 350-6633 to register.

CPR for Health Care Providers (Initial), 5-8:30 p.m., April 6, NCMC, Union Colony Room, on the ground floor. This class is designed for licensed and non-licensed health care providers. To register, call (970) 350-6633.

The cost of the class is $55. Refunds will not be processed once classes have begun.

CPR for Health Care Providers Skills Check, Wellness Conference Room, NCMC. This 18

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class is designed for licensed and nonlicensed health care providers who need to re-certify through the American Heart Association. The cost is $50 for CPR for Healthcare Providers. There is a separate fee for online course, payable online. Payment due at the time of registration. If you are absent from the class, you will be charged the full amount. To register, please call (970) 350-6633.

PAD Screening (Peripheral Vascular Disease), 1-3 p.m., April 7 and April 21, Summit View Medical Commons. NCMC’s Peripheral Vascular Disease Screening program offers the education and prevention proven to be the best tools for fighting vascular disease and stroke. The cost is $100 and includes all four screenings. Payment is due at the time of service. NCMC Wellness Services is not able to bill insurance. Call (970) 350-6070 to schedule an appointment.

Body Check... What you need to know: Head to Toe, April 7 and April 21, Screenings are held at Summit View Medical Commons, 2001 70th Ave. This head-to-toe health assessment gives you the tools to put your health first by receiving a comprehensive set of preventive health screenings. Body check will cost $175. Wellness Services is not able to bill insurance. Call (970) 350-6070 to schedule an appointment. All results are sent to your personal physician and to you.

Blood Tests, 7-8:45 a.m., April 8, April 22, NCMC via entrance No. 6 and April 15, Johnstown Family Physicians, 222 Johnstown Center Drive. Wellness Services offers lowcost blood screenings open to community members; some immunizations are also available upon request and availability.

Payment is due at time of service. The cost will vary. NCMC Wellness Services will not bill insurance. To schedule an appointment, call (970) 350-6633. Appointments preferred; please fast 12 hours prior to blood draw.

Aging Well, 9-11 a.m., Thursdays, April 9-May 28, North Colorado Medical Center. Weld County Area Agency on Aging offers a variety of Aging Well Self-Management. For more information or to sign up please call (970) 346-6950 ext. 6117.

Heartsaver CPR with AED, 6-8 p.m., April 9, Windsor Recreation Center, 250 11th St. in Windsor. The class will cost $48. Registration closes at noon, two days prior to class. Call (970) 674-3500 to register.

NCMC Adult Fitness. The Adult Fitness Program is available to people in the community who are interested in starting an exercise program in a health care setting.

The cost per month: Individual $45 or Couple (living in the same household) $80 Call 350-6204 for information.

9 News Health Fair, 7-11:30 a.m., April 11, Mead High School, 12750 County Road 7, Longmont.

Greeley Winter Farmers’ Market, 9 a.m.noon, April 11, April 25, 1100 8th Ave. Fleet of Feet Run Club, 9:30 a.m., April 11, Cranford Cove Tea Tavern, 823 10th St. Tobacco Free Coalition Meeting, 12:30-1 p.m., April 14, Riverside Library, 3700 Golden St., Evans.

Free Hearing Screenings, 1-4 p.m., April 15, My Health Connections, 2028 35th Ave, Ste. E4, Greeley.

Prostate Cancer Support Group, 5:30-7 p.m., April 16, NCMC Cancer Institute Conference Room. For further information please contact: Julianne Fritz at (970) 350-6567.

9 News Health Fair, 7-11 a.m., April 18, Eaton High School and UNC. Walk with a Doc, April 18, meet at south entrance of the Greeley Mall. Walk with a Doc is an international program where interested people meet at a park or public location (usually Saturday mornings) for an informal five minute health talk, and a 30 minute walk (at your own pace). Upcoming walks are posted WalkwithaDoc.org.

“In My Shoes” 5k, 8 a.m., April 19, Envision, 1050 37th St., Evans.

“Inspired to Ride,” Free Bike Movie Screening, 5:30 p.m., 7:30 p.m., April 22, the Kress Theater, 817 8th Ave. Pulmonary Rehabilitation, Lung Disease Management, Education and Exercise.

Contact (970) 350-6924 for information and opportunities.

9 News Health Fair, 7-11:30 a.m., April 25, Evans Moose Lodge, 3456 11th Ave., Evans.

Healthy Eating Class, 6-7 p.m., April 29, Farr Library.

PRIME Medical Directory 2015 Acupuncture Phyllis Hamar, L.A.C.

Master of Science, Traditional Chinese Medicine NCCAOM Board Certified 710 11th Ave., Ste. 106 Greeley, CO 80631 970-539-0324

Allergy and asthma Colorado Alergy & Asthma Centers, P.C.

7251 W. 20th Street, Bldg N, Ste 1 Greeley, CO 80634 Phone: (970) 356-3907 1136 E. Stuart St, Bldg 3, Ste 3200 Ft. Collins, CO 80525 Phone: (970) 221-1681 4700 E. Bromley Ln., Ste 207 Brighton, CO 80601 Phone: (303) 654-1234 www.coloradoallergy.com Professionals: Dr. Daniel Laszlo Dr. John James Northern colorado allergy & asthma

Greeley Phone: (970) 330-5391 Loveland Phone: (970) 663-0144 Ft. Collins Phone: (970) 221-2370 www.NCAAC.com Professionals: Dr. Vel Kailasam, MD Krishna C. Murthy, MD Loran Clement, MD Michael Martucci, MD allergy & asthma Center of the ROckies

1029 Robertson St., Ft. Collins, CO 8223 W. 20th St., Greeley CO 1000 Lincoln St.,Ft. Morgan, CO 1405 S. 8th Ave., Suite 102, Sterling CO

Alzheimer’s/Skilled Care Bonell Good Samaritan

708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 www.good-sam.com

GRACE POINTE

1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com MEADOWVIEW of greeley

5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 www.meadowviewofgreeley.com

3820 N. Grant Avenue Loveland, CO 80538 Phone: (970)461-0225 Fax: (970)593-0670 www.allabouthearing.com Professionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-A Cheryl Hadlock, M. S., CCC-A Audiology Associates

BONELL GOOD SAMARITAN

2528 16th Street Greeley, CO Phone: (970)352-2881 Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A

Columbine Commons

2404 17th Street Greeley, CO 80634 Phone: (970)351-6620

Assisted living 708 22nd Street Greeley, CO 80631 Phone: (970) 352-6082 Fax: (970) 356-7970 www.good-sam.com

1475 Main Street Windsor, CO 80550 Phone: (970) 449-5540 www.columbinehealth.com GRACE POINTE

1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com MEADOWVIEW of greeley

5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 www.meadowviewofgreeley.com The Bridge Assisted Living

4750 25th Street Greeley, CO 80634 Phone: (970)339-0022

AUDIOLOGY Alpine All About Hearing

1124 E. Elizabeth Street, #E-101 Fort Collins, CO 80524 Phone: (970)221-3372 Fax: (970)493-9237

CARDIAC vascular surgery

Miracle-Ear

749 S. Lemay Avenue, Suite A1 Fort Collins, CO 80524 (970)221-5225 UNC Audiology Clinic

Gunter Hall, Room 0330 Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 www.unco.edu/NHS/asls/clinic.htm Professionals: Diane Erdbruegger, Au.D., CCC-A; Erinn Jimmerson, M.A., CCC-A Jennifer Weber, Au.D., CCC-A

Cardiac, Thoracic & Vascular surgery (NCMC)

1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 www.bannerhealth.com

CARDIOLOGY

BALANCE LIFE CARE CENTER OF GREELEY- ASCENT

4800 25th Street Greeley, CO 80634 Phone: (970)330-6400 Professionals: Cozette Seaver, PT; Leslie Vail, PT

burn Care western states burn center (NCMc)

1801 16th Street, Greeley, CO 80631 Phone: (970)350-6607 www.bannerhealth.com

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19

Cardiovascular institutE (NCMC)

1800 15th Street, #310 Greeley, CO 80631 Phone: (970) 392-0900 www.bannerhealth.com

HEART FAILURE CLINIC (NCMC)

(970) 350-6953 www.bannerhealth.com

DENTISTRY Ascent Family Dental

Scott Williams, DMD 3535 W. 12th Street, Suite B Greeley, CO 80634 Phone: (970)351-6095 www.dentalgreeley.com JULIE KAVANAUGH, D.D.S.

3400 W. 16th Street, Suite 8-E Greeley, CO 80634 Phone: (970)351-0400 www.drjuliekav.com Ralph R. Reynolds, D.M.D., M.D.

Oral Surgery 7251 W. 20th St. Building P, Greeley, CO 80634 (970) 663-6878 www.reynoldsoralfacial.com

Endocrinology Endocrinology Clinic (NCMC)

1801 15th Street, Ste 200 Greeley, CO 80631 Phone: (970)378-4676 Fax: (970)-378-4315 www.bannerhealth.com

Family practice medicine Banner Health Clinic

1300 Main Street Windsor, CO 80550 Phone: 970-686-5646 Fax: 970-686-5118 www.bannerhealth.com Banner Health Clinic

100 S. Cherry Ave., Suite 1 Eaton, CO 80615 Phone: (970)454-3838 www.bannerhealthc.om

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PRIME \\ APR. 2015

Banner Health Clinic

Kenneth M. Olds

222 Johnstown Center Drive Johnstown, CO 80534 Phone: (970)587-4974 www.bannerhealth.com

6801 W. 20th Street, Suite 208 Greeley ,CO 80634 Phone: (970)330-9061

Banner health clinic

AllnutT & ResThaven Funeral services

5623 W. 19th Street, Greeley, CO 80634 Phone: (970) 353-9011 Fax: (970) 353-9135 www.bannerhealth.com Family Physicians of Greeley, LLP-Central

2520 W. 16th Street Greeley, CO 80634 (970) 356-2520 Fax: (970) 356-6928 Professionals: Joanna H. Branum, M.D. Angela M. Eussen, PA-C Jennifer D. Dawson , D.O. Douglas A. Magnuson, M.D. Paul D. Lobitz, M.D. Lori A. Ripley, M.D. D.Craig Wilson, M.D.

FUNERAL SERVICES 702 13th Street, Greeley, CO Phone: (970) 352-3366 650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-3208 8426 S. College Avenue, Ft. Collins, CO Phone: (970) 667-0202 2100 N. Lincoln, Loveland, CO Phone: (970) 667-1121 1302 Graves Avenue, Estes Park, CO Phone: (970) 586-3101

gastroenterology

Family Physicians of Greeley, LLP-Cottonwood

2010 16th Street, Ste. A Greeley, CO 80631 Phone: (970)378-4475 Fax: (970)378-4429 www.bannerhealth.com

Health and fitness WORK OUT WEST

Health & Recreation Campus 5701 W. 20th Street, Greeley, CO 80634 Phone: 970-330-9691 www.workoutwest.com

home health care Caring Hearts Home Healthcare

6801 W. 20th Street, Suite 207 Greeley, CO 80634 Phone: (970)378-1409 Bloom at Home

1455 Main Street Windsor, CO 80550 Phone: (970) 460-9200 www.columbinehealth.com/bloom Columbine Poudre Home Care

1455 Main Street Windsor, CO 80550 Phone: (970) 460-9200 www.columbinehealth.com

2420 W 16th Street Greeley, CO 80634 (970) 353-7668 Fax:970-353-2801 Professionals: Stacey L. Garber, M.D. Amy E. Mattox, M.D. Christopher T. Kennedy, M.D. Daniel P. Pflieger, M.D. Mark D. Young, M.D.

Rehabilitation and Visiting Nurse Association

2105 Clubhouse Drive Greeley, CO 80634 Phone: (970) 330-5655 Fax: (970) 330-7146 www.rvna.info Professionals: Lori Follett, CEO

Family Physicians of Greeley, LLP-West

6801 W. 20th St., Suite 101 Greeley, CO 80634 (970) 378-8000 Fax: (970) 378-8088 Professionals: Nathan E. Bedosky, PA-C Ann T. Colgan, M.D. Daniel R. Clang, D.O. Tamara S. Clang, D.O. R. Scott Haskins, M.D. Mathew L. Martinez, M.D. Chima C. Nwizu, M.D Michelle K. Paczosa, D.O. Andrew P. Stoddard, M.D. Kyle B. Waugh, M.D. Charles I. Zucker, M.D.

North Colorado Gastroenterology (NCMC)

Touchstone home health

Dowgin, Thomas A., MD. CENTERS FOR GASTROENTEROLOGY

7251 W. 20th St., Bldg J, Greeley, CO Phone: (970)207-9773

3702 Timberline, Ft. Collins, CO Phone: (970)207-9773 2555 E. 13th Street, Suite 220, Loveland, CO Phone: (970)669-5432 www.digestive-health.net

5312 W. 9th St. Dr., Suite 120 Greeley, Co. 80634 Phone: 970-356-3922 www.touchstonehomehealth.com

Hospice Hospice of northern colorado

Administration Office 2726 W. 11th Street Road Greeley, CO 80634 Phone: (970)352-8487 Fax: (970)475-0037

Pathways hospice

305 Carpenter Road Ft. Collins, CO 80550 Phone: (970)663-3500 Fax: (970)292-1085 www.pathways-care.org Email: info@pathways-care.org

independent assisted Living GRACE POINTE

1919 68th Avenue Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com MEADOWVIEW of greeley

5300 29th Street Greeley, CO 80634 Phone: (970)353-6800 www.meadowviewofgreeley.com

independent assisted living w/services

infectious disease Breen, john f., md (NCMC)

1801 16th Street Greeley, CO 80631 Phone: (970)350-6071 Fax: (970)350-6702

internal medicine BANNER HEALTH CLINIC

2010 16th Street Greeley, CO 80631 Phone: (970)350-5660 www.bannerhealth.com

medical equipment & supplies Banner HOme Medical Equipment (NCMC)

Phone: (970)506-6420 www.bannerhealth.com

Columbine Medical Equipment

1455 Main Street Windsor, CO 80550 (970) 460-9205 www.columbinehealth.com

Mental health services

Shawn Crawford, LPC Banner Health Clinic 222 Johnstown Center Dr., Johnstown, CO 80534 Stephanie Carroll, LCSW, CACIII Banner Health Clinic 1300 Main Street, Windsor, CO 80550 Banner Health Clinic - Fossil Creek 303 Colland Dr Fort Collins, CO 80525 Elise Fair, LPC 5890 W. 13th Street #114, Greeley CO 80634 Susan Garvin, LCSW Banner Health Clinic -Loveland Pediatrics Loveland Pediatrics, Loveland CO Banner Health Clinic - Windsor 1300 Main Street Windsor, CO 80550 Renee Rogers, LMFT Banner Health Clinic 1300 Main Street, Windsor, CO 80550 Banner Health Clinic - Fossil Creek 303 Colland Dr Fort Collins, CO 80525

NEPHROLOGY Adult Mental Health & Addiction Services 1260 H Street • Greeley, CO 80631 970.347.2120 Child, Youth, & Family Mental Health & Addiction Services 1300 N. 17th Avenue • Greeley, CO 80631 970.347.2120 Counseling Center at West Greeley Children, Adult, & Family Counseling 7251 W. 20th Street, Building C Greeley, CO 80634 970.347.2123 Crisis Support Crisis Intervention, Care, and Detox Services 928 12th Street • Greeley, CO 80631 970.347.2120

Bonell Good Samaritan

708 22nd Street Greeley, CO 80631 Phone: (970)352-6082 Fax: (970)356-7970 www.good-sam.com

Suicide Education & Support Services Prevention, Education, & Grief Support 2350 3rd Street Road • Greeley, CO 80631 970.347.2120 or 970.313.1089 Additional Weld County Locations

www.NorthRange.org

Greeley medical clinic

1900 16th Street, Greeley, CO 80631 Phone: (970) 350-2438 Professionals: Donal Rademacher, MD

NEUROLOGY

Centennial NEUROLOGY

Dr. David Ewing 7251 W. 20th Street, Unit C Greeley, CO 80634 Phone: (970) 356-3876 NEUROLOGY CLINIC (NCMC)

1800 15th Street, Suite 100B Greeley, CO 80631 Phone: (970) 350-5612 Fax: (970) 350-5619 www.bannerhealth.com

NEURo-SURGERY BRAIN & SPINE BANNER HEALTH neurosurgery clinic

1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970)350-5996 www.bannerhealth.com

nursing home rehabilitation Centennial Health Care Center

1637 29th Ave. Place Greeley, CO 80634 Phone: (970) 356-8181 Fax: (970) 356-3278

Columbine Commons Health & Rehab Facility

1475 Main Street Windsor, CO 80550 Phone: (970) 449-5541 www.columbinehealth.com

obstetrics & gynecology BANNER HEALTH GYN CONSULTANTS

1800 15th St., Suite 130 Greeley, CO 80631 Phone: (970)353-1335 www.bannerhealth.com Banner Health OB/GYN Clinic

2410 W. 16th Street Greeley, CO 80634 Phone: (970)352-6353 www.bannerhealth.com banner health clinic

FOX RUN SENIOR LIVING

1720 60th Avenue Greeley, CO 80634 Phone: (970)353-7773 Fax: (970)330-9708 www.good-sam.com

banner BEHAVIORAL HEALTH

Dr. Patricia Al-Adsani, Child and Adolescent Psychiatry 5890 W. 13th Street #114 Greeley, CO 80634 (970) 392-5454

5623 W. 19th Street Greeley, CO Phone: (970) 353-9011 Fax: (970) 353-9135 www.bannerhealth.com

PRIME \\ APR. 2015

21

oncology & HemaTology cancer Institute (NCMC)

1800 15th Street, Greeley, CO 80631 Phone: (970) 350-6680 Toll Free (866) 357-9276 Fax: (970)350-6610 www.bannerhealth.com

orthodontics Orthodontic Associates of Greeley, PC

Professionals: Bradford N. Edgren, DDS, MS 3400 W. 16thSt., Bldg 4-V Greeley, CO 80634 Phone: (970) 356-5900 www.drbradsmiles.com

orthopedics Mountain Vista Orthopaedics

5890 W. 13th Street, Suite 101 Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 www.bannerhealth.com

pediatrics Banner Health Clinic

6801 W. 20th Street, Suite 201 Greeley, CO 80634 Phone: (970)350-5828 www.bannerhealth.com

pediatric rehabilitation Banner Rehabilitation Center

1801 16th Street, Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858 www.bannerhealth.com

personal response service Banner Life Line (NCMC)

2010 16th Street, Suite C, Greeley, CO 80631 Phone: 1-877-493-8109 (970) 378-4743 www.bannerhealth.com

physical therapy Front Range Therapy

1475 Main Street, Windsor, CO 80550 Phone: (970) 492-6238 www.columbinehealth.com

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PRIME \\ APR. 2015

Hope therapy center (Formerly North Colorado Therapy Center)

2780 28th Avenue, Greeley, CO 80634 Phone: (970)339-0011 www.GCIinc.org Professionals: Jeanne Rabe, PT; Jennifer Branson, PT Kryste Haas, OT; Molly Wuethrich, PTA Moni Kohlhoff, PT

Northern colorado rehabilitation hospital

4401 Union Street, Johnstown, CO 80534 Phone: (970) 619-3400 NCRH@ernesthealth.com

pulmonary/critical care North Colorado Pulmonary (NCMC)

1801 16th Street, Greeley, CO 80631 Phone: (970)392-2026 www.bannerhealth.com

Columbine Commons health & rehab facility

1475 Main Street Windsor, CO 80550 Phone: (970) 449-5541 www.columbinehealth.com Front Range Therapy

1475 Main Street, Windsor, CO 80550 Phone: (970) 492-6238 www.columbinehealth.com Northern colorado rehabilitation hospital

4401 Union Street, Johnstown, CO 80534 Phone: (970) 619-3400 NCRH@ernesthealth.com

Peakview Medical Center

5881 W. 16th St., Greeley, CO 80634 Phone: (970)313-2775 Fax: (970)313-2777

respite/adult day care ELDERGARDEN Adult Day Care

Prosthetics & orthotics HANGER PROSTHETICS & ORTHOTICS

7251 West 20th Street, Building M, Greeley, CO 80634 Phone: (970)330-9449 Fax: (970)330-4217 2500 Rocky Mountain Avenue, Suite 2100 North Medical Office Building, Loveland CO 80538 Phone: (970) 619-6585 Fax (970) 619-6591 www.hanger.com Professinal: Ben Struzenberg, CPO Michelle West, Mastectomy Fitter

rehabilitation ASCENT AT LIFE CARE CENTER

4800 25th Street, Greeley, CO 80634 Phone: (970)330-6400 Website: www.lcca.com Professionals: Annie Bennett Leslie Vail Banner Rehabilitation Center

1801 16th Street, Greeley, CO Phone: (970)350-6160 www.bannerhealth.com

910 27th Avenue Greeley, CO 80634 970-353-5003 Website: www.eldergarden.org Sliding scale fee or no fee for Medicaid Enrollment process required

Skilled care/Rehab

BONELL GOOD SAMARITAN

708 22nd Street, Greeley, CO 80631 Phone: (970)352- 6082 Fax: (970)356-7970 www.good-sam.com Columbine Commons Health & Rehab Facility

1475 Main Street Windsor, CO 80550 Phone: (970) 449-5541 www.columbinehealth.com GRACE POINTE

1919 68th Avenue, Greeley, CO 80634 Phone: (970) 304-1919 www.gracepointegreeley.com

sports medicine Mountain Vista Orthopaedics

5890 W. 13th Street, Suite 101, Greeley, CO Phone: (970)348-0020 Fax: (970)348-0044 www.bannerhealth.com North Colorado Sports medicine

1801 16th Street, Greeley, CO Phone: (970)392-2496

speech language pathology Banner Rehabilitation Center

1801 16th Street, Greeley, CO Phone: (970)350-6160 Fax: (970)378-3858 www.bannerhealth.com Northern colorado rehabilitation hospital

4401 Union Street, Johnstown, CO 80534 Phone: (970) 619-3400 NCRH@ernesthealth.com UNC Speech Language Pathology Clinic

Gunter Hall, Room 0330, Greeley, CO 80639 Phone: (970)351-2012/TTY Fax: (970)351-1601 www.unco.edu/NHS/asls/clinic.htm Professionals: Lynne Jackowiak, M.S., CCC-SLP Julie Hanks, Ed.D Patty Walton, M.A., CCC-SLP

surgery General & Trauma

Come Stay & Play!

Nightingale awards recognize local nurses

Columbine Commons Resid

ent s

Wendy DeWeerd, left, Jeanette Martinez, Jill Zamzow, Vicki Wilson and Brian Hallisey pose with their awards after being recognized at the 25th Centennial Nightingale Awards Ceremony

For Prime

Columbine C ommons

Assisted Living

Windsor 449-5540

Banner Health Surgical Associates (NCMC)

1800 15th St. Suite 210, Greeley, CO Phone: (970)352-8216 Toll Free: 1-888-842-4141 www.bannerhealth.com

urgent care SUMMITVIEW URGENT CARE (NCMC)

2001 70th Avenue, Greeley, CO 80634 Phone: (970)378-4155 Fax: (970)378-4151 www.bannerhealth.com

Urology Banner health clinic (NCMC)

5890 W. 13th Street, Suite 106, Greeley, CO 80634 Phone: (970)378-1000 www.bannerhealth.com

veins Vein Clinic (NCMC)

1800 15th Street, Suite 340, Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4591 www.bannerhealth.com

www.columbinehealth.com GET MORE OUT OF

THE NEW YEAR WITH A HEARING EVALUATION FOR YOU OR A LOVED ONE.

Maybe You Do Not Need a New Hearing Aid, Just a NEW Audiologist

Start the New Year with a Complementary Consultation, good thru January 30, 2014

Some clinics, even those that employ audiologists, are really simple hearing aid sales operations. Dr. Traynor has been an audiologist in Greeley for over 40 years. Why settle for less than the best, most experienced doctoral level audiologist in Colorado? True Aural Rehabilitative treatment is offering what you need to solve the problem, not what we are “selling today!” Come check out our Beautiful New Clinic. ROBERT

ADDRESSING HEARING LOSS REALLY CAN M. ADD TO QUALITY TRAYNOR, Ed.D., Audiologist OF LIFE—DURING THE HOLIDAYS AND YEAR ROUND.

Fellow, American Academy of Audiology Certified, American Board of Audiology Certified, Am. Speech Language Hearing Assn.

Adjunct Professor Audiology, CU- Boulder, UNC and Univ. of Florida

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F

or the 25th year, the Centennial Nightingale Awards Ceremony has honored local nurses for their efforts in the community.

The March 7 event was at Windsong Estates and included Dr. Bonnie Clipper, chief nursing officer from the Medical Center of the Rockies, as a guest speaker.

Registered nurses from throughout the area are nominated either as a clinical nurse, which is identified as working in a clinical setting, or as nontraditional nurse practice, which caters to nonclinical roles like an administrator, educator or researcher, according to a press release from Centennial Area Health Education Center.

This year, Suzie Barbour, Roberta Bean, Peggy Budai, Wendy DeWeerd, Janessa Gallo, Brian Hallisey, Emily Keen, Amanda Keller, Renae Macurdy, Jeanette Martinez, Teresa Rostad, Kelly Wiechert, Vicki Wilson and Jill Zamzow were nominated for recognition in honor of Florence Nightingale.

The nominees who were recognized are: Hallisey in the category of Nontraditional Nurse Practice for his Innovation in the field, Wilson was recognized for her advocacy in the field of nursing in the category of Nontraditional Nurse Practice, Zamzow was honored for outstanding ability as a leader in the Nontraditional Nurse Practice category and DeWeerd was recognized for her advocacy in the Clinical Practice category.

These four will represent the region May 9 at the State Nightingale Luminary Awards Event in Denver.

PRIME \\ APR. 2015

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Talk to your radiation oncologist to find out if this treatment is right for you. For more information or to schedule your appointment, call (970) 810-6680 or visit BannerHealth.com/COCancer.