2010-05 Northern Colorado Medical & Wellness by Style Media & Design, Inc.

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Dr. Nieves has taken a unique approach to 21st century medicine, combining his medical practice with a new enterprise- non-surgical spine care with exercise and functional strength conditioning. Dr. Nieves has seen the connection between Russian Kettlebells and the enforcement of proper spine mechanics; something he has been teaching to his patients everyday in his medical practice. It has been a long time coming, but finally Dr. Nieves has married two of his favorite passions: spine care and Kettlebells. Dr. Nieves has been treating patients with spine and joint problems for more than 15 years. His clients span a wide variety of levels, ranging from Olympic athletes to the elderly in assisted living facilities. They all have something in common: a need for proper movement patterns, proper spine mechanics and correct posture. Dr. Nieves has remodeled the facility at 1437 Riverside Avenue, Fort Collins, to provide a state-of-the-art medical facility, providing comfort and education to his patients and clients. The facility has a full Fluroscopy Suite where spine intervention procedures can be performed on patients who may have been diagnosed with a herniated disc, disc degeneration, arthritis of the spine, stiffness and low back or neck pain. Most of these procedures have been customarily done in a surgical center but can now be done in an office setting, saving the patient money, time and still providing them the same standard of care. Dr. Nieves has completed the highest degree of training for performing these procedures. He is fellowship trained and board certified in Spine Intervention Procedures by the highest credentialing committee (The American Board of Medical Specialties). We are very excited to bring non-surgical spine care, exercise and functional strength conditioning to the Front Range Community. We look forward to helping you achieve a better quality of life! Judo with Chief Instructor Ricardo A. Nieves M.D., CSCS, RKC Team Leader www.comradekb.com 970-689-1077

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Northern Colorado Medical & Wellness 2010

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w w w. s t y l e m a g a z i n e c o l o r a d o . c o m Publisher Lydia Dody Editor Angeline Grenz creative director Scott Prosser Senior Designer Lisa Gould Advertising Sales EXECUTIVES Jon Ainslie (970) 219-9226 Abby Bloedorn (970) 222-8406 Karen Christensen (970) 679-7593 Lydia Dody (970) 227-6400 Saundra Skrove (970) 217-9932 Office Manager Ina Szwec Accounting Manager Karla Vigil Office Assistants Ronda Huser, Trish Milton Contributing Writers Connie Hein, Kimberly Lock, Corey Radman, Laura Sebastian, Graciela Sholander, Audrey Springer Photographer Warren Diggles Contributing Photographers Marcus Edwards Affiliations Fort Collins Area Chamber of Commerce 2010 Style Magazines January-Loveland/Greeley Medical & Wellness Magazine and Directory February-Style March-Northern Colorado Medical & Wellness April-Style May-Northern Colorado Medical & Wellness June-Style July-Fort Collins Medical & Wellness Magazine and Directories August-Style September-Women’s Health & Breast Cancer October-Northern Colorado Medical & Wellness November/December-Holiday Style Style Media and Design, Inc. magazines are free monthly publications direct-mailed to homes and businesses in Northern Colorado. Elsewhere, a one year subscription is $25/year and a two year subscription is $45/year. Free magazines are available at over 140 locations throughout Northern Colorado. For ad rates, subscription information, change of address, or correspondence, contact: Style Media and Design Inc., 211 W. Myrtle St., Suite 200, Fort Collins, Colorado 80521. Phone (970) 226-6400. Fax (970) 226-6427. E-Mail: ronda@StyleMedia.com ©2010 Style Media and Design Inc. All rights reserved. The entire contents of Style Magazine are copyrighted and may not be reproduced without the expressed written consent of the publisher. Style Media and Design Inc. is not responsible for unsolicited material. All manuscripts, artwork, and photography must be accompanied by a SASE. The views and opinions of any contributing writers are not necessarily those of Style Media & Design Inc.

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At Medical Center of the Rockies, cardiologist Brad Oldemeyer and his team want to open the blocked arteries of heart attack patients as quickly as possible. Why? Because faster response times save lives. MCR is nearly twice as fast as the national standard at getting the average heart attack patient from the hospital doors to a life-saving balloon catheter to clear the blockage. It's comforting to know that doctors like Dr. Oldemeyer take your future to heart.

MEDICAL CENTER OF THE ROCKIES P O UD RE VA L LEY H EA LTH SYSTE M

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For more information or to make an appointment, please call (970) 221-1 000 or (800) 459-4521 .

www.heartcenteroftherockies.com

CONTENTS

Northern Colorado Medical & Wellness

M AY 2 0 1 0

Get to know dr. wendy austin

44 help meet your training goals

60 update your ride

74 feed your pet the right way

therapies help children grow

women dental professionals

12 14 16 18 22 26 30 32 38 44 54 55 56 60 61 62 66 72 74 80

Publisher’s Letter Health News Heart Disease – The Lady Killer Get to Know Dr. Wendy Austin Lung Biopsies – Complex Procedures May Save Your Life Therapies Help Children Grow The Blessings of Hospice and Palliative Care Help to Meet Your Training Goals Practice Directory

Women Dental Professionals The NeuroDevelopment Program: Helping Children and Parents Succeed Three Steps Forward

Hydrate for Your Life Update Your Ride/Finding the Right Shoe Get Fit, Give Back Calendar

The hCG Diet: Can It Help You? In It to Win It - Avon Walk for Breast Cancer Glaucoma And Your Pet Feed Your Pet the Right Way Physician Profile: Dr. Christine Skorberg: A Talent for Healing

on the cover: Dr. Wendy Austin stays fit with a run at Edora Park in Fort Collins. Dr. Austin is making strides against heart disease – the leading killer among women. The articles in this issue of Northern Colorado Medical & Wellness are presented for your general knowledge and are not a substitute for medical advice or treatment. If you have any questions or concerns about your health, please contact your doctor or healthcare provider.

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Northern Colorado Medical & Wellness 2010

Publisher’s Letter

Staying Heart Healthy

s the days becomie warmer most of us yearn to be outdoors enjoying the beautiful Colorado sunshine. Many choose to run, exploring new neighborhoods, parks, or trails. For years running was my choice of outdoor exercise until knees and feet just couldn’t endure it any more. Recently, I have been trying to add a little bit of running back into my workouts but I find it challenging. I’m certainly not at the training level of Angie Grenz, our Style Editor, who recently completed a half marathon. The discipline in her training program was commendable and we all looked forward to Mondays when she would share her weekend long run experience with us.

the patient

Congrats, Angie, for taking on this challenge and finishing! When we learned of Dr. Wendy Austin, the first female cardiologist at Heart Center of the Rockies (HCOR), we decided to interview and photograph her for the cover. It was great to hear that she practices what she preaches. Wendy is not only passionate about her career, but she is passionate about the importance of heart health fitness. And, she runs. So, photographing her running was perfect! If only the weather had been just a little warmer that day. On a serious note, heart health and awareness is just as important for women as men. In fact, heart disease is the leading cause of death of American women. Be sure to read “Heart Disease – The Lady Killer,” and pay particular attention to the risk factors and warning signs that are women-specific. If you are a woman with concerns or questions, be sure you contact A Woman’s Heart at HCOR to fill out a free pre-screening questionnaire. Dr. Austin leads the HCOR team that specializes in cardiac care for women. Don’t delay – the life you save might be your own! If you are like me, going to the dentist hasn’t been one of your favorite pastimes. But, I must say, dentistry has changed a lot in recent years. Meet some of our area’s women dentists in “Women Dental Professionals.” Their focus is patient education, patient care and your comfort. Like Dr. Severin says in the article, the goal of her practice is to “educate her patients, to calm their fears and to guide them through a surprisingly stress-free experience.” Now that’s a welcome change! Don’t delay getting those pearly whites checked out! As many of you know, I am passionate about breast cancer awareness and conquering this insidious disease that strikes one of every seven women. For some unknown reason, Northern Colorado has a higher incidence of the disease and more young women are being diagnosed. I invite you to support awareness, education and provide services for breast cancer patients by putting on your

walking shoes and showing up for the Hope Lives! Pink Boa 5K Run/Walk on May 22nd at 8:30 a.m. at the Front Range Village on Harmony. Register for this inspiring and fun event at www.hopelives.org. All money raised helps women right here in Northern Colorado. Another inspiring but more challenging walk is the 39.3 mile Avon Walk for Breast Cancer June 26-27. Read “In It to Win It” about two area teams that make it an annual tradition. Loveland team Save Them All Big and Small and Fort Collins team Ta-Ta Trio would appreciate your support as each team member must raise funds to participate; look to page 69 for contact information. We have enjoyed bringing you health and wellness information in our Northern Colorado Medical & Wellness issues and many readers have let us know they especially enjoy our pet care articles. I am truly in awe of the exceptional veterinary expertise we have in our area. Read “Glaucoma and Your Pet” to learn from Dr. Steven Roberts about preserving your pet’s vision. My dog, Daisy, somehow poked a hole in her eye, but surgery was able to preserve her vision. Daisy will be 11 years old this week, so learning about the importance of choosing the right food for her was extremely informative. Dr. Doug Leidholt has been her veterinarian and I found his information very useful. Read “Feed Your Pet the Right Way” and learn from veterinarians and pet stores about the importance of choosing the right food for your pet’s health and longevity! We enjoy hearing from you, so keep sending us your comments. Well, the sun is shining and my garden is beckoning. Happy Spring,

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What can the NCMC Neurology Clinic do for you? You can take comfort in knowing that the skilled physicians at the Neurology Clinic at NCMC are highly experienced in treating a wide scope of neurological disorders and diseases. Services at the clinic include but are not limited to: Stroke Care Epilepsy/Seizure Care Pediatric Neurology Electro Diagnostic Studies: EMG EEG Nerve Conduction Studies Headache Management Parkinson's Cerebral Palsy Neuropathy Multiple Sclerosis Memory Disorders Alzheimer's

Call 970-350-5612 for an appointment or more information.

Banner Health

1517 16th Ave Court (Rehab Bldg) Greeley, CO www.BannerHealth .com Keyword: NCMC Neuro Clinic

North Colorado Medical Center Neurology Clinic

The symptoms of heartburn are hard to ignore. We take heartburn seriously, and so should you . Heartburn is a common condition, experienced by most everyone at some point in their life. If left undiagnosed and/or untreated, heartburn can lead to more severe problems such as cancer. Chronic heartburn could be a symptom of a serious condition such as gastroesophageal reflux disease also known as GERD. The Heartburn Clinic physicians at North Colorado Medical Center specialize in gastroenterology and the treatment of severe and chronic heartburn .

Banner Health

North Colorado Gastroenterology 1800 15th St. , #300 Greeley www.BannerHealth.com Keyword: NCMC Gl

Call North Colorado Gastroenterology Heartburn Clinic at North Colorado Medical Center for your assessment today at 970-378-4475 or 1-800-557-0505

As in any emergency, if you think you may be having a heart attack, please dial 911. North Colorado Medical Center is a Spirit of Women hospital. Banner Health is the leading provider of nonprofit health care in northern Colorado.

HEALTH NEWS Animal Chiropractic Certification Congratulations to Dr. Robin Downing on her certification in animal chiropractic care. Dr. Downing, medical director of The Downing Center for Animal Pain Management and Windsor Veterinary Clinic, received the certification in February from the International Veterinary Chiropractic Association. Windsor’s Medical Arts Centre Welcomes OB/GYN Ken Slack, M.D., began seeing patients at the Medical Arts Centre of Windsor in April. Dr. Slack brings gynecologic care including annual exams and some in-office procedures to the center. Dr. Slack is also on the medical staff of McKee Medical Center’s Center for Women’s Health in Loveland.

Poudre Valley Health System CEO Launches Blog Rulon Stacey, president and CEO of Poudre Valley Health System, launched his Visionary Healthcare blog in March. The blog is designed to spur “visionary discussion about healthcare” within the community and features Stacey’s thoughts and opinions on healthcare and healthcare reform. Topics range from electronic health records to medical marijuana and everything in between. Visit Stacey’s current and past postings at www.visionary.pvhs.org. NCMC Intensive Care Receives National Award North Colorado Medical Center was awarded the Beacon Award for Critical Care in April for the quality and care provided by their Intensive Care Unit. The award is given by the American Association of Critical-Care Nurses to recognize extraordinary commitment to high-quality critical care standards and dedication to patients and their families.

TEDDY BEAR HOSPITAL EVENT

Teddy Bear Hospital Event, May 22, 2010 Bring your kids and their favorite stuffed animal for a day of fun and safety education at this year’s Teddy Bear Hospital on May 22, 2010, from 10 a.m. to 2 p.m. The free annual event features Emergency Department doctors, nurses and technicians at Medical Center of the Rockies on hand to perform mock procedures to your child’s cherished stuffed animal or doll and help teach kids how to stay safe and prevent injuries. The event will feature games and education programs with the Loveland Fire Department, Loveland Police Services, Thompson Valley Emergency Medical Services, Poudre Valley Hospital Emergency Medical Services, PVHS Healthy Kids Club, PVHS Pet Therapy dogs and North Colorado Med Evac. Last year’s event treated more than 170 “patients.” The event is a great way to encourage your child to interact with clinical professionals and emergency services providers, and reduce some of the fears children may associate with visiting the hospital. Call (970) 624-1600 for more details.

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"The secret ingredient in our Sunset Stout? The SBA loan that got us started." Colin and Shannon Westcott have introduced something new to

If you'd li ke to sample the incredible fiavor of a fine, small-batch

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expertise with beer-lovers," says Colin. "T hanks to the SBA loan that Home State Bank provided, our dream has come to life." "We really appreciate the low rate on our SBA loan," says Shannon. "Home State Bank made the whole process easy. And Kathe set up our construction loan so we'd pay low, interest-only payments until we opened for business. That helped a lot!"

Northern Colorado Medical & Wellness 2010 Member FDIC LENDER

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MEDICAL

Cardiovascular Health

h e art dis e as e

the lady killer By Corey radman

ardiovascular disease is the most preventable malady with the highest mortality rate. Is it killing you?

Heart disease is the leading killer of American women. Each year one in three deaths among American women are attributed to heart disease – that’s over 432,000 each year, according to the National Coalition for Women with Heart Disease (NCWHD). And heart attacks, specifically, kill five times as many women as breast cancer does. If you haven’t clutched your heart yet to confirm that it still beats, do so before you read this. Women are less likely than men to receive

There is “the misperception that women are not at risk for heart disease ... women have not thought

appropriate treatment after a heart attack, according to a report from the American Heart Association Statistics Committee. Thus, women are more likely to die from heart disease than men are. NCWHD reports that women have a 28 percent increased risk over men of dying from heart disease the first year after a heart attack.

Why?

Wendy Austin, M.D., cardiologist with Heart Center of the Rockies (HCOR) explains: “Traditionally, the difference in treatment among men and women has been true for two reasons: first – the delay in the woman recognizing the symptoms of a heart event, and second – a delay in EMS

of themselves as being at risk and not controlled risk factors well.” – Wendy Austin, M.D., Cardiologist, Heart Center of the Rockies

Lydia’s STYLE Magazine

recognizing the symptoms. Both are due to the misperception that women are not at risk for heart disease,” she says. “In the past, women have not thought of themselves as being at risk and not controlled risk factors well.” Dr. Austin’s colleague at HCOR, Patrick Green, M.D., elaborates, “Across the board it’s been assumed that women have less heart disease. Women usually present with symptoms about a decade later than men. We as healthcare providers look at a woman in her 40s and don’t immediately think heart disease [even though it can be present, but asymptomatic].” To complicate matters further for treating physicians, most cardiovascular studies have been performed on men or on sample groups that weren’t sorted by gender. So there is less evidence showing a clear path for treatment of women with heart disease. However, recent years have shown forward progress: “There is always room for improvement, but we’ve come a long way,” says Dr. Austin. “In the medical community, the awareness that women are at risk of developing heart disease is increasing. We have made significant strides in increasing this awareness in the public community through campaigns like the Go Red for Women initiative.” “Likewise in medical training, heart disease prevalence and especially the potential differences in clinical presentation, response to therapy, and post-diagnosis cardiovascular risk are being emphasized in the curriculum. I am very proud of the progress we have made as a medical community, but there is still a lot we don’t yet know about women and heart disease. More and more research is beginning to be conducted to specifically evaluate heart disease in women.”

lifestyle. They often ask me, ‘Why did this happen? I’m doing everything right.’” Dr. Green counsels that the patients probably postponed their heart attacks by as much as a decade because of their diet and exercise regimens. He adds that for those with a genetic predisposition, heart disease often begins in adolescence. “The early disease process is called atherosclerosis, a build up in the arterial wall of cholesterol and inflammatory cells or calcium. That buildup can narrow the artery and over time causes chest pain, or a sudden rupture of plaque can occlude an artery, resulting in a heart attack.” Dr. Green cautions: one third or more of heart disease patients don’t know they have it until the day they drop dead of a heart attack. Conversely, treating heart-related conditions like high cholesterol appropriately can reduce your risk of death by one third, says Dr. Austin. To that end, A Woman’s Heart, HCOR’s new women’s heart disease education and prevention program is a great local resource. The program has a free pre-screening questionnaire. Simply fill out the questionnaire and receive your own personalized risk report. To date, more than 2,000 local women have received the personalized report. More than one-third have been identified as high or moderate risk for heart disease. To find out more information call the Fort Collins office at (970) 221-1000 or the Loveland office at (970) 624-1800.

A Dogged Duo: Diet and Exercise

Diet and exercise: maybe the two most repeated words in any healthrelated article. Annoying? Yes, especially if you Diet and exercise can be life-saving in the prevention of don’t want to incorporate them. heart disease in women. Knowledge is Power – Know Life-saving? Most definitely, say Drs. the Risk Factors Austin and Green. While the medical community “I wish patients knew how many works toward equity in care, women have a lot diseases could be prevented through a healthy • of power over their own health. Being aware Smoking lifestyle,” Dr. Green sighs. “In our country each of your risk for heart disease and proactively • Being overweight year, 250,000 people die prematurely due to changing the malleable factors can make the • Being physically inactive inactivity. Obesity leads to hypertension, diabetes difference between life and death. (Risk factors courtesy of womenheart.org) and many other chronic diseases. Physical activity Even though family history has much to can prevent all that.” do with heart disease, several risk factors are Regular blood tests with your primary care Dr. Green is the Medical Director of PVHS’s preventable. doctor are vital. “The important thing is to make newest venture, Poudre Valley Medical Fitness, sure you’re getting screened for traditional risk which opens this fall in Windsor’s Water Valley. Risk factors you can’t change: factors like blood pressure, cholesterol and check “It is intended to help with a continuum of care,” • Family history your glucose level for diabetes,” Dr. Austin says. he explains. • Age (55 or older for women) Dr. Green concurs that women should see Poudre Valley Medical Fitness will be open to • Race: African American, Hispanic and their doctors regularly and make life changes for anyone who wants a healthy lifestyle, including Native American women are all at greater their health. “My number one, two and three those who prefer medical supervision while risk of heart disease than white women recommendations are: don’t smoke, don’t smoke exercising. No doctor referral is necessary. The and don’t smoke,” he jokes. staff, who will all be medically trained in exercise Risk factors for heart disease that you can He continues that maintaining a healthy body physiology and health, will be there to assess weight and eating correctly can postpone a clients who might be new to physical activity change today: • High blood pressure heart event that might be genetically destined. and teach them how to safely work out. • High blood cholesterol “Patients in their 50s and 60s sometimes have Poudre Valley Medical Fitness will provide • Diabetes heart attacks, even if they are living a healthy services to people who are trying to prevent

Northern Colorado Medical & Wellness 2010

disease, as well as to people who have had heart problems and need continuing supervision, post-rehab.

Putting It Off Will Cost You

get to know

DR. wendy austin

For some, it takes fear to really induce change. Ted Wickersham, MS, CES, is an exercise physiologist at HCOR’s Cardiac Rehab Center. Most patients begin working out with him after their heart attack, and many who are referred are at risk for a future heart event. Wickersham’s main goal for new patients is to help them build the habit of physical activity into their lives. “Exercise is something that people have trained themselves to hate,” he says. “But, it’s the best medicine there is.” First, new patients are taught how to exercise using equipment that may be unfamiliar like treadmills, stationary bicycles, recumbent bicycles and weight machines. “We help people overcome the fear of overexerting themselves and learn how to exercise at a level that builds strength,” Wickersham explains. At Cardiac Rehab, the focus is as much on the social event of getting together with a peer group as it is on exercising. “I’m not naïve enough to think the patients come here to see me,” Wickersham laughs. “We’ve managed to disguise the exercise slightly by setting up group sessions where people can build friendships and joke and laugh while they work out under the safety of our supervision.” Typically, patients at Cardiac Rehab build a routine there in about 12 weeks of rehab, and then go on with those peer groups to work out at other places (like soon-to-be-open Poudre Valley Medical Fitness). The rehab center will also set up informal work out times for groups to come back and use the facilities on their own. Friendly though he is, Wickersham would rather not meet you at Cardiac Rehab. He would much prefer that you begin exercising on your

Wendy Austin, M.D., is Heart Center of the Rockies’ newest and only female cardiologist. Having just finished her fellowship in June 2009 at University of California, San Diego, Dr. Austin is board certified in internal medicine and up to date on the most recent innovations in heart care. Dr. Austin is leading the HCOR team of specialized caregivers for women seeking cardiac help. The practice includes nurse practitioners, dietitians and other healthcare professionals, all committed to providing a high standard of care for all their patients, but especially for women through the program “A Woman’s Heart.” To help readers get to know Dr. Austin a bit better we asked her an assortment of questions about her personal life and how she manages to stay healthy while counseling other women to do the same.

CONTINUED ON PAGE 20

Style: (Pardon the nosy question) You are how old? Austin: 34 Style: Married? Austin: Yes, to Mike Style: No kids, correct? Austin: No kids

Style: What’s your typical running mileage per day or week? Austin: I run three miles with a goal of five days per week.

Style: Have you always been an athlete? Austin: Yes

Style: What kind of shoes do you use?

Style: What sports do you play? Austin: Basketball, volleyball, tennis, hiking, skiing and I swim. But my favorite way to exercise is running. Style: How do you try to fit exercise into your busy life? Austin: It’s not easy. I try to exercise as soon as I get off work. The best way to plan exercise into your life is to anticipate exercising every day. That’s never going to happen, but it’s a better place to start than deciding which days you’re not going to exercise.

Patrick Green, M.D., Cardiologist, Heart Center of the Rockies

Style: What do you do on slammed, busy days? Austin: If it is a really busy day I will take the day off from exercise. If it is a stressful day, I need the exercise. It makes me feel better.

Style: What do you do in winter? Austin: I definitely prefer to exercise outside, but I’m not quite adjusted to the cold weather yet [versus San Diego] so I go to the gym. I like the treadmill and aerobic classes.

Austin: Nothing special. I like Nike. Style: Any other special equipment that you couldn’t live without? Austin: I need my iPod to run. Music helps me keep going. Style: What do you listen to when you run? Austin: I have a playlist with upbeat music. It starts with “I Like to Move It” [by will.i.am]. Style: Are there any typical injuries you get and how do you avoid them? Austin: So far I’ve been healthy. If I notice any joint pain, I will switch to swimming, cycling or other lower impact exercise. Style: What motivates you past the hurting point? Austin: I don’t think exercise should be painful. For me it is enjoyable and a stress relief.

Lydia’s STYLE Magazine

BEGINNING A

t!zew't~;u OF PATIENT CARE SPECIALIZING lN ROOT CANAL THERAPY

GENUINELY CARING FOR EACH INDIVIDUAL

Northern Colorado Medical & Wellness 2010

Heart Attack

W A R N I N G

S I G N S

There are a few heart attacks that come on suddenly like they do in the movies, but most begin slowly with mild pain. Often people wait too long to get help. HERE ARE THE SIGNS YOU SHOULD KNOW: • Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like a belt tightening around the chest. • Discomfort in other areas of the upper body. Radiating pain or discomfort in one or both arms, the back, neck, jaw or stomach. Exercise physiologist Ted Wickersham works with a client on her fitness and lifesyle goals at HCOR’s Cardiac Rehab Center. CONTINUED FROM PAGE 18

own to head off problems. “Unfortunately people in their 50s and older are considered the least healthy segment of the population,” he says. “It can be hard for some because exercise just wasn’t a priority or something taught as they were growing up.” “If you haven’t been physically active at all, first consult your doctor, then schedule a time to take walks… say three, 10 minute walks per day. Do that three times the first week. Walk at a level you feel comfortable with, and develop the exercise into a habit you can maintain.” Build up in intensity after you ingrain the behavior into your life. Aim for longer durations, eventually combining shorter walks into one hour-long walk each day. Wickersham says the hardest thing about starting a new routine is to continue the habit. His suggestions to help are: set an appointment time with yourself (not just “sometime today”), and get a partner who will keep you accountable to your appointment. “Exercise compliance goes up dramatically with those two things,” he reports. It’s a daunting thing to change a life-long habit. But knowledge begets power, and power precedes action. As Dr. Austin says, “It starts with awareness.” Now you know. You can do it. Corey Radman is a writer and mother of two who lives in Fort Collins.

• Shortness of breath with or without chest discomfort. • Other signs may include breaking out in a cold sweat, nausea or lightheadedness. WOMEN SPECIFIC HEART ATTACK SYMPTOMS In addition to chest pain or discomfort, women should also look for: • shortness of breath • nausea/vomiting • radiating back or jaw pain going up the neck • feelings of anxiety that start in the abdomen (like reflux)

Learn the signs, but remember this: Even if you’re not sure it’s a heart attack, tell a doctor about your symptoms. Minutes matter! Fast action can save lives — maybe your own. Don’t wait to call 911. Information from the American Heart Association & Wendy Austin, M.D.

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MEDICAL

Lung Biopsy

LUNG BIOPSIES

Complex procedures may save your life By kimberly lock

t could be a new cough that just won’t go away. You walk into your doctor’s office complaining of symptoms that could lead to a whole host of possibilities: a form of pneumonia, or even cancer or pulmonary fibrosis. But a doctor can’t make a diagnosis without knowing precisely what is going on, and the X-ray and CT scan results are inconclusive. What needs to be done? The next step is to go in and remove tissue from the lungs with a lung biopsy.

“We may go in checking for pneumonia and instead we find something else; we find a nodule ... the concern is that this is in a life-required organ ... you can’t live

Lung biopsies are not as routine as breast biopsies because of potential complications. “For a female receiving a breast biopsy, chances are a lesion is seen on a mammography, and the biopsy is being done in a skin setting or soft tissue,” says John Bender, M.D., family practitioner with Miramont Family Medicine in Fort Collins. “There are some risks of bleeding and infection and the benefit is going to be early detection of what will probably be stage I or stage II cancer and if we find cancer we are probably going to be able to find a cure.”

without the lungs.” – John Bender, M.D., Miramont Family Medicine

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“In contrast, lung biopsy is probably coming in the setting of late disease because we don’t have a mammogram, pap smear or colonoscopy type screening test that works for lung cancer,” Dr. Bender says. “So typically we are now looking at biopsying things that occur incidentally [as we see them].” When a patient complains of chest pain or a chronic cough the first step is to X-ray the site to see what is going on. But X-rays don’t specifically show cancer and they can’t be used as a routine screening mechanism because of possible radiation overexposure. “We may go in checking for pneumonia and instead we find something else; we find a nodule,” Dr. Bender explains. “The concern is that this is in a life-required organ – you can live without breasts, you can’t live without the lungs. It’s in an area that could be near large vessels like the aorta, it could be high risk because it’s deep in the lung.” Dr. Bender worries about patients who have X-rays that show these kinds of nodules, because if it is cancerous it often means the disease is more advanced or the disease has moved from another part of the body and is simply showing itself in the lungs. “When we biopsy a lung lesion we may not even be looking at lung cancer, we may be looking at melanoma that went to the lung or stomach cancer that went to the lung,” he says. “From what I have seen, a lot of times the answer isn’t biopsy the lung, the answer is find out where the primary is – find out where the cancer is coming from.” Once a decision to perform a lung biopsy is made the next decision is what kind to perform. The three most common types of biopsies are: •

Bronchoscopy – a lighted instrument known as a bronchoscope is inserted through the mouth or nose and into the airway to remove a lung tissue sample.

•

Needle biopsy – guided by a CT scan, an interventional radiologist inserts a long needle through the chest wall to remove a sample of lung tissue.

•

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Open biopsy – during surgery, a thoracic surgeon makes an incision between the ribs to remove a sample of lung tissue.

Using the airway as a track

A bronchoscopy is used when a questionable mass is located near the trachea or in an easily accessible place. A bronchoscope is inserted by a pulmonologist, who uses a small camera, inserted through the mouth or nose into the lungs, for direct visualization of the airways. The patient is kept in a state of conscious sedation during the procedure and can go home afterwards. “Pulmonary bronchoscopy is a telescopic procedure where we navigate through the breathing tubes using needles, a core needle or even forceps to obtain specimens,” says Kirk DePriest, D.O., pulmonologist with Northern Colorado Pulmonary Consultants in Fort Collins. “The procedure is done at Poudre Valley Hospital in the hospital’s endoscopy suites. The patient can’t really remember the procedure.” The procedure

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Kirk DePriest, D.O., Pulmonologist, Northern Colorado Pulmonary Consultants

can also be done at Medical Center of the Rockies. Risks from a bronchoscopy include infection and possible bleeding from the biopsy site. Another risk is that a large enough specimen of the nodule is not retrieved for testing, which requires an additional procedure. The future of bronchoscopy looks bright with the introduction of electron magnetic navigation, which allows doctors to move further into the lungs to biopsy nodules. “Most people find both procedures more appealing than having a surgical biopsy,” DePriest says. “Because we go through the airways it is less invasive … we are doing fewer invasive surgical procedures for biopsies secondary

Michael Roller, M.D., Surgeon, Northern Colorado Surgical Associates

Lydia’s STYLE Magazine

to advanced bronchoscopy techniques and CT guided biopsies.”

Using CT Scans to direct biopsies

CT scans – also known as CAT scans – combine X-ray technology and computers to create multiple images of the body, which provide more details than regular X-rays. With needle lung biopsies, an interventional radiologist performs a CT scan on a patient, and using the results of the scan, places the needles for the procedure and then uses the CT scanner to reach any worrisome nodules. “CT biopsy is used when a nodule is located in a place that isn’t reachable by bronchoscopy,” CONTINUED ON PAGE 43

John Bender, M.D., Family Practitioner, Miramont Family Medicine

Northern Colorado Medical & Wellness 2010

MEDICAL

Pediatric Therapies

T h e rapi e s

“Parents have a gut instinct

Help Children Grow By Connie Hein

hether a child is suffering from developmental delays or emotional troubles, it is always challenging for parents to decide when it is time to turn to a professional for assistance. The following practices have a primary focus of helping children become healthy and happy in their environments, but they are also committed to aiding parents in adjusting and coping as well. Meet ABG’s Barb Peters and Mary Nel, and Dr. Mollie Painton and her friend Freddie.

ABG Therapy & Wellness Center

With years of combined experience, Barb Peters, MS, CCC-SLP, and Mary Nel, MS, CCC-SLP, managing partners of ABG Therapy & Wellness Center, are committed to making a difference in the lives of not only their patients, but the patients’ families as well. ABG stands for Amazingly Big Goals, and Peters and Nel say that sums up their mission. They have big

about their children and should trust that instinct when making decisions about whether a child needs

goals for the center, big goals for their patients and families, and view it as their job to help save this big world one patient at a time. Peters and Nel believe that taking small steps with small improvements in children with disabilities or delays can make a big difference in their quality of life and that of their families. “A disabled or delayed child will always have a significant impact on a family,” says Peters. “We try to help the child and family cope so they can function as efficiently and happily as possible.” ABG considers a team approach to be best for treating any child. “Our team of professionals includes speech, occupational and physical therapists because so many of our patients need more than one type of care,” Peters says. “It’s like having one-stop therapy shopping.” They believe that being able to have many types of therapy under one roof, with everyone easily communicating, helps them cover all the bases with each child and achieve goals much faster and more efficiently. “Our providers specialize in treating a wide variety

help to navigate their world.” – Barb Peters, MS, CCC-SLP, ABG Therapy & Wellness Center

of needs and diagnoses,” Peters says. “We provide care for children who range from autistic to those who just have a very simple motor skill development or speech problem.” The reason they believe their work is so successful is because they all love what they do and love the clients they treat. “Because we have such a wide variety of specialties and experience within the center, we do it all; we love what we do and we are great at it,” Peters says. Peters encourages parents who are seeing

Lydia’s STYLE Magazine

ABG Therapy & Wellness Center focuses on a team approach when working with children to provide one-stop services.

developmental delays in their child to seek help from their doctor or call ABG with questions. “When caught early, developmental delays or disabilities can often be treated simply and easily with therapy and education for the parents who can do simple exercises at home,” she says. Generally, the best way to help a disabled or delayed child is through simple interaction and play that comes very naturally for parents, explains Nel. “When we talk to our child and encourage them to play, move or crawl, most children respond, so parents continue with this simple motivation,” she says. Sometimes, though, when children with delayed speech or motor skills do not start responding, parents will often stop doing things that come naturally, and the child gets less stimulation and is delayed further, says Nel. We take for granted that a child will naturally learn simple things like using a spoon to eat, adds Nel. But when children don’t appear to be doing that at an age that seems appropriate, parents are not sure what to do, or not sure if it is really a problem. When parents see behavior that they think is not typical, there are lots of sources that can help them understand what developmental goals a child should reach at specific ages. “Parents have a gut instinct about their children and should trust that instinct when making decisions about whether a child needs help to navigate their world,” Nel says. And, Peters says, the professionals at ABG are there to help when that is necessary.

Northern Colorado Medical & Wellness 2010

Dr. Mollie Painton, psychologist with The Interplay Center, uses furry puppets to interact with her young patients.

The Interplay Center

Mollie Painton, PsyD, of The Interplay Center and the author of Encouraging Your Child’s Spiritual Intelligence, has a team approach to child therapy as well. But her team consists of herself and ten little monkeys. Yes, monkeys. She says children can relate to the puppets easier than to an adult. Monkeys like Freddie, who is the favorite of all the kids, help Dr. Painton communicate more easily with troubled or traumatized children. She often opens therapy sessions with Freddie telling the child a secret. “My name is Freddie and I have a secret, but I don’t want to tell you what it is because then you might not like me,” Freddie will tell the child. Children are always so accepting and tell Freddie they will like him no matter what, says Dr. Painton. So Freddie finally reveals his secret: he loves eating little boys’ and girls’ shoes. “Oh, how that delights the little children,” says Dr. Painton. “Some rush to get their shoes and bring them to Freddie, others race to get their shoes and hide them from him, but all the children tell Freddie that it’s okay and they still love him.” This approach gives children a sense that if they have a secret, they can tell Freddie and he will still like them, a comfort to a child who has been traumatized and is not sure who to trust. “They can always talk to Freddie even if they are not sure if they want to talk to me,” Dr. Painton says. “I am connected to Freddie, so I am safe.” Therapy with the puppets in her bright, fun playroom environments helps children feel safe to open up and express their feelings through play. Her playrooms in Fort Collins and Westminster are full of ways for children to express themselves, including easels, paints, crayons, sand table, blocks, dolls and dollhouses.

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“Play is the language of a child,” Dr. Painton says. “When playing, a child can change something that has traumatized them into something they can handle.” She adds that playing will actually alter the traumatic story into a different reality for the child and it becomes just as real to them as the actual event. Children that have visited the playroom for therapy have told her they often visualize the playroom as a safe and happy place to “go” whenever they feel scared. Dr. Painton says a little 5-year-old girl with one “scary” parent told her, “The next time I’m scared I’m gonna picture you and Freddie and the playroom and toys and I’m gonna be okay.” Dr. Painton’s goal is not only to help the children she sees, but to also help parents understand that the need for a child therapist does not make them bad parents. In fact, she says the opposite is true: “Parents who spend the time, money and energy to get a child the help they need are concerned, loving parents who only want the best chance in life for their child.” “Parenting is the hardest job ever, so we sometimes need help with that, just as we need help from a medical professional for physical concerns,” she says. Besides using her playroom and Freddie and the gang, Dr. Painton uses her book Encouraging Your Child’s Spiritual Intelligence, to help parents understand the spiritual world of children. “A child’s spiritual intelligence is a healing capacity to be awake and aware of a deeper dimension of themselves, that helps them navigate through difficult times in their world,” Dr. Painton says. “Play is the language of a child,” says Dr. Painton. She uses play to help children express their feelings.

Connie Hein is a freelance writer who would love to learn to cope with life with the help of these wonderful professionals and monkey puppets.

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MEDICAL

th e

Palliative Care

bl e ssings

o f

hospice and palliative care By connie hein

“Palliative care is a bridge

andie Wilson was 27 years old when she was told that she had only two weeks to live. She was diagnosed with a terminal lung disease caused by inhaling chemicals at her workplace. She is now 54 years old and living a full life, thanks, she says, to her wonderful medical care providers and the staff at Hospice and Palliative Care of Northern Colorado (HPCNC). “When my doctor recommended a year ago that I contact HPCNC, I thought, ‘Wow – I am worse than I thought! I must be about to kick the bucket,’” she says. Wilson told the doctor she was not ready to die and would absolutely not get in touch with hospice. She says she assumed hospice care was only recommended in the final hours of one’s life. After her doctor explained palliative care to her, she decided to at least listen to what the staff had to say.

between patients and their Wilson told the HPCNC nurse when she first walked in her door that if they were going to stop her from fighting to stay alive they might as well just leave. Instead the nurse told her they were there to help give her a better quality of life for as long as she lived. Today, Wilson says they have done that and more – they have become dear friends through their genuine kindness and care. “The people from HPCNC are not here to prepare me to die, but to make the life I have so much better,” she says. “They have made me feel like I wasn’t in this all by myself anymore.” She says kindness flows out of them and they go above and beyond what she could ever have imagined. “I can tell they truly care about me and want only the best for me. They are not in this for the money, but because they have a gift from God and want to use it to make people’s lives better.” In addition to her daughter and son-in-law, Tonya and Reid Ottem in Greeley, Wilson says

physicians. It helps them better understand their choices for care and offers patients the best possible quality of life throughout their illness.” – Cindi Werner, Director of Clinical Services for Hospice and Palliative Care of Northern Colorado, pictured above with palliative care patient Sandie Wilson. Lydia’s STYLE Magazine

she now also has her HPCNC family that will be there throughout the rest of her life. “These are the kindest people I have ever known in my life,” she says. “I know what is coming for me and I now have peace knowing that I will not die alone.” Cindi Werner, Director of Clinical Services for HPCNC, says the palliative care that Wilson is receiving is one of the newest innovations in healthcare. “Palliative care works hand in hand with hospice care to give patients relief of pain, stress and many other debilitating symptoms brought on by an advanced disease or chronic illness, whether they are expected to live six months or many years,” Werner says. She says palliative care helps patients gain the strength to carry on with daily life and often improves their ability to tolerate medical treatments. “It is a bridge between patients and their physicians,” says Werner. “It helps them better understand their choices for care and offers patients the best possible quality of life throughout their illness.” Werner finds that patients often leave a physician’s office with instructions and medications to help with their illness, but many don’t remember everything the doctor told them. “They may have been shocked with the news of their diagnosis, or just confused about what the doctor said,” she says. Palliative care specialists help patients understand the diagnosis and treatment options as well as the types of medicine they are taking. Palliative care is not dependent on prognosis and can be delivered at the same time as

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treatment that is meant to cure patients. “Hospice care always includes palliative care, but it is focused on terminally ill patients who no longer seek treatments to cure them and who are expected to live for about six months or less,” Werner says. The combination of the two programs gives patients help whether they will be living with an illness for many years or if they have just weeks or months to live. When entering palliative care, an admissions nurse talks with patients that have been referred by a physician to evaluate the type of care the patient needs. The nurse then recommends the patient either start their care with a social worker, nurse or chaplain. She says if the patient is anxious about how they will pay for treatment, they are seen by a social worker; if they need help understanding their illness and further explanation about the treatments recommended, they are seen by a nurse; if they need spiritual support during illness and treatment, they are seen by a chaplain. Werner has been in hospice/palliative care for many years and says for her it was a calling. She knew she was called to this kind of work when she was an emergency room social worker and visited with a family as their loved one died. “I was determined that I would find a way to be more prepared for this kind of situation and better handle all that the family members go through,” she says. “That ER scene never left me as I remember trying to understand the enormity of their loss and how to handle it.” It was then that she knew she must be trained

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Connie Hein is a freelance writer living in Windsor who is inspired by this story.

BALANCE & REHABILITATION THERAPY

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in the hospice and palliative area of medicine. “This is such a rewarding and wonderful line of work,” Werner says. “We get so many treasures from our patients and their families. They bless us as much as we do them.” Palliative and hospice care also helps give patients dignity at the end of their lives by allowing their wishes to be honored. “We make it possible for patients to be where they want to be at the end of their lives, whether it be at home with loved ones, or in a facility with staff that has become like family,” she says. “We help make that choice possible.” Werner says since palliative care is a fairly new concept, part of her job is to spread the word about this option to physicians. She hopes that when doctors become aware of the palliative care benefits, they will recommend this to all their patients going through chronic or terminal illnesses. At HPCNC, palliative care services are provided at no cost to the patient. Wilson says she and her family will be forever grateful that her doctor recommended HPCNC to her and hopes that other patients will take advantage of this generous care. “I believe God led me to HPCNC not only to help with medical and physical needs, but also to bring peace to my life as I prepare for death,” she says.

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h e lp

Sports Fitness

mee t

y o ur training g o als

nyone who has ever trained for an event – be it running, biking or hiking – knows that hard-core training often leaves you with various aches, pains and fatigue that can slow, if not derail, your performance. Fortunately, help is out there. A variety of therapies, practices and workouts exist that can help you recover faster from your training, alleviate pain and build endurance. The following is a cross-section of ancillary programs that help. Most of them work best when partnered with other therapies, such as working with a physical therapist or a chiropractor. But all of them have different benefits or target a different aspect of training hard. Maybe one of these will help you cross the finish line a stronger, more powerful you.

Dry Needling for Pain Relief Momentum Physical Therapy’s Michael Ressler offers a relatively new therapy to help alleviate pain and enhance muscle performance. The technique is called trigger point dry needling and may initially look something like acupuncture – but the mechanics and goal is something entirely different. “I compare it to the deepest tissue massage that you can get in just two minutes,” says Ressler. Dry needling is administered via tiny filament needles resembling an acupuncture needle. The difference is where acupuncture is done relatively close to the skin’s surface, dry needling takes the needle deep into the muscle to activate and desensitize it. “The goal in certain areas of the body is actually to contact the bone,” says Ressler. If a muscle being treated is healthy and without pain, dysfunction or excessive tension, you may not even feel the needle as it enters the skin, passes through the muscle and lightly touches the bone. If the muscle is sensitive and shortened or has active trigger points within it, you may feel a sensation

By angeline grenz

like a muscle cramp or twitch response in the muscle. Ressler’s patients often describe a “buzzing” feeling. However, relief from pain may be immediate. The needles range in length from 30 to 120 millimeters and from 0.2 to 0.4 millimeters in diameter. Smaller needles are used for smaller muscle groups; larger needles are used for big muscles like those in the hips or glutes. The tip of the needle is a smooth cone shape that “is more inclined to separate tissue than to cut it,” says Ressler. When the needle passes through an active trigger point in the muscle the effect can be immediate relaxation or desensitization of the muscle and a reduction of tightness or pain, says Ressler. “This not only relieves pain, but can improve function by activating and desensitizing super sensitive tissue.” Dry needling, however, is not a stand-along therapy. Ressler offers it as part of his overall physical therapy program and recommends that needling be followed by low intensity physical activity, massage therapy, stretching or heat for it to take full effect.

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Pilates for a Stronger Core

Don Spence, owner of Big Toe Studio in Fort Collins, uses Pilates to focus on your individual goals for building a stronger you. His varied background includes time spent as a professional bicycle racer, personal trainer, working with post-injury rehabilitation, and massage therapy education. Add to that training from Polestar Pilates and Lifestyle and Weight Management Training from the American Council of Exercise and Spence has a myriad of approaches to incorporate when helping you obtain your health and fitness goals. By using Pilates techniques, Spence is able to help you increase flexibility and agility, lengthen and tone muscles, and strengthen your core and back, all while improving balance, posture and control of your body’s movement. “We are able to work on the core, change breathing patterns so they are long and centered, while strengthening primary muscles groups, such as the legs, glutes and back,” says Spence. But it doesn’t end there. Personalized workouts can also be narrowed down to deal with more specific issues. “We can address soft tissue and runner’s issues to help train someone to run better. Pilates can also help athletes recover faster and allows people to sleep better by alleviating aches and pains,” adds Spence. After supplying his clients with an initial base training, Spence will alter each student’s program to make it more sport-specific, if needed. Spence also works with clients post-rehabilitation. “They come to me after the occupational therapist or the physical therapist and I work with them from there,” he says. His classes can be adapted to match any fitness level at any age.

Trigger point dry needling can relieve muscle pain and activate muscles for better performance. Physical therapist Michael Ressler, of Momentum Physical Therapy, demonstrates the technique on a patient.

Dry needling is new to physical therapists; currently it is only legal for physical therapists to perform needling in 17 states. However, it can aid in a whole slew of physical ailments: chronic “itis-es” like tendonitis; tightness, where the muscle will not elongate; golfer’s elbow; and natural or traumatic degeneration. Side effects are few with potential infection at the injection site the most common. Ressler says infection is rare with the use of alcohol swabs to clean the skin and clean gloves worn by the physical therapist. Bruising can happen, but is generally minor. Dry needling won’t damage nerves or arteries if the needle pricks them. However, dry needling should not be performed on anyone currently taking blood thinners, pregnant women in their first trimester or at the site of any surgeries for the first three months following the surgery. And the practice may not be an option for anyone with a needle phobia. Ressler has taken advanced training that allows him to apply dry needling to most areas of the body including the upper and lower extremities, spine, torso, face and hips. He has performed this technique on patients as young as 8 years old to people in their 80s. Patients do not have to be highly competitive athletes to enjoy its benefits, either. Those with a minimal activity level can still benefit from dry needling. Momentum Physical Therapy, 1939 Wilmington Drive, Fort Collins (970) 377-1422 • www.momentumptpc.com

Northern Colorado Medical & Wellness 2010

Big Toe Studio owner Don Spence uses Pilates techniques in his individualized programs to help clients increase their flexibility, muscle tone and overall strength.

Pilates provides a nice respite from your hardcore training as well, and is better than rigid weight training. “Pilates is fun! We are able to transform a person’s body while they are genuinely having fun at the same time. It is often a welcome break from the rest of their hectic and stressful everyday lives,” says Spence. Spence is able to draw from his wide-ranging and comprehensive background to help his clients reach their goals. He also offers his students the benefit of his unwavering positive perspective on life. Big Toe offers private and group classes. Group classes are limited to six people so that everyone gets individualized attention. He uses both mat and Pilates method equipment exercises. He also offers massage therapy at his studio. This summer, Spence is getting ready to take the next step in providing for complete health: he will soon be launching the BodyQuestAdvantage.com website, an informative and interactive website designed to help members reach all their health and fitness goals with information ranging from training tips and workout videos to nutrition and tracking systems for better health and weight loss.

Big Toe Studio, 3710 Mitchell Drive, Suite 104, Fort Collins (970) 377-0028, www.bigtoestudio.biz

McKenzie Practice Enhances Your Technique

At Colorado Spine, Pain and Sports Medicine (CSPSM), Ricardo Nieves, M.D., teaches his clients to stay fit and strong by protecting their spine, improving their technique and building good posture through the McKenzie Treatment. “The goal is to instruct my patients in the ways to prime or prepare joints and muscular systems for the activity they will endure,” says Dr. Nieves, “This is more, and better, than just stretching. I help reinforce good posture and teach good spine mechanics with small movements that prepare discs and bones for activity.” Good breathing techniques are also part of the treatment program.

Dr. Richardo Nieves at Colorado Spine, Pain and Sports Medicine, works with a client to reinforce good training habits through the use of the McKenzie Practice.

Good breathing helps athletes endure longer during their training routines, says Dr. Nieves. In his classes, he teaches people to breath with their diaphragm, belly out. This breathing provides better lung expansion and helps people feel more relaxed during activity. McKenzie exercises can be done before and after a long workout session. Done before, McKenzie will help you guard the spine and prepare the discs for activity. Done after, these techniques will help prevent displacement, disc bulges, hernias or protrusions. Often, says Dr. Nieves, after a long workout, people are prone to stretch a little then hit the couch to rest. This is where most displacement is caused. “It is not the activity that you do that hurts your back – it is what you do afterwards,” he says. “You get very good at what you do all the time. If you practice bad posture, you will get good at that,” he warns. After exertion the stretched muscles relax, continues Dr. Nieves, and then they start to get lax. If you sit on the sofa in a slouched position, the poor posture will allow for displacement. If, on the other hand, you keep your spine in good form for 30 minutes to an hour after activity, you will maintain the alignment. A McKenzie lumbar roll is available and can be used while you drive, at your desk or wherever you may be to help ensure good posture. Dr. Nieves teaches the McKenzie approach in conjunction with his Z-Health Mobility and Russian Kettlebell classes. These classes provide a well-rounded approach to fitness. The McKenzie approach is incorporated into the Kettlebells class, which delivers an all-around fitness routine using multiple muscle groups for better endurance, strength, flexibility and stability. The classes offered at CSPSM have a great take-away benefit. “Once you learn the basic routine and safety, you can take these practices home with you,” says Dr. Nieves. This allows patients to successfully treat themselves, prior to and after big runs or cycling events.

Colorado Spine, Pain and Sports Medicine and Comrades Russian Kettlebells and Kodokan Judo 1437 Riverside Avenue, Fort Collins • (970) 692-5550 www.cspasm.com, www.comradekb.com The McKenzie Practice is designed to be used before and following workouts to protect the spine, improve technique and build good posture.

Lydia’s STYLE Magazine

"DEVOTED TO SAVING YOUR TEETH AND SMILE WITH PERIODONTICS AND DENTAL IMPLANTS." ASSOCIATES IN PERIODONTICS

Richard W. Lindeberg, D.D.S., M.S. David Clark Johnson, D.D.S., M.S. Jennifer Merritt, D.D.S.

FORT COLLINS Elizabeth Medical Park 1120 East Elizabeth, G4 LOVELAND 2996 Ginnala Dr., Ste 101

970.221.5050 RICHARD W. LINDEBERG, D.D.S., M.S.

JENNIFER MERRITI, D.D.S.

DAVID CLARK JOHNSON, D.D.S., M.S.

INSIDE TO OUTSIDE We Do It All! expert since 1992

www.periofortcollins.com

Customized Janitorial Services Floor Stripping and Waxing Carpet Cleaning Window Cleaning Property Management & Maintenance Day or Night Porter Services Construction Clean-up Parking Lot Sweeping

GREEN PRODUCTS WHENEVER REQUESTED

Customized, comprehensive cleaning programs for the entire Front Range and Wyoming

Northern Colorado Medical & Wellness 2010

Massage therapist Carol Sauceda, of Tranquil Health Massage & Wellness, recommends weekly massage while training.

Sports Massage for Fast Recovery

Massage has long been known to soothe, relax and even relieve some painful conditions. But how about massage for improved sports performance? Tranquil Health Massage & Wellness Center has professional massage therapists trained to help you recover and prepare for your next big training session. Carol Sauceda knows a thing or two about sports massage: in addition to practicing massage therapy for the past seven years, Sauceda is an ultra runner and mountain trail runner. She has run 100 miles in less than 30 hours and the Pikes Peak Assent seven times. You could say Sauceda is an expert in sports training and the pain that often comes with it. “It is one thing to learn technique and another to know how to apply it,” says Sauceda, “[Because of my experience] I know exactly where the muscle attachments are, what they feel like and what tendonitis feels like. I am better at treating soft tissue injuries than some doctors because I can help you solve the problem, not just treat pain.” Sports massage involves high-energy strokes to flush muscles of the toxins that build up during exercise and restores muscles to homeostasis, says Sauceda. “Sports massage can return muscles to maximum operating condition. When we train we push our muscles to the limit and build up toxins. When we rid our bodies of the toxins, rest and then do it all again – every time we get stronger and restore back to a stronger set point.” As we exercise, muscle fibers stick together and become knotted areas of resistance that impede function. To make matters worse, people have a tendency to over train, says Sauceda, and not allow their muscles to recover and get stronger. “But sports massage

Lydia’s STYLE Magazine

Sports massage can help rid muscles of toxins and speed up recovery between tough workouts. can help cut recovery time in half and help you train harder, faster and longer.” A variety of techniques from trigger point therapy to quick, kneading petrissage movements can be combined in the sports massage to gain the most benefit. To make the most out of your training, Sauceda recommends weekly massages after big training days throughout the training regimen and then pre-event and post-event massages at the culmination of training. Before and after massage, Sauceda says to always drink plenty of water. “Massage therapy is not the panacea, however,” says Sauceda. “You have to drink water, eat right, stretch and cross train.” Massage can also work well with chiropractic care. “Bones go where muscles pull them,” she adds. “Massage can work in conjunction with chiropractic care to help lengthen short muscles and relax stretched muscles. A chiropractor will put your bones back; a massage therapist will get them to stay.” Sauceda is a great motivator when it comes to tackling a fitness goal. “It is possible to do whatever you set your mind to with the proper training,” she says, “but you have to be tough-minded, self-disciplined and persevere.”

Tranquil Health Massage & Wellness Center, 3307 S. College Dr., Suite 200-8 Fort Collins • (970) 218-5909 www.tranquilhealthmassage.com Angeline Grenz is editor for Style Magazine. She recently completed her own fitness goal – running her first half-marathon – and knows that training is much more easily accomplished with a little help.

Northern Colorado Medical & Wellness 2010

Directory

Cardiology Todd B. Whitsitt, M.D., FACC, President

Heart Center of the Rockies 2121 East Harmony Road Suites 100 & 200 Fort Collins, CO 80528 P: 970.221.1000 Toll free: 800.459.4241

“

It is rewarding to be part of a great team of physicians and staff who provide the highest quality of cardiac care to 13 outreach areas including clinics in Colorado, Wyoming and Nebraska.

“

practice

Hours: Monday - Friday 8:00 - 5:00 www.heartcenteroftherockies.com

A cross-section of the finest healthcare providers in Nor thern Colorado.

dentistry

Miramont Office Park 4745 Boardwalk Drive, Unit D102 Fort Collins, CO 80525 P: 970.223.6101 Hours: Monday - Thursday 7:30 - 5:00 Friday: 7:30 - 4:00 www.smilefortcollins.com

“

We provide high quality, state-of-the-art dental care in a friendly and caring atmosphere. We enjoy helping patients achieve their dental healthcare goals.

“

Steven J. Koehler, DMD

Chris Cook, Practice Administrator

Overton Center for Dental Arts, P.C 1220 Oak Park Drive Fort Collins, CO 80525 P: 970.223.6677

“

Dr. Overton has a special artistic talent to provide beautiful smiles. It’s our team’s mission to keep patients informed and make sure they are comfortable. Our patients become second family.

“

Carrie White, Office Manager

Hours: Monday 7 - 4 , Tuesday 8 - 5 Wednesday 10 - 6, Thursday 7 - 4 www.overtoncenter.com

Lydia’s STYLE Magazine

EAR, NOSE & THROAT

GYNECOLOGY Pam Roys, Practice Administrator

“

Hours: Monday - Friday 8:00 - 5:00 www.advancedotolaryngology.com

A Woman’s Place of Fort Collins, PLLC 1224 E. Elizabeth Street Fort Collins, CO 80524 P: 970.221.4977

“

Our caregivers are amazing practitioners, teachers and mentors, building long-term relationships with their patients and staff. And at the end of my work day, I go home feeling like I’ve had a small part in helping people feel better.

Hours: Monday - Friday 8:00 - 5:00 www.awpfc.com

HEMATOLOGY/ONCOLOGY

HEALTH SYSTEM Patti Oaks, Vice President of Human Resources

“

Tania L. Adams, MBA CEO

Our employees, physicians, and volunteers work collaboratively to provide the best care for our patients. I have worked at PVHS for over 20 years and am honored to work with such amazing individuals providing world-class healthcare.

“

Poudre Valley Health System

OTHER LOCATIONS:

Harmony Campus 2121 East Harmony Road, Suite 200 P: 970.237.7005

Poudre Valley Hospital 1024 South Lemay Avenue Fort Collins, CO 80524

Hours: All day, every day www.pvhs.org

Medical Center of the Rockies 2500 Rocky Mountain Avenue Loveland, CO 80538 P: 970.624.2500

Cancer Center of the Rockies

2121 East Harmony Road, Suite 150 Fort Collins, CO 80528 P: 970.493.6337 F: 970.493.3528

“

Our focus is to partner with patients and their family members to address all of the patient’s needs in their treatment and recovery process for their best outcome.

“

2001 South. Shields Street Building E, Suite 101 Fort Collins, CO 80526 P: 970.493.5334

“

Advanced Otolaryngology, P.C.

Dr. Loury’s expertise and commitment sets our practice in a unique position. Quality care, love and honesty for patients have made my 16-plus years a treasure.

“

Nancy Wojahn, Office Manager

Hours: Monday - Friday 8:00 - 5:00 www.cancerhealth.com 39

INFERTILITY

INFERTILITY Carla H. Boldt, Director of Business Services

“

Conceptions

271 West County Line Road Littleton, CO 80129 P: 303.794.0045 F: 303.794.2054

OTHER LOCATION:

Hours: Monday - Friday 8:30 - 4:30 www.conceptionsrepro.com

300 Exempla Circle, Suite 37 Lafayette, CO 80026 P: 303.449.1084

NEUROSURGERY/ORTHOPEDIC SPINE

Rocky Mountain Center for Reproductive Medicine, P.C. 1080 East Elizabeth Street Fort Collins, CO 80524 P: 970.493.6353

Hours: Monday - Thursday 8:00 - 5:00 Friday 8:00 - 1:00 www.drbachus.com

OPHTHALMOLOGY

Nancy Timmons, MSHA, CMPE, Administrator

“

Carol Wittmer, Administrator

“

I have had the honor of working here for over 25 years. While the practice of medicine has changed enormously over the years, our physicians have always maintained their focus on patient satisfaction and great surgical outcomes.

1313 Riverside Ave. Fort Collins 80524 P: 970.493.1292 F: 970.493.1210

Hours: Monday - Sunday 8:00 - 5:00

www.brain-spine.com

OTHER LOCATIONS:

“

Front Range Center for Brain & Spine Surgery

2500 Rocky Mountain Avenue Suite 360 Loveland, CO 80538 P: 970.669.0470 2001 70th Avenue, Suite 300 Greeley, CO 80634 P: 970.356.4488 800 East 20th Street, Suite 320 Cheyenne, WY 82001 P: 307.635.8388

“

Our staff is more like a family. We enjoy working together to help patients realize their dreams, and what a privilege that is for all of us.

The Eye Center is unique in that we offer the most comprehensive eye care in the region. I love the diversity and challenge of leading the multiple entities at the Eye Center.

Eye Center of Northern Colorado, P.C. 1725 East Prospect Road Fort Collins, CO 80525 P: 970.221.2222 www.eyecenternoco.com

“

We are recognized nationally as one of the leading fertility clinics, specializing in IVF, ICSI, IUI, PGS, male infertility and advanced fertility surgery. We help hundreds of couples on a loving journey to build a family.

“

Laura Reed, Administrator/Director of Operations

OTHER LOCATIONS: Skyline Center for Health 2555 13th Street, Suite 225 Loveland,CO 80538 P: 970.679.0000 Windsor Medical Center 1455 West Main Street Windsor, CO 80550 P: 970.686.7171

orthodontics

orthopedic

Patricia Wagner, Office Administrator

“

Orthopaedic & Spine Center of the Rockies 2500 East Prospect Road Fort Collins, CO 80525 P: 970.493.0112 Hours: By appointment Monday - Friday, 8:00 - 5:00 www.orthohealth.com

Hours: Monday - Friday: 7:30- 5:00 www.dredgren.com

pathology

Larry Mortensen, Director

“

“ Hours: Monday - Friday 8:00 - 5:30 www.summitpathology.com

The best part of my job is working for a progressive, well-respected practice that has a daily impact on patient care. With ten pathologists on staff, we have expertise in surgical pathology, dermatopathology, breast pathology, cytology and more.

“

Skyline Center for Health 2555 East 13th Suite 120 Loveland, CO 80538 P: 970.461.6091

3470 East 15th Street Loveland, CO 80538 P: 970.663.3975

PEDIATRIC Practice Jill Hatfield, Practice Administrator

Summit Pathology

other Location:

office Location: Cytology Laboratory 2918 West 10th Street Greeley, CO 80634 P: 970.461.6091

From our providers to our front desk staff, we try to treat each and every patient as family. The staff at the Youth Clinic is the most caring and compassionate family I have ever had the pleasure to work with.

Youth Clinic

“

3400 West 16th Street, Bldg. 4-V Greeley, CO 80634 Phone: 970.356.5900

“

We have 23 physicians who specialize in the medicine of motion — helping people just like you get going again. Since 1969, we’ve helped thousands of people of all ages get back to their sport, work or leisure pastime.

“

Orthodontic Associates of Greeley, P.C.

Our 3-D Cone Beam Technology not only helps with orthodontic diagnosis and treatment planning, but has improved our patients’ dental and general health through unusual discoveries.

Mike Bergerson, CEO

other Locations:

South Office: 1214 Oak Park Drive Fort Collins, CO 80525 P: 970.267.9510

North Office: 1200 E. Elizabeth Street Fort Collins, CO 80524 P: 970.267.9510

Hours: Monday - Friday 8 to 4:30 Saturday 8:30 - 12 Sunday 9 to 2 www.youthclinic.com

Centerra Office: 2695 Rocky Mountain Avenue Suite 260 Loveland, CO 80538 P: 970.267.9510

PULMONARY

Herschal F. Jacquay, MHA Practice Administrator

Kim Nieves, R.N., C.C.M Practice Manager

“ Northern Colorado Pulmonary Consultants, P.C. 2121 East Harmony Road, Suite 300 Fort Collins, CO 80528 P: 970.224.9102

Hours: Monday - Friday 9:00 - 5:00 www.cspasm.com

Hours: Monday - Friday 8:00 - 5:00

SLEEP LAB

SURGERY

Cynthia Zynel, Sleep Operations Manager

1107 South Lemay Avenue, Suite 260 Fort Collins, CO 80524 P: 970.495.8670

Hours: Monday.- Friday 8:00 - 5:00 www.sleepcenteroftherockies.com

“

Sleep Disorder Center of the Rockies

“

Our sleep physicians have treated sleep disorders for over 20 years. Treating a person’s sleep disorder can have a huge impact on their life. We’re known and respected for doing quality work and I help ensure patient comfort and safety.

OTHER LOCATION:

2500 Rocky Mountain Avenue Suite 300 Loveland, CO 80538 P: 970.619.6100

Sondra Pruett, Practice Administrator

Cardiovascular and Thoracic Group, P.L.L.C. 2500 Rocky Mountain Avenue Suite 360 Loveland, CO 80538 P: 970.619-6176 F: 970-619-6197 www.cvtgrp.com

“

As an independent, private practice, we’re able to provide personalized care for each patient. It’s very rewarding and challenging, plus there’s a tremendous amount of variety.

“

1437 Riverside Avenue, Suite 2 Fort Collins , CO 80524 P: 970.692.5550 F: 970.692-5561

“

Colorado Spine, Pain & Sports Medicine, P.C.

“

CSPASM has a world-class physician in Dr. Nieves, and we provide treatment and education so our patients can carry their spine gracefully through the rest of their lives. We really make a difference in people’s lives.

I like working for NCPC because we take care of patients young and old regardless of their ability to pay. The physicians, staff and administration all work together to achieve superior outcomes for our patients.

“

PHYSICAL MEDICINE & REHABILITATION

P R A C T I C E D I R E C T O RY

SURGERY CENTER P

P R A C T I C E D I R E C T O RY

ORTHODONTICS SURGERY CENTER

Herschal F. Jacquay, Sue Sumpter, MHA Administrator Practice Administrator

Loveland, CO 80538 2121 E. Harmony Rd., Suite 300 P: 970.622.0608 Fort Collins Phone: 970-224-9102 Hours: Monday - Friday 7:00 - 5:00 Hours: ??? www.lovelandsurgerycenter.com

“

I have the privilege of working with very talented and caring staff and physicians. OFFICE LOCATIONS: Because of this we are able 2500toRocky Mountain provide excellentAve., care to Suiteour 300 patients, and care to paLoveland tients requiring more comPhone: plex970-619-6100 procedures due to our extended stay capabilities.

“

Loveland NorthernSurgery ColoradoCenter Pulmo3800 North Grant Avenue nary Consultants, P.C.

Patricia Wagner, Office Ross Alexander, MBA Administrator CEO

Orthodontic Associates Surgery Center of Fort of Greeley Collins

3400 West 16th Street, 1100 East Prospect Road Bldg. 4-V Greeley 80634 Fort Collins, CO 80525 P:Phone: 970.494.4800 970-356-5900 Hours: Monday - Friday: 7:30 a.m. Hours: Monday - Friday 6:00 - 4:00 - 5 p.m. www.dredgren.com

“

We are a locally owned and accredited surgery center with a knowledgeable staff committed to providing excellent patient care and comfort while containing costs for the patient.

“

Our 3-D Cone Beam Technology not only helps with orthodontic diagnosis and treatment planning, but has improved our patients’ dental and general health through unusual discoveries.

CONTINUED FROM PAGE 25

says Steven Peck, M.D., interventional radiologist with Advanced Medical Imaging Consultants in Fort Collins. “After obtaining the initial CT scan, we sterilize the skin over the nodule. Working through a very small incision we insert a three millimeter thick needle and guide it to the nodule while watching its progress on the CT scan. When we can confirm the position of the needle in the nodule we take the biopsy. ” With this procedure the patient is also placed under conscious sedation. Risks include those of a bronchoscopy as well as a collapsed lung and coughing up blood.

When surgery is the final option

If a nodule is not located in a place where a less invasive procedure would be effective, or if a lung nodule needs to be removed, a surgical biopsy is prescribed. There are two kinds of surgical lung biopsies:

Steven Peck, M.D., Interventional Radiologist, Advanced Medical Imaging Consultants

Northern Colorado Medical & Wellness 2009 2010

•

Thoracoscopy – also known as closed lung biopsy, is a laparoscopic procedure where a surgeon makes three incisions and inserts a video camera in one and forceps in another to retrieve a sample.

•

Thoracotomy – also known as open lung biopsy, is when a 7 to 9 inch incision is made between the ribs and a biopsy is taken.

“Surgical biopsies are used most with pulmonary fibrosis when we need more lung tissue to figure out what is causing the disease,” says Michael Roller, M.D.,

surgeon with Northern Colorado Surgical Associates in Fort Collins. Pulmonary fibrosis is a scarring or thickening of the lung tissue without a known cause. “If you look at lung biopsies step-wise the most immediate and easiest procedure for the patient is to go the less-invasive route,” says Dr. Roller. “Surgeons fall back on open or surgical biopsies when they can’t get a definitive answer using needles.” During these procedures, patients are given general anesthesia and will require a post-operative hospital stay. Risks include collapsed lung, infection and stroke. The future of lung biopsies will continue to evolve as new technologies are developed to give patients additional options. One such advancement with the bronchoscopy uses ultrasound to guide the doctor further into the lung. This technology is intended for diagnosing patients with a nodule that cannot be reached by conventional bronchoscopy because the lump does not enter into the airways. The patient is given a general anesthetic, and a bronchoscope, including an ultrasound probe, is used instead of a conventional bronchoscope to guide the doctor to the location of the lump, to obtain samples for testing. “Even five years ago we didn’t have these ultrasound scopes,” says Dr. DePriest. “This gives us the ability to get really good samples because we can see directly what we are looking at.”

Kimberly Lock is a freelance writer who enjoys spending time with her husband and three kids in the Colorado outdoors.

wellness

Oral Health

w om e n

dental professionals Amber Severin, DDS, PC, and Kelly Jones, DDS

he dental profession is changing — in both its message and its messengers. In an industry that was once male dominated, there are now numerous dedicated female professionals, many of whom have found dentistry to be a great way to have both a medical career and a family. And many of those women have messages they want the public to hear. Let’s meet a few of these passionate women who are working in diverse fields of dentistry.

Drs. Amber Severin and Kelly Jones practice a dental specialty they say is often the most intimidating of all procedures for patients, but they both love what they do because they believe they make the experience easier for their patients. As specialists at the Center for Endodontic Care, with offices in Fort Collins, Greeley and Loveland, their job is to perform root canal therapy. Patients often display anxiety at their appointments due to the “historic reputation” of pain associated with root canal therapy. Dr. Severin says, “The goal of the doctors at Center for Endodontic Care is to educate patients on the advances in endodontic procedures, to calm their fears and to guide them through a surprisingly stress-free experience.” When Dr. Severin first encountered patients who dreaded root canal therapy,

By Connie Hein

she found it rewarding to listen to their concerns and dispel their misconceptions. She was attracted to endodontics as her specialty because it provides an opportunity to comfort patients while educating them and relieving their pain. Upon graduating from CSU with a degree in microbiology, Dr. Severin became passionate about endodontic care after she was hired as a dental assistant in an endodontic office. She had not even considered a dental career, but after working for two years she found she loved the dental profession and was accepted to CU Denver School of Dentistry. During her four years at CU she was able to work in many fields of dentistry, but was always drawn to endodontic care. She went on to do an endodontic residency at Marquette University in Wisconsin and then returned to work in her hometown of Fort Collins. Dr. Severin says – and Dr. Jones agrees

Lydia’s STYLE Magazine

Dr. Amber Severin, endodontist at Center for Endodontic Care, consults with her patient before each procedure to allay fears and ensure the experience is stress-free.

– that even though performing root canal therapy is very routine, she loves it because she can focus on just one small part of the profession and be great at it, instead of doing many different kinds of dental treatments. Dr. Jones loves doing root canal therapy because she is able to start a job, complete it and see the results almost immediately. “I like to complete any task I start,” Dr. Jones says, “so being with my patient and doing this type of procedure from start to finish is very satisfying for me.” Both Severin and Jones agree the actual procedure is just one part of the root canal process. For them, communication with the patient before, during and after treatment is a major portion of the experience for the patient. “All three of us in the office (including Dr. Anthony Girardi) agree it’s just as important to take time before a procedure to be sure the patient understands what to

Northern Colorado Medical & Wellness 2010

Dr. Kelly Jones, endodontist at Center for Endodontic Care, performs root canal therapy on a patient at their Fort Collins practice.

expect,” says Dr. Jones. The team always explains the pros and cons of each option to the patient, including costs, recovery time and other concerns. “We want the patient to feel like they are making the right choice of treatment for them before we ever begin the actual procedure,” Dr. Severin says. Dr. Jones adds, “We keep our patient load very thin each day so that we can give the necessary amount of time to each patient without rushing through to the next.” Dr. Jones says because all three of the specialists in their practice have similar philosophies about treatment and care of patients, the office provides a calm and relaxed environment. “We feel that our chair-side manner is very important in this field of dentistry,” she says. “People who have not been able to eat or sleep – sometimes for days – because of tooth pain need careful, attentive care.” And, she says it is

very rewarding when they call to check on a patient the day after a procedure and find the patient is feeling much better. After receiving her Doctor of Dental Surgery degree in Tennessee, Dr. Jones went on to attend a hospital-based general practice residency in Honolulu. She then spent two years in private practice prior to becoming an officer in the U.S. Army. Dr. Jones served four years in Germany and two years in Maryland, then attended graduate school for special training. She received her certificate in endodontics from the University of Minnesota. Throughout her years as a general dentist she did many procedures, but enjoys being able to concentrate on just endodontics in an office that has the newest technology and equipment, which make the process more efficient and easier for the patient. “Technology has come so far with the new NiTI (Nickel titanium) files and more powerful

Jennifer Merritt, DDS, with Associates in Periodontics, discusses options with a patient.

microscopes and ultra-sonics. We have the best equipment for the jobs we need to do so precisely,” she says. Drs. Severin and Jones are excited about the recent changes in their practice. They say they “look forward to starting new traditions while providing excellent patient care” with their partner, Dr. Tony Girardi.

Jennifer Merritt, DDS

Dr. Merritt brings a wealth of experience and a bit of big city flair to Associates in Periodontics, the Fort Collins practice she joined in October 2008. She practices alongside Drs. Richard Lindeberg and David Johnson. She and her husband, Dr. Jason Merritt of The Nephrology Clinic, moved to Fort Collins from the Los Angeles area. Dr. Merritt has a tremendous amount of energy and drive for her profession, believing firmly in the role of oral health in overall well-being and in maintaining the highest standards in all aspects of care while providing treatment. “I believe in establishing health first,” she says, “That is the foundation and the most important thing we do.” As a

Dr. Merritt has made her specialty performing soft tissue grafts, aesthetic crown lengthening and dental implants.

periodontist, Dr. Merritt and her colleagues are concerned with the supporting tissue surrounding teeth – the gums, bones and root structures. “I love being a dentist, seeing patients regularly and getting to know them,” says Dr. Merritt. “I also enjoy helping change someone’s life by improving their smile.” She recounts the numerous times she has had someone sitting in the chair crying with joy because they didn’t realize that it can be pretty easy to create an attractive smile. “They are so happy. It feels good when people can finally smile without being afraid to show their teeth and gums.” Because of her previous experience practicing high-end aesthetic dentistry in Beverly Hills and Santa Monica, Dr. Merritt has made her specialty performing soft tissue grafts for root coverage, aesthetic crown lengthening and dental implants. “In California, I had the opportunity to practice with some well known cosmetic dentists. I was really young and lucky to be able to learn from them.” Her advanced training and the healthcare dynamic present in her marriage continually

fuels Dr. Merritt’s desire to make her patients aware of the impact of oral health on the entire body. “I discuss health issues with my husband all the time . . . there is a correlation between kidney disease and gum disease, so we naturally have discussions surrounding this regularly.” Dr. Merritt also points to findings that show the same bacteria found in gum disease has been found in coronary arteries, creating a link between gum disease and heart disease. Gum disease also has a link to uncontrolled diabetes, says Dr. Merritt. “There is strong evidence to suggest that those who control their gum disease may be better able to control their diabetes.” Another underappreciated finding: pregnant women with untreated gum disease are more likely to have premature, low birth weight babies. Dr. Merritt, an avid skier, is reluctantly settling in for her second Colorado summer. “I wish it would snow everyday,” she says. She feels Colorado has quickly become “home” and that Associates in Periodontics has been a good fit for her. “My colleagues follow the same philosophies that I do and I really feel

Lydia’s STYLE Magazine

Sports Medicine

ORTHOPAEDIC

Shoulder Knee

Enjoying life and pursuing our passion matters to all of us. If you're suffering from an injury or the wear and tear of time, you want to get

& SPINE CENTER

Spine & Pediatric Spine

back to doing what you love as soon as you can. The Orthopaedic

OF THE ROCKIES

Trauma & Fractures

& Spine Center of the Rockies has 23 expert physicians with board

Hand & Upper Extremity

certification or advanced (fellowship) training in orthopaedics, sports

Foot&Ankle

medicine, spine care, and podiatry. We've helped thousands of people

Joint Replacement/Arthritis

like you hit the fairway again. Serving Colorado, Wyoming, and

Pediatric Orthopaedics

Specialists in the medicine of motion

Physiatry

Nebraska since 1969. Call us today at 970-493-0112.

Fort Collins: 2500 East Prospect Road I Fort Collins, Colorado 80525 I 970-493-0112 I Toll-Free: 800-722-7441 www.orthohealth.com

Northern Colorado Medical & Wellness 2010

New Loveland Location: 3470 East 15th Street I Loveland, CO 80538 I 970-663-3975 I Toll-Free: 888-663-3975

Arica Abrames, DDS, of Wells & Abrames Family Dentistry, regularly performs pro-bono dental work for single parents participating in Project Self-Sufficiency.

I joined the right group. I am proud to be practicing here.”

Arica Abrames, DDS

Dr. Abrames knew her career would be in the healthcare arena, but it wasn’t the dental field initially. “I thought I wanted to be a physician for a long time until I researched the residency requirements, demands of the insurance companies and the many long, hard hours that physicians endure for their patients and their profession,” says Dr. Abrames. It was her uncle Dr. Gordan Wells, with his own dental practice, who changed her mind. “He said, ‘Come see what I do.’ I enjoyed it and, five years later, it has definitely been a great choice.” Dr. Abrames now works three and a half days a week, leaving plenty of time to spend at home with her husband Dan and 3-year-old daughter Paige. Today, she and her uncle run Wells & Abrames Family Dentistry in Fort Collins, a general dentistry practice. Dr. Abrames acknowledges that for many people, having a female dentist is still a first. “I still get a

Nicole Ferrara, DDS, of Implant & General Dentistry of Northern Colorado, also works with McKee Medical Center to treat patients who have obstructive sleep apnea with oral appliance therapy.

lot of patients that tell me I am the first female dentist they have had,” she says. At the same time, many patients – male and female – seek her out because “many people feel that female caregivers are gentler and easier to talk to about their concerns.” While she loves the many aspects of her profession, Dr. Abrames says she gets the most reward out of the large pro-bono cases that her team does. “We have had a lot of meth rehabilitation cases and recently we have done treatment on some single parents participating in the Project Self-Sufficiency program. The joy that my team and I gain from these patients is unexplainable. Their gratitude and commitment to bettering their lives is truly inspiring for everyone in the office.” She talks animatedly about the self-confidence gained by their patients as they watch their smiles transform. “We have a hand in changing people’s lives,” says Dr. Abrames. And these patients are also some of their best clients; they commit to their health and change their home care habits to ensure long term success, she adds.

Dr. Abrames’ practice also offers patients the ability to have complete crowns in the same day with their E4D CAD/CAM system. According to Dr. Abrames, there are only about 1,500 systems in the U.S. The technology has great appeal for her patients who don’t want to have to live with a temporary crown for a few weeks and take multiple days off work for the procedure. Dr. Abrames and her team strive to provide convenient and quality dental care to all of their patients through technology such as E4D crown milling and the availability of evening and Saturday appointments.

Nicole Ferrara, DDS, PC

Dr. Nicole Ferrara practices dentistry with her two partners, Dr. Ted Mioduski Jr. and Dr. Ted Mioduski III at their practice Implant & General Dentistry of Northern Colorado, located in Loveland. She says one of the reasons she chose a dental career was because of the flexibility and freedom it affords her to be able to spend time with her family. But the main reason was her passion for

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Northern Colorado Medical & Wellness 2010

Shiloh Lindsey, DDS, of Aspen Dental Care, helps her patients focus on the impact of oral health on their overall health.

Shelby Kahl, AAS, RDH, CMT, is an independent dental hygienist in Windsor. Kahl takes a holistic approach to oral health.

the field, even as a young girl. “I knew I wanted to be a dentist from about age 13,” Dr. Ferrara says. “Whenever I went to the dentist I was fascinated with the equipment and procedures being performed.” She believes her desire to have a career that allows her to help people and combine her love of science and art has made dentistry a natural profession for her. After completing her dental education, Dr. Ferrara went on to complete an Advanced Dental Residency Program, which provided her additional training in surgery, IV and oral sedation, cosmetic dentistry, implant surgery, and restoration and removable prosthetics. That experience helped her formulate a comprehensive philosophy of dental care that goes beyond simple cosmetics and general dentistry. “It also allows us to help patients with dental phobias, anxiety and severe gag reflexes with the use of IV sedation,” which IGDNC offers in their office, according to Dr. Ferrara. In addition to her restorative practice, Dr. Ferrara is on staff at McKee Medical Center. She works with physicians and sleep

specialists to treat patients with obstructive sleep apnea (OSA) and snoring by providing an alternative treatment for OSA with oral appliance therapy (if CPAP is not tolerable or necessary). Obstructive sleep apnea has received increased awareness over the years due to public education. “I feel that it is important, if people show any signs or symptoms of OSA, that they visit with their primary care physician,” she says. “I am glad I am able to use my skills and training that I have acquired over the last 10 years to deliver the highest quality of comprehensive compassionate dental care to my patients,” Dr. Ferrara says. “It is a distinct pleasure to serve my community. Not only have I worked with talented colleagues, but I have had the wonderful opportunity to grow lasting relationships with so many patients and their families. I can’t imagine having any other job that I love more than being a dentist!”

Shiloh Lindsey, DDS

Dr. Shiloh Lindsey of Aspen Dental Care in Fort Collins says her passion and focus in

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the dentistry profession comes from helping her patients to be healthy and educated. She stresses to every patient she sees the importance of understanding the link between oral health and overall body health. “I spend lots of time educating patients to improve their oral health so they can avoid emergency dental situations and improve their quality of life.” People often don’t realize that oral infections and inflammation in the mouth can effect other parts of the body, says Dr. Lindsey. Illnesses such as heart disease, stroke and Alzheimer’s are associated with inflammation in the body. One way to avoid these health problems is by practicing daily oral hygiene to prevent bacteria in the mouth. “The daily habit of flossing alone can add as much as six to 10 years to a life,” Dr. Lindsey says. “Flossing is simple, painless and affordable, and can make a big difference in overall health and wellness.” In these tougher economic times it is especially important to maintain healthy teeth to prevent costly procedures later, she adds. Along with routine exams, every patient Dr. Lindsey sees is given an Oral Cancer Screening. “It takes about five minutes and could save their lives.” Oral cancer has a 50 percent mortality rate within five years of diagnosis, and as with other forms of cancer, early detection and treatment gives the patient the best possible outcome. “My focus is getting and keeping my patients well and healthy and getting to know them as people, not just patients,” says Dr. Lindsey. She enjoys being able to ease her patients’ pain and anxiety when they are having dental problems. Getting to know the patient helps her to better understand how to do that. “It is very important that patients have a satisfying, positive experience when they come to see me, from the moment they walk through the door until they leave.” Besides general and family dentistry, Dr. Lindsey also does cosmetic and restorative implants and many other dental procedures. She says one of her favorite aspects of the practice is being able to be versatile enough to treat multiple generations in families. “My patients range in age from age 2 to 100,” she says. “I love that in my practice I am fortunate enough to truly serve entire families and get close to them all.”

Shelby Kahl, AAS, RDH, CMT

Shelby Kahl is an independent dental hygienist in Windsor who is passionate when educating people about how their oral health affects every part of the body. She has taken her practice to a whole new level with her holistic and nutritional approach to dental hygiene. “The health of your teeth and gums affects the entire body,” she says. “Assessing the mouth can give us a general idea of a patient’s overall health and wellness.” Kahl started the dental field with an innate understanding that she could contribute to the community by advocating for good oral health. “I was raised by exceptional

Northern Colorado Medical & Wellness 2010

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parents who taught me to understand what contributing to society is all about – being considerate of one another and valuing authentic business practices,” she says. Research is showing more and more about the body and the oral connection, Kahl says. In 2000, Surgeon General David Satcher released Oral Health in America. The report has made dental professionals, as well as the general population, more aware of the link between oral health and overall wellness. Kahl is particularly dedicated to encouraging parents to schedule dental checkups for their children as often and routinely as a medical well-child checkup. Studies are showing an alarming number of 4 and 5 year olds with cavities, so Kahl advises parents to visit their own dental provider to avoid cross transference of the cavity causing bacteria and start dental visits for their child during infancy. Kahl’s professional network consists of working with nutritionists, dentists, physicians, acupuncturist and other healing art professionals. She believes the mouth exhibits many symptoms that signal providers to consider examining the body as a whole. “I believe in co-partnering as professionals for the patient to achieve the best outcome possible,” she says. To do this, Kahl tries to make sure the patient has a healthy mouth, healthy body and healthy mind to function at their personal best. “A patient may present with sore teeth and we find through the assessment that the patient may not need dental treatment, but is experiencing a considerable amount of stress and needs help working through that,” she says. Included in her dental referral may be a discussion around habits of clenching teeth while under stress, inadequate diet or the simple act of frequent and consistent gum chewing that contributes to sore teeth symptoms. There are many ways symptoms can be treated, and she explores all the options with the patient. In addition to being a dental professional, Kahl is also a licensed massage therapist. Through the combination of these professions she has begun to understand the beautiful simplicity of the human body, adding that “when we fuel ourselves with whole food nutrition and a vital lifestyle, our bodies respond with good health.”

Connie Hein is a freelance writer living in Windsor.

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wellness

Learning Programs

The Neu r o D e v e l o p m e n t

P r o gram :

By Kimberly Lock

he moment came when the phone rang. Jill Hamilton* received a phone call from another parent at her son’s elementary school. It seems young Tony Hamilton* raided his mom’s jewelry box and decided to give her jewelry to his friends as gifts. The mom on the other end of the phone was holding Jill’s wedding ring. In that moment, Jill decided her son’s quirky and sometimes thoughtless actions were a sign of something more severe than “simply being a 7 year old boy.” “When he was younger I would catch him riding his big wheel towards the major street outside our neighborhood,” Jill says. Tony is also known to steal stuff he likes from family members, and he painted the top of his parent’s nightstand with nail polish. At school, Tony is struggling. He is falling behind in reading and has to be separated from his classmates before he can focus on his work. The medication he was put on worked initially, but lately it seems to make him more irritable. This concerns Tony’s mother. “He is not an angry kid,” says Jill. After discussing Tony’s difficulties with friends and her pediatrician, Jill decided to take her son to see Aaron Skalicky, Ph.D., a licensed psychologist and founder of NeuroDevelopment Center of Colorado in Fort Collins. During their initial visit, Dr. Skalicky visited with Tony

Helping Children and Parents Succeed

and his mother to find out about their daily life. He first engaged Tony, who responded with his thoughts about home and school. After Tony was excused to play, Dr. Skalicky sat with Jill to discuss how Tony’s problems paying attention and following directions fit with the bigger picture of his development. As the first visit ended, Dr. Skalicky recommended four hours of testing to be completed during three subsequent visits. He explained to Jill that the tests help to uncover reasons for learning and behavior problems that might otherwise go unnoticed. With a more in-depth understanding, Tony’s parents would finally be in a position to help him succeed. “Dr. Skalicky told us that the things we are doing now with Tony to survive are not a long-term strategy,” said Jill. Clinicians at NeuroDevelopment understand that a child with learning difficulties often struggles behaviorally, meaning parents have had to work with multiple providers in the hopes of covering all bases. Instead of referring a child to a psychologist for behavioral testing and therapy and a separate tutor for educational solutions, NeuroDevelopment combines these services into one cohesive program. Their goal – understand the whole child and promote both academic success and good habits. NeuroDevelopment’s licensed psychologists are strongly influenced by their training in children’s hospital settings. This specialization equips them to help families whose children are struggling with a wide

range of developmental concerns including dyslexia and learning difficulties, ADHD, defiance, depression, anxiety and autism spectrum disorders. Clinicians at NeuroDevelopment also help children coping with the learning and behavioral impact of medical conditions such as head injuries, diabetes and pre-natal complications. When parents first meet with one of NeuroDevelopment’s psychologists, they are asked to provide a detailed development history, including when their child first walked and talked. Often these seemingly small details help pinpoint the reason for the child’s current problems. If needed, the clinician can select from a combination of neuropsychological tests. These tests shed light on the child’s cognitive development, academic skills, communication, memory, decisionmaking, moods, coping skills and habits. In many instances, parents learn that the most visible problem is not even the first priority. For example, testing may reveal that a distracted youngster has more subtle language, reading or sensory difficulties that are influencing behaviors. “NeuroDevelopment’s comprehensive approach ensures that the root causes, and not the most visible symptom, receive the most intensive interventions,” says Dr. Skalicky. Clinicians at NeuroDevelopment collaborate with parents to set goals. For some children the goals are primarily academic. For others, they encompass aspects of social or family life. In all cases, the clinician emphasizes the need to help the child develop independent habits that will endure into adulthood. Once therapeutic goals are set, the treatment phase begins. Often this involves incorporating multiple peripheral issues in addition to the main diagnosis. For this reason, the NeuroDevelopment program provides intervention in three related areas: psychological and behavioral therapies, specialized tutoring, and outreach to a child’s school team and other healthcare providers. The psychologists at NeuroDevelopment are trained to help children improve behavior, moods and coping skills through “Cognitive-Behavioral Therapy.” In many cases, the child’s parents and teachers are also given specific techniques to reinforce the child’s progress in everyday life. Most children are seen weekly in the NeuroDevelopment office and track their choices at home and school between appointments. As progress becomes consistent and new skills emerge, therapy appointments usually become less frequent. Children can also receive specialized tutoring in NeuroDevelopment’s Learning Clinic. The masterslevel tutoring staff works one-to-one with the child for two to five hours per week until an intensive 50-hour program has been completed. The program is customized to address the child’s three most critical learning needs. Formal pre and post-testing is included to document improvement. Parents have found this program especially useful in the summer months as an alternative to summer school, says Dr. Skalicky. In fact, the program was made available this summer in response to parents requesting a more “intensive and individualized” program than what the school districts may offer. Additionally, “many parents also elect to begin in-depth evaluations during the summer in preparation for the next school year,” says Dr. Skalicky. “Whether we are talking about severe dyslexia or more common learning difficulties, children need to learn strategies that align with their hard-wiring,” states Dr. Skalicky. “We work together to find the right learning strategies for each child. This enables us to teach the child how to approach reading, writing or math in a better way. Parents are amazed when they watch these strategies morph into study habits and

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independent skills.” The third phase of treatment involves NeuroDevelopment’s outreach to the child’s school environment, often done in conjunction with services at the clinic. NeuroDevelopment’s psychologists visit local schools to make detailed observations of the child, listen to teacher comments and collaborate with parents and staff at school meetings or via e-mail to coordinate strategies used in the clinic, home and classroom. The NeuroDevelopment program is receiving a warm welcome from Poudre School District and local learning advocates. Nikki Arensmeier, parent liaison for Integrated Services at Poudre School District sees the services provided by NeuroDevelopment as beneficial to students in the district. She says students have to score below the 12th percentile during testing to qualify for the special education services that the district provides. “I’m sure Dr. Skalicky probably sees a lot of students with learning disabilities who do not qualify for special education,” Arensmeier says. “He also sees students who do qualify, but benefit from a double dose of therapy.” She also believes Dr. Skalicky helps students who need more than just the educational therapy the district provides. “In the educational system we are limited to only providing educational therapies,” she says. “I am sure he is able to do some things that are beneficial but are not therapies we do in the schools.” “A few weeks ago,” states Dr. Skalicky, “I was invited to visit a local elementary school classroom to observe a child on the autism spectrum. The Poudre School District specialist was also there to observe this child and couldn’t have been more open to exchanging ideas.” Dr. Skalicky continues, “When educators, parents and providers come together good things tend to happen.”

NeuroDevelopment also works with other service providers in our community to help children get the support they need. “We see kids with speech and language delays and when we suspect an additional cognitive disorder, we send them to Dr. Skalicky,” says Elise Tobler, MA, CCC-SLP, executive director of the Children’s Speech and Reading Center in Fort Collins. “Oftentimes there is a lot going on with the child including speech, language, memory or motor delays. Dr. Skalicky acts as a case manager, prioritizing the therapy and figuring out what we really need to work on first.” “Many of the children we serve are referred from their primary care physician or psychiatrist,” states Dr. Skalicky. “We forward them our evaluation report and it gives them an additional perspective on how their patient’s behavioral and learning therapies are likely to

Grenz

* names changed to protect identities Kimberly Lock is a freelance writer who enjoys spending time with her husband and three kids in the Colorado outdoors.

NeuroDevelopment Center’s team: office manager Mary Walenter, Learning Clinic instructor Jill Salvaggio, psychologist Dr. Aaron Skalicky and psychologist Dr. Deirdre Teaford

orget summer school and tutoring. Skip the textbooks and reports and find a program that can improve your child’s ability to learn in a matter of 12 weeks. It is entirely possible, according to the owners of LearningRx in Fort Collins.

By Angeline

complement their medical care.” Often this results in an ongoing dialogue. “We sometimes receive notice from a physician’s office that a patient we share is struggling with a school or life change,” explains Dr. Skalicky, “This puts us in a position to help right away.” NeuroDevelopment Center estimates they help between 300 and 400 area youths. As a result of growth, NeuroDevelopment Center expanded in October 2009 to a new 1,700 square foot office at 608 East Harmony Road.

“Parents often worry that their children will take one step forward during the school year, and then backslide over summer vacation,” according to Mike Winchell, “Executive Brain Trainer,” along with partner Don Cassidy. “What if we could help your child take three steps forward while they are not in school?” he asks. Steps forward? What Winchell is referring to is actually years of cognitive function. They have countless experiences where struggling students, who were performing at a couple years below their age level, have improved their skills beyond their peers through LearningRx. Their goal is to train and enhance cognitive learning skills. This process aids areas such as reading and math, but can also enhance self-confidence, improve focus to complete a variety of tasks and even improve engagement in the social dynamic of work, school and beyond. People of any age (adults, too) can benefit from LearningRx programs, says Cassidy. But parents often find it highly valuable to enroll children who are about to move to a new learning level (perhaps from learning to read to reading to learn),

who are transitioning to middle or high school, or are behind their classmates in a customized LearningRx summer program. LearningRx customizes their preschooler program LiftOff or their all-ages program Think Rx to match the child’s goals in the available summer timeframe. Initially, the student will undergo a test and case history. Then LearningRx will set their specific goals. “A lot of gain can be made in 12 weeks,” the typical length of a summer program, says Cassidy. Winchell and Cassidy guarantee two years of gain in all cognitive skills through their 12-week program. Cognitive skill areas include auditory processing, visual processing, long-term memory, logic and reasoning, working memory, attention, and processing speed. Typically, students come an hour a day, Monday through Friday, during the program. Part-time programs are also available. Sessions include brain-training exercises that are at once fun and challenging. One such exercise has students reading from a multi-colored list of color names. The trick: read the color of the ink, not the word itself. As cognitive function improves, students get faster. Not all children who enroll in a summer session are struggling at school. Many come to enhance their performance at school or in hobbies; even sports activities at school can benefit from the program. “One student, for example, came to LearningRx to improve her skills and gain entrance to one of the top music schools,” recalls Winchell. Regardless of the goal, LearningRx can help students function better in a fun, non-academic environment. “We are what a gym is to a sport,” says Winchell, “We help your brain to learn more quickly and easily.”

wellness

Lifestyle

H ydrat e

“Chronic dehydration is

for your life

t only takes a few days without water for the human body to fail. And that’s because water, which composes at least 60 percent of the human body, plays an essential role in maintaining our health. From digestion to joints to body temperature, water is used in every system in our bodies. Staying hydrated is one of the easiest things we can do to care for ourselves. What’s not easy is figuring out how much water is enough. Even for an average, healthy adult, there are many different recommendations. The “8 x 8 rule” suggests drinking eight 8-ounce glasses of water a day. The Institute of Medicine counsels men to drink 3 liters (around 13 cups) and women to drink 2.2 liters (around 9 cups) of water a day. Or, you could divide your weight in half and drink that many ounces a day. According to the Mayo Clinic, drinking enough water or other fluids “so that you rarely feel thirsty and produce 1.5 liters (6.3 cups) or more of colorless or slightly yellow urine a day… is probably adequate.”

like playing with fire with By audrey springer

your health. Over time it increases the chance of

Those of us living in Colorado’s high, arid climates need to drink more water than average, as the environment and elevation cause us to lose water more quickly. It’s also important to increase water intake in hot weather, during exercise, when sick, or for pregnant or breast-feeding women, because in all these cases the body requires more water to function properly. People with certain health conditions, such as congestive heart failure, may require less water intake than average. Although plain water is your best bet, you don’t have to drink just water to stay hydrated. Juices, milk and fruits and vegetables also contribute towards your daily total. Even “dry” foods like bread contribute slightly to your overall hydration levels. But watch your caffeine intake. In moderation, coffee and other caffeinated drinks help keep you hydrated. However, consuming more than 500 to 600 milligrams (4 to 7 cups of coffee) produces a diuretic effect, which increases urine output and may be dehydrating. Alcohol in any amount is also a diuretic.

illness, and a person is more prone to injuring muscles, ligaments and tendons.” – Nancy Stilson-Herzog, personal trainer at The Other Club and off-ice conditioning coach at Edora Pool and Ice Center (EPIC)

Too little or too much

When there is not enough water in the body, dehydration occurs. Mild dehydration can result in muscle weakness, tiredness and headaches. Severe dehydration – which requires immediate medical attention - can cause sunken eyes, low blood pressure, fever and unconsciousness. Some signs of

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dehydration include little to no urination for eight hours or more, dark yellow urine when you do urinate, dry mouth, dizziness and lightheadedness. While dehydration can be problematic in the short term, chronic dehydration can lead to even more trouble. “Chronic dehydration (which many people suffer from) is like playing with fire with your health,” warns Nancy Stilson-Herzog, personal trainer at The Other Club and off-ice conditioning coach at EPIC, both in Fort Collins. “Over time it increases the chance of illness, and a person is more prone to injuring muscles, ligaments and tendons.” Chronic dehydration can also result in the formation of kidney stones. Although rare, drinking too much water can dilute sodium levels and lead to hyponatremia, a condition where there is not enough sodium in the body. Since sweat contains sodium in addition to water, marathon runners and other endurance athletes who rehydrate with water are at an increased risk. If you’re active and sweating for more than 60 minutes, it’s better to rehydrate with sports drinks. People with kidney disease or heart failure also have an increased risk of developing hyponatremia. Symptoms include nausea and vomiting, muscle spasms or cramps, fatigue and seizures.

Bottled vs. tap

Does concern about the quality of your tap water have you drinking bottled water instead? Don’t be fooled by their marketing – bottled water is not necessarily purer or cleaner than tap. A 2008 report by the non-profit Environmental Working Group found that of the 10 major bottled water brands they tested, all contained contaminants at virtually identical levels to tap water. In fact, some bottled water may simply be packaged tap water. A 1999 study by the non-profit Natural Resources Defense Council found that between 25 and 40 percent of bottled water was simply bottled tap water. And, because FDA regulations do not require bottled water companies to disclose water quality information, it is unknown if those numbers have changed substantially over the last 11 years. By contrast, tap water is regulated by the EPA, which mandates that public water companies send out annual water quality reports to its customers that detail the source and content of their water. According to the EPA’s website, “Over 90 percent of water systems meet EPA’s standards for [safety].” If its water does not meet EPA standards, a company is required by law to inform its customers about the problem and precautions that should be taken. For those still concerned about their water, filtration may be a better – and overall less expensive – alternative to bottled water. A variety of filters are available, from filtered pitchers that improve taste and can reduce lead, to reverse-osmosis filters that remove most chemical contaminants.

Got water?

No matter who or where you are, you need water to stay alive. So the next time you feel a little tired or out of sorts, consider drinking a glass of water – it may be just the remedy you need.

Audrey Springer is an intern at Style Magazine.

Lydia’s STYLE Magazine

tap water are the additives safe? By corey radman

ap water is regulated for quality and safety by the Environmental Protection Agency. U.S. water supplies are federally required to undergo rigorous testing. Tens of thousands of tests are performed throughout the year to ensure exceptionally good water. After local water treatment plants filter water, chlorine and fluoride are added. But how safe are these additives in our local tap water?

Chlorine

The EPA is currently researching the long-term effects of disinfection byproducts, but has not yet conclusively proven that chlorine’s byproducts in water are carcinogenic in humans. Pat Kendall, PhD, RD Associate Dean for Research at CSU says, “There is no good evidence that the byproducts of chlorination cause cancer, and without chlorination, we’d have more issues with bacteria and parasites in our water, which could cause health issues.” Issues like typhoid and diphtheria. According to the EPA, thousands of people died each year from waterborne diseases before disinfection was instituted in the early 1900s. John Monson, Water and Sewer Director for the City of Greeley, sums the argument up succinctly: “Chlorine has saved more lives than all the doctors that ever lived.”

Fluoride

The city of Fort Collins launched a citizen task force to evaluate fluoridation in 2003. Their report cites the potential risks of ingesting too much fluoride such as enamel fluorosis of the teeth and a lifetime accumulation of fluoride into bone that possibly increases the risk of bone fractures. The committee also noted fluoride’s benefits, including the prevention of dental caries. According to the report from the Fort Collins Fluoride Technical Study Group: “It appears that community water fluoridation is effective in all age groups in preventing dental caries. Among the 14 recent studies reviewed in which water fluoridation was discontinued, nine showed an increase in caries rates.” “At the end of the day, the committee felt the benefits of fluoridation still outweigh the risks,” says Kevin Gertig, Fort Collins Water Resources and Treatment Operations Manager. “We use the standards set by the regulatory agencies, and it is still a recommended practice by the CDC and the local health department.”

Northern Colorado Medical & Wellness 2010

Update Your Ride

Finding the Right Shoe Choosing the correct shoe makes an impact on both comfort and performance. Not all shoes are created equal; neither are feet. Knowing your gait pattern, foot strike tendency and overall training plan can put you in a shoe that will help accomplish your fitness goals. Enter John Lonsdale, owner of Foot of the Rockies, who has 32 years experience steering runners, walkers and trail runners to the correct shoe. Here is Lonsdale’s accumulated knowledge to help you during your next shoe purchase: 1.

4. Northern Colorado has embraced the bicycle in all its forms: road, mountain, tandem, cruiser and recumbent – even the occasional unicycle. With pristine trail systems, wide bike lanes and a culture that reveres the bike more than the car, there are few reasons not to get caught up in the bicycling fervor. But if several years have passed since you strapped on a helmet and hit the pavement on two wheels, you may consider upgrading your ride. Road and mountain bikes are lighter and slicker than ever, making cycling more comfortable and a more enjoyable challenge. “Older bikes don’t hold a candle to new bicycles in terms of comfort,” says Mike Geoffrion, general manager of Peloton Cycles in Fort Collins. “And today, there is a bike to fit everyone.” Rather than a one-size-fits-all approach, many bike lines come in a variety of frame sizes to fit different body types and riding styles. The components – seats, stem, crankarm, the shape of the handlebars – can also be adjusted for a better fit. Comfort should be the overall deciding factor when shopping for a new bike. “The size of the bike is very subjective. Work with someone who is trained to fit you, but also trust what is comfortable to you.” More than ever before, women-specific options are available to accommodate women’s longer legs, shorter torsos and smaller hands and feet. Today, bikes are designed to be light. A serious road bike constructed of carbon fiber can weigh as little as 14 pounds. They are also made to absorb

the shock from the road with full suspension bicycles available for road or mountain bikers. New materials are extremely strong and long lasting, making a new bicycle a sound investment with a great lifespan. Think through your intended use when choosing a new bike. The investment can range from $700 to $7,000 for many bikes, with great options in every price range, says Geoffrion. Recreational users can choose options that give them a comfortable ride for minimal use or a bike made to handle punishing, high endurance rides. “Many of our customers start out with an entry-level bicycle and come back in a year or two for an upgrade,” he says. Accessories can enhance function and comfort. Computers that monitor speed, temperature, heart rate and altitude/slope come in handy. Today’s helmets are lighter, more comfortable and better ventilated than their older counterparts. Saddles and pedals can be changed out to make your ride easier or faster. “Cold” black clothing, which repels sunlight, and chill jackets to keep your water bottle cold are a few additional options for a better ride. If it has been a while since you tackled the roads on a bike, take advantage of a series of bike safety presentations put on by the City of Fort Collins. Visit www.fcgov.com/bicycling for more details. Need further motivation? Bike to Work Week in Fort Collins is June 21 through 27. A variety of activities - including free breakfast – make this week a great event.

I always ask if you have purchased a running shoe before. If you have, I ask if the shoe worked. The best advice I can give is to replace that shoe. If you decide to try another, I will put you in a shoe that complements the style you have been wearing. Bring in an old pair of shoes. We look at the wear pattern and perform a foot gait analysis to determine what style shoe you need. We tape you running barefoot and then in a neutral shoe on a treadmill. Once we determine the style of shoe needed, we have you run on the treadmill in that shoe. Are you a pronator or a supinator? A floppy foot acts as if it is hinged from side to side. The foot lands on the outside of the heel and rolls in – pronation. A rigid foot rolls through the foot strike, putting too much stress on the outer foot and toes – supination. Men tend to have rigid feet requiring a more cushioned ride, whereas women are generally pronators and require a more rigid, responsive ride. Other questions I ask: How long will you be running or walking? What is the goal race and/or weight? Where do you run or walk? We use the same fitting technique for running, walking and trail shoes. Walking shoes generally have a lower profile and less heal cushion than running shoes. Trail shoes are also less cushioned, but have more traction and a more rigid, durable upper. When it comes to fit, the length should be comfortable, allowing an index finger distance between the end of the toe box and the big toe. An obvious sign the shoe is too narrow would be when laces are pulled too close together. Heel fit is the most important fit; when running or walking the foot should be held in place by the heel cup securely.

Over the years, says Lonsdale, shoe styles have become more sport-specific and buying quality is important. “Runners and walkers should not skimp when it comes to footwear,” he says, “Modern technology and state-of-the-art materials have vastly improved the quality of shoes. People wearing worn out or lower-end shoes run the risk of injury.” Change your shoes regularly if they are getting heavy use. “We suggest people change shoes every four to six months or 400 to 600 miles,” says Lonsdale. “Running on worn out shoes causes your legs to become the shock absorbers. Keep track of the date you bought your shoes or the mileage you have put on them, and get a new pair before your knees start screaming at you!”

Lydia’s STYLE Magazine

Get Fit, Give Back Calendar Many of these great events donate a portion of their proceeds to local and national non-profits. So get off the couch, strap on your tennis shoes and get out there for a worthy cause.

may

16 – Community Classic Bike Tour, 6:30 a.m., McKee Medical Center, Loveland, benefitting the Banner Simulation System at McKee 16 – CSU Oval 6 Day Races, consecutive Sundays beginning on May 16 through June 20, 5 p.m., www.fcgov.com/bicycling/events.php 22 – Take a Kid Mountain Biking Day, 9:30 a.m., Pineridge Natural Area, Fort Collins, www.overlandmtb.org 22 – Pink Boa 5K Run/Walk, 8:30 a.m., Front Range Village, Fort Collins, benefitting Hope Lives!, www.hopelives.org 23 – Summer Sprint Triathlon, 6:30 a.m., Union Reservoir, Longmont, www.withoutlimits.com 29 – Pelican Fest Triathlon, 8 a.m., Windsor, www.t2coaching.com 31 – Houska Houska 5K, 9 a.m., Fort Collins, benefitting the Bone Marrow Program and PVH Cancer Center, www.houska5k.com

june

5 – Fire Hydrant 5K, 8:30 a.m., Fort Collins, benefitting the Larimer Humane Society, www.larimerhumane.org 5 – Linnea Memorial Pet Walk & Adopt-a-thon, 9 a.m., Spring Canyon Community Park, Fort Collins, benefitting the Linnea Memorial Foundation and local animal charities, www.linneamemorial.org

Northern Colorado Relay For Life Events The American Cancer Society’s Relay For Life is an annual event taking place in communities across the globe. The Relay features teams who take turns walking or running on tracks in each community. Because cancer never sleeps, Relay events continue for as much as 24 hours. Relay For Life events will take place in Fort Collins, Loveland, Greeley, Windsor and Estes Park. Sign your team up today and help raise funds and awareness and do your part to help save lives.

5 – Ride de Rist, 7:30 a.m., Masonville, www.fccyclingfest.com

Dates and Times in Northern Colorado Fort Collins: June 5 and 6, Fort Collins High School, 4 p.m. to 8 a.m. Loveland: June 12 and 13, The Ranch – Larimer County Fairgrounds, time TBD Greeley: June 4 and 5, Island Grove Regional Park, 6 p.m. to 8 a.m. Windsor: July 16 and 17, Eastman Park, 6 p.m. to 8 a.m. Estes Park: July 23 and 24, Estes Park High School, 6 a.m. Visit www.relayforlife.org for more details. 19 – Katelynn Stinnett National Memorial Ride 2010, 10:15 a.m., Loveland, benefitting Crossroads Safehouse, www.ksrunco.com

6 – Greeley Triathlon, 7 a.m., Promontory Point Park, Greeley, www.greeleytriathlon.com 6 – Longmont Triathlon, 7:30 a.m., Centennial Swimming Pool, Longmont, www.ci.longmont.co.us/rec/special/triathlon.htm 11 – 2010 Drive FORE! The Point Charity Golf Tournament, 8 a.m., Pelican Lakes Golf and Country Club, Windsor, benefitting Turning Point Center for Youth & Family Development,www.turningpnt.org

19 – 3rd Annual Mulligan’s Pub Charity Golf Tournament, 6:45 a.m., Southridge Golf Club, Fort Collins, benefitting the Shared Journeys Brain Injury Foundation, www.tournevents.com/Mulligans 19 – Father’s Day 5K Run/Walk, 8 a.m., Boardwalk Park, Windsor 20 – Father’s Day 5K, 8 a.m., Old Town, Fort Collins, www.fcgov.com/recreation

13 – Estes Park Marathon, 7 a.m., Estes Park, benefitting the Estes Valley Youth Center, www.epmarathon.org

21 – Longest Day’s Run, 6:30 p.m., Pelican Lakes Golf Course, Windsor, benefitting the American Diabetes Association, www.rmpeakfoundation.org

13 – Horsetooth Mountain Trail Race, 7:30 a.m., Horsetooth Mountain Open Space, Fort Collins, benefitting Athletes in Tandem, www.blueskyredstone.com

26 – Lifestyle Centre 5K Run/Walk, 8 a.m., Fort Collins, benefitting the Parkinson’s Support Group of Larimer County 26 – Lake to Lake Triathlon/Aquabike, 6:30 a.m., Lake Loveland, www.lovelandlaketolake.com

july

Pineridge Natural Area

4 – FireKracker 5K, 8 a.m., City Park, Fort Collins, www.fortcollinsrunningclub.org 11 – Red Mountain Trail Race, 8 a.m., Red Mountain Open Space, north of Fort Collins, benefitting Athletes in Tandem, www.blueskyredstone.com

The Pineridge Natural Area is the location of May 22’s Take a Kid Mountain Biking Day. Year-round the natural area is a great place for hiking, biking, horseback riding or just walking the dog. Pineridge area is at the southern end of the Foothills Trail and features seven miles of soft surface trail that loops around Dixon Reservoir. For more information visit www.fcgov.com/naturalareas.

11 – KRFC’s Radio Flyer 5K Run, 8:30 a.m., CSU Oval, Fort Collins, www.krfcfm.org 17 – Loveland Classic, 7 a.m., Centerra, Loveland, benefitting Thompson Valley Preschool

N E

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Northern Colorado Medical & Wellness 2010

18 – New Belgium’s Urban Assault, 9 a.m., Fort Collins, benefitting Fort Collins Bike Co-op, www.urbanassaultride.com 24 – Run for Hope 5K, 8 a.m., City Park, Fort Collins, benefitting the Caring for Carcinoid Foundation and the PVH Cancer Center, www.runforhope.net

wellness

Th e

Diet Trends

hCG

D iet:

can it help you?

These young men were injected with hCG to jumpstart their delayed puberty. It worked, and an unexpected side effect was observed: their bodies were reshaped. Without any dietary changes, their hip areas slimmed down. After spending the next two decades studying hCG, Dr. Simeons developed the hCG protocol, a multi-phase weight loss plan, which he first published in 1954. His recommendations combine a very low calorie diet – 500 calories a day – with administering small doses of hCG.

other weight loss plans, many people are finding

By Graciela Sholander

Back in the 1930s, Dr. A.T.W. Simeons discovered a new weight loss factor quite by accident. A British endocrinologist (or hormone specialist), he was treating a group of obese, sexually underdeveloped adolescent boys when he noticed an interesting effect of a hormonal substance called human chorionic gonadotropin, or hCG, often dubbed the “pregnancy hormone.”

After marginal results with

Fast forward to the present. There is renewed interest today in Dr. Simeons’ weight loss protocol among medical professionals and overweight patients alike. Several local traditional and holistic practitioners have created weight loss programs based on the original method developed half a century ago by Dr. Simeons. Hundreds of people have gone through these programs, and the results speak for themselves. “Patients who have struggled with other diets or who fail to lose weight despite regular exercise have found this diet to be manageable and perhaps easier than others,” says Dr. Rebecca de la Torre, family medicine board-certified physician at Allura Skin & Laser Clinic in Loveland. “The daily weight loss that one sees is the positive reinforcement that one often needs to complete this program.”

success with the hCG diet.

The hCG Factor

HCG plays a number of roles in medicine. Produced in abundance by pregnant women to maintain a healthy pregnancy, hCG is a marker

Lydia’s STYLE Magazine

detected in home pregnancy tests. It’s also used in both male and female fertility treatments, as well as in treating delayed puberty in boys. In weight loss, hCG – administered via injections or drops – appears to play two very important parts: release of stored fat deposits and natural hunger suppression. These two keys make the hCG diet a more promising alternative than other very low calorie diets. Because the individual is using calories that come directly from stored fat reserves, he or she can comfortably get by on just 500 calories of food a day. Proponents believe that the diet serves to reset the hypothalamus, which is responsible for regulating certain metabolic processes. “The most important factor in the hCG plan is that it releases stored ‘famine’ fat into the body to be used as fuel,” notes Maria Boldry, alternative health practitioner and owner of Results ARE Typical, which has 11 affiliates along the Front Range. “Other programs force the body to utilize dermal and structural fat. These plans often have their participants looking gaunt or drawn because of the loss of the soft, cushioning fat just under the skin. The hCG does not allow the body to use the dermal or structural fat.” “With the decrease in adipose fat with the hCG plan,” she continues, “there are chemical reactions in the body that allow the hypothalamus to stabilize at a new set point even after going off the hCG. HCG is a short-lived program, and after following the maintenance, the participant is amazed that the scale remains steady at their new set point.”

Trying It Out Themselves

For many medical practitioners, trying is believing. A number of Northern Colorado practices now offer customized versions of the hCG diet after

Beverly E. Donnelley, M.D., OB/GYN, Women’s Clinic of Northern Colorado

Northern Colorado Medical & Wellness 2010

Phases Of The Diet The diet involves several phases, and each clinic implements them slightly differently. Boldry, who offers the homeopathic version of this diet with hCG administered through drops, explains that Phase 1 of her program involves mental and physical preparation, including evaluation of current health history and discussion with one’s primary care physician. “Phase 2 is the part of the program that includes the hCG formula. It is taken three times per day under the tongue. The hCG provides natural appetite suppression (non-stimulant) and assists the body in opening up its abnormal fat reserves, which are not typically available during normal dieting or exercise. This part of the program is anywhere from 23 to 40 days in length depending on how much weight the participant wants to lose.” In Phase 3, hCG is no longer taken and the individual focuses on healthy eating habits. Phase 4 is an additional maintenance period that reaffirms these new eating practices. Once the program

Rebecca de la Torre, M.D., Allura Skin & Laser Clinic

doctors and staff members garnered impressive results on their own. Beverly E. Donnelley, M.D., OB/GYN at the Women’s Clinic of Northern Colorado, decided to try the diet after being advised by her physician to lose weight. “For health reasons I embarked on the diet myself in November 2008. I was able to lose 21 pounds fairly quickly. At the time I thought, ‘I need to offer this to my patients.’ It was such a phenomenal discovery. After a second round, I am almost back to my pre-pregnancy weight.” Dr. Donnelley began offering this diet to her patients in January 2009. Allura Skin & Laser Clinic developed their hCG diet program after a staff member’s success with the protocol. “The addition of this service was recommended by Anita Burrington, registered medical assistant, who has worked for me for

several years both in my former medical practice and at Allura,” says Dr. de la Torre. “Anita tried this diet in the spring of 2008 and found it to be a reasonable, affordable and successful program. Based on her unsuccessful experience with various diets and her very successful weight reduction with hCG, the large number of patients we see who have struggled with their weight, and my medical background as a family physician, we decided that the hCG weight loss program was a perfect fit for us and our patients.” “I found the hCG program by accident through a friend,” explains Anita Burrington, who runs Allura’s hCG diet program. “I did the 40-day protocol and lost 22 pounds, even after messing up the first week. I was thrilled! I continued to lose weight after that round and thus far, I’ve lost a total of 48 pounds.”

Tamara K. from Loveland began the hCG diet in June 2009.

Lydia’s STYLE Magazine

is completed and enough time has elapsed, an individual can embark upon a new round to lose additional weight, if desired. Anita Burrington strives for a healthy balance of support and independence for patients through Allura’s program. After doing a full consultation, which includes teaching patients how to use tiny insulin needles to self-administer hCG doses via injection at home, Burrington encourages them to contact her as often as they want. “They get my cell phone and email address. We don’t make them come in to do weigh-ins or any of that. We let the client run the program the way they want to. They have the option to come in if they want. But much of it is done over the phone or email. Most people are thrilled by this.”

Is It Safe?

Not everyone is sold on this diet. After Dr. Simeons developed his protocol, a number of studies were conducted to test and measure its effectiveness. Some were inconclusive; others indicated that CONTINUED ON PAGE 71

Tamara has lost more than 70 pounds since starting the diet.

Northern Colorado Medical & Wellness 2010

wellness

Prevention

Team Save Them All Big or Small

av o n walk f o r br e ast canc e r

in it to win it

here is a poem titled “Invictus” (Latin for “unconquerable”), by William Ernest Henley, which begins,

Out of the night that covers me, Black as the pit from pole to pole, I thank whatever gods may be For my unconquerable soul.

Unconquerable is the word for the thousands of men and women, many of whom are breast cancer survivors, who will walk 39.3 miles over the weekend of June 26-27 in the Rocky Mountains Avon Walk for Breast Cancer. In its 8th year, the Avon Walk is a series of nine fundraising events in cities across America. They began in April, in Houston, and from there, went on to Washington, D.C., Boston, Chicago, and will head on from there to the

By Laura Sebastian

Rocky Mountain walk in Summit County. Participants must raise $1,800 each to walk (donations are tax-deductible) and will journey 26.2 miles on Saturday, June 26, and 13.1 miles on Sunday, June 27. This year’s slogan is “In It to Win It,” and both the participants and the Avon Foundation itself truly are. Since its inception in 2003, the Avon walks have raised more than $320 million, with more than 120,000 women and men participating so far. “Today’s economy is making the funds raised by the Avon Walk even more important,” says Karyn Margolis, senior manager of public relations and communications for the Avon Foundation for Women. “With an unemployment rate in Colorado of 7.5 percent, many people no longer have the health insurance coverage that will enable them to get the breast cancer screening and care they need. Many of the organizations and institutions that deliver breast cancer care and research are experiencing

Invictus Out of the night that covers me, Black as the pit from pole to pole, I thank whatever gods may be For my unconquerable soul. In the fell clutch of circumstance I have not winced nor cried aloud. Under the bludgeonings of chance My head is bloody, but unbowed. Beyond this place of wrath and tears Looms but the horror of the shade, And yet the menace of the years Finds and shall find me unafraid. It matters not how strait the gate, How charged with punishments the scroll, I am the master of my fate: I am the captain of my soul. – William Ernest Henley, 1849-1903 Lydia’s STYLE Magazine

funding cuts. That’s why the funds raised by the Walks are more important than ever.” But the Walk is about much more than money; it’s a highly social event, meant to raise spirits as well as awareness. Walkers can go solo or form teams with friends and family and, upon registration (which is open right up to event time), each is partnered with an Avon staff member called a “Walker Buddy” who serves as a personal contact for everything from support in physical training techniques to fundraising ideas. The Rocky Mountain Walk will kick off with opening ceremonies, the content of which is kept a surprise. But whatever is in store, it is meant to motivate and inspire participants. Once they’re off, all along the way, walkers will have rest stops, lunch stops and, of course, the general hooting and hollering of support and encouragement from friends and family who will line the way. After the first day’s walk, buses will take participants to spend the night at Avon’s “Wellness Village,” described as “a cascade of two-person sleeping tents” with an Avon Walk Shop, medical services, evening entertainment called the “Fireside Follies,” yoga classes and even foot massages. Then, on Sunday, after the walk is completed and the closing ceremonies begin, the fun stuff is revealed: how much money was raised and which organizations were chosen to receive funding for 2010.

The Providers: Spreading Hope and Offering Help

Thus far, the Avon Foundation has awarded a total of more than $9.1 million to organizations and institutions in Colorado. Among them last year were La Clinica Tepayac, Project Angel Heart, the Children’s Treehouse Foundation, and the University of Colorado Cancer Health Sciences Center (all in Denver), the Pueblo Community Health Center and The Women’s Resource Center in Fort Collins. The Women’s Resource Center has been awarded grants from the Avon Foundation for the past seven years. Their slogan is, “The Women’s Resource Center – Because Money Shouldn’t Be a Barrier to a Woman’s Health.” With that mission in mind, the Center aids women who can’t afford health or dental care, helping uninsured women receive low-cost or free mammograms, connecting them with diagnostic and reproductive cancer detection procedures, teaching them about preventive care and even helping them find low cost dental care. These are some of the services the Avon Foundation’s grant ($35,000 last year) has helped to fund. The Center’s staff has served as supporters for the Avon Walk in previous years, attending the event and manning a rest booth to offer water, refreshments and a boatload of encouragement to the walkers as they cruise past. “Our partnership with the Avon Foundation has meant so much to us over the past eight years,” says Susan Stockton, the Center’s development director. “We’re committed to serving the low-income women of Larimer County and the funding we’ve received has allowed us to serve more women than ever before. We’re honored to be associated with the Avon Foundation and its Walk for Breast Cancer.”

Northern Colorado Medical & Wellness 2010

The Walkers:

Spotlight on Two of Colorado’s Teams

In 2009 the combined Avon walks included 21,000 participants, hundreds of thousands of donors and raised $42 million. The Rocky Mountain walk alone raised more than $2.6 million of that and drew 1,400 participants from 46 states, 143 of whom were breast cancer survivors. This year has brought some of the same people back to walk again and added many new ones. The Avon Walk is no somber affair, as some of the team names attest to. There’s “Save Them All Big or Small,” (aka Team STABOS), a group of eight women friends that includes Julia Cherry, Brooke Hupp, Shawna Fancher, Jennifer Alexander, Tricia Morrell, Julie Ward, and Nicole Wright, all from Loveland, and Chera Jansma of Fort Morgan. Hupp, an accountant at Mueller & Associates, CPA in Loveland, is the team’s cancer survivor. Diagnosed last February at the age of 37, Hupp has gone through treatment and is now cancer free. “I decided to join the Walk because I am able to and there are so many women who aren’t. As an added boost, my son Tanner, who’s 11, my daughter Rylee, who’s 3, and my husband Mike will all be there to cheer me on.” For Hupp, her cancer-free status makes the Walk a wonderful milestone: “It’s my powerful moment to mark the end of something bad.” Team STABOS has raised a portion of the $14,400 they need as a team, but fundraising is still the name of the game. “We hosted an event called ‘Beers for Boobies’ at Daisy Duke’s in Loveland in March and raised $3,000,” Hupp said. “We sold t-shirts and had a silent auction. It was wonderful. We just need to keep at it.” Julia Cherry, a homemaker, former medical assistant, and the team’s captain, met Hupp through their children’s school. “I’ve walked for Avon before and been a crew member and support person twice,” Cherry says. “Initially, I was challenged by the Walk itself, the physical

and fundraising aspect of it. But the reason I’ve continued to walk is the inspiration I get from the women. I admire their determination and their will to fight. The Walk is a sisterhood. I saw a button one woman had on at the Avon Walk a few years ago. It read, ‘I walk because I can’t walk away.’ That’s how I feel.” And then there is the “Ta Ta Trio,” a team that came together through a combination of fate and, strangely enough, hip surgery. Team captain Gayle Martinchick, whose mother is a 20-year survivor of the disease, is a certified nurse-midwife at the University of Colorado, an instructor at the University of Wyoming’s nursing school, and a registered massage therapist and owner of the Tranquil Health Massage and Wellness Center in Fort Collins. Her teammates include Patrick Roberts of Severance, Colo., retired, and now a self-described “house husband,” and Jill Trippel of Fort Collins, a nurse at Fort Collins’ Centre Avenue Health and Rehab Facility. Martinchick and Trippel were already friends, and Roberts joined the fray when pain from hip surgery drove him to seek help. “I went to Gayle for massage therapy five years ago and we became friends,” Roberts says. “My first Avon Walk was last year, when Gayle and Jill and I flew to do the Walk in Charlotte. It was just amazing, I didn’t expect the energy. Everyone was so friendly and I found it so inspiring. The surprise was I thought I’d be the only man there

but I wasn’t. I’ve now heard a lot of stories about men having breast cancer too. So I walk because breast cancer is something we need to find a cure for so the next generation doesn’t have to face it.” For Martinchick, this year’s walk will be her fifth, and in the years ahead she plans to complete Walks in all of the nine cities where Walks are held. “I walk for many reasons,” Martinchick says. “For my survivor mother, for my friend from high school who was diagnosed with breast cancer when she wasn’t even 40 yet, for all the women I’ve met over the years who’ve suffered from it. I walk for the one in seven women who will get it (one in four with a family history), and all the men too. I walk because every three minutes a new diagnosis of breast cancer is made in this country. I walk for a cure so that nobody else will suffer with it or die from it. And I walk for everyone who needs this Walk in order to make life a better journey all the way around.” The Ta Ta Trio is working on raising the $5,400 they need to participate as a team again this year and will keep at their fundraising until they do. Their goal, as the bumper sticker on Roberts’ car reads, is to “Save the Ta Ta’s.” According to Avon’s statistics, approximately 178,480 women and 2,030 men will be diagnosed with breast cancer this year in the United States alone. Of those, 40,460 women and 450 men will die from the disease. But more than two million others have gone through treatment and are survivors. With the help of those who walk this June, there will be even more. After the Avon walkers leave the Rockies, they will head out for Walks in San Francisco, Santa Barbara, New York and Charlotte. On and on, until a cure is found, they will walk, with all their humor and strength intact. Unconquerable. Laura Sebastian, who lives in Fort Collins, has worked as a freelance writer for 11 years.

Team Ta-Ta Trio

Lydia’s STYLE Magazine

Support Local Teams and Individuals:

5 1 2

team

STABOS Save Them All Big or Small Julie Cherry

3 4 5

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team captain

www.avonwalk.org/goto/juliacherry

Avon Walk for Breast Cancer

Brooke Hupp www.avonwalk.org/goto/bhupp

1-888-540-WALK www.avonwalk.org

Avon Walk for Breast Cancer

To support other Team STABOS members, go to “Team STABOS” link at www.avonwalk.org/goto/bhupp

(Rocky Mountains)

(303) 753-2363

team

info.rockymountains@avonwalk.org

TA-TA TRIO

For Questions Regarding Healthcare Assistance:

Gayle Martinchick

The Women’s Resource Center

www.tinyurl.com/gaylewalk

www.womens-resource.org (970) 484-1902 424 Pine Street, Suite 201 Ft. Collins, Colorado 80524

Northern Colorado Medical & Wellness 2010

team captain

Patrick Roberts www.tinyurl.com/avonwalkpatrick Jill Trippel www.mytinyurl.com/jtrippel

CONTINUED FROM PAGE 65

hCG is ineffective, while others showed that hCG is safe, effective and efficient. With such conflicting study results, some doctors are either skeptical or unwilling to explore this option. Many agree that newer studies would help clear up any doubts and misconceptions. Proponents, however, point to a number of reasons they consider the hCG diet both safe and effective. First, hCG is a natural substance produced in abundance by pregnant women but also detected in smaller quantities in both men and non-pregnant women. Since it’s normally found in the body, it’s easier for the body to handle. Another positive aspect is that hCG helps patients maintain healthy energy levels and feel strong while on a very low calorie diet. Local clinics offering the hCG diet make safety their top priority. Dr. Donnelley, who has an extensive medical background in hormones, does a thorough check of each patient before putting her on this diet. “I recommend that you have an EKG prior to starting the diet so I can be sure you don’t have any underlying significant heart disease or arrhythmias that might be an issue. I also check electrolytes and kidney and liver function. I like to do cholesterol panels beforehand.” The diet works well for adult men and women, with only certain individuals not allowed to participate. “Women who currently have or have had a female cancer (breast, ovarian, uterus), who are breastfeeding or pregnant, or who have eating disorders or certain psychiatric disorders cannot participate in the hCG weight loss program,” explains Dr. de la Torre. “Anyone over the age of 18 who wants to lose weight, whether it’s five or 60 pounds, and is motivated and compliant to follow the program to its completion is considered a good candidate. Patients who can safely participate and are encouraged to do so include those with diabetes, high blood pressure, arthritis, obesity and high cholesterol.”

The Results Speak For Themselves

Andy Hollums sought Boldry’s help after learning about the hCG diet from his best friend. “Having been overweight for most of my life, I had tried numerous diet plans over the years with little short term and no long term progress.” Weighing 365 pounds, Andy was ready to go through several rounds to get to his desired weight. “After one 40-day round of hCG, I lost 55 pounds! The craziest thing about the diet was how easy it was. After the first few days, hunger wasn’t an issue because my body was getting the nutrients it needed from my rapidly disappearing fat deposits. “I have now gone through three rounds of the hCG diet and I’ve lost over 100 pounds! It has had a huge impact in how I view myself and the problem of obesity. I never thought I would actually be able to wear the clothes I’m wearing now. I have and will continue to recommend the hCG protocol to anyone interested in losing weight and changing their lives forever.”

Graciela Sholander is a professional writer providing editorial services through www.ghostwritingplus.com.

veterinary

Eye Specialist

glauc o ma

and y o ur p e t By Graciela Sholander

t the Animal Eye Center in Loveland, Dr. Steven Roberts and his staff offer the latest technological advancements to try to preserve your pet’s vision.

Just like humans, pets are susceptible to eye disease, particularly as they age. But unlike people, our animal friends can’t tell us they’re losing their eyesight. That’s why it’s important to know the signs so you can intervene early, before eye disease has progressed too far to save your pet’s vision. Glaucoma affects dogs and cats much the way it does us. Caught early enough, it can be treated successfully. The disease is characterized by increased pressure inside the eye due to buildup of fluid that fails to drain properly. This pressure is as painful in pets as it is in people, and can lead to vision loss from damage to the optic nerve and diminished blood flow to the retina. The difference between pets and people is that a pet cannot complain and the early signs of eye

“The biggest problem I face is that I do not see most cases until the glaucoma is so advanced

pressure may be too subtle for easy early detection. An animal can have either primary or secondary glaucoma, with primary being an inherited condition most common in dogs and secondary resulting from other eye diseases such as advanced cataracts, injury to an eye, inflammation within an eye or eye cancer. Some cases progress quickly, becoming severe in a matter of hours or days. In other cases, glaucoma moves more slowly, advancing over several weeks or even months. Northern Colorado is fortunate to have a specialized eye center for pets that treats glaucoma and other eye conditions in dogs, cats and exotic animals. The Animal Eye Center in Loveland, headed by Steven M. Roberts, DVM, offers cutting edge technology to preserve a pet’s vision whenever possible. Specializing in veterinary ophthalmology, Dr. Roberts notes that early detection, which can be tricky in pets, often makes the difference between losing and saving vision. “The biggest problem I face is that I do not see most cases until the glaucoma is so

that permanent optic nerve damage is already present.” – Steven M. Roberts, DVM Animal Eye Center

advanced that permanent optic nerve damage is already present.” Though signs may be difficult to spot, knowing what to look for can help you get your pet to the veterinarian early. “Dogs show symptoms the best,” say Dr. Roberts. “Cats tend to mask the symptoms until late in the disease, and most of

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their glaucoma is secondary to other problems with the eye such as a tumor, inflammation or prior injury. Exotic pets rarely have a problem with glaucoma. The earliest signs in a dog are redness of the conjunctiva and sclera, a very small pupil (less than two to three millimeters in diameter) and acute loss of vision.” The sclera is the white part of the eye, while the conjunctiva is the clear tissue that covers it and lines the eyelids. Other glaucoma signs to look for in pets include squinting, rubbing the eye region, not noticing people or animals at a distance, and poor night vision. Signs of more advanced glaucoma include a cloudy cornea, dilated pupils and a pink eye appearance. Any unusual eye-related symptoms or behavior should be checked out by a veterinarian, since the culprit could be glaucoma or another condition such as eye injury, inflammation, conjunctivitis, retinal disease, blocked tear ducts, tumors or cataracts. “With the exception of correcting near- and far-sightedness, I deal with the same problems in animals that people have,” says Dr. Roberts. “We diagnose, treat and undertake surgery in all sorts of eye disorders depending upon what is best for the animal and owner.” The Animal Eye Center uses state-of-the-art diagnostic tools including high-resolution ultrasound imaging. This tool yields highly detailed, precise images of the eye anatomy in question. “Ultrasound allows direct viewing of the living tissue in action,” notes Dr. Roberts. “This is the only clinically practical method of actually seeing what is going on.” Most animals don’t need to be sedated for this diagnostic procedure, but sedation may be recommended if the part of the eye that needs to be imaged is hard to reach, or simply to make the experience less stressful for the pet. One of the treatments for glaucoma available at the Animal Eye Center is a revolutionary technique called endoscopic cyclophotocoagulation, or ECP. First, a tiny fiber optic probe is inserted into the eye. Laser energy is used to treat the diseased area and reduce pressure. Dr. Roberts is able to view the surgery on a high-resolution monitor, allowing for superior precision. Overall, ECP yields results comparable to other techniques but with far less damage to the delicate eye tissues. Area veterinarians like Catharine Speights, DVM, owner of Countryside Animal Hospital in Fort Collins, refer a wide spectrum of eye conditions to the Animal Eye Center. “It is very important to get glaucoma diagnosed quickly, because waiting too long may cause unnecessary pain and jeopardize the eyesight. We tend to refer patients to the Animal Eye Center earlier rather than later. We explain to our clients how important it is for early diagnosis, and how it’s critical to start treatment right away.” “We absolutely trust the judgment of the Animal Eye Center,” she continues, “so we’ll suggest to our clients that we work together with the center to make the best decision for their pet. They are professional, skilled and compassionate. Dr. Roberts is extremely generous with his time, and always gives my clients the highest level of attention and understanding.” Graciela Sholander lives and works in Northern Colorado with her husband Kevin and their two children, Susanne and Spencer.

Northern Colorado Medical & Wellness 2010

See the Difference a Specialist Makes Internal Medicine Ellen Miller, DVM, MS, DACVIM Lauren Prause, DVM, MS, DACVIM Radiology Jennifer Lowry, DVM, MS, DACVR Sandy Van Camp, DVM, DACVR Surgery Chad Devitt, DVM, MS, DACVS Brian Van Vechten, DVM Tara Britt, VMD, DACVS Dentistry Clarence Sitzman, DVM, DAVDC Dermatology Linda Messinger, DVM, DACVD Andrea Lam, DVM

SPECIALTY MEDICINE, PERSONAL CARE Please contact your family veterinarian for a referral to Peak Veterinary Specialists Peak Veterinary Specialists 4630 Royal Vista Circle, #11 Windsor, CO 80528 970-674-1775 fax: 970-674-0900 www.peakvetspecialists.com

VETERINARY

F E E D

Pet Nutrition

YOUR

PET

THE RIGHT WAY BY ANGELINE GRENZ

n 2009, $45.5 billion was spent on pets in the U.S. Of that, $17.56 billion was spent on food, according to the American Pet Products Association. Where once dog and cat food choices were relegated to short rows in grocery stores, today we see boutique stores dedicated to the latest, greatest pet foods and supplies. At the same time, the pet food scare of 2007 has many wary of dog and cat foods commercially produced overseas. With good nutrition, dogs and cats are living longer. Diseases are now being identified earlier and nutrition is playing an ever-important role in treatment. So, how should we be feeding

our pets and how do we know what the best foods are? Guidelines do exist and more is known about pet nutrition than ever before. Here are some tips to help get you started in the quest to feed your pet well for life.

How to Feed Your Pet

One of the most basic and valuable steps to feeding your pet is to know your breed. “I love it when my clients have taken the time to learn about their particular breed so that they are aware of the unique problems or issues with each breed,” says Douglas Leidholt, DVM, with Moore Animal Hospital. Certain dog breeds can have tendencies to stomach problems, skin problems, diseases, etc.

Knowing what potential health problems your breed may have in the future can influence your choice of what and how you feed your pet. Many foods are also geared towards breed size and some are even breed-specific. Toy breeds and large and giant breeds all need different kinds of nutrition because of different growing patterns and maturity rates. The next important factor is to feed your pet according to lifestage. “Puppies need higher protein and caloric content,” says Matt Gauthier, owner of Wagz of Colorado, a pet boutique in Fort Collins. “As an example, large breed puppy food will keep growth under control.” Large breed puppies can continue on puppy food until 2 years old. Smaller breeds mature more quickly and can move to adult food as early as 10 months. Certain breeds will also move to senior foods more quickly. A large breed can be considered a senior around the age of 5, average-size breeds at age 8 and toy breeds at around 10 years. Cats tend to be more standard – they are considered mature at 7 to 8 months and seniors at 10 to 11 years. “The best way to feed an animal is with lifestage feeding,” says Robin Downing, DVM, of Windsor Veterinary Clinic. A general food prepared for “all lifestages,” continues Dr. Downing, is “most often designed to support the highest life energy stage – a dog or cat that is lactating and requires the highest energy – but is this really what a puppy needs or an inactive elderly dog?” When feeding your puppy or kitten, Maura Buckner, DVM, Dr. Leidholt’s colleague at Moore Animal Hospital, recommends tapering food after puberty. “Dogs and cats are meal feeders,” she says. “After puberty (generally 7 to 8 months) measure what you feed them and watch for weight gain. And know how much you are feeding your animal by using an actual measuring cup.” She also suggests feeding a young animal, from 8 to 12 weeks, four times a day. From 12 to 16 months feed three times a day, and after 16 months, you can drop to feeding your pet two times a day. Dr. Leidholt advises following the recommended serving on your food package – initially. “Not every dog’s metabolism is the same. Nor is it the same in dogs and cats. Watch your dog and cat to see if they drop or increase weight.” A fit animal has an hourglass shape, he adds. Their figure should be wider at the ribs, tucked in at the waist and wider at the hips. If you notice your pet is gaining, cut back on the amount you are feeding. With dogs, you can adjust the volume of food each day, even skipping a day if necessary, says Dr. Leidholt. With his own Labrador, Dr. Leidholt will reduce or increase food depending on activity level for the day. Cats, on the other hand, need more regular feedings. Routinely skipping meals with a cat can even be fatal. Dr. Leidholt recommends visiting with your veterinarian for a meal plan if you notice your cat is gaining weight. If your pet, dog or cat, is obese, work with your veterinarian to safely regulate their feeding. When feeding snacks, Dr. Leidholt says it is best to be sparing, look for high quality snacks that are low in salt and fat, and monitor how much you feed your pet – too much of a good thing can throw off your pet’s diet. The same holds true with feeding your pet “people food.” Dr. Leidholt suggests that an occasional dinner scrap is okay if it is given in moderation and reminds pet owners that the manner in which it is fed will ingrain behaviors

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The Downing Center would like to congratulate Windsor Veterinary Clinic, our sister practice, for heing named one ofthe eight hest veterinary practices in North America. Kudos also to Dr. Rohin for completing certification in animal chiropractic!

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– feeding at the dinner table will teach your pet to beg. Dr. Buckner takes a stronger stance, recommending people avoid feeding their pets people food completely.

What to Feed Your Pet

The recommendations for how to feed your pet are much easier to navigate than the question of what to feed your animal friend. “Anyone can make a pet food,” says Dr. Lesley Leach, the third veterinarian at Moore. “Always consider price and reputation.” Dr. Buckner adds, “Buy the most expensive food you can afford. In pet foods, quality really does equate with higher end foods.” This is a question Gauthier is asked regularly at his store. He recommends becoming familiar with the labels on dog and cat foods. By law, ingredients

are listed according to weight, so he suggests that a meat source be listed in the first three ingredients, along with healthy carbohydrates, such as brown rice and vegetables. But all protein sources are not created equal, says Gauthier. While a protein meal, such as chicken meal, is okay, beware of byproducts. Protein byproducts can be made of almost anything, he warns, and are best avoided. Robin Loeb, owner of Arfy’s Mercantile and wholesale pet treats, agrees. “My first advice is to know what you are looking for and what you are looking to avoid,” she says. Her second piece of advice, “monitor what comes in and what goes out.” She also suggests – “read labels, ask questions and make choices on purpose.” Arfy’s produces wholesale treats made out of human-grade food Robin Downing, DVM, Windsor Veterinary Clinic

products, with no salt, sugar or preservatives added, and has recently introduced a grain-free version of her treats at her clients’ request. “The biggest fallacy I hear is that the food is too expensive,” says Gauthier. “More expensive food often has better quality ingredients.” To incentivize his clients to buy higher-end food, Wagz offers free home food delivery, guarantees the lowest prices in Fort Collins, and is about to unveil a cash back loyalty program. Dr. Leidholt adds that higher end food may not be as expensive as many people think. “Quality food can increase your pet’s lifespan by two years. And you end up feeding your pet less food, which also means less waste.” When you factor in those details, coupled with a healthier pet with less disease, the cost comparison is much closer than many realize. Dr. Leidholt also recommends feeding your cat a soft food diet, with plenty of water, to keep your cat hydrated. Dr. Downing suggests that pet owners take a further step when choosing their pet’s food. “You can’t compare labels to labels,” she says. In order to know the exact food formula and its impact on your pet, she recommends contacting food companies to request dry matter analysis and feeding trial results. These quality-measuring controls can identify which companies have invested the necessary scientific research into their products.

Matt Gauthier, owner, Wagz of Colorado

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Robin Loeb, owner, Arfy’s Merchantile

Dr. Downing also recommends the textbook Small Animal Clinical Nutrition, in its 5th edition, for pet owners who would like to educate themselves further on wellness and therapeutic pet nutrition. “This is a great resource for pet owners,” she says. To understand the importance of good nutrition, consider what it can do for a dog or cat with a disease. “We now have therapeutic nutrition available for the management of medical profiles, for example heart disease,” says Dr. Downing. These products have specific nutrients to help increase life quality, decrease need for insulin, and increase life expectancy. Some diseases, like renal failure, are almost strictly treated by nutrition, adds Dr. Leach. “And almost any disease has a strict nutritional diet as part of treatment.” Many of these foods are available by prescription only through your veterinarian. Moore Animal Hospital carries the breed-specific Royal Canin line; Windsor Veterinary Clinic carries the Hills Prescription Diet line.

A Word of Caution

A universal word of caution has also emerged when it comes to pet nutrition. Neither the pet food retailers nor veterinarians we interviewed supported feeding your pet a raw diet unless you happen to be under the guidance of an expert. In fact, they warn against it because of the dangers raw diets can pose for both pet and owner. “Marketing today tells us that we need to feed our pets like they were fed in the wild. But there is no board certified nutritionist that would share that opinion,” says Dr. Downing. Dr. Leidholt adds, “What people don’t understand is that in the wild, animals ate the entire creature: liver, intestines, stomach. The meat was more of a filler, and the rest of the animal provided the nutrients.” “You need to be highly educated on the minimum vitamins and minerals needed for a balanced, healthy diet, if you plan to make your pet’s food at home,” says Gauthier. Loeb recommends that her clients only pursue this diet for their pets “if their pet has a very serious need and they are really into nutrition.”

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The veterinarians of Moore Animal Hospital: Lesley Leach, DVM, Douglas Leidholt, DVM, and Maura Buckner, DVM Some people make the mistake of thinking that a raw diet is less processed and therefore good for their pet. “But in animal processing, manufacturers make vitamins and minerals easier for your pet to digest,” says Dr. Downing. Another compelling reason to avoid raw diets stems from the risks to humans. There have been instances of contamination found in raw foods – E. coli and salmonella – that have transferred to humans and pose life-threatening danger to young children and anyone with a compromised immune system.

The Bottom Line

Nutrition has rightfully become one of the largest components in your pet’s health. And unlike genetics and other factors, it is the one area that is most under the pet owner’s control. Whether you are just beginning the journey with a new kitten or puppy or your pet is moving into its senior stage of life, make investing in good nutrition a priority. Begin with a trip to your veterinarian and let them assist you in finding the right brand of food to keep your pet healthy and happy. Those few extra years added to their life will endlessly enhance your own.

Angeline Grenz is editor for Style Magazine.

Northern Colorado Medical & Wellness 2010

physician spotlight

Dr. Christine Skorberg

Name: Christine Skorberg, M.D. Occupation: OB/GYN at A Woman’s Healing Center In Her Downtime: Mother of two daughters, two cats, two dogs and three horses.

D r . C hristin e S k o rb e rg

A Talent for Healing By Laura Sebastian

rowing up, Christine Skorberg’s mother “bugged” her to become a doctor. It took a bit of traveling along a somewhat winding path, but eventually Skorberg did indeed become a doctor – a gynecologist and obstetrician with her own practice.

The practice, located in Fort Collins, is called A Woman’s Healing Center, and offers comprehensive care beyond the norm. Dr. Skorberg believes in not merely treating symptoms but in taking care of the whole person, and offers services in addition to traditional Western medicine. The Center performs services such as laparoscopy, hysteroscopy, pelvic relaxation surgery, hormonal replacement therapy and bio-identical therapy, as well as on-site services such as ultrasounds, colposcopies, infertility treatments and even classes in childbirth education. But, when called for, Dr. Skorberg also believes in alternative medicine. “I know what I’m good at and I know when I should

refer someone out to another specialist, maybe an acupuncturist, massage therapist or physical therapist,” she says. “I also like ayurvedic medicine, which is an ancient holistic system of healing that uses things like diet, herbal and mineral remedies, even yoga and meditation.” The road that led Dr. Skorberg to this diverse and thriving practice began with the pursuit of another talent: acting. As a young girl, she left her hometown of DeKalb, Ill., and enrolled at Southern Methodist University in Dallas, earning a Bachelor of Fine Arts in theater in 1979. “I’d studied theater in high school and thought I wanted to be an actress, but it wasn’t for me, it wasn’t what I thought it would be,” Dr. Skorberg says. “I wanted something different.” With dreams of acting set aside, Dr. Skorberg made a step towards her true calling and decided to study massage therapy. “I liked it and it sparked my interest in medicine,” she says. “From there it was just a hop, skip and a jump to pre-med.” Dr. Skorberg returned to Illinois and earned her medical degree in 1982 from the Chicago Medical School, part of the Rosalind Franklin University of Medicine and

Science in North Chicago, where she focused her studies in obstetrics and gynecology. She then completed her residency in OB/GYN at Chicago’s hectic Cook County Hospital. Board certified and a Fellow in the Academy of Obstetrics and Gynecology, she spent the next nine years practicing at Westmoreland OB/GYN in Lake Forest, Illinois. Along her journey, she added a few non-work-related things to her life. In 1998, traveling alone to China, she adopted a baby girl named Jasmine and, a year later, adopted another daughter, Hannah, when she married. It was her marriage that brought her to Fort Collins (she has since divorced), but Dr. Skorberg stayed here because she loves the medical community. She joined a local OB/ GYN practice called A Woman’s Place, but by 2002, Dr. Skorberg was ready to fly solo and opened A Woman’s Healing Center, located near Poudre Valley Hospital at 1006 Luke Street. “I didn’t want to have a runaway train of a practice, and be overwhelmed with patients,” she says. “When I practiced in Illinois I saw 42 patients a day. Here, it’s different. We take time to know our patients and they can talk to us without being rushed.” In the past eight years, Dr. Skorberg’s practice has grown steadily. In March 2010 she added a partner, Dr. Nicole Roberson, who is board certified in OB/GYN and a Fellow in the American College of Obstetrics and Gynecology, and specializes in high risk obstetrics, gynecological surgery and infertility. This August, the Center will also welcome Dr. Cherie Worford, and there are plans not only to add another doctor but also to perhaps add morning and evening hours in the future. Though Dr. Skorberg tailors her care to each individual patient, she recommends a few basic health tips for all women: “Don’t ignore irregular bleeding, especially after the age of 35, and never ignore breast lumps, fatigue or significant, unplanned changes in your weight. “For preventive care,” she continues, “have an annual exam. And I tell every woman to exercise 30 minutes a day, just a brisk walk, and for those 40 or older I recommend 500mg of calcium three times a day, with food. Those things alone decrease your risk of heart attack, stroke and osteoporosis by 50 percent. It’s huge.” When not attending to her patients, Dr. Skorberg hangs out with daughters, now 13 and 14. She also has a furry brood: two cats, two dogs and three horses. To keep healthy and fit, “I do yoga, meditate and jog, and I go horseback riding every day at lunchtime,” she says. “It’s wonderful, peaceful.” Though she came to the medical profession along a circuitous route, she feels immensely fulfilled by her career choice. “I love my job,” Dr. Skorberg continues, “I remember the best advice my father gave me was, ‘Work at what you love, because you’re going to be doing a lot of it.’ It’s true, and I’m lucky I love what I do so much. I like women, I like taking care of them. It’s my talent, it’s a true calling.” Laura Sebastian, who lives in Fort Collins, has worked as a freelance writer for 11 years.

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