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October 2013


Take your best shot Getting vaccinated is the best way to avoid the flu. Page 6.





September 25, 2013






OPTIONS Like Chemo & Brachytherapy

LOCATED in the

Comfort & Convenience your hometown

by some of the most






When your doctor drops the big C, you’d go to the ends of the earth to find the best cancer treatment. Fortunately, you don’t have to. The Banner Health cancer centers, located throughout northern Colorado, handle even the most complicated cancers with leading edge treatments like high dose rate Brachytherapy. This radiation therapy delivers treatment from inside the body to very specific affected areas, which typically results in fewer side effects. Innovative treatment options like this will have you saying, C-ya cancer. • Greeley: (970) 350-6680 •


North Colorado Medical Center McKee Medical Center Sterling Regional MedCenter

September 25, 2013






OCT. HEALTH EVENTS « Body Check ... What you need to

know: Head to Toe, by appointment Oct. 1 and 15 at Summit View Medical Commons, 2001 70th Ave. in Greeley. This head-to-toe health assessment gives you the tools to put your health first by receiving a comprehensive set of preventive health screenings. Invest in your health today! This screening includes: Health Fair Panel (fasting blood work-please fast 10-12 hours), sleep questionnaire, lung function test, body composition, weight and Body Mass Index, hip and waist measurements, health education with a wellness specialist, EKG with results read by a board-certified cardiologist, bone density screening, Peripheral Arterial Disease screening including: education about peripheral vascular disease, stroke, stroke prevention and osteoporosis prevention, ankle brachial index, ultrasound of the carotid vessels, ultrasound of the aorta (screenings are read by a board-certified radiologist). Upon Request: colorectal take-home kit, $10, Prostate Specific Blood Antigen screening, $23. Cost for screening is $175. Payment is due at time of service, Wellness Services cannot bill insurance. Call (970) 350-6070 to schedule an appointment. All results are sent to your personal physician and to you.

« PAD Screening (Peripheral Vascu-

lar Disease), 1-3 p.m. Oct. 1 and 15 at Summit View Medical Commons. NCMC’s Peripheral Vascular Disease Screening program offers the education and prevention proven to be the best tools for fighting vascular disease and stroke. Patients receive Ankle brachial index: evaluation of leg circulation, carotid artery disease screening: ultrasound of the carotid vessels, abdominal aortic aneurysm screening: ultrasound of the aorta, CardioChek fingerstick: lipid panel, health education with a wellness specialist and health information packet.

Banner Health Clinic in Loveland. Topics covered include the difference between pre-diabetes and diabetes, what you can do to prevent type 2 diabetes and how to develop a lifelong plan to help keep your blood sugars in the normal range. Part one of a three-part series, continued Nov. 5 and 12. Cost is $30 for the series. One supporter may accompany each participant at no additional charge. To register, call (970) 392-2344.

« CT Heart Score, 1 p.m. and 2 p.m.


Call (970) 350-6070 to schedule an appointment. Cost is $100, payment is due at time of service. NCMC Wellness Services is not able to bill insurance.

« STAR — support touch and reach

breast cancer survivors (Breast Cancer Support Group), 5:30-7 p.m. Oct. 3 at NCMC Cancer Institute Conference Room. For more information, call Betty Parsons at (970) 339-7137.

« Spirit Girls’ Night Out — Funda-

mentally Female, 6-8:30 p.m. Oct. 3. at UNC Ballroom, 2045 10th Ave. in Greeley. An evening of storytelling through art, music and comedy! Created by speaker and storysmith Renee Rongen, Fundamentally Female takes you on a sidesplitting journey to capture the elusive, universal spirit of every woman. Tickets are $20, and can be purchased prior to the event at the NCMC Gift Shop, Accessories with a Flair!, 801 8th Ave. Suite 4 or

by calling toll-free 877-277-8975; choose option No. 2. Tickets can also be purchased at the door for $25. A portion of all proceeds benefit the NCMC Breast Center Fund, providing mammograms for under-insured women in northern Colorado. For more information, visit

« Greeley’s Diabetes Information

Group/Support Group, 6:30-7:30 p.m. Oct. 8 at NCMC Union Colony Room. For people with diabetes, their family, friends, caregivers or anyone with an interest in diabetes. Teri Sieg RD, CDE will speak. Free. For more information, call (970) 392-2344.

« Blood Tests, 7-8:45 a.m. Oct. 9 and

23 at NCMC and Oct. 16 in Johnstown. For NCMC, come through entrance No. 6. The Johnstown location is Johnstown Family Physicians, 222 Johnstown Center Drive. To schedule an appointment, call (970) 350-6633.

Appointments preferred; please fast 12 hours prior to blood draw. Cost varies; payment is due at time of service. NCMC Wellness Services will not bill insurance.

« Meal in a Bowl Cooking Class,

6-7:30 p.m. Oct. 9 at NCMC Cardiac Rehab Kitchen. We’ll explore some international options for savory recipes served in a bowl. Taught by Mary Branom, R.D. Call (970) 350-6633 to register. Cost is $10.

« Prostate Cancer Support Group,

5:30-7 p.m. Oct. 17 at NCMC Cancer Institute Lobby. For more information, call Julianne Fritz at (970) 350-6567.

« Walk with a Doc, Oct. 19 at Sanborn

Park, 2031 28th Ave. Informal health talk followed by 30-minute walk and healthy snacks. For more information, visit

« Pre-Diabetes Class, Oct. 29 at

Monday-Friday at NCMC. CT Heart Score provides a non-invasive test that accurately measures the amount of calcified plaque in the arteries. The procedure begins with a fast, painless computed tomography CT exam. CT, more commonly known as CAT scanning, uses x-rays and multiple detectors to create interior images of the heart. The Heart Score program includes a 10-minute consultation with a wellness specialist, focusing on cardiac risk factor education, identification of non-modifiable and modifiable risks and lifestyle behavior change options. Call (970) 3506070 to schedule an appointment. Cost is $199, payment is due at time of service. NCMC is not able to bill insurance.

« Diabetes and Pregnancy classes, by

appointment or class schedule. Group and individual sessions for women with type 1, type 2 or gestational diabetes to teach skills needed to care for themselves during pregnancy. Topics include healthy eating, being active, blood glucose monitoring, medications, problem solving, healthy coping and reducing risks. The goal is to help you and your baby stay healthy. No referral needed for group sessions; referral from provider is required for individual appointments. Classes are $10, individual sessions are billable to insurance. For more information, call (970) 392-2344.




Just in case you missed a day...

Call Us & Skip The Waiting Room! Open 7 Days A Week; Extended Hours

2928 W. 10 th St., Greeley, CO 80634

1-866-467-5230 Visit website for additional locations and hours:



September 25, 2013

National Teen Driver Safety Week puts the spotlight on smart driving National Teen Driver Safety Week is a time designated by Congress each year to raise awareness of teen driver safety topics and to encourage safe teen driver and passenger behavior. Now in its seventh year, the National Teen Driver Safety Week takes place Oct. 20-26. This year’s theme is “It Takes Two: Shared Expectations for Teens and Parents for Driving.” It takes a parent/guardian and a teen working together to develop a safe, skilled driver while a teen is learning to drive. The initiative behind National Teen Driver Safety Week was prompted by a series of tragic crashes involving Pennsylvania high school students. More than 50 cosponsors introduced the resolution creating National Teen Driver Safety Week in October 2007. The initiative was supported by the traffic safety experts at The Children’s Hospital of Philadelphia and State Farm Mutual Automobile Insurance Co. Getting behind National Teen Driver Safety Week offers opportunities for parents, students, schools, and communities to support the new teen

drivers on the roadways. Here are some tips to get started: » Advocate for 65-plus hours of supervised driving practice. » Know what you don’t know. A study by Children’s Hospital of Philadelphia found that “75 percent of serious teen crashes were due to a critical teen driver error, with the three common errors: driving Lyn too fast for road condi- TAUSAN DRIVE tions, being SMART distracted, and failing to detect a hazard.” » Make sure and teach your teen critical driving skills. » Develop house rules for the first year of independent driving. » Encourage safe teen driver and passenger behavior at your school through the program “Ride Like a Friend. Drive Like You Care.” Student leaders and club members can work with teachers and school administration to plan and conduct a set of in-school program activities that span

3-5 school days. These activities encourage safe in-car behaviors such as buckling up and respecting the driver. “Ride Like a Friend. Drive Like You Care” can be conducted throughout the school year. An ideal time would be during National Teen Driver Safety Week, which is held annually during the third week of October. The website for the campaign: » Spread the word. Get your friends involved in creating a National Teen Driver Safety Week campaign at your school that helps teens and parents set clear expectations to develop safe, skilled drivers. For campaign ideas, visit “Ride Like a Friend. Drive Like You Care” Facebook page. To help other teens do the right thing as a passenger and a driver, learn about messaging to motivate. Parents and guardians: Remember you are role models for safe driving behavior for your teen driver. Lyn Tausan is a retired school administrator and resides in Greeley with her husband. She is the marketing/public relations specialist for DRIVE SMART Weld County.

September 25, 2013







to receive the maximum health benefits, the American Academy of Pediatrics recommends feeding your baby only breast milk for around the first six months of life and then continuing breastfeeding in combination with nutritious foods for at least one year. However, most working moms do not follow the recommendation due to barriers at work, including lack of flexibility for break time to pump breast milk, lack of an area to pump and store breast milk, and lack of support from supervisors and coworkers.

For The Tribune


olorado state law requires employers to support nursing mothers. The law states employers must provide a private space for expressing milk, the space cannot be a bathroom stall, and adequate break time to pump breast milk are the minimum requirements. However, many employers go the extra mile to encourage employees to meet their breastfeeding goals. Here are two shining examples of employers who support breastfeeding at work:

» State Farm Insurance of Greeley has outstanding breastfeeding support, including a designated mom’s room with a sink, comfortable chair and a refrigerator to store breast milk. Malyka Korgan is an underwriter for the auto operations division, and she said State Farm does a great job. “State Farm has many great benefits, one of them being the mom’s room,” she wrote in an email. “I have had three babies during my time at State Farm, and I have utilized the mommy rooms for all three of them. I have heard stories of mothers that don’t have this benefit available to them and struggle to get away from their desk for a quick


minute, and then they have to try to find a place where they can relax and pump without interruption.” » The University of Northern Colorado is another employer in Greeley

Alena M. Clark, associate professor of the nutrition and dietetics program and Yvette Lucero-Nguyen, director of the UNC Women’s Resource Center. UNC has two fully equipped lacta-

Words can’t express my sincere gratitude for the lactation station at UNC. If it wasn’t for the lactation station there is no way I would have been able to provide my son with the best nutrition possible while working full time.

Tiffany Wood

Staff member at the University of Northern Colorado that has an outstanding lactation support program for its staff and students. The program was designed by

tion stations on campus that they offer employees and students. They also have a “Screen Rental Pro-

gram” to make it easy for staff to pump in their own work area by renting a portable privacy screen. Both students and staff members appreciate the breastfeeding support that UNC has provided. Tiffany Wood, staff member of UNC, said she sincerely appreciates the lactation program at UNC. “Words can’t express my sincere gratitude for the lactation station at UNC. If it wasn’t for the lactation station there is no way I would have been able to provide my son with the best nutrition possible while working full time.” In order for a nursing mother and her baby

Mike Schwan is a health communications specialist for the Weld County Department of Public Health and Environment.






September 25, 2013

TAKE YOUR BEST SHOT Vaccinations are the best way to avoid the flu

By Sarah Moe

» Whooping cough outbreak linked to missed vaccinations


lu season is coming, and aside from the inconvenience of missing days of work and school if the disease is contracted, it kills about 64,000 people every year. That’s why experts say it’s important to prepare now to avoid getting the disease during flu season, which runs from roughly OctoberMarch. The most important to take is to get a flu vaccine. Roxane Conant, wellness senior manager with North Colorado Medical Center in Greeley, said the vaccination is a good idea for anyone older than 6 months. “Really, the flu vaccine is the most important step in preventing the flu,” Conant said. The vaccine is available as a flu shot, of course. The shot prevents against what are predicted to be the most prevalent strains of influenza in a given year. Typically the vaccine prevents against three strains, a trivalent. This year, there is also a version that prevents against four strains, a quadrivalent. Of the 135 million to 139 million doses prepared this year, about 32 million will protect against four strains. These are especially useful in protecting children. There also is a nasal mist version of the vaccine, FluMist. This version is good for the needle-wary, but pregnant women and adults aged 65 and older cannot get it, though they should still get vaccinated. While vaccination is a good idea for everyone, children and the elderly are more at risk for complica-


» Where to vaccinate » North Colorado Medical Center/Banner Health has several upcoming flu shot clinics for the public. A flu shot is $25 and the nasal flu mist is $30. Walk-in clinics are 7 a.m.-5 p.m. Sept. 25-26, 8 a.m.-1 p.m. Sept. 28 and 8 a.m.-1 p.m. Oct. 19. Banner Health also has flu shots available at several upcoming events. For more information visit » Walgreens has flu vaccinations available now. Prices start at $31.99 for a standard flu shot. Walgreens also has the nasal flu mist, 65 plus vaccine, four-strain vaccine and allergy-friendly vaccine. All are available on a walk-in basis. » Many drugstores and offices have flu shot clinics available. » Contact your family health provider for more information on where to get vaccinated, and what type of vaccine is best for your family.

tions from the flu, so it’s especially important that they protect themselves. Vaccination should also be a priority for people with medical conditions such as asthma, heart and lung problems, endocrine disorders, diabetes, metabolic problems or a weakened immune system, such as those weakened by HIV/AIDS. This year, there is also a high risk for American Indians and

Alaska natives. Anyone who lives or works with others who have medical conditions also should make sure they’re vaccinated. People infected with influenza can spread the disease for several days before showing any symptoms. Up to 50 or 60 people could be infected before the person realizes they are sick themselves. Paul Poduska, infection preven-

tionist with University of Colorado Health at Poudre Valley Hospital in Fort Collins, said that this rule goes for health workers, as well. At PVH, all employees who do not have a medical reason not to are required to get a flu vaccination. Those who cannot get the vaccine must wear a mask to protect patients. “The last thing we want to do is give any of our patients influenza,” Poduska said. Anyone who gets vaccinated now is looking out for the future because the flu doesn’t generally hit Weld until about January. The scientists who create the vaccine every year look even further forward. Months before flu season begins, they must determine what strains are likeliest to attack in a given year, and protect against those strains with the vaccine. The weather in the southern hemisphere helps with that. “We often watch to see what hap-

A recent Kaiser Permanente Institute for Health Research study shows that undervaccination increases the likelihood of children contracting whooping cough. According to a Kaiser news release, more parents are choosing to vaccinate their children on an alternative schedule. Nearly half of children younger than 2 had received some vaccinations late. Children aged 3-36 months who were undervaccinated, or who missed at least one of the four scheduled DTaP vaccines against whooping cough, were 18-28 times more likely to contract the disease. The study, published in JAMA Pediatrics, came after the largest U.S. whooping cough outbreak in 50 years in 2012. In the study, the immunization records of 323,247 children born between 2004 and 2008 were analyzed. Pertussis, or whooping cough, is a highly contagious bacterial disease. The uncontrollable violent coughing can be deadly to infants, but the DTaP vaccine is 98 percent effective in preventing the disease. Staff reports

pens in the southern hemisphere, because they go first,” Poduska said. Despite the research, there’s no way to predict how bad flu season is going to be. Because of this unpredictability, many Weld residents are cautious. LuEtta Legleo of Greeley gets her flu shot every year. “I think it’s better to be safe than sorry,” Legleo said.

September 25, 2013






BEWARE THE TANNING BED Young white women still embrace indoor tanning despite cancer risks

Los Angeles Times

Indoor tanning is a great way to get skin cancer — especially if you start young. People who use tanning beds, sunlamps or tanning booths before age 35 are up to 75 percent more likely to develop melanoma, and those who begin before 25 may double their risk of other types of skin cancer. So we are once again surprised to find that indoor tanning remains popular with the young women whose fair skin makes them the most vulnerable to the harmful effects of ultraviolet radiation. The latest evidence comes from researchers at the Centers for Disease Control and Prevention. In a research letter published online Monday by JAMA Internal Medicine, they report that 29.3 percent of white high school girls went to an indoor tanning parlor at least once a year, and 16.7 percent went “frequently” — at least 10 times in a 12-month period. In addition, 24.9 percent of white women younger than 35 indoor-tanned at least once a year and 15 percent did so “frequently.” Why is this a problem? As we explained after a 2011 survey by the American Academy of Dermatology found that 32 percent of white women under the age of 30 had visited a tanning parlor in the previous year (including 8 percent who did so on a weekly basis): “The reason tanning turns your skin brown is that it becomes damaged by ultraviolet radiation. This is true regardless of whether those UV rays come directly from the sun or from an artificial source, like a tanning bed or sunlamp. Both shortwavelength UVB and the relatively longer-wavelength UVA damage the DNA in skin cells, increasing


the risk of malignant melanoma and squamous and basal cell carcinomas. (And even if you don’t care about cancer risk, consider that UV waves break down the collagen in your skin, causing it to wrinkle.)” The CDC says indoor tanning is dangerous, and the U.S. Food and Drug Administration warns consumers that the UV radiation from sunlamps and tanning beds “poses serious health risks.” The World Health Organization’s International Agency for Research on Cancer says UV-emitting tanning devices are “carcinogenic to humans.” The U.S. Department of Health and Human

Services agrees, saying that exposure to sunlamps or sunbeds is known to be a human carcinogen.” (Spray tans seem to be OK, since they don’t involve UV radiation.) The statistics reported in JAMA Internal Medicine were gathered as part of the 2011 Youth Risk Behavior Survey and the 2010 National Health Interview Survey, both administered by the CDC. Although survey-takers may have been less than truthful about their tanning practices, the researchers found the results troubling. “Indoor tanning is widespread among non-Hispanic white female

high school students and adults ages 18 to 34 years, and the frequent use of indoor tanning is common,” they wrote. “This widespread use is of great concern given the elevated risk of skin cancer among younger users and frequent users.” What will it take to reverse this trend? California is one of a handful of states that has made it illegal for minors to use tanning beds, and at least 33 states regulate the industry in some way, according to National Conference of State Legislatures. Some cities restrict the use of indoor tanning salons by minors as well. The Patient Protection and Af-

fordable Care Act aims to discourage indoor tanning by imposing a 10 percent tax on tanning services, among other things. The U.S. Preventive Services Task Force has found that peer counseling and videos that emphasize how tanning ages the skin are two interventions that actually work. A 2010 report in the Archives of Dermatology, however, reported that one out of three indoor tanners could be addicted to the practice. That may help explain why 1 in 50 melanoma survivors told CDC interviewers that they continued to go to tanning parlors.






September 25, 2013

CAN TWITTER MAKE YOU FITTER? The Dallas Morning News DALLAS — On a recent Saturday, Pat Wagner knew she should have been getting ready for boxing class. The 60-year-old Carrollton resident spent the last five years cutting her weight in half, dropping 150 pounds and adopting an entirely new lifestyle. She’s no stranger to hard work or hard workouts, but on this day there were just too many distractions. Errands to run. Laundry to do. A game on TV. She wondered — couldn’t she take it easy? Wagner began scrolling through her Twitter feed. She saw a post from her personal trainer, Steven Williams. He was already in his own boxing class, and the post made Wagner decide to get up and get there, too. “We all run up these excuses in our mind,” Wagner says, “and we might know realistically that there shouldn’t be an excuse, but it’s amazing what the body can do and what the mind can make up.” Wagner is a living example of how social media can help you lose weight. A quick scroll through Pinterest or a Google search for “motivation” shows that networking sites are brimming with weight-loss inspiration. But there’s science behind the idea, too, according to a January study published in the Journal of the American Medical Informatics Association. Participants who self-monitored their weight loss via Twitter had lower body mass indexes after six months than those who didn’t. It’s also become a useful tool for trainers who want to motivate clients toward their goals, and clients who are looking for an extra push. “The Twitter nudges do that,” Wagner says. “They just reach out and say, ‘Hey, get off your butt and

» NEED INSPIRATION? Here are a few sites and feeds worth sampling: » » Twitter: blogilates » Instagram: blogilates » »

if you will,” Valdez says. When Gold’s Gym runs a weight-loss challenge, posting before-and-after pictures is particularly motivating, Valdez says. “They’re motivated by results and motivated by people who have actually seen success.” BLOG-BODY CONNECTION


go do this. I’m doing it, you need to do it.’” GETTING PERSONAL

Williams, Wagner’s trainer, says he uses Twitter, Instagram and Facebook to keep his clients motivated during the crucial hours when they’re working toward their goals outside the gym. “It’s almost like I’m with them throughout the day as well,” Williams says. “They always have a way to get hold of me, so it’s almost like I’m with them 24/7.” Williams frequently sends out motivational quotes and reminders or posts pictures of a workout or healthy meal. It’s a not-so-subtle message for clients who, like Wagner, might be lacking motivation. “It’s like, they’re in here working, why aren’t you, basically,” Williams says. Williams’ social media sites are also a means for his clients and other visitors to Gold’s Gym in

Uptown Dallas, where he works, to connect with one another. He’s seen them share best practices and lean on one another through particularly tough workouts. “It’s just this endless cycle of mass information exchange,” Williams said. He says his own healthy habits make easy fodder for motivational posts. When he cooks a healthy meal that also looks delicious, he makes sure to snap a picture and post it for his followers; it’s just a little check that might help them adjust their own habits. Gold’s Gym general manager Edgar Valdez said social media has become a key, recommended component of the trainer-client relationship. It’s almost like free marketing for individual trainers. He encourages both parties to follow each other on social media, and he’s seen specific trainers amass a huge following. “It keeps them engaged and gets them going to the next level,

That motivation can be just as powerful, and perhaps even more important, for those who seek inspiration outside the gym. Twitter, Instagram and other social media allow online bloggers — who essentially function as free personal trainers for clients across the country — to keep up with followers who turn to them for health and fitness advice. Cassey Ho, founder of the website Blogilates, says social media helps her followers feel as if they can connect with the Californiabased personal trainer. “A lot of times they use that community as if they were like my clients, and so I’m really kind of like their personal trainer,” Ho says. Ho pointed to a recent partnership with the site “DietBet,” a social dieting game. Users agree to submit a set amount of money, weigh in and agree to a 4 percent weight-loss goal. Those who meet it at the end of the month split the pot. Ho’s followers lost more than 31,000 pounds. “To get the word out, Twitter and Instagram were really big,” Ho says. Each month, Ho releases a

» » http://sweat-sparkles.tumblr. com/ Gym Inspiration on Twitter: » goldsgym » 24hourfitness » equinoxs

calendar with daily workouts. The calendars have their own hashtags, a symbol used to make topic searches easier on Twitter. A recent month’s calendar featured the tag .thisisMYJULY, created by Ho to connect community members. She says this allows followers to ask about exercise modifications or answer one another’s questions when she’s not available. “Hashtags are big because it creates a sense of community and it’s a great way for people to find each other,” Ho says. She also asks for check-ins to promote accountability. They might take the form of a “sweaty pic,” a sort of social media selfportrait posted after a challenging routine, or a tweet of text rating the workout’s intensity. Followers often send her their own motivational quotes and pictures — phrases they like, beforeand-after photos or pictures of her recipes they’ve tried at home. Instagram, Ho says, is particularly good for promoting her “Cheap Clean Eats” recipes or sharing a healthy meal she’s found at a restaurant. It also works for “transformation Tuesday” pictures of members who’ve lost weight or toned up by following her plans. Ho says that, despite the focus on change, her social media posts aren’t all about losing weight. “A lot of these girls are just looking for inspiration to just live a better life,” Ho says, “whatever that might mean for them.”

September 25, 2013








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CARDIAC, THORACIC & VASCULAR SURGERY (NCMC) 1800 15th Street, Suite 340 Greeley, CO 80631 Phone: (970)378-4593 Fax: (970)378-4391 Professionals: Lyons, Maurice I. Jr. DO Richards, Kenneth M. MD Tullis, Gene E. MD


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ENDOCRINOLOGY CLINIC (NCMC) 1801 15th Street, Ste 200 Greeley, CO 80631 Phone: (970)378-4676 Fax: (970)-378-4315 Professionals: Nirmala Kumar, MD Kimberly Rieniets, MD Corinn Sadler, MD


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2010 2013


Phone: (970)506-6420

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September 25, 2013



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September 25, 2013






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ike most World War I survivors, Hitler had been exposed to a significant amount of noise in the trenches and sheer speculation would suggest that he had some highfrequency sensori-neural hearing loss. While that is speculation, there is documented situational and medical evidence suggesting that Hitler incurred a more severe hearing impairment during World War II as a result of the July 20, 1944 assassination attempt. Since about 1938 there had been various plots within the German Army and the German Military Intelligence Organization to depose Hitler. Early leaders of these plots were mostly Hitler and National Socialist Party adversaries but had no plans to forcefully take over the German government. As the war moved on and looked hopeless, the goals changed to ridding Germany of Hitler and negotiating with the Allies. Operation Valkrie he July 20 plot was developed as a modification of Operation Valkyrie (Unternehmen Walküre) which had been approved by Hitler. The plan was to be used if there was a general breakdown in civil orders resulting from Allied bombing of German cities or an uprising of the forced laborers from occupied countries working in German factories. Operation Valkyrie called for the creation of a Reserve Army. The reserve army which included members of the Kreisau Circle, a group of influential military and civilians that opposed Hitler and the National Socialist Party. By mid-1943 the tide of war was turning decisively against Germany and the German Army plotters and their civilian counterparts became convinced that Hitler should be assassinated so that a government acceptable to the western Allies could be formed, and a separate peace negotiated in time to prevent a Soviet invasion of Germany. Thus, the Circle changed the Valkyrie plan from one that simply maintained order to a plot not only assassinate Adolf Hitler but also his henchmen Hermann Goering and Heinrich Himmler. The plan, headed by high ranking German Army officers, General Friedrich Olbricht (Above), Major General Henning von Tresckow, sought to take control of German cities, disarm the SS, and arrest the Nazi leadership once assassinations had been accomplished.


Count von Stauffenberg Joins the Conspiracy orn in 1907 at Stauffenberg Castle in the city of Jettingen-Scheppach, Count von Stauffenberg (known to history as Claus Phillip Maria Schenk Graf Justinian von Stauffenberg) was a German aristocrat. Like his brothers, Claus was carefully educated in the liberal arts but eventually settled on a military career. In 1926 he joined the family’s traditional regiment, the Bamberger Reiter-und Kavallerieregiment 17 (17th Cavalry Regiment) in Bamberg, Germany in 1926. In 1930 he was commissioned as a leutnant (second lieutenant) and studied modern weapons at the Kriegsakademie in Berlin but remained focused on the use of horses which still carried out many of the transportation duties for the German Army. Although he agreed with some of the Nazi Party’s nationalism, he found much of its ideology repugnant and he never joined the party. Stauffenberg remained a practicing Catholic and vacillated between a strong personal dislike of Hitler’s policies and a respect for what he perceived as Hitler’s military acumen. On top of this, the growing systematic ill treatment of Jews and suppression of religion had offended his personal sense of Catholic religious morality and justice. Stauffenberg became a highly decorated officer after serving in the Conquest



Hitler’s Hearing Loss

of Poland (1939), The Battle of France (1940), Operation Barbarossa (Invasion of the Soviet Union, 1941), and Tunisia, 1942. While in Tunisia in 1943, Stauffenberg was directing the movement of a column of units near Mezzouna when his vehicle was strafed by a P-40 fighter bomber and he suffered multiple severe wounds. He spent three months in a hospital in Munich, where he lost his left eye, his right hand, and two fingers on his left hand and was decorated for these wounds and his courage. He was sent to his home in southern Germany in 1942 to rehabilitate but by this time he had come to share two basic convictions with many resistance German military officers that: 1. Germany was being led to disaster. 2. Hitler’s removal from power was necessary. fter the Battle of Stalingrad in December 1942, despite his religious scruples, Sauffenberg concluded that assassinating the Führer was a lesser moral evil than Hitler remaining in power. From early September 1943 until 20 July 1944, Stauffenberg became the driving force behind the plot to assassinate Hitler and take control of Germany. With the help of his friend General Henning von Tresckow, he united the conspirators and drove them into action. After several unsuccessful attempts to meet Hitler, Göring, and Himmler when they were all together, Stauffenberg finally decided that it would extremely difficult to get them all at once so went ahead with the attempt at Wolfsschanze (Wolf’s Liar) on 20 July 1944.


The July 20, 1944 Explosion ocated deep in the forests of Rastenberg, Germany (Now Poland), Hitler’s Headquarters on the Eastern Front consisted of intensely guarded buildings and bunkers. On the day in question, Hitler reschedules his July 20 staff meeting for 12:15 PM as he was supposed to meet Mussolini that afternoon. The location of the meeting had also been unexpectedly from the usual subterranean Führerbunker to Albert Speer’s wooden barrack/hut due to very hot weather that day. Normally the staff meeting was conducted in the Führerbunker built with thick walls, ceiling and no windows to withstand air attack; but the new venue, a wooden barrack building, had windows that were open and much less rigid construction than the Führerbunker, which will significantly reduce the intensity of the bomb blast.


The Bomb he bomb that exploded has been reported to be 1 kilogram of Hexite plastic explosive, packed in a simple brown wrapper and placed inside a briefcase. The detonator was a standard timed type, utilizing acid that would eat through a thin copper wire at a set rate before releasing a pin to strike the detonator cap and set off the bomb. This type of bomb had been used routinely by the French Resistance and the English OSS. One kilogram of plastic explosive is enough to bring down a sizable iron bridge, or to collapse a bunker. This type of bomb was also employed by US forces to destroy bunkers in and around Normandy as it could bring down several feet of reinforced concrete, so it seemed quite adequate to kill Hitler, even if only half of it exploded.


The Bomb Blast tauffenberg entered the briefing room carrying a briefcase bomb and a back-up bomb in the event that the first one did not explode. After the usual courtesies, he left the room to arm the first bomb with specially adapted pliers, made very difficult with the loss of his right hand and two fingers on his


left. Eventually, a guard knocked and opened the door, urging him to hurry as the meeting was about to begin. As a result, Stauffenberg was able to arm only one of the bombs and then returned to the briefing room, where he placed the briefcase under the conference table on the left side of the table leg, as close as possible to Hitler. Some minutes later, he excused himself from the meeting to make a telephone call. When the explosion tore through the hut, Stauffenberg was convinced that no one in the room could have survived, so he moved on to make his escape. lthough four people were killed and almost all survivors were injured, Hitler himself was only slightly wounded. The diagram presents the positions of various individuals to the bomb (in red). While Stauffenberg originally placed the bomb to the left of the table leg close to Hitler, Colonel Heinz Brandt moved it to the right of the table leg; that, and the fact that Hitler had a habit of almost laying on the map while looking at troop movements, probably sheltered him from the major portion of the blast. In the diagram, the position of the bomb is in red. Hitler was only 6-12 feet away from the blast. In an explosion, the initial concussive force of a blast wave is immediately followed by high-velocity shock waves that impart more energy into whatever they’re passing through, be it a concrete wall, your vital organs, or a wooden table containing maps during a staff meeting. When the blast happens, the four officers on Hitler’s right, positions 2,3,4,5 are killed, while Hitler, position 1, and two officers to his left, positions 23 and 24 are virtually unhurt and two officers to their left, positions 22 and 21 are wounded. One look at the room suggests that if the bunker had been used for the meeting, all of the people in the room would have died instantly from the blast. While Hitler’s private physician removes 150 splinters from Hitler there is also blood coming from his ears. Based upon reports from the scene and Hitler’s personal physician suggest that he probably suffered an acoustic trauma created by the blast.


risk of hemorrhage as well as edema (swelling brought on by fluid buildup). The brain is not much better off. Recently military physicians studying the effects of barotrauma on US Armed Forces have compared the effects of an explosive blast on the human body to the act of squeezing a tube of toothpaste—blood and bodily fluids are forced into your brain and skull, resulting in edema. ccording to Otolaryngologists at the US Army Surgical Institute at Ft. Sam Houston, tympanic membrane perforation is the most common primary blast injury based upon a retrospective study of US service members injured in combat explosions in Afghanistan or Iraq and treated at Ft. Sam Houston between March 2003 and July 2006. The results of the evaluation of 463 wounded patients indicated that 15% of the patients had a tympanic membrane perforation. A total of 97 tympanic membrane perforations occurred among 65 patients. The average surface area involved was 41% and more than one third of the perforations were central or anterior-inferior. Most (83%) patients reported symptoms, most commonly diminished hearing (77%) and tinnitus (50%). Outcome data were available for 77% of perforations with 77% spontaneous healing occurred in 48%. The remainder (52%) had surgical intervention. The most common audiogram abnormality was mild high frequency hearing loss. Tympanic membrane perforation occurs in 16% of explosion injured patients. Most patients are symptomatic and many have large perforations requiring operative intervention. An explosion causes a large amount of energy to be displaced, creating a shock wave and a very loud sound. This loud sound may be powerful enough to destroy a person’s ability to hear, either temporarily or permanently. itler’s Hearing Loss As for Hitler, he was very close to the blast. His physician noted blood from his




September 25, 2013

ears right after the blast and for some time afterwards, suggesting tympanic perforation (described as shattered eardrums in the literature) and he was treated by Dr. Erwin Geising, an ENT whom Hitler had seen for a reoccurring furuncle over the years but he did not record much other information about the specifics of the impairment and the residual impairment created by the perforations. Most audiologists realize, however, that a tympanic perforation can create no hearing loss or a maximum conductive loss of 40-60 dBHTL depending upon the frequency and the extent of the damage. If one considers that the Fuhrer may have had some sensorineural hearing loss from noise exposure in the trenches during WWI, then combining that with the blast perforations, there is a real possibility that an existing sensorineural impairment created could have been exacerbated. It is also well known that Hitler was given no less than 73 different medications, some routinely during the years 1941-45, by his personal physician, Dr. Theodor Morell. While it is sheer speculation, based upon his noise exposure history and what we know of blast injury, it is possible to estimate Hitler’s hearing loss with a 70% chance of accuracy at 35-40 dB loss for the low frequencies, and an 50-60+ dB loss for the high frequencies for the left ear, but much worse for the right ear that was exposed to the blast. It is also highly likely that he experienced significant tinnitus as well. It is well known that hearing loss reduces a person’s interactions and social capabilities, which could be a partial explanation for why the Fuhrer was very antisocial and rarely seen in public after the July 20, 1944 plot. Whatever the specifics of Hitler’s hearing loss, he probably had a significant hearing impairment at the time of his death, or if he did escape to South America escape as some suggest, for the rest of his life.

Hearing Loss from Explosions hen a bomb detonates, the energy released from the explosion radiates outward in all directions at once at speeds between 3 and 9 km per second. As this Miller, a co-researcher at Michigan, that the noise-induced hearing loss prevention concoction could be sphere of energy expands, it compresses and accelerates theyears. surrounding air available within two molecules into a supersonic blast wave. This overpressure only exists for a few milliseconds, but it is the primary cause of explosive injuries and property damage. The closer to the source of the blast, the more severe the compression. As a blast wave passes over an area, it leaves literally nothing behind. The supersonic wall of air Robert M. Traynor is the CEO and practicing audiologist at Audiology Associates, leaves a near-perfect vacuum in its wake. In another study funded by the Oklahoma Medical Research Foundation, So, a split second after the body is severely Greeley, Colorado with particular emphasis in amplification and operative researchers Dr. Robert Floyd and retired Army surgeon, Inc., Dr. Richard Kopke, M.D., discovered a compressed, it is subjected to an equally monitoring. Dr. Traynor holds degrees from the University of Northern Colorado combination of two compounds stopped damage to the inner ear caused by acute acoustic trauma – massive opposing depressurization force. something like anthe IEDexplosion exploding. Although whatMA the1973, compounds theythe felt University of Phoenix (MBA, 2006) as well (BA, 1972, Ed.D.,were 1975), Unfortunately, isn’t over they did not indicate that,“This a very exciting finding,” Dr. Floyd, who holds the Merrick Foundation Chair in Aging yet as airisimmediately rushes in to said fill the as Post-Doctoral Study at Northwestern University (1984). He taught Audiology atmospheric void “The left behind by isthestill blast Research at OMRF. research at a pre-clinical stage, but we’re hopeful that we soon can begin at the University of Northern Colorado (1973-1982), University of Arkansas for wave,inpulling debris, objects, and people testing humans. back towards the source of the explosion. Medical Sciences (1976-77) and Colorado State University (1982-1993). Dr. Thisrecently, blast wind strong enough to hurl a at SouthernTraynor More Dr.isKathryn Campbell's work Illinois University involves the usefrom of anthe US Army Reserve, Medical Service Corps is a retired Lt. Colonel human body several meters. Those caught antioxidant called D-methionine, a component of fermented protein and currently serves as an Adjunct Professor of Audiology at the University of by the blast wind while standing up are the most vulnerable to being carried away. But it Florida, the University of Colorado, and the University of Northern Colorado. isn’t this blast wind itself that injures it’s the For 17 years he was an Audiology Consultant to major hearing instrument and blunt-force trauma. This barotrauma wreaks equipment manufacturers providing academic and product orientation for their havoc on the innards, especially air-filled organs like lungs, ears, and stomach, as well domestic and international distributors. A clinician and practice manager for as at joints and ligaments where tissues of over 35 years, Dr. Traynor has lectured on most aspects of Audiology in over differing densities meet. This often causes hemorrhaging, and it may even result in forty countries. organ rupture. The lungs are especially atis found in yogurt and cheese. The antioxidant, in concentrated that


Author’s Bio:

Robert M. Traynor, Ed.D., MBA, FAAA

October 2013 Thrive