October 18, 2012
HealthLine Of Northern Colorado
FITNESS by DESIGN Creating a fitness plan that will work for you
Ask the Expert:
What should I know about detox diets and colon cleanses before starting one? The goal of these diets is to rid the body of toxins that may cause a wide range of medical ailments (fatigue, headaches, fibromyalgia and more) with weight loss as a bonus. These diets often involve a multi-day regimen with a period of fasting and a restricted diet. Many programs also include laxatives and a liquid-based concoction. Diets that recommend very few calories can lead to malnutrition, dizziness, fatigue and nausea. Laxatives can also cause dehydration. Advocates of detox diets claim a variety of health benefits, but there is no supporting medical research. A healthy diet and exercise are recommended over these diets. Consult your physician before beginning a weight loss program or detox diet to learn the risks and set safe weight loss goals.
Experts Work Best.
Grant Taylor, D.O.
Family Medicine Banner Medical Clinic Harmony Road Appointments â€“ (970) 204-9069
Banner Medical Group McKee Medical Center To find a Banner Health physician in your area, visit www.BannerHealth.com/COdoc Connect with us:
Get to know your “girls” to keep them healthy
October is Breast Cancer Awareness Month- ﬁnd out more about the importance of screening and early detection.
Depression: Not a charater ﬂaw, but a real illness
Common misconceptions about depression
Fitness for youngsters
Protecting your home against winter’s silent killer.......................................5 Uncommon Sense .......................................8 Nutrition ....................................................10 Health Calendar .........................................20 Health Briefs..............................................21
involving the whole family in getting ﬁt
Health Line of Northern Colorado is a monthly publication produced by the Loveland Daily Reporter-Herald. The information provided in this publication is intended for personal, noncommercial, informational and entertainment purposes only and does not constitute a recommendation or endorsement with respect to any company, product, procedure or activity. You should seek the advice of a professional regarding your particular situation.
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on the cover FITNESS BY DESIGN Creating a ﬁtness plan that will work for you _________ PAGE 6 .
Thursday, October 18, 2012
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 3
Your health. We’ve got an app for that. • Track your weight.
• Find healthy recipes.
• Find a doctor.
• Track your blood pressure.
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• Research health conditions.
• Track blood glucose levels.
Build a better breakfast: Flavor meets nutrition in the best morning meals
Download the app at pvhs.org/app or search “CHMG” in the App Store or Android Market.
To get the maximum effectiveness from your breakfast, it needs to be nutrition-packed. Of course, it’s just as important that what you eat to start the day is delicious. With that in mind, consider these options for quick, tasty and nutritious breakfasts.
• Toast with toppings
A simple slice of bread can be much more than just that - Food For Life’s Ezekiel 4:9 Flax Sprouted Grain bread offers the protein equivalent of steak or eggs, making it far more than an average carbohydrate. Top with avocado, fresh sliced tomatoes or hummus with a squeeze of lemon.
• Steel-cut oats with super fruits When you need a stick-to-your ribs
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Thursday, October 18, 2012
morning meal, it’s hard to beat oatmeal. If you want some sweetness, look to “super” fruits like fresh blueberries or dried goji berries.
• Breakfast sandwich
In most households, opinions vary on whether breakfast should be sweet or savory. Customizable breakfast sandwiches are a simple solution that keeps everyone happy. Top wholesome bread with everything from apples and honey to smoked salmon with cucumbers and dill.
By adding a few new items to your shopping list, you’ll have a whole new range of options for a tasty morning meal. For more ideas for nutritious eating, visit www. foodforlife.com. - Article Resource Association
Protecting your home against winter’s ‘silent killer’ It’s colorless, odorless and the No. 1 cause of accidental poisoning in the United States. And, it worsens in the winter. Known as the “silent killer,” carbon monoxide (CO) is responsible for an average of 450 deaths and 20,000 emergency room visits each year, according to the Journal of the American Medical Association. With more than two-ﬁfths of all CO poisonings occurring between December and February, homeowners are at increased risk once temperatures begin to drop. “During the winter months, many families turn to heating sources they might not use at other times of the year,” says Deborah Hanson, director of external affairs for First Alert, the most trusted name in home safety. “While these heating sources may be effective at providing warmth, they
also can pose great risks if not used properly. To help protect loved ones from the dangers of CO poisoning, it is important for homeowners to take proper precautions when dealing with any kind of fuel-burning heat source.” •First Alert recommends the following tips and tools for keeping your home and loved ones warm - and safe - this winter and all year long: •Run kitchen vents or exhaust fans any time the stove is in use. The kitchen stove is among the most frequent sources of CO poisoning in the home. To help eliminate danger of overexposure, never use the oven to heat a home. Always run exhaust fans when cooking, especially during the holidays when stoves are left on for longer periods of time. Also, open a nearby window periodically
when cooking to allow fresh air to circulate. •Never use generators indoors. In the case of a power outage, portable electricity generators must be used outside only with power brought into the structure with a cord. Never use them inside the home, in a garage or in any conﬁned area that can allow CO to collect. And be careful to follow operating instructions closely. Also refrain from using charcoal grills, camp stoves or other similar devices indoors. •Have fuel-burning appliances inspected regularly. Arrange for a professional inspection of all ﬁreplaces and fuelburning appliances - such as furnaces, stoves, clothes dryers, water heaters and space heaters - annually to detect any CO leaks. •Be mindful of the garage.
Warming the car in the morning before work is common during the winter months, but running vehicles inside an attached garage, even if the door is open, is hazardous, as CO can leak into the home. •Install/test CO alarms. Carbon monoxide alarms are the only way to detect this poisonous gas in a home. For maximum protection, alarms should be installed on every level of the home and near each sleeping area. Test alarm function monthly and change batteries every six months. In addition, alarms should be replaced every ﬁve to seven years to ensure proper function. If the installation date is unknown, replace immediately. For more information on carbon monoxide safety, visit www.ﬁrstalert.com. -Article Resource Association
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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 5
By Judy Finman
If you want to feel good, lose weight, and be ﬁt, it won’t happen by chance. Create a plan for yourself, and stick to it. It will help you reach your goals. What does it mean to be ﬁt? Here’s an explanation from Pam Leamons, Personal Trainer at Chilson Recreation Center in Loveland: “Most ﬁt people can go about their daily tasks and responsibilities with little or no effort and have enough energy to complete the day without feeling exhausted. The ﬁve main components of ﬁtness are cardiovascular endurance, muscular strength, muscular endurance, body composition, and ﬂexibility.” Most trainers design speciﬁc programs and plans based on their client’s current ﬁtness level, medical history, risk factors, goals, time
constraints and desires. But if hiring a personal trainer is not in your budget, there are many useful ﬁtness plans on the Internet. Some sites offer free individualized plans. Leamons says that having a personal ﬁtness plan will help to determine how much exercise you need, how often and how intense. You will also learn how many calories you need to consume each day based on your body composition and activity level. People who have never worked out before or who are out of shape can start by walking at least once a day for as long as they can, even if it’s only ﬁve minutes. Once that becomes part of their daily routine, they can increase the time and intensity. For cardiovascular ﬁtness, try to work up to at least 30 minutes a day, most days of the week and longer on weekends. Add strength
6 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
training two to three times a week on non-consecutive days. Cardiovascular exercises are walking, jogging, cycling, hiking or most activities that make you sweat by increasing your heart rate. Strength training workouts should include training the major muscle groups by doing two sets of twelve repetitions of each exercise. Stretching, ﬂexibility and core work should also be a part of your routine. Core exercises are not only crunches and sit-ups. Core exercises use all muscle groups from your hips to your shoulders that stabilize the spine, pelvis and shoulder girdle. Your core is your entire torso. If the strength training part of your ﬁtness plan seems intimidating, there are numerous classes offered at local gyms and ﬁtness clubs. At Chilson Recreation Center you can ﬁnd a strength training or core class almost every day of the week. Leamons trains weight loss groups at the rec center. “Most people don’t realize
Thursday, October 18, 2012
that to lose weight, diet and nutrition are 80 percent of the formula. Eating smart and journaling food intake keep you honest. I ﬁnd that people working in group settings are more accountable to each other and experience success in their weight loss goals. Plus, they have a lot more fun!” If you like to exercise and practice good nutrition, motivation is easy. For those just starting on the path to ﬁtness, seeing results will help develop good habits. Leamons says it takes at least two to four weeks to develop a habit. Once you start feeling stronger because of your new routine, it’s much easier to motivate yourself to stick with a program. “For me, setting goals, signing up for races, classes, and making workout dates with friends are great ways to be accountable and keep the habit,” Leamons advises. The key to sticking with a ﬁtness plan is to give it your best. Set little goals that are achievable – don’t eat sugar for one day, walk an extra .
Creating a ﬁtness plan that works for you
ten minutes. Little successes will motivate you to set bigger goals. If you have a temporary setback, just let it go, and proceed with your plan.
HELPFUL INTERNET SITES > > > > > > > > livestrong.com/myplate/ choosemyplate.gov/supertracker-tools/supertracker.html myﬁtnesspal.com/ ﬁtday.com/
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Thursday, October 18, 2012
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LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 7
Listening and emotional support key in cases of abuse. Reactions to abuse at the hands of a family member should be respectful of victim’s wishes. Dr. Beth Firestein Licensed Psychologist
Dear Dr. Beth, I am in my 30s and came from a family that I knew was dysfunctional. Apparently, I didn’t know how dysfunctional our family really was. Recently, my younger sister (we are pretty close in age) visited and told me a secret she had been carrying around for over 15 years. She said she was sexually molested by our father when she was between the ages of 10-13. I’m in total shock. I don’t know what to believe or how to react. Please give me some advice. Families exist along a broad range of healthiness and unhealthiness. Some people are fortunate to come from families where the parents have a healthy (but not necessarily perfect!) relationship and raise their children with a strong sense of safety and of their own personal value. Some families have more than a few problems: parents that don’t get along, personality clashes between the parents and the kids, depression in a parent or other issues. These issues can affect the children’s sense of safety and happiness in the home to quite varying degrees. Some families are troubled by problems that are quite severe: alcoholism or drug abuse in a family member,
domestic violence, physical and emotional abuse of the spouse or children. Sexual abuse is one of the most destructive of these severe family problems. It may seem odd, but sometimes sexual abuse is the “quiet problem”. It can be happening but is not as obvious as violence and alcoholism in the home. This is because of the secretive nature of sexual behavior, the obvious taboo against parentchild sexual contact and the fact that most victims of sexual abuse are threatened by the perpetrator not to tell anyone “or else”. It would not be uncommon for your sister not to realize or start to deal with the fact of having been sexu-
8 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
ally abused until her early or middle adult years. I see this all the time in my practice. And her realization may have been there long before she felt brave enough to tell you about this. I can understand your extreme shock and not knowing how to respond. Often people doubt whether this could be true of their own parent. However the incidence of false memories or vindictive fabrication of abuse stories is close to zero and I would take your sister at her word. Families deal with the blow of this kind of revelation in lots of different ways, but the most important thing you can do is listen and give emotional support to your
Thursday, October 18, 2012
sister. You may be the ﬁrst or only family member to whom she has disclosed this information. I also recommend not taking any kind of impulsive action toward your father, such as confronting him or cutting off contact with him, until you have had time to deal with this yourself emotionally. Anything you do should be in consultation with your sister and respectful of her wishes. It may be helpful for you to talk to a counselor who knows about sexual abuse to help you with your own emotional reactions. The occurrence of sexual abuse in families is real and unfortunately more common than we would like to believe. Both women and men can be .
Ask the Expert:
What do I need to know about heart attacks? It is very important to call 911 if you suspect you or a loved one is having a heart attack. Paramedics will use special equipment to assess your condition on the scene, and may implement a Cardiac Alert. A Cardiac Alert notifies CVI cardiologists and cardiac catheterization lab staff members at McKee Medical Center to be ready to treat you upon arrival. Patients who are treated quickly as a result of McKee’s Cardiac Alert program: • Experience fewer immediate complications from the heart attack • Have less heart muscle damage • Are less likely to suffer from long-term heart failure Time is muscle – the faster the artery is open, the better the patient outcome.
Experts Work Best.
Jim Quillen, M.D. Cardiologist CardioVascular Institute of North Colorado Appointments: (970) 203-2400
McKee Medical Center & North Colorado Medical Center www.BannerHealth.com/CVI
Thursday, October 18, 2012
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 9
Become a produce professional: healthy eats from farm to family
Local. That’s the buzzword when it comes to healthy eats these days. From the farm to the city, locally grown goods are keeping menus fresh and food lovers satisﬁed. This trend is on the rise in hot-spot restaurants around the nation and now it’s never been easier to make fresh, culinary magic happen in your own home. Here’s the trick to getting it done: learn the facts and become a produce professional. The most obvious beneﬁt of shopping local is taking garden-fresh, ﬂavor-packed goods home for your family to nosh on. “You’ll get the highest nutritional value foods by buying in season,” says chef Lynn Krause, culinary academic director of The International Culinary School at The Art Institute of St. Louis. If that’s not enough to get your juices ﬂowing, consider this: Purchasing crops from various community farmers boosts local economies and
enhances sustainability practices by keeping food import/ export needs down, according to chef Linda Trakselis, culinary instructor at The International Culinary School at The Illinois Institute of Art - Chicago. Buying produce cultivated within a 150-mile radius of your location may also increase the likelihood of ingesting products with fewer pesticides and protective coatings typically added during the shipping process. When it comes to buying regional fruits and vegetables, chef Clare Menck, academic director of Culinary Arts at The International Culinary School at The Art Institute of Wisconsin, recommends cruising farmers markets. “It’s best to arrive early and do a lap for price checks, product quality and available options. From there, let your menu be guided by seasonal items and begin picking your produce.” Menck also suggests you
10 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
develop a relationship with the farmers - ask for their pick of the week, recipe tips and preparation suggestions. “Purchasing medium sized, darker colored fruits and veggies is your best bet for ﬂavor and nutrients,” says Trakselis of hand-picking products at the week-end pop-up shops. Farmers’ markets are also a great spot to pounce on the freshest proteins. “I always head for the specials; seek out the fresh catch of the day, fresh cut steaks and chicken specials to feature in meals,” says Krause. Local poultry and shellﬁsh is often inexpensive when compared to goods imported from other regions. Another convenient way to secure the season’s freshest crops is to order produce boxes from community supported agriculture (CSA) programs. Boxes offer a variety of the season’s crops straight from the farm on a weekly, bi-monthly or monthly basis. “The problem may be that you’re getting something in the box you’re unfamiliar with, but that’s not such a bad deal. You learn how to incorporate new vegetables into your meals and can ask for the farmer’s cooking tips,” says Trakselis. Your bounty will vary by season as crops are harvested for the market.
Thursday, October 18, 2012
Summertime ﬁnds include berries, melons, peaches, nectarines, tomatoes, summer squash, zucchini, green beans, asparagus and dark, leafy greens. As the season shifts to fall, you’ll score root veggies, Swiss chard, kale and the last crop of sweet corn and melons. Winter brings citrus and hearty vegetables like beets, turnips, winter squashes, Brussels sprouts and leafy greens to your market. Stock up on more bitter veggies during this time as the hard winter frost releases sugars in the produce and sweetens up your goods. Finally, springtime means peas, lettuce and the ﬁrst berry buds. Proper storage will ensure the longevity of your loot. “Don’t ever put your tomatoes in the fridge - it breaks down the ﬁbrous membrane and you’ll notice a steep decline in taste and texture,” says Menck. Natural sugars turn to starch in the fridge and it also stops the ripening process. She also recommends keeping onions, potatoes, garlic and even carrots in plastic containers in cool locations, like on a shelf in the garage, especially in the wintertime. Look no further than your local farm for the freshest and most nutritious meals. Knowing your way around the market will beneﬁt your week’s food haul, your health and your wallet. -Article Resource Association
Your trusted relationship with your doctor is important. But health care in northern Colorado is changing. That’s why it’s important to make sure your doctor visits are still covered under your insurance plan. What if you couldn’t have your baby at Poudre Valley Hospital or a surgery at Medical Center of the Rockies? Protect your valuable relationship with your doctor. Call your physician and make sure your visits are still be covered under your insurance plan.
Learn more at AlwaysLocal.org
Poudre Valley Hospital | Medical Center of the Rockies | Colorado Health Medical Group
Thursday, October 18, 2012
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 11
Breast Cancer Awareness Month
McKee Medical Center staff dances for breast cancer awareness
The Pink Glove Dance is spreading to McKee Medical Center. Fifty employees from a variety of work areas at McKee Medical Center star in their own Pink Glove Dance video to help spread the word about breast cancer awareness and prevention. The video was submitted to a national competition to determine the best Pink Glove Dance video of 2012. The song used in McKee’s video is “This One’s for the Girls,” by Martina McBride. An interesting side note is that the artist gave
permission to use this song speciﬁcally for the Pink Glove Dance competition. This is the second annual competition sponsored by Medline Industries, producer of the original Pink Glove Dance video. As part of the Pink Glove Dance 2012 competition, McKee’s video will be posted on www.pinkglovedance. com, on October 12, along with the videos of the other participants to be viewed by the public. Viewers can vote on their favorite video (voting requires a Facebook® account). The top three winners receive a donation in their name to the breast cancer charity of their choice; McKee
has chosen Susan G. Komen for the Cure. The winners will be announced November 2 on www.pinkglovedance.com.
Scan the QR code above to view videos and vote.
First Care Family Physicians Family Practice
Infections: Colds, Throat, Sinus, etc. Physicals: Complete, Well Woman, School, DOT, etc. Acute Injuries: X rays, Stitches Blood Pressure, Cholesterol and Other Problems Wellness, School and Camp Physicals
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Convenient Hours Days, Evenings, Weekends Weekdays 9AM to 9PM Saturday 9AM to 6PM Sunday Noon to 6PM Walk-ins welcome. Appointments available.
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2160 W Drake Rd, Fort Collins
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Thursday, October 18, 2012
821 Duffield Court • Loveland, CO
Get to know your “girls” to keep them healthy BY DOMINIQUE DEL GROSSO
As women, we know our bodies best, and we know when something feels off. We take note of the creaks, cracks, aches, and pains and when we gain or lose a few pounds. When it comes to “the girls,” whether big, small, perky or plastic, we’re often more concerned with how they look on the outside rather than the state of their health on the inside. The health of our breasts is often forgotten or downplayed. However, to help educate the public about breast health and breast cancer, the month of October is annually designated, “National Breast Cancer Awareness Month.” October is a time to direct our focus to our chests, get educated and take action. Unfortunately, breast cancer does not discriminate. This disease affects all women of every color, age, shape and cup-size, even no matter how healthy you really are. Early detection is key to warding off cancer, and being educated about when, how and why to get breast screenings is essential to diagnosing problems in their early stages, helping you to stay healthy, happy and cancer-free. “A clinical breast examination (CBE) is a physical examination of the breast done by a health professional. CBE are used along with mammograms to check women for breast cancer,” according to WedMD. (http:// .
women.webmd.com/clinicalbreast-examination). These types of exams are generally recommended every 3 years for women aged 20 to 30, and every year for women aged 40 and older, Dr. Tracy Florant, a radiologist who specializes in breast imaging with Advanced Medical Imaging Consultants in Fort Collins, writes. Breast screenings, also referred to as mammograms, are x-ray images taken to determine changes in the breast. Mammograms are recommended annually for women aged 40 and older who have an average breast cancer risk, Florant writes. For women with more risk factors than average, talking to your health care provider about a plan for your breast health is crucial in keeping you both on the same page because more frequent mammograms and check-
ups may be necessary. Although some medical professionals and organizations disagree about how often a mammogram should be received or at what age you should start the mammogram screens, the take away
message is clear: “Women should know how their breasts normally look, and feel and report any breast change promptly to their health care provider,” Florant writes.
Find more information about breast cancer prevention, support and assistance: breastcancer.org - comprehensive resource for breast cancer patients, survivors and their friends and families nbcam.org - ﬁnd out more about National Breast Cancer Awareness month as well as lists of participating organizations facebook.com/BreastCancerAwareness - Informational posts on helpful sites, support apparel and events and connecting with other supporters cancer.org- Sign up for screening reminders, view treatment options, ﬁnd support groups, events and research komendenver.org - ways to donate and participate locally
Thursday, October 18, 2012
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 13
Protect your valuable relationship with your doctor By Kevin Unger, University of Colorado Health
Healthcare in northern Colorado is changing, and with that come questions from people in our community who wonder what it means for them. Your relationship with your doctor is important. It may even be one of the most important relationships you have outside of your family. Just think: Would you change insurance coverage if it meant you couldn’t have your next baby in Fort Collins? If it meant you’d have to drive to another city to see a
specialist you could otherwise see in town? That’s why we’re encouraging patients and community members to make sure their doctor will still be covered under their insurance plan. Or, if they’re considering changing insurance plans, make sure the new plan will allow them to see the doctor or doctors with whom they’ve built a relationship. With that in mind, here are a couple of questions we’ve been hearing lately: Q: Are Poudre Valley Hospital and Medical Center of the Rockies covered under Kaiser Permanente insurance?
A: No, except for emergency visits. Otherwise, Poudre Valley Hospital in Fort Collins and Medical Center of the Rockies in Loveland are not in the Kaiser network. Procedures and services at these hospitals would not be covered under Kaiser insurance.
Q: Is my Poudre Valley Medical Group / Colorado Health Medical Group doctor covered by Kaiser insurance? A: No. Colorado Health Medical Group (formerly Poudre Valley Medical Group) doctors are not covered by Kaiser insurance. Patients with Kaiser insurance would pay out-of-network prices to continue to see Colorado
Health Medical Group doctors. Many of northern Colorado’s independent physicians are not covered by Kaiser insurance. If you are a patient at Associates in Family Medicine, Fort Collins Family Physicians or Colorado Health Medical Group, for example, you would not be covered at in-network rates by Kaiser insurance. If you’ve got questions about your coverage, call your doctor. It’s your doctor, and it should be your choice.
Kevin Unger is the president and CEO of Poudre Valley Hospital.
R ecovery in mind, body and spirit. To learn more, call (970) 624-5458.
All faiths or beliefs are welcome.
14 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, October 18, 2012
not a character ﬂaw, but a real illness
A broken leg means a trip to the emergency room. Chronic back pain leads to a battery of tests and time off work. Even a virus will get you some words of sympathy. But if you say you have depression, there’s a good chance you’ll get a quizzical look and dumb silence. Depression is a serious illness affecting one in 10 Americans. And while the medical establishment has long known how serious depression can be, it still remains something of a mystery to many people. Often, the advice to someone who admits to a friend that they have depression is “it’ll pass” or “shake it off.” Because there are no bandages or crutches involved, there’s a tendency for friends, colleagues and even family to mistake clinical depression as simply a case of the “blues.” While studies vary somewhat on the exact percentages, it is generally believed that about 50 percent of Americans see .
• Thoughts of suicide, suicide attempts Looking at the list, it’s not hard to see how someone suffering with depression could conceivably “explain away” their depression. But this situation is gradually changing. One important stride that’s been made is in the area of screenings for depression. Put simply, a screening is a questionnaire that gives the participant a clearer idea of whether or not they may have symptoms of depression and should seek clinical help. They are not meant to be diagnostic, but at the same time they are an anonymous, “low exposure” ﬁrst step. And they are, intrinsically, educational. If you, or someone you know, may be suffering from depression, you can visit www.helpyourselfhelpothers. org to take a screening.It is free, anonymous and available 24/7. Another step along the education road is National Depression Screening Day, which occurs on the Thursday of the ﬁrst full week of each October. The screenings are held on college campuses, in high schools, community halls anad other public venues. If you or someone you know is in immediate danger because of thoughts of suicide, call 911 immediately. If there is no immediate danger but rather a need to talk to someone, call the national suicide prevention line at 800-273-TALK (800-2738255).
depression as a personal depression). weakness and a similar perAccording to the National centage of people suffering Institute of Mental Health, from depression don’t seek symptoms of depression may treatment. include the following: “Being a mental health • Difﬁculty concentrating, care professional, these remembering details and statistics are absolutely making decisions alarming,” says Dr. Douglas • Fatigue and decreased G. Jacobs, associate clinienergy cal professor of psychiatry • Feelings of guilt, worthat Harvard Medical School lessness and/or helplessand the founder of Screening ness for Mental Health, Inc. “We • Feelings of hopelessness have to bridge this underand/or pessimism standing gap and the only • Insomnia, early-morning way is through education - in wakefulness or excessive schools, in the mainstream sleeping media, through the work of • Irritability, restlessness nonproﬁts, in fact by any • Loss of interest in acmeans necessary.” tivities or hobbies once One can observe the “unpleasurable, including derstanding gap” in everyday sex life. The word “depression” is • Overeating or appetite often used to describe simply loss “feeling down” - the bad days • Persistent aches or or weeks that soon pass. But pains, headaches, when those feelings last two cramps or digestive weeks or more, they could problems that do not be signs of actual depresease even with treatment -Article Resource Association sion (formally called major • Persistent sad, anxious depressive disorder or clinical or “empty” feelings Thursday, October 18, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 15
Outsmart hunger with 3 easy tips
As the leaves change and the air turns crisp, it can be tempting to indulge in delicious food favorites and hide those few extra pounds under a thick wool sweater. But you shouldn’t have to choose between sticking with your weight management plan and enjoying satisfying and delicious foods. There are some easy and tasty tricks to having
your cake and eating it too. “For those looking to manage their weight, protein and ﬁber ﬁlled foods are helpful to feeling full longer. Typical protein options like Greek yogurt and eggs are not good sources of ﬁber. One option, Kellogg’s Special K Protein Plus cereal, has 10 grams of protein and also three grams of ﬁber. Special K also offers tasty meal bars and shakes to take with you on the go to help avoid those tempting cupcakes at the ofﬁce,” says registered dietitian Sylvia Melendez-Klinger. Melendez-Klinger shares her tips on ways to outsmart hunger: • Get those greens. Filling up on low-calorie, nutrientdense vegetables is a great way to incorporate
vitamins and minerals into your diet - and help ﬁll you up at the same time. Not a salad lover? Integrating veggies into your diet can be as easy as topping your sandwich with spinach and peppers or baking chicken with carrots and onions. • Protein packs a punch. Choosing foods with protein will help you feel full longer. “I love options like Special K Protein cereal, bars and shakes, which provide a winning combination of 10 grams of protein and up to ﬁve grams of ﬁber to help you satisfy hunger longer,” comments MelendezKlinger. • Pump up the produce. Adding seasonal produce to each meal is another ﬂavorful and delicious
way to watch the scale. While summer may be best known for bringing fresh produce options to the table, fall ushers in a new group of colorful and nutrient-dense varieties of its own, like apples, yams, beets, pumpkins and carrots. Burn some extra calories by walking to your local farmer’s market to buy fresh, local options. Special K Protein products can be found now in the snack, cereal and sports nutrition aisles of grocery, convenience and drug stores nationwide. For more information about how Special K can help you outsmart hunger, visit www.SpecialK.com/ProteinEffect - Article Resource Association
spine care that’s right for you ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES
Specialists in the medicine of motion www.orthohealth.com 2500 E. Prospect Road Fort Collins, Colorado 80525 970-493-0112
Spine & Pediatric Spine Pediatric Orthopaedics Trauma & Fractures Foot & Ankle Sports Medicine Shoulder Hand & Upper Extremity Hip & Knee Joint Replacement & Arthritis Physiatry Worker’s Comp Services 3470 E. 15th Street Loveland, Colorado 80538 970-663-3975
16 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
If you have back or neck pain, we can help you get back to your family time, work, or sport. Drs. Robert Benz and William Biggs have board certification and advanced (fellowship) spine training. They specialize in the care that’s right for you—helping people like you feel better and get going again. We offer a complete spine program, whether you need conservative care or surgery. Surgery options include: • Computer guided surgery • Minimally invasive surgery
• Artificial disc replacement • Scoliosis care & surgery
If we can help you with a back or neck problem, call us today at (970) 493-0112. Serving the people of northern Colorado, Wyoming, and western Nebraska.
Thursday, October 18, 2012
Robert Benz, MD
William Biggs, MD
Nancy McRae, PA-C .
Fitness for Youngsters By Judy Finman
Physical activity is important for everyone in the family. Rachel Konda-Sundheim, M.D., senior instructor for the University of Colorado Department of Pediatrics, and pediatrician at the Loveland Youth Clinic, deﬁnes ﬁtness in children as the ability to keep up with peers in physical activity. Obesity tends to be the biggest barrier to ﬁtness; it’s hard to run as fast as another kid in your class if you have twice as much body mass. Some overweight kids are ﬁt, but that is not as common as many parents would like to believe.
“Kids are watching their parents; if mom or dad has no consistent exercise, kids learn that it isn’t important, and no amount of lecturing will convince them otherwise.”
In designing a ﬁtness plan for youngsters, Dr. Konda-Sundheim includes structured and unstructured activities. Structured activities include physical education classes, team sports like basketball or swimming, and training for a speciﬁc event like a race or designated mountain climb. Unstructured activities could be running around the yard or park, biking with friends, and playing at recess. Walking to school or the store are great .
sistent exercise, kids learn that it isn’t important, and no amount of lecturing will convince them otherwise.” Parents can help ﬁnd things that ﬁt the child’s interests, the family schedule and the family budget. When you watch sporting events on television – like the Olympics or the World Series – talk to your child about whether he or she would like to try it. Look through the newspaper for options as a family. If mom or dad is a runner, many races also have a kids’ fun run. Parents can also track the child’s progress, whether that’s the speed of a race, or how far the child walked, ran, or biked. You can maintain a sticker chart for every time the child turned off the TV and played outside instead. Show up at games and cheer them on. Young children need parents to take them to the park. Encourage chasing games, climbing steps, measuring how far your child can jump. In bad weather, you
can take a toddler to the mall to walk or run. Lack of ﬁtness has longterm consequences. Weight bearing exercise – like walking, running, skiing, or basketball – is critical for bone formation; teens who do not make enough bone can suffer early osteoporosis as adults. Exercise not only helps maintain a healthy weight to prevent Type II diabetes, but can decrease or eliminate the need for medication for people who already have diabetes. The September 2012 issue of the journal Pediatrics showed that in girls older than 9 and boys older than 10, the lack of exercise, more than excess calories, makes them overweight. Dr. Konda-Sundheim recommends the website of The American Academy of Pediatrics, especially to learn about its FITT Plan for Physical Activity; www.healthychildren. org/English/healthy-living/ ﬁtness/pages/The-FITT-Planfor-Physical-Activity.aspx
ways to add unstructured activity to the day. For toddlers through teens, the goal is a minimum of 30 minutes a day, but 60 minutes is better. Breaking it up into several smaller blocks ﬁts most families’ schedules better. The particular combination of structured and unstructured is somewhat age dependent; a 2-year old won’t be training for a 5K race, and a teenager won’t be running up and down the slides at the park. Goals are important for maintaining interest in the plan. “Parents are critical for a child’s success, “ Dr. KondaSundheim states. “Kids are watching their parents; if mom or dad has no conThursday, October 18, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 17
84% 86% 84% 79% REPORTER-HERALD 970.635.3614
UPCOMING FLU VACCINATION CLINICS Sunday, Oct. 21 8 a.m. to 11 a.m. Zion Lutheran Church 815 E 16th St., Loveland Tuesday, Oct. 23 1 p.m. to 5 p.m. McKee Wellness Services 1805 E 18th St., Ste. 6, Loveland
Sunday, Oct. 28, 9 a.m. to 10:15 a.m. All Saints Episcopal Church 3448 N. Taft Ave., Loveland Learn more at www.bannerhealth. com/mckeeďŹ‚ushots
convenient office location
eric Young, M.D., Orthopedic Surgeon Dr. Young is board certified in Orthopedic and Hand Surgery. He and his staff will provide you with individualized care quickly and conveniently. Dr. Young sees patients in the office on Tuesdays, Wednesday mornings and Thursdays and we can often get you in the same day if necessary.
cHOOSe pe r S O n a l i z e D
O rT H O p e D i c c a r e
18 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, October 18, 2012
Door to Door Organics named Company of the Year by Naturally Boulder Company honored for their leadership in the natural products industry Door to Door Organics, a company with headquarters in Lafayette that partners with organic farmers to bring seasonal and local produce, and a high quality selection of natural groceries directly to customers’ doorsteps, was awarded “Company of the Year” by Naturally Boulder. Naturally Boulder cited Door to Door Organics’ outstanding business strategy, focus, and success as a leader in the natural products industry as reasons for choosing them as this year’s winner. Doug Radi, Naturally Boulder board president, said, “Door to Door Organics was a clear choice for this award. With a commitment to health, the environment, and conscientious business practices, they are a great example of what Naturally Boulder strives to promote.” In August of this year Door to Door Organics received a $2 million Series A round investment from Greenmont Capital, an investment fund based in Boulder, Colorado, that is focused on growth stage investment opportunities in the $500 billion “Lifestyles of Health and .
Sustainability” (“LOHAS”) market. Door to Door Organics is using the investment to help provide a better overall customer experience. Door to Door Organics was also recently designated a “B Corporation” – a company that “meets rigorous and independent standards of social and environmental performance, accountability, and transparency,” as awarded by B Lab; yet again proving they are setting the standard in e-grocery for fresh high quality groceries, customer satisfaction and corporate responsibility. “We’re deeply honored to be recognized for growing our company while “walking our talk” and delivering on our promise to have a positive impact on people’s health, our community, and the environment,” said CEO and President Chad Arnold. Door to Door Organics delivers the freshest local, organic produce and a growing line of natural groceries, including locally sourced pastured eggs, gourmet cheeses, farm-fresh milk, humanely raised meats, and
artisan breads, to homes, ofﬁces, and schools all over Colorado. For more information and to see if and when Door to Door Organics delivers to your neighborhood, visit www.doortodoororganics.com.
Established in 2005 as an economic development initiative by the City of Boulder and the Boulder Economic Council, Naturally Boulder’s mission is to solidify Boulder as the epicenter of the natural products industry. They do this by supporting emerging businesses to launch and stay in Boulder, Colorado, and by attracting natural products businesses to the region. They promote natural and organic products and services in Boulder through various events and educational opportunities. Please visit www.naturallyboulderproducts.com for more information.
ItTakesaStrongPersonToCare ForSomeoneWithDementia. And,InSomeWays,AnEvenStrongerOnetoAskForHelp.
Call us today for more information or to schedule a private tour.
4750 Pleasant Oak Drive • Fort Collins 970.207.1939 • www.MacKenziePlace.com Independent,Assisted Living & Memory Care Apts
Thursday, October 18, 2012
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 19
BREAST-FEEDING SUPPORT GROUP
WHERE: McKee Medical Center, Legacy 3 WHEN: Mondays, Wednesdays and Fridays (except holidays), 10-11 a.m. COST: FREE. No need to register CALL: (970) 669-9355
BRIGHT BEGINNINGS FOR INFANTS
Bright Beginnings is designed to celebrate the birth of new babies and provide families with health, safety, development, play and community resource information. Where: McKee Medical Center Family Birth Center Conference Room, 3rd Floor WHEN: Nov. 19, 11:15 a.m.12:15 p.m. COST: FREE CALL: (970) 495-7526 to register
MAN-TO-MAN: PROSTATE CANCER SUPPORT GROUP
WHERE: McKee Conference and Wellness Center WHEN: Oct. 25, 5:30-7 p.m. COST: FREE CALL: (970) 622-1961
LOVELAND’S DIABETES SUPPORT GROUP MMC
BREAST CANCER SUPPORT GROUP
WHERE: McKee Cancer Center Lobby WHEN: Second Thursday of the month, 5:30-7 p.m. COST: FREE CALL: (970) 622-1961
TOTAL JOINT EDUCATION
Physical therapists and occupational therapists prepare patients for surgery. This program is coordinated through your physician’s ofﬁce as part of the surgery scheduling process. WHERE: McKee Conference and Wellness Center WHEN: Thursdays, 3 p.m. COST: FREE CALL: (970) 635-4172 to register
For caregivers of elderly adults. The group focuses on providing support and education about community resources and behavior issues, particularly for people with Alzheimer’s and memory impairment. WHERE: First Christian Church, 2000 N. Lincoln Ave., Loveland WHEN: Third Thursday of the month, 1:30-3:30 p.m. COST: FREE Care of elderly adult family members or friends is available through Stepping Stones Adult Day Care program during meeting times at no charge. CALL: (970) 669-7069
WHERE: McKee Conference and Wellness Center, 2000 Boise Ave. WHEN: Nov. 15, 7-8:30 p.m., Insulin Pumps. COST: FREE CALL: (970) 622-1950 20 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
GENERAL CANCER SUPPORT
WHERE: McKee Cancer Center lobby WHEN: Tuesdays, 5:30-7 p.m. (Oct. 2, 9, 16, 23, 30; Nov. 6, 13, 20, 27; Dec. 4, 11, 18) COST: FREE CALL: (970) 635-4129
CAREGIVER CANCER SUPPORT GROUP
WHERE: McKee Conference and Wellness Center WHEN: Nov. 1 and 15, 11:30 a.m.- 1 p.m. COST: FREE CALL: (970) 635-4129
SOULPLAY ART THERAPY
People whose lives are touched by cancer experience the beneﬁts of expressing themselves through art. No art experience needed. WHERE: McKee Cancer Center Conference Room WHEN: TBD COST: FREE CALL: (970) 635-4129
WELLNESS CLASSES/ SCREENINGS
Blood Pressure Screening Have your blood pressure checked by a wellness specialist. WHERE: McKee Wellness Services, 1805 E. 18th St. Suite 6, Loveland WHEN: Monday through Thursday, 8 a.m.-4:30 p.m. COST: FREE CALL: (970) 669-9355
Thursday, October 18, 2012
WISE WOMEN SUPPORT GROUP
Come meet some wonderful other women! We are meeting every two weeks. You may wish to arrive 15 – 20 minutes early so that you have time to get coffee or a snack before our meeting formally begins at 11:15a.m. A few lunch items, coffee, and other beverages are available, as well as desserts. WHERE: Dazbog Coffee Shop, 556 N. Lincoln Avenue, Loveland WHEN: Thursdays (October 18, November 15 and 29, December 13) 11:15 a.m. - 12:30 p.m. COST: FREE CALL: (970) 635-9116
YOGA FOR CANCER SURVIVORS
Practice yoga in a nurturing environment with focus on individual needs, lots of encouragement and patience. Instructor: Wendy Pryor, Yoga Alliance Certiﬁed For anyone touched by cancer. Includes gentle chair yoga and breathing along with holistic therapy education. WHERE: McKee Conference and Wellness Center WHEN: First and third Thursday of the month, 5:30-6:30 p.m. COST: Free CALL: (970) 635-4054 to register
Banner Health Clinic will offer urology care in Loveland
Banner Health Clinic, specializing in Urology, will begin seeing patients in Loveland on Oct. 1. The clinic, opening at 1813 Cheyenne Ave., will be staffed by urologists Curtis Crylen, MD, and James Wollach, MD. To schedule an appointment, please call (970) 378-1000. The physicians, who also have ofﬁce hours in Greeley, will see patients in Loveland on Mondays and Fridays. In addition to clinic hours, the urologists are on staff and able to treat patients and perform surgery at North Colorado Medical Center in Greeley and McKee Medical Center in Loveland. In their practice, the physicians focus on the diagnosis and treatment of urologic conditions for men, women and children. They use the most up-to-date treatment methods including robotic surgery and specialize in: daVinci robotic surgery Prostate disorders Urologic cancers including prostate, bladder, kidney, and testis Urinary incontinence Erectile dysfunction Stone disease Urinary tract infections Vasectomy Interstitial cystitis Circumcision Microwave therapy for enlarged prostate Bed wetting Dr. Crylen earned his medical degree from the Northwestern University Feinberg School of Medicine .
in Chicago. He completed his residency in urology at the University of WisconsinMadison. Board certiﬁed, Dr. Crylen specializes in laparoscopic procedures and is active in a number of local and national organizations. Dr. Wolach graduated from the University of Colorado School of Medicine and completed his internship at the University of California, San Francisco and urology residency at the University of Wisconsin-Madison. He is board certiﬁed and participates in a number of professional organizations. With a special interest in laparoscopic surgery, Dr. Wolach treats both male and female urologic conditions including stone disease, prostate conditions and urologic cancers.
Anthony Doft, MD
Banner Health Clinic welcomes Family Medicine specialist
Banner Health Clinic, specializing in Family Medicine, welcomes Anthony Doft, MD, to its team of health care providers. Dr. Doft is accepting new patients at the clinic, 1300 Main St., in Windsor. He received his medical degree from the University of Minnesota and completed his internship and residency in family medicine there. He is board certiﬁed in family practice and specializes in all aspects of family medi-
cine with an emphasis on listening to and working with the patient. Banner Health Clinic, specializing in Family Medicine in Windsor provides all patients access to services on site including endocrinology, family counseling, gastrointestinal, lactation consulting, OB/GYN, orthopedic, physical therapy and stress management. The clinic also offers on-site laboratory, pharmacy and diagnostic imaging. Dr. Doft joins Family Medicine specialists Jonathan Kary, MD, and Trina Kessinger, MD. To schedule an appointment or learn more about Banner Health Clinic, specializing in Family Medicine, call (970) 686-5646.
McKee Medical Center named a Top Performer by The Joint Commission
McKee Medical Center is one of eight Colorado hospitals recognized today by a national accrediting body as a Top Performer in key patient care areas. “Improving America’s Hospitals: The Joint Commission Annual Report on Quality and Safety 2012,” includes 620 hospitals that are leading the way nationally in using evidence-based care processes closely linked to positive patient outcomes. The hospitals identiﬁed as attaining and sustaining excellence in accountability performance in 2011 represent about 18 percent of Joint Commission-accredited hospitals reporting core measure performance data. The program is based on data reported about
Thursday, October 18, 2012
evidence-based clinical processes that are shown to be the best treatments for certain conditions including heart attack, heart failure, pneumonia, surgical care and children’s asthma. Speciﬁcally, McKee received recognition as a top performer in heart attack, pneumonia, and surgical care. “We pride ourselves at McKee on providing the best care, every time to our patients,” said McKee Medical Center Chief Medical Ofﬁcer Bert Honea, MD. “This recognition is a result of a team-based focus on excellence and credit is due our entire staff.” The annual report also summarizes the performance of more than 3,300 Joint Commission accredited hospitals on 45 accountability measures of evidence-based care processes closely linked to positive patient outcomes. While the data show impressive gains in hospital quality performance, improvements can still be made. Some hospitals perform better than others in treating particular conditions. To learn more about the report and The Joint Commission, visit www. jointcommission.org.
LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 21
Hepatitis C testing for baby boomers Question:
I just read a news article that says all baby boomers should be tested for hepatitis C. Why is that? I thought only people who were organ donor recipients or IV drug users needed this test.
Dr. Peter Smith
A. Actually, after much consideration the Centers for Disease Control and Prevention (CDC) recently issued a recommendation that all people born from 1945 through 1965 (the so-called baby boomer generation) should have a one-time screening for the hepatitis C virus (HCV) as part of routine medical care. The CDC noted in their Morbidity and Mortality Weekly Report on Aug. 17, 2012 that “many of the 2.7 – 3.9 million persons living with HCV infection are unaware they are infected and do not receive care and treatment.” Moreover, the agency found that these baby boomers, while accounting for 27 percent of the population, account for about three-fourths of all HCV infections in the United States, 73 percent of the HCVassociated deaths and are at the greatest risk for liver cancer and other HCV-related diseases. A one-time test could identify more than 800,000 additional people with hepatitis C and has the potential, because of better treatments and testing, save more than 120,000 lives, the CDC says. Hepatitis C-related illnesses
such as cirrhosis of the liver and liver cancer cause more than 15,000 deaths each year. Baby boomers comprise the majority of these deaths. Previously, only individuals with known risk factors were screened for hepatitis C. The CDC found that many people infected with the disease had not previously considered themselves at risk and so did not get screened. The CDC notes the following people are at increased risk for HCV, including: • Current injection (IV) drug users. • Past injection drug users, including those who injected only one time or many years ago • Recipients of donated blood, blood products and organs (this is now rare due to better blood screening practices began in 1992). • People who received a blood product for clotting problems made before 1992. • People with known exposures to the virus such as health care working injured by needle sticks or recipients of blood or organs from a donor who tested positive for HCV. • HIV-infected persons
22 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado
Thursday, October 18, 2012
• Children born to mothers infected with HCV. The reason the current recommendation is so important is that a person can be infected with HCV and not know it until liver problems develop. So a one-time test for HCV, the same way we monitor your blood pressure, cholesterol and glucose levels help you to assure you remain healthy now and for years to come. According to Peter Smith, MD, “Hepatitis C can be a chronic infection that goes asymptomatic for years until the effects of severe liver damage become apparent. With the advent of effective and better tolerated treatment for Hepatitis C, it only makes sense to diagnose and treat this potentially fatal disease before end-stage liver disease develops. Screening with a simple, inexpensive blood test is far better than waiting until symptoms of liver disease appear.” Dr. Smith works at Aspen Medical Center—Internal medicine ofﬁce in Loveland and can be reached at 970-669-6660 or by going to www. bannerhealth.com.
Kaea Beresford, MD
Robert Burke, MD
Eric Yeh, MD
Philip Priebe, MD
Maude Vance, MD
Susan Kozak, MD
Nurse Practitioners, Physician Assistants
Nicole Roberson, MD
ON-SITE SERVICES INCLUDE:
Warren James, MD
Kara Micetich, MD
Bradley Stern, MD
Angela King, MD
Lora Bureau, PA-C
Lani Nielsen, CNM
Kevin Tool, MD
Elizabeth Serniak, MD
Abbey Seufer, PA-C
Roxanne Slayden, PA-C
Susan Bush, CNM
Cassandra Selby, CNM
Beverly Donnelley, MD
Obstetrics Gynecology Bioidentical Hormone Replacement Bone Density Scanning Digital Mammography
Essure Birth Control Healthcare Seminars High Risk Obstetrics Midwifery Care Prenatal Classes Ultrasonography Weight Management
Jennifer Reeve, MD
Peggy Milano, NP
Kelly Jean Clarkson, CNM
Stesha Irons-Kahl, NP
970.493.7442 888.441.6983 www.fcwc.com
Tina Downes, CNM
Serving All Women, Always. Dedicated to providing quality and compassionate care to the women of Northern Colorado since 1965, with providers who have a combined experience of over 320 years.
TWO CONVENIENT LOCATIONS:
2500 Rocky Mountain Ave • North Medical Office Building, Suite 150 • Loveland 1107 S. Lemay Ave, Suite 300 • Fort Collins
We’re here for you. Were Check out our weekly video tips for a healthy, happy summer. University of Colorado Health experts are sharing key ways to live healthier lives in Healthy U Tips, a weekly video series at pvhs.org.
Does your child’s bike helmet really fit?
Dr. Peyton Taliaferro demonstrates the four simple steps you can take to ensure your child’s bike helmet or even your bike helmet - fits perfectly.
How to beat seasonal allergies
Dr. Susan Agrama shares four things you can do if seasonal allergies are getting the best of you.
Dr. Susan Agrama Dr. Peyton Taliaferro
1327 Eagle Drive, Loveland To make an appointment, call 970.619.6450 pvhs.org/clinics
Living healthy and well in Loveland.