2011-01 Northern Colorado Medical & Wellness

medical wellness 2011

$7.00

Loveland /Greeley

maga zine & director y

A S T Y L E M E D I A A N D D E S I G N , I N C . P U B L I C AT I O N : : E S T. 1 9 8 4

PLASTIC & RECONSTRUCTIVE SURGERY WARREN SCHUTTE, MD

Committed To Excellence Focused On You · Facial Cosmetic Surgery (Face, Eyes, Forehead, Nose, Chin) · Breast Augmentation ·Tummy Tuck · Body Contouring & Liposuction ·Corrective Surgery After Weight Loss · Rhinoplasty · Reconstruction After Cancer or Injury · Lip Augmentation

Offering Trusted, Quality Plastic Surgery Care To Make You Look and Feel Your Best.

The art of heart.

Heart surgery is a delicate, precise procedure.

Experience and high-quality care are essential.

Our surgeons at Medical Center of the Rockies combine them all into the art of saving lives through great care.

More heart surgeries are performed at Medical Center of the Rockies than any northern Colorado hospital. And MCR is a Magnet hospital, which means our patients receive some of the nation's best nursing care.

For us, the art of heart care is all about you .

Learn more at pvhs.org/heart.

Source: www.hospitalcompare.hhs.gov

Dr. Mark Guadagnoli

Dr. Thomas Matthew

MEDICAL CENTER OF THE ROCKIES

HEART CENTER OF THE ROCKIES

POUDRE VALLEY HEALTH SYSTEM

POUDRE VALLEY MEDICAL GROUP

2500 Rocky Mountain Avenue

I

Loveland, CO

pvhs.org

1-25 and Highway 34

970.624.2500

Welcomes Natalie Phillips, Au. D.

Brooke Benton, PA-C Child Health Association/Physician Assistant Program, University of Colorado Health Sciences Center of Denver Focus on General Ear, Nose & Throat

Mark Loury, MD, F.A.C.S. Board Certified Former Faculty of John's Hopkins Hospital

Natalie Phillips, Au. D.

listed in "Best Doctors in America" and "America's Best Doctors".

Patients Choice Recipient 2008 Nationally Recognized Expert in Sinus & Nasal Disease.

Focus on Hearing & Balance Disorders and Tinnitus Treatment

Board Certified Doctor of Audiology

Rest assured that you are receiving the best pulmonology care around!

Get to know our fantastic staff including: Dr. David Fitzgerald Dr. Kelli Janata Dr. Robert Janata

Rest Assured with North Colorado Pulmonology Specialties Include: Asthma COPD (Chronic Obstructive Pulmonary Disease) aka Emphysema

Sleep Disorders including: Obstructive Sleep Apnea Narcolepsy Insomnia Restless Leg Syndrome

• • • •

Pulmonary Fibrosis Lung Cancer Chronic Cough and Bronchitis Pulmonary Hypertension

Banner Health

North Colorado Medical Center

2010 16th Street • Greeley

Where experts work best!

Loveland Greeley Medical Magazine & Directory 2011

970-392-2026 www.BannerHealth.com/NCMC

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To residents of northern Colorado:

Banner Health was recently recognized as a top 10 health system for clinical performance (patient care) by Thomson Reuters-the only health system in Colorado to receive this recognition out of the 255 systems analyzed nationally. Naturally, we are very proud of this distinction.

As Banner Health's leader, it's extremely important to give credit for this honor where it's clearly due- to the outstanding staff and physicians who are dedicated to our nonprofit mission of excellent patient care at all Banner Health hospitals. After all, a top health system is made up of top hospitals.

I want to recognize and thank our Banner Health colleagues for

the superb patient care they provide at North Colorado Medical Center in Greeley, McKee Medical Center in Loveland, East Morgan County Hospital in Brush and Sterling Regional MedCenter in Sterling. Their commitment to patients is an essential part of Banner Health being named a top 10 health system.

Sincerely,

~1.L Peter S. Fine, FACHE President and CEO

Where

Exuerts Worl( Best.

Connect with us:

~

~ p.m-..

Banner Health速 www.BannerHealth.com

7

s t y le me d ia a nd d e s i g n , i n c .

| 970.226.6400 |

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 w w w. m e d i c a l a n d w e l l n e s s . c o m PUBLISHER Lydia Dody | lydia@stylemedia.com EDITOR Angeline Grenz | angie@stylemedia.com CREATIVE DIRECTOR Scott Prosser SENIOR DESIGNER Lisa Gould DIGITAL DIRECTOR Austin Lamb | austin@stylemedia.com 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/ABOUT TOWN EDITOR Ina Szwec | ina@stylemedia.com ACCOUNTING MANAGER Karla Vigil EDITORIAL ASSISTANT Audrey Springer OFFICE ASSISTANTS Ronda Huser, Trisha Milton

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CONTRIBUTING WRITERS Connie Hein, Heidi Kerr-Schlaefer, Suellen May, Marty Metzger, Corey Radman, Kay Rios, Heather Schichtel, Laura Sebastian, Tracee Sioux PHOTOGRAPHERS Warren Diggles, Marcus Edwards AFFILIATIONS Fort Collins Area Chamber of Commerce Loveland Chamber of Commerce & Visitors Center 2011 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) 2266400. Fax (970) 226-6427. E-Mail: ronda@StyleMedia.com ©2011 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.

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Lydia’s STYLE Magazine

Partners on your â&#x20AC;˘ cancer JOurney.

For over 30 years, the board-certified oncologists of Cancer Center of the Rockies have been devoted to the diagnosis, care and treatment of men and women with cancer. We know that behind every cancer diagnosis is an individual person with a unique circumstance . With compassion and medical expertise, we're here for you.

Call 970.493.6337 to make an appointment.

Cancer Center ofthe Rockies POUDRE VALLEY MEDICAL GROUP

2121 Harmony Road, Suite 150

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Fort Collins, Colorado

www.pvhs.org/clinics

table of contents

medical wellness 2011

Loveland /Greeley

magazine / director y

page 12 Publisher’s Letter

on the cover

Introducing Brian Fuller, M.D., and Elizabeth Ceilley, M.D., both recent additions to Banner’s Northern Colorado medical centers. Dr. Fuller is director of radiation oncology at North Colorado Medical Center and Dr. Ceilley is director of radiation oncology at McKee Medical Center.

page 14

MCKEE/ NCMC: Envisioning the Future

page 18

24

MCKEE/ NCMC: Combating Cancer with Radiation Technology

page 24

MCKEE: On the Cutting Edge of Robotic Surgery

page 28

MCKEE/ NCMC: Advances at Banner’s CardioVascular Institute

28

50

page 35 medical directory page 38

INTRODUCTION LETTER: Peter J. McNally, CEO, Banner Big Thompson Medical Group, Inc.

page 50

55

64

page 60

MCKEE/ NCMC: Help for Painful Fibroids

page 62

MCKEE/ NCMC: New Help for Fecal Incontinence

page 64

MCKEE/ NCMC: The Dangers of Radiation Exposure

page 71 wellness section page 74

NCMC: Boot Camp for New Dads

page 80

How Beneficial Are Fortified Foods?

page 80

Watch Your Weight While You Work

page 80

Get Fit, Give Back Calendar

MCKEE/ NCMC: Electronic Medical Records Aid Patient Care

page 82

page 55

page 86

NCMC: Treating the Nightmare of Sleep Apnea

MCKEE: The Labyrinth at McKee Special Advertising Section:

Weight Loss Options in the New Year

The enclosed articles in this issue of Loveland/Greeley Medical Wellness Magazine/ Directory are for your general knowledge and not to be used as 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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Lydia’s STYLE Magazine

Gynecological surgery technology this advanced means less recuperation time and more family time.

•

McKee Medical Center's da Vinci® robotic surgery is minimally invasive and offers women maximum benefits.

For patients who qualify, this robotic surgery allows for smaller incisions, which can mean less pain, scarring, blood loss and risk of infection. You can have a quicker, easier recovery so you can get right back to spending more time with your family or other things you love. This leading technology is just one example of the world-class advancements McKee Medical Center has invested in for the people of northern Colorado.

~ ~Banner Health

McKee Medical Center www.BannerHealth.com/McKee ·For more information please call (970) 203-2089 2000 N. Boise Ave. • Loveland • Job opportunities: 866-377-5627 (EOE/AA) or www.BannerHealth.com Banner Health is the leading nonprofit health care provider in northern Colorado.

publisher’sletter THE SYNERGY OF COLLABORATION Welcome to our 6th annual edition of the Loveland/Greeley Medical & Wellness Magazine & Directory. We are honored to collaborate with McKee Medical Center and North Colorado Medical Center (NCMC), belonging to Banner Health Western Region, to bring our Northern Colorado readers this important and informative medical magazine and directory.

The 2011 issue features interesting articles about innovative healthcare services and advancements in care and facilities at both hospitals, along with a comprehensive and user-friendly directory of community-based physicians in the Banner system as of December 10, 2010. We hope you enjoy reading the articles about health issues, cutting edge technology and new healthcare providers in the area, and find the directory easy and useful to reference year round.

As Banner Health moves into the new year, seasoned CEOs Marilyn Schock of McKee and Rick Sutton of NCMC continue to expand the implementation of their collaborative regional focus of care. By working together and leveraging their technology and pool of physicians, they will more effectively

12

serve the healthcare needs of patients and their communities in this region, along with keeping a lid on costs. This approach has evolved as healthcare nationwide has had to examine all aspects of its delivery processes and become more efficient and cost effective, both for the providers and consumers, while continuing to improve the quality of care. “We align services and avoid duplication because that’s what drives up costs,” explains Schock.

Banner Health has positioned itself to continue its commitment to excellence in regional patient care.

Following that growth plan, NCMC continues to expand their physician base within the Banner Medical Group in every specialty. Within the last year physician clinics were opened in urology, pulmonology and internal medicine. The CardioVascular Institute of North Colorado has grown from seven cardiologists to 13 cardiologists and three cardiovascular surgeons.

In Loveland, McKee continues to be committed to developing their robotics program, recently designated as an Epicenter for gynecological robotic surgery by the maker of the da Vinci surgical robot.

In addition, McKee has expanded the number of physicians providing medical oncology and hematology services in the hospital. McKee also continues to upgrade its equipment and state of the art technology, adding a new cath lab for heart patients and upgrading imaging equipment. In keeping with the philosophy of McKee being a whole-person healing place, a labyrinth was recently installed for meditation and reflection and the interfaith chapel was also remodeled.

All of these improvements are aimed at striving to look at care from the patient’s point of view. As Sutton says, “Can I know without any doubt in my

mind that I can get quality care? The answer is yes.”

Congratulations to Banner Health for being nationally recognized as a top 10 health system for patient care by Thomson Reuters. And to NCMC for receiving the Distinguished Hospital Award for Clinical Excellence by HealthGrades, which recognizes the best 5 percent of hospitals in the country. McKee has also been recognized by HealthGrades for its outstanding patient satisfaction in terms of quality and safety.

We are all fortunate to live in this region with the exceptional healthcare available at these two exceptional facilities. Read about “Combating Cancer with Radiation Technology” and get to know Drs. Brian Fuller and Elizabeth Ceilley. “On the Cutting Edge of Robotic Surgery” will acquaint you with techniques that shorten the length of surgery and reduce recovery complications and time. In “Advances at Banner’s CardioVascular Institute” you will be pleased to learn that NCMC saves lives because of the efficiency of their Cardiac Alert program. These and more interesting articles offer you informative reading about the excellent healthcare available through the Banner Health hospitals in our area.

We hope you will find this issue useful and keep it for reference. We are proud to partner with a fine organization like Banner to bring you this annual issue.

Thank you to the management team, physicians and staff who spent time with us to inform and educate us. We appreciate your commitment to healthcare excellence.

Wishing each of you good health in the new year!

Lydia@stylemedia.com

Lydia’s STYLE Magazine

MEDICAL

LEADERSHIP

envisioning

the future

By Kay Rios

Northern Colorado’s continued growth and development has forced the leaders of its municipalities to think regionally on issues ranging from transportation to healthcare. This approach to planning and services is shared by Banner Health, the area’s largest healthcare provider, as the system works on regional strategies to ensure residents throughout the area can receive the care they need when they need it.

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Banner operates North Colorado Medical Center in Greeley and owns McKee Medical Center in Loveland. The two facilities work closely together, aligning treatment protocols and processes so patients receive the same high quality care at either facility.

“It’s based on the Banner mission – existing to make a difference in people’s lives through excellent patient care – and is all about operational excellence,” says Rick Sutton, NCMC chief executive officer.

His counterpart at McKee, Marilyn Schock, says a regional approach is all about leveraging the strengths of each facility so patients can receive the best care possible. “We align services and avoid duplication because that’s what drives up costs.”

NCMC This regional approach provides patients better options, Sutton says. He uses the CardioVascular Institute of North Colorado as an example.

“Over the last five years, the Institute has grown from seven cardiologists to 13 cardiologists and three cardiovascular surgeons. We have three physicians in Loveland, one in Sterling and all of them share going out to Brush, Fort Morgan and the eastern plains facilities to create a regional

presence for services to patients. We are looking at other specialties we can provide to the Front Range and Northern Colorado through the Banner Medical Group and other closely aligned physicians.”

Oncology is another example. Cancer centers exist at both McKee and NCMC. In addition, the David Walsh Cancer Center was built at Banner Health’s Sterling Regional MedCenter in 2010 through the generous donation of the David Walsh family. Having superior cancer diagnostic and treatment facilities in each community allows for a comprehensive continuum of care for cancer patients.

Another new addition with a regional aspect is a “one call gets all” patient transfer approach that began this past summer at NCMC’s Transfer Center, Sutton says. “We wanted to set up a system where one call would arrange for a receiving doctor in our group and get appropriate patient transportation – either the helicopter or an ambulance. We make it easy to transfer a patient and get them the care that they need.”

The regional focus has been easy to achieve because both facilities are strong as individual entities with high standards. That assertion is based on recent rankings released by HealthGrades, the leading ratings organization that provides ratings

Lydia’s STYLE Magazine

After getting the diagnosis, you knew breaking the news to your wife and daughter would be hard.

But as usual , they rallied and did the research to help you make decisions quickly. They've always been your rock. So when they said the most important thing is to get proven health care, you were sold.

And at Banner Health, getting exceptional care means having access to technology like our iCare Intensive Care Monitoring System. Recognized as one of the Top 100 Technical Innovations in health care by lnfoWorld Magazine, it greatly enhances patient safety. So make the right choice and make sure you go to the place

where experts work best.

~

~

Banner Medical Group McKee Medical Center Banner Health速 North Colorado Medical Center www.BannerHealth.com/COexperts Banner Health has been named as a Top 10 Health System in the U.S. for patient care according to Thomson Reuters.

Connect with us:

You

,.

and profiles of hospitals, nursing homes and physicians to consumers, corporations, health plans and hospitals. HealthGrades, according to their website, gave NCMC the Distinguished Hospital Award for Clinical Excellence, which recognizes the best 5 percent of hospitals in the country.

Hospitals receiving the award are known for clinical excellence and have lower risk-adjusted mortality and lower in-hospital complications than all other hospitals.

NCMC is continuing to add physicians, Sutton says. In the last half of 2010 alone, physician clinics were opened in urology, pulmonology and internal medicine.

“We’ve also created a robust hospitalist program,” he says, referring to providers whose full-time job is to care for patients inside the facility. “When I got here, we had two hospitalists and now we have 10 physicians and six midlevel practitioners in that program and we’re still growing.”

There’s not a lot that NCMC doesn’t already offer but, he says, “We are continuing to grow the Banner Medical Group in every specialty. We will also help those physician groups that are independent but are aligned with Banner and the vision. We will recruit to their practice and they can, then, help us work to cover the community.

There are very few reasons why anyone would need to leave this community for their healthcare.”

From a physical plant side, Sutton says a master plan for the main campus has been completed. “And, as we grow we will be expanding into other facilities throughout the Front Range and northeastern Colorado. While we will continue to have a central medical campus, I want to make it convenient for the patient to access services they need.”

McKee In Loveland, McKee is focusing on patient convenience by providing access to services that were not available just a few years ago. In 2010, Intuitive, the manufacturer of the da Vinci surgical robot, designated the hospital an Epicenter

WE DISCUSS THE NEEDS OF THE COMMUNITIES WE SERVE, WHERE WE’RE GOING AND COME UP WITH A PLAN TO WORK TOGETHER. IT’S GIVE AND TAKE BASED ON WHAT’S GOOD FOR THE PEOPLE OF NORTHERN COLORADO. RICK SUTTON, CHIEF EXECUTIVE OFFICER NORTH COLORADO MEDICAL CENTER

for gynecological surgery. In addition, the state’s first transoral robotic surgery, a minimally invasive procedure for treating throat and tongue cancer, was conducted at McKee. Schock says the hospital will continue to grow and expand its robotics program because of its positive impact on patient care.

“We will continue to partner with our physicians to ensure they have the tools they need to deliver the best care to our patients,” Schock says.

This year, McKee expanded the number of physicians providing medical oncology and hematology services in the hospital. Providers offer advanced clinical trials, nutritional support and therapy education for patients and families. “The additional physicians collaborate with our team of general surgeons and radiation oncologists so we can offer the most appropriate treatments for our patients,” Schock says.

McKee has been recognized by HealthGrades for its outstanding patient satisfaction, and the hospital continues to focus on the entire healthcare journey for patients and their

WE WANT THE EXPERIENCE TO BE PERFECT, NOT JUST FOR THE PATIENT BUT ALSO THE FAMILY. IT’S ALSO ABOUT OUR EMPLOYEES. WE WANT THEM TO BE HAPPY ABOUT BEING HERE AND PASSIONATE ABOUT PROVIDING HEALTHCARE. MARILYN SCHOCK, CHIEF EXECUTIVE OFFICER MCKEE MEDICAL CENTER

family members.

“We receive outstanding marks for patient satisfaction in terms of quality and safety,” Schock says. “On the question whether they would recommend McKee, we consistently run in the top quartile.”

For the upcoming year, Schock says additional focus will be on physician partnerships and the overall quality of care. “We want the experience to be perfect, not just for the patient but also the family. It also leads to higher employee morale.

Our employees are passionate about providing excellent patient care.”

McKee is currently adding a brand new cath lab for heart patients and installing upgraded imaging equipment to keep up with state of the art technology.

In addition to meeting the physical needs of its patients, McKee recently installed an outdoor labyrinth where people can meditate, sit or walk and find comfort. Schock says McKee will install a smaller marble finger labyrinth near the larger labyrinth that can provide a similar experience for those who cannot walk.

McKee also remodeled its interfaith chapel, which now features stained glass doors large enough to bring a patient bed inside and a music series on Wednesdays. “We want to be the hospital the community wants to come to and we want them to think of McKee as a healing place,” Schock says.

Expanding services, upgrading facilities and capitalizing on the strengths of its individual institutions are all part of Banner’s plan to continue as a leading provider of healthcare in Northern Colorado.

It all goes back to the idea of operational excellence for both NCMC and McKee. “NCMC has it. McKee has it,” Sutton says. “We look at this from the patient point of view: ‘Can I know without any doubt in my mind that I can get quality care?’ The answer is yes.”

Kay Rios, Ph.D., is a freelance writer in Fort Collins.

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Lydia’s STYLE Magazine

It's your first child and you wanted everything to be perfect. You never expected complications. But you did your homework and understood that experience matters. That's where Banner Health shines. For decades, we've provided doctors with the advanced technology and support they need to make the care you need possible.

Like being the first in the western United States to implement an innovative OB monitoring program that helps reduce complications before and during childbirth. It matters what hospital you choose. And what matters now is that you go where

experts work best.

~

Banner Medical Group McKee Medical Center Banner Health" North Colorado Medical Center www.BannerHealth.com/COexperts Banner Health has been named as a Top 10 Health System in the U.S. for patient care according to Thomson Reuters.

Connect with us:

You

,.

MEDICAL

RADIATION ONCOLOGY

Radiation oncology is vital in the treatment of cancer. The X-ray beams created by the Clinac linear accelerator, this one located at McKee Medical Center, break the DNA of mutated cells, which are then absorbed into the immune system.

18

Lydiaâ&#x20AC;&#x2122;s STYLE Magazine

combating cancer

with radiation technology

By Corey Radman

If you could peer inside your body right now with magnified vision, you would see billions of little ovals neatly stacked to make your bones or careening around like toddlers driving bumper cars in your bloodstream. In other words, you would see your cells. Innocuous looking, but powerful, cells are what build you and bind you together.

Maybe if you were lucky, you could see one cell dividing into two, joined together like a double soap bubble that hadn’t yet released its daughter. Then, the offspring would shake loose and go on to do its work – work like patching a scrape or replacing the brain cells you lost over New Year’s.

Sometimes, however, this merry process of mitosis goes awry. The DNA in the cell’s nucleus mutates – it changes – and the daughter is damaged. When this happens, cells do not die when they should. The flawed cells continue cranking out more and more mutants, which eventually stick together to form tumors. Sometimes those tumors can be cancerous.

That is where Drs. Brian Fuller and

Elizabeth Ceilley come in. The two physicians are radiation oncologists, both new to Banner Health. Both highly trained and experienced in their fields, they bring a combined 33 years of experience fighting cancer, plus the prestige of Stanford and Harvard Medical Schools, where each served a residency and a fellowship (Dr. Fuller at Stanford and Dr. Ceilley at Harvard).

Brian Fuller, M.D., lured away from The National Cancer Institute as well as a professorship at the University of Virginia, has joined the Banner Health team as medical director of radiation oncology at North Colorado Medical Center (NCMC). His partner in the practice is Elizabeth Ceilley, M.D., the former medical director of Boulder Cancer

Loveland Greeley Medical Magazine & Directory 2011

Care, who brings extensive experience as a Cyberknife-trained radiosurgeon. Dr. Ceilley now serves as medical director of radiation oncology at McKee Medical Center. Both physicians also treat patients at the David Walsh Cancer Center in Sterling.

Their job, put simply, is to use X-ray beams to break the DNA in those mutated cells. Once broken, the cancerous cells ultimately die, vanquished by these heroes with ray guns.

Dr. Fuller explains: “People know that cancer can kill you, but they don’t always remember that cancer really is made of your own body’s cells. All that we can do as physicians is try to help the body heal itself. Radiation is very good at shrinking

19

cancerous masses, so your immune system can gobble up (or reabsorb) the dead cells.”

As with all villains, cancer doesn’t make the job easy; some of the tumors are located in touchy spots, like near your heart, or your reproductive parts – parts you might need later. The good news is that the available arsenal gets better every year.

Banner Health is committed to staying on the cutting edge of cancer treatment so patients can benefit from world-class care minutes rather than hours from home.

Some of the newer technologies being used at McKee include Stereotactic Radiation Therapy, Image-Guidance, and Smart Arc technology.

Smart Arc is an advanced form of Intensity Modulated Radiation Therapy in which a precise radiation dose is delivered in single or multiple arcs around the patient. It pinpoints small targets in critical locations like the prostate, head and neck, and the brain.

According to Dr. Ceilley, Smart Arc technology benefits the patient by significantly reducing treatment time, increasing accuracy and sparing healthy tissue. “With this treatment, patients can spend less time in our department and more time doing what they want to be doing.”

Image-Guided Radiation Therapy (IGRT) is performed when the patient is imaged before or during the radiation treatment.

The machines are all-in-one radiation/CT scanners where patients stay put between CONTINUED ON PAGE 22

meet the

doctors Brian G. Fuller, M.D. Current Position: Medical Director, Radiation Oncology, North Colorado Medical Center, and Visiting Professor, Department of Chemistry at University of Virginia

Most Recent Medical Service:

• Joint appointment in Departments of Biochemistry and Molecular Genetics and Radiation Oncology, University of Virginia • Director of Stereotactic Radiation Services, Martha Jefferson Hospital • Senior Clinical Investigator/Faculty Member at National Cancer Institute

Post-Doctoral Work:

• Fellowship, Stereotaxic Radiosurgery and Radiobiology, Stanford University • Residency, Radiation Oncology, Stanford University • Internship, Surgery, UCLA Medical Center

Research/Publishing:

McKee’s linear accelerator has a variety of technologies available: Smart Arc, ImageGuided Radiation Therapy, and Sterotactic Radiation Therapy.

20

Dr. Fuller’s current research with colleagues at the University of Virginia focuses primarily on isolating circulating tumor cells from the blood stream using advanced microfluidic techniques.

“Analysis of circulating tumor cells is becoming an increasingly important bio-marker to predict tumor responses and patient survival following cancer treatment,” states Dr. Fuller. “Analysis of these rare cells at the molecular level has the potential to allow tailored or personalized therapy decisions specific for a particular time point in the tumors evolving response to treatment. Ultimately this type of analysis will allow us to make more effective treatment selections for our patients.”

Journals Dr. Fuller has published in: Nature, Current Biology and the International Journal of Radiation Oncology, Biology and Physics

Favorite part about being a doctor:

“I really enjoy the patient contact. Being the person that they come to for information about radiation… the person they place their trust in – it doesn’t get any better than that for me.”

Elizabeth Ceilley, M.D. Current Position: Medical Director, Radiation Oncology, McKee Medical Center

Most Recent Medical Service:

• Medical Director of Boulder Cancer Care • Radiation Oncologist with Rocky Mountain Cyberknife • Radiation Oncologist with Mountain Radiation Oncology Consultants

Post-Doctoral Work:

• Radiation Oncology, Massachusetts General Hospital, Harvard Medical School • Internship, Surgery and Internal Medicine, Tucson Medical Center

Research/Publishing:

Dr. Ceilley has published numerous articles in the International Journal of Radiation Oncology, Biology, and Physics and Cancer. Her clinical interests include image-guided radiation therapy and stereotactic radiosurgery.

Favorite part about being a doctor:

“I like the emotional part of this job. Being able to give families hope – a balance of honesty and hope – is gratifying.”

Lydia’s STYLE Magazine

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Loveland Greeley Medical Magazine & Directory 2011

21

CONTINUED FROM PAGE 22 the imaging study and the radiation dose.

The location of anatomical markers as well as seed markers near a patient’s tumor are used to double check the accuracy of the treatment.

Dr. Ceilley states, “This is especially useful when we have a moving or changing target.”

She adds that some anatomy shifts quite a bit from day to day. For instance: “The location of the prostate will vary based on how full the bladder or rectum is at any given time.” IGRT is also helpful as a large tumor shrinks over the course of treatment.

Dr. Fuller reiterates how big a change these on-board imaging studies have made in the accuracy of radiation therapy. “We can be incredibly accurate – to the submillimeter level.”

“Another advance [in IGRT] is our increasing ability to track tumor motion in the chest,” he continues. In other words, tumors that move because the patient is breathing. “Early on in radiation oncology, we didn’t appreciate that for solid tumors, there is a significant motion due to normal breathing. Now, with respiratory motion tracking, we are able to turn beams on and off so when the heart is close to the beams, they turn off.”

Stereotactic Radiation Therapy is a noninvasive outpatient procedure that allows a larger dose of radiation to be given to treat tumors in critical areas such as the brain and lungs. The radiation beam can match the shape of the tumor to spare surrounding healthy tissue, according to Dr. Ceilley.

The bottom line for all these improved therapies is that better technology now allows physicians to deliver highly accurate dosing, thereby reducing residual tissue damage and shortening treatment times.

Karen Leis of Brush, Colo., was treated for a malignant tumor by Dr. Ceilley in October.

Leis had almost decided to skip her annual mammogram since “every single one before now was clear, but when my primary doctor

22

Lydia’s STYLE Magazine

New technology allows radiation oncologists to track tumor movement when administering radiation, increasing accuracy in treatment.

told me I should, I went ahead and had the mammogram.”

Two whirl-wind weeks, a biopsy, and a cancer diagnosis later, Leis had a lumpectomy and her surgeon’s recommendation to seek radiation at McKee Medical Center. Leis’ physicians suggested that she opt for newer radiation therapy regimens that shorten the overall dosage time and deliver much higher doses each visit.

Leis spent only three weeks coming to Loveland instead of six. Dr. Ceilley irradiated Leis’ tumor over 15 treatments instead of the typical 34, lessening her chances for recurrence because of the higher dosing. She is now cancer free and was even able to make it on the Hawaiian cruise she thought she might miss because of treatments.

Leis was grateful for the care she received: “They’re just wonderful at McKee. Everybody makes you feel welcome, not like a cancer patient. After you hear the news [that you have cancer], nobody wants to touch you, be by you or give you a kiss. They were so friendly and outstanding there… always just up and talkative. Dr. Ceilley answered all our questions and took such good care of me.”

Leis adds: “I’m now a really big proponent for getting your mammogram every year.

Because we caught my cancer in its first stages, it wasn’t too deep.” She credits that mammogram with saving her life.

To most of us, photon beams and linear accelerators are as foreign as Bat Man’s lair.

Certainly Karen Leis had never thought about them before. However, if your cells turn on you, it’s nice to know that radiation oncologists like Drs. Ceilley and Fuller are around to blast the mutants into oblivion.

Corey Radman is a freelance writer based in Fort Collins. Her website is www.fortcollinswriter.com.

Loveland Greeley Medical Magazine & Directory 2011

23

MEDICAL

ROBOTICS

Joan Strauch, RN, CIC, Senior Infection Preventionist, McKee Medical Center, works with her staff to maintain minimum infection.

on the cutting edge

McKee’s robotic surgery team: Val Hecker, C.S.T.; Bonnie Berens, RN; Bre Higgins, C.S.T.; David Sakariassen, RN; Rob Ramirez, RN; Ingrid Sakariassen, RN; Pam Nye, RN; Yolanda Brown, C.S.T.; Megan Filby, RN

of robotic surgery

By Heidi Kerr-Schlaefer

McKee Medical Center has received a designation that puts Northern Colorado on the map for robotic surgery. This summer, Intuitive Surgical, makers of the da Vinci Surgical System, designated McKee as an Epicenter for robotic gynecological surgery.

24

Located in Loveland, McKee was one of just 21 hospitals nationwide to earn the title of Robotic Epicenter.

John Crane, M.D., fellow of the American College of Obstetricians and Gynecologists and a doctor at OB/ GYN Associates in Loveland, leads the program. Dr. Crane was approached by Intuitive in part because of the high volume of surgeries he does and because many of them are reconstructive and cancer procedures.

“I think that the variety intrigued them, along with the volume,” says Dr. Crane.

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a program or surgeon based on the variety of cases performed, the training and experience of the surgeon, and the surgeon’s enthusiasm and ability to teach.

Dr. Crane fit the bill. He attended medical school and did his residency at Texas Tech University. After completing an advanced pelvic surgery fellowship at Southern Florida, he went back to Texas Tech, where he worked as an associate instructor of gynecology for two years.

This Epicenter designation means that surgeons from around the country travel to Loveland to observe and learn how to use the da Vinci in the robotic suite at McKee. Megan Filby, RN, BSN, CNOR, is part of Dr. Crane’s surgical team, a team that boasts a combined 133 years of operating experience. Filby, who has been a registered nurse since 1986, is also the Robotics Coordinator of Surgical Services

“This is not a gimmick. It’s not a revitalization of the same way to do surgery. This is probably the most advanced thing to happen to surgery in a long, long time.”

John Crane, M.D., OB/GYN Associates of Loveland

26

Lydia’s STYLE Magazine

McKee Medical Center was designated by Intuitive Surgical, the maker of the da Vinci Surgical System, as an Epicenter for robotic gynecological surgery.

at McKee. “For me, personally, this has been amazing,” says Filby. “I was in the operating room and then took time off to raise my kids. Now I’m coming back, and literally there are days when I have to pinch myself.”

Robotic surgery benefits the surgical team in many ways, including enhanced audio capabilities. When a surgeon is hunched over a patient, it’s often difficult for the team to hear him or her. With robotic surgery, the surgeon sits at a console and his or her words are broadcast over a speaker. The team has a picture of what is happening as well as a clear, audible understanding of the doctor’s needs.

“It helps us anticipate much more what [the surgeon] might need, and the overall safety factor for the patient is greatly improved,” says Filby.

The Epicenter designation isn’t only bringing surgeons to Northern Colorado, but also patients. Once patients learn about the designation, many want to have their procedure done at McKee, and travel from as far away as Alaska to have surgeries performed using the surgical robot.

Robotic surgery often shortens the length of the surgery, and results in less blood loss. “Surgeries that would normally take three to three and a half hours are taking an hour and a half,” says Dr. Crane. Patients experience much shorter recovery times, and many are discharged the day following the procedure.

“I think what some surgeons who haven’t been trained have to realize, and primary care doctors and skeptics in general, is that this is not a gimmick,” says Dr. Crane. “It’s not a revitalization of the same way to do surgery. This is probably the most advanced thing to happen to surgery in a long, long time.”

CONTINUED ON PAGE 68 Loveland Greeley Medical Magazine & Directory 2011

27

MEDICAL

CARDIOVASCULAR INSTITUTE

advances at Banner’s

cardio vascular institute

By Suellen May

In matters of the heart, timing can be everything – especially when referring to heart health. The popular mantra “time is muscle” refers to the importance of reaction time in the event of a heart attack.

Just minutes can swing the chance of survival in your favor. But saving precious minutes depends largely on the smooth processes between health centers and hospital departments, each playing their part to speed reaction time.

28

Maurice Lyons, D.O., CardioVascular Institute cardiac surgeon, stands in front of the new $4 million hybrid operating room, a state-of-theart facility at North Colorado Medical Center.

At Banner Health’s CardioVascular Institute of North Colorado (CVI), located at North Colorado Medical Center (NCMC) in Greeley, and their sister facility, McKee Medical Center in Loveland, both facilities work together to provide the region’s best cardiac care. Shaving response times, streamlining communication processes and focusing on preventive medicine has made CVI a Northern Colorado leader in protecting your heart health.

Responding in a Heartbeat “Door-to-balloon time” might sound like a festive occasion, but it’s actually a unit of measurement used in emergency cardiac care, specifically in the treatment of a heart attack.

Reducing that time can make the difference between life and death.

The calculation of door-to-balloon time begins with the patient’s arrival at the hospital and ends when their artery is opened with a balloon angioplasty or stent. A balloon angioplasty inserts a balloon-tipped catheter to open up a blocked artery. A stent is a small, mesh-like device made of metal. When a stent

is placed inside of a coronary artery, it acts as a support that keeps the vessel open. Stents and balloon angioplasty improve blood flow to the heart muscle. Higher door-to-balloon times equate to a greater chance of cardiac muscle damage or even death.

The American College of Cardiology and the American Heart Association have set a national standard of less than 90 minutes from door-to-balloon. At the CardioVascular Institute at NCMC, patients can go from door to balloon in half that time.

“We have exceeded the benchmark,” says Jim Beckmann, M.D., CVI interventional cardiologist. “Currently NCMC has a median time of 43 minutes for the year and is saving heart muscle in the process.”

This high level of efficiency at NCMC is attributable to a local program called Cardiac Alert. The Cardiac Alert program starts when a person feels pain in the chest and calls 911.

Unfortunately, many patients delay calling emergency services when they experience the first signs of a heart attack.

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Randy Marsh, M.D., an interventional cardiologist at McKee Medical Center, is involved in McKee’s expanding CardioVascluar Institute program.

Dr. Beckmann. “Most people don’t realize the benefit of receiving care early on. The sooner they receive medical attention, the better their chances are of saving heart muscle and surviving a heart attack.”

Weld County paramedics play an important part in the Cardiac Alert program by allowing patient care to begin in the field, thus shortening door-to-balloon time. When paramedics arrive on the scene of a cardiac event, they administer and read the patient’s EKG. If a heart attack is recognized, they will call the Cardiac Alert to NCMC along with the patient’s information. During transport, paramedics also prepare the patient for what to expect upon arrival at the hospital. When the patient arrives at NCMC, the cardiologist and all other necessary medical staff will be ready and waiting in the catheterization laboratory, more commonly referred to as the cath lab.

The cath lab is a dedicated room in the hospital with diagnostic imaging equipment to support procedures such as a diagnostic heart catheterization, balloon angioplasty and stent placement.

“The Cardiac Alert program sets off a chain reaction that alerts everyone in the hospital that a patient is coming in with a heart attack,” says Dawn Olson, director of cardiovascular services at CVI. “During the day, the team can quickly set up the room; and during off hours, that call allows the cath lab team and cardiologist to get to the hospital at the

30

Interventional cardiologist Jim Beckmann, M.D., was instrumental in founding programs such as Code STEMI at North Colorado Medical Center’s CardioVascular Institute.

same time the patient is coming in by ambulance. The cardiac team is prepared and waiting in the room when the patient arrives.”

With a cardiac alert in place, the patient does not have to go to the emergency room first. They are taken directly to the cath lab, which is a time-saving and therefore life-saving measure.

“It has been shown that there is a delay if the patient goes to the emergency room first,” says Dr. Beckmann.

The Cardiac Alert program at NCMC began in 2006. It continues to improve and is available to anyone within Weld County. The average door-to-balloon time of 43 minutes is impressive given that Weld County covers an area of about 4,000 square miles, which is larger in size than Delaware, Rhode Island and Washington, D.C. combined.

Code STEMI What about heart attack patients in remote areas of Northern Colorado? Code STEMI (STEMI refers to a complete block in blood flow to a portion of the heart) ensures that heart attack patients in rural communities receive care as quickly as possible.

“Code STEMI is a regional program involving more distant communities of Northern Colorado,” says Dr. Beckmann, who created the Code STEMI program at NCMC. “The program enables patients to be diverted to a hospital better able to treat a heart attack.”

In the Code STEMI program, patients are usually treated with a clot-busting drug at a local, smaller hospital to open up the artery.

“The goal is to get a clot-busting drug into the person within 30 minutes,” says Dr. Beckmann. Many smaller hospitals do not have a cath lab and cannot perform the necessary procedures. After the patient is identified as having a heart attack, the physician calls for Med Evac helicopter transport to CVI at NCMC, where the patient may receive a stent or balloon angioplasty.

“CVI offers a higher level of care through their Code STEMI and Cardiac Alert programs,” says Olson. “Teamwork and smooth transitions are essential in high quality patient care.”

Although the protocols for Cardiac Alert and Code STEMI vary considerably, the goal is the same. “Both programs are aimed at restoring blood flow as quickly as possible,” says Dr. Beckmann.

Another big accomplishment at NCMC is the addition of a $4 million hybrid operating room, including a $1 million radiology imaging system. Hybrid operating rooms combine conventional operating room capabilities with state-of-the-art imaging to guide the surgeon through a small incision in the body. Through the use of endovascular imaging, surgeons can repair arteries by going through the groin, which is much less invasive than traditional procedures that require a large incision.

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“NCMC’s hybrid operating room is 1,100 square feet, which is twice the size of most,” says Maurice Lyons, D.O., a cardiac surgeon at CVI. “It greatly helps what we can offer patients, such as endovascular procedures.”

CVI at McKee Medical Center The CVI at McKee Medical Center in Loveland is also expanding and improving services to better serve patients. Randy Marsh, M.D., a CVI interventional cardiologist who coordinates all aspects of the cardiac program at McKee Medical Center, sees the cardiac program at McKee growing with the addition of a third full-time cardiologist in the beginning of 2011.

McKee is also renovating its cardiac cath lab, which opened on Valentine’s Day of 2000.

Workers are installing a General Electric Innova 3100IQ imaging system. This machine is designed to perform a range of cardiovascular and interventional radiology procedures. The technology is easy to use and continues to allow the physician to focus on the patient rather than the imaging system. The system will give physicians the ability to do cardiac and peripheral procedures with the newest technology available. It will provide better image quality and offer reduced radiation exposure to patients.

CVI physicians weighed in on the selection of the GE system, which is also used at NCMC. Having one system at both hospitals makes it easier for staff and physicians who work in both places.

Tina Ryan, a radiologic technologist, says the renovation and addition of new equipment is an example of Banner giving employees the tools they need to do their job. Because of that commitment, Ryan says the number of people seeking heart care at McKee is increasing.

She cited an increase in the number of cardiac procedures done in the cath lab in 2010 compared to 2009. January through August 2010 showed double the number of cardiac patients compared to what was done in the cath lab in all of 2009.

Work on the new cath lab began in October and is expected to conclude in early 2011.

“McKee’s success is a win-win for the community and Banner Health,” says Dr. Marsh.

“The community has been very supportive.”

McKee’s location in Loveland also places the facility close enough to serve cardiac patients in south Fort Collins.

“We are also working on door-to-balloon times,” says Dr. Marsh. “The goal is to build a cohesive, integrated cardiac program for all of Banner Health and northeast Colorado.”

Banner Health is a network of nonprofit hospitals and physician groups. In addition to Colorado, Banner Health hospitals are in Nevada, Arizona, Wyoming, California, Alaska and Nebraska.

32

Preventive Medicine at CVI At CVI, the focus is not solely on emergency care. The CT Heart Score screening – available at NCMC and McKee – evaluates calcium buildup in the coronary arteries, which is related to the plaque-accumulation process. The amount of calcium in artery walls is reported as a calcium score. The higher the calcium score, the higher the potential for a heart attack.

This evaluation is generally recommended for people at least 40 years of age. The CT Heart Score costs $199 and includes a wellness consultation to discuss risk factors associated with heart disease, such as cholesterol levels and high blood pressure.

Heart disease is the No. 1 cause of death for both men and women. According to the Centers for Disease Control, half of the deaths from heart disease in 2006 were women. Every year about 785,000 Americans have their first heart attack. Another 470,000 people who have already had one or more heart attacks have another. Prevention and early detection programs such as the CT Heart Score are critical to improving these statistics.

“In one patient who had a CT Heart Score, the scan revealed disturbing levels of calcium buildup that led to a recommendation of a nuclear stress test,” says Olson. “Based on the results, the patient had stents put in and likely avoided a heart attack.”

At CVI at NCMC and McKee, it is evident that Banner Health is achieving its mission of making a difference in people’s lives by providing excellent patient care. “Healthcare is moving more toward working as a team,” says Olson. And when it comes to the nation’s biggest killer, it certainly takes a team.

In addition to their teamwork approach, CVI staff aim to stay on the cutting edge of cardiac technology. There are emerging technologies in valve replacement procedures that are being done in Europe and will soon come to the United States.

“To stay on top of these new technologies, CVI is anticipating using our hybrid operating room to perform these innovated procedures,” says Olson. “CVI could be one of the first facilities in Colorado to perform this technique. By combining these new technologies, along with our enhanced hybrid operating room, as well as our teamwork approach, patients receive the top-notch care they need to recover from heart disease.”

Suellen May is a writer of health science books, including Weight-Loss Drugs, Ritalin and Related Drugs, Botox and Other Cosmetic Drugs, Date Rape Drugs, and a forthcoming book, Steroids and Other Performance-Enhancing Drugs. She earned a B.S. from the University of Vermont and an M.S. from Colorado State University.

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Dear NortherN ColoraDo reaDer, approach’my firstole anniversary Chief H Executive Officer at B anner M edicalAsGI roup s R in Yasour ealth McKee Medical Center, a Banner Health facility, I am honored to be

with such an outstanding medical team, and to lead this Dear Northern Cassociated olorado Reader, organization into the future.

We all are very aware that the health care environment we live in

Banner Medical Group - Colorado focus you on that making a difference is about to change continues dramatically.toI assure the McKee team will in people’s lives through excellent patient care.

Our vision is to be a national meet that change, and continue to deliver high-quality, compassionate careexcellence to the peopleand of Loveland and surrounding communities. leader recognized for health clinical innovation, preferred for a highly McKee has been providing the Loveland healthwe care coordinated patient experience, and distinguished by the community quality ofwith people for the past years.Our Manyclinical of you were born at consists McKee, and work with in the communities we30serve. leadership of probably highly of you who have received health care at McKee over theMany past three trained, quality-driven more physicians are committed to the community. of decades. We have always been the community hospital for Loveland, them are long-term residents who are active in the development of the healthcare and have established vital relationships with this community. needs of their neighbors. Yet, we recognize that as the landscape changes, so must McKee. We have a world class team at McKee, and we are prepared to move

We continue to improve theBestate-of-the-art systems to meet theall forward. assured your hospital teamimplemented provides excellent care in aspects health care continuum.

We have made,they and will needs of every patient in orderoftotheprovide continuity of care whether arecontinue in our to make,facilities strategic decisions will moveimaging, us into therehabilitative future, and put hospitals, clinics or ancillary (such asthat laboratory, your hometown hospital in services a position to of continued services, etc.). We continue to enhance these meet the strength. challenges we We have compiled five priorities that everyone at McKee has are faced with in our country today and keep cost for our patients down.

Peter J. McNally Chief Executive Officer Banner Big Thompson Medical Group, Inc. Chief Executive Officer McKee Medical Center

committed to work toward, with the outcome of increased quality care and a wonderful hospital experience at the core. The five areas Banner Medical Group - Colorado is uniquely defined as Quality a network of are: Employee Engagement, Patient Satisfaction, Outcomes, physicians, administration and support staff working closely together to develop Physician Friendly and Financial Strength. the best patient experienceWe through collaboration and communication.

Thisare allows are committed to ensuring that all staff at McKee highly engaged, determinedmetrics, and committed to give you theguidelines best care possible. us to develop standardized performance care management and that wide havingconcept. highly engaged staff resultsdriven in the clinical ability to operational initiatives We intobelieve a system The physician provide higher quality care, lower turnover, increased productivity and model has helped create an extremely patient oriented environment, focused on a more effective organization overall. quality care and service. We also are concentrating on our patient satisfaction to make your experience at McKee one of the best in the country. At McKee As the largest physician Northern Colorado, have immediate we are network compared in nationally to other hospitalswe in the country, and are access to our patient records regardless of where our patients seek their care. Ain consistently placing in the top one-third of all hospitals participating satisfaction survey. Berthoud, Fort Collins, Greeley, patient can be seen in the ourpatient locations throughout Of utmost importance is our ability to in deliver qualityColorado. health care, Johnstown, Loveland, Windsor, Eaton and many other areas Northern and according our metrics, youWest can be assured that quality health The addition of the Summit View to Urgent Care in Greeley, in conjunction care is something that you will receive at our hospital. with Skyline Urgent Care in Loveland, has been welcomed by the community We also ensure that our staff members are highly trained and that with increased patient we visits beyond expectations, providing around services provide state-of-the-art technology so youall receive the best health including imaging, laboratory and pharmacy services at both locations. care in the market. You deserve that, and at McKee Medical Center, that is what you will experience.

The primary care services Northern Colorado are supported specialtyto Wewithin also continue to work hand-in-hand with ourbyphysicians they are at pleased withMedical the care their patients receiving.

We are physicians who provideensure expert care McKee Center andare North Colorado making sure that all necessaryby equipment and supplies are specialty available to Medical Center. The continuity of care provided both primary care and as they health care to thisshowing community. physicians is proven them through theprovide numerous reports Banner medical McKee continues to be financially strong due to the support of the centers as the top facilities in the state for quality and performance. community, physicians, and staff, and we’re well prepared to grow with this community in the future.

Being a part of BannerItHealth, we to share its community accomplishments of anational boils down this: inYour hospital is physician recognition for innovation, quality care and informational technology.

Weprovide will friendly facility, employing highly engaged staff members that the highest level ofthe quality health andfriends, your family. continue to look for ways to improve quality ofcare caretotoyou our neighbors Wecome. will always strive to ensure that you will not have a better health and community for years to care experience than the one you will have at McKee. Quality health care at your hometown hospital – that’s what we’re all about.

Rick Sutton, MS, FACHE

Sincerely,

Peter J. McNally Rick Sutton Chief Executive Officer Chief Executive Officer McKee Group, Medical Inc. Center Banner Big Thompson Medical 38 1

Lydia’s STYLE Magazine

mckee medical center north colorado medical center & banner health

medical directory 2011

Directory supplied by McKee Medical Center and North Colorado Medical Center. This list is current as of 12-10-2010.

AllergyImmunology

Culver, William G., MD 2923 Ginnala Dr. Loveland, CO 80538 ................970-669-6660 James, John M., MD 1136 E. Stuart St., Ste. 3200 Fort Collins, CO 80525 .............970-221-1681 Kailasam, Velusamy, MD 1130 38th Avenue, Ste. 2 Greeley, CO 80634 ........970-330-5391 See ad on page 22 Kujawska, Anna, MD 608 E. Harmony Rd., Ste. 101 Fort Collins, CO 80525 .............970-498-9226 Lanting, William A., MD 1175 58th Avenue, Ste. 101 Greeley, CO 80634 ...................970-227-4611 Laszlo, Daniel J., MD 608 E. Harmony Rd., Ste. 101 Fort Collins, CO 80525 .............970-498-9226 Murthy, Krishna C., MD 2121 E. Harmony Rd., Ste. 350 Fort Collins, CO 80528 ...970-221-2370 See ad on page 22 Pace, R. Scott, MD 6801 W. 20th Street, Ste. 206 Greeley, CO 80634 ....................970-353-0155

Anesthesiology Abston, Phillip A., MD 1800 15th Street, Ste. G10 Greeley, CO 80631 ....................970-396-6994

Callahan, Vicki L., MD 1801 16th Street, Main OR Greeley, CO 80631 ....................970-350-4800 Carmosino, Mario J., MD 1801 16th Street, Main OR Greeley, CO 80631 ....................970-350-4800 Filby, Paul A., MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538 .................970-667-9794 Foley, Kevin M., MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538 .................970-667-9794 Gengler, Jeffrey W., MD 1801 16th Street, Main OR Greeley, CO 80631 ....................970-350-4800 Lloyd, Alan W., MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538 .................970-667-9794 McFarland, David K., MD 1801 16th Street, Main OR Greeley, CO 80631 ....................970-350-4800 Michael, Christopher S., MD 1801 16th Street, Main OR Greeley, CO 80631 ....................970-350-4800 Peetz, Shelley L., MD 2007 70th Avenue Greeley, CO 80634 ....................970-506-6789 Reed, Jay A., MD 3800 N. Grant Ave. Loveland, CO 80538 .................970-622-0608 Robinson, Howard H., MD 1801 16th Street, Main OR Greeley, CO 80631 ....................970-350-4800

CardiacElectrophysiology Pfahnl, Arnold E., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 ......970-203-2400 See ad on back cover

Cardiology Beckmann, James H., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 See ad on back cover Chapel, Harold L., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 See ad on back cover Dong, Lin-Wang, MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 See ad on back cover Drury, John H., MD 1405 S. 8th Avenue, Ste. 104 Sterling, CO 80751 ........970-526-8181 See ad on back cover Giansiracusa, Richard F., MD 2555 E. 13th Street, Ste. 100 Loveland, CO 80537 .................970-613-1745 Gryboski, Cynthia L., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 See ad on back cover Hirsch, Cecilia M., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 See ad on back cover

Lyle, Brian S., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 ......970-203-2400 See ad on back cover Marsh, Randall C., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 ......970-203-2400 See ad on back cover Miller, William E., MD 2121 E. Harmony Rd., Ste. 100 Fort Collins, CO 80528 .............970-221-1000 Rath, Gary A., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 See ad on back cover Shihabi, Ahmad H., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 See ad on back cover Whitsitt, Todd B., MD 2121 E. Harmony Rd., Ste. 100 Fort Collins, CO 80528 .............970-221-1000 Zumbrun, Stephen R., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ....................970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 .................970-203-2400

Dermatology Baird, Kristin M., MD 776 W. Eisenhower Blvd.

Loveland, CO 80537 .................970-667-3116 Blattner, Mary A., MD 5881 W. 16th Street, Ste. E Greeley, CO 80634 ...................970-313-2734

Agnello, Joseph S., MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538 .................970-667-9794

Rose, Erin C., MD 1801 16th Street, Main OR Greeley, CO 80631 ....................970-350-4800

Balestrieri, Frank J., MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538 .................970-667-9794

Song, Yo-Jun, MD 1801 16th Street, Main OR Greeley, CO 80631 ....................970-350-4800

Hurst, Paul G., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ........970-392-0900 See ad on back cover

Bruce, Aaron M., DO 776 W. Eisenhower Blvd.

Loveland, CO 80537 .................970-667-3116

Birgenheier Jr., James A., MD 1801 16th Street, Main OR Greeley, CO 80631 ....................970-350-4800

Weitenberner, Nicholas A., MD 1801 16th Street, Main OR Greeley, CO 80631 ....................970-350-4800

Johnson, C. Timothy, MD 2121 E. Harmony Rd., Ste. 100 Fort Collins, CO 80528 .............970-221-1000

Castle, Stephen P., DO 7251 W. 20th Street, Bldg. E Greeley, CO 80634 ....................970-330-6075

Loveland Greeley Medical Magazine & Directory 2011

39

Curry, Margaret A., MD 776 W. Eisenhower Blvd.

Loveland, CO 80537 .................970-667-3116

Peterson, Thomas T., MD 2528 W. 16th Street Greeley, CO 80634 970-356-4646

Cole, Charles A., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Huntington, Michael J., MD 2000 Boise Ave. Loveland, CO 80538 .................970-635-4071

Liao, Peggy B., MD 2200 E. 18th Avenue Denver, CO 80206 .....................303-322-7789

Robertson, Matthew L., MD 1120 E. Elizabeth St., Bldg. F-101 Fort Collins, CO 80524 ...970-221-1177 See ad this page

Corson, Thomas, DO 2000 Boise Ave. Loveland, CO 80538 ................970-635-4071

Hurst, John G., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Dixon, Mark E., MD 2000 Boise Ave. Loveland, CO 80538 .................970-635-4071

Hutchison, Timothy J., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Doyle, Robert F., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

James, Tyler M., DO 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Fallon, Michael P., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Johar, Jasjot S., MD 2000 Boise Ave. Loveland, CO 80538 ................970-635-4071

Ferrara, Anthony, MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Kitagawa, Benji K., DO 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Fuhrmann, Eric J., MD 2000 Boise Ave. Loveland, CO 80538 .................970-635-4071

Link, David W., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Lillis, Patrick J., MD 776 W. Eisenhower Blvd.

Loveland, CO 80537 .................970-667-3116

Ear, Nose & Throat (Otolaryngology) Chen, Arthur F., MD 5881 W. 16th Street Greeley, CO 80634 ....................970-313-2740 Eriksen, Christopher M., MD 1120 E. Elizabeth St., Bldg. F-101 Fort Collins, CO 80524 ...970-221-1177 See ad this page Gill, Sarvjit S., MD 3820 N. Grant Ave. Loveland, CO 80538 ......970-593-1177 See ad this page

Sabour, Sarmad, MD 6500 29th Street, Ste.106 Greeley, CO 80634 ........970-330-5555 See ad on page 43 Wold, Stephen M., MD 1120 E. Elizabeth St., Bldg. F-101 Fort Collins, CO 80524 ...970-221-1177 See ad this page Zacheis, David H., MD 3820 N. Grant Ave. Loveland, CO 80538 ......970-593-1177 See ad this page

Emergency Medicine Baker, Jeffrey T., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Gupta, Sanjay K., MD 6500 29th Street, Ste. 106 Greeley, CO 80634 ........970-330-5555 See ad on page 43

Bogart, Trina L., MD 2000 Boise Ave. Loveland, CO 80538 ................970-635-4071

Genova, Ronald T., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Maxwell, Peter W., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Peterson, Keith E., MD 2528 W. 16th Street Greeley, CO 80634 ....................970-356-4646

Campain, James J., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Harms, Thomas L., MD 2001 70th Avenue Greeley, CO 80634 ....................970-378-4155

McLaughlin, Keith C., MD 2000 Boise Ave. Loveland, CO 80538 ................970-635-4071

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Purdie, Frank R., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Bearden, Jacqueline S., MD 5623 W. 19th Street, Ste. A Greeley, CO 80634 ....................970-353-9011

Dubin, Jeremy A., DO 3320 W. Eisenhower Blvd.

Loveland, CO 80537 .................970-669-2849

Kennedy, Christopher T., MD 2420 W. 16th Street Greeley, CO 80634 ....................970-353-7668

Rein, Jody A., DO 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Bradley III, Robert C., MD 1455 Main St., Ste. 100 Windsor, CO 80550 ........970-686-3950 See ad on page 89

Fahrenholtz, Herbert D., MD 1600 23rd Avenue Greeley, CO 80634 ....................970-356-2424

Kessinger, Trina A., MD 1300 Main St. Windsor, CO 80550 ...................970-686-5646

Finoff, Gregory J., DO 2930 11th Avenue Evans, CO 80620 ......................970-353-9403

Kurth, Jay R., DO 608 E. Harmony Rd., Ste. 101 Fort Collins, CO 80528 .............970-204-9069 Ley, James W., MD 5881 W. 16th Street Greeley, CO 80634 ........970-313-2700 See ad on page 89

Richter, David M., DO 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Branum, Joanna H., MD 2520 W. 16th Street Greeley, CO 80634 ....................970-356-2520

Sato, Randall E., MD 2000 Boise Ave. Loveland, CO 80538 .................970-635-4071

Brown, Cara E., MD 222 Johnstown Center Dr. Johnstown, CO 80534 ...............970-587-4974

Flake, Zachary (Zach) A., MD 2701 Madison Square Dr. Loveland, CO 80538 .................970-663-0722

Schwartz, Jeffrey C., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6244

Brown, J. Matthew, MD 222 Johnstown Center Dr. Johnstown, CO 80534 ...............970-587-4974

Flower, Thomas J., DO PO Box 691 Greeley, CO 80632 ....................970-356-7752

Sundheim, Scott M., MD 2000 Boise Ave. Loveland, CO 80538 .................970-635-4071

Budensiek, Richard L., DO 5623 W. 19th Street, Ste. A Greeley, CO 80634 ....................970-353-9011

Frickman, C. Elmo, MD 3320 W. Eisenhower Blvd.

Loveland, CO 80537 .................970-669-2849

Thiessen, Molly E., MD 2000 Boise Ave. Loveland, CO 80538 .................970-635-4071

Cabrera, Anthony J., MD 914 W. 6th Street Loveland, CO 80537 .................970-667-3976

Garber, Stacey L., MD 2420 W. 16th Street Greeley, CO 80634 ....................970-353-7668

Vanetti, Carol S., MD 1801 16th Street Greeley, CO 80631 ....................970-346-1567

Caragol, Jennifer A., MD 2930 11th Avenue Evans, CO 80620 ......................970-353-9403

Grauerholz, Brent D., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2454

Waggener, William J., MD 2000 Boise Ave. Loveland, CO 80538 .................970-635-4071

Carey, Michael V., MD 1455 Main St., Ste. 100 Windsor, CO 80550 .......970-686-3950 See ad on page 89

Gregory, Joseph E., MD 222 Johnstown Center Dr. Johnstown, CO 80534 ...............970-587-4974

EndocrinologyMetabolic

Lyons, Marianne V., DO 100 S. Cherry Ave., Unit 1 Eaton, CO 80615 ......................970-454-3838 Magnuson, Douglas A., MD 2520 16th Street Greeley, CO 80634 ....................970-356-2520 Maly, Timothy J., MD 401 10th Street Berthoud, CO 80513 ................970-532-4910 Manter, Charles D., DO 2627 W. 10th Street, Ste. 3 Greeley, CO 80634 ....................970-352-3274 Martinez, Matthew L., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634 ....................970-378-8000

Clang, Daniel R., DO 6801 W. 20th Street, Ste. 101 Greeley, CO 80634 ....................970-378-8000

Hailey, Mark A., MD 914 W. 6th Street Loveland, CO 80537 .................970-667-3976

Izon, Meriam P., MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 .............970-295-0010

Clang, Tamara S., DO 6801 W. 20th Street, Ste. 101 Greeley, CO 80634 ....................970-378-8000

Haskins, R. Scott, MD 6801 W. 20th Street, Ste. 101 Greeley, CO 80634 ....................970-378-8000

McCabe Lentz, Jennifer L., MD 914 W. 6th Street Loveland, CO 80537 .................970-667-3976

Kumar, Nirmala S., MD 1800 15th Street, Ste. 200 Greeley, CO 80631 ....................970-378-4676

Clemens, Orrie G., MD 1014 Centre Ave. Fort Collins, CO 80526 .............970-221-0565

Hoffmann, Julie A., MD 3880 N. Grant Ave. Loveland, CO 80538 .................970-203-0047

McCall, Janis R., MD 5623 W. 19th Street, Ste. A Greeley, CO 80634 ....................970-353-9011

Widom, Barbara, MD 1040 E. Elizabeth St., F-101 Fort Collins, CO 80524 .............970-224-3636

Colgan, Ann T., MD 2520 W. 16th Street Greeley, CO 80634 ....................970-356-2520

Hollos, Lori A., MD 2701 Madison Square Dr. Loveland, CO 80538 .................970-663-0722

McDermott, Martin D., MD 327 N. Park Ave. Fort Lupton, CO 80621 ............303-857-2711

Family Medicine

Coonrod, R. Aline, MD 1600 23rd Avenue Greeley, CO 80634 ....................970-356-2424

Hotz, Isaac M., MD 2930 11th Avenue Evans, CO 80620 ......................970-353-9403

Mercer, Jeannette Y., MD 2555 E. 13th Street, Ste. 110 Loveland, CO 80537 .................970-461-6140

Corona, Joseph A., MD 5881 W. 16th Street Greeley, CO 80634.........970-313-2700 See ad on page 89

Jacob, Prema M., MD 914 W. 6th Street Loveland, CO 80537 .................970-667-0302

Milano, William J., MD 2555 E. 13th Street, Ste. 110 Loveland, CO 80537 .................970-461-6140

Kary, Jonathan A., MD 1300 Main St. Windsor, CO 80550 ...................970-686-5646

Mills, Angela L., MD 5623 W. 19th Street, Ste. A Greeley, CO 80634 ....................970-353-9011

Danforth, James C., MD 2701 Madison Square Dr. Loveland, CO 80538 .................970-663-0722

Kasenberg, Thomas P., DO 295 E. 29th Street Loveland, CO 80538 .................970-669-6000

Morgan, Dana M., MD 100 S. Cherry Ave., Unit 1 Eaton, CO 80615 ......................970-454-3838

Doft, Anthony A., MD 8201 Spinnaker Bay Dr., Ste. D Windsor, CO 80528 ...................970-223-2272

Kenigsberg, Thomas A., MD 222 Johnstown Center Dr. Johnstown, CO 80534 ...............970-587-4974

Morgan, Frank D., MD 5623 W. 19th Street, Ste. A Greeley, CO 80634 ....................970-353-9011

Albritton, Eliz, MD 303 Colland Dr. Fort Collins, CO 80525 .............970-461-8031 Allen, Thomas J., MD 295 E. 29th Street Loveland, CO 80538 ................970-669-6000 Armour, Ross W., MD 401 10th Street Berthoud, CO 80513 ................970-532-4910 Bakanauskas, Egle A., MD 1455 Main St., Ste. 100 Windsor, CO 80550 .......970-686-3950 See ad on page 89

Dallow, Kurt T., MD 1600 23rd Avenue Greeley, CO 80634 ....................970-356-2424

Loveland Greeley Medical Magazine & Directory 2011

Mattox, Amy E., MD 2420 W. 16th Street Greeley, CO 80634 ....................970-353-7668

41

Nwizu, Chima C., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634 ....................970-378-8000

Shenkenberg, Amy E., MD 2001 70th Avenue Greeley, CO 80634 ....................970-378-4155

Nystrom Robert R., DO 1900 16th Street Greeley, CO 80631 ....................970-350-2454

Sheppard-Madden, Dena, MD 295 E. 29th Street Loveland, CO 80538 .................970-669-6000

Ogden, Samuel, MD 1600 23rd Avenue Greeley, CO 80634 ....................970-356-2424

Smith, David B., MD 1600 23rd Avenue Greeley, CO 80634 ....................970-356-2424

Olds, Kenneth M., MD 6801 W. 20th Street, Ste. 208 Greeley, CO 80634 ....................970-330-9061

Snodgrass, David S., MD 2701 Madison Square Dr. Loveland, CO 80538 .................970-663-0722

Oligmueller, William J., MD 5881 W. 16th Street Greeley, CO 80634 ........970-313-2700 See ad on page 89

Stoddard, Andrew P., MD 2520 W. 16th Street Greeley, CO 80634 ....................970-356-2520

Paczosa, Michelle K., DO 6801 W. 20th Street, Ste. 101 Greeley, CO 80634 ....................970-378-8000 Pflieger, Daniel P., MD 2420 W. 16th Street Greeley, CO 80634 ....................970-353-7668 Powell, Patricia K., MD 2930 11th Avenue Evans, CO 80620 ......................970-353-9403 Puls, David C., DO 5623 W. 19th Street, Ste. A Greeley, CO 80634 ....................970-353-9011 Rangel, Keith A., MD 1455 Main St., Ste. 100 Windsor, CO 80550 ........970-686-3950 See ad on page 89 Reents, William J., MD 914 W. 6th Street Loveland, CO 80537 .................970-667-0302 Ripley, Lori A., MD 2520 W. 16th Street Greeley, CO 80634 ...................970-356-2520 Risenhoover, Edwin D., MD 295 E. 29th Street Loveland, CO 80538 .................970-669-6000 Rommereim-Madden, Daphne, MD 1600 23rd Avenue Greeley, CO 80634 ....................970-356-2424 Rule, Ingrid K., MD 1323 Harlow Ln., Ste. 1 Loveland, CO 80537 .................970-667-3030 Schaffer, Scott J., MD 303 Colland Dr. Fort Collins, CO 80525 .............970-461-8031 Schmalhorst, Brian K., MD 5881 W. 16th Street Greeley, CO 80634 ........970-313-2700 See ad on page 89

42

Taylor, Grant M., DO 608 E. Harmony Rd., Ste. 101 Fort Collins, CO 80528 .............970-204-9069 Trevino, Julia B., MD 2930 11th Avenue Evans, CO 80620 ......................970-353-9403 Volk, John W., MD 2930 11th Avenue Evans, CO 80620 ......................970-353-9403 Walker, Justin J., MD 2930 11th Avenue Evans, CO 80620 ......................970-353-9403 Wallace, Mark E., MD 1600 23rd Avenue Greeley, CO 80634 ....................970-356-2424 Waugh, Kyle B., MD 6801 W. 20th Street, Ste. 101 Greeley, CO 80634 ....................970-378-8000 Wiggins, Michael P., MD 3880 N. Grant Ave., Ste.140 Loveland, CO 80538 .................970-203-0047 Wilson, D. Craig, MD 2520 W. 16th Street Greeley, CO 80634 ....................970-356-2520 Young, Mark D., MD 2420 W. 16th Street Greeley, CO 80634 ....................970-353-7668 Zucker, Charles I., MD 6801 W. 20th Street, Ste. 101 Greeley, CO 80634 ....................970-378-8000

Family MedicineHospitalist

Zhang, Shu, MD 1801 16th Street Greeley, CO 80631 ....................970-378-4529

Gynecology

Gastroenterology

Burke, Robert W., MD 2695 Rocky Mountain Ave. Loveland, CO 80538 ................970-493-7442

Abu Qwaider, Yazan A., MD 1800 15th Street, Ste. 300 Greeley, CO 80631 ....................970-378-4475

Carlton, John W., MD 2695 Rocky Mountain Ave. Loveland, CO 80538 ................970-493-7442

Compton, Rand F., MD 3702 Timberline Rd., Bldg. A Fort Collins, CO 80525 .............970-207-9773

Carter, Susan D., MD 1800 15th Street, Ste. 220 Greeley, CO 80631 ....................970-353-1335

Dowgin, Thomas A., MD 7251 W. 20th Street, Bldg. J Greeley, CO 80634 ....................970-378-1414 Dunphy, Rebecca C., MD 3702 Timberline Rd., Bldg. A Fort Collins, CO 80525 .............970-207-9773 Durkan, Mark N., MD 3702 Timberline Rd., Bldg. A Fort Collins, CO 80525 .............970-207-9773 Kading, Steven O., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2470 Langer, Daniel A., MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537 .................970-669-5432 North, Crystal M., DO 2555 E. 13th Street, Ste. 220 Loveland, CO 80537 .................970-669-5432 Nosler, Michael J., MD 3702 Timberline Rd., Bldg. A Fort Collins, CO 80525 .............970-207-9773 Rosenblatt, Mark L., MD 1800 15th Street, Ste. 300 Greeley, CO 80631 ....................970-378-4475 Sears, Stephen R., MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537 .................970-669-5432 Sherif, Ahmed M., MD 1800 15th Street, Ste. 300 Greeley, CO 80631 ....................970-378-4475 Strong, Lewis R., MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537 .................970-669-5432

General Dentistry Bland, Andrew A., DDS 3400 16th Street, Bldg. 8-E Greeley, CO 80634 ....................970-356-5277

Campbell, Richard M., DO 1801 16th Street Greeley, CO 80631 ....................970-378-4529

Edgren, Bradford N., DDS 3400 16th Street, Bldg. 4-V Greeley, CO 80634 ........970-356-5900 See ad on page 81

Jeffers, Wayne S., MD 1600 23rd Avenue Greeley, CO 80634 ....................970-356-2424

Ligon, Richard S., DDS 1825 56th Avenue, Bldg. E Greeley, CO 80634 ....................970-353-6249

Englert, Thomas L., MD 1900 N. Boise Ave., Ste. 400 Loveland, CO 80538 .................970-667-2009

HematologyOncology Brown, Regina J., MD 2121 E. Harmony Rd., Ste. 150 Fort Collins, CO 80528 ...970-493-6337 See ad page 9 Fangman, Michael P., MD 5500 ECR 40 Fort Collins, CO 80525 .............970-223-3355 Kanard, Anne M., MD 2121 E. Harmony Rd., Ste. 150 Fort Collins, CO 80528 ...970-493-6337 See ad page 9 Kemme, Douglas J., MD 1800 15th Street, Ste. C Greeley, CO 80631 ....................970-378-4170 Lininger, Thomas R., MD 1800 15th Street, Ste. C Greeley, CO 80631 ....................970-378-4170 Marschke Jr., Robert F., MD 2315 E. Harmony Rd., Ste. 110 Fort Collins, CO 80528 .............970-212-7600 2050 N. Boise Ave., Ste. A Loveland, CO 80538 .................970-212-7600 McFarland, Ross W., MD 2315 E. Harmony Rd., Ste. 110 Fort Collins, CO 80528 .............970-212-7600 2050 N. Boise Ave., Ste. A Loveland, CO 80538 .................970-212-7600 Medgyesy, Diana C., MD 2315 E. Harmony Rd., Ste. 110 Fort Collins, CO 80528 .............970-212-7600 2050 N. Boise Ave., Ste. A Loveland, CO 80538 .................970-212-7600 Moore, James C., MD 2315 E. Harmony Rd., Ste. 110 Fort Collins, CO 80528 .............970-212-7600 2050 N. Boise Ave., Ste. A Loveland, CO 80538 .................970-212-7600 Romero, Paolo, MD 2121 E. Harmony Rd., Ste. 150 Fort Collins, CO 80528 ...970-493-6337 See ad page 9

Lydiaâ&#x20AC;&#x2122;s STYLE Magazine

Comprehensive, Compassionate Care for the Whole Family

Sanjay K. Gupta, MD, FACS Board Certified in Otorhinolaryngology Fellow of the American College of Surgeons Otolaryngology Training at the University of Alabama-Birmingham Doctor of Medicine, University of Nebraska Bachelor of Science, University of Nebraska

Sarmad Sabour, MD Otorhinolaryngology Training at the University of Cincinnati Doctor of Medicine, University of Texas Health Science Center at San Antonio Bachelor of Science, University of Texas

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CONGRATULATIONS DR. GUPTA! 2010 American Academy of Otolaryngology BOARD OF GOVERNORS NATIONAL PRACTITIONER OF EXCELLENCE Sanjay K. Gupta, MD was recognized by his peers for his exemplary medical skills and his tireless efforts for the specialty of Otorhinolaryngology (Ear, nose and throat, head and neck surgery), medicine, his community and to people across the globe.

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• Electronic evaluations of the auditory nerve • Intra operative nerve monitoring for surgical patients for head & neck surgery.

Scott, Miho Toi, MD 2121 E. Harmony Rd., Ste. 150 Fort Collins, CO 80528 ...970-493-6337 See ad page 9 Shelanski, Samuel A., MD 3850 N. Grant Ave. Loveland, CO 80538 .................970-667-7870 Sorenson, Matthew D., MD 2121 E. Harmony Rd., Ste. 150 Fort Collins, CO 80528 ...970-493-6337 See ad page 9 Stone, Michael D., MD 1800 15th Street, Ste. C Greeley, CO 80631 ....................970-378-4170 Stroh, Ann L., DO 2500 Rocky Mountain Ave., N MOB Loveland, CO 80538 .................970-203-7080 Tobin, Sue C., DO 1800 15th Street, Ste. A Greeley, CO 80631 ....................970-378-3894

Hospice & Palliative Care Allen, David K., MD 305 Carpenter Rd Fort Collins, CO 80525 ...970-663-3500 See ad on page 52

Infectious Diseases

Cuervo, Julia, MD 2923 Ginnala Dr. Loveland, CO 80538 .................970-669-6660

Demeke, Tesfaye, MD 1801 16th Street Greeley, CO 80631 ....................970-378-4529

Singer, James R., MD 1600 Specht Point Dr., Ste. 127 Fort Collins, CO 80525 .............970-493-7733

Demacopoulos, Nicola D., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2438

Emerson, Barbara L., MD 1801 16th Street Greeley, CO 80631 ....................970-378-4529

Teruel, Mark A., MD 1600 Specht Point Dr., Ste. 127 Fort Collins, CO 80525 .............970-493-7733

Ebens, John B., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2438

Hastings, Deborah L., MD 1801 16th Street Greeley, CO 80631 ....................970-378-4529

Kalt, Steven M., MD 2016 16th Street Greeley, CO 80631 ....................970-350-5660

Hipp, Naomi J., MD 2000 N. Boise Ave. Loveland, CO 80538 .................970-203-6770

Keefe, Kevin W., DO 2923 Ginnala Dr. Loveland, CO 80538 .................970-669-6660 Lopez Jr., William W., MD 2500 Rocky Mountain Ave. N MOB Loveland, CO 80538 .................970-203-7050 Parliment, Joel W., MD 2923 Ginnala Dr. Loveland, CO 80538 .................970-669-6660 Randle, Michael T., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2427 Sheel, Saurabh, MD 2000 N. Boise Ave. Loveland, CO 80538 .................970-203-6770

Breen, John F., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6360

Smith, Peter C., MD 2923 Ginnala Dr. Loveland, CO 80538 .................970-669-6660

Cobb, David K., MD 2121 E. Harmony Rd., Ste. 380 Fort Collins, CO 80528 .............970-224-0429

Tello, Robert J., MD 2923 Ginnala Dr. Loveland, CO 80538 .................970-669-6660

Liao Ong, Jacob C., MD 2121 E. Harmony Rd., Ste. 380 Fort Collins, CO 80528 .............970-224-0429 Peskind, Robert L., MD 2121 E. Harmony Rd., Ste. 380 Fort Collins, CO 80528 .............970-224-0429

Internal Medicine Barker, Lance E., DO 1300 Main St. Windsor, CO 80550 ...................970-686-5646 Berntsen, Mark F., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2438

Thompson, Keith S., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2438 Tryggestad, David I., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2438 Webster, Douglas S., MD 2923 Ginnala Dr. Loveland, CO 80538 .................970-669-6660 Zenk, Daniel R., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2438

Loecke, Steven W., MD 1801 16th Street Greeley, CO 80631 ....................970-378-4529 Norman, Edward, A., MD 2000 N. Boise Ave. Loveland, CO 80538 .................970-203-6770 Pearson, Antony C., MD 2000 N. Boise Ave. Loveland, CO 80538 .................970-203-6770 Reinhardt, Marcus R., MD 1801 16th Street Greeley, CO 80631 ....................970-378-4529 Tallman, Marsha H., MD 1801 16th Street Greeley, CO 80631 ....................970-378-4529 Valin, James P., MD 2000 N. Boise Ave. Loveland, CO 80538 .................970-203-6770

Interventional Radiology Cook, Philip S., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6860 Harris, John P., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6860 Raque, James, MD 1801 16th Street Greeley, CO 80631 ....................970-350-6860

Nephrology

Neurology Bandi, Srinivas, MD 2923 Ginnala Dr. Loveland, CO 80538 .................970-669-6660 Ewing, David L., MD 7251 W. 20th Street, Bldg. C Greeley, CO 80634 ....................970-356-3876 Hayes, Todd A., DO 1800 15th Street, Ste. 100B Greeley, CO 80631 ....................970-350-5612 Jacobs, Marianne B., DO 295 E. 29th Street, Ste. 240 Loveland, CO 80538 .................970-669-2668 Schmitt, Joseph W., MD 295 E. 29th Street, Ste. 240 Loveland, CO 80538 .................970-669-2668 Shaffer, William R., MD 1800 15th Street, Ste. 100B Greeley, CO 80631 ....................970-350-5612 Siegel, Jeffrey, MD 1800 15th Street, Ste. 100B Greeley, CO 80631 ....................970-350-5612

Obstetrics/ Gynecology Abbott, Stewart M., MD 1715 61st Avenue Greeley, CO 80634 ....................970-336-1500 Allen, Neil H., MD 2410 W. 16th Street Greeley, CO 80634 ....................970-352-6353 Berdahl, Laurie D., MD 2410 W. 16th Street Greeley, CO 80634 ....................970-352-6353 Budd, L. Ginger, MD 1900 N. Boise Ave., Ste. 310 Loveland, CO 80538 .................970-667-2009

Merritt, Jason L., MD 1600 Specht Point Dr., Ste. 127 Fort Collins, CO 80525 .............970-493-7733

Burket, Charles R., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2403

Muelken, Kevin D., MD 1600 Specht Point Dr., Ste. 127 Fort Collins, CO 80525 .............970-493-7733

Colberg, Craig S., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2403

Bohm, Martin S., DO 222 Johnstown Center Dr. Johnstown, CO 80534 ...............970-587-4974

Internal MedicineHospitalist

Cash, Robert L., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2438

Bruce, Julie L., MD 900 14th Street Greeley, CO 80631 ....................970-304-0010

Rademacher, Donald R., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2438

Crane, John T., MD 1900 N. Boise Ave., Ste. 400 Loveland, CO 80538 .................970-203-2150

Christiansen, Dana L., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2438

Chen, Edward Chung-You, DO 2000 N. Boise Ave. Loveland, CO 80538 .................970-203-6770

Simmons, Richard E., MD 1600 Specht Point Dr., Ste. 127 Fort Collins, CO 80525 .............970-493-7733

Elkington, Kenneth W., MD 1600 23rd Avenue Greeley, CO 80634 ....................970-356-2424

44

Lydiaâ&#x20AC;&#x2122;s STYLE Magazine

Hiratzka, Paul S., MD 2410 W. 16th Street Greeley, CO 80634 ....................970-352-6353

Crews, Michael J., MD 1701 61st Avenue Greeley, CO 80634 ....................970-351-6216

Donner, Edward J., MD 3810 N. Grant Ave. Loveland, CO 80538 .................970-669-8881

Howell, Elizabeth A., MD 1813 N. Cheyenne Ave. Loveland, CO 80538 .................970-203-6801

Foe, Elaine V., MD 1931 65th Avenue, Ste. C Greeley, CO 80634 ....................970-352-1877

Kiser, Rick E., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2403

Jeng, Samuel M., MD 1616 15th Street Greeley, CO 80631 ....................970-352-6688

Duncan, Kenneth H., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Loken, Karla F., DO 1813 N. Cheyenne Ave. Loveland, CO 80538 .................970-203-6801

Kirk, John D., MD 3650 E. 15th Street Loveland, CO 80538 .................970-669-1107

Oâ&#x20AC;&#x2122;Neal, Jean-Pierre, MD 2410 W. 16th Street Greeley, CO 80634 ....................970-352-6353 Revoal, Alana M., DO 2410 W. 16th Street Greeley, CO 80634 ....................970-352-6353 Saenz, Suzanne E., MD 1900 N. Boise Ave., Ste. 310 Loveland, CO 80538 .................970-203-2150 Slack, Kenneth D., MD 1813 N. Cheyenne Ave. Loveland, CO 80538 .................970-203-6801 Sokolowski, Irene L., MD 1900 N. Boise Ave., Ste. 310 Loveland, CO 80538 .................970-203-2150 Stoltz, Michelle C., MD 2410 W. 16th Street Greeley, CO 80634 ....................970-352-6353

Occupational Medicine Charbonneau, John D., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2471 Smith, Cathy D., MD 1517 16th Avenue Ct. Greeley, CO 80631 ....................970-350-6810

Ophthalmology Adams, John C., MD 1701 61st Avenue Greeley, CO 80634 ....................970-351-6216 Brotsky, Rochelle J., MD 1616 15th Street Greeley, CO 80631 ....................970-352-6688 Carter II, Douglas B., MD 1931 65th Avenue, Ste. C Greeley, CO 80634 ....................970-352-1877 Cecil, Jennifer D., MD 2902 Ginnala Dr., Ste. 1 Loveland, CO 80538 .................970-669-8998 Crews, Kent R., MD 1725 E. Prospect Rd. Fort Collins, CO 80525...970-221-2222 See ad on page 59

Prochoda, Michael R., MD 555 Prospect Rd Estes Park, CO 80517 ..............970-577-4408

Pettine, Kenneth A., MD 3810 N. Grant Ave. Loveland, CO 80538 ......970-669-8881 See ad on page 56 Reckling, W. Carlton, MD 800 E. 20th Street, Ste. 300 Cheyenne, WY 82001 ................307-632-6637

Durbin, Mark B., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Rusnak, Michael P., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Grant, Michael P., MD 3810 N. Grant Ave. Loveland, CO 80538 .................970-669-8881

Sachtleben, Thomas R., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Uyemura, Matthew J., MD 1616 15th Street Greeley, CO 80631 ....................970-352-6688

Grey, Sean G., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 ...970-493-0112 See ad on page 21

Sanderford, Kelly R., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634 ....................970-348-0020

Weeks, Jeffrey B., MD 1931 65th Avenue, Ste. C Greeley, CO 80634 ....................970-352-1877

Grossnickle, Mark D., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2427

Seiler, Steven J., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Orthopedics

Heaston, Daniel R., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634 ....................970-348-0020

Baer, Robert M., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 ...970-493-0112 See ad on page 21

Sides, Steven D., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634 ....................970-348-0020

Houghton, Michael J., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Snyder, Joshua T., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2427

Hunter, Brett P., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2427

Sobel, Roger M., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .............970-493-0112

Beard, Douglas W., MD 1313 Riverside Ave. Fort Collins, CO 80524 ...970-493-1292 See ad on page 37

Jackson, Wesley P., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Tartaglia Jr., Louis, MD 1708 N. Boise Ave. Loveland, CO 80538 .................970-669-6880

Benz, Robert J., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 ...970-493-0112 See ad on page 21

Javernick, Matthew A., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .............970-493-0112

Beard, David A., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Biggs, William D., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21 Bussey, Randy M., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634 ....................970-348-0020

Kindsfater, Kirk A., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 ...970-493-0112 See ad on page 21 Mahon, John (Jack) H., MD 2121 E. Harmony Rd., Ste 260 Fort Collins, CO 80528 .............970-221-2827

Trumper, Rocci V., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 ...970-493-0112 See ad on page 21 Young, Eric E., MD 3830 N. Grant Ave. Loveland, CO 80538 .................970-776-3222

Pain Management Hompland, Scott J., DO 1300 Oakridge Dr., Ste. 130 Fort Collins, CO 80525 .............970-377-9555

Chamberlain, Satoru T., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 ...970-493-0112 See ad on page 21

Martin, Dale R., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Clark, C. Dana, MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

McFerran, Mark A., MD 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Primack, Scott J., DO 2032 Lowe St., Ste. 101 Fort Collins, CO 80525 .............970-221-1919

Dhupar, Scott K., MD 1624 17th Avenue Greeley, CO 80631 ....................970-353-5959

Pazik, Thomas J., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634 ....................970-348-0020

Wagner, Jan G., MD 1175 58th Avenue, Ste. 101 Greeley, CO 80634 ....................970-495-0444

Loveland Greeley Medical Magazine & Directory 2011

Morrow, Kenyon S., MD 1023 39th Avenue, Ste. L Greeley, CO 80634 ....................970-352-7366

45

Palliative Care Mayer, Patricia A., MD 2726 W. 11th Street Rd. Greeley, CO 80634 ...................970-475-0040

Pathology Allen, Patrick C., MD PO Box 419 Loveland, CO 80539 ................970-635-4163 Bee, Christopher S., MD 5802 Wright Dr. Loveland, CO 80538 ......970-353-5136 See ad on page 31 Burson, Michael A., MD, PhD PO Box 419 Loveland, CO 80539 .................970-635-4163 Christian, IV, James D., MD 5802 Wright Dr. Loveland, CO 80538 ......970-353-5136 See ad on page 31 Dunn, Cory D., MD 5802 Wright Dr. Loveland, CO 80538 ......970-353-5136 See ad on page 31 Halbert, Richard E., MD 5802 Wright Dr. Loveland, CO 80538 ......970-353-5136 See ad on page 31 Hamner, H. Wentzell, MD 5802 Wright Dr. Loveland, CO 80538 ......970-353-5136 See ad on page 31 Libby, Arlene L., MD 5802 Wright Dr. Loveland, CO 80538 ......970-353-5136 See ad on page 31 Mattoch, Ingerlisa W., MD 5802 Wright Dr. Loveland, CO 80538 ......970-353-5136 See ad on page 31 Neuhauser, Thomas S., MD 5802 Wright Dr. Loveland, CO 80538 ......970-353-5136 See ad on page 31 Walts, Michael J., MD 5802 Wright Dr. Loveland, CO 80538 ......970-353-5136 See ad on page 31 Wilkerson, IV, James A., MD PO Box 419 Loveland, CO 80539 .................970-635-4163

Pediatrics Brown, Bridget M., MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 .................970-663-5437

46

Bruce, Robert C., MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 .................970-663-5437

Physical Medicine & Rehabilitation

Driscoll, Amy B., MD 5881 W. 16th Street Greeley, CO 80634 ....................970-313-2700

Bender, John D., DO 1300 Oakridge Dr., Ste. 130 Fort Collins, CO 80525 .............970-377-9555

Dubynsky, Orest G., MD 1601 25th Avenue Greeley, CO 80634 ....................970-356-2600

Charbonneau, John D., MD 1900 16th Street, CHAMPS Dept.

Greeley, CO 80631 ....................970-350-2471

Kolanz, M. Meshelle, MD 5881 W. 16th Street Greeley, CO 80634 ....................970-313-2700

Jacob, Joseph P., MD 4401 Union St. Johnstown, CO 80534 ...............970-619-3400

Konda-Sundheim, Rachel I., MD 2021 N. Boise Ave. Loveland, CO 80538 .................970-669-3298 Marler, McKay C., MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 .................970-663-5437 Mead, Andrea W., MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 .................970-663-5437 Moore, Christopher P., MD 5881 W. 16th Street Greeley, CO 80634 ....................970-313-2700

Lockwood, Bruce A., MD 1300 Oakridge Dr., Ste. 130 Fort Collins, CO 80525 .............970-377-9555 Nieves, Ricardo A., MD 1437 Riverside Ave. Fort Collins, CO 80524 ...970-692-5550 See ad on page 72 Reichhardt, Gregory, MD 2001 70th Avenue, Ste. 205 Greeley, CO 80634 ....................970-392-2490

Norman, Jennifer C., MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 .................970-663-5437

van den Hoven, Raymond P., MD 1610 29th Avenue Pl., Ste. 200 Greeley, CO 80634 ....................970-352-8311 2500 E. Prospect Rd. Fort Collins, CO 80525 .............970-493-0112

Patrick, Jenny K., MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 .................970-663-5437

Wilson, Daniel R., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6566

Pedersen, Robert L., MD 5881 W. 18th Street Greeley, CO 80634 ....................970-313-2700

Wunder. Jeffrey A., MD 7251 W. 20th Street, Bldg. P Greeley, CO 80634 ....................970-356-4066

Quintana, Michael D., MD 2021 N. Boise Ave. Loveland, CO 80538 ................970-669-3298

Podiatric Medicine & Surgery

Ryan, Joseph P., MD 5881 W. 16th Street Greeley, CO 80634 ....................970-313-2700 Teruel, Katherine S., MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 .................970-663-5437 Wiesner, Mark L., DO 2555 E. 13th Street, Ste. 130 Loveland, CO 80537 .................970-663-5437 Wuerslin, Elizabeth A., MD 1601 25th Avenue Greeley, CO 80634 ....................970-356-2600

PediatricAllergy Murthy, Krishna C., MD 1130 38th Avenue, Ste. 2 Greeley, CO 80634 ........970-221-2370 See ad on page 22

Schulte, Robert C., DPM 3850 N. Grant Ave., Ste. 130 Loveland, CO 80538 ......970-667-0769 See ad on page 68 Schultz, Peter D., DPM 1440 N. Boise Ave. Loveland, CO 80538 .................970-278-1440 Vaardahl, Michael D., DPM 1931 65th Avenue, Ste. A Greeley, CO 80634 ........970-351-0900 See ad on page 81 Webb, Emily H., DPM 1927 Wilmington Dr., Ste. 102 Fort Collins, CO 80528 .............970-416-9009

Psychiatry Beatte, Hope C., MD 928 12th Street Greeley, CO 80631 ....................970-352-1056 Clark, Charles F., MD 928 12th Street Greeley, CO 80631 ....................970-352-1056 Ruegg, Robert G., MD 928 12th Street Greeley, CO 80631 ....................970-352-1056 Sills, Theron G., MD 900 14th Street Greeley, CO 80631 ....................970-352-4284 Tate, Wesley A., MD 928 12th Street Greeley, CO 80631 ....................970-352-1056 Venard, Neil A., MD 928 12th Street Greeley, CO 80631 ....................970-352-1056

Pulmonology

Atwood, Thomas C., DPM 2122 9th Street, Ste. 3 Greeley, CO 80631 ....................970-353-5800

Breyer, Diana M., MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ...970-224-9102 See ad on page 47

Hatch, Daniel J., DPM 1931 65th Avenue, Ste. A Greeley, CO 80634 ........970-351-0900 See ad on page 81

DePriest, Kirk L., DO 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ...970-224-9102 See ad on page 47

Hecker, Thomas M., DPM 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Fitzgerald, David J., DO 2010 16th Street, Ste. A Greeley, CO 80631 ........970-392-2026 See ad on page 5

Hunt, Nathan A., DPM 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21

Gunstream, Stanley R., MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ...970-224-9102 See ad on page 47

Knutsen, Chad M., DPM 3850 N. Grant Ave., Ste. 130 Loveland, CO 80538 ......970-667-0769 See ad on page 68

Hoyt, James D., MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ...970-224-9102 See ad on page 47

Lydiaâ&#x20AC;&#x2122;s STYLE Magazine

Janata, Kelli R., DO 2010 16th Street, Ste. A Greeley, CO 80631 ..............970-392-2026 See ad on page 5

Northern Colorado Pulmonary Consultants, P.C.

Janata, Robert J., DO 2010 16th Street, Ste. A Greeley, CO 80631 ..............970-392-2026 See ad on page 5

Pulmonary Disease

Critical Care

Sleep Disorders

Kukafka, David S., MD 2500 Rocky Mountain Ave. Ste. 300 Loveland, CO 80538 ......970-619-6100 See ad this page & page 67 Milchak, Jr., Richard J., MD 2500 Rocky Mountain Ave. Ste. 300 Loveland, CO 80538 ......970-619-6100 See ad this page Neagle, Mark B., MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ...970-224-9102 See ad this page & page 67 Peters, Brent T., MD 2500 Rocky Mountain Ave., Ste. 300 Loveland, CO 80538 ......970-619-6100 See ad this page

Diana Breyer, M.D.

Kirk DePriest, D.O.

Stan Gunstream, M.D.

James Hoyt, M.D.

David Kukafka, M.D.

Rick Milchak, M.D.

Mark Neagle, M.D.

Brent Peters, M.D.

Mark Petrun, M.D.

Eric Stevens, M.D.

Carlos Vassaux, M.D.

Kristin Wallick, M.D.

Petrun, Mark D., MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ...970-224-9102 See ad this page & page 67 Stevens, Eric E., MD 2500 Rocky Mountain Ave. Ste. 300 Loveland, CO 80538 ......970-619-6100 See ad this page Vassaux, Carlos, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ...970-224-9102 See ad this page Wallick, Kristin A., MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ...970-224-9102 See ad this page

Radiation Oncology Casey, William B., MD 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .............970-482-3328 Ceilley, Elizabeth A., MD 1801 16th Street Greeley, CO 80631 ........970-350-6680 2050 N. Boise Ave., Ste. B Loveland, CO 80538 ......970-679-8900 See ad on page 75 Fuller, Brian, MD 1801 16th Street Greeley, CO 80631 ........970-350-6680 See ad on page 75 Lisella, Gwen H., MD 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .............970-482-3328 Petit, Joshua H., MD 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .............970-482-3328

Pulmonary Disease | Asthma | Emphysema COPD | Hypoxia | Critical Care | Sleep Disorders | Pulmonary & Exercise Testing FORT COLLINS 2121 E. Harmony Rd., Ste 300 Fort Collins, CO 80528 970.224.9102

Loveland Greeley Medical Magazine & Directory 2011

LOVELAND 2500 Rocky Mountain Ave., Ste 300 Loveland, CO 80538 970.619.6100

www.NCPCPulmonary.com

47

Lisella, Gwen H., MD 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .............970-482-3328

Koplyay, Peter D., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Petit, Joshua H., MD 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .............970-482-3328

Luttenegger, Thomas J., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Simpson, C. Kelley, MD 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .............970-482-3328

Markel, Curtis L., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Radiology

Mills, Andrew D., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Bauerle, Gary W., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6860 Berkowitz, Bruce A., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757 Bodenhamer, John R., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757 Contreras, Jaime H., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Nelson, Todd P., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6860 Pacini, Richard J., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757 Paquelet, Jean R., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757 Peck, Steven H., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Sports Medicine Young, Linda E., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634 ....................970-348-0020

SurgeryAssist Anderson, Thomas M., DO 3470 E. 15th Street Loveland, CO 80538 ......970-663-3975 See ad on page 21 Kaiser, Dale C., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .............970-493-0112 Ross, Vincent (Skip) J., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 ...970-493-0112 See ad on page 21 Seeton, James F., MD 2121 E. Harmony Rd., Ste. 310 Fort Collins, CO 80528 .............970-221-3855

Craven, Winfield M., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Peet, Gary J., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Yemm, Stephen J., MD 2500 E. Prospect Rd. Fort Collins, CO 80525 ...970-493-0112 See ad on page 21

Dunphy, Thomas R., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Reese, Mark A., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

SurgeryBariatrics

Esola, Christine C., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Ruderman, Richard M., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6860

Fleener, Christopher M., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Singer, Charles J., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Florant, Tracy H., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Weinstein, Stanley W., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Cockrell, Gail Y., MD 1801 16th Street Greeley, CO 80631 ....................970-350-5982

Fuller, Samuel E., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Weissmann, Jeffrey R., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Goodwin, Cleon W., MD 1801 16th Street Greeley, CO 80631 ...................970-378-4309

Geis, John R., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757 Geraghty, Michael J., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757 Gunderson, Deborah Z., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Wiedeman, Marjorie M., MD 1801 16th Street Greeley, CO 80631 ....................970-350-6860

Rheumatology Levine, James W., DO 1900 16th Street Greeley, CO 80631 ....................970-350-2433

Hayes, Amy S., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Murray, Garvin C., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2433 2500 Rocky Mountain Ave. N MOB Loveland, CO 80538 .................970-461-1880

Jess, Sarah Jane R., MD 2008 Caribou Dr. Fort Collins, CO 80525 .............970-484-4757

Thompson, John S., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2433

48

SurgeryDental Ferrara, Nicole M., DDS 2975 Ginnala Dr., Ste. 100 Loveland, CO 80538 .................970-663-1000 Gerken, Louis R., DDS 2800 Madison Square Dr., Ste. 1 Loveland, CO 80538 .................970-669-7711 Mioduski III, Theodore E., DDS 2975 Ginnala Dr., Ste. 100 Loveland, CO 80538 .................970-663-1000 Mioduski Jr., Ted E., DDS 2975 Ginnala Dr., Ste. 100 Loveland, CO 80538 .................970-663-1000

SurgeryGeneral Blomquist, Thomas M., MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538 .................970-669-3212 Burton, Lisa K., MD 1800 15th Street, Ste. 210 Greeley, CO 80631 ....................970-352-8216 Collins, Jerome S., MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538 .................970-669-3212 Dupper, Robert L., MD 2216 Hoffman Dr., Unit A Loveland, CO 80538 .................970-776-1600

Johnell, Michael W., MD 1800 15th Street, Ste. 200 Greeley, CO 80631 ........970-378-4433 See ad on page 36

Harkabus, Michael A., MD 1800 15th Street, Ste. 210 Greeley, CO 80631 ....................970-352-8216

Surgery-Burn

Keeler, Bradford R., MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538 .................970-669-3212

SurgeryCardiothoracic Lyons, Jr., Maurice (Moe) I., DO 1800 15th Street, Ste. 340 Greeley, CO 80631 ........970-378-4593 See ad on back cover Richards, Kenneth M., MD 1800 15th Street, Ste. 340 Greeley, CO 80631 ........970-378-4593 See ad on back cover Tullis, Gene E., MD 1800 15th Street, Ste. 340 Greeley, CO 80631 ........970-378-4593 See ad on back cover

Kieger, Arthur B., MD 2318 S. County Rd., Ste. 9 Loveland, CO 80537 .................970-667-2901 Lee, James S., MD 6801 W. 20th Street, Ste. 202 Greeley, CO 80634 ....................970-350-0948 Ogren, Jason W., MD 1800 15th Street, Ste. 210 Greeley, CO 80631 ....................970-352-8216 Saltz, Samuel L., DO 1800 15th Street, Ste. 210 Greeley, CO 80631 ....................970-352-8216 Schmidova, Karin, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538 .................970-669-3212 Tyburczy, Joseph A., MD 1800 15th Street, Ste. 210 Greeley, CO 80631 ....................970-352-8216 Vickerman, Robert P., MD 1800 15th Street, Ste. 210 Greeley, CO 80631 ....................970-352-8216

Lydiaâ&#x20AC;&#x2122;s STYLE Magazine

SurgeryMaxillofacial Owen, Zachary A., DDS 2998 Ginnala Dr. Loveland, CO 80538 .................970-669-4802 Zulian, Michael A., DDS 2800 Madison Square Dr., Ste. 2 Loveland, CO 80538 .................970-669-6850

SurgeryOral & Maxillofacial Bley, Justin C., DMD 1707 61st Avenue, Ste. 102 Greeley, CO 80634 ....................970-506-0350

Turner, Donn M., MD 1313 Riverside Ave. Fort Collins, CO 80524 ...970-493-1292 See ad on page 37 Wirt, Timothy C., MD 1313 Riverside Ave. Fort Collins, CO 80524 ...970-493-1292 See ad on page 37

SurgeryPlastic Boustred, Allister M., MD 2315 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .............970-493-8800

Mellin, Richard W., MD 3400 16th Street, Bldg. 1S-A Greeley, CO 80634 ....................970-353-5826

Brewster, Amy H., MD 2020 Lowe St., Ste. 202 Fort Collins, CO 80525 .............970-266-0456

Nicholas, Kenton C., DDS 1900 16th Street Greeley, CO 80631 ....................970-350-2458

Chapman, Jeffrey K., MD 2315 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .............970-493-8800

SurgeryNeuro

Gonyon, Jr., Denis L., MD 4450 Union St., Ste. 100 Johnstown, CO 80534 ...............970-624-7979

Coester, Hans C., MD 2001 70th Avenue, Ste. 300 Greeley, CO 80634 ....................970-356-4488 1313 Riverside Ave. Fort Collins, CO 80524 .............970-493-1292

Schutte, Warren P., MD 2500 Rocky Mountain Ave., Ste. 2130 Loveland, CO 80538 ......970-372-2310 See ad on page 2

Loveland Greeley Medical Magazine & Directory 2011

Tsoi, Christopher M., MD 2315 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .............970-493-8800

Goodman, Gary R., MD 1900 16th Street Greeley, CO 80631 ....................970-350-2491

SurgeryThoracic

Lee, Michael R., DO 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 .............970-484-6700

Richards, Kenneth M., MD 1800 15th Street, Ste. 340 Greeley, CO 80631 ....................970-378-4593

Malcolm, Troy J., MD 1925 W. Mountain View Ave. Longmont, CO 80501 ...............720-494-3137

Urology

Manion, Sean P., MD 1925 W. Mountain View Ave. Longmont, CO 80501 ...............303-776-1234

Brutscher, Stephen P., DO 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 .............970-484-6700

Nasseri, Kevin K., MD 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 .............970-484-6700

Crylen, Curtis E., MD 5890 W. 13th Street, Ste. 106 Greeley, CO 80634 ....................970-378-1000

Phillips, George H., MD 1647 E. 18th Street Loveland, CO 80538 .................970-669-9100

Eddy, Michael J., MD 1647 E. 18th Street Loveland, CO 80538 .................970-669-9100

Soper, Timothy H., MD 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 .............970-484-6700

Everett, Randy W., MD 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 .............970-484-6700

Wisner, Benjamin P., MD 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 .............970-484-6700

Girdler, Benjamin J., MD 2315 E. Harmony Rd., Ste. 140 Fort Collins, CO 80528 .............970-484-6700

Wolach, James W., MD 5890 W. 13th Street, Ste. 106 Greeley, CO 80634 ....................970-378-1000

49

MEDICAL

ELECTRONIC MEDICAL RECORDS

electronic medical records

aid patient care

North Colorado Medical Center hospitalist Marcus Reinhardt, M.D., reviews patient information.

NCMC’s electronic medical records program will be fully implemented by July 2011.

By Kay Rios

With the healthcare overhaul and the release of federal requirements for electronic medical records (EMR) on the horizon, many healthcare facilities and providers may have to start scrambling.

Locally, however, McKee Medical Center in Loveland and North Colorado Medical Center (NCMC) in Greeley are way ahead of the curve. Both have completed phases of EMR implementation that are already benefitting patients.

50

“The clear benefit to having electronic records is the speed of entering and retrieving the information quickly and easily,” says Pat Duncan, RN, BSN, and clinical informatics facility director at McKee. “The physician enters the order and it goes directly to the healthcare professional involved. There’s no middle man, so patient care is expedited.”

That’s the idea, adds Kim Mattes, RN, MPA and clinical informatics facility director at NCMC. “It always comes down to what’s best for the patient,” she says. “An EMR system increases the quality of care for our patients.”

An EMR is an electronic version of the traditional paper-based medical record.

It contains a patient’s complete health history, from immunizations and allergies to surgeries, diagnoses and physician orders.

While paper-based records are still used by most U.S. hospitals and practices, they require significant storage space compared to digital records, and the costs of paper storage media are dramatically different than electronic storage media.

In addition, collating paper records for review by a healthcare provider is time consuming and complicated.

The U.S. National Center for Health found that in 2008, 38.4 percent of office-based physicians reported using some form of electronic medical record systems, but 20.4 percent reported using a minimally functional system that only included orders for prescriptions and tests, the ability to view laboratory or imaging results, and/or the ability to collect clinical notes.

Banner Health, which owns McKee and operates NCMC, is far beyond that basic system. In fact, Banner was recognized in January 2010 by Health Imaging and IT magazine as one of the Top 25 Connected Facilities in the country. The industry magazine commended Banner Health for its system-wide implementation of electronic medical records and computerized provider-order entry systems, as well as its advances in radiology. Physicians who use computerized providerorder entry type orders such as diagnostic tests and prescriptions into the system Lydia’s STYLE Magazine

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themselves instead of writing it on paper for a medical assistant to enter later.

Banner Health invested heavily in its Care Transformation strategy, which focuses on standardization of workflows and supporting the documentation of care using an enhanced suite of electronic medical records, computerized provider order entry and the Cerner/Motorola Positive Patient ID (PPID) system. The PPID system is based on barcode technology and consists of a wireless handheld computer with a fully integrated scanner and a portable barcode label printer that can accurately compare ordered medications with the patient’s ID. Banner hospitals are all being equipped with similar computer systems, so each facility will have these capabilities by 2012.

Headquartered in Phoenix, Banner Health is one of the largest nonprofit healthcare systems in the country, operating in seven states: Alaska, Arizona, California, Colorado, Nebraska, Nevada and Wyoming. Three of its facilities, Banner Estrella Medical Center, Banner Gateway Medical Center, and most recently Banner Ironwood Medical Center, were built specifically as “paperlight” hospitals. At these facilities, physicians write patient orders directly into computer systems and nurses follow patient care through the computer. Banner Gateway and Banner

Banner’s Positive Patient ID system uses barcode technology to track patient medications, ensuring greater accuracy and patient safety. The system is just one component of Banner’s comprehensive electronic medical records program.

Estrella have been recognized as pioneers in the use of electronic medical records.

It appears to be paying off. A study conducted by the Cerner Corporation and Intel at Banner Estrella Medical Center in Arizona identified benefits in patient safety, improved lab turnaround times, reduced patient wait-time in the Emergency Department, improved patient satisfaction and improved staff retention.

“Banner Health is in a rare group of healthcare organizations that has advanced and standardized workflow in its facilities,” Duncan says.

“We are all at various stages of implementation right now but, for most operations, Cerner Millennium is the platform we’re working from across the Banner system,” says Mattes.

Starting in 2006, McKee began implementing electronic records and, last year, added physician order entry and electronic documentation.

“We moved from a partially digital world to a fully digital one a year ago July,” Duncan said, adding that the system will be fully implemented once the positive patient identification system is put in place.

It was an easy switch to the EMR in IT terms; but, Duncan says, “the cultural transformation is the hard part, because it changes the way all clinicians work. The workflow in a digital world is very different than that of paper. Now there are different ways of delivering reports and a new approach to clinical connectivity. It transforms the way we approach care across disciplines and requires change in how we provide and document care. That change does not comes naturally, and requires work and change management strategies.”

NCMC is making the transition as well.

“NCMC is a hybrid,” Mattes continues, “Our physicians are still documenting on paper while all other documents are handled electronically. In July of 2011, we’ll move our physicians to electronic records.”

NCMC has been using PPID for medication administration since February 2009, Mattes adds. “NCMC had been scanning meds for 15 years before Cerner using a different system. Cerner added an additional safety component to scanning. Now we can scan the patient ID armband in addition to scanning each medication and ensure we coordinate the correct medications with the correct patient.”

Equipment has been added as the system changed, Mattes says. “We have several different choices depending on the need,” she says. “WOW stations (workstations on wheels) are movable PCs with internal batteries and are used for bedside access. We also have desktop PCs throughout the facility and some units such as ICU have laptops in CONTINUED ON PAGE 78

52

Lydia’s STYLE Magazine

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MEDICAL

SLEEP LAB

CPAP Clinic Coordinator David Mash stands in a sleep room at North Colorado Medical Center’s Sleep Lab.

treating the nightmare

of sleep apnea

By Marty Metzger

A good night’s sleep is an elusive dream for many people who unknowingly suffer from obstructive sleep apnea. This condition causes severe life disruptions and secondary medical issues, including daytime exhaustion, mental confusion, impaired memory, heart problems, morning headaches, blood sugar spikes, hypertension and stroke.

Loveland Greeley Medical Magazine & Directory 2011

Sleep apnea can be difficult to diagnose due to the varied symptoms present. At Banner Health’s Sleep Lab, located at North Colorado Medical Center (NCMC), doctors are able to assist with diagnosis and continue to assure each patient a good night’s sleep every night.

Banner Health has had a sleep program in place at this location since the 1980s.

Challenges of Sleep Apnea Julie Meeks had been falling asleep everywhere during the day and was emotional and grumpy. She says that at night she felt “suffocated.” The 42-year-old State Farm Insurance auto claims associate had even missed a month of work due to the problems she experienced.

Meeks initially conferred with her regular physician about the symptoms. She was then referred to Kelli Janata, D.O., director of the Respiratory & Sleep Medicine Departments at NCMC. In September 2010, she went to NCMC for two sleep tests. The results were definitive. She was diagnosed as having 10 to 11 sleep apnea episodes per hour. Normal oxygen levels are 90 percent, while hers were as low as 73 percent, and her REM sleep was below acceptable levels, says Meeks.

Not only was the diagnosis the pathway to relief, but the NCMC staff was wonderful, she says. “The techs make you so comfortable

55

Kelli Janata, D.O., is the director of Respiratory & Sleep Medicine Departments at North Colorado Medical Center.

and tell you everything that will happen during testing. They want you to succeed, are totally accessible and helped me adjust the equipment.”

Meeks believes she’d probably had sleep apnea for seven years without realizing it and can now see “why sleep deprivation is used as a form of torture.”

Sometimes symptoms are misdiagnosed because patients, perhaps unaware of their sleep disruption, present as chronically depressed, irritable or with sinus and throat irritations (from excessive snoring). Some studies indicate high risk factors for sleep apnea include family history, being over age 40, obesity, abnormalities in the upper airway, nasal allergies and chronic congestion.

Sleep apnea is caused by a collapse of the airway. When this occurs, breathing either becomes difficult or ceases completely. The body’s struggle to breathe wakes the sleeper just long enough to begin breathing again.

The person falls back to sleep and the airway again collapses. Such sleep/wake cycles can occur numerous times per hour. This struggle fragments sleep and many patients will not enter deep sleep or REM sleep, both forms which make you feel rested upon waking. CPAP (continuous positive airway pressure) machines are commonly prescribed for sufferers. The attached mask is worn over the nose during sleep and provides a splint to the airway, which prevents the throat from collapsing.

Other possible remedies include surgery to remove nasal polyps, tonsils or adenoids, or excessive airway tissue. Those who have sleep apnea are often advised to try some lifestyle changes to lessen the severity of the condition. Alcohol, sleep aids or other sedative medications can interfere with waking to breathe and should be avoided. If overweight,

56

Lydia’s STYLE Magazine

lose the excess weight over your recommended body mass index (BMI). However, the best approach is to consult with a specialist and test at a reputable sleep lab.

The Process of Diagnosis Technologists run the night studies at the NCMC sleep lab. They explain the procedure to the patient, who then dons pajamas and gets settled in. Next, says Dr. Janata, multiple leads are connected for an electroencephalogram (EEG) to monitor sleep stages, and an electrocardiogram (EKG) for basic heart rate.

Oxygen levels are also monitored.

Breathing is monitored with a belt placed around the chest and abdomen. This helps to determine what types of breathing disorders are present. Leg movement is observed for signs of periodic limb movement disorder, which also disrupts sleep. The patient is carefully monitored during all stages of the night. Body position is reported, as snoring and airway collapse tend to be more prevalent among at-risk people who are back sleepers.

That study is read within a couple days, with results sent to the patient’s primary care physician and CPAP Clinic Coordinator David Mash. He calls the patient to review and explain the results. Next, Mash sets up whatever course of treatment is recommended. For example, some patients are seen for follow-up in the CPAP clinic, while others are referred back to their primary care physician. He again contacts the patient at six weeks for more follow up, such as reviewing the CPAP’s compliancy card download. This smart card indicates the frequency of machine usage, and is a Medicare requirement for coverage of the CPAP machine.

Retired schoolteacher Linda Brown believes she’d had sleep apnea for many years prior to diagnosis in 2007. While hospitalized for a series of severe health problems and subsequent surgery, ICU monitors picked up the sleep apnea signs. Seventy-year-old Brown says she’d always been tired, snored, had high blood pressure, impaired memory, an irregular heartbeat, shortness of breath, and non-stroke related right side weakness.

In October 2007, Brown had a sleep study, which positively identified her sleep apnea.

From that point on, she wore a CPAP mask at night and followed up with her family physician.

Early in 2009, she consulted with Dr. Janata for problems with the mask. Dr. Janata has vastly helped her, says Brown. She’d tried three kinds of equipment since 2007 with varying degrees of relief, but Dr. Janata personalized her treatment regime.

Her plan includes nighttime use of a CPAP with the humidifier. Brown says she likes the fact that a smart card within the machine tells the doctor how much the patient has used it since the previous visit. She is very pleased with her progress and Dr. Janata’s care. “[Dr. Janata] listens to me, gives good

Loveland Greeley Medical Magazine & Directory 2011

57

suggestions, is very approachable and knowledgeable,” says Brown. “I feel more rested and have more energy, especially in the morning, than I did before.”

Says Meeks, “The sleep techs were so perfect. And David [Mash] spent lots of time explaining that my symptoms were typical, which lessened my concerns. I’ve never had doctors so willing to discuss all my questions at length. They were so patient. For the first time in seven years, doctors gave me the tools to help myself and an explanation of what had been happening to my brain from lack of sleep and oxygen. They were great partners. I’m happy, healthy and part of a community.”

Meeks says that because of her treatment, which includes use of a CPAP machine, she is getting better quality sleep than she ever has in her life. She claims an energy level equal to that she’d had in high school.

“Everyone can see a difference in me,”Meeks says. “The sky is more blue and the grass greener.”

Banner’s Sleep Lab Expansion Dr. Janata reports that the NCMC fourbed sleep lab will be adding two additional beds in February 2011. The grand opening is scheduled for March. The lab, which already uses state-of-the-art equipment, will offer Sleep Number beds, flat screen TVs and hotel-quality bed linens in the rooms. To provide even more comfort to patients, private bathrooms will be available and a healthy morning snack will be offered.

“Sleep is becoming a specialized area of medicine that requires its own board certification and now has its own fellowship,” says Dr. Janata. “Medicare recognizes the importance of maintaining the integrity of conducting and interpreting sleep studies. Only board-certified or board-eligible physicians are currently allowed to read.”

Dr. Janata stresses that the larger and newly-accessorized NCMC sleep lab “will offer more people a comfortable experience during testing and provide a complete sleep study that gives us vital information.”

From those results, the physician will be able to adequately discuss with the patient the importance of treatment, including use of a CPAP, and troubleshoot any problems to keep treatment on track.

“I feel that diagnosis of a sleep problem is very important, because in the United States we tend to put sleep as a low priority,” says Dr. Janata. “The buildup of chronic fatigue can cause a multitude of medical problems, such as obesity and heart disease. Putting the workup of our fatigue as a priority can improve our daily lives. A sleep study may be the first step in determining the cause of that fatigue.”

Marty Metzger, who lives in Fort Collins, has worked as a freelance writer for 23 years.

58

Lydia’s STYLE Magazine

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59

MEDICAL

FIBROIDS “Fibroids start as a single cell and grow into a benign tumor,” explains Paul Hiratzka, M.D., OB/GYN and acupuncturist at Women’s Clinic of Greeley. “Picture having a lump that grows inside the uterus, which tends to make the uterus larger, pushes on the lining of uterus, takes up more space. They can get pretty big.”

“They can be in the muscle or inside the cavity of the uterus,” says Karla F. Loken, D.O., OB/GYN, McKee Center for Women’s Health in Loveland. “Fibroids can cause pelvic pressure, pain, bleeding and also urinary problems. They also can interfere with fertility.”

The cause of fibroids is unknown, though there is thought to be a genetic link. Between 25 to 40 percent of all women get fibroids.

Women tend to get them as they become older.

Fibroids are discovered during a routine pelvic exam, investigation of infertility or when a patient visits a doctor for heavy bleeding, pain or a lump.

“Ultrasounds can tell where fibroids are located and the size,” says Dr. Loken. “Also, for more complex cases, an MRI shows the location of fibroids.”

There are several ways to treat fibroids depending on the size, the symptoms and the fertility desire of the patient.

Paul Hiratska, M.D., OB/GYN of Women’s Clinic of Greeley, helps a patient understand her options for treating a painful fibroid condition.

help for

painful fibroids

By Tracee Sioux

Fibroids, also known as myomas, are benign tumors that grow inside a woman’s uterus. While the tumors have less than a 1 percent chance of becoming cancerous or malignant, they can pose tremendous problems for women: heavy bleeding, painful pressure on adjoining organs and infertility.

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Non-Surgical and Hormonal Treatment An option for patients and their caregivers is to observe the fibroid. The fibroid may remain unchanged, increase in size or may decrease in size following menopause, when the fibroid stops being fed an adequate supply of estrogen.

The fertility desire of a woman is crucial when determining potential treatments. If a woman is past childbearing years, there are hormonal treatments to induce a form of faux-menopause or a hysterectomy. However, if a woman is in her childbearing years and wishes to have children, treatments focus on preserving the uterus.

“Hormonal treatment is the simplest,” says Thomas Englert, M.D., Big Thompson OB/ GYN Associates in Loveland. “We prescribe contraceptives. We know fibroids grow under estrogen influence and stabilize or shrink under progesterone influence, though it’s certainly not 100 percent. The other hormonal therapy we use is called Depo Lupron, which temporarily induces menopause. Because fibroids are estrogen-dependent, they’ll shrink for a few months and then stabilize again.”

Of course, patients may not enjoy hormonal treatment. Because the drug mimics menopause, the side effects may be hot flashes, palpitations, mood swings and night sweats.

Lydia’s STYLE Magazine

Surgical recommend an Treatments “endometrial ablaSurgical options tion, which scars the include myomeclining of the uterus so tomy, embolization, patients don’t bleed endometrial ablation, so much. There are a hysteroscopy and multiple techniques finally a hysterectomy. to do that – hot fluid, “A myomectomy electricity or cold,” removes the fibroid which often are effecfrom its home in the tive, says Dr. Hiratzka. uterus, but there “When the remains a risk of fibroid is directly in Thomas Englert, M.D., Big Thompson more fibroids growthe uterine cavity, OB/GYN Associates, Loveland ing in the uterus in there is also a prothe future,” says Dr. cedure called hysterEnglert. “In a myooscopy that allows mectomy, we make surgeons to remove a laparoscopy incithe fibroid by using a sion and remove the scope with a camera fibroid, then sew the that is inserted into uterus closed. It’s a the uterus through bigger surgery than the cervix,” says Dr. a hysterectomy, but it Loken. “All of the is a way of preserving procedures associthe uterus.” ated with fibroids “A person rarely are at increased risk has a single fibroid,” of bleeding, as most says Dr. Hiratzka. fibroids have a sig“The concern is that nificant blood supply you treat one fibroid that allows them to and there are likely grow.”

Karla F. Loken, D.O., OB/GYN, McKee Center to be smaller ones After considerfor Women’s Health, Loveland that will continue to ing the individual woman’s desires for develop.”

Embolization is future pregnancy, a process of cutting problems casued by off the blood supply the fibroids and the to the fibroid, but it’s impact on a woman’s not the least painful quality of life, some solution, and patients women will choose still risk the return of to proceed with a more fibroids. hysterectomy. A hys“With embolizaterectomy ends the tion, we catheterize problem of fibroids the artery that leads permanently. to the fibroid,” says “Currently, the Dr. Englert. “If we advances in laparocut off the blood scopic and robotic supply, they’ll shrink. surgery techniques If a patient wants to help make (hysterbecome pregnant in ectomies) minimally Paul Hiratzka, M.D., OB/GYN and the future, it’s a way invasive procedures, acupuncturist, Women’s Clinic of Greeley of protecting the and the recovery is uterus. It’s not really much easier on the a long-term care plan, patient,” says Dr. but more of a control Loken. “The incisions of the fibroid. It’s a painful recovery. It hurts are smaller, less painful and the recovery time because it’s like having a heart attack in your is significantly shorter.” uterus, the blood supply of tissue is cut off and it is painful. But, it does preserve the Tracee Sioux is a Fort Collins writer. She can be uterus, which is a definite advantage.” found at TheGirlRevolution.com, TGRBody.com If there is heavy bleeding, doctors might and http://www.linkedin.com/in/traceesioux/.

Loveland Greeley Medical Magazine & Directory 2011

61

MEDICAL

FECAL INCONTINENCE

Physical therapist Patty Nekonchuk uses biofeedback information to help her fecal incontinence patients.

new help for

fecal incontinence

By Marty Metzger

Fecal incontinence affects as many as 2 to 7 percent of the U.S. general population.

Reluctance to talk about the problem leaves many people unaware of causes and treatments for the condition, which affects every aspect of life. Sufferers experience social, sexual and other dysfunction. Some people are even afraid to leave their homes, and mild physical activity can worsen the incontinence.

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Crystal North, D.O., of Centers for Gastroenterology in Loveland, says that the ailment varies from minor incontinence, which involves the involuntary loss of gas or liquid stool, to major incontinence, which involves solid stool.

Women are twice as likely to experience the condition, says Dr. North. Pregnancy exacerbates the risk, particularly post-delivery with a severe tear involving the anal sphincter and in some cases also the rectal lining. In that situation, incontinence can happen immediately. But even minor vaginal tears can, over time, cause problems with the anal sphincter (even 50 years later). However, men aren’t exempt from fecal incontinence.

It can be a side effect of radiation therapy for prostate cancer.

Other causes can include diabetes, multiple sclerosis, spinal cord injury, ulcerative colitis or Crohn’s disease. Anal surgery can precipitate the affliction. And, fecal impaction causes sphincter relaxation, which generates seepage around the blockages, says Dr. North. She also

notes that quadriplegics and approximately 50 percent of nursing home residents are prone to this disorder.

Recent advances in diagnostic equipment and treatment techniques are improving the health of people who suffer from fecal incontinence. These range from conservative treatments such as medications, to surgical procedures such as repairing the sphincter itself or colostomy. Medications include Lomotil, which slows stool frequency, and Imodium, which does likewise, but can also increase sphincter muscle tone. There is a 70 percent success rate in surgical transfer of muscles from other areas of the body to rebuild the sphincter, says Dr. North, but this is usually performed at large university hospitals and is not a common practice.

Another choice is biofeedback. One proponent of this treatment method is physical therapist Patty Nekonchuk, who works in the outpatient physical therapy department at Medical Arts Centre of Windsor and North Colorado Medical Center (NCMC) in Greeley.

Nekonchuk admits that the part she plays can be fully successful only if the physician’s assessment is thorough.

Dr. North is one of the physicians with whom she works to give fecal incontinence patients the most comprehensive care possible.

“Dr. North is great about making sure I have all the reports,” Nekonchuk says.

In the spring of 2011, McKee Medical Center will have state-of-the-art anorectal manometry equipment installed, so the local population can have easier access to this technology. The high-tech medical apparatus is initially used for diagnostic purposes to determine the cause of the incontinence.

If biofeedback is then deemed useful, the machine’s other software is employed.

Just prior to testing, a saline enema is used to prep the patient, who then lies on his or her left side, says Dr. North. A small probe is introduced rectally to measure sphincter pressures. No sedation is used because the patient and nurse need to interact throughout the approximately 30-minute procedure. Dr. North says that the resulting data is then relayed to her for diagnosis. Next, the information, including sphincter resting tone (too high or too low) is forwarded by the doctor to a physical therapist such as Nekonchuk, who discusses it with the patient.

“I clue them in on how their body is working or not working,” Nekonchuk says.

For example, if the tone is too low, pelvic floor muscles can spasm, first noted by the patient as lower abdominal discomfort.

Nekonchuk sees her role in the treatment stage as threefold: biofeedback, education and exercise.

Biofeedback begins with an assessment of sphincter muscle electrical activity.

Lydia’s STYLE Magazine

Sticky pads, similar to those used for EKGs (electrocardiograms), attach electrodes to each side of the anus. With the patient at rest, the electrodes tell a computer what the muscles are doing. If their tone is too high, relaxation exercises will be recommended. Next, the patient sits, stands and then walks in order to monitor non-resting muscle activity. Weight, posture or bio-mechanical problems can contribute to, or exacerbate, malfunction of sphincter muscles, says Nekonchuk.

Education follows assessment. Nekonchuk addresses an individual’s habits that may affect the problem. Behavior modification suggestions include diet components, such as fiber and fluid intake amounts. Appropriate exercises geared to the patient’s condition bring about a natural relationship between hips, body core and the pelvic floor. Nekonchuk says that most of her patients experience marked improvement, with success frequently attained in as few as four to six visits.

Two years ago, Gina Polansky had a baby.

Ever since, she’d had a problem with rectal fissures. She endured a full year of difficult bowel movements and pain radiating up her back.

Often, depression accompanies the condition when patients feel that they can’t leave the house because of incontinence, Polansky said.

“I was young and had a little baby to take care of,” says Polansky, a licensed physical therapist for Banner Health. “The fissures affected my whole life.”

Several physicians’ suggestions gave her no relief for the chronic condition. She eventually sought advice from a specialist, who conducted a sigmoidoscopy and then stated, “Yup, you do have an anal fissure. They take a long time to heal. Just stay on Miralax.”

Dissatisfied at her lack of improvement, Polansky went to Dr. North in February for another opinion. Via anorectal manometry testing at NCMC, Dr. North determined that Polansky’s pelvic floor was hypertonic (tight).

The quick, restorative results she received from subsequent biofeedback so impressed Polansky that she has now started using it on her own patients at McKee in Loveland.

Says Polansky of the technology and biofeedback, “You can visually determine what the pelvic floor is doing. It’s non-surgical and minimally invasive, so it is an extremely beneficial test and treatment.”

Technological progress, employed by caring medical professionals who conduct thorough testing and treatment, is restoring lives. Those who once suffered in silence can now reclaim vitality and share information with sufferers still in need of encouragement and healing.

Marty Metzger, who lives in Fort Collins, has worked as a freelance writer for 23 years.

Loveland Greeley Medical Magazine & Directory 2011

63

MEDICAL

RADIATION

the dangers of

McKee Medical Center’s Cherlene Goodale, medical imaging director, and Christopher Fleener, M.D., radiology medical director, are committed to helping patients monitor their radiation exposure during treatment.

radiation exposure

By Heather Schichtel

In 1895, Professor Wilhelm Roentgen was investigating the properties of cathode rays. While holding a lead

pipe up to the ray, he saw something quite shocking on the screen in front of him. The professor could see the bones of his hand holding the lead pipe. He could see inside his body.

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Professor Roentgen had developed the very first X-ray machine quite by accident, but it is no less impactful.

The world was changed by the X-ray.

Looking into their bodies fascinated people. In Chicago one could examine the bones of her hand for a coin. Manuals were printed on how to make your own X-ray machine, with the slogan “So easy a child can do it.”

By 1900, we had learned that this look inside the body, no matter how intriguing, could be quite dangerous. The risks of over radiation became quite real – and in some cases, quite deadly. Even Thomas Edison complained of skin rashes and sore eyes from his work with X-rays.

Perhaps the “Make your own X-ray Machine” wasn’t such a good idea.

More than a century after Professor Roentgen’s astounding discovery, we are no less fascinated with what goes on inside our bodies.

Lydia’s STYLE Magazine

We are, however, smarter and much safer.

Radiologists commit their study to practices that are not only prudent, but meet the parameters of the American College of Radiology, as they try to find a balance between necessary scans and unnecessary radiation exposure.

Scanning technology, X-rays, PET scans and CT scans have changed the way doctors diagnose and treat patients. They are now able to detect life-threatening cancers in the early stages. They can isolate an area of the brain causing seizures. Invasive exploratory surgery is almost obsolete now that doctors can determine problem areas through the information gained from a CT scan. These technologies have become invaluable diagnostic tools to the medical world.

A PET scan can determine the extent and growth rate of malignant tumors. It is especially helpful for brain tumors, as neurosurgeons can map complex brain surgeries. A CT scan can provide a layer-by-layer view of the abdomen, enabling physicians to see damage that might be deeper and not detected through other tests.

This information, however, does not come without cost. CT scans emit a large amount of radiation to the body. One CT scan of the chest can be comparable to 110 chest X-rays.

The exposure in PET scans is similar to a CT, and many times, if a PET scan has been ordered, a CT will be ordered too.

Radiation dose, commonly referred as the effective dose, is measured in millisievert (mSV).

In Colorado, people receive about 1.5 mSv more per year than those living at sea level due to the fact that we receive more sun. Natural background radiation contributes to 3 mSv per year. Comparatively, a chest X-ray is .06 mSv and an abdominal CT scan is 10.0 mSv. One CT scan is not a significant amount of exposure. Multiple scans, however, will contribute to cumulative lifetime exposure and warrant ongoing discussions with your doctor.

Cherlene Goodale, medical imaging director at McKee Medical Center, takes the job of adhering to the American College of Radiology’s best practices very seriously.

She follows one commandment: “Is the information you gain from this test worth the risk of radiation exposure?”

This question needs to be asked not only by the radiologist, but the referring doctor, the patient and, if the patient is a child, the parents.

With advances in scanning technology and its growing popularity in the medical world, patients are more likely to receive a CT scan or perhaps several CT scans in their lifetime. In order to properly monitor cumulative radiation exposure, it is important that patients and doctors work together, communicating the last time a CT scan was performed and what new information could be obtained from a new scan.

For many situations, a CT scan has become Loveland Greeley Medical Magazine & Directory 2011

65

the imaging study of choice, according to Christopher Fleener, M.D., McKee’s radiology medical director. “It is fast and readily accessible.

For patients involved in traumas or presenting with other acute illnesses, the information can be life-saving and should supersede radiation concerns. The patients we worry about are those with chronic issues. We’ve seen patients with recurrent chest pains or renal stones get up to a dozen CTs in only a few years.”

The risk of cumulative exposure can happen when a patient is coming into the emergency room repeatedly for a chronic issue such as undiagnosed pain. They may be seen by different doctors and receive multiple CT scans. At the time of the exam, it’s important for doctor and patient to collaborate and determine if this test will tell anything different from a test they had a month ago.

“As patients, we all need to be our own radiation advocate and as informed as possible about the tests which are ordered and why,” says Dr. Fleener. “Too often we see people state that the reason for their exam is, ‘Because my doctor told me to.’”

Parents need to be especially vigilant with the exposure their children are receiving.

Children are much more susceptible to the risks of radiation, because their cells are multiplying faster than an adult. When taking a child in for any scan, it is important to ask that the machine be adjusted for the child’s age and weight, since the radiation required to get an accurate scan of a child is much less than an adult. Parents can also request to be referred to a pediatric radiologist.

Banner Health is taking proactive steps in decreasing the risk of cumulative radiation.

In late 2009, a GE LightSpeed VCT XTe CT scan was installed at McKee Medical Center.

It has a reduced radiation dose of up to 40 percent while still maintaining image quality.

As Dr. Fleener explained, “For anyone receiving

66

Lydia’s STYLE Magazine

Todd Nelson, M.D., with North Colorado Medical Center, says patients must weigh the risks of radiation exposure from CT, PET and other scans with the medical information gained.

multiple scans in their lifetime, the ability to reduce the dose by 40 percent is significant.”

Todd Nelson, M.D., at North Colorado Medical Center works with breast cancer patients. “We have tried to reduce the number of scans oncology patients will receive. In early remission a scan is ordered a couple times a year. While it’s important to reduce the radiation as much as possible, the information we receive for oncology patients far outweigh the risk.”

The radiation group also follows the standards of ALARA – As Low as Reasonably Allowed. When a CT scan is mandated, doctors determine the lowest dose of radiation to be applied while still conducting an informative test.

With advances in technology, new machines are able to provide better image quality with the least amount of radiation. Referring doctors and patients are also encouraged to discuss if pertinent information could be determined from an MRI or ultrasound, which emit no radiation.

The Medical Imaging Group now hands out cards to parents labeled My Child’s Medical Imaging Report, enabling parents to track the date a scan was performed, the hospital and the exam. “Of course this isn’t just limited to children,” Goodale explains. “Everyone can be tracking their cumulative exposure with this card.”

Everyone can be and everyone should be.

Communication between you and your doctor will help you both determine what is necessary, when and why. As we become more informed consumers, it is important to protect our most valuable commodity – our bodies and our health.

Heather Schichtel is a freelance writer and marketing professional living in Loveland. You can find her at her daily blog: www.samsmomheathers.blogspot.com Loveland Greeley Medical Magazine & Directory 2011

67

CONTINUED FROM PAGE 27

Robotic surgeries are often shorter in length than open surgeries and result in much less blood loss. The 360-degree maneuverability of the robot allows for greater dexterity than the human wrist.

He believes that robotic surgery is the wave of the future and within 10 years nearly all abdominal surgeries will be done robotically. Over the last year, Dr. Crane has performed 300 surgeries, and only one has been an open procedure. “Out of those 300, at least half of them, prior to da Vinci, would have been open,” he says.

McKee has a multi-specialty robotic program which includes urology and head and neck surgery. Although the Epicenter designation is for gynecological procedures, the hospital is pioneering other types of robotic surgeries as well.

“When McKee committed to getting the da Vinci robot, they also committed to robotic surgery as a program,” says Filby.

McKee’s designation as the Epicenter for robotic gynecological surgery means that Northern Colorado will remain on the frontline of this cutting-edge technology.

“As an Epicenter, we get first crack at new technology, and we get first opportunity at doing the studies for new technology,” says Dr. Crane. As an example, Dr. Crane’s team was chosen to do trials on the da Vinci’s new suction irrigator.

“McKee is really a gem of a hospital, and I think this designation shows how good we are,” says Filby.

Heidi Kerr-Schlaefer is a freelance writer, journalist and Mayor of HeidiTown.com.

She lives in Northern Colorado with her husband. She loves animals, the Rocky Mountains, and is an avid fan of professional soccer. Contact her at TheMayor@ HeidiTown.com.

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Lydia’s STYLE Magazine

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Experienced Experienced cardiac cardiac care care that that keeps keeps you you healthy healthy so can your heart. so you you can follow follow your heart.

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McKee Medical Center keeps your life in rhythm with state-of-the-art diagnostic and McKee Medical Center keeps your life in rhythm with state-of-the-art diagnostic and interventional heart procedures, as well as cardiac rehab services to get your heart back in interventional heart procedures, as well as cardiac rehab services to get your heart back in shape. When you need more advanced care, you can take comfort in knowing that McKee shape. When youCenter need more advanced care, can take in knowing that McKee McKee keeps your life in you rhythm withcomfort state-of-the-art diagnostic and Medical Medical Center is part of Banner Health, giving you access to an extraordinary network of Medical Centerheart is part of Banner as Health, giving you access to an extraordinary network of interventional procedures, well as cardiac rehab services to get your in cardiac physicians experienced in providing comprehensive care for even theheart most back serious cardiac physicians experienced in providing comprehensive care forineven the most serious shape.

When you need more advanced care, you can take comfort knowing that McKee heart conditions. McKee Medical Center and Banner Health. Keeping you healthy so you heart conditions.

McKee Center giving and Banner Health. you healthy so you Medical Center part of Medical Banner Health, you access to Keeping an extraordinary network of can follow your isheart. can follow your heart. cardiac physicians experienced in providing comprehensive care for even the most serious heart conditions. McKee Medical Center and Banner Health. Keeping you healthy so you can follow your heart.

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Lydia’s STYLE Magazine

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"I . came to Dr. Nieves suffering /rom hack - . - - " - - --L......1illlll life was restricted to minim I pa~n over the years. My daily . a movement and m so . great lt brought tears to my e es I fi l ' me cases my pam was so I couldn't do the simplest thi~s..I h::;~fee{eated an~ frustrated, because He treated me and /felt ·'· . ope...unttll met Dr. Nieves . h. ' muc" tmproved aifter th .~ . m ts office. Thank you, Dr. Hteves.

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Lydia’s STYLE Magazine

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WELLNESS

EDUCATION

boot camp

for new dads

Jim Risser, Boot Camp for New Dads facilitator, helps ease anxious new fathers into the joys and challenges of parenthood.

By Laura Sebastian

Years ago, mothers gave birth in sterile seclusion, their husbands far away in a hospital waiting room, anxious and clueless as to what awaited them. Once Dad heard the words “It’s a boy!” or “It’s a girl!” he’d slap his friends on the back, light a cigar – you could smoke in hospitals then – and embark upon a fatherhood free of diapering and feeding, mainly responsible for bringing home the cash to pay for it all.

74

Today, many fathers are hands-on, happily involved and engaged, but often still clueless about how to care for a baby.

Fortunately, there’s help to be had. At North Colorado Medical Center (NCMC) in Greeley, fathers mentor fathers in a baby how-to workshop called Boot Camp for New Dads.

The three-hour, $20 workshop, offered the first Saturday of each month (except December), is not as scary as its boot camp title might indicate. “‘Boot Camp’ sounds so intense, but I tell the guys to relax,” says Jim Risser, one of three class facilitators, a father of two, and a past workshop student himself. “It’s taught by men, and it’s for men only, and there’s a real comfort level in that.

We show them how to better deal with a new baby, with mom and what she’s going through, and how to balance work and family. It’s actually fun and there’s no pressure. It’s information to take the edge off.”

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Question: I was recently diagnosed with cancer. I've heard there are a variety of new radiation treatments available. What are my options?

Answer: Radiation has evolved and new therapy types reduce treatment time , increase accuracy and spare healthy tissue.

We're committed to using the most recent technologies and employing the newest treatment protocols to ensure the best quality care for each patient. Some of the leading treatment options available include: Rapid and Smart Arc • A precise radiation dose is delivered in single or multiple arcs around the patient • Used for small tumors in critical locations such as the prostate, head and neck, and the brain

Stereotactic Radiation Therapy • Non-invasive outpatient procedure that utilizes a larger dose of radiation to treat tumors in critical areas such as the brain and lungs • The radiation beam can match the shape of the tumor to spare surrounding healthy tissue ·The treatment is completed in just one to five visits New Treatment Regimens for Some Patients With Breast Cancer • Standard 3-Dimensional treatment to the whole breast may be delivered in three weeks instead of the traditional six to seven weeks • Partial breast radiation therapy allows patients to complete treatment in as little as a week

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Image-Guided Radiation Therapy (IGRT) • Anatomical markers near a patient's tumor are used to doublecheck treatment accuracy • Especially useful with a moving or changing target, like the prostate or when a patient's anatomy is changing , such as when a large tumor is shrinking throughout the treatment course

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Although the content of this ad is intended to be accurate, neither the publisher nor any other party assumes liability for loss or damage due to reliance on this material. If you have a medical question , consult your medical professional.

During the class, participants learn the baby basics and more, and there’s always a real live baby there to practice with, usually the child of a father from a former class who has returned to help fellow frightened fathers. (Frightened grandfathers are welcome too). It is often the first time many of these men have had the opportunity to hold, much less diaper, a baby. They may also, if the tyke has a mind to, get to soothe the baby if he or she is on that most dreaded of baby binges – a crying jag.

“We help them learn not take frustrations out on the baby,” Risser says.

“When you’re sleep deprived or fighting with your wife, a crying baby can be really stressful. Eighty to 85 percent of perpetrators of Shaken Baby Syndrome are men, mostly men in their 20s, and it just takes a second or two to do irreparable damage. When frustrated, we give the men ways to calm down, such as telling them to put the baby in the crib, close the door and walk away for a few minutes, give themselves a time out.”

New fathers have other concerns as well, and not all have to do with the baby.

They worry about how their lives will change, if they’ll have to give up going out with the guys, even how their wife will change now that there’s a baby screaming, “Feed me! Kiss me! Change my diaper!”

“Things do change,” Risser admits.

“One guy has said, ‘You don’t come home to just one new person, you come home to two new people.’ Meaning the second one is your wife, who may get a case of what we call ‘Gatekeeper Syndrome,’ when the child becomes all-consuming and she wants to do everything for the baby herself.

We also teach fathers about postpartum depression and how to recognize the signs, how to help her, how to work with her as a team and share responsibility for things like getting up in the middle of the night.

“And expectant fathers do worry about giving up their adult interests, which they don’t have to do, they just have to modify them,” continues Risser. “Despite what they have to change or modify, I can tell you, every dad said the greatest thing ever is when your child first looks up at you and smiles.”

Boot Camp for New Dads has helped many fathers get to that smiling place. The workshop has been offered at NCMC for the past 10 years and is part of a national program of the same name, whose website describes its concept as “a unique fatherto-father, community-based workshop that inspires and equips men of different economic levels, ages and cultures to become confidently engaged with their infants, support their mates and personally navigate their transformation into dads.”

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The Boot Camp for New Dads class is offered monthly at North Colorado Medical Center.

Kris Howard, manager of Spirit of Women & Family Life Education at NCMC, introduced the program.

“I was struck by the fact that most of what we offered in this area focused primarily on the woman and her issues,” Howard says. “I felt like the issues of fatherhood were critical as well and deserved their own time. When I came across an ad about the Boot Camp program, I knew it was something I wanted to implement. It was a proven, effective program that helped men realize how important they are in the life of their child.”

Dan England, 39, a father of three, past workshop student and current facilitator, agrees that the program is crucial for new fathers.

“When I first attended the class I was really afraid,” England says. “I didn’t know anything about kids, and I wasn’t sure I even liked them. I learned that raising a baby was just like a lot of other things – you can learn how to do it with time and effort.

I mean, it’s a culture shock; you can’t sleep in, you can’t just go out. Being a father has made me more able to adapt so now I can let the little things go. I just tell fathers to enjoy the journey.”

National website: www.bootcampfornewdads.org NCMC website: www.BannerHealth.com/ NCMCFamilyLifeEdu For information, call Family Life and Education Classes @ NCMC: (970) 378-4044 Laura Sebastian, who lives in Fort Collins, has worked as a freelance writer for 11 years.

Loveland Greeley Medical Magazine & Directory 2011

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CONTINUED FROM PAGE 52

Partnering with Parents Parents need to know they have an Ally that will be there for them as their child develops.

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every patient’s room.”

The considerable work involved in improving the system is worth the effort.

Duncan says that this offers a means to move healthcare to a different level.

And, adds Mattes, “We [Banner] began working on this initiative before the federal government stepped in.”

The government move to which Mattes refers is the $787 billion American Recovery and Reinvestment Act (ARRA) of 2009. The act included about $20 billion for healthcare IT along with Medicare and Medicaid incentives to entice physicians to implement EMRs. The maximum incentive is $44,000 per physician over five years for those applying through Medicare. Providers with more than 30 percent of patients on Medicaid can apply for the Medicaid incentive, which can amount to up to $63,500 over a five-year period. The sooner practices start converting, the more grant money they may qualify for. If they delay, they could face financial penalties.

Aside from government incentives, the benefits of using an EMR are huge, Mattes and Duncan agree. “Standardization reduces variation in care and patient outcomes,” Mattes says. EMRs generate less paper chaos and provide faster results, since electronic orders are transmitted immediately for action instead of being put into a stack waiting to be entered. That means that lab tests can be scheduled more quickly and results are delivered more promptly. Electronic records help standardize forms, terminology and abbreviations, and data input. Because forms are digitized, the collection of data for epidemiology and clinical studies is also made easier.

Safety checks are easy to incorporate with EMRs. The system can be linked to alerts that display if an order goes against evidencebased practices, or notifies medical personnel about allergies or possible drug interactions for specific patient orders, Mattes says.

“Cerner creates task lists for caregivers to help organize and prioritize care. All provider orders are reviewed by an RN and he/she can initiate changes as soon as the provider has created the order.”

With more immediate access to patient health information, providers can spend more time working with patients and creating safer and more efficient facilities, Duncan says.

She also says that this creates a network that can help establish best practices in healthcare. “Today, if someone discovers something, we can make changes in practice in a matter of months rather than years.”

Kay Rios, Ph.D., is a freelance writer in Fort Collins. She writes for a variety of publications and is at work on a collection of creative nonfiction and a mystery novel.

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dietician and diabetes educator at McKee Medical Center. “I recommend fortified plant margarine for my high cholesterol patients. And I recommend cereal and grains fortified with iron for my anemic patients or those who have experienced a lot of blood loss.”

However, fortifying everything with vitamins isn’t necessarily helpful.

These days, you can’t grab a carton of orange juice or box of cereal without deciding if you’d like extra Vitamin D, calcium or a whole host of other added nutrients. But what you gain in vitamins may not be enough to make these foods healthy. For example, while one 30 gram serving of a popular children’s cereal contains 31 percent of a person’s daily iron and 12 percent daily calcium, it also has 12 grams of sugar.

Another risk with fortified foods is having an imbalance of one vitamin.

Fortified foods may have extremely high amounts of one vitamin or nutrient, and eating just a few foods fortified with the same nutrient may result in extremely high levels of that nutrient. At that point, many vitamins go from helpful to harmful. As an example, foods fortified with vitamin C are ubiquitous, but overconsumption of vitamin C of a few grams a day (the recommended dose is 90 milligrams for men and less for women) could result in cramps, nausea and diarrhea.

That’s why the Harvard School of Public Health recommends taking a daily or every other day multivitamin and avoiding heavily fortified foods. They believe multivitamins provides a better balance of nutrients without the risk of overdoing anything.

Long’s advice takes a different track. “I believe in food first. You can supplement with multivitamins and they generally offer much more than fortified foods, but I wouldn’t recommend one over the other.” She adds, “Even if you choose to use fortified foods, I encourage people to look at those foods as a whole. Keep in mind fortified foods cannot replace an overall healthy diet.”

WATCH YOUR WEIGHT WHILE YOU WORK

HOW BENEFICIAL ARE FORTIFIED FOODS? Adding vitamins and minerals to food may seem like a recent trend, but the history of fortified foods in the United States dates back to the 1920s, when scientists discovered that iodine could prevent goiter and companies began fortifying salt with iodine. In the 1930s, milk began to be fortified with vitamin D to prevent rickets in children, and in the 1940s breads began to be fortified with the B vitamins, eliminating pellagra (a vitamin deficiency disease).

Because of food fortification, these disorders have gone from common ailments to virtually unheard of problems in this country. More recently, fortification of cereal grains with folate has reduced the number of neural-tube birth defects by 25 percent.

Other fortified foods can be helpful as part of a balanced diet.

“I definitely recommend certain fortified foods to my patients,” says Elizabeth Long, registered

By now we all know that what we eat and how often we exercise can have big impacts on our health. A sedentary lifestyle is one of the biggest risk factors for developing a variety of health problems, from heart disease to cancer. Insufficient nutrients from foods can affect everything from vision to the flow of oxygen through our bodies, and too much food can affect our weight. Eating well and exercising can improve your mood, boost energy levels, sharpen your mental focus, and strengthen your immune system.

However, it can be difficult in this day and age to have healthy habits, especially for the office drones among us. If you also have to juggle family and other obligations outside work, finding the time to take care of yourself can be nearly impossible.

One solution to the dilemma of not enough time is to incorporate healthy eating and exercise into your workday. With some forethought and

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.

JANUARY 22 – Bark in the Dark, 7 p.m., Old Town Square, Fort Collins, benefitting the Search and Rescue Dogs of Colorado, www.k9massagerockies.com 30 – 32nd Annual Frost Giant 5k and 10k Races, 11 a.m., Town Hall, Estes Park, www. estesvalleyrecreation.com

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FEBRUARY 12 – Loveland Sweetheart Classic 4 Mile Race, 10 am, The Ranch, Loveland, benefitting scholarships for local high school runner, www.lovelandroadrunners.com MARCH 12 – Sharin’ O’ the Green 5k Run/Walk, 8 a.m., Library Park, Fort Collins, benefitting Partners Mentoring Youth, www.partnersmentoringyouth.org/Events.aspx APRIL 9 – Third Annual Journey Quest 5k Run/ Walk, 7 a.m., Fort Collins Club, Fort Collins, benefitting the Shared Journeys Brain Injury

Foundation, www.sharedjourneysfoundation. org/events.htm 10 – Flying Pig 5k Charity Walk/Run, 8:30 a.m., Spring Canyon Park, Fort Collins, benefitting families in the Family Support Service Program at Foothills Gateway, www.runningguru.com 30 – March for Babies, 8 a.m., Edora Park, Fort Collins, benefitting the March of Dimes, www.marchforbabies.org 30 - March for Babies, 8:30 a.m., Bittersweet Park, Greeley, benefitting the March of Dimes, www.marchforbabies.org Lydia’s STYLE Magazine

just a little advanced planning, the following tips can work for you: • Eat healthier snacks. “Most of us do best with a small meal or snack every few hours, ideally with protein, healthy fats and complex carbs,” says Kathleen Jones, certified Intrinsic Coach with Embody Change Lifestyle Coaching. For example, she suggests eating an orange with a small handful of almonds.

• Schedule snack times and step away from your desk to eat. Focusing on only your food makes you more aware of what and how much you are eating, and it’s also nice to take a break from work.

• Hydrate regularly with low calorie drinks.

“Keep a selection of calorie-free beverages at work, such as sparking water, green tea or chai, and coffee,” says Jones. “High calorie drinks should be thought of as occasional splurges and not daily beverages.”

• Move around regularly. “If you have a desk job, it’s important to move around every few hours, giving your body a break from sitting,” says Jones. Jones recommends getting up from your desk every few hours to take a walk outside, climb stairs, or do some stretching.

Also, “If you’re meeting with just one other person, perhaps the meeting can be conducted while walking.”

• Find a workout buddy you work with. That way, you can support and challenge each other inside and outside of the office.

Above all, Jones advises people to “consider what will best support your physical and emotional wellbeing as well as your mental focus and productivity.”

One way employers can support their workers is through the CanDo (Coalition for Activity and Nutrition to Defeat Obesity) program. CanDo provides support for workplaces large and small in Fort Collins and Loveland, but their online models may also be helpful for businesses outside that area.

Learn more at www.candoonline.org/worksites.

Loveland Greeley Medical Magazine & Directory 2011

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WELLNESS

SPIRITUAL HEALTH

Penny Rollins, leader of McKee’s Caring and Healing Team, and chaplain Bruce Rippe stand before the new McKee Labyrinth.

the labyrinth

at McKee

By Connie Hein

A peaceful winding pathway with just one way in and out, a labyrinth is a reminder that even in chaos there is a path that leads to the harmony of soul, body and spirit.

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The idea to build a labyrinth on the McKee campus came some time ago as part of the hospital’s ongoing commitment to physical, emotional and spiritual wellness at McKee and throughout the community, according to Penny Rollins, director of risk management and leader of the Caring and Healing Team at McKee Medical Center.

“The labyrinth project started with a dream, an intention ceremony on the site, and then took on a life of its own as the pieces of the project fell quickly into place,” says Rollins.

The McKee Labyrinth is similar to the Pathways Hospice Healing Labyrinth in Fort Collins.

The McKee Labyrinth was built and dedicated in October 2010. It is located along the Wellness Walk, a path that surrounds the hospital, near the gazebo on lower Hoffman Lake east of the hospital. It is for use by anyone that wishes to visit the site.

“The labyrinth is a winding path where individuals can slowly walk while focusing

on centering themselves by breathing and clearing their minds,” Rollins says. “Upon reaching the center, they can take a few quiet moments to reflect, pray or meditate.”

Bruce Rippe, a McKee chaplain, describes the healing effects of a labyrinth as prayer in motion.

“Your cares start to melt away as you realize you can move through the labyrinth, knowing you can never lose your way,” Rippe says.

People set their intentions at the entrance, step in, and then slowly walk the path to its center. Rippe says doing this disconnects the right brain from the left to bring peace to heart and soul.

Most labyrinths are designed with 180-degree curves that slowly move away from the center of the pathway and then turn back to the center, similar to the ebb and flow of the ocean tides. The right brain starts to take over because a labyrinth is not a puzzle, or something the brain needs to figure out, but a surrendering to the peace of Lydia’s STYLE Magazine

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your surroundings.

“The concept of the labyrinth was used by early Christians who visited cathedrals and walked the labyrinth as an alternative to taking a hazardous pilgrimage to Jerusalem to walk in the footsteps of Christ,” Rippe says.

He says modern “pilgrims” walk the labyrinth path as one of many tools to enhance prayer, contemplation and meditation.

“We all get so busy in our lives that often our brain needs a moment of rest when it is not being used to plan or schedule or decide anything,” he says. “This is why labyrinths are becoming quite popular in places providing health, palliative and hospice care.”

Rippe says the labyrinth allows people going through hard times of illness or death to stop and turn their thoughts in a different direction, and to have peace in doing so knowing that there is always a path to peace through the spirit within.

“Even when people feel a bit lost, they can enter the labyrinth knowing it’s a safe place,” he says. “They can’t get lost there.”

The project was funded through the McKee Chapel Donor Campaign, but generous members of the hospital and community donated much of the labor and materials.

Rollins says the labyrinth project was just one part of the overall vision of the Caring and Healing team.

“The goal of the team is to provide patient care with mindfulness, to train and remind staff to be present in every moment with every patient,” she says. “The Labyrinth is a big part of that as it provides a place of meditation to help dissipate the chaos that is often found in hospital settings.”

“For the team of 22 frontline employees,” she continues, “the labyrinth project has been very rewarding as we create a pathway of peace for patients, families, staff, physicians

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The labyrinth is designed to allow visitors the chance to meditate and reflect.

and the community.”

Besides the labyrinth, the Caring and Healing team has implemented other projects. The Cheerful Hearts Program provides inpatients with special concerns or needs a floral arrangement donated by About Vase Floral Studio and greeting cards decorated by children participating in the Sunshine House at McKee day care. The Compassion Cart contains snacks, journals, books, music and other things to bring little pieces of comfort to grieving patients and families, and the Sunshine Cart, funded by a local donor, provides videos, ear plugs, lap blankets, playing cards, and other items for patients.

“McKee Medical Center is dedicated to the physical, emotional and spiritual health of the entire community,” says Judy Chapman, fund development and program specialist for the McKee Medical Center Foundation.

“Due to the generosity of many local donors, contributions to the McKee Medical Center Foundation Chapel Fund were used recently to complete both the McKee Interfaith Chapel and the Meditation Labyrinth.”

She says memorial and honor gifts made to the Chapel Fund will to continue to serve the emotional and spiritual health of the community through a variety of programs.

Other current projects supported by this fund include weekly musical and interfaith devotional services in the McKee Interfaith Chapel, the construction of a unique sculpture garden area just outside the chapel, and sponsorship of an upcoming community program that will feature a nationally known speaker on emotional and spiritual health.

Readers who would like to make a memorial or honor gift or to support the mission of the Chapel Fund may contact Judy Chapman at (970) 635-4105.

Connie Hein is a freelance writer living in Windsor.

Loveland Greeley Medical Magazine & Directory 2011

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SPECIAL ADVERTISING SECTION

weight loss options in the

new year

The holidays are over and the cookies have all been eaten. The guilt of overindulgence has settled in snuggly, along with five extra pounds. Now, with thoughts naturally turning to spring just a short few months away, it is time to lose the weight. Here are a few options that can take you from snug jeans to smug smiles in no time: Take Shape for Life

Available through:

Jude Starks Pharmacist and Certified Health Coach, (970) 302-4919 judestarks@gmail.com

Obesity is the leading cause of many chronic medical conditions. Take Shape for Life could be your solution, empowering you to achieve and maintain optimal health by helping you lose up to 2 to 5 lbs. per week with their complete lifestyle program. Starting with the structured program of coaching, education and support by a Certified Health Coach, combined with a clinically proven low glycemic Medifast meal plan, losing weight is easier than ever before.

Your coach will help you eat six balanced meals each day – one protein and vegetable meal plus five convenient meal replacements like scrambled eggs, pancakes, shakes, soups, bars, brownies, pudding and more. Your Certified Health Coach will help you learn the principles of Dr. A’s Habits of Health to eat right and develop healthy habits for a lifetime.

Meet the medical director and co-founder of Take Shape for Life, Dr. Wayne Andersen, in Denver on February 1012 and learn how Dr. A’s Habits of Health system can make 2011 your best year ever. Call today to reserve a place.

Ideal Protein Cellular Nutrition Plan

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Windsor CBP Spine Center 1180 Main Street, Suite 7 Windsor | (970) 686-9117 www.windsorspinecenter.com

Lose 3 to 7 pounds per week! The Ideal Protein program is a four-stage retraining eating plan that stabilizes the pancreas and blood sugar levels while burning fat and maintaining muscle and other lean tissue.

The four-phase plan promotes long-term weight control and good health – it is not a fad “diet” whose results soon fade.

The plan was originally developed for athletes to secure muscle mass and regulate insulin levels. Ideal Protein provides quick results with improved energy and reduced cravings within the first week. The plan includes four distinctive nutritional supplements and focuses on a program that will improve blood sugar and cholesterol, reduce blood pressure, prompt fat loss and quick weight loss, and help you gain an understanding about how food affects and is utilized by the body.

Weekly progress analysis, dedicated support and follow-up is provided by accredited Ideal Protein health professionals with the program.

Progressive Medical Weight Loss

Available through:

Progressive Medical Weight Loss of Fort Collins 363 W. Drake Road, Suite 9 Fort Collins | (970) 237-3205 www.fortcollinsmedicalweightloss.com

86

Progressive Medical Weight Loss is a physician-directed program for healthy weight loss solutions. The program is customized to fit the individual, beginning with a complete analysis of your body composition. Following analysis, each patient meets with a physician to decide his or her individual plan. If they qualify, many patients may begin a prescription regimen of Phentermine, an FDA approved appetite suppressant.

Participants can also receive LipoLean and LipoEnergy injections, also known as The Fat Burning Shot. Each shot contains lipotropic compounds that are essential for the health of your liver, and removing fat and toxins from your body. The shots include B12 vitamins for energy and other compounds to support liver function, prevent fat buildup and prevent fatigue.

In addition, participants receive nutrition and exercise counseling and have on average lost between 10 to 12 lbs. per month with the program. The initial $54.95 exam includes the office visit, the first bottle of Phentermine (if eligible), and a free lypotropic injection.

Lydia’s STYLE Magazine

SPECIAL ADVERTISING SECTION

Fitter Fort Collins/Biggest Loser

Available through:

The Other Club Fitness Center 1227 Riverside Avenue Fort Collins | (970) 221-4348

Take charge of your health with The Other Club’s Biggest Loser Program. The six-week program includes progressive exercise and nutrition classes designed to help participants move towards optimum health and wellness.

The exercise classes include a variety of cardio and strength training, core strength, balance and stretching methods.

The Eat For Your Health six-week program includes an eating plan to teach lasting weight loss, how to improve blood work, how to break emotional eating habits and more. The classes may be purchased separately or together and the prices range from $110 to $225 for a 6-week session.

Both classes are accompanied by the community health resource, Fitter Fort Collins, a step-by-step program of healthy eating, exercising and well being for those who want to be proactive with their health. The website, www. fitterfortcollins.com, is an extensive resource of support for Biggest Loser and Eat For Your Health participants, and is also free to the community. Nancy Stilson-Herzog is a certified Health and Wellness Coach and the director of these programs.

The hCG Diet

The hCG diet could be your ticket to losing weight. It is based on the chemical called human chorionic gonadotropin, or hCG, a hormone produced in abundance during pregnancy to help maintain a thick uterine lining to feed the growing baby.

In the 1930s, British endocrinologist A. T. W. Simeons found other uses for the hormone, using hCG to treat boys with delayed puberty and obesity, and found the hormone helped the boys lose weight. He then developed the hCG protocol, a multi-phase weight loss plan that works well for men and women.

The plan consists of up to 40 days of daily injections of hCG in small doses paired with a 500 calorie/day diet. The low calorie diet is both healthy and easy because hCG programs the hypothalamus to burn abnormal fat tissues that develop around the waist and thighs only, releasing enough stored calories that people do not need to eat much. Meanwhile, structural fat that cushions internal organs and the soles of feet and the normal fat stored in case of short-term calorie deficits are left intact, as well as muscle tissues. The hCG hormone also acts as a natural hunger suppressant.

In recent years, the hCG diet has seen a resurgence and is generally taken as part of a three-step program: Phase one is the completion of body cleanses and other preparation; Phase two includes the daily use of hCG (now available in injections, drops and tablets) and 500 calories a day diet for up to 40 days; and in Phase three the use of hCG stops, the calorie restriction ends, and the hypothalamus is reset at the new weight. The focus becomes developing and maintaining healthy eating habits.

After a resting period, the hCG program may be repeated for those wishing to lose more weight. Many people have found that the hCG diet helped them when other diet and exercise routines didn’t. Each practitioner’s program is different, and there are a variety of hCG programs available in Northern Colorado. Here are a few:

Allura Skin & Laser Clinic Allura offers tailored hCG programs that support women in two categories: those wishing to lose 15 or less pounds and those hoping to lose more than 15 pounds. Allura’s program uses doctor-prescribed hCG injections or sublingual drops and patients receive ongoing support from Allura’s medical director, their hCG program director and, at the end of the diet, a consultation with a dietitian to help them transition back to a normal diet. Blood work is not required, unless medically necessary. www.alluraclinic.com

Locations: 2032 Lowe Street, Suite 103, Fort Collins or 4450 Union Street, Suite 201, Johnstown, (970) 223-0193

Results Are Typical Results Are Typical offers their own homeopathic sublingual version of the hCG compound. The program does not require blood work or a doctor’s supervision. “This is geared toward the person who doesn’t need much hand holding. People with specific medical conditions – this may not be for them,” according Maria Boldry, owner of Results of Typical. Her compound contains five herbal tinctures to support organ health and detoxification, and flower essence for emotional support. www.resultsaretypical.com

Please visit www.resultsaretypical.com or call 855-HCG-ASAP (424-2727)

Women’s Clinic of Northern Colorado Participants in the hCG program through the Women’s Clinic have the assurance their health is top priority. Beverly Donnelley, M.D., OB/GYN, monitors her patients’ health throughout the diet, with a medical workup at the initial exam. The hCG is available through injection, sublingual drops or in tablet form – all prescription grade products with no additives. As they move through the program, Dr. Donnelley and her staff provide weekly support to help them be successful.

www.fcwc.com

Locations: 1107 South Lemay Ave., Suite 300, Fort Collins 2500 Rocky Mountain Ave., North Medical Office Building, Suite 150, Loveland, (970) 493-7442

Loveland Greeley Medical Magazine & Directory 2011

87

Poudre Valley Medical Group FAMILY MEDICINE

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