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By Kristi Ritter Longmont Times-Call
Being able to hear correctly from birth will give infants the start they need to develop normal speech and hearing that will lead to their long-term impact in society. According to the American Speech-Language-Hearing Association, studies estimate that between one and six newborns out of every 1,000 are born with congenital hearing loss annually in the United States. While not all hearing loss is detectable at birth, screening for the potential loss from the start will give infants the chance to be treated so they can learn the fundamentals of productive hearing and speech.
D’Anne Rudden, doctor of audiology and owner of Longmont Hearing Center, says Colorado has state guidelines that push for most infants to have a hearing screening done at the hospital after birth. Ideally, they should be screened no later than 1 month of age and be diagnosed with any potential problem by 3 months of age so an early intervention program can be put into place by 6 months old. A fetus develops hearing at five months gestation, so if an infant is born with a hearing loss, they are already four months behind. HEALTH
Opening the lines of communication for infants
“Doing this allows infants to develop normally, get fit with aids if needed, and work with speech and language professionals to hit those milestones early in life,” Rudden says. Whitney Swander, doctor of audiology and owner of Hearing HealthCare Centers in Longmont and Boulder, says those beginning milestones are vital to a child’s speech and language development. “Infants should already be able to recognize their mom’s voice,” she says. “Their speech development is vital to being able to hear things.” While hearing tests are determined by the level of responses from someone raising their hand or clapping, infants can’t yet express themselves through behavioral responses. Hearing tests for infants are a little more objective. Swander says there are two tests for infants: auditory brainstem response (ABR) and otoacoustic emissions (OAEs). The ABR tests measures electrical impulses in the ear and can detect damage to the cochlea, the auditory nerve and the auditory pathways in the stem of the brain. The OAE test measures the integrity of the cochlea response. By having the outer hair cells of the cochlea vibrate, and the vibration produces an inaudible sound that echoes back into the middle ear. Rudden says the different areas of the ear can also be examined for potential problems. Overall, a doctor or audiologist will look for any blockages, as some birthing fluids can cause those. The middle ear is prone to infections. In young children, the eustachian tube in the middle ear is more horizontal than adults, whose tube is more at an angle. When horizontal in nature, it will naturally collect more fluid, leading to potential infections. As for the inner ear, infants may also have problems at birth, especially if there is a family history of genetic hearing loss. Symptoms of hearing loss in infants may also manifest itself when adults notice the babies may not localize the sounds as expected, meaning they don’t look in a direction when something has been dropped. Infants and children may also not respond if the television is too loud. Once they reach school age, they may have trouble following
a teacher or school work. If hearing tests show any signs of loss or problems, Rudden says infants are referred to audiologists for further screening and to put intervention plans into place. While she’ll address any medical issues first – only 5 percent of hearing problems are treatable by medications or surgeries – the next step is to look at the root cause of the hearing loss and find the best solution, whether it’s putting in hearing aids, doing therapy or starting sign language if all loss is evident. “The majority of losses are sensory losses which are treated with a hearing aid,” she says. “Even a mild hearing loss can make the difference in the ability to discriminate what is being said.”
Find help for hearing Colorado has many great programs in place to help parents with hearing loss in infants and children. • The Colorado Department of Public Health and Environment offers guidelines for infant hearing screening, audiologic assessment and early intervention, which was revised in 2004. It provides people with the guidelines for the state hearing program, newborn screening programs, invention and more. For the complete guidelines, visit www.cdphe.state.co.us/ps/hcp/hearing/audiologyguide.pdf. • Colorado Hands & Voices is a group of parents, professionals, and deaf and hard of hearing adults who joined together in support by sharing ideas and advice, collaborating on projects and passing on information of interest to each other. While the group started in Colorado, it has reached nationwide to have other state chapters. For more information, visit www.handsand voices.org/index.htm. • The Colorado Academy of Audiology offers professional audiologists who are university trained and licensed to practice in Colorado. Find out more about this organization by visiting www.coloradoaudiology.org/. • The American Speech-Language-Hearing Association is a great resource. Visit www.asha.org/.
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Routines help baby know what to expect By Summer Stair Longmont Times-Call
Bringing a baby into your life changes everything. Suddenly you have an infant who relies on you. This can seem overwhelming, but with the help of a routine you and baby will know what to expect on a daily basis, hopefully eliminating stressful situations. “Routines help babies know what to expect and for many infants that is very reassuring and makes babies happier and calmer,” says Dr. Katie Dueber, a pediatrician at Carbon Valley Medical Center in Firestone. “It also helps parents feel in control of the daily activities making interactions with baby more rewarding.” While a routine is beneficial for the whole family and eventually caregivers, Dueber says it is important to not make the routine too strict and to remember that every routine is different for each family. An infant routine is often based around sleeping, eating and playtime, but should allow for flexibility. “Being too strict with a routine can actually be harmful to the baby,” she says. “Newborns and breastfed babies in particular should be allowed to feed on demand as many need to eat more frequently than the schedule allows. Parents should be careful not to be so strict with the schedule
that they don’t meet the baby’s needs appropriately.” Families who have older siblings also have to allow for some flexibility, as outside activities and play dates may take the family from the home throughout the day. While a flexible routine has its benefits, there is one time throughout the day where a routine should be established and stuck with and that is at bedtime. A bedtime routine will guarantee your child gets enough rest to process the days events and will allow for parents to have time to themselves in the evening. Dueber suggests finding a routine that works for the family through simple activities such as having a bath, brushing teeth, putting on pajamas and reading a story. For infants, simply turning off the lights, music and TV will let them know it is bedtime and not playtime. “Getting more sleep helps the baby to be well rested which allows for her to be active and explore her environment during the day promoting growth and development,” she says. “It also helps baby to fall asleep, feel secure and hopefully sleep HEALTH
better and longer at night.â€? Other benefits of having a routine is that it can help children reach developmental milestones because they will have specific playtime to focus on tummy time to encourage motor development and social interactions with parents and siblings which will help them explore their environment. For families having a hard time finding a routine and sticking to it, Dueber says not to be hard on yourself, but to find something that works for your family by pinpointing what makes having a routine hard and working around it. The most important part of the day when a routine should be stuck to is at night. The day time is not as important as long as a babyâ€™s needs are meet. â€œRoutines are generally helpful for both infants and their parents, but donâ€™t be so focused on sticking to a strict routine that you forget to enjoy the time with baby,â€? Dueber says. â€œAllow for some flexibility to live your life the way you want to.â€?
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Cataracts can happen at any age. However, they are the leading cause of treatable visual loss in adults 55 and older. Common symptoms are cloudy, fuzzy, foggy or filmy vision, colors that seem faded, glare from bright lights, halos around lights, not being able to see well at night, double vision, and frequent changes in an eyeglass prescriptions. If a person is older than 50 and experiencing change in his vision and has not had a recent eye exam, he should have a complete eye health exam by a medical doctor who is trained in all forms of eye disease and treatment. Dr. Terry Robinson, M.D. is an expert with more than 29 years of experience in the removal of cataracts, performing the latest state-ofthe-art no stitch cataract surgery, including multifocal and astigmismcorrecting intraocular lenses and the newest glaucoma medical and laser treatments.
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Digestive health is top-of-mind for many people Article Resource Association
New parents are often surprised by how much time they spend monitoring their child’s digestive health – from sharing great details about the baby’s latest diaper change to worrying about what foods will keep things flowing freely. There is no greater responsibility than keeping babies and toddlers healthy so they can thrive, and the digestive tract is the first line of defense for the body’s immune system – whether you are 1 or 101. Children experience bouts of constipation much like adults. In fact, one in four children suffer from constipation in the United States and treatment costs for this digestive health issue amount to nearly $4 billion annually, according to a 2008 study by Nationwide Children’s Hospital. “Although babies, toddlers and preschoolers are constantly on the move, their digestive tracts sometimes slow down due to constipation,” says Carolyn O’Neil, registered dietitian and co-author of “The Dish on Eating Healthy and Being Fabulous!” “Busy moms need to stay focused on their own health – drinking enough fluids and eating fruits, vegetables and whole grains – and they need to keep an eye on their child’s
digestive health to prevent painful bouts of constipation for their child’s tiny tummy.” Unlike adults, who may experience bowel movements more regularly, children normally pass stools as far apart as every few days. Generally, if a child has less than three bowel movements per week and they are difficult to pass, he or she may be constipated. The good news? Nutrition experts say drinking ample fluids and eating fruits, vegetables and whole grains is the best approach for maintaining digestive health. For naturally effective digestive health solutions that are easy on the tummy and on the taste buds, simple and natural solutions like plum juice, such as Sunsweet’s PlumSmart, can help regulate digestion naturally for both adults and children. In fact, a recent clinical study of plum juice versus psyllium for improving bowel function in adults, published in the Internet Journal of Nutrition and Wellness, revealed that 58 percent of participants reported relief from irregularity within the first 24 hours after consuming one cup (8 ounces) of plum juice.
To get tiny tummies back on track, Carolyn O’Neil shares some simple and natural solutions to find relief and prevent the pain of constipation: • When solid foods are first introduced to babies around 1 year old, try giving 4 ounces of PlumSmart plum juice to help alleviate tummy troubles caused by constipation. Kids will love the refreshing taste. • For babies just cutting teeth, increase their fiber intake by offering cooked carrots, apples or soft fruits such as small pieces of ripe pears or peaches.
• For ages 2.5 and younger, parents should make sure their toddlers are drinking enough fluids and getting a range of fruits and vegetables in their diet. • For potty-training toddlers around 2 or 3 years old, one of the most common causes of constipation is avoiding going to the toilet. At this age, toddlers are often so involved in their play that they avoid potty breaks. The body has a natural reflex called the gastro colonic reflex which is triggered by eating meals. After a meal, place the child on the toilet for at least 10 minutes to take advantage of this natural reflex.
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Researchers may have unlocked one of the mysteries surrounding Sudden Infant Death Syndrome – serotonin. SIDS is the leading cause of death in children age 1 month to 1 year. Since the Back to Sleep campaign was initiated, urging parents to put their children to sleep on their backs, SIDS deaths decreased. However, since 2000, the number has reached a plateau. In a new study, Dr. Hannah Kinney and her colleagues at Children’s Hospital Boston compared the brainstems of 41 babies who had died of SIDS to the brainstems of seven babies who died of other causes and five babies who were hospitalized with low oxygen levels before their deaths. In 35 of the 41 SIDS babies, serotonin levels were 26 percent lower than in all the babies who did not die of SIDS and levels of tryptophan, an enzyme that spurs serotonin production, were 22 percent lower. Binding to serotonin receptors was 50 percent lower in SIDS babies. Serotonin is a brain chemical that helps regulate breathing, temperature, sleeping, waking and other automatic functions. Serotonin can also help babies respond to high carbon-dioxide levels during sleep by helping them wake up and shift their head position to get fresh air. Combined with the continued practice of placing babies on their backs for greater fresh air exposure, there soon may be testing to predetermine if a child has a low serotonin level and could be at risk for SIDS.
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By Summer Stair Longmont Times-Call
The growing years are some of the most important years in a child’s life. Not only is your child establishing their height, but they are developing eating and sleeping habits that could affect their rapid growth physically and mentally. To make sure everything is functioning properly it is important to maintain a healthy nervous system, which can be done through chiropractic care. “In the first 10 years of life, their (a child’s) nervous system is changing and developing very quickly,” says Dr. Steve Nagel of New Leaf Chiropractic and Wellness Center in Longmont. “Within those first 10 years is the optimal time to make sure things are functioning correctly.”
Children can see benefits through chiropractic care
A healthy nervous system can help a child’s immune system work better and can address other problems they may be experiencing that parents are not aware of. Chiropractic care can address issues in kids such as attention deficit hyperactivity disorder, colic and breastfeeding problems in infants, failure to thrive, headaches, migraines, asthma, ear infections, scoliosis, neck and back problems, and can even help kids sleep better. It is important to make sure kids are also eating a well-balanced diet, taking supplements and vitamins if needed, and are getting enough sleep. Dr. Michael Larimore of Larimore Chiropractic and Massage in Longmont recommends parents think of going to the chiropractor just as they would going to the dentist. “Don’t base it on being sick or having pain, but being preventative,” he says. “It’s about taking care of your spine and improving your nervous system for optimal functioning.” If parents are unsure about taking their children to see a chiropractor, both Nagel and Larimore recommend visiting the chiropractor and getting a thermal scan to see if there are any areas that need to be addressed. “It’s not just about getting them adjusted, but about what else is happening,” Nagel says. “It’s an educational process and a chance to learn more about their bodies and getting the body to function as best as it can.” Parents can also be assured that the pressure used during adjustments is based on each individual and will not hurt, but often feel good once done. The benefits seen afterward often include sleeping through the night, better concentration, more energy and better movement. “By focusing on the nervous system your health will improve,” Larimore says. “Health is about function, not structure.” But the most important thing according to Nagel is kid’s need to know there is help out there. “You don’t have to go through life just as is.”
Finding a plan that works for children with ADHD By Kristi Ritter Longmont Times-Call
With difficulty concentrating, not following through on instruction, frequent squirming and the ease of distraction among the many symptoms of attention deficit hyperactivity disorder, ADHD can be difficult and scary in children. And with a long list of symptoms to shuffle through, it can be even more challenging to diagnose. ADHD is a chronic condition that affects millions of children and often persists into adulthood. Dr. Lisa Turner, a pediatrician at Longmont Clinic, says approximately 10 percent of children are affected by this condition, which manifests itself in either inattention or hyperactive-impulsive behavior, or sometimes a combination of both. Most ADHD symptoms will appear in children younger than age 7, with some signs noticeable as early as infancy. For those children with hyperactivity associated, they may bang their pencil on a desk, squirm about, leave his or her seat when expected to sit still, have difficulty playing quietly, talk excessively and even have difficulty waiting for a turn. For children who aren’t hyperactive but instead have problems with inattention, symptoms may include failure
to follow details, have trouble sustaining attention, not fully listening, forgetful and avoidance of things they don’t like such as homework. Granted, some of the issues with squirming and short attention span can be associated with any healthy child at one time or another. Young children are naturally energetic. But just because they have a lot of energy or a short attention span early in life doesn’t mean they should be classified with having ADHD. “ADHD is one of the many things in medicine that we don’t fully understand how it happens,” Turner says. “What we do know is if children are premature or have difficulty at birth, they are more likely to get ADHD. Same thing if it runs in the family; they are more likely to get it.” However, parents shouldn’t blame themselves if their child is diagnosed with ADHD. According to the Mayo Clinic, “researchers increasingly believe that causes have more to do with inherited traits than parenting choices.” The clinic also notes that certain environmental factors may contribute to or worsen a child’s behavior. Some of the factors that can contribute to a child’s ADHD diagnosis include: altered brain function and anatomy; heredity;
how to address their issues at home and in school. “As children get older they may get more coping mechanisms to deal with their symptoms, but it may continue throughout their lives to some extent,” she says. Parents can help by setting structure in the home. Have a homework area that offers minimal distractions, and a schedule that offers on and off again work to allow for work and breaks. Writing down all assignments in a planner will also give children a way to check off completed activities. It’s all about establishing a routine and boundaries. While ADHD manifests itself differently in all children, Turner says it’s important for parents, children and physicians to discuss the options that will work for each individual. It’s vital to provide structure, provide positive discipline, stay calm and strive for healthy relationships. For more information on attention deficit disorder, visit www.chadd.org.
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maternal smoking, drug use and exposure to toxins; and childhood exposure to environmental toxins. Interesting enough, there is not a single test that can diagnosis ADHD, but rather a method of gathering information and history about a child’s performance. “We do a thorough history and physical, as well as use questionnaires that the families and teachers can do,” Turner says. She says they look at a child’s attention, emotional issues, hyperactivity and performance in school. “Sometimes it’s very straight forward from that, but sometimes it’s not,” Turner says. “And if it’s not interfering with natural functioning, we can talk with the family about some things they can do to help the child get organized.” While some children may need to be on certain medications to help with their challenges of ADHD, most often they need to see a counselor, psychiatrist or psychologist. “For more kids it’s beneficial to have counseling to help deal with issues such as self esteem,” Turner says. Geoff Ochsner, a licensed professional counselor in Boulder, says he, like physicians, can diagnosis ADHD and help children and their parents set a plan to address the issues at hand. In addition to using tests, rating systems and client history information, he also uses EEG bio feedback, which shows the brain stem feedback during arousal stimulation, in helping to diagnosis ADHD. “I think it’s important to find out what drives the attention problems, whether its sleeping issues, eating problems or appetite changes,” he says. As a counselor, Oshsner says a portion of the children he works with are taking stimulate medicines prescribed by their doctor. He also provides the EEG feedback to guide the child into the optimum attention. “Individually, children are learning impulse control and problem solving skills,” he says. “Together with the parents we work to encourage and improve the structure at home.” Unfortunately, children with ADHD don’t always outgrow the symptoms. Turner says many have to learn to deal with it and know
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More cases of gallbladder disease occurring in children By Elaine Marsilio Scripps Howard News Service
Danielle Nielsen was 16 when she had her gallbladder removed. Danielle’s mom, Penny, says the high school senior had pain for two years and went to numerous doctors until seeing a specialist at Driscoll Children’s Hospital in Corpus Christi, Texas. The doctor recommended Danielle have her gallbladder taken out to relieve her of pain and gallstones, which were likely hereditary, Penny Nielsen says. Gallbladder removal is increasing in children and teens, says Dr. Mohammad Emran, director of the adolescent weight management program at Driscoll Children’s Hospital in Corpus Christi, Texas. Danielle, now 17, is one of 30 children who have had their gallbladders removed since September 2008, according to Driscoll Children’s Hospital data. The worsening of children’s eating habits and the increase in childhood obesity are the biggest contributors to gallbladder disease, Emran says. Hispanic children may be more susceptible to the disease for genetic reasons, he says. “We’re just going to see it more quickly and more dramatically here.” The surgery has been performed on patients from 8 to 21 years old, Emran says, but it’s rare for an 8-year-old to undergo the procedure. Doctors at Driscoll Children’s Hospital performed 226 gallbladder removals from 1993 to 2008. Emran says gallstones can lead to other diseases, affecting organs such as the heart and kidney. “Gallbladder disease is just the tip of the iceberg,” he says. Children he has treated have had high blood pressure, diabetes related to weight issues or kidney failure, Emran says. Other conditions can surface in five to 10 years, he says, and some may even be life threatening. Gallbladder removal is typically linked to 16
gallstones, which form when bile solidifies and blocks the bile duct leading to the small intestine, according to the National Institute of Diabetes and Digestive and Kidney Diseases website. There can be infection, inflammation and dysfunction, Emran says. Danielle’s surgery involved a single incision as opposed to a traditional four-incision procedure that can leave marks from the added incisions. The hospital staff started using the single-incision device in fall 2009 and has completed four surgeries, Emran says. Danielle says it was important to have the single-incision surgery. “I didn’t want to have to walk around scarred all my life,” she says. Armed with tools such as the single-incision device and weight management programs, Emran says the hospital works with children to try to tackle weight and to understand and treat diseases that may contribute to their weight, such as liver disease. HEALTH
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Boosting fiber in your child’s diet Article Resource Association
With a looming childhood obesity epidemic, many physicians and dieticians are emphasizing the importance of fiber in children’s diets. According to the American Academy of Pediatrics, children who eat plenty of fiber are less likely to develop obesity, heart disease and gastrointestinal problems, including constipation. Still, a recent Kellogg Company study showed that nine out of 10 children do not get enough fiber in their diet. And for the 4.3 million kids with food allergies, getting the daily recommended amount of fiber can be even more challenging. Fiber Basics A good guideline for children is to use the Age Plus Five rule to calculate the daily grams of fiber needed. For example, a 4year-old should eat 9 grams of fiber per day. So where will all this fiber come from? Fiber is the part of fruits, vegetables and grains that is neither digested nor absorbed by our digestive system. There are two types of fiber, soluble and insoluble, and it is important to get both types in your children’s diets. Insoluble fiber, which is mainly found in 18
cereal or whole grains, promotes overall gut health and is helpful in preventing constipation. Soluble fiber, found mainly in fruits and vegetables, helps lower cholesterol levels and slows the body’s absorption of sugar. Most fiber-rich foods contain both insoluble and soluble fiber, so if you feed your children a variety of high-fiber foods throughout the day they should be able to meet their daily requirements. As a rule of thumb, foods are considered to be good sources of fiber if they have at least 2.5 grams or more per serving. Good sources of fiber include fruits like apples and bananas; vegetables such as corn, peas or spinach; lentils, beans and other legumes; and breads or cereals that contain whole wheat or multi-grains. Fiber and Food Allergies If your little one has food allergies, getting the recommended amount of fiber can be even more challenging because their diet is restricted. Fiber-rich foods that are unlikely to be allergenic include apples, pears, melons, carrots, potatoes, broccoli, green beans, pumpkin and zucchini. “Fiber is particularly important for children with food allergies and related HEALTH
gastrointestinal conditions,” explains registered dietician Steven Yannicelli, Ph.D., vice president of medical and scientific affairs for Nutricia North America, manufacturer of Neocate. “Studies have shown that fiber has numerous healthful benefits, especially for those suffering from constipation which may be found in children with food allergies.” If your child’s food allergies restrict his or her fiber intake, an elemental formula with added prebiotic fibers, such as Neocate Junior with Prebiotics, can help to meet daily requirements without the risk of an allergic reaction. Prebiotics are a special type of soluble fiber which nourishes the friendly bacteria present in the gut. Supporting the growth of good bacteria helps clear out the bad bacteria, because the two compete for food and shelter in the GI tract. Prebiotic fibers provide a good source of soluble fiber to help maintain regularity and gastrointestinal health, and support a healthy immune system. Increasing Fiber Intake If you find your child is not meeting his or her daily fiber recommendations, be sure to increase the amount gradually. Suddenly increasing fiber in large amounts can result in some discomfort, such as cramps, bloating and gas. Also, be sure your child drinks plenty of water. Otherwise, fiber may actually contribute to constipation rather than preventing it.
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“Studies have shown that fiber has numerous healthful benefits, especially for those suffering from constipation which may be found in children with food allergies.” Steven Yannicelli, Ph.D., registered dietician
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It’s never too late for a great smile Article Resource Association
About 4.5 million Americans wear braces or other dental appliances to straighten their teeth, according to the American Association of Orthodontists. Many more – an estimated 50 to 75 percent of the population – have some form of malocclusion or misaligned teeth and could benefit from orthodontic treatment.
The majority of orthodontic patients are children or teenagers – commonly starting treatment between 9 and 14 years of age. Now, however, with innovative treatment alternatives to traditional metal braces, more adults are opting to go into treatment. One in five patients is an adult age 18 or older, according to the AAO, and many parents are going into treatment with their children, which can be a great way to save time by scheduling joint appointments. Invisalign clear braces are available for adults and teens, and can save even more time with shorter and fewer office visits. Orthodontists consistently say that anyone with healthy teeth and gums can straighten their smile at any time, regardless of age. Teeth that are crooked, misaligned or have too much or too little space in between are among the most common problems treated with braces. Hereditary factors like a smaller palate can contribute to these problems. Environmental factors including thumb-suck20
ing or accidents are other causes. In addition to impacting one’s appearance, teeth that are badly misaligned can impede eating and speech. Here are some tips for finding the right treatment for you or your child, addressing common problems and keeping cost-saving considerations in mind: • An orthodontist or dentist can tell you if you need braces or some other treatment to correct misaligned teeth. The initial consultation to determine if you need braces is almost always a budget friendly, free-of-charge visit, making it easy to get more than one opinion. • One of the most cosmetically appealing treatments for aligning your teeth can also be affordable. Invisalign straightens teeth like metal braces and costs about the same, but is virtually invisible on your teeth. A series of clear aligners, made from smooth plastic custom-made to fit to your teeth, eliminates the gum and mouth irritation often associated with metal braces while moving your teeth in small increments so there’s little pain. This treatment can also prevent costly emergency visits for broken wires, as well as post-treatment teeth whitening or repair. Fixed wire and bracket braces can make it difficult to brush and floss leaving teeth vulnerable to developing decay, plaque, periodontal disease and stains that must be taken care of after braces are removed. Because Invisalign wearers can remove their aligners to brush and floss, they can more easily maintain good oral hygiene. • Many dental insurance plans cover orthodontic treatment, but when less than 100 percent is covered or for those without dental insurance, many orthodontists now offer payment plans that allow you to spread the cost of treatment out over the course of treatment rather than paying in budget-busting lump sums at the beginning and end of treatment. • Setting aside pre-tax dollars in a Flexible Spending Account through your employer is another way to make paying for braces easier. HEALTH
By Jeannine Stein Los Angeles Times
Kids in the United States have been getting fatter in recent decades, but a new study showing the geographical differences in childhood obesity trends paints a more comprehensive picture of where things are getting worse – and better. A study released online in the Archives of Pediatrics & Adolescent Medicine looked at weight statistics among 46,707 U.S. children ages 10 to 17 in 2003, and among 44,101 children in 2007. In 2007, 31.6 percent of children were overweight, and 16.4 percent were obese, and overall childhood obesity rates went up 10 percent between those years. In 2007, the prevalence of obese children was highest in Mississippi (21.9 percent) and lowest in Oregon (9.6 percent). The prevalence of overweight children was highest again in Mississippi (44.5 percent) and lowest in Utah (23.1 percent). Between 2003 and 2007, obesity prevalence declined
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in Oregon by 32 percent. Other trends emerged: The Southeast had the highest instances of obese and overweight kids. Arizona and Illinois showed sizable jumps in prevalence of obesity from 2003 to 2007, at 46 and 32 percent, respectively. The prevalence of all overweight kids didn’t show any substantial change in the four years, but it went up 9 percent for girls. Prevalence of obesity in girls went up 18 percent in that time. Researchers noted that odds of being overweight or obese increased relative to lower household income levels, less neighborhood access to parks and sidewalks, lower levels of physical activity, and more time spent watching TV or on the computer. Black and Latino children had higher rates of obesity and greater chances of being overweight than their non-Latino white counterparts, after researchers adjusted for socioeconomic and behavioral factors, and state of residence.
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Recognizing an often undiagnosed condition in children’s eyes Metro Services
Be it testing at school or at the doctor’s office, kid’s vision is routinely under review. But those routine eye exams might not reveal the whole truth. A condition that often goes undetected, convergence insufficiency is not regularly screened for in pediatric eye tests, school screenings or basic eye exams. In fact, a person can even pass the 20/20 eye chart test and still have convergence insufficiency. Parents concerned about convergence insufficiency can learn about the condition and request that their children be tested for it. What Is Convergence Insufficiency? According to the Archives of Ophthalmology, Convergence Insufficiency is a binocular vision disorder in which the eyes have a strong tendency to drift outward when reading or doing close work. As the eyes drift, a person is likely to have double vision. To prevent double vision, the person then exerts extra effort to make the eyes turn back in, or converge. That extra effort often results in several frustrating symptoms. What Are the Symptoms of CI? When doing close work such as reading, using the computer, doing crafts or playing handheld video games, a person is likely to show or complain of the following symptoms: • eyestrain • headaches • blurred vision • inability to concentrate • short attention span • squinting an eye • rubbing an eye • covering an eye • difficulties remembering readings • words appearing to move, jump, swim or float • problems with motion sickness When a person is dealing with CI, it’s common to cover or close one eye while reading. This is an attempt to relieve the 22
blurring or double vision that occurs. A person who falls ill, does not get enough sleep or has prolonged close work will exhibit worsening symptoms. A person with CI will also avoid certain behaviors while suppressing one eye. This is a way parents can begin to recognize CI in children, as kids might avoid tasks that require depth perception, such as games involving smaller balls traveling through the air, handicrafts and activities that rely heavily on hand-eye coordination. Frequent head tilting and poor posture while doing activities that require near vision might also act as indicators of CI. How is CI Treated? Treatment for CI is categorized as active or passive. • Active treatment: Research by the National Eye Institute has proven that the most effective treatment for CI is supervised vision therapy in a clinical office with home reinforcement exercises. These reinforcement exercises are often done for 15 minutes a day, four to five days per week. • Passive treatment: Prismatic, or prism, eyeglasses can be prescribed to decrease some symptoms. However, these glasses are not a cure, and patients typically must continue to wear the lenses and even need stronger lenses as time goes on. HEALTH
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First gynecologist visit is vital to teen girls’ overall health By Kristi Ritter Longmont Times-Call
Teenage health information can often come in different forms. While schools address some issues in class, other opinions are handed out among friends and from parents or guardians. But misinformation can spread like wildfire, giving teenagers a blurred vision of what is right and what is wrong. When it comes to teenage girls, there is a lot of information they should know about their bodies during a time when change is inevitable. Setting up an initial visit between the ages of 13 and 15 with a gynecologist will give them the facts they need to make informed decisions about their bodies. Dr. Jenny Kim, a gynecologist at Longmont Clinic, says it’s important that teenage girls get the proper education about their bodies so they make the best decisions. “They need to be a little more informed to decide what activities to be engaged in,” she says. “I’d rather be providing more preventa-
tive help than seeing them in a few years dealing with an abnormal pap, infertility or an infection.” Scheduling an initial visit with a gynecologist will allow young girls to get to know their doctor and develop a relationship of trust when sharing such private information. Quite often, teens are more comfortable with someone if they can get to know them slowly, building a relationship they trust. Kim says the first visit with her is a chance for teen girls to get to know not only her, but the office staff, as well. “Most importantly, it’s a chance for us to get to know each other,” she says. “It’s a chance for me to get a sense of their self image.” Girls can expect to visit about a number of things, including their school, activities, their home environment, friends, relationships and health issues they can expect to
experience. Quite often, girls come to Kim usually with heavy or painful menstrual cycles, prompting questions of concern. Her job is to educate them about why they get them, what they can expect and how to treat any cramps with medicines they may not be as familiar with. She will also review important safety topics, such as abstinence from sexual activity or use of contraceptives; avoiding smoking, alcohol and drug use, vaccines, illness and disease. “I want to be very clear about what can happen,” she says. According to The American College of Obstetricians and Gynecologists, teens want a few simple things from their health care provider, including confidentiality, education, communication, discussion of sexually transmitted diseases and birth control options. Kim says most visits start with the parent or guardian in the room so everyone can be comfortable with each other. Later in the visit, the doctor and teen girl will talk one-onone, as there are some girls who feel more comfortable speaking alone about private
“Our goal is to make them more knowledgeable so they can make better decisions.” Dr. Jenny Kim, OBGYN with Longmont Clinic matters. Privacy is an important part of the visit, and Kim says she will discuss at the beginning what will be kept between the girl and her, as well as what will be shared with a parent or guardian. Teen girls also wonder about a pelvic examination, which is often not needed at a young age unless problems arise. Annual pelvic exams are suggested starting at age 21. As for checking for specific problems, blood and urine tests can be done. Overall, a first visit with a health care provider is meant to establish a long-term relationship with a professional who is there for teen girls. “Our goal is to make them more knowledgeable so they can make better decisions,” Kim says.
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Outside of the economy, fitness and healthy eating are among the most critical issues facing Americans today. Only 31 percent of Americans are getting adequate exercise and 68 percent of men and 53 percent of women are overweight, according to the Centers for Disease Control and Prevention’s National Health Interview survey released in March. The good news is that the tried-and-true approach of regular exercise and smart nutrition will go a long way toward managing weight loss and an overall healthy lifestyle. In fact, the benefits of being more active can be seen within a short time after starting a new routine and include more energy, less stress, lower blood pressure, improved digestive health and a reduction in cardiovascular disease risk. A fitness program doesn’t have to take place in the gym. Beverly Abbs, an awardwinning ultra-runner, recommends outdoor
Five easy ways to create an active and healthier lifestyle
fun to get started on everyday fitness. “You don’t have to run long distances in order to reap the health benefits,” says Abbs, a member of UltraRunning Team Sunsweet. “Short distance runs and even outdoor walks are a great way to stay fit and have fun. I got my start competing in athletic events with just 2- to 3mile runs. That turned into a life-long love of ultra-running.” When you add in smart nutritional choices to your exercise routine, the positives pile up further. “As a triathlete and a sports dietitian, I can tell you that plenty of healthy choices are convenient and taste delicious,” says registered dietician Dr. Katherine Beals. So, whether you aspire to overhaul your diet and exercise program or are just thinking about taking a few first steps to a healthier life, smart choices can start with a few simple steps. Abbs and Beals offered the tips on the next page for getting started on achieving overall better health.
1. Get and stay active – Adults should get 2.5 hours of aerobic physical activity per week and perform strengthening activities two days a week, according to the U.S. Health and Human Services department. Fortunately, it is easier than you might think to incorporate exercise into your routine. For example, take the stairs instead of the elevator and find the parking spot that is farthest away to get extra steps in between your car and your destination. Play tag with your kids, or consider signing up for a community fun run 5K. 2. Use interval training – Experts say varying your cardio work with a combination of easy/hard intervals will result in faster fitness gains. It also mixes up your workouts and staves off boredom. Next time you go for a run, instead of keeping the same pace, try mixing in a few sprints. Start with 30 seconds on hard and 10 seconds on easy. 3. Go for convenience – Abbs says dried fruits, like individually wrapped prunes, are a convenient and nutritious snack whether you’re training for a marathon or just a busy person on the go. “These delicious snacks are portable, don’t spoil and deliver calories that
count.” Plus, prunes are known to support digestive health. 4. Fill up with fiber – High-fiber foods are critical to digestive health and any weight loss program because they fill you up and help keep the hunger pangs at bay. The typical American eats only about 11 grams of fiber a day, according to the American Dietetic Association, and health experts recommend a minimum of 20 to 30 grams of fiber a day for most people. Fruits (dried and fresh) and vegetables are fiber sources including apples, pears, prunes, peas, broccoli and sweet corn. 5. After an intense workout – Carbohydraterich foods that are energy dense, easy to digest and familiar and appetizing – like bagels, granola bars, crackers, dried plums and fruit juices – are good choices for post-workout fare to replenish any lost nutrients. Exercise also increases the loss of water from the body, primarily through sweat, so the harder and longer the workout, the more lost fluid that needs replacing. Regardless of your current level of activity and commitment to nutrition, it is never too late to make smart decisions. Make the commitment today.
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Did you know that depression is the leading cause of disability in people ages 15 to 44? If you take an antidepressant, there is important information you should know before you go to the pharmacy to pick up your prescription. Cost isn’t Everything Today, the cost of health care is top of mind for many Americans. While times are challenging, it is important to remember that there is no substitute for good mental health. Some medicines may have a lower price tag, but when it comes to your mental health, pay close attention to what you are getting. Your doctor carefully considered your symptoms and reviewed your medical history before choosing an antidepressant for you. Antidepressants are Not Interchangeable If your antidepressant is switched at the pharmacy, you could be getting a different medication. Double-check that your antidepressant prescription is filled exactly as written by your doctor. “Physicians consider several factors before selecting a particular medication to treat your symptoms. If your doctor prescribed an antidepressant for you, make sure the pharmacy fills your prescription exactly as written, especially if you are doing well on treatment,” says Dr. Roger Cadieux of the Penn State University College of Medicine. Before your next visit to the pharmacy, keep in mind: • Antidepressants are not interchangeable. • Your doctor considered multiple factors before selecting an antidepressant to treat your symptoms. HEALTH
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Dental implants offer permanent solution to tooth loss
By Summer Stair Longmont Times-Call
Having a beautiful smile can make a huge impact on how a person feels about themselves. Often when people face the loss of a tooth it can make them feel self conscious not wanting to smile, eat in front of others or even speak. A simple procedure of dental implants can offer people a permanent solution to tooth loss. Dental implants are artificial tooth replacements used to counter tooth loss. People who are candidates for implants are those who have tooth decay, root canal failure, gum disease, trauma to the mouth, excessive wear and tear, or congenital defects. Dr. Thomas Drake of Smile Designers in Longmont says people need to understand that nothing beats a healthy tooth, but that an implant is a great solution for tooth loss. “It’s amazing how they work – people love them,” he says. Implants are stronger and more durable than other options available. In fact, they are stronger than regular teeth, says Dr. Cliff Rogge of Artistic Smiles in Longmont. Implants can also be effective for people who wear dentures because they can help hold them in place throughout the day. Implants work by initially attaching to the bone through a process called osseointegration. It can take any where from three to six months for the implant to become secure and once it does a tooth will be loaded onto it permanently. Rogge says the success rate of implants is 94 percent for the upper jaw and 98 percent for the lower jaw, especially if the routine is followed and the implant is left HEALTH
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“unloaded” without its permanent tooth until it is completely grown in with the bone. While the implant is often placed in one dental visit, once the site of tooth loss is healed, follow up visits after osseointegration are required for the tooth to be loaded onto the implant. Once this happens the tooth will appear indistinguishable from other teeth and can be used in the same way. While implants can be placed manually by a dentist, computer guided surgery has completely taken human error out of the equation. Rogge can now use a 3-D image machine, which allows for a 1-to-1 ratio in knowing exactly where to place the implant into the jaw bone. While not all implants require such procedures, Rogge says it can be extremely helpful when placing multiple implants. 31
Being a Friend
Relating to mental disorders By Nikki Downs Longmont Times-Call
The sad truth is that those of us who have yet to encounter a loved one with a mental disorder will most likely do so at some point in our lives. And although the social stigma associated with most mental illnesses can be frightening, understanding the illness and learning from other people’s experiences can keep you afloat during a difficult time for you and your friend. A mental disorder, which Beth Lonergan, clinical operations director of The Mental Health Center in Boulder, defines as “a biologically based illness that impacts the brain,” can include anything from bipolar disorder, schizophrenia, eating disorders, depression, post traumatic stress disorder and anxiety disorders. Sharon Bowyer of the National Alliance on Mental Illness says it’s not enough to have only an intellectual knowledge of disorders in order to help a suffering friend. “Nobody has the training for things like this,” Bowyer says, and a lot of it is due to the gap between head knowledge and personal experience. “It’s always ‘them,’ not ‘me,’” she says. It’s the day to day living with friends with mental disorders that gets tough. 32
Breaking the Ice Approaching the subject of a mental disorder with a friend is the first step. It can also be the most difficult, since chances are the issue has come to your attention because you fear for the safety or well-being of your friend. Some cases are relatively black and white, like suicide, when the person places themselves in immediate and tangible danger. But not all cases are this clear. Close friends have to decide first if they are going to speak to their friend at all and also how they are going to breach the subject. Experts such as Lonergan, Bowyer and Louis Krupnick, a psychologist of Krupnick Counseling Associates in Longmont, agree that when in doubt, don’t hesitate to bring up the subject of the disorder, no matter how awkward it feels. Ask yourself what you stand to lose by your silence, or if you might regret not having said something in order to prevent a dangerous situation. “Safety must come first,” Krupnick says. “Keeping secrets because it’s awkward to tell them is not a good reason (to keep silent).” A friend that knows you are only concerned for their health is likely to forgive you any awkward moments. How you talk to your friend is equally important. While it’s helpful to be as direct HEALTH
as possible, Krupnick says, their response may depend on how you relate to them. “When you talk to them, just do it to express your concern for them,” Lonergan says. Krupnick agrees that approaching them with a good heart and at a time when things are not heated usually ensures a good reception. “We hear better when we know the person that’s saying something actually cares about us.” Seeing it Through As you develop a friendship with someone who has a mental disorder, the questions may only multiply as you go along. But a few insights and observations, Bowyer says, can make the process much smoother. For starters, take some time to understand what your friend is going through. The best way to do this can be the old fashioned method of simply spending time with them, but modern technology can offer us additional help. “Go get some books, get on the Internet and start reading about it,” Bowyer says. Talk to experts, visit websites and read books. Krupnick says his office has seen an increase in people who come seeking counseling just so they can learn more about how to help their friend. Resources like these contain medical information and the personal experience of others with the illness. Another important consideration that will require constant reevaluation on your part is the question of secrecy. Privacy is important to someone with a mental disorder and should be respected, but if it is used as a crutch it can be dangerous. It is common for people with eating disorders, depression or bipolar disorder to maintain a level of secrecy that prevents them from receiving help from anyone, which worsens the situation. In these cases, it’s hard to know when to push boundaries. Sometimes it’s good to break the secrecy barrier for them and try to get them the help they won’t get for themselves. Bowyer says some of the dangerous situations that necessitate an act like this include suicide, anything that breaks the law, a gravely disabled person (someone who can’t take care of themselves) HEALTH
“You can’t help anybody unless you know who you are and are taking care of yourself.” Sharon Bowyer, National Alliance on Mental Illness or a situation that puts the patient or anyone near them in danger. The Aftermath Many people in a position of support wind up seeking counseling for themselves. Although supporting a friend with a mental illness may be overwhelming regardless, it cannot be understated that self-protection is a precedent for a healthy relationship with your friend. “Self-care is the root of all friendships,” Lonergan says. You can’t give what you don’t have and martyring yourself for the sake of a friend is not always effective. Be sure to set up enough boundaries to know how far you’re going to go and when you need to take some time off in order to receive support for yourself. “You can’t help anybody unless you know who you are and are taking care of yourself,” Bowyer says. Protecting your own emotional and mental health enough to set the example is beneficial to both you and your friend. One way to do this is to make sure you and your friend have other people who know what is going on and are willing to help. Though it may be hard at first, don’t be afraid to admit that you can’t do this alone. “Share the burden of knowledge,” Krupnick encourages. Lonergan agrees that a circle of support is always stronger than one person trying to do everything. Without betraying your friend’s trust, seek out others who can either help support your friend or who can support you. Finally, Lonergan encourages people to never give up hope for recovery and success on behalf of a friend. “The core thing you can do for a friend is to hold out hope for them,” Lonergan says. 33
Meditation explores your inner thoughts By Kendall Schoemann Longmont Times- Call
To the observer, meditation is simply holding still in a position, but to the meditator, it’s an intricate and complex journey of the mind. Just as diet and exercise help keep the body healthy, meditation is a technique to care for the mind. Meditation’s popularity stems from it’s flexibility, convenience and health benefits. It can be done just about anywhere, anytime, alone or in a group, and improves the body and mind. Practicing meditation can reduce stress symptoms such as muscle tension, chronic pain and high blood pressure. It can also increase blood flow to major muscles and improve concentration. Although meditation improves many parts of the body, it helps to understand the endless thinking of the impossibly complicated mind. Katharine Kaufman, a meditation teacher in her own backyard studio, explains that meditation cannot be fully defined. “It’s like a poetic riddle,” she says. “The human mind likes to categorize and put things in boxes, which you can’t do with meditation.” Meditation is the culprit for endless contradictions: it focuses on the mind, yet incorporates much of the body. It’s personal,
yet collective, and the more you examine a single focus, the more your mind wanders. There are four different meditative poses: lying, sitting, standing and walking. If you’re engaged in any of these poses and are aware of your thoughts it is considered meditation. Kaufman explains that meditation is an uncompetitive and personal technique. “Everyday we put on a mask, a little lie that we show to the world, but in meditation the idea is to let go of that separation,” she says. “It’s an incredibly honest thing.” We all have busy minds, whether we are worrying about the future or thinking about the past, we are constantly distracted. To clear the scattered and troubled mind, meditation highlights the importance of concentrating on the present. According to Roland Cohen, a senior teacher at the Shambhala Meditation Center in Boulder, meditation is awareness. “Boredom brings about intelligence and curiosity,” he says. “And from this practice we gain patience, appreciation and a true sense of humor.” Cohen says it’s hard being alone with one’s self, but it’s how we gain a unique perspective of our habits and the world. Meditation classes at the Shambhala Meditation Center in Boulder allow people to connect with their inner thoughts. (Kendall Schoemann)
Getting Started in Meditation Although there is not a rule book for meditation, these beginner tips will help you explore your inner mind. • Pick a quiet space. Although meditation can essentially be practiced anywhere, it is more difficult to concentrate if Julia Goldsmith practices there are loud meditation. (Kendall distractions. Schoemann) • Choose a comfortable pose. A popular sitting pose consists of folded legs on a cushion and resting palms on the mid thighs. • Let go of distractions. Focus your attention on your breathing, be aware of yourself in the present moment. When your mind begins to wander, note what you’re thinking about and return back to your breath.
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Surviving on a
Gluten-free lifestyle By Nikki Downs Longmont Times-Call
While gluten-free eating is a growing trend among weight watchers and habitually healthy eaters, not everyone has the luxury of choosing to eat or abstain from gluten products like breads, pizzas and pastas. Celiac disease and a genuine gluten intolerance can be daunting when first diagnosed, but a more thorough understanding of the disease and alternative products available can turn the curse of gluten-free eating into a blessing. As more people are diagnosed and facts become known about symptoms and treatments, patients who make the necessary changes frequently find that the benefits of a healthier lifestyle far outweigh the diet restriction. Celiac disease, which is different from a gluten intolerance or allergy, is an autoimmune disease that is transferred genetically at birth. Dr. Nuzhat Iqbal, a gastroenterologist in Longmont, defines the disorder as a
condition of the immune system that reacts adversely to gluten as a foreign substance. Contrary to common belief, the disease has little to do with gluten itself and has everything to do with a person’s immune system. Mary Capone, founder of The Wheat-Free Gourmet and author of “The Gluten-Free Italian Cookbook,” says gluten ingestion damages the villi of the small intestine by blunting them, essentially “like a lawn mower.” These villi are responsible for increasing the surface area of the intestine and absorbing and digesting nutrients. Without this absorption, the celiac patient begins to run a gamut of symptoms. Inflammation of the intestine results in a wide spread of possible symptoms, including unexplained weight loss, thyroidism, obesity, abdominal pain and bloating, unexplained anemia and extreme fatigue. “It can present in any way,” Iqbal says. People who are diagnosed with celiac disease later in life find that a lifetime of unexplained medical conditions suddenly
White Wine Chicken From the “Martha Stewart Living Cookbook,” adapted by Molly McNeil 4 chicken thighs (23/4 pounds) Coarse salt and pepper 4 cloves of garlic, thinly sliced 1 cup dry white wine 1 /4 teaspoon dried thyme 1 lemon cut in 8 slices 1 tablespoons lemon juice 3 tablespoons butter 2 tablespoons chopped flat parsley (optional)
Arrange thighs bone side up in skillet, sprinkle with salt and pepper. Add garlic, wine and thyme, bring to boil; reduce to simmer and cook for 30 minutes. Turn chicken over, place a lemon slice on each thigh, cover and continue to simmer until tender. Remove lemon and chicken, boil contents until half a cup of liquid remains. Remove from heat, add butter, parsley and lemon juice. Season with salt and pepper, serve with sauce and lemons poured on top. 36
About the Author After being diagnosed with celiac disease as a sophomore in college, I was forced to become familiar with the products and options available for gluten-free eaters. The dramatic increase in my overall health combined with the incentive to finally learn to cook convinced me that I had been given a blessing in disguise – I had a disease that, if I ate correctly, made me healthier. As personal taste and experience is the only surefire way to ensure contentment with your
have a common denominator, a name and thankfully a solution. Although it is possible to have celiac disease without any of the symptoms, Iqbal says adherence to the gluten-free diet is still crucial. For both symptomatic celiacs and symptom free patients, the long term effects of celiac disease can be monumental. Malnutrition and osteoporosis are the most common effects, but untreated celiac disease can cause other autoimmune disorders and is linked to diabetes, small bowel cancer and lymphoma and recently multiple sclerosis. People with gluten intolerances, however, can avoid these side effects. Although gluten ingestion is still painful and uncomfortable, it does not cause any damage to the human body. It can also be outgrown, whereas celiac disease is a lifelong condition. “Once you’re there there’s no going back,” Capone says. “The sooner you get on (the diet) the better; and stick with it.” But before you start panicking that you won’t touch another “real” piece of bread for the rest of your life, take a minute to hear from the lives of people who have been making the most of it for years. Capone, already a gourmet cook, took on the challenge of gluten-free gourmet eating after being diagnosed. Frustrated with the few and far between gluten-free options available at the time, Capone began experimenting with food to figure out what worked. Anyone who’s ever had to survive off of store bought gluten-free products HEALTH
cooking, here are a few of the brands and blends that have become my favorite throughout the years: • Flour Blend: 2 parts brown rice flour, two-third parts potato starch (not potato flour), one-third part tapioca flour. • Pasta noodles: Trader Joe’s spaghetti noodles, made with just brown rice flour and water. • Ready-made mixes: Betty Crocker’s Gluten-Free food line, cake mixes • Annie’s Tuscany Italian salad dressing • Cookies: EnjoyLife snickerdoodles • Crackers: Nut Thin Crackers, pecan Don’t settle! A good flour blend makes all the difference. Use a teaspoon xanthan gum to correct the crumbly texture.
knows that something crucial is missing from them. “We run into problems when our food is made by people who don’t have to eat it themselves,” Capone says. Foods are produced on a regular basis that work chemically but that, as she says, do not work with the palette. Spotting Gluten: Know Your Enemy There are two major steps to rediscovering the joy of eating as a gluten-free consumer. The first is being completely educated as to what you can and cannot eat. A well-intentioned person who unknowingly ingests gluten on a regular basis only makes themselves more miserable because they’re constantly refusing delicious food and never feeling any better for it. Understanding what it’s in and where it’s found will free you up to experiment with what is available to you. Gluten is found in three common grains: wheat, barley and rye. It is not enough to purchase something labeled “wheat free,” because the product can be made with equally damaging grains. Avoiding wheat beer, for example, is not enough because most beer is made from barley. Be sure to read the ingredients list of every product you purchase near the beginning of your diagnosis and diet to ensure that it is free of all traces of gluten. Oats, which do not naturally contain gluten, can mimic gluten at a molecular level 37
Mör Mör’s Chocolate Chip Cookies Molly McNeil 11/4 cups brown rice flour 1 /2 cup tapioca flour 1 /2 cup potato starch 1 teaspoon xanthan gum 1 teaspoon baking soda 1 cup unsalted butter 11/4 cups brown sugar 1 /4 cup white sugar 2 eggs 1 teaspoon vanilla extract 11/2 to 2 cups semisweet chocolate chips 1 cup nuts (optional)
Preheat oven to 350 degrees. Cream softened butter, brown sugar and white sugar in a mixing bowl. Stir in eggs, vanilla, all three flours and baking soda. Add in chocolate chips and nuts if desired. Bake on parchment paper at 250 degrees for 10 to 12 minutes.
Gluten-Free Banana Bread From “The Joy of Cooking,” adapted by Molly McNeil 1 /3 cup shortening 2 /3 cup sugar 1 egg 2 teaspoon baking powder 1 /4 teaspoon baking soda 1 teaspoon salt 11/4 cup brown rice flour 1 /2 cup tapioca starch 2 overripe bananas
Preheat oven to 350 degrees. Beat shortening, sugar and egg in a bowl together. Add baking powder, baking soda and salt. In separate bowl, mix flour combination together and alternately combine the flour mixture and mashed bananas with the original shortening mixture. Grease 7-by-4 inch bread pan, fill pan with bread batter 38 cook for one hour. and
and adversely affect many celiac patients. It is also frequently processed in the same plant as other gluten grains and is a likely candidate for cross contamination. Experimentation, Iqbal says, is the best way to determine how oats will affect you. Throughout the years, Capone has found several unexpected products that tend to trip up the beginner celiac. Condiments such as soy sauce are made almost exclusively with wheat these days, so it’s important to check the label and choose an organic soy sauce that uses real soy beans as their base product. Grains that people commonly attempt to substitute for gluten are spelt, kamut and triticale. But these grains are forms of wheat and must be eliminated, as well. Dining out can be the toughest part of gluten-free eating. Discerning what’s in a meal can be more involved than just reading a menu. Omelettes and soups may be thickened with wheat, meat may be battered or fried in it, salads may come with croutons or stir fry with wheat based soy sauce. “The best remedy for eating out is to really do your research,” Capone says. “I grill the waiters... I don’t want to lose any ground.” Because the diet is a lifelong, 100 percent free commitment, the tiniest bit of gluten can set you back. A lot of celiac patients, no matter how many products they find at the grocery store, usually resort to home cooking to recreate their favorite meals. “We learn to love it because we have to,” Capone says. “We have to do all scratch baking. It brings us back to our own kitchens.” In the end, the success of a glutenfree consumer lies within their own hands. “You have to be your own champion in the research of this,” Capone says. Research and diligent dieting can eliminate the inconveniences of glutenfree eating, while innovation and a positive outlook can make it fun. So instead of martyring yourself to an unhappy diet, try some new baking techniques and turn a sad discovery into a fresh and healthier life. HEALTH
Gluten-free Date Nights As celiac disease and gluten intolerance become increasingly common, local restaurants rise to the occasion with gluten-free menus. Although some menus may seem to clearly designate what is gluten-free and what is not, be sure to notify your waiter of your needs in order to ensure a decontaminated meal. • Abbondanza Pizzeria, 461 Main St. in Longmont, offers a variety of gluten-free pizzas. Call 303-485-5020 for information. • A rare treasure in the gluten-free community, Sweet Escape Pastries in Longmont proves that desserts, breads and muffins are not a thing of the past. Call 720-204-2062 for details. • Carino’s Italian Grill in Longmont offers gluten-free alterations to existing meals. Call 303-485-8077. • Pinocchio’s Italian food in Longmont, Brighton and Lafayette offers gluten-free pasta substitutes to all meals upon request. Contact 303-651-7828. • The popular chain restaurant Red Robin has a gluten-free menu with orders made by the manager on staff and in contamination-free equipment. Call the Longmont location at 720-652-9229.
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Help prevent heart disease By Annie Walsh Longmont Times-Call
It doesn’t take a lot of work to keep a heart healthy. Putting a little extra thought into diets and living an active life will keep hearts pumping strongly into old age. The key to heart health is starting preventative measures early and making positive lifestyle choices. “A lot of heart disease is about being proactive,” says Dr. Roy Thompson of Rocky Mountain Cardiology in Longmont. Quantitate your risks and come up with a plan, he says. There are five major risk factors for heart disease including hypertension, high cholesterol, heart diseases of first degree relatives, diabetes and cigarette smoking. “If you’re a diabetic, mom and dad have heart issues and you’re smoking, your risks are going to be high,” Thompson says. Still, there are ways to combat these issues. It’s not exactly necessary to go to the doctor frequently, but it doesn’t hurt. There are also ways to monitor a person’s health from home. “There are (applications) out there that you can plug in height, weight, blood pressure and cholesterol and it can tell you your risks,” Thompson says. With advances in technology and floods of information, it’s important to remember that cardiology is a changing field, he says. There is a lot of good and bad information out there and it’s important to have a critical eye when doing research on preventative heart disease methods. Still, it’s easier than ever for people to live informed, healthy lifestyles that are incredibly beneficial in the long run. These resources also make it easier to learn about different diets and ingredients in foods that affect the heart. Blood pressure and cholesterol levels are a good indication of heart health and should be monitored. The higher these levels are, the more danger the heart is in. Certain foods can even lower these levels. 40
Clinical dietician Lea Basch of Longmont United Hospital works with clients to shape their eating habits in order to live healthier, happier lives. “A heart-healthy diet is what everyone should eat,” she says. Basch advises to eat limited amounts of saturated fats, trans fats and refined carbohydrates such as white flour, rice, sugar and processed foods which often have more fat and are high in sodium. A splurge here and there isn’t the end of the world, but if a healthy heart is the goal, it’s important to avoid these foods as often as possible. Indulge in lean protein foods such as lowfat cuts of red meat, skinless chicken, fish, fruit, vegetables and whole grains, she says. Healthy meals will keep excess weight off, lower blood pressure, cholesterol and triglyceride levels. Cooking meals from home is the easiest way to be proactive in fighting heart disease. “There are ways to make heart healthy meals that don’t take a lot of time,” Basch says. For people who have a resistance to cooking, she recommends buying foods that are already prepared like mixed salads and vegetables. The brand Kashi has whole grain mixtures that come seasoned, and there are cooking demonstrations at the Longmont Farmers’ Market for fast and easy meal ideas. For those with a sweet tooth, there are many dessert options that are still heart healthy. “You can include fruit in a dessert you’re making,” Basch says. Her personal favorite dessert is a trifle with vanilla or lemon pudding with skim milk, layered with cake and fresh fruit. “You’re still getting sugar, but you’re cutting back on saturated fat.” Thompson advises to start making small changes now to make things easier in the future. For more information on heart healthy living, visit the Health Ambitions Gym at Longmont United Hospital, call 303-85-4161 or visit www.luhcares.org. HEALTH
Article Resource Association
Diabetes is becoming more prevalent in Hispanic populations in the United States, according to 2008 statistics from the National Institutes of Health. This trend has serious health implications because of the increased prevalence, the greater number of risk factors and the greater incidence of complications. In general, Hispanics are diagnosed with diabetes at twice the rate of Caucasian Americans, and about 7 percent have undiagnosed diabetes. More than 10 percent of Hispanics in the United States older than 20 have been diagnosed with diabetes, according to the NIH. Among Hispanics, diabetes prevalence rates are 8.2 percent for Cubans, 11.9 percent for Mexican Americans and 12.6 percent for Puerto Ricans. One of the most common questions people with diabetes ask is “Can we eat sugar?” The answer is yes, but in moderation. The recommended diet for people with diabetes has changed in the past decade. Diabetics now learn about and can enjoy less restrictive diets. Diabetes experts say that diabetics can include sugar as part of the carbohydrates allotted in their overall diets. However, diabetic diets still need to be personalized. Patients with diabetes need to consider their medication, age, height, weight, blood sugar levels, physical activity and carbohydrate intake recommendations as they plan their diets. One way to continue enjoying “sweet” foods is to include non-nutritive sweeteners in the diet, but the role of these ingredients often is not well understood by consumers. “My clients often have questions about aspartame safety and other non-nutritive sweeteners,” says Ximena Jimenez, a spokesperson for the American Dietetic Association. “I reassure them that while there is an unusual amount of misinformation on the Internet about aspartame, it probably is HEALTH
Diabetes on the rise among Hispanics one of the most thoroughly researched food ingredients available today and it is approved by the FDA.”
Aspartame contains almost no calories compared to regular sugar and is a simple ingredient that breaks down to two amino acids and a small amount of methanol. Each of these components is also found naturally in common foods, including meats and dairy products, fruits and vegetables.
The American Diabetes Association stands behind the safety of low-calorie sweeteners including aspartame, sucralose, “ace K,” saccharin and “reb A.” You’ll find these in many food products such as diet soda, baked products, light yogurt and sugarless candy. These sweeteners, which are only needed in tiny amounts, can reduce or replace sugars and calories in foods and beverages, offering people with diabetes greater variety and flexibility with their total carbohydrate intake. People with diabetes are more likely to comply with a healthful meal plan when they are able to eat foods that they enjoy. With governments and leading health care organizations around the world encouraging everyone to reduce the amount of sugar consumed, the role of low-calorie sweeteners in diets likely will be increasingly important. For more information, visit www.aboutaspartame .com/professional/index.asp. 41
Beat economy-induced stress with massage therapists’ secrets Article Resource Association
Your shoulders are tight, your head throbs, your heart pounds and you don’t recall the last night you slept peacefully. Whether it’s because your 401(k) statement just arrived or you’re dreading the up-coming holiday shopping season, you – like millions of other Americans these days – are probably feeling economy-induced stress. Whatever its source, prolonged stress can have serious health consequences – a wellknown fact that may contribute to Americans’ willingness to spend money on complementary and alternative medicine (CAM), like massage therapy. In 2007, Americans spent $33.9 billion on CAM, according to a study by the National Center for Health Statistics. And that was at least a year before most of us realized just how bad the economy had become. “Even during these tough economic times, massage is thriving because more and more it is seen as a cost-effective way to influence your overall health,” says Grant Lessard, director of education for Cortiva Institute in Scottsdale. “For some who have had to make 42
other sacrifices, massage is seen as an inexpensive substitute for more costly stress relievers such as vacations or extended time off from work.” “Not enough has been written about the benefits of laying down and doing nothing for an hour in the day,” says Lisa Santoro, an instructor at Cortiva Institute-Boston. “Having someone work lotion or oil into the largest organ of the body, the skin, while relieving muscle tension at the same time, is an added bonus to just laying down.” The professionals of Cortiva Institute, a network of massage therapy schools across the country, offer some helpful hints for easing your economy-induced stress. A Getaway without Going Away “Massage provides a positive and relaxing sensory experience,” says William Ensminger, co-director of the student clinic at Cortiva Institute-Pennsylvania School of Muscle Therapy. “The rest of the world goes away and you get a mini vacation.” “Massage therapy has been found to elicit an energy-conserving state and decrease the levels of pain and stress chemicals in the body, as well as decrease blood pressure,” HEALTH
says Deanna Sylvester, education director at Cortiva Institute-Tucson. Make Time in your Day Don’t have time or resources to get a massage? “Take a few deep breaths, grab your foot and start to massage,” Ensminger suggests. “Your feet take a beating. Give them a treat and pamper them yourself. Feet don’t care who massages them, and you will reap the rewards.” If you’re at work and massaging your feet isn’t an option, you can relax by massaging your hands for a few minutes, he adds. “Concentrate on slow, deep breaths. Massage the whole hand – the palm, the fingers and thumb, even between the fingers.” A professional massage might be more affordable than you think, and there are good reasons to invest in one. “Allowing yourself to get a massage regularly is not only physically and mentally beneficial, it will give you something to look forward to and motivation for completing whatever tasks daunt you,” says Kathy Lee, graduate resources coordinator of Cortiva Institute-Tucson.
Another way massage can help you relieve economy-induced stress is by providing a challenging, meaningful and financially rewarding career, the Cortiva staff agree. If you’re out of work or just looking for a career change, you can achieve a professional credential and be prepared for a job in massage with as little as six months of training. “Massage is a career that fits around your life, versus life fitting around your career,” Santoro says. “It is very flexible, every day is different, every person is different.”
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Combating multiple sclerosis for the long haul Article Resource Association
Every hour of every day, someone is diagnosed with multiple sclerosis and a common theme for these patients is the fact that they will never forget that moment. While MS is a chronic and disabling disease of the central nervous system, many people with MS continue with their normal daily lives – working, spending time with friends and family and enjoying activities. For many, the key is to treat MS early and effectively in an effort to disrupt the disease and not their lives. Connie Harris, 44, of Denver, was diagnosed with MS on Aug. 4, 1996 at the age of 31 with symptoms that started as nothing more than a headache but progressed quickly. “Within a matter of days I was paralyzed from the neck down and having difficulty breathing,” Harris says. By October of that year, Harris began treatment in combination with occupational and physical therapy in her home. By the end of 1996, just five months after her MS diagnosis, she had regained all of the movement she had lost and returned to work on a full-time basis. “In my personal experience, since starting treatment, I have been tremendously happy with the results I have experienced.” She went on to say, “Since 1996 I have not had the need or the desire to change therapies. I particularly enjoy the fact that my treatment of choice, Avonex, is so simple and fits into my busy lifestyle with once-weekly dosing while other treatment options require more frequent injections.” Harris is a prime example of the need for patients to recognize potential signs and symptoms of MS and consult their physician for an evaluation to determine an accurate diagnosis and appropriate course of treatment is started as soon as possible. Data from a recent study have shown treatment success in patients more than 15 years after 44
initiating treatment, while a second study focused on early treatment and showed that patients beginning treatment immediately following their first MS-related event are showing success 10 years later. The goal of these studies is to encourage patients to start on treatment early and maintain that treatment through time for optimal success. One patient that started once-weekly treatment after her first MS-related event is La’Shanda Ball from Seattle, who was diagnosed with MS in 1998 when she was just 18 years old. Within a month of her diagnosis she started MS treatment with Avonex and has remained on that treatment successfully for nearly 11 years. Dr. R. Philip Kinkel, director of the multiple sclerosis center, Beth Israel Deaconess Medical Center in Boston, Mass., says, “The goal of treating MS is to delay the progression of physical disability. This is why it is so important for people living with MS to find an effective therapy early that they can start with and stay on for the long run.” To gain a better understanding, Kinkel believes people may want to consider adopting the following tips: • Ask questions and gather information: Your doctor is there for you and should be ready and willing to sit down to help you better understand MS and to walk you through your treatment options. • Make educated decisions: Through research, locate the information that is important to you and that will help you move forward and fight back against MS. • Discover inner strength: Push yourself to find there are reserves you may not think you have. Surround yourself with positive thinkers so that your spirit rebounds and take on challenges you may have thought too difficult before your diagnosis. HEALTH
Macular degeneration a common problem
By Summer Stair Longmont Times-Call
As we age, health problems become a bigger concern. A common one that often affects eye health is age-related macular degeneration. AMD is the leading cause of severe vision loss in people older than 50. This disease occurs when the small central portion of the retina, known as the macula, is damaged or breaks down. The end result is central vision distortion, which often progresses slowly. “It’s not more than an annoyance for most patients with AMD,” says Dr. Bill Benedict, an ophthalmologist and retinal specialist at the Eye Care Center of Northern Colorado in Longmont. “It is rare to go totally blind and you can live with it.” Since this disease can become a visual disability it is important to understand the different forms one can get, as well as treatments available. Types of Age-Related Macular Degeneration There are two types of AMD that a person could be affected with: dry and wet. The dry form of AMD is more common, affecting about 90 percent of people with the disease. This slow moving disease develops when the tissues of the macula grow thin with age. The other 10 percent develop the wet form of AMD. This occurs when abnormal blood cells grow underneath the retina. These unhealthy vessels leak blood and fluid, scarring the macula, leading to permanent loss of central vision in the eye. The wet form is more severe and can lead to central blindness within six to 12 months if left untreated. Spotting the Onset The early stages of macular degeneration may not have symptoms one can readily 46
Dr. Bill Benedict, an ophthalmologist and retinal specialist with the Eye Care Center of Northern Colorado, treats Barbara Webster of Lyons for macular degeneration on the eye with an injection. Webster receives treatments every five weeks and has been since March 2009. (Paul Litman/Times-Call)
recognize. The first signs are often the distortion of straight lines, with continuation to a gradual loss of central vision. Benedict says it is important for people to have regular vision checkups, as well as know if they are at high risk for AMD later on in life. Those who are at higher risk are Caucasians, smokers, being 50 or older and those who already have macular degeneration in one eye. Symptoms to be aware of include: • Straight lines start to appear distorted, or the center of vision becomes distorted. • Dark, blurry area or white out appears in the center of vision. • Diminished or changes in color perception, or difficulty going from dark to bright conditions. Treatment Can Make A Difference The exact cause of the disease is still unknown, but recent research has shown that antioxidant vitamins, such as vitamins C, E and beta-carotene, and zinc may reduce the HEALTH
affects of AMD in some people. “A healthy diet can mean a less severe form of the disease and later onset,” Benedict says. He cautions though that vitamin supplements are not a cure for AMD, nor will they restore vision already lost from the disease. However, specific supplements will play a key role in helping some people at high risk for advanced AMD to maintain their vision. For those experiencing wet AMD, AntiVEGF (vascular endothelial growth factor) treatment is a way to slow vision loss. AntiVEGF drugs help block the abnormal blood vessels growing under the retina, slow their leakage and help reduce the often rapid vision loss. Treatment with these drugs is done by injecting the drug with a fine needle into the back of the eye. This treatment shows promise, keeping 95 percent of patients at the same or better vision than before treatment began, Benedict says. Living With Vision Loss Living with the loss of central vision is doable. Benedict says to many who have macular degeneration it is only a minor set back and perhaps an annoyance. Low vision and occupational therapists are available to help people adapt their homes to their vision loss so they can still function on their own and even offer low visions aids to help them continue hobbies. “They are non-medical tools, but they help people lead their lives.”
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Barbara Webster gets treatments for macular degeneration. (Paul Litman/Times-Call) HEALTH
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Get back to life with a hip replacement By Kristi Ritter Longmont Times-Call
Loosing the mobility in your hips can inhibit a number of things, from preventing you from engaging in activities to moving about the house to completing daily tasks. It’s these simple things that can affect your quality of life, forcing you to search for alternatives to regaining mobility and your sense of self. For people with hip joint damage that causes them pain and interferes with activities, a hip replacement surgery may be an option after other treatment options fail to bring the relief. Quite often, osteoarthritis is the most common cause of damage to the hips. But other conditions can contribute to the breakdown of the hip joint, including rheumatoid arthritis (a chronic inflammatory disease that causes joint pain, stiffness and swelling), osteonecrosis (or avascular necrosis, which is the death of bone caused by insufficient blood supply), injury and bone tumors. Dr. Mark Hammerberg, a hip and knee replacement specialist at Front Range Orthopedics in Longmont, says hip arthritis can get severe enough, especially in older patients, requiring replacement of the joints. 48
Hip replacements are more typical for older patients because they are less active and put less stress on the artificial hip. However, this does not mean that hip replacements don’t occur in younger people, especially if they are extremely active, he says. Determining candidates for the surgery means all other non-surgery treatment options have failed to provide relief. “Candidates for the surgery have had arthritis that is proven refractory to non-operative management, at which point we discuss the risks and benefits of the surgery,” Hammerberg says. Hip replacement surgery, called arthroplasty, involves a surgical procedure in which the diseased parts of the hip joints are removed and replaced with artificial parts. The surgery typically lasts one to two hours and involves the surgeon making a small incision over the side of the hip to remove diseased bone tissue and cartilage from the joint. The surgeon replaces the head of the femur, which is the thigh bone that meets the pelvis, or hip bone. The new artificial parts are made of materials that allow for natural movement in the joint. In recent years, many surgeons, including Hammerberg, performs the minimally invaHEALTH
sive hip replacement, which allows for smaller incisions and a shorter recovery time. “The idea of minimally invasive surgery is now the standard,” he says. “Patients will typically realize the full benefits of their replacement in the first six weeks, after that the effects aren’t any different whether a short or long incision was done.” There have been some advancements made in achieving great success with hip replacements, one of which is the use of computer navigation to perfect the placement of the components in the hip. “The success of a hip replacement really depends on the placement of the components,” Hammerberg says. “So the computer navigation really helps in placing the cup at the right angle.” If the components are not placed at the exact angle, it could lead to dislocation, which is one of the complications of a hip replacement, along with the potential for leglength differences, infection, blood loss, blood clot and fracture. “As surgeons we do everything we can to prevent dislocation, and computer navigation is just one more
tool in our bag,” he says. While patients need to be aware of the risks, Hammerberg says the results far outweigh the risks with the mobility they gain in moving forward in life. Surgeons are also gaining confidence in doing hip replacements without the use of cement. While everyone’s situation is different, uncemented replacements take a little longer to recover because it needs time for the natural bone to grow and attach to the artificial components. After a successful surgery, Hammerberg says most people are back to full weight bearing and walking the day of surgery, though they will experience about two weeks of moderate pain. By the six-week mark, most people are back to leading an active lifestyle, and by three months most people are fully recovered. “Having a hip replacement allows people to get back to doing everything they were doing before the arthritis took over – hiking, golfing, playing with the grandkids and even just walking down the block,” he says.
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Orthotics help more than seniors
By Kate Frasure Longmont Times-Call
With a quarter of the human body’s bones located in the foot, Pedorthist Tawna Irvine says orthotics are not just limited to older individuals, but can benefit the general population. Orthotics are shoe inserts designed to help realign bones to the position they are naturally supposed to be in. These inserts can be custom fit by a podiatrist or can be purchased over-the-counter. “The goal of orthotics is to try to control abnormal position and abnormal motion,” says Dr. Peter Hartlove of Mountain View Foot and Ankle Clinic. He says the foot is designed to go barefoot and walk on uneven terrain, but by wearing shoes and walking on hard, flat surfaces problems, such as over-pronation, arise. While orthotics do not permanently correct misalignment, they do help calm foot problems and realign the foot while they are warn, Hartlove says. “Orthotics are like wearing glasses. While you wear them, you function better,” he says. At Mountain View Foot and Ankle Clinic, patients can be fitted for custom-made orthotics. To fit these orthotics, Hartlove takes a full impression of a patient’s foot and sends it off to a lab to be made. Additions, such as wedges, can also be added to make for a more personal fit. At Phelps Shoe Repair, Irvine fits patients for over-the-counter orthotics. Here, Irvine tries pre-made brands on individuals, then tweaks them by adding something to the orthotic to make for a better fit. “I act as a pharmacist for the foot,” Irvine says. “I know what to do to alleviate the pain and then I help fill the prescription.” 50
A biomechanical foot orthotic from Mountain View Foot and Ankle Clinic uses impressions of the foot to to make custom-fit orthotics. (Paul Litman/Times-Call)
While most of the problems of flatfoot and high arches are hereditary, Irvine says cheap footwear and wearing too small of a shoe can also attribute to foot problems. “It’s weird, most people expect their feet to hurt,” she says. Generally, Irvine can fix the problem with orthotics, but she says if the condition is out of her realm she will send them to a doctor. Both Irvine and Hartlove agree that orthotics benefit more than a certain demographic of people. Irvine says older individuals tend to need orthotics more because they loose elasticity in their feet and start to feel more pain. Hartlove advises that if individuals start to feel pain in their feet or see some kind of deformity, they should see a doctor. Foot pain can cause pain in other parts of the body so it is important to address the problem. “Your feet are your foundation,” Irvine says. “Other parts of your body are affected from that.” HEALTH
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Physical activity helps lessen severity of arthritis Article Resource Association
More than 46 million people of all ages in the United States have arthritis. A recent study from the Centers for Disease Control and Prevention found that arthritis is the nation’s most common disability. The same CDC study showed that the number of people who report arthritis as their primary cause of disability has grown by more than 3 million since 1999. What’s more alarming is that with the aging of baby boomers, the prevalence of arthritis is expected to increase 40 percent by the year 2030. Given the pervasiveness of arthritis, many Americans understand that it is a serious health problem. However, some are unaware that physical activity can actually help lessen the severity of arthritis. In fact, increased daily movement or exercise is one of the best approaches to helping reduce stiff, achy joints caused by arthritis. “Physical activity, including stretching and strengthening, is crucial to improving joint pain and mobility and reducing fatigue often associated with arthritis,” says Dr. Patience White, chief public health officer for the Arthritis Foundation. “Moving just 30 minutes daily, even 10 to 15 minutes at a time, can reduce the impact of arthritis on a person’s daily activities and help to prevent developing more painful arthritis.” The Arthritis Foundation has created a program, Let’s Move Together, which is designed to inspire people to move every day to prevent or treat arthritis. Its website offers helpful tips for increasing movement, including: • Take a hike. Walking is one of the easiest, safest and most beneficial forms of exercise. It helps keep your weight in check and strengthens muscles, which reduces pressure on the knees and decreases pain. Walking 52
just fast enough so you’re slightly short of breath is a good pace. The goal is to strengthen the muscles in your legs and around your knees and hips. • Go for a spin. Stationary cycling strengthens your heart, hips and knees, with less impact on joints than other forms of cardiovascular exercise, such as running. For those new to stationary cycling, start slowly with a five-minute session at a comfortable pace three times per day. • Make a splash. Using a combination of soothing warm water and gentle movements helps increase joint flexibility and range of motion. Studies have shown aquatic-based exercise helps to restore and maintain muscle strength, relieve pain and stiffness and provide a community support system for people with arthritis. Those looking to get started can explore the Arthritis Foundation Aquatic Program, which is offered in most major cities. • Go with the flow. Tai chi is a noncompetitive, self-paced system of gentle physical exercise and stretching. Participants in a tai chi program follow a series of postures or movements in a slow, graceful manner. Each posture flows into the next without pausing. Experts agree that tai chi may improve mobility, breathing and relaxation. Plus, the movements don’t require deep bending or squatting, which makes it easier and more comfortable to learn. HEALTH
Article Resource Association
Prostate cancer affects more than 185,000 men in the United States each year, according to the American Cancer Society. About one in six men will be diagnosed with prostate cancer during their lifetime, making it the most common cancer, other than skin cancers, in American men. The good news is that, if detected early, prostate cancer is often treatable. Today, men who are affected by the disease have a wider selection of effective treatment options and high survival rates. As men finish treatment and move into the recovery phase, they are often faced with an additional mental and physical toll as they face common but intrusive treatment side effects, such as urinary incontinence. “Dealing with the post-treatment side effects of prostate cancer is tough,” says Scott Williams, vice president of the Men’s Health Network, a leading men’s health advocacy and education organization. “Men can regain a sense of control during their recovery period by learning more about conditions like urinary incontinence – one of the most common treatment side effects – so they know what to expect and how they can manage it.” There are a number of helpful online resources available for men dealing with the after-effects of prostate cancer treatment. Men’s Health Network, together with TENA, a leading provider of incontinence management products, has created LockerTalk, an educational website and virtual “locker room” that provides men, including those suffering or recovering from prostate cancer, with straight-talking educational resources about urinary incontinence. “Men are far less likely than women to talk about their health, and when it comes to HEALTH
Take control of post-prostate cancer issues
sensitive issues like urinary incontinence and bladder control, the bathroom door is firmly closed on the discussion,” Williams adds. “Online resources are a great way for men and their loved ones to get the facts they need in a discreet, non-threatening environment.” Following are tips from TENA and Men’s Health Network to help men deal with side effects of prostate cancer treatment: • Talk to your doctor: Your physician can help you understand the side effects you may experience after treatment, and also discuss your best options to manage and improve these conditions. • Do your homework: Turn to free, online resources such as LockerTalk.com to learn more about the side effects you are experiencing. Knowing what is happening to your body, why it is happening and how to prevent or manage it will give you more control over the situation.
• Join the club: There are thousands of men who are dealing with the side effects of prostate cancer treatment. Join a local prostate cancer support group to exchange valuable tips, advice and experiences. • Give it time: Certain side effects of prostate cancer treatment are often only temporary. As your body heals, post-treatment conditions like urinary incontinence will improve. 53
A strong immune system keeps seniors healthy
Article Resource Association
An emerging health trend where a relatively simple illness leads to a number of physical and lifestyle changes is impacting seniors around the country, say immune system researchers from Embria Health Sciences, co-founders of the Nourish America Senior Health Project. They’ve dubbed this trend the Senior Sickness Snowball Effect, which impacts the overall quality of a person’s daily life and follows this recurring cycle: • Loss of appetite • Inadequate nutrition • Decreased energy • Reduction in social activities • Decreased independence • Limited social interaction • Increased potential for depression, stress • Weakened immune system • Continued illness • Loss of appetite “Today’s older Americans are active and often have major responsibilities that require them to be in good health,” explains Stuart Reeves, Ph.D., director of research and development for Embria Health Sciences. “Unfortunately, as a person ages, their immune system becomes weaker and there is greater need for support, not just during cold weather seasons, but also throughout the year.” Embria Health Sciences established this Senior Health Project, alongside nonprofit organizations Nourish America and the National Foundation of Women Legislators, to address the increased need for senior health support. This series of free community education events provides seniors with the knowledge and tools they need to maintain and manage their own health through a 54
combination of nonprofit health organization outreach activities and no-cost distribution of EpiCor, an all-natural immune health supplement, clinically shown to reduce cold and flu symptom incidence and duration. In addition to his participation in the Nourish America Senior Health Project, Reeves offers these easy lifestyle tips that will keep seniors’ immune systems going strong. Get your Grain According to a 2008 report from the Centers for Disease Control and Prevention, it is estimated that a mere 18 percent of Americans 60 and older meet the dietary recommendations for daily grain intake. “Well-nourished people have fewer illnesses,” Reeves says. Seniors can easily add more whole grains into their diets through a wide variety of easy-to-prepare everyday foods, including brown rice, oatmeal and popcorn. Adopt a Pet “Seniors living alone sometimes experience a sense of isolation, which is one of the main components of the Senior Sickness Snowball Effect,” Reeves explains. Studies show that when seniors establish an owner-pet relationship, their feelings of loneliness dissolve and the pet-related activities such as walking, feeding, grooming and playing improve their overall well-being. HEALTH
Jeffrey L. Almony, M.D. The Mental Health Center Serving Boulder & Broomfield Counties 1333 Iris Ave. Boulder, CO 80304 529 Coffman St. Longmont, CO 80501 899 Highway 287, Suite 300 Broomfield, CO 80020 303-443-8500 www.mhcbbc.org Practices or Hospital Affiliation: Longmont United Hospital, Boulder Community Hospital Specialties: Child and adolescent psychiatry, adult psychiatry Education, Training & Certification: Johns Hopkins University, New York University School of Medicine Number of Years in Practice: 19 total, 16 at the Mental Health Center Serving Boulder & Broomfield Counties Professional Affiliations: American Psychiatric Association
R.A. Bos. M.D. Rocky Mountain Family Medicine 4800 Baseline Road, Suite D-106 Boulder, CO 80303 303-499-0176 www.SeeADoctorToday.com Practices or Hospital Affiliation: Rocky Mountain Urgent Care and Family Medicine in Boulder Specialties: Family medicine. Bos believes healthcare is a right to be shared with everyone, and enjoys working with patients and helping them reach their full potential health wise. Education, Training & Certification: Board certified family physician, undergraduate degree in math and computer science from Iowa State University, medical training at the University of Colorado Health Science Center, residency at Mercy Family Practice in Denver. Professional and Community Service Activities: Outside of work, Bos enjoys playing the harp and guitar, hiking, gardening and reading. Health Plans Accepted: Most insurance plans
Brian N. Bailey, M.D., Ph.D. Boulder Dermatology 3575 Broadway, Boulder, CO, 80304; 400 S. McCaslin, Suite 100, Louisville, CO 80027 303-449-0933 www.BoulderDermatology.com Practice or Hospital Affiliation: Offices in Boulder and Louisville, affiliated with Boulder Community Hospital and Avista Hospital Specialties: Dermatology. Saturday appointments available. Education, Training & Certification: Medical degree and doctorate from University of Illinois in 2005, internship at Barnes Jewish Hospital St. Louis in 2006, dermatology residency at University of Colorado from 2006 to 2009 Number of Years in Practice: One Professional Affiliations: American Academy of Dermatology, American Society for Dermatologic Surgery, Colorado Dermatologic Society Professional and Community Service Activities: Volunteer physician at 9Health Fair Health Plans Accepted: Most insurance accepted
Child & Adult Psychiatry
General & Specialty Surgery
Charles G. Jones, M.D., F.A.C.S. Charles G. Jones, M.D. P.C. 1155 Alpine Ave., Suite 150 Boulder, CO 80304 4745 Arapahoe Ave. Suite 140 Boulder, CO 80303 303-443-2123 Practices or Hospital Affiliation: Surgery at Boulder Community Hospital Broadway, Foothills Hospital and Avista Hospital Specialties: Board certified general surgeon specializing in vascular, thoracic, cancer surgery especially breast and colon, and laparoscopic surgery including DaVinci Robotic Education, Training & Certification: Medical degree and surgery residency at University of Colorado at Boulder Number of Years in Practice: 30 Professional Affiliations: Fellow American College of Surgeons, Diplomat American Board of Surgery, Colorado Medical Society, Boulder County Medical Society, BVIPA, Denver Academy of Surgeons Professional and Community Service Activities: Medical missions to Mexico, Africa and Nepal, Health Care Hero Award, Clinica Family Health Service Award, Boulder Rotary, Everest expeditions 55
BOULDER - LAFAYETTE
Low Vision Program
Seniors With Low Vision Program Center for People With Disabilities 1675 Range St. Boulder, CO 80301 303-442-8662, ext. 111 cpwd.org Beth@cpwd.org Practices or Hospital Affiliation: Serves Boulder, Broomfield, Adams and Jefferson counties Specialties: Assistance with adaptation to blindness and low vision for people ages 55 and older. Education, Training & Certification: Education, experience and a personal understanding bring a unique approach to services. Number of Years in Practice: The Center For People With Disabilities has been serving individuals since 1977. The OIB program has been established for more than 20 years. Professional Affiliations: Center for Independent Living Professional and Community Service Activities: Low vision peer support groups, home visits, annual forum, networking, information and referrals. Health Plans Accepted: Services free of charge.
Gregory D. Keene, D.M.D. Keene Smiles 1140 W. South Boulder Road Suite 201 Lafayette, CO 80026 Centaur Dental Building 303-665-5586 www.KeeneSmiles.com DrKeene@KeeneSmiles.com Specialties: Cosmetic, restorative, implant dentistry, oral conscious sedation, dentures, families Education, Training & Certification: University of Florida College of Dentistry 1997, general practice residency at Denver Health Medical Center 1997 to 1998 Number of Years in Practice: 10 Professional Affiliations: American Dental Association, American Academy of Cosmetic Dentistry, Dental Organization for Conscious Sedation Professional and Community Service Activities: Contributor to the National Foundation of Ectodermal Dysplasias Health Plans Accepted: Delta Dental Premier and many other plans 56
Licensed Professional Counselor
Rosalind Bard, Psy.D, LPC Life in Waves 1800 30th St., Suite 209D Boulder, CO 80301 700 Front St., Suite 106 Lafayette, CO 80027 303 752-6711 303-378-1887 email@example.com Practices or Hospital Affiliation: Psychotherapy, counseling Specialties: Individuals and couples, anxiety and depression, bipolar disorder, chronic illness and pain, dealing with multiple sclerosis, stress management, change and transition, grief and loss, EMDR for trauma and PTSD, midlife, caregiving, resiliency enhancement, creativity and performance issues, GLBTQ, pet loss, may use expressive arts, mindfulness, and understanding of the mind-body connection when appropriate in addition to traditional talk therapy Education, Training & Certification: Bachelor of arts from City College of New York, masters from New York University, masters from University of Colorado, Psy.D. from California Southern University, former director of individual counseling for nonprofit agency Number of Years in Practice: 30 with nonprofit agency, 20 in private practice (concurrent) Professional Affiliations: American Counseling Association, Boulder Psychotherapists Guild, National Board of Certified Counselors, member of EMDR International Association Professional and Community Service Activities: Society for Creative Aging; member of VIVA acting group, member of Boulder Playback Theatre, mentor for I Have a Dream, English tutor with Intercambio, supervision for counselors seeking licensure, teach for Lifelong Learning/Boulder Valley School District and Colorado Free University: The Art of Living Alone Health Plans Accepted: United Behavioral Health/OptumHealth, Pacificare, Aetna, Value Options (Great West), ComPsych, Humana, American Behavioral , Behavioral Health Systems, Wellpoint, PHCS/Multiplan Network, Mines and Associates, LifeSynch, Reach EAP, Mental Health Network, negotiable fee scale for private pay clients
Robert Krone, O.D. Eye Care Center of Northern Colorado Longmont & Lafayette 300 Exempla Circle, Suite 120, Lafayette, CO 80026 303-772-3300 www.eyecaresite.com firstname.lastname@example.org Specialties: Comprehensive eye care, including family eye care exams for glasses and contacts; specialty medical contact lens fitting. Education, Training & Certification: Bachelor of biology from Northern Illinois University, doctor of optometry from Illinois College of Optometry Number of Years in Practice: 22 Professional Affiliations: Colorado Optometric Association Professional and Community Service Activities: Provides educational seminars to the community.
Audiology and Hearing Aids
Jamie Gilgren, Au.D. Hearing Rehab Center 2350 17th Ave., Suite 102 Longmont, CO 80503 303-485-9720 www.hearingrehabcenter.com email@example.com Specialties: Hearing evaluations, hearing aid evaluations, hearing aid repairs, Bluetooth technology, hearing protection, swim plugs and sleep plugs. Education, Training & Certification: Doctor of audiology from Pennsylvania College of Optometry, board certified by the American Board of Audiology. Number of Years in Practice: Eight Professional Affiliations: American Board of Audiology Professional and Community Service Activities: Volunteer for Colorado F.E.A.T., volunteer for U.S. Forest Service and member of Phoenix Networking Group (fundraising for various nonprofit organizations). Health Plans Accepted: Most health insurances accepted, except Medicaid HEALTH
Raeann Larsen P.O. Box 1033 Lafayette, CO 303-648-4006 www.AmericasPremier Insurance.com RAL@premierseniorproducts .com Specialties: Senior health insurance products â€“ Medicare supplements, critical care, long term care, at-home nursing, cancer coverage Education, Training & Certification: Iowa State University, LTC (long term care) certification Number of Years in Practice: 25 years Professional Affiliations: National Association of Insurance and Financial Advisors Professional and Community Service Activities: Child Abuse Prevention Council, Chamber of Commerce
LAFAYETTE - LONGMONT
Senior Health Insurance Products
Audiology and Hearing Healthcare
Dâ€™Anne Rudden, Au.D., CCC-A Longmont Hearing Center 1146 Francis St. Longmont, CO 80501 303-651-1178 www.longmonthearing.com firstname.lastname@example.org Practice or Hospital Affiliation: Longmont Hearing Center and Longmont United Hospital Specialties: Board certified doctor of audiology. Specializes in the diagnosis and treatment of hearing loss. Education, Training & Certification: Doctor of audiology, Arizona School of Health Sciences, board certified by the American Board of Audiology Number of Years in Practice: 16 Professional Affiliations: Colorado Academy of Audiology, American Academy of Audiology, American Board of Audiology, American-SpeechLanguage-Hearing Association Professional and Community Service Activities: Executive Board Colorado Academy of Audiology Health Plans Accepted: Medicare and all major insurance plans accepted 57
Audiology & Hearing Healthcare
Whitney Swander, Au.D., CCC-A Hearing HealthCare Centers 1515 N. Main St., Suite 15 Longmont, CO 80501 303-776-8748 www.hearinghealthcare centers.com Practices or Hospital Affiliation: Longmont and Boulder offices of Hearing HealthCare Centers Specialties: Specializes in hearing evaluations, consultations, hearing protection and assistive listening devices. Education, Training & Certification: Doctorate degree from Arizona School of Health Sciences Number of Years in Practice: 10 Professional Affiliations: American Academy of Audiology, American Speech-Language-Hearing Association, Colorado Academy of Audiology, Academy of Doctors of Audiology Professional and Community Service Activities: Volunteer work with 9News Health Fair since 2003. Active in church and fundraising for nonprofit organizations. Health Plans Accepted: Medicare and preferred provider for most insurance companies
Che Connelly, D.C. Connelly Chiropractic 1325 Dry Creek Drive Suite 101 Longmont, CO 80503 303-776-5535 ConnellyChiropractic.com email@example.com
Practices or Hospital Affiliation: Board certified doctor of chiropractic Specialties: Educating and adjusting as many families towards optimal health through natural chiropractic care. Education, Training & Certification: Pomona High School in Arvada, Colorado State University, Parker College of Chiropractic in Dallas Number of Years in Practice: 13 Professional Affiliations: Full Potential Leadership â€“ A Source for Extraordinary Living Professional and Community Service Activities: Community health talks Health Plans Accepted: Anthem Blue Cross, Cigna, Medicare and many group insurances
Michael Larimore, D.C., C.C.S.T. Larimore Chiropractic and Massage 1225 Ken Pratt Blvd., Suite 222, Longmont, CO 80501 303-772-3100 www.larimorechiropractic.com
Peter M. Schmid, D.O., FAACS Institute of Aesthetic Plastic & Reconstructive Surgery 1305 Sumner St., Suite 100 Longmont, CO 80501 303-651-6846 TheAestheticSurgeon.com
Practices or Hospital Affiliation: Doctor of chiropractic and owner of Larimore Chiropractic and Massage Specialties: Certified in spinal trauma (auto accidents). Board certified by National Board of Chiropractic Examiners. Education, Training & Certification: Associates of science degree from Aims College, doctor of chiropractic at Palmer College in Davenport, Iowa, certified spinal trauma, Logan Chiropractic College Number of Years in Practice: 19 Professional Affiliations: Colorado Chiropractic Association, Palmer College Alumni Association Professional and Community Service Activities: Longmont Chamber of Commerce, volunteer and sponsor for local youth sports programs Health Plans Accepted: Blue Cross Blue Shield, Cigna, United Healthcare, Aetna, Cofinity, Great West, Pacificare, Pinnacol 58
Practices or Hospital Affiliation: Longmont United Hospital, Platte Valley Medical Center, North Suburban Medical Center Specialities: Facelifts, brow lifts, eye lifts, neck lifts, mini lifts; cosmetic and functional nose surgery; intense pulse light photofacials, CO2 laser resurfacing; fractional laser treatments; body liposculpture; laser hair removal; head/neck cancer and reconstructive surgery Education, Training & Certification: Double board certified and fellowship trained: facial plastic/reconstructive and head/neck surgery Number of Years in Practice: 16 Professional Affiliations: Fellow, AACS, Fellow, AOCOOHNS, AAFPRS, AOA, AMA Professional and Community Services Activities: Led Haitian Medical Mission; Arts and Cultural Voluntarism Health Plans Accepted: All major health plans HEALTH
John Fueston, M.D. Twin Peaks Dermatology, P.C. Burlington Medical Center 205 S. Main St., Suite E Longmont, CO 80501 303-485-8913
Judy Hobson, D.O. Rocky Mountain Family Medicine 1551 Professional Lane Longmont, CO 80501 720-494-4725 www.SeeADoctorToday.com
Practices or Hospital Affiliation: Dermatologist at Twin Peaks Dermatology, P.C. Specialties: Board certified by the American Board of Dermatology. Treats all disorders of the skin, hair and nails. Education, Training & Certification: Bachelor of science in pharmacy from Ohio State University. medical school at the University of Cincinnati, internship in internal medicine and residency in dermatology at the University of Cincinnati. Number of Years in Practice: Six Professional Affiliations: American Academy of Dermatology, Colorado Dermatological Society Professional and Community Service Activities: Volunteer work at local skin cancer screenings and community talks about the dangers of skin cancer. Health Plans Accepted: Most health insurance accepted
Practices or Hospital Affiliation: Rocky Mountain Urgent Care and Family Medicine in Longmont Specialties: Hobson’s interests and specialties include general family practice from birth to geriatric, women’s health and alternative medicine. Education, Training & Certification: Board certified, undergraduate studies in biology at Northern Arizona University in Flagstaff, medical degree from Midwestern University in Phoenix, internship at Mayo Clinic in Scottsdale, family practice residency at St. Joseph’s Hospital and Medical Center in Phoenix Professional and Community Service Activities: With a 3-year-old daughter, new baby boy and two lovable dogs, Hobson enjoys any outdoor activities and loves doing adventure races in Colorado. Health Plans Accepted: Most insurance plans
Rachel M. Bassett, M.D. Care Plus Medical Center 850 23rd Ave., Suite A Longmont, CO 80501 303-776-2001
Practice or Hospital Affiliation: CARE Plus Family Practice, Longmont United Hospital Specialties: Diabetes, developmental and intellectual disabilities, adolescent health, whole family care. Education, Training & Certification: Undergraduate degree from University of Iowa, Loyola University Medical School, University of Wisconsin residency in family practice, certification with American Board of Family Medicine Number of Years in Practice: Seven Professional Affiliations: American Academy of Family Physicians, American Board of Family Medicine Professional and Community Service: Low-cost school and/or sports physicals Health Plans Accepted: Most major insurance plans HEALTH
Thomas P.S. Drake Jr., D.D.S. Smile Designers Family Dentistry 1246 N. Main St. Longmont, CO 80501 303-678-7800 www.smiledesignersteam.com Specialties: All phases of general dentistry, Invisalign, mini dental implants Education, Training & Certification: Doctorate of dental science from University of Nebraska, Invisalign, mini implant certification Number of Years in Practice: 20 Professional Affiliations: American Dental Association, Colorado Dental Association, Boulder County Dental Society, Academy of General Dentistry Professional and Community Service Activities: Volunteers at the OUR Center, provides dentistry for disadvantaged children via Medicaid and Child Health Plan Plus Health Plans Accepted: Most insurance accepted See our ad on page 19
Adrienne M. Hedrick, D.D.S.
Steve Sampson, D.M.D. Smile Designers Family Dentistry 1246 N. Main St. Longmont, CO 80501 303-678-7800 www.smiledesignersteam.com
Adrienne M. Hedrick, D.D.S. 2929 17th Ave. Longmont, CO 80503 303-772-6333 www.adriennehedrickdds.com adriennehedrickdds@ yahoo.com Specialties: Advanced training in orthodontics, cosmetic dentistry, implants, Invisalign Education, Training & Certification: Ankylos implant certification, American Orthodontic Society certificate Number of Years in Practice: Four Professional Affiliations: Colorado Dental Association, American Dental Association, BoulderBroomfield County Dental Society, International Congress of Oral Implantologists member, American Orthodontic Society member Professional and Community Service Activities: Dentistry for the Handicapped, Team in Training Health Plans Accepted: All insurance carriers
Specialties: All phases of general dentistry including Invisalign and mini dental implants Education, Training & Certification: Temple University, Invisalign certification, mini dental implant certification Number of Years in Practice: Seven Professional Affiliations: American Dental Association, Colorado Dental Association, Boulder County Dental Society, Academy of General Dentistry Professional and Community Service Activities: Provides dentistry for underprivileged children via Child Health Plan Plus and Medicaid Health Plans Accepted: Most insurance accepted See our ad on page 19
Barbara Frostman Applewood Living Center 1800 Stroh Place Longmont, CO 80501 303-776-6081 firstname.lastname@example.org
Practice Affiliation: Director of therapy at Applewood Living Center Specialties: Geriatric, neuro development treatment Education, Training & Certification: Bachelor of science in occupational therapy from University of Florida Number of Years in Practice: 36 Professional Affiliations: National Board of Certification of Occupational Therapy Health Plans Accepted: Medicare, Medicaid, United Healthcare, Blue Cross Blue Shield, Secure Horizon, Humana Gold, most managed cares accepted
Tina Graham Applewood Living Center 1800 Stroh Place Longmont, CO 80501 303-776-6081 email@example.com
Practice Affiliation: Director of nursing at Applewood Living Center Specialities: Geriatrics, hospice care Education, Training & Certification Registered nurse Number of Years in Practice: With 29 years of experience as a nurse, Graham was a nurses aid for three years prior to that. Professional Affiliations: Member of American Nurses Association Health Plans Accepted: Medicare, Medicaid, United Healthcare, Blue Cross Blue Shield, Secure Horizon, Humana Gold, most managed care
Ann Michele Applewood Living Center 1800 Stroh Place Longmont, CO 80501 303-776-6081
Peter Andrews, M.D.
Practice Affiliation: Recreation director at Applewood Living Center Specialities: Special populations, infant to geriatrics Education, Training & Certification: Bachelor of science in exercise science and recreation therapy with honors, International Sports Medicine Association, American Aerobic Association International, CTRS, personal trainer Number of Years in Practice: 26 Professional Affiliations: American Aerobic Association International, ISMA, CTRS, CPT, CAPA, CPR, AED Professional and Community Service Activities: Longmont Chamber of Commerce, CAPA, Longmont YMCA, local published fitness competitor Health Plans Accepted: Medicare, Medicaid, United Healthcare, Blue Cross Blue Shield, Secure Horizon, Humana Gold, most managed cares
Eye Care Center of Northern Colorado Longmont & Lafayette 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com firstname.lastname@example.org Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center, Exempla Good Samaritan Specialties: Board certified and fellowship-trained cornea, external disease and refractive surgery specialist. Lasik, ICLâ€™s (Implantable Collamer Lenses) and Intacs. Education, Training & Certification: Bachelor of science in computer science from University of Florida, doctor of medicine from Wake Forest University of Medicine, residency and fellowship at University of Florida Number of Years in Practice: Six Professional Affiliations: American Medical Association, American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery; International Society of Refractive Surgeons
William L. Benedict, M.D. Eye Care Center of Northern Colorado 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com email@example.com Practices or Hospital Affiliation: Longmont United Hospital Specialties: Board certified, fellowship-trained ophthalmologist and retinal specialist. Specializes in the surgical and medical treatment of vitreoretinal disorders. Education, Training & Certification: Bachelor of science in chemical engineering from University of Michigan, doctor of medicine from University of Cincinnati, residency at Cleveland Clinic Foundation, vitreoretinal fellowship at Texas Tech University Number of Years in Practice: 17 Professional Affiliations: American Society of Retinal Specialists, American Academy of Ophthalmology, Colorado Medical Society Professional and Community Service Activities: Provides low vision support group meetings and educational seminars to the community. HEALTH
Dale Johnson, M.D. Front Range Eye Physicians 1319 Vivian St. Longmont, CO 80501 303-772-3611 www.FrontRangeEye Physicians.com firstname.lastname@example.org Practice or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Board certified ophthalmologist, eye exams, treatment of eye diseases Education, Training & Certification: Medical degree from University of Wisconsin Medical School, residency at University of Colorado Medical Center Number of Years in Practice: 33 Professional Affiliations: American Academy of Ophthalmology Health Plans Accepted: Vision Service Provider, Medicare, Pacificare, Blue Cross Blue Shield, Secure Horizons, CIGNA, Aetna, TriCare and most other major insurance plans
Mohammad Karbassi, M.D.
Joel S. Meyers, M.D.
Front Range Eye Physicians 1319 Vivian St. Longmont, CO 80501 303-772-3611 www.FrontRangeEye Physicians.com email@example.com Practice or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center, Avista Adventist Hospital Specialties: Board certified ophthalmologist and corneal specialist. Specializes in surgical and medical treatment of the eye. Education, Training & Certification: Medical degree from George Washington University, residency at Boston University Medical Center, cornea fellowship training at the University of Rochester, board certified by American Board of Ophthalmology Number of Years in Practice: 13 Professional Affiliations: American Academy of Ophthalmology, American Board of Ophthalmology; American Society of Cataracts and Refractive Surgery; Colorado Medical Society. Health Plans Accepted: Most insurance plans
Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Board certified, fellowship-trained ophthalmologist. Specializes in oculoplastics, cataract surgery and cosmetic plastic and reconstructive surgery. Education, Training & Certification: Bachelor of arts in biology University of Colorado at Denver, doctor of medicine Jefferson Medical College of Thomas Jefferson University in Philadelphia, residency at Long Island Jewish Medical Center and Queens Hospital Center in New York, fellowship at University of Arizona Health Sciences Center Number of Years in Practice: 18 Professional Affiliations: American Academy of Ophthalmology, American Medical Association, Colorado Society of Eye Physicians and Surgeons
Irene Olijynk, M.D. Eye Care Center of Northern Colorado 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com firstname.lastname@example.org Specialties: Board certified ophthalmologist who specializes in comprehensive eye care. Education, Training & Certification: Bachelor of arts in psychology from University of Illinois, doctor of medicine from Loyola University Stritch School of Medicine, residency at Loyola University and Hines VA Hospital Number of Years in Practice: 30 Professional Affiliations: American Academy of Ophthalmology, Colorado Medical Society, Colorado Society of Eye Physicians and Surgeons
Ophthalmology Eye Care Center of Northern Colorado Longmont & Lafayette 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com email@example.com
Terry Robinson, M.D. 521 Main St., Suite 2 Longmont, CO 80501 303-776-3937 firstname.lastname@example.org
Practices or Hospital Affiliation: Longmont United Hospital and sole practice Specialties: Cataracts, glaucoma, retinal disease: macular degeneration and diabetic eye treatment Education, Training & Certification: Bachelors of medicine from the University of Nebraska-Lincoln, medical degree from University of Nebraska Medical School, honors rotation in Ophthalmic Pathology Wilmer Eye Institute at John Hopkins Medical School, ophthalmology categorical internship USC Doheney Eye Center, residency at University of Nebraska Medical Center Number of Years in Practice: 26 Professional Affiliations: Fellow American Academy of Ophthalmology, Boulder and Colorado Medical societies, Colorado Society of Eye Physicians and Surgeons Professional and Community Service Activities: Educational seminars and local health fairs. HEALTH
Micah Rothstein, M.D.
Elisha Tilton, M.D.
Eye Care Center of Northern Colorado Longmont & Lafayette 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com email@example.com Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Board certified, fellowship-trained specialist in glaucoma. Specializes in the management and treatment of glaucoma and also performs cataract surgery. Education, Training & Certification: Bachelor of science in business administration from University of Arizona/Tucson, doctor of medicine from University of South Carolina, residency at George Washington Medical Center, fellowship at University of Florida Number of Years in Practice: Seven Professional Affiliations: American Board of Ophthalmology, Association of Cataract and Refractive Surgeons, American Academy of Ophthalmology, American Glaucoma Society
Eye Care Center of Northern Colorado Longmont & Lafayette 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com firstname.lastname@example.org Specialties: Board certified, fellowship-trained ophthalmologist and retinal specialist. Specializes in the surgical and medical treatment of vitreoretinal disorders and complications of cataract surgery and ocular trauma. Education, Training & Certification: Bachelor of science degree in animal physiology and neuroscience from the University of California-San Diego, doctor of medicine from the University of Vermont, vitreoretinal fellowship training at the Lahey Clinic in Boston Professional Affiliations: American Academy of Ophthalmology, Association of Research in Vision and Ophthalmology Professional and Community Service Activities: Provides educational seminars to the community.
Sara Heffler, O.D. Front Range Eye Physicians 1319 Vivian St. Longmont, CO 80501 303-772-3611 www.FrontRangeEye Physicians.com email@example.com Specialties: Contact lens and difficult fittings, eye exams, vision therapy evaluations, treatment of ocular pathology Education, Training & Certification: Doctor of optometry degree from Pacific University College of Optometry, bachelor of health sciences from Chadron State College Number of Years in Practice: 15 Professional Affiliations: American Optometric Society Health Plans Accepted: Vision Service Provider, Medicare, Pacificare, Blue Cross Blue Shield, Secure Horizons, CIGNA, Aetna, TriCare and most other major insurance plans
Stephanie Ross, D.D.S. Longmont Braces 1520 S. Hover St., Suite C Longmont, CO 80501 303-772-0510 www.longmontbraces.com
Specialties: Orthodontics Education, Training & Certification: University of Colorado School of Dental Medicine, general practice residency at Queenâ€™s Medical Center in Honolulu, orthodontic residency at the University of Colorado School of Dental Medicine Professional Affiliations: American Association of Orthodontists, American Dental Association, Colorado Dental Association, Boulder/Broomfield County Dental Society Professional and Community Service Activities: Mouth guard fitting for Longmont Youth Football Health Plans Accepted: Most insurance plans accepted
Plastic and Reconstructive Medicine
Warren Schutte, M.D. Front Range Plastic and Reconstructive Medicine 2030 Mountain View Drive, Suite 500, Longmont, CO 80501, 303-872-8250 www.frontrangeplasticsurgery.com
Joel S. Meyers, M.D. Meyers Aesthetic Center & Medical Spa 1400 Dry Creek Drive Longmont, CO 80503 303-682-3386 www.eyecaresite.com/aesthetics/ firstname.lastname@example.org
email@example.com Practices or Hospital Affiliation: Longmont United Hospital, Poudre Valley Health System, Banner Health System Specialties: Cosmetic and reconstructive facial surgery, cosmetic and reconstructive breast surgery, tummy tuck, corrective surgery following weight loss, hand surgery. Reconstruction after cancer or injury. Education, Training & Certification: Medical school at the University of Nebraska Medical Center, general surgery residency at the University of Kansas-Wichita, and plastic and reconstructive surgery residency at the University of TennesseeChattanooga. Professional Affiliations: AMA, American Board of General Surgery Professional and Community Service Activities: He enjoys boating, skiing, kayaking and cycling. Health Plans Accepted: Most major health plans
Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Oculoplastic and cosmetic plastic and reconstructive surgery Education, Training & Certification: Bachelor of arts in biology from University of Colorado at Denver, doctor of medicine from Jefferson Medical College of Thomas Jefferson University in Philadelphia, residency at Long Island Jewish Medical Center and Queens Hospital Center in New York, fellowship at University of Arizona Health Sciences Center Number of Years in Practice: 18 Professional Affiliations: International Society of Cosmetic and Laser Surgeons, American Academy of Ophthalmology, American Medical Association, Colorado Medical Society, Colorado Society of Eye Physicians and Surgeons
Podiatry - Medicine & Surgery
Peter Hartlove, DPM, FACFAS Mountain View Foot & Ankle Clinic, PC 1305 Sumner St., Suite 200 Longmont, CO 80501 303-772-3232 mountainviewfoot.com firstname.lastname@example.org Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center Specialties: Non-surgical and surgical foot and ankle care, children care Education, Training & Certification: University of Michigan, Ohio College of Podiatric Medicine, residency at Highlands Center Hospital, board certified in foot and ankle surgery Number of Years in Practice: 31 Professional Affiliations: American Podiatric Medical Association, Colorado Podiatric Medicine Association, American College of Foot & Ankle Surgeons Professional and Community Service Activities: Volunteer for Boulder County Parks & Open Space, board member of Longmont Surgery Center Health Plans Accepted: Most major plans and Medicare 64
Plastic & Reconstructive Surgery
Peter Andrews, M.D. Eye Care Center of Northern Colorado Longmont & Lafayette 1400 Dry Creek Drive Longmont, CO 80503 303-772-3300 www.eyecaresite.com email@example.com Practices or Hospital Affiliation: Longmont United Hospital, Longmont Surgery Center, Exempla Good Samaritan Specialties: Board certified and fellowship-trained cornea, external disease and refractive surgery specialist. Lasik, ICLâ€™s (Implantable Collamer Lenses) and Intacs. Education, Training & Certification: Bachelor of science in computer science from University of Florida, doctor of medicine from Wake Forest University of Medicine, residency and fellowship at University of Florida Number of Years in Practice: six Professional Affiliations: American Medical Association, American Academy of Ophthalmology, American Society of Cataract and Refractive Surgery; International Society of Refractive Surgeons HEALTH
Rehabilitation & Long Term Care
Frontier Therapy Center of Longmont/Peaks Care Center 1440 Coffman St. Longmont, CO 80501 303-776-2814 www.frontiertherapycenter.com
Frontier Therapy Center of Longmont/Peaks Care Center 1440 Coffman St. Longmont, CO 80501 303-776-2814 www.frontiertherapycenter.com
Practices or Hospital Affiliation: In-patient short term physical rehabilitation, long term care Specialties: Admissions and marketing director who helps people transition toward a new stage in life. Education, Training & Certification: Licensed psychiatric technician in California, strong background with the developmentally disabled and forensic physiology. The last 20 years has been focused on working with seniors in a long term care setting as social services, life enrichment, admissions and marketing. Number of Years in Practice: 31 Professional Affiliations: St. Vrain Rotary, Erie Council on Aging, Lyons Council on Aging Professional and Community Service Activities: Volunteer for Plant Bluegrass events, Lyons Golden Gang luncheons and High Street concerts, Meals on Wheels Board Member
Specialties: Director of therapy and occupational therapist Education, Training & Certification: Bachelor of science at University of Nebraska at Kearney, doctorate in occupational therapy from Creighton University Number of Years in Practice: Five Professional Affiliations: American Occupational Therapy Association Health Plans Accepted: Medicare, Medicaid and most private insurance
Rehabilitation & Long Term Care
Rehabilitation & Long Term Care
Jennifer Schmanski Frontier Therapy Center of Longmont/Peaks Care Center 1400 Coffman St. Longmont, CO 80501 303-776-2814 www.frontiertherapycenter.com jschmanski@seniorcaregroup .com Specialties: Adult health, gerontology, community program development Education, Training & Certification: Master of social work, licensed clinical social worker Number of Years in Practice: Six Professional and Community Service Activities: Erie Area Senior Advisory Committee member, Boulder County Area Aging Designee Advisory Committee Health Plans Accepted: Medicare, Medicaid and most private insurance
Rehabilitation & Long Term Care
Heather Orback Stratton Frontier Therapy Center of Longmont/Peaks Care Center 1440 Coffman St. Longmont, CO 80501 303-776-2814 www.frontiertherapycenter.com firstname.lastname@example.org Specialties: Inpatient rehabilitation Education, Training & Certification: Associates degree for registered nursing from Front Range Community College, Colorado Nursing Home Administrator Number of Years in Practice: 15 Professional Affiliations: Colorado Health Care Association, National Stroke Association, Memories in the Making Professional and Community Service Activities: Longmont Area Chamber of Commerce, volunteer work for Lyons Senior Center, vice president of Lyons Cemetery Association Health Plans Accepted: Medicare, Medicaid and most private insurance
LONGMONT - WESTMINSTER
Sedation, Cosmetic & Family Dentistry
Dr. Cliff E. Rogge, DDS, FAGD Artistic Smiles 920 S. Hover St. Longmont, CO 80501 303-485-8888 ArtisticSmiles.org DrCliffRogge@msn.com Specialties: General dentistry Education, Training & Certification: Advanced Education General Dentistry, fellow Academy of General Dentistry, Las Vegas Institute graduate, State Certified Conscious Sedation, California Implant Institute graduate Number of Years in Practice: 20 Professional Affiliations: American Dental Association, Academy of General Dentistry, Boulder County Dental Association, Colorado Dental Association, International Congress of Implantology, Dental Organization of Conscious Sedation, past president Boulder County Dental Society, American Academy of Cosmetic Dentistry Professional and Community Service Activities: Free smile makeover 2008, free dentistry services in 2009 valuing $30,000 Health Plans Accepted: Most insurance plans accepted. Call for a breakdown of benefits.
2010 Boulder Countyy
Health View this book online at
The Boulder County Health book presents medical and allied health professionals in all specialties with pictures, brief profiles and advertising. The book includes content focusing on various areas of health, including prevention, treatment and tips on finding an effective professional.
Ruth Vanderkooi, M.D. Rocky Mountain Family Medicine 6080 W. 92nd Ave. Westminster, CO 80031 303-427-0796 www.SeeADoctorToday.com
Health 2010 Boulder County 2
Practices or Hospital Affiliation: Rocky Mountain Urgent Care and Family Medicine in Westminster Specialties: Vanderkooi believes in working with patients to help them achieve optimum health, and enjoys the variety and complexity of family medicine. Education, Training & Certification: Board certified in family medicine, undergraduate degree from Central College in Pella, Iowa, family practice residency at University of Michigan in 1989, medical school at University of Iowa in 1986 Number of Years in Practice: 24 Professional and Community Service Activities: Outside of work, Vanderkooi enjoys hiking, gardening and spending time with family. Health Plans Accepted: Most insurance plans
Offering trusted, quality plastic surgery care to make you look and feel your best.
tel. 303.872.8250 www.frontrangeplasticsurgery.com 67
Taking Care of your health is
We believe in preventive care and encourage you to have a regular appointment with a physician. We oďŹ€er diagnostic health services to assist in this process. We have medical experts with a full array of specialties. Longmont United Hospital is here to serve this community, and YOU.
Over 255 physicians representing over 35 specialties.
find a physician www.luhcares.org
So, please, find a physician to help you develop a healthy lifestyle. Visit www.luhcares.org for information on all of our services including Cardiac, Orthopedic, Cancer, Neurosurgery, Family Medicine, and Senior Care.
Changing The Caring Experience... 68
303.485.3565 www.luhcares.org HEALTH