2008-07 Northern Colorado Medical & Wellness Magazine and PVHS Physician Directory

MEDICAL WELLNESS&F O R T C O L L I N S

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your , were here for you. Keep it in play with the Emergency Departments at Poudre Valley Hospital and Medical Center of the Rockies, open 24/7 . Our medical teams are

standing by to fine tune your recovery and get you back to your team .

And our two Urgent Care Centers help with minor injuries, with walk-in care available everyday. Harmony Urgent Care and Loveland Urgent Care are ready when your primary doctor's office isn't open or same-day appointments aren't available.

Poudre Valley Health System . We're here for you .

Poudre Valley Hospital 1 024 S. Lemay Avenue Fort Collins, Colorado 80524 970.495 .8560

Medical Center of the Rockies 2500 Rocky Mountain Avenue Loveland, Colorado 80538 970.624.1860

Harmony Urgent Care Center 2127 East Harmony Road, Suite 140 Fort Collins, Colorado 80528 970.297 .6250

Loveland Urgent Care 3850 Grant Avenue, Suite 100 Loveland, Colorado 80538 970.669.5717

POUDRE VALLEY HEALTH SYSTEM www.pvhs.org

3

3Fort Collins Medical Magazine & Directories 2008 2009

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2008 style MagazinesJanuary-Loveland/Greeley Medical & Wellness

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12dmhnla

It is with appreciation and a great deal of enthusiasm, that we publish our 10th annual Fort Collins Medical & Wellness Magazine and Direc-tories in collaboration with Poudre Valley Health System. Over the years we have followed the leadership of Rulon Stacey, Kevin Unger, George Hayes and their executive teams, and admired their vision for

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our region’s future healthcare needs. Their sincere commitment to World-Class Healthcare is a key contributor to our high quality of life, and to our national reputation for being the best place to live in the country. Naturally, this cannot be accomplished without the commitment of employees that share the val-ues, vision, and mission of PVHS. We are honored to feature three long-term employees whose pas-sion for their job is exemplified in their achieve-ments. Commitment such as theirs is just one more reason Poudre Valley Hospital is designated as a Magnet Hospital for Nursing Excellence and, for the fifth consecutive year, has been named as one of the 100 Top Hospitals in the nation by Thomas Healthcare. Read about these three ex-emplary team members, their love for their career and commitment to the hospital and the patients they serve. The goal of this publication is to inform you of new technology, new methods of diagnosis, and in the latest in treatment possibilities. Our goal is to educate you regarding the latest medical pro-tocols, to introduce you to exceptional physicians and healthcare providers, and to emphasize the importance of prevention. Good health is of interest to everyone, but especially to the aging Baby Boomers and retir-ees living in the Northern Colorado Front Range. On a personal note, my retired mother recently tripped on her back step, and due to her mild os-teoporosis, she broke her arm, requiring surgery and rehabilitation. This has been quite the ordeal for a woman in her 80’s! Mindfulness of our need for calcium and exercise is imperative; read Osteo-

porosis and You to learn about prevention, diag-nosis, and treatment of this condition. Medical research in health and wellness contin-ues to improve treatment options and outcomes for patients. Read Miraculous Treatment for Mac-ular Degeneration for insight into a devastating condition that now has wonderful and positive outcomes. Pain Management Therapies offers in-novative options for those suffering from chronic pain. Also, please join us in welcoming Dr. Doug Beard, orthopedic surgeon, to Front Range Cen-ter for Brain & Spine Surgery, P.C. who will add so much to their comprehensive spine care. Dr. Thomas Overton works his magic to perfect and whiten in Brighter Smiles. And… obviously Mer-edith is a non-smoker; be sure to read Thank You for NOT Smoking. We know that finding a physician’s contact in-formation can sometimes be frustrating. There-fore, we’ve compiled the PVHS physician list by specialty and physician name. Keep this publica-tion handy as a convenient reference for the en-tire year.

To your health,

[email protected]

(970)227-6400

13


t a b l e o f c o n t e n t sV O L U M E X

Wellness Magazine & Directory

40

8426

112

Style Magazine offers these editorials for your general knowledge and not as a subsititue for medical advice or treatment. If you have any questions or concerns about your health, please contact your doctor or healthcare provider.

Medical Magazine & Directory11 From the Readers13 Publisher’s Letter17 Introduction Letter

Rulon F. Stacey, President and CEO, Poudre Valley Health System

20 All About Teamwork26 Winning Partner34 The Changing Face of

Family Medicine

19 Introduction LetterStu VanMeveren, Chairperson, Board of Directors, Poudre Valley Health System

40 Surgical Synergy Means Better Spine Care

43 Physician Directory49 Introduction Letter

Dr. William A. Neff, Chief Medical Officer, PoudreValley Health System

63 Pain Management Therapies69 Diagnostic Electrophysiology

for Heart Arrhythmia74 Miraculous Treatment for

Macular Degeneration

84 Brighter Smiles

87 Thank you for NOT smoking

90 Healthy Tidbits: Trans Fats

92 Disease Prevention Through Exercise

96 Wellness Directory

99 Solutions for Erectile Dysfunction102 Osteoporosis and You108 An Unfathomable Disease:

Dealing with Alzheimer’s112 Alzheimer’s is a Family Affair

14

15M.D., PH.D., F.A.C.S.

BOARD CERTIFIED GENERAL SURGEON

Get caught

with a great

pair of legs!

16 Wefehere for you.

When you need medical care, the professionals at Poudre Val ley Health System are here for you.

Whether you need inpatient care at Poudre Val ley Hospital or Medical Center of the Rockies, or you need outpatient services at one of our many clin ics and diagnostic or surgery centers, our exceptional physicians and staff are standing by.

Compassionate care is w hat you deserve and what we take pride in delivering. We're here for you.

Dear MeDical & Wellness Magazine reaDer:

During the last decade, Poudre Valley Health System has been on a path of continued growth as a way to meet the healthcare needs of the region’s rapidly increasing population growth.

We opened an ambulatory care center and medical office building on the Harmony Campus in 2000 and continued the growth there with the construction of a medical plaza for physician clinics and, in 2007, a medical office building.

In 2007, the Medical Center of the Rockies was opened; since then, two medical office buildings have been constructed. In the meantime, Poudre Valley Hospital underwent a significant renovation and expansion between 1999 and 2003, and currently is in the midst of a major construction project that will result in a new medical office building, expanded surgical area, parking garage, and other increased health services.

The driving force behind all of these expansion activities stems back to the early 1990s when there was only Poudre Valley Hospital, which was governed by a public entity, the Poudre Valley Hospital District.

Back then, the district’s board of directors conducted a major study that looked at the future of healthcare on the national, regional, and local levels. The study determined that the best way to move ahead was to keep decisions regarding local healthcare in local hands rather than selling the hospital to a national hospital chain interested in gaining access to healthcare dollars in Northern Colorado.

The hospital district board developed a plan that resulted in the creation of Poudre Valley Health System, a private nonprofit corporation. The reason: As a public entity that received revenue from property taxes, the hospital district was forbad by state law to enter into ventures with private corporations such as physician groups.

Back then, physician groups were considering building their own hospitals, surgery centers and other facilities. What that would have meant was, simply, that PVH would have remained a medium-sized community hospital that would likely have become financially challenged and been forced to sell out to a national chain.

As a private nonprofit corporation, Poudre Valley Health System has been able to enter into joint ventures with a variety of physician groups. This has meant that all of us have benefited by having pieces of the proverbial pie rather than only a few of us gaining all of it.

Much more importantly; though, it is the people of our region have benefited the most.Because we have a vigorously growing medical community, more family practice physicians

and specialty doctors have settled in Northern Colorado. There are more healthcare facilities than would have existed if PVH had remained merely a medium-sized community hospital. Now, we have many more healthcare opportunities for community members, and there is less need for patients to leave the community for specialized healthcare since they can now receive most types of specialized care locally.All in all, the PVHS expansion over the last decade has been a win-win for everyone. We live in a magnificent community and we have high quality healthcare to match the high quality of life.

Rulon F. Stacey, Ph.D., FACHEPresident/Chief Executive OfficerPoudre Valley Health System

rulon F. stacey, Ph.D., FachePresident/Chief Executive OfficerPoudre Valley Health System

P O U D R E VA L L E Y H E A LT H S Y S T E M

17


18 If your baby is early, were here for you.

If your baby is born prematurely, the neonatal

intensive care team at Poudre Va lley Hospital is

here for you.

Staffed by neonatal specialist physicians,

nurses and therapists, and equipped with the

latest technology, the PVH neonatal intensive

care nursery (NICU) provides the highest level

of care for sick and premature babies in

Northern Colorado.

Breathe easy. We're here fo r you .



With 4,100 employees, two hospitals, the Harmony Campus, clinics throughout Northern Colorado, and joint ventures with more than a dozen local healthcare providers, Poudre Valley Health System is the major medical provider in Northern Colorado, Wyoming and Southwestern Nebraska.

Because of the multitude of healthcare services that we offer throughout the region, it’s vitally important for the health system, local physicians, and other healthcare providers to maintain synergies that encourage all of us to work closely together. Over the years I’ve found that this certainly happens! Our healthcare environment continues to encourage cooperation, collegiality, trust, and quality.

For you, this means easy access to the highest quality healthcare.PVHS employees pride themselves on providing world-class care. It’s for you—their

neighbors, friends, family members, community—that they are driven to excel. Our staff likes people. We don’t produce cars or build homes or manufacture widgets. We provide healthcare for people, and we want everyone to receive the best.

That’s a reason why we have one of the nation’s most highly trained staffs. Our employee turnover rate is among the lowest in the nation for healthcare organizations. This is a great benefit for you because longevity of employment translates into more experience and higher quality healthcare service.

As a result of our excellent staff and the synergies that we have with the physicians and healthcare providers in the region, PVHS and its services have been recognized and honored time and again.

Here are a few examples:During each of the last five years, Poudre Valley Hospital was named one of America’s 100

Top Hospitals by Thomson Healthcare, the nation’s leading independent company that tracks the performance of hospitals in the U.S.

In 2008, PVH was the first and only hospital in the nation to ever receive the American Nurses Association’s prestigious Award for Outstanding Nursing Quality, an honor that recognized PVH’s sustained excellence in nursing quality.

In each year since 2004, Poudre Valley Health System was recognized by Hospitals & Health Networks, the journal of the American Hospital Association, as one of the nation’s 100 most wired and 25 most wireless organizations. This national recognition is for the health system’s use of information technology to address key areas involving safety and quality, customer service, business processes, workforce issues, and public health and safety. During the same period, the national magazine Information Week named PVHS to its annual list of the 500 companies that are the most innovative users of information technology.

In addition, the health system was the first corporation to receive the Colorado Performance Excellence Peak Award, the state’s highest award for performance excellence. The award recognizes excellence in the way PVHS approaches its business of healthcare and uses information, results and customer feedback for making improvements.

Of course, as wonderful as such honors may be, they are not what we’re all about. Our vision is to provide you with world-class healthcare. We want to nurture you back to good health if you become ill. We care. We’re here for you. That’s what Poudre Valley Health System is all about.

Stu VanMeverenChairperson, Board of DirectorsPoudre Valley Health System

stu VanMeVeren

Chairperson, Board of DirectorsPoudre Valley Health System

19


The Employees of PVHSAll About Teamwork

Providing the kind of award-winning patient care Poudre Valley Health System (PVHS) is known for, isn’t easy. It takes passion, dedication, and above all, teamwork, as exemplified by these six exceptional employees.

MEDICAL PVHS

A typical day for employees at PVHS varies greatly, not only due to their various positions on staff, but also due to the ever-changing needs of their patients. This day-to-day variation keeps nurses, coordinators, therapists, and even graphic designers on their toes at all times. Each position at PVHS, while vastly different, is crucial to the network as a whole. PVHS is indeed the sum of its many parts, including hundreds of dedicated employees.

Speaking of dedication, Paul Poduska, Infec-tion Control Coordinator at Poudre Valley Hospital (PVH), has been on staff for 40 years. Poduska first arrived at PVH back in 1968 and “did whatever needed to be done” during those first few years. “I worked in every single department except di-etary,” he says with a smile. “They wouldn’t let me in there because I burned everything.”

Forty years later, few people remember that he burned things, but everyone knows Poduska.

He’s in charge of ensuring the hospital stays in-fection free. As you can imagine, this job can be pretty intense, but you can tell he thoroughly en-joys it. “It’s definitely a challenge, but I love it,” says Poduska. “The really interesting thing is that the field is always changing, there’s always some-thing more to learn.” Learning, and then sharing what he’s learned, is the most important reason for his position. “Most of my job is education and re-education,” he says. “I enjoy conducting ori-

by Allie Comeau

Eileen Angeli, R.N., Neonatal Intensive Care Unit (NICU), PVH, holds an infant.

2020

- Paul Poduska, Infection Control Coordinator

entations with new staff and teaching them the fundamentals of infection control and epidemiol-ogy.”

Poduska met his wife, Nancy, while work-ing at PVH and considers the hospital to be like a second home. “I met Nancy on her first day at work when she couldn’t find the time clock, even though it was right behind her. It was then I knew I had to meet her,” he says lovingly. Nancy, Director of Special Services in Nursing, supports her husband in many ways at the hospital. “She covers my back when I’m not around,” he says. “Between the two of us, we’ve definitely made Poudre Valley our home.”

It’s not just his wife that provides support, though. According to Poduska, the entire team at

PVH excels at teamwork. “That’s what makes PVH one of the top hospitals in the country and why I’ve chosen to be here so long,” he says. “The administrators here have supported me in every endeavor I’ve introduced, so long as I have suf-ficient evidence as to why it’s necessary.” Open-ness and a respect for Poduska’s knowledge have helped make him, and his wife, feel at home here over the past 40 years.

Joann Kresl, R.N., M.ED, and Staff Develop-ment Coordinator in the Clinical Education De-partment, offers similar sentiments as to why she’s chosen to remain at PVH for so long. An R.N. for 50 years, Kresl has enjoyed 37 years of support, flexibility, and collaboration at PVH. “That’s the beauty of being an R.N. at PVH,” she says. “You

have so many options, so many avenues you can take, so many different ways you can direct your career with the support of the hospital.”

Kresl’s esteemed career is a great example of that flexibility. “I’ve had experience on just about every floor of the hospital,” she says. This varied experience serves her well in her latest role as Staff Development Coordinator. “We work pretty much hospital wide here in the Education Depart-ment,” she says. Kresl teaches and coordinates classes for new nurses, preceptors, and nurse in-terns. “The nice thing about my job is that it com-bines my education background with my nursing skills,” she says. Kresl insists she learns as much from her “students” as they do from her. “I’m the guide on the side, not the sage on the stage,” she

The really interesting thing is that the field is always changing,

there’s always something more to learn. I enjoy

conducting orientations with new staff and teaching them the

fundamentals of infection control and epidemiology.

- Joann Kresl, R.N., M.ED, Staff Development Coordinator

The nice thing about my job is that it

combines my education background with my

nursing skills… I’m the guide on the side, not the sage on the stage.

We all learn from each other, everyone has something to offer.

21


says. “We all learn from each other, everyone has something to offer.”

The most important thing Kresl relays to the new nurses is PVHS’s high standard for patient care. “I tell them to put themselves in the patient’s shoes,” she says. “Most patients are sick, scared, vulnerable, and feel like they’re losing control. It’s up to us to make them comfortable and to do whatever we can to get them through this dif-ficult time.” While her teaching responsibilities have removed her from the daily patient interac-tions she so loved as an R.N., Kresl takes solace in the fact that she’s able to reach so many more people in her new role. “I can truly impact the quality of patient care by providing other nurses with the education they need to provide compe-tent care.”

Liz Ghent, a first-year R.N. at PVH, can attest to that. Ghent, an R.N. in the float pool (mean-ing she works wherever she’s needed), says she’s already learned so much more than she did in school, from the other nurses and staff at the hos-pital. “I’m always asking questions and everyone

here is so willing to answer them and help in any way they can,” she says. “We have a common goal here to take care of our patients and we have to work together to get it done.”

Ghent, who interned at PVH while attending school at Front Range Community College, chose to work in the float pool so she could learn about every floor of the hospital. “I love the variety that comes with this position,” she says. “Every day is different, filled with new challenges and new fac-es.” Ghent credits the tremendous value placed on teamwork at PVH for her success. “I love the constant learning and just hope each day that I’m able to handle whatever’s thrown my way.” With the support of fellow nurses and other staff, there’s no doubt she will.

Teamwork is also what enables Michelle James, an occupational therapist at Medical Cen-ter of the Rockies (MCR), to care so effectively for her patients. James, who’s been an OT for 13 years, has patients on all floors at MCR, but specializes in acute trauma. Having such a diverse set of patients, means she needs to work in close

proximity with other nurses, physical therapists, doctors, and discharge planners.

“We help patients with basic life skills, either in their rooms or in the in-patient therapy cen-ter,” she says. “We often work together with the physical therapists during consultations and rehabilitation.” Working together is imperative in her position, as she needs to collect information from doctors and nurses as well as supply those caregivers with her own data. “We do a lot of co-evaluations at the hospital,” she says. “We’ll meet a patient together with a physical therapist and possibly a speech therapist to take an extensive family history and then we evaluate their treat-ment plan together.”

James carries a cell phone with her while on duty to field calls from fellow therapists, nurses, or discharge planners seeking input on her patients. “Teamwork is so important here,” she says. “We have a great relationship with the nurses, plan-ners, and doctors. We take part in the rounds, communicate well with one another, and all have our roles to play.”

- Michelle James, O.T.

Teamwork is so important here… We take part in the rounds, communicate well with one another, and all have our roles to play.22

22

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Patients benefit from these various roles tre-mendously, as they get the combined knowledge of so many different specialists involved in their care. “Everyone here is committed to patient care and goes above and beyond to ensure patients are comfortable and receiving the very best care possible.” That commitment combined with the teamwork and mutual respect of fellow employ-ees, are a few of the reasons James is so happy at PVHS. “I’ve worked other places where it wasn’t always like that. PVHS is a much more cohesive unit than other healthcare systems.”

Kyle Stopperan, graphic designer and multi-media specialist at PVHS, wholeheartedly agrees. While his duties vary greatly from the medical staff, Stopperan enjoys the mutual respect shown at PVHS just as much as anyone. “I really like everyone I work with and that makes the job so much more enjoyable,” he says. “It’s not always like that. I feel very lucky.”

In addition to enjoying his co-workers, Stop-peran absolutely loves his work. “I do all the ad-vertising and informational brochures,” he says. “Each day is different and I really enjoy that. One day I’ll create an ad for a paper or magazine, the next day I’ll work on a medical brochure. Right now I’m working on an ad campaign for MCR.” Stopperan greatly enjoys seeing his ads go to print, knowing they may possibly influence someone’s healthcare decision. “I really enjoy seeing my cre-ative work published. That’s the best part of the process, seeing the final product,” he says.

Stopperan was drawn to PVHS because he knew it was a great place to work. “I’d heard what a great work environment they have at PVHS and that’s the reason I chose to work there,” he says. “The benefits are great and the people are really nice and easy to work with.” Working around people who enjoy what they do goes a long way towards creating a positive work

- Liz Ghent, R.N.

We have a common goal here to take care of our patients and we have to work together

to get it done.

23


environment. “It’s a laid-back environment where you’re pushed to do your best work. It’s a great combination,” he says. “But the people are really the best thing about PVHS.”

If you were to ask Eileen Angeli, an R.N. in the neonatal intensive care unit (NICU), she’d tell you a similar story. Angeli, who’s been at PVH for 30 years, is absolutely in love with her job. “I feel so lucky to have found my passion. I love nurs-ing and, in particular, I love being in the neonatal unit,” she says. “Every day I feel like I can make a difference in someone’s life.” And make a dif-ference she does, by caring for premature babies as young as 28 weeks. “It’s so rewarding, after you’ve cared for a baby and the parents, to watch them all go home,” she says. “We form a real bond with the families we care for. It’s very spe-cial.”

Caring for pre-term babies isn’t always easy, Angeli tells me, but the support she receives at the hospital helps tremendously. “Luckily, most of our babies go home healthy,” she says. “And that’s so rewarding. But there are days when things get hectic, say with more babies admitted than we’ve planned on. That’s when teamwork really plays a role.”

Thankfully, the team at PVH is always there for one another and ready to lend support any way they can. “We’re all dedicated to world-class care here at PVH. That’s everyone’s first priority,” she says. “The patients come first and we all pitch in to make sure they get the very best care we can provide. That desire (to give the best care) be-comes the focus.”

“We try to involve the parents as much as possible when their child is in the NICU,” she says. “We want them to help us determine the course of care. We listen to them, hear their concerns, and make them a part of the process.” Caring for the parents is just as important as caring for the children themselves. “A big part of my job is comforting the parents and empowering them at a very scary time in their lives.”

It’s not hard to see why Angeli was named an Employee of the Year. The bond she forms with both the babies and the parents is a strong one. She’s even a godparent to a set of twins that she cared for in the NICU when they were newborns. “I’ve remained close to that family and have be-come very good friends with them,” she says. “I was honored that they asked me to be a godpar-ent and feel blessed I was able to care for the twins during those first weeks of life.”

Perhaps feeling blessed is the best way to sum up the work experiences of these six employees; blessed to be doing what they love, to be part of such an incredible healthcare system, and to have each other for support. Their dedication, teamwork, and high standards of care make PVHS what it is – one of the top healthcare systems in the country.

Allie Comeau is a freelance writer and copywriter living in Fort Collins with her husband and two dogs. Email her at [email protected]

- Kyle Stopperan, Graphic Designer and Multimedia Specialist

I really like everyone I work with and that

makes the job so much more enjoyable. It’s

not always like that. I feel very lucky24

24

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A Winning Partnership for

by Allie Comeau

Women and Families

MEDICAL PVHS

If you’ve driven by Poudre Valley Hospital (PVH) lately, you’ve surely noticed all the construction happening across the street. It doesn’t look like much now, but those mounds of dirt will soon give way to a full-service women and family healthcare facility with easy access to PVH.

Pam Brock, Vice President of Marketing & Strategic Planning, Poudre Valley Health System with Kevin Unger, President/CEO, Poudre Valley

Hospital display the artists’ renderings for the new PVH Medical Pavilion.

2626

Easy access is an understatement. You won’t even have to worry about crossing Lemay Avenue to get back and forth between PVH and the new facility, named PVH Medical Pavilion. In fact, you’ll be crossing high above Lemay Avenue. Connect-ed by a third-floor breezeway, this new building and PVH are sure to create a winning healthcare partnership for the women and families of North-ern Colorado.

Scheduled for completion in about a year or so, the efficient new space will house The Women’s Clinic of Northern Colorado; PVH departments of perinatology and urogynecol-ogy services; a specialty retail store, focusing on health-related products; a medical spa; PVH ad-ministrative offices, and more.

Kevin Unger, President/CEO of PVH, was clearly excited about the new facility when we sat down to talk about it. “The new four-story medi-cal building is going to be extremely beneficial for the women of Northern Colorado,” he says. “This is an exciting partnership between The Women’s Clinic of Northern Colorado and PVH. It’s going to be a magnet for women in Northern Colo-rado.” Unger continues, “We’re always looking for ways to enhance our relationships with local physicians and view this as a great opportunity for all of us.”

Drs. Beth Serniak, Audrey Tool, and Kevin Tool of The Women’s Clinic of Northern Colorado are equally excited about the new partnership. “It gives us an opportunity to become much more ef-ficient in regards to patient care,” says Dr. Serniak. “Being connected to the hospital will enable us to be more available for surgery, for obstetrics, and for the types of patient care that we can’t provide in the office.” Dr. Kevin Tool agrees. “We’ll be more readily available to our patients,” he says. “We’ll still have someone dedicated to the hos-pital, but it will make it easier for us to see our patients before and after surgery and deliveries.” The new PVH Medical Pavilion makes progress day by day.

Elizabeth Serniak, M.D., with Audrey Tool, M.D., of The Women’s Clinic of Northern Colorado.

- Audrey Tool, M.D., The Women’s Clinic

of Northern Colorado

It gives us an opportunity to become much more efficient in

regards to patient care,” says Dr. Serniak. “Being connected to

the hospital will enable us to be more available for surgery, for obstetrics, and for the types of

patient care that we can’t provide in the office.

This convenience will benefit women with high-risk pregnancies especially. Perinatology services in the new building will enable high-risk pregnant women to receive care right here in Fort Collins. “Women have traditionally had to travel to Denver for care during high-risk pregnancies,” says Pam Brock, VP of Marketing & Strategic Planning for PVHS. “If you’re high-risk and sev-en months pregnant, traveling to Denver once a week is certainly not ideal. Now those women will

be able to receive care right here in Fort Collins.” Perinatology, combined with the neonatal in-

tensive care unit at PVH, will make a substantial difference for high-risk women and their babies. “High-risk women can feel comfortable know-ing they can receive care across the street at The Women’s Clinic of Northern Colorado, deliver their babies here at PVH, and if the babies need it, they’ll have the benefit of the neonatal intensive care unit.” Since 2004, most premature babies

27


FORT COLLINS NEUROLOGY, P.C.DIPLOMATES, AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY

2121 East Harmony, Suite 270 | Fort Coll ins, CO 80528[970] 221-1993 | FAX: [970] 221-9170

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Alzheimer’s DiseaseElectromyographyPain Management

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haven’t needed to travel to Denver for care, and instead were taken care of at PVH. “We’re able to care for babies born as early as 28 weeks gesta-tion,” says Brock. “The goal is to keep patients in Fort Collins so they don’t have to go to Denver for care or delivery,” adds Dr. Audrey Tool.

Making it easier for the patients is what this new project is all about. “If we need to admit a patient to the hospital, we can just walk them right over,” says Dr. Audrey Tool. “It’s going to be more efficient for both providers and patients.” Dr. Kevin Tool agrees. “By consolidating all ser-vices into one location, patients won’t have to drive all over town or make several appointments at different places.”

Across Lemay Avenue is about as far as wom-en will have to go once the new building is com-

plete. “The Women’s Clinic of Northern Colorado providers will be able to see patients, cross the breezeway for a delivery, and walk right back to the office,” says Unger. “They’ll have convenient access to inpatient, outpatient, and hospital sup-port services as well.”

“Better access to our patients will allow for more continuity of care,” says Dr. Kevin Tool. “We can provide a better service now by being able to work both in the office and at the hospital.” Dr. Serniak agrees this will improve provider care. “We may even be able to do more of our own de-liveries,” she says. “It will be incredibly convenient – we’re eliminating the commute.”

The convenience she speaks of doesn’t end with the close proximity to PVH. A committee of providers and staff members, including Dr.

Tool and Dr. Serniak, played an integral role in designing the layout of the new building, down to details like furniture and equipment location. “We’ve made the patient care rooms more pri-vate, the waiting rooms more comfortable, and even placed exam tables in such a way as to fur-ther promote privacy and comfort,” says Dr. Au-drey Tool.

The building itself is a feat of engineering, complete with an overhead pedestrian walkway. “We’ve learned that designing a building is sort of like working a miracle,” says Brock. “We’ve been through so many revisions. It’s been very interest-ing.” It will be even more interesting watching the crews install the walkway in September. “They’re going to build the walkway over on Robertson Street and then lift it into place with cranes,” says Unger. “It should be fun to watch.”

Installation of the walkway may be fun to watch, but once installed, it will add a whole new level of convenience for both employees and patients. There will be additional visitor parking available in the east lots, employees can finally forego crossing Lemay Avenue, and both can en-joy the benefits of having the full scope of hospi-tal services located only steps away.

Men and children will also benefit from the new facility, Brock says. “While the Pavilion fo-cuses primarily on women’s services, there will also be services for men and children, and pos-sibly primary care providers,” she says. “We don’t want to leave anyone out.”

The combination of providers at PVH and The Women’s Clinic of Northern Colorado will be beneficial for both organizations. “The Women’s Clinic of Northern Colorado will benefit from a host of support services at the hospital and, in turn, they may help lighten the load in emergency services by possibly being available to see patients who come to PVH.” The additional resources available to each association will benefit everyone involved and add to the efficiency of the new col-laboration.

Undoubtedly, the biggest benefit will be to the women of Northern Colorado. “The new building is going to be a one-stop shop for women’s servic-es. It’s going to be a regional draw,” says Unger. “Women will be able to get everything they re-quire either right here or across the street.” Brock agrees, adding, “That’s why we also wanted to include a retail store, so patients can buy what they need for care without having to drive all over town. We’ll carry special medical items they may have trouble acquiring elsewhere.”

The retail store, carrying items like aluminum-free deodorant for patients receiving chemother-apy, special newborn items, breastfeeding prod-ucts, and mastectomy products, for example, will be readily accessible to patients in the new build-ing and PVH. “We’ll offer hard-to-find products for the couple with a newborn or the patient with special needs,” says Brock. “We want to accom-modate our patients and make everything easier for them.”

Another convenient (and luxurious) feature of the new healthcare building will be the medi-cal spa. “We’ll also be offering a full-range of traditional spa services,” says Brock. “Massage, pedicures, manicures, skin-care treatments, and even injectables like Botox.” Along with pam-pering patients in the spa, the clinicians will also be able to visit patients in their rooms across the street at PVH. “New mothers can benefit from a

2828


2121 East Harmony, Suite 270 | Fort Coll ins, CO 80528[970] 221-1993 | FAX: [970] 221-9170

Adult NeurologyPediatric Neurology

ElectroencephalographyNeurorehabilitation

Evoked PotentialsMultiple Sclerosis

Alzheimer’s DiseaseElectromyographyPain Management

Head InjuryHeadache

Seizure

Vagus Nerve StimulatorsParkinson’s DiseaseNeck and Back Pain

Botox InjectionsNeuropathies

Stroke

Now Doing Infusions in OfficeMichael P. Curiel, MD


29

WORLD CLASS CARE IN YOUR HOMETOWN!UCR has been providing urologic care to patients in Northern

Colorado since 1970. We currently have offices that are staffed full-time in Loveland and Fort Collins.

We serve McKee Medical Center, Medical Center of the Rockies, Poudre Valley Hospital, Skyline Surgery Center and

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View of the PVH Medical Pavilion as it will appear looking northwest from Lemay Avenue. Designed by Boulder Associates and constructed by Swingerton Builders, the pavilion is expected to open in spring 2009.

The Women’s Clinic of Northern Colorado providers will be able

to see patients, cross the breezeway for a delivery,

and walk right back to the office. They’ll have

convenient access to inpatient, outpatient, and hospital support services

as well.

- Kevin Unger,President/CEO, Poudre Valley Hospital

relaxing massage or a relative could treat them to a manicure and pedicure following the birth of their babies,” says Brock. “The spa will also carry a line of signature PVH spa products, like lotions and specialized cosmetic products for people with skin problems.”

The medical spa adds a whole new level of comfort and convenience to the healthcare sys-tem. “I think patients will really enjoy the medi-cal spa – who doesn’t like a med-spa?” says Dr.

Serniak. “People can also be confident in the spa services because they’ll be medically directed and supervised.” Employees may also benefit from services at the medical spa, if they can ever find the time. “I wouldn’t mind taking my breaks at the spa,” says Dr. Serniak with a smile.

Urogynecology, the treatment of female in-continence, is another service that will be offered in the new building. “Many people don’t know there are solutions to the problem of inconti-

nence,” says Brock. “It’s a widespread problem that, fortunately, is totally treatable. Women just aren’t aware because it tends to be an embarrass-ing issue.” Whether through reconstructive sur-gery or physical therapy, there are several options available for treatment of this problem. “We want to work with local physicians to promote aware-ness by enhancing the services that are already available in Northern Colorado.”

PVH’s program for new moms, Wee Steps,

3030

WORLD CLASS CARE IN YOUR HOMETOWN!UCR has been providing urologic care to patients in Northern

Colorado since 1970. We currently have offices that are staffed full-time in Loveland and Fort Collins.

We serve McKee Medical Center, Medical Center of the Rockies, Poudre Valley Hospital, Skyline Surgery Center and

Harmony Surgery Center.

Our physicians treat all urologic disorders and perform scalpel-less vasectomies.

UCR has the most experienced Robotic and Laparoscopic Team in Northern Colorado.

Newest Technology to include UROPLASTY for urgency and urge incontinence.

Daily Office Hoursat Both Locations

970-669-91001647 E. 18th St.

Loveland, CO 80538

970-484-67002315 E. Harmony Rd., Ste. 140

Fort Collins, CO 80528www.urologycenteronl ine.com

31

will also be housed in the new women’s facility. “We’ve had this program for awhile, now,” says Brock. “It’s a program that helps new moms with everything from lactation to basic newborn care. It helps new moms out at what is a very tender time in life. It’s been extremely helpful.”

And with a new building only “wee steps” from PVH, new moms, and women in general, are in for one serious healthcare upgrade.

Allie Comeau is a freelance writer and copywriter living in Fort Collins with her husband and two dogs. Email her at [email protected]

Attorney at Law

L AW O F F I C E S

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Perinatology, combined with the neonatal intensive

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risk women and their babies. High-

risk women can feel comfortable knowing

they can receive care across the street

at The Women’s Clinic of Northern Colorado, deliver their babies here

at PVH, and if the babies need it, they’ll

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- Pam Brock,Vice President of Marketing &

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Yo u r M e d i c a l H o m e

From skiing to soccer, Dr. John Guenther has seen his share of sports injuries. with two children of his own, he also knows �rst-hand that an ounce of prevention is worth a pound of cure.

Dr. John Guenther

Dr. Beth Ballard loves kids. With four children of her own, she knows �rst-hand the challenges that every age presents. With more than twenty providers just like Dr. Ballard, the Youth Clinic has served northern Colorado families since 1964.

Dr. Beth Ballard

Seeing eye to eye with your kids is easy for Dr. Carole Anderson. Specializing in premature infants, she’s there at every age and stage. “Getting in tune with the entire family is my priority. It’s the best way for me to understand your child.”

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No, you want to see your doctor– your family practitioner-- not someone who always has to be “brought up to speed” on what’s going on. Ac-cording to a recent survey conducted on behalf of the American Academy of Family Physicians (AAFP) you are not alone.

“American women want a healthcare system in which they and their families can conveniently obtain preventive services, see their personal physicians the day they become sick, and receive coordinated follow-up care if they require hos-pitalization or care from other physicians,” said the AAFP. “That is not what they encounter when they seek healthcare.”

According to the AAFP, nearly 60 percent of respondents said they face challenges in obtaining healthcare for themselves and their family mem-

bers. “These findings point to some of the most important cost-drivers in America’s healthcare sys-tem,” said Jim King, M.D., President of the AAFP. “A system that is difficult to navigate and relies on patients to deliver tests and communicate di-agnoses leads to fragmented care, duplication of tests and sometimes unnecessary procedures– all of which steadily drive up the cost of healthcare for the nation as a whole.”

What American women really want– what you really want– is a patient-centered medical “home.” “This concept is taking hold across the country,” says Dr. King. “Family physicians are at the forefront in developing this model of person-alized, top quality healthcare that every patient deserves.”

“The preference has always been to have the

patient in continuity,” agrees Susan Beck, M.D., the Family Practice Director at Poudre Valley Health System’s Loveland Family Medicine, part of the new Loveland Urgent care practice estab-lished at Highway 287 and 37th Street. “Other-wise care gets fragmented. It gets difficult for all the care givers. You need one person who’s a central information keeper. That’s really what the family practice is.”

Unfortunately, as you may have no-ticed, there are fewer and fewer family physicians available to coordinate this care. Often, local practices are so overflowing with patients that if you’re not one of the first callers of the day, all the “sick” slots are full and you’re forced to seek medical treatment in an urgent care setting.

“There is limited access,” agrees Dr. Beck.

When you or a family member is sick, you want to see the doctor. You don’t want to see someone you don’t know who doesn’t know you. You don’t want to fill out a pile of paperwork detailing your medical history every time you walk in the door.

by Lynn M. Dean

MEDICAL COMMUNITY

The Changing Face ofFamily Medicine

Shari Detterer, FNP-C, Nurse Practitioner, Milliken Family Clinic sees patients of all ages.

3434

“I think existing family practitioners are getting squeezed out of practice because it is difficult, economically, for them to have a viable practice. Generally, family physicians are not well reim-bursed --the cost of overhead and malpractice insurance continues to increase. Reimbursements from insurance providers do not. Over the past year I’ve seen two physicians choose to close up shop because of the complexities of insurance documentation and pre-certification for proce-dures. The economics of family practice are dif-ficult.”

It’s a national trend. “All agree the nation is grappling with a deepening shortage of pri-mary care physicians,” says the AAFP. The need for family physicians is expected to skyrocket by 2020, when the nation will need 139,531 family physicians according to the AAFP’s 2006 Physician Workforce Report.

“That means our residency programs must be graduating more than 4,400 new family physi-cians each year,” adds Dr. King. Yet in 2008, only half that number chose to enter family medicine residency programs.

“It’s a hard job,” explains Dr. Beck. “There is so much information, so many specialties you have to master, and ongoing education just to sustain you in your career.” She adds that insur-ance companies don’t take this knowledge base into account when determining reimbursement schedules. “If you look at medicine in general, in-surance reimburses for procedures and interven-tions. It does not reimburse for prevention and the inter-relationships that you need to develop to be a good doctor. It does not reimburse you for the time you have to spend with patients. A lot of medical schools are pretty frank about the reality of family medicine and what you’re not going to get paid for. ”

Poudre Valley Health System (PVHS) has not-ed the trend, especially in the Loveland area, and taken steps to stem the outgoing tide by forming collaborative partnerships with local family physi-cians. “As soon as we opened the doors of the Medical Center of the Rockies, physicians began coming to us, saying there are not enough family physicians in the area,” says Pam Brock, Vice Pres-ident of Marketing & Strategic Planning, PVHS. “We realized that we had to do something. By working with physicians and clinics throughout

the area, we’re working not only to preserve the quality of healthcare, but strengthen it as well.”

“It’s vitally important for people to maintain good health,” adds Rulon Stacey, PVHS President and CEO. “Easy access to physicians who of-fer family and primary care is crucial. Our health system’s commitment is to provide people with world-class healthcare that is affordable and con-venient.”

“One of the pieces of our strategy has always been to partner with physicians whenever we can,” says Brock. “We have the Family Medicine Center (in Fort Collins) and they bring in new resi-dents each year. “That’s a wonderful opportunity. Unfortunately, there are fewer and fewer of them. We want to guarantee the supply of family prac-tice physicians by working closely with them, not setting up structures that will make them leave the area.”

Dr. Susan Beck is a product of PVHS’ proac-tive efforts to attract and keep the best and the brightest family physicians. She did her residency at the Family Medicine Center and then worked with PVHS at both Harmony Urgent Care and Mountain View Family Practice in Fort Collins before leaving earlier this year to open Loveland Urgent Care. With PVHS’ purchase of Loveland Urgent Care in June, Dr. Beck has come full circle and now is the Family Practice Director of the new Loveland Urgent Care located at 3850 Grant Avenue in Loveland. The Health System contracts with providers like Dr. Beck.

“Our purchase of Loveland Urgent Care is a tremendous opportunity to expand healthcare for residents of Loveland and nearby areas,” says Sta-cey. “The clinic will help provide a continuum of PVHS healthcare in Loveland.” He says the health system plans to expand family medicine at the clinic and add physical therapy to complement the clinic’s current occupational health services. In addition, hours of operation are planned to be increased later this summer.

Dr. Jim Seeton, who along with Dr. Beck, is one of Loveland Urgent Care’s founding physi-cians, says PVHS is recognized as the region’s leader in quality patient care, as evidenced by many national honors the health system has re-ceived for quality in patient care and business services. “Any time a top organization like PVHS establishes a presence in a community, everyone

benefits,” he says.With PVHS support comes other benefits.

“This clinic is a little bit different because it’s not family practice– it’s integrated family practice, urgent care, occupational medicine and physical therapy,” explains Dr. Beck. “The hope is that this [level of integrated services] will ensure internal and financial stability by providing a lot of differ-ent services using the same overhead structure. PVHS has given us the opportunity to try this [new model of service].”

Partnerships such as this one also provide more access to care across all income levels. “One of the advantages to partnering with a healthcare system is that you can provide indigent care,” says Dr. Beck. “You can take “all comers”– Medi-care, Medicaid, and uninsured patients. In private practice, in order to keep your doors open, you have to pay your bills. There is a lack of access for (these patients). This is a nice solution.”

Pam Brock agrees. “The beauty of Loveland Urgent Care is that we can provide care to people who would normally have to go to the emergency room. Instead, they can get in to a more easily accessible clinic.”

PVHS has a long history of such efforts. All of PVHS’ facilities, including the Family Medicine Center and Harmony Urgent Care in Fort Collins, take “all comers.”

Stacey says the purchase of Loveland Urgent Care is an important step in the health system’s goal to establish primary care clinics throughout the region. In mid-May, PVHS purchased the Mil-liken Family Clinic and contracted with the Gree-ley Medical Clinic to operate the service in the town of Milliken in Weld County.

“Milliken is a beautiful, vibrant community that has been well-served by the Milliken Family Clinic,” said Stacey. “Our goal is expand health-care opportunities for residents of the town and nearby areas.”

Barbara Yosses, Greeley Medical Clinic’s CEO, says Milliken area residents will continue to ben-efit from convenient access to healthcare. “We’ll be there to meet the unexpected medical needs of community members and provide their important ongoing healthcare services,” she says. “I think it’s a great opportunity to work with PVHS. They have a great reputation. The strength they have as a hospital system and the strength we have as a

With PVHS support comes other benefits. “This clinic is a little bit different because it’s not family practice– it’s integrated family

practice, urgent care, occupational medicine and physical therapy.

- Susan Beck, M.D., Family Practice Director, Loveland Urgent Care

35


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- Pam Brock, Vice President of Marketing & Strategic

Planning, PVHS

Another part of our mission is to remain independent. By that,

we mean we don’t want to be owned by a large health system located

somewhere else. We don’t want to send our dollars out of the community.

By partnering with physicians, we strengthen

both the system and the physicians. We’ve

created alliances between a well-respected and trusted health system

and physicians who have been practicing in the

community. By working together we share

technologies– share new ideas.

Amy Hulstrom, M.S., PA-C, Kevin E. Bachus, M.D., FACOG,Shari Olson, Ph.D., Bonnie Overholser, PA-C

37


“Milliken Family Clinic has had a strong start in the community thanks to Shari’s healthcare expertise,” Stacy adds. “She’ll play an important role in our plan to grow and expand services.”

Barbara Yosses explains the plan is to increase services at the Milliken Family Clinic through the addition of a primary care physician and expand hours of operation beginning in midsummer be-yond the current hours of 6:30 a.m. to 1:30 p.m. five days a week.

PVHS’ expansion efforts throughout the re-gion are mission driven. “PVHS is committed to providing people with healthcare that is easily ac-cessible,” Stacey points out. “Establishing local clinics throughout the region is a key factor.”

“Our primary service area is the I-25 corridor, but we serve patients from four states: Colora-do, Wyoming, Nebraska, and Kansas,” explains Brock. “Northern Colorado is where we are look-ing for expansion opportunities. We don’t want to do too much too fast or too far away. We need to make sure our efficiencies stay strong.”

But, she points out, each expansion has been, and will continue to be well thought out. “We make very strategic decisions about who we will work with and where those clinics might be. We always look at need in the area. If there is no need for a clinic, there is no need for us to be there. We don’t want to saturate the market. We want to take services where they need to be. We listen to our physicians. That’s a big source of information for us.”

“Another part of our mission is to remain in-dependent,” she continues. “By that, we mean we don’t want to be owned by a large health system located somewhere else. We don’t want to send our dollars out of the community. By part-nering with physicians, we strengthen both the system and the physicians. We’ve created allianc-es between a well-respected and trusted health system and physicians who have been practicing in the community. By working together we share technologies– share new ideas.”

That said, Brock feels there is a difference be-tween saturation versus competition– especially the home-grown variety. “Competition makes health systems stronger,” she explains. “Everyone wants to be the best. Everyone wants to provide great quality healthcare. Competition forces us to look at our competitors, see what they’re doing really well, and try to match that quality. We have to ask ourselves how they get that outcome. It keeps us on our toes, especially around costs. We have to make sure that we keep our costs as low as possible. We have to make sure we’re not du-plicating services.”

PVHS will continue to seek out collabora-tive opportunities. “We have ongoing efforts to expand the health system is smart ways,” says Brock. “We want to work with our physicians in Loveland and beyond. We are actively looking for ways to expand access to family practice and other kinds of healthcare. For us, it’s a long term vision for healthcare in the area. We want to connect these communities, clinic to clinic and hospital to hospital, so that we make sure that we provide a good network of healthcare in the region.”

Lynn M. Dean is a freelance writer living in Northern Colorado.

medical group– it’s a nice combination. I think we complement one another.”

Pam Brock agrees. “The bottom line is that we’re not in the business of managing clinics, we’re in the business of providing world-class healthcare. We want to hire or work with the right people to manage them. Greeley Medical Clinic knows how to run a clinic.”

The Milliken Family Clinic was originally estab-lished by the Hall-Irwin Corporation in an effort to provide low-cost healthcare for its employees and their families. Shari Detterer, has worked in the clinic since its inception. She will continue her services, even with the new ownership.

“As Milliken continued to grow, we found that we needed additional healthcare expertise and resources,” said Michael Job, Hall-Irwin’s cor-

porate systems manager. “We’re delighted that PVHS and the Greeley Medical Clinic have offered to become leaders in the healthcare of our com-munity. They both have outstanding reputations for providing high quality, affordable care.”

“The difficulty has been not being able to have afternoon hours,” say Shari Detterer, FNP-C, who will stay on to provide medical care at the clinic. “PVHS is committed to our growth and ex-pansion of hours, services and providers to meet our growing community and population needs. We have a mixture of clientele. About 30 percent are Hall-Irwin employees and their families. The remaining 60 to 70 percent are community-based patients who run the gamut from pediatric to geriatric, acute care to chronic disease manage-ment, and preventative care to urgent care.”

3838

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Better Spine Careby Corey Radman

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Winfield Craven, M.D., Medical Director,

Department of Radiology, Medical Center of the

Rockies, stands in front of angiographic equipment,

which uses imaging to diagnose and treat medical

conditions.

Hans Coester, M.D., sits with friend and fellow surgeon Douglas Beard, M.D. enjoying a break between surgery.

When you see them together, they look like two friends who enjoy goofing around. Laughing and joking about a spine model that was put together incorrectly, you can tell that these two men entertain and respect each other. At first glance, they could be any two guys – but they aren’t.

MEDICAL SPINE CARE

Surgical Synergy MeansHalf an hour from now these two “guys” will

operate on a patient’s spine. Working with preci-sion around nerves that connect the brain to the body, they will fuse together two vertebrae in a woman’s back.

Talking to Hans Coester, M.D. and his col-league, Douglas Beard, M.D., it is immediately clear that their goal is excellent patient care. Dr. Beard even arrived at the interview for this story post-surgery with vertebra sketches on his scrub pant leg. Embarrassed, he explained that he had been discussing a procedure with a patient’s fami-ly member, and made a quick sketch to help them better understand.

Compassion combined with experience and superior skill is why so many people choose Drs. Coester and Beard to operate on their spines. They, with their colleagues at Front Range Cen-ter for Brain & Spine Surgery, P.C., Drs. Tim Wirt, Donn Turner, and John Viola, have earned a re-gional reputation as exceptional surgeons.

The DoctorsDouglas Beard, M.D. is a Fort Collins native

(son of Donald Beard, M.D. who founded the Fort Collins Youth Clinic). Dr. Doug Beard is certified by the American Board of Orthopaedic Surgery.

4040

His career has included service at the Orthopae-dic Center of the Rockies in Fort Collins, as well as partnership at Center for Spinal Disorders in Thornton, Colorado.

After eight years of commuting via I-25 to the Denver area practice, sometimes two times a day, Dr. Beard says with relief, “I’m happy to be back home.” The arduous commute aside, Dr. Beard notes his enthusiasm to be joining the practice at Front Range Center for Brain & Spine Surgery, P.C. “FRBS seemed to be a natural fit. Hans [Coester] and I are excited about the ability to bounce com-plex ideas off of each other. The ability to discuss and talk things over, can only improve patient care.”

Hans Coester, M.D. is a neurosurgeon certified by the American Board of Neurological Surgery. He has a reputation for providing excellent care, and has served patients in Northern Colorado at Front Range Center for Brain & Spine Surgery, P.C. since 1992. He says, “A college friend has been telling me for 16 years that Doug and I should work together.” And now they finally are.

Actually the two have consulted with each other on cases for many years. Dr. Coester com-pliments his friend and colleague: “I think that Dr. Beard is a highly skilled surgeon, a smart physician with good judgment, and a fine human being. It’s very rewarding to be around all those qualities.”

Come TogetherDr. Beard’s arrival at FRBS brings an orthope-

dic surgeon’s perspective to spine surgery. Nancy Timmons, Administrator at FRBS, explains that Dr. Beard’s expertise will also enable FRBS to help patients with spinal deformities like scoliosis. “Overall,” she indicates, “we’ve received some really positive feedback from the medical com-munity about having Dr. Beard here. We’re happy to have such a skilled and well respected surgeon join us.”

That Dr. Beard is joining a neurosurgery prac-tice at all is unique. FRBS is the first practice in Colorado to combine the orthopedic and neu-rosurgery specialties. He says, “It’s not common place, though we are beginning to see it in more places around the country.”

“It’s going to have a positive impact on our ability to share ideas in pain management and other new concepts. It’s always better to have more opinions and share the wealth… it means

better patient care,” says Dr. Beard, who is keen on the new partnership. “I enjoy lighting up the eyes of the other physicians around town who are so amazed that these two specialties are coming together.”

Front Range Center for Brain & Spine Sur-gery, P.C. is a full-service neurosurgical practice that offers comprehensive clinical expertise to patients throughout Northern Colorado, West-ern Nebraska, Wyoming, and Western Kansas. They have served the region since 1978. Their five surgeons are regional experts in the non-surgical and surgical treatment of spinal and intracranial pathology, and treatment of problems concerning the peripheral nerves. Founding members of the practice, Drs. Wirt and Turner were instrumental in the decision to bring Dr. Beard aboard, and are pleased to have this new perspective available to their team. Dr. Wirt explains, “Front Range Brain & Spine has always stayed abreast of the changes in spine care. Adding the ortho-spine component was the next natural step.”

Ortho or Neuro?Many patients with back pain ask the ques-

tion, “What’s the difference between a neurosur-geon and an orthopedic surgeon?” Both types of surgeons do back surgeries, they often attend many of the same conferences, trainings, and contribute to many of the same journals. Increas-ingly, the two specialties are sharing expertise, and international scientific organizations like the North American Spine Society and the Cervical Spine Research Society have recently opened their doors to specialists from both areas.

There are differences as well. According to Dr. Wirt, “Only neurosurgeons are trained during their six to seven year residency to perform pro-cedures inside the lining of the spinal canal called the dura.” Thus, spinal cord tumors and diseases like spina bifida are still within the domain of a neurosurgeon (as well as brain surgery, of course). Likewise, orthopedic surgeons usually treat defor-mities of the vertebrae like scoliosis, as well as other joints in the body.

Trauma cases with broken backs and necks also require the expertise of a neurosurgeon. Timmons explains that both Poudre Valley Hos-pital System and North Colorado Medical Center in Greeley call on Drs. Wirt, Turner, Viola, and Coester for these emergencies through the trau-

ma system. Dr. Coester hears the ortho or neuro question

frequently from patients: “I think what people re-ally want is a highly skilled physician who has good judgment and who is thoroughly up to date with new technology - one who would make the same recommendations to a patient that he would to his own family. I don’t think it really matters what label [a surgeon has]. What really matters is their level of commitment and understanding of the patient’s problem.”

Dr. Coester suggests that patients find a sur-geon who performs spine surgery on a routine ba-sis and who has routinely good outcomes. “Who do you want for your spine surgery: a surgeon who does a particular surgery once a year, or an excellent physician who does that spine surgery multiple times every week?”

The benefit to patients from this change is shared expertise and increased choice. Dr. Turner states that the group has always embraced the concepts of advocacy and education. “Patients should feel free to ask about their surgeon’s train-ing, the focus of their medical practice, and their board certifications. Ask for details about any recommended surgeries, and whether all options have been presented.” Doctors place great value on patient education. Don’t be afraid to ask.

Future of spine careMore and more, both orthopedic surgeons

and neurosurgeons are striving to use proce-dures that are less invasive thus requiring smaller incisions. Some spinal problems can be solved through new cervical or lumbar disc replacements rather than disc fusions. These advancements can often result in better preservation of a patient’s range of motion post-surgery.

Dr. Beard is enthusiastic about new proce-dures: “The opportunities are limitless. We’re try-ing to stop or arrest the aging process that affects us all in the discs. The lengths of hospital stays will be shorter, involve less pain, and lower costs.”

Dr. Coester indicates that FRBS practice mem-bers are also pursuing opportunities to expand the use of motion preservation devices.

The future of spine care has arrived. The ex-perts at FRBS are at the forefront and will con-tinue to be so.

Corey Radman is Editor at Style Magazine.

- Hans Coester, M.D., Front Range Center for Brain & Spine Surgery, P.C.

I think what people really want is a highly skilled physician who has good judgment and who is thoroughly up to date with new technology - one who would

make the same recommendations to a patient that he would to his own family.

- Douglas Beard, M.D., Front Range Center for Brain & Spine Surgery, P.C.

I’m happy to be back home. FRBS seemed to be a natural fit… The ability to discuss and talk things over [with colleagues], can only improve patient care.

41


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43

New patients and referrals are welcome.Ft. Collins:

Greeley:

Loveland:

PRECISIONWHEN

PRECISIONCOUNTSMOST

WELCOMES TO OUR PRACTICE

Dr. Douglas Beard

“By combining the latest in scientific research and innovative technology, a team inter-disciplinary approach to

resolving spine issues, and a commitment to caring compassionate

individualized patient care, Front Range Center for Brain & Spine Surgery, P.C. offers the finest spine care available.I am proud to be joining this team!”

~ Dr. Douglas Beard ~

New patients and referrals are welcome.Ft. Collins:

Greeley:

Loveland:

PRECISIONWHEN

PRECISIONCOUNTSMOST

WELCOMES TO OUR PRACTICE

Dr. Douglas Beard

“By combining the latest in scientific research and innovative technology, a team inter-disciplinary approach to

resolving spine issues, and a commitment to caring compassionate

individualized patient care, Front Range Center for Brain & Spine Surgery, P.C. offers the finest spine care available.I am proud to be joining this team!”

~ Dr. Douglas Beard ~

45


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The extensive use of laparoscopic surgery in northern Colorado and Wyoming is unique to us. We also perform the traditional open forms of surgery when necessary.

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The Women’s Clinic has been serving Northern Colorado for over 30 years. We offer a full range of services from gynecological and obstetric care to robotic assisted surgery.

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The Woman’s Clinic of Northern Colorado welcomes the addition of two physicians.46 If you're having a baby,

were here for you. If you're expecting a baby, the team of

physicians and birthing center professionals at

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baby have a safe, comfortable delivery.

State-of-the-art birthing centers are located

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The Women’s Clinic has been serving Northern Colorado for over 30 years. We offer a full range of services from gynecological and obstetric care to robotic assisted surgery.

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Lemay Campus, 1106 East Prospect Road, Fort CollinsLoveland Campus, 2695 Rocky Mountain Avenue, Suite 200 Loveland

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Board Certified by the American College of OB/GYN

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The Woman’s Clinic of Northern Colorado welcomes the addition of two physicians. 47

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Since I am new to the position of Chief Medical Officer for Poudre Valley Health System, I would like to use a few words to introduce myself to you. I was appointed to the position in April. The position is new to PVHS, but I am not new to the issues and opportunities facing healthcare in our area. I have been an anesthesiologist in Fort Collins since 1990 and have been active in the medical community. I sat on the PVHS board of directors from 2004 until I resigned to become the Chief Medical Officer. Most recently I was the board chair. The vice chair, Stu VanMeveren, replaced me in that leadership role. Enough, though, about me.

I want to emphasize to you that physicians and healthcare providers in Northern Colorado are among the best in the world. On the day that I wrote this letter to you, there were 499 family practice and specialty physicians on Poudre Valley Hospital’s medical staff and 370 on the Medical Center of the Rockies medical staff. In addition, PVH had 129 allied healthcare providers, such as psychologists, nurse practitioners and other healthcare providers, while MCR had 81. Many of the physicians and allied health professionals hold privileges at both hospitals. To put these numbers in perspective, our community has more healthcare providers per capita than most similarly sized populated areas of the United States.

With the interest that consumers have vigorously expressed in receiving high quality medical care, there is a tremendous need for every healthcare organization in the nation to continually improve and prove quality.

Our goal at PVHS is to continue to offer high quality medical services that have perennially resulted in the health system being recognized as one of the nation’s top healthcare providers. One way we maintain this reputation—which we have gained thanks to the magnificent efforts and skills of our employees and members of the medical staffs—is to pay close attention to clinical standards and ensure that they are focused on evidence-based medicine.

We also recognize the need to monitor clinical outcomes data on an ongoing basis as a way to measure the quality of provided care and ensure we continually find ways to make improvements.

In addition, we encourage consumers to take time to make informed decisions about their healthcare. One way to do this is by reviewing online websites that track patient care outcomes in individual hospitals in the United States.

The Colorado Hospital Report Card, for example, is a tool to help consumers make informed decisions about healthcare. It provides the public with clinical data to help measure the quality of healthcare in Colorado hospitals. The report card, which is maintained by the Colorado Hospital Association, can be found at HYPERLINK “http://www.cohospitalquality.org” www.cohospitalquality.org, where you can conduct an interactive search to compare information from specific hospitals.

Healthcare is important to every person. That’s why the PVHS staff, physicians, and allied healthcare providers strive to provide the best service in the world. On behalf of PVHS, I want you to know that we’re here for you and for helping you maintain good health!

Dr. William A. NeffChief Medical OfficerPoudre Valley Health System

WilliaM a. neFF, M.D.Chief Medical OfficerPoudre Valley Health System

49


\

2008PHYSICIAN’SFORT COLLINSdirectorySURGEON’S&

ALLERGY/IMMUNOLOGY

Culver, William G., MD2001 S. Shields St., Bldg. H ....... 498.9226See ad on page 104

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Laszlo, Daniel J., MD2001 S. Shields St., Bldg. H ....... 498.9226See ad on page 104

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Neff, William A., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Perschau, Erik R., DO1236 E. Elizabeth St., Ste. 1 ....................224.2985

Raymond, Jeffrey MD1236 E. Elizabeth St., Ste. 1.....................224.2985

Reed, Jay A., MD3800 N. Grant Ave.....................................622.0608

Richardson, Emily C., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Salimbeni, Julio C., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Serell, Sean M., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985 Stenbakken, Gelerie D., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Thomas, Christopher D., DO ......................... Greeley

Thornton, Margaret N., MD .......................... Greeley

Velasco, Stephen E., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Vizena, Annette D., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Wagner, Jan Gillespie, MD1175 58th Avenue, Ste. 202 (Greeley) ......495.0300

Weiner, Kelli L., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Williams, Daniel K., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Williams, Wendy M.H., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

CARDIOLOGY

Ashmore, Roger C., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Baker, William B., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Beckmann, James H., MD1800 15th St.,Ste. 310 (Greeley) ......................392.0900

Chapel, Harold L., MD1800 15th St., Ste. 310 (Greeley) ....................392.0900

Doing, Anthony H., MD 2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Downes, Thomas R., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Green, C. Patrick, MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Gryboski, Cynthia L., MD1800 15th Street (Greeley) ........................392.0900

Hurst, Paul G., MD1800 15th Street (Greeley) ........................392.0900

Johnson, C. Timothy, MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Larson, Dennis G., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Luckasen, Gary J., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Miller, William E., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Myers, Gerald I., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Oldemeyer, John Bradley, MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Purvis, Matthew T., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000 See ad on page 81 & page 98

Rath, Gary A., MD1800 15th St., Ste. 310 (Greeley) ....................392.0900

Stoltz, Chad Lynn, MD2121 E. Harmony Rd., Ste. 100 .. 221.1000See ad on page 81 & page 98

Strote, Justin A., MD2121 E. Harmony Rd., Ste. 100 .. 221.1000See ad on page 81 & page 98

Tate, Charles, MD2121 E. Harmony Rd., Ste. 100 .. 221.1000See ad on page 81 & page 98

Treat, Stephen A., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Voyles, Wyatt F., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Whitsitt, Todd B., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

DENTISTRY/GENERAL

Hargleroad, Jennifer K., DDS1025 Garfield St. ..................................... 493.2254

DENTISTRY/PERIODONTICS

Lindeberg, Richard W., DDS, MS1120 E. Elizabeth, G4 ............... 221.5050See ad on page 89

DERMATOLOGY

Baack, Brad, MD1120 E. Elizabeth St., Bldg. G2 ................484.6303

Hultsch, Anne Lise, MD 3726 S. Timberline Rd., Ste. 101 .............221.5795

Kornfeld, Bruce W., MD1006 Centre Ave. .....................................482.9001

Sayers, Clinton P., MD1120 E. Elizabeth St., Bldg. G2 ................484.6303

West, B. Lynn, MD 3726 S. Timberline Rd., Ste. 101 .............221.5795

EAR, NOSE & THROAT(OTOLARYNGOLOGY)

Chand, Maria S., MD1006 Centre Ave. .....................................482.9001

Conlon, William Sean, MD1032 Luke St. .......................... 484.8686See ad on page 50

Eriksen, Christopher M., MD, FACS1120 E. Elizabeth St., F-101 ...... 221.1177See ad on page 83 and back cover

Gill, Sarvjit “Sarge,” MD3820 N. Grant Ave. (Loveland) ...... 593.1177See ad on page 83

Gupta, Sanjay K., MD1900 16th Street (Greeley) ........................350.2426

Loury, Mark C., MD, FACS2001 S. Shields St., Bldg. E-101 . 493.5334See ad on back cover

Peterson, Keith E., MD2528 W. 16th Street (Greeley) ....................356.4646

Peterson, Thomas T., MD2528 W. 16th Street (Greeley) ....................356.4646

Robertson, Matthew L., MD1120 E. Elizabeth F-101 ............ 221.1177See ad on page 83Runyan, Brad, MD2121 E. Harmony Rd., Ste. 350 ... 212.0169See ad on back cover

Schaffer, Stephen B., MD2001 S. Shields St., Bldg. E-101 . 493.5334See ad on back cover

Smith, Bruce M., MD2121 E. Harmony Rd., Ste. 350 ... 484.6373See ad on back cover

Woodson, Trudi., MD5881 W. 16th Street (Greeley) ....................313.2740

Zacheis, David H., MD1120 E. Elizabeth St., F-101 ...... 221.1177See ad on page 83

EMERGENCY MEDICINE

Apostle, Michael J., MD1024 S. Lemay Ave...................................495.7000

Dellota, Kriss, MD1024 S. Lemay Ave...................................495.7000

Farstad, David J., MD 1024 S. Lemay Ave...................................495.7000

Green, Gabriel E., DO1024 S. Lemay Ave....................................495.7000

Green, Jason T., DO1024 S. Lemay Ave....................................495.7000

Hallahan, Tara A. DO1024 S. Lemay Ave...................................495.7000

Hanck, Jill L., MD1024 S. Lemay Ave....................................495.7000

Johar, Jasjot S., MD1024 S. Lemay Ave...................................495.7000

Johnston, P. Scott, MD1024 S. Lemay Ave...................................495.7000

Litel, Alexa L., MD1024 S. Lemay Ave...................................495.7000

Luttrell, Matthew, MD1024 S. Lemay Ave...................................495.7000

Olsen, Eric B., MD1024 S. Lemay Ave...................................495.7000

Patrick, Kenneth M., DO1024 S. Lemay Ave...................................495.7000

Repert, William B., MD1024 S. Lemay Ave...................................495.7000

Solley, Matthew C., MD1024 S. Lemay Ave...................................495.7000

Springfield, Tracy J., MD1024 S. Lemay Ave...................................495.7000

Teumer, James K., DO1024 S. Lemay Ave...................................495.7000

Turner, Daniel T., MD1024 S. Lemay Ave...................................495.7000

Updegraff, Jeffrey G., MD1024 S. Lemay Ave...................................495.7000

Weil, Lawrence J., MD1024 S. Lemay Ave...................................495.7000

Wideman, Eric DO1024 S. Lemay Ave...................................495.7000

Wood, Ian O., DO1024 S. Lemay Ave...................................495.7000

ENDOCRINOLOGY

Izon, Meriam P., MD2121 E. Harmony Rd., Ste. 300 ... 295.0010See ad below

Widom, Barbara, MD1040 E. Elizabeth St., Ste. 101 ............... 224-3636

FAMILY PRACTICE

Abrahamson, Bradley S., MD1221 E. Elizabeth St., Ste. 4 ...... 484.1757See ad on page 24

Abrahamson, Lara, MD1635 Blue Spruce Dr. ...............................494.4040

Adamson, Theran B., MD2021-D Battlecreek Dr..............................206.0851

Ahern, Caitlin M., MD2127 E. Harmony Rd., Ste. 140 ...............221.3855

Anderson, Robert Scott, MD3519 Richmond Dr. .................. 204.0300See ad on page 24

Andreen, Kristin, MD1025 Pennock Pl ......................................495.8800

Askew, Crystal D., MD1918 S. Lemay Ave., Ste. A ......................494.4531

Bailey, Austin G., MD1025 Pennock Pl. .....................................495.8800

Bakanauskas, Egle A., MD1300 Main St., (Windsor)......................... 686.5646

Basow, William M., MD ............................ Fort Collins

Beck, Susan M., MD2121 E. Harmony Rd., Ste. 310 ... 221.3855See ad on page 37

Bell, Sarah J., MD 1635 Blue Spruce Dr............................... 490.4040

Bender, Edward L., MD1212 E. Elizabeth St. ................................482.2791

Bender, John L., MD4674 Snow Mesa Dr., Ste. 140.................482.0213

Bermingham, Roger P., MD1025 Pennock Pl. .....................................495.8800

Bethards, Kelby F., MD ............................ Fort Collins

Birnbaum, Bernard J., MD1025 Pennock Pl. ....................................495.8800

Bresowar, Kristin, MD1025 Pennock Pl ......................................495.8800

Brewington, Flora Ho, MD1136 E. Stuart St. ...................................224.0754

Brickl, Ian D., MD1635 Blue Spruce Dr. ...............................494.4040

Broman, Steven D., MD1221 E. Elizabeth St., Ste. 4 ...... 484.1757See ad on page 24

Burnham, Linda A., MD1918 S. Lemay Ave., Ste. A ......................494.4531

Bursten, Marian S., MDCasper, WY ........................................ 307.265.8300

Butler, Lisa R., DO1212 E. Elizabeth St. ................................482.2791

Carroll, Cory D., MD1040 E. Elizabeth, Ste. 102 .....................221.5858

Cawley, John, MD1025 Pennock Pl ......................................495.8800

Coburn, Thomas C., MD1455 Main St., Ste.150, (Windsor) 686.0124See ad on page 24

Connally, Patricia A., DO2127 E. Harmony Rd.,Ste. 140 ................221.3855

Cranor, J. David, MD1124 E. Elizabeth St., Bldg. C ..................484.0798

de la Torre, Rebecca A., MD2126 Milestone Dr. ................... 282.8266See ad on page 94

DeYoung, Douglas B., DO1024 Centre Ave., Bldg. E-100A ..............484.0774

Duran, Christine B., MD1212 E. Elizabeth St. ................................482.2791

Duran, Matthew G., MD1212 E. Elizabeth St. ................................482.2791

Ferguson, David R., MD3000 S. College Ave. Ste. 210 .................266.8822

Fields, Jacqueline C., MD315 Canyon Ave., Ste. 1 ...........................472.6789

Fritzler, Stace, MD2121 E. Harmony Rd., Ste. 370 ...............221.2290

Geppert, Margo J., MD2818 McKeag Dr.. .....................................225.2811

Glazner, Cherie, MD1025 Pennock Pl. .....................................495.8800

Goacher, Cynthia, MD2121 E. Harmony Rd., Ste.140. ...............221.3855

Gray, April K., MD1918 S. Lemay Ave., Ste. A ......................494.4531

Haldy, Megan, DO1025 Pennock Pl ......................................495.8800

Haskins, R. Scott, MD6801 W. 20th Street, Ste. 101 (Greeley) ....378.8000

Hawley, Laura K., MD1025 Pennock Pl ......................................495.8800

Helgeson, Heidi E., MD1025 Pennock Pl. .....................................495.8800

Henderson, Sandra E., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Hiam, Sarah E., DO1635 Blue Spruce Dr. .............................. 494-4040

Hill, Brian, MD1025 Pennock Pl ......................................495.8800

Hoenig, Mark W., MD ............................... Fort Collins

Hopkins, Jan H., MD1120 E. Elizabeth St., Bldg. G-1...............493.2776

Hornung, Diana L., MD1635 Blue Spruce Dr. ...............................494.4040

Jackson, Rebecca, DO1025 Pennock Pl ......................................495.8800

Janasek, Mitchell J., MD2121 E. Harmony Rd., Ste. 310 .. 221.3855See ad on page 37

Jinich, Daniel B., MD2001 S. Shields St., Bldg. E-201 ..............221.9991

5050

\

2008PHYSICIAN’SFORT COLLINSdirectorySURGEON’S&

ALLERGY/IMMUNOLOGY

Culver, William G., MD2001 S. Shields St., Bldg. H ....... 498.9226See ad on page 104

Gondalia, Lakham L., MD Cheyenne, WY ................................... 800.437.5443

James, John M., MD1136 E. Stuart St., Bldg. 3-200 .. 221.1681See ad on page 91

Kailasam, Velusamy, MD2121 E. Harmony Rd., Ste. 350 ... 221.2370See ad on page 67

Lanting, William A., MD2121 E. Harmony Rd., Ste. 350 ... 221.2370See ad on page 67

Laszlo, Daniel J., MD2001 S. Shields St., Bldg. H ....... 498.9226See ad on page 104

Murthy, Krishna C., MD2121 E. Harmony Rd., Ste. 350 ... 221.2370See ad on page 67

Seeley, Janet K., MD2001 S. Shields St., Bldg. H ....... 498.9226See ad on page 104

Vedanthan, P.K., MDLakewood, CO............................................303.238.0471

ANESTHESIOLOGY

Alessi, Richard D., MD1236 E. Elizabeth St., Ste. 1 ...... 224.2985See ad on back cover

Bobo, Russell W., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Carline, Marylida, MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Cochran, Thomas S., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Deringer, Michael A., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Dunn, Duane L., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Ford, Troy A., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Harrison, William L., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Hodges, Kathleen A., MD1236 E. Elizabeth St., Ste.1 .....................224.2985

Horne, Stephen G., MD1236 E. Elizabeth St., Ste.1 .....................224.2985

Kirsch, Timothy E., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Koepp, Jeffrey, MD 1236 E. Elizabeth St. Ste. 1......................224.2985

Krohn, Douglas, MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Lichon, Amy, DO1236 E. Elizabeth St., Ste.1 .....................224.2985

Marks III, Sandy C., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Markus, Jennifer L., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Martinez, Alice, MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Miller, Justin D., MD1236 E. Elizabeth St., Ste.1 .....................224.2985

Moss, William E., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Neff, William A., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Perschau, Erik R., DO1236 E. Elizabeth St., Ste. 1 ....................224.2985

Raymond, Jeffrey MD1236 E. Elizabeth St., Ste. 1.....................224.2985

Reed, Jay A., MD3800 N. Grant Ave.....................................622.0608

Richardson, Emily C., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Salimbeni, Julio C., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Serell, Sean M., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985 Stenbakken, Gelerie D., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Thomas, Christopher D., DO ......................... Greeley

Thornton, Margaret N., MD .......................... Greeley

Velasco, Stephen E., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Vizena, Annette D., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Wagner, Jan Gillespie, MD1175 58th Avenue, Ste. 202 (Greeley) ......495.0300

Weiner, Kelli L., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Williams, Daniel K., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

Williams, Wendy M.H., MD1236 E. Elizabeth St., Ste. 1 ....................224.2985

CARDIOLOGY

Ashmore, Roger C., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Baker, William B., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Beckmann, James H., MD1800 15th St.,Ste. 310 (Greeley) ......................392.0900

Chapel, Harold L., MD1800 15th St., Ste. 310 (Greeley) ....................392.0900

Doing, Anthony H., MD 2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Downes, Thomas R., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Green, C. Patrick, MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Gryboski, Cynthia L., MD1800 15th Street (Greeley) ........................392.0900

Hurst, Paul G., MD1800 15th Street (Greeley) ........................392.0900

Johnson, C. Timothy, MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Larson, Dennis G., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Luckasen, Gary J., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Miller, William E., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Myers, Gerald I., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Oldemeyer, John Bradley, MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Purvis, Matthew T., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000 See ad on page 81 & page 98

Rath, Gary A., MD1800 15th St., Ste. 310 (Greeley) ....................392.0900

Stoltz, Chad Lynn, MD2121 E. Harmony Rd., Ste. 100 .. 221.1000See ad on page 81 & page 98

Strote, Justin A., MD2121 E. Harmony Rd., Ste. 100 .. 221.1000See ad on page 81 & page 98

Tate, Charles, MD2121 E. Harmony Rd., Ste. 100 .. 221.1000See ad on page 81 & page 98

Treat, Stephen A., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Voyles, Wyatt F., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

Whitsitt, Todd B., MD2121 E. Harmony Rd., Ste. 100 ... 221.1000See ad on page 81 & page 98

DENTISTRY/GENERAL

Hargleroad, Jennifer K., DDS1025 Garfield St. ..................................... 493.2254

DENTISTRY/PERIODONTICS

Lindeberg, Richard W., DDS, MS1120 E. Elizabeth, G4 ............... 221.5050See ad on page 89

DERMATOLOGY

Baack, Brad, MD1120 E. Elizabeth St., Bldg. G2 ................484.6303

Hultsch, Anne Lise, MD 3726 S. Timberline Rd., Ste. 101 .............221.5795

Kornfeld, Bruce W., MD1006 Centre Ave. .....................................482.9001

Sayers, Clinton P., MD1120 E. Elizabeth St., Bldg. G2 ................484.6303

West, B. Lynn, MD 3726 S. Timberline Rd., Ste. 101 .............221.5795

EAR, NOSE & THROAT(OTOLARYNGOLOGY)

Chand, Maria S., MD1006 Centre Ave. .....................................482.9001

Conlon, William Sean, MD1032 Luke St. .......................... 484.8686See ad on page 50

Eriksen, Christopher M., MD, FACS1120 E. Elizabeth St., F-101 ...... 221.1177See ad on page 83 and back cover

Gill, Sarvjit “Sarge,” MD3820 N. Grant Ave. (Loveland) ...... 593.1177See ad on page 83

Gupta, Sanjay K., MD1900 16th Street (Greeley) ........................350.2426

Loury, Mark C., MD, FACS2001 S. Shields St., Bldg. E-101 . 493.5334See ad on back cover

Peterson, Keith E., MD2528 W. 16th Street (Greeley) ....................356.4646

Peterson, Thomas T., MD2528 W. 16th Street (Greeley) ....................356.4646

Robertson, Matthew L., MD1120 E. Elizabeth F-101 ............ 221.1177See ad on page 83Runyan, Brad, MD2121 E. Harmony Rd., Ste. 350 ... 212.0169See ad on back cover

Schaffer, Stephen B., MD2001 S. Shields St., Bldg. E-101 . 493.5334See ad on back cover

Smith, Bruce M., MD2121 E. Harmony Rd., Ste. 350 ... 484.6373See ad on back cover

Woodson, Trudi., MD5881 W. 16th Street (Greeley) ....................313.2740

Zacheis, David H., MD1120 E. Elizabeth St., F-101 ...... 221.1177See ad on page 83

EMERGENCY MEDICINE

Apostle, Michael J., MD1024 S. Lemay Ave...................................495.7000

Dellota, Kriss, MD1024 S. Lemay Ave...................................495.7000

Farstad, David J., MD 1024 S. Lemay Ave...................................495.7000

Green, Gabriel E., DO1024 S. Lemay Ave....................................495.7000

Green, Jason T., DO1024 S. Lemay Ave....................................495.7000

Hallahan, Tara A. DO1024 S. Lemay Ave...................................495.7000

Hanck, Jill L., MD1024 S. Lemay Ave....................................495.7000

Johar, Jasjot S., MD1024 S. Lemay Ave...................................495.7000

Johnston, P. Scott, MD1024 S. Lemay Ave...................................495.7000

Litel, Alexa L., MD1024 S. Lemay Ave...................................495.7000

Luttrell, Matthew, MD1024 S. Lemay Ave...................................495.7000

Olsen, Eric B., MD1024 S. Lemay Ave...................................495.7000

Patrick, Kenneth M., DO1024 S. Lemay Ave...................................495.7000

Repert, William B., MD1024 S. Lemay Ave...................................495.7000

Solley, Matthew C., MD1024 S. Lemay Ave...................................495.7000

Springfield, Tracy J., MD1024 S. Lemay Ave...................................495.7000

Teumer, James K., DO1024 S. Lemay Ave...................................495.7000

Turner, Daniel T., MD1024 S. Lemay Ave...................................495.7000

Updegraff, Jeffrey G., MD1024 S. Lemay Ave...................................495.7000

Weil, Lawrence J., MD1024 S. Lemay Ave...................................495.7000

Wideman, Eric DO1024 S. Lemay Ave...................................495.7000

Wood, Ian O., DO1024 S. Lemay Ave...................................495.7000

ENDOCRINOLOGY

Izon, Meriam P., MD2121 E. Harmony Rd., Ste. 300 ... 295.0010See ad below

Widom, Barbara, MD1040 E. Elizabeth St., Ste. 101 ............... 224-3636

FAMILY PRACTICE

Abrahamson, Bradley S., MD1221 E. Elizabeth St., Ste. 4 ...... 484.1757See ad on page 24

Abrahamson, Lara, MD1635 Blue Spruce Dr. ...............................494.4040

Adamson, Theran B., MD2021-D Battlecreek Dr..............................206.0851

Ahern, Caitlin M., MD2127 E. Harmony Rd., Ste. 140 ...............221.3855

Anderson, Robert Scott, MD3519 Richmond Dr. .................. 204.0300See ad on page 24

Andreen, Kristin, MD1025 Pennock Pl ......................................495.8800

Askew, Crystal D., MD1918 S. Lemay Ave., Ste. A ......................494.4531

Bailey, Austin G., MD1025 Pennock Pl. .....................................495.8800

Bakanauskas, Egle A., MD1300 Main St., (Windsor)......................... 686.5646

Basow, William M., MD ............................ Fort Collins

Beck, Susan M., MD2121 E. Harmony Rd., Ste. 310 ... 221.3855See ad on page 37

Bell, Sarah J., MD 1635 Blue Spruce Dr............................... 490.4040

Bender, Edward L., MD1212 E. Elizabeth St. ................................482.2791

Bender, John L., MD4674 Snow Mesa Dr., Ste. 140.................482.0213

Bermingham, Roger P., MD1025 Pennock Pl. .....................................495.8800

Bethards, Kelby F., MD ............................ Fort Collins

Birnbaum, Bernard J., MD1025 Pennock Pl. ....................................495.8800

Bresowar, Kristin, MD1025 Pennock Pl ......................................495.8800

Brewington, Flora Ho, MD1136 E. Stuart St. ...................................224.0754

Brickl, Ian D., MD1635 Blue Spruce Dr. ...............................494.4040

Broman, Steven D., MD1221 E. Elizabeth St., Ste. 4 ...... 484.1757See ad on page 24

Burnham, Linda A., MD1918 S. Lemay Ave., Ste. A ......................494.4531

Bursten, Marian S., MDCasper, WY ........................................ 307.265.8300

Butler, Lisa R., DO1212 E. Elizabeth St. ................................482.2791

Carroll, Cory D., MD1040 E. Elizabeth, Ste. 102 .....................221.5858

Cawley, John, MD1025 Pennock Pl ......................................495.8800

Coburn, Thomas C., MD1455 Main St., Ste.150, (Windsor) 686.0124See ad on page 24

Connally, Patricia A., DO2127 E. Harmony Rd.,Ste. 140 ................221.3855

Cranor, J. David, MD1124 E. Elizabeth St., Bldg. C ..................484.0798

de la Torre, Rebecca A., MD2126 Milestone Dr. ................... 282.8266See ad on page 94

DeYoung, Douglas B., DO1024 Centre Ave., Bldg. E-100A ..............484.0774

Duran, Christine B., MD1212 E. Elizabeth St. ................................482.2791

Duran, Matthew G., MD1212 E. Elizabeth St. ................................482.2791

Ferguson, David R., MD3000 S. College Ave. Ste. 210 .................266.8822

Fields, Jacqueline C., MD315 Canyon Ave., Ste. 1 ...........................472.6789

Fritzler, Stace, MD2121 E. Harmony Rd., Ste. 370 ...............221.2290

Geppert, Margo J., MD2818 McKeag Dr.. .....................................225.2811

Glazner, Cherie, MD1025 Pennock Pl. .....................................495.8800

Goacher, Cynthia, MD2121 E. Harmony Rd., Ste.140. ...............221.3855

Gray, April K., MD1918 S. Lemay Ave., Ste. A ......................494.4531

Haldy, Megan, DO1025 Pennock Pl ......................................495.8800

Haskins, R. Scott, MD6801 W. 20th Street, Ste. 101 (Greeley) ....378.8000

Hawley, Laura K., MD1025 Pennock Pl ......................................495.8800

Helgeson, Heidi E., MD1025 Pennock Pl. .....................................495.8800

Henderson, Sandra E., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Hiam, Sarah E., DO1635 Blue Spruce Dr. .............................. 494-4040

Hill, Brian, MD1025 Pennock Pl ......................................495.8800

Hoenig, Mark W., MD ............................... Fort Collins

Hopkins, Jan H., MD1120 E. Elizabeth St., Bldg. G-1...............493.2776

Hornung, Diana L., MD1635 Blue Spruce Dr. ...............................494.4040

Jackson, Rebecca, DO1025 Pennock Pl ......................................495.8800

Janasek, Mitchell J., MD2121 E. Harmony Rd., Ste. 310 .. 221.3855See ad on page 37

Jinich, Daniel B., MD2001 S. Shields St., Bldg. E-201 ..............221.9991

51

Kaleta, Andrea D., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Kauffman, Jeffrey N., MD1124 E. Elizabeth St., Bldg. C ..................484.0798

Kesler, James M., MD3519 Richmond Dr. ................... 204.0300See ad on page 24

Klinger, Susan K., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Kuroiwa, Christina L., MD315 Canyon Ave., Ste. 1........................... 472.6789

Latter, Macy, DO1025 Pennock Pl ......................................495.8800

Lembitz, Deanne D., MD4630 Royal Vista Dr., Ste.7 (Windsor) ...530.0575See ad on page 90

Lesage, Margaret R., MD1455 Main St,Ste. 150 (Windsor) ... 686.0124See ad on page 24

Lockwood, Stephanie R., MD3519 Richmond Dr. ................... 204.0300See ad on page 24 Loeb, Mark H., MD2121 E. Harmony Rd., Ste. 140 ...............221.3855

Lopez, Joseph M., MD1136 E. Stuart St., Bldg. 4#202 .............221.5925

Lundeen, Anna C., MD1025 Pennock Pl. .....................................495.8800

Lunianski, David, DO1025 Pennock Pl ......................................495.8800

Lupica, Michelle, DO1025 Pennock Pl ......................................495.8800

Lowther, Kelly H, MD4674 Snow Mesa Dr., Ste. 140.................482.0213

MacDonald, Nola A., DO315 Canyon Ave., Ste. 3 ...........................472.8008

Maes, Elizabeth J., MD1025 Pennock Pl. .....................................495.8800

Mallory, Patrick, DO1548 N. Boise Ave. (Loveland) ...................669.9245

Marchant, David R., MD1025 Pennock Pl. .....................................495.8800

Mason, R. Anthony, MD4630 Royal Vista Dr., Ste. 7 (Windsor) ..530.0575See ad on page 90

McCarthy, Victoria A., MD2001 S. Shields St., Bldg. I ........ 221.5255See ad on page 24

McClellan, Danielle, MD1025 Pennock Pl. .....................................495.8800

McCreery, Colleen R., DO3519 Richmond Dr. ................... 204.0300See ad on page 24

McIntosh, Deric, DO1025 Pennock Pl ......................................495.8800

Mercer, Jeannette Y., MD2555 E. 13th Street, Ste.110 (Loveland) .. 461.6140

Merkel, Lawrence A., MD2121 E. Harmony Rd., Ste. 370 ...............221.2290

Monaco, Julie A., MD1635 Blue Spruce Dr. ...............................494.4040

Murphy, Lawrence E., MD1113 Oakridge Dr. .................... 225.0040See ad on page 24

Nevrivy, Thomas E., MD3519 Richmond Dr. ................... 204.0300See ad on page 24

Orozco-Peterson, Marilu, MD811 E. Elizabeth St. .................................224.1596

Ottolenghi, David R., MD2121 E. Harmony Rd., Ste. 310 ... 221.3855See ad on page 37

Palagi, Patricia C., MD3000 S. College Ave., Ste. 210 ................266.8822

Podhajsky, Tim P., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Robinson, Anne L., MD1221 E. Elizabeth St., Ste. 4 ...... 484.1757See ad on page 24

Rodriguez, Juan B., DO4674 Snow Mesa Dr., Ste. 140.................482.0213

Rotman, Mark F., MD2001 S. Shields St., Bldg. I ........ 221.5255See ad on page 24

Rubright, Jon S., MD3519 Richmond Dr. ................... 204.0300See ad on page 24

Sachtleben, Thomas R., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Samuelson, Scott, MD1124 E. Elizabeth St., Bldg. C ..................484.0798

Sands, Arthur C., MD1021 Robertson St. ..................................482.0666

Schmidt, David S., MD2001 S. Shields St., Bldg. I ........ 221.5255See ad on page 24

Seeton, James F., MD2121 E. Harmony Rd., Ste. 310 ... 221.3855See ad on page 37

Serrano-Toy, Monica T., MD2121 E. Harmony Rd. Ste. 370 ............... 221.2290

Shamis, Mason, MD1025 Pennock Pl ......................................495.8800

Smith, Jerome I., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Stephens, Floyd V., MD1113 Oakridge Dr. .................... 225.0040See ad on page 24

Stoddard, Andrew P., MD1124 E. Elizabeth St., Bldg. C ..................484.0798

Sullivan, Donna L., MD, FAAFP1025 Pennock Pl. .....................................495.8800

Sunthankar, Shivalini M., MD1014 Centre Ave. .....................................482.8881

Taylor, Grant, DO4674 Snow Mesa Dr., Ste. 140.................482.0213

Thieman, William J., MD2121 E. Harmony Rd., Ste. 140 ...............221.3855

Thorson, Steven J., MD1212 E. Elizabeth St. ................................482.2791

Tippin, Steven B., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Towbin, Michael M., MD1217 Riverside Ave.................................. 482.7800

Unger, Mark S., MD1113 Oakridge Dr. .................... 225.0040See ad on page 24

Valley, George E., MD3000 S. College Ave., Ste. 210 ................266.8822

Van Farowe, Cynthia K., MD3519 Richmond Dr. ................... 204.0300See ad on page 24

Weaver, Derek, DO1025 Pennock Pl ......................................495.8800

Webber, Pamela, S., MD1025 Pennock Pl. .....................................495.8800

Weiskittel, Deborah A., MD1113 Oakridge Dr. .................... 225.0040See ad on page 24

Weixelman, Janice M., DO168 Main St. (Red Feathers Lakes) ................881.2885

Wilson, Fiona A., MD1221 E. Elizabeth St., Ste. 4 ...... 484.1757See ad on page 24

Winfrey, Ivory, MD1025 Pennock Pl ......................................495.8800

Wozniak, Janell R., MD1025 Pennock Pl. .....................................495.8800

Zucker, Charles I., MD6801 W. 20th Street, Ste. 101(Greeley) .....378.8000

FAMILY PRACTICE/SPORTS MEDICINE

Servi, Jane T., MD2121 E. Harmony Rd., Ste. 290 ...............224.9890

Yemm, Stephen J., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

GASTROENTEROLOGY

Burgert, Stephen L., MD2555 E.13th Street, Ste. 220 (Loveland) .. 669.5432

Chase, Jerry A., MD2555 E.13th Street, Ste. 220 (Loveland) .. 669.5432

Compton, Rand F., MD3702 Timberline Dr., Bldg. A ................... 207.9773

Dowgin, Thomas A., MD3702 Timberline Dr., Bldg. A ....................207.9773

Dunphy, Rebecca C., MD3702 Timberline Dr., Bldg. A ....................207.9773

Durkan, Mark N., MD3702 Timberline Dr., Bldg. A ....................207.9773

Holland, Rod R., MD3702 Timberline Dr., Bldg. A ....................207.9773

Jenkins, Joseph X., MD3702 Timberline Dr., Bldg. A ....................207.9773

Langer, Daniel, MD3702 Timberline Dr., Bldg. A ....................207.9773

Lynch, Kathryn L., MD2555 E.13th Street, Ste. 220 (Loveland) .. 669.5432

McElwee, Hugh P., MD3702 Timberline Dr., Bldg. A ....................207.9773

Nosler, Michael J., MD3702 Timberline Dr., Bldg. A ....................207.9773

Sears, Stephen, MD2555 E.13th Street, Ste. 220 (Loveland) .. 669.5432

Simmons, Robert A., MD3702 Timberline Dr., Bldg. A ....................207.9773

Strong, Lewis R., MD2555 E.13th Street, Ste. 220 (Loveland) .. 669.5432

Witt, Peter C., MD2500 Rocky Mnt Ave.Ste. 340 (Loveland) 619.6030See ad on page 115

GYNECOLOGY

Lepine, Lisa, MDBoulder, CO ....................................... 303.440.9320

Thayer, David O., MDBoulder, CO ....................................... 303.440.9320

HEMATOLOGY/ONCOLOGY

Brown, Regina, MD2121 E. Harmony Rd., Ste. 150 ... 493.6337See ad on page 52

Fangman, Michael P., MDP.O. Box 27140 .........................................217.5160

Kanard, Anne Margaret, MD2121 E. Harmony Rd., Ste. 150 ... 493.6337See ad on page 52

Kemme, Douglas J., MD1900 16th Street (Greeley) ........................353.3722

Lininger, Thomas R., MD1900 15th St. (Greeley)...........................378.4170

Paolo Romero, MD :: Matthew Sorensen, MD Regina Brown, MD

Anne Kanard, MD :: Miho Toi Scott MA, MD

at the POUDRE VALLEY HOSPITAL HARMONY CAMPUS 2121 E. Harmony Rd. Suite 150, Fort Collins • www.cancercenteroftherockies.com

970.493.6337

Kaleta, Andrea D., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Kauffman, Jeffrey N., MD1124 E. Elizabeth St., Bldg. C ..................484.0798

Kesler, James M., MD3519 Richmond Dr. ................... 204.0300See ad on page 24

Klinger, Susan K., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Kuroiwa, Christina L., MD315 Canyon Ave., Ste. 1........................... 472.6789

Latter, Macy, DO1025 Pennock Pl ......................................495.8800

Lembitz, Deanne D., MD4630 Royal Vista Dr., Ste.7 (Windsor) ...530.0575See ad on page 90

Lesage, Margaret R., MD1455 Main St,Ste. 150 (Windsor) ... 686.0124See ad on page 24

Lockwood, Stephanie R., MD3519 Richmond Dr. ................... 204.0300See ad on page 24 Loeb, Mark H., MD2121 E. Harmony Rd., Ste. 140 ...............221.3855

Lopez, Joseph M., MD1136 E. Stuart St., Bldg. 4#202 .............221.5925

Lundeen, Anna C., MD1025 Pennock Pl. .....................................495.8800

Lunianski, David, DO1025 Pennock Pl ......................................495.8800

Lupica, Michelle, DO1025 Pennock Pl ......................................495.8800

Lowther, Kelly H, MD4674 Snow Mesa Dr., Ste. 140.................482.0213

MacDonald, Nola A., DO315 Canyon Ave., Ste. 3 ...........................472.8008

Maes, Elizabeth J., MD1025 Pennock Pl. .....................................495.8800

Mallory, Patrick, DO1548 N. Boise Ave. (Loveland) ...................669.9245

Marchant, David R., MD1025 Pennock Pl. .....................................495.8800

Mason, R. Anthony, MD4630 Royal Vista Dr., Ste. 7 (Windsor) ..530.0575See ad on page 90

McCarthy, Victoria A., MD2001 S. Shields St., Bldg. I ........ 221.5255See ad on page 24

McClellan, Danielle, MD1025 Pennock Pl. .....................................495.8800

McCreery, Colleen R., DO3519 Richmond Dr. ................... 204.0300See ad on page 24

McIntosh, Deric, DO1025 Pennock Pl ......................................495.8800

Mercer, Jeannette Y., MD2555 E. 13th Street, Ste.110 (Loveland) .. 461.6140

Merkel, Lawrence A., MD2121 E. Harmony Rd., Ste. 370 ...............221.2290

Monaco, Julie A., MD1635 Blue Spruce Dr. ...............................494.4040

Murphy, Lawrence E., MD1113 Oakridge Dr. .................... 225.0040See ad on page 24

Nevrivy, Thomas E., MD3519 Richmond Dr. ................... 204.0300See ad on page 24

Orozco-Peterson, Marilu, MD811 E. Elizabeth St. .................................224.1596

Ottolenghi, David R., MD2121 E. Harmony Rd., Ste. 310 ... 221.3855See ad on page 37

Palagi, Patricia C., MD3000 S. College Ave., Ste. 210 ................266.8822

Podhajsky, Tim P., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Robinson, Anne L., MD1221 E. Elizabeth St., Ste. 4 ...... 484.1757See ad on page 24

Rodriguez, Juan B., DO4674 Snow Mesa Dr., Ste. 140.................482.0213

Rotman, Mark F., MD2001 S. Shields St., Bldg. I ........ 221.5255See ad on page 24

Rubright, Jon S., MD3519 Richmond Dr. ................... 204.0300See ad on page 24

Sachtleben, Thomas R., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Samuelson, Scott, MD1124 E. Elizabeth St., Bldg. C ..................484.0798

Sands, Arthur C., MD1021 Robertson St. ..................................482.0666

Schmidt, David S., MD2001 S. Shields St., Bldg. I ........ 221.5255See ad on page 24

Seeton, James F., MD2121 E. Harmony Rd., Ste. 310 ... 221.3855See ad on page 37

Serrano-Toy, Monica T., MD2121 E. Harmony Rd. Ste. 370 ............... 221.2290

Shamis, Mason, MD1025 Pennock Pl ......................................495.8800

Smith, Jerome I., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Stephens, Floyd V., MD1113 Oakridge Dr. .................... 225.0040See ad on page 24

Stoddard, Andrew P., MD1124 E. Elizabeth St., Bldg. C ..................484.0798

Sullivan, Donna L., MD, FAAFP1025 Pennock Pl. .....................................495.8800

Sunthankar, Shivalini M., MD1014 Centre Ave. .....................................482.8881

Taylor, Grant, DO4674 Snow Mesa Dr., Ste. 140.................482.0213

Thieman, William J., MD2121 E. Harmony Rd., Ste. 140 ...............221.3855

Thorson, Steven J., MD1212 E. Elizabeth St. ................................482.2791

Tippin, Steven B., MD2025 Bighorn Dr. ...................... 229.9800See ad on page 24

Towbin, Michael M., MD1217 Riverside Ave.................................. 482.7800

Unger, Mark S., MD1113 Oakridge Dr. .................... 225.0040See ad on page 24

Valley, George E., MD3000 S. College Ave., Ste. 210 ................266.8822

Van Farowe, Cynthia K., MD3519 Richmond Dr. ................... 204.0300See ad on page 24

Weaver, Derek, DO1025 Pennock Pl ......................................495.8800

Webber, Pamela, S., MD1025 Pennock Pl. .....................................495.8800

Weiskittel, Deborah A., MD1113 Oakridge Dr. .................... 225.0040See ad on page 24

Weixelman, Janice M., DO168 Main St. (Red Feathers Lakes) ................881.2885

Wilson, Fiona A., MD1221 E. Elizabeth St., Ste. 4 ...... 484.1757See ad on page 24

Winfrey, Ivory, MD1025 Pennock Pl ......................................495.8800

Wozniak, Janell R., MD1025 Pennock Pl. .....................................495.8800

Zucker, Charles I., MD6801 W. 20th Street, Ste. 101(Greeley) .....378.8000

FAMILY PRACTICE/SPORTS MEDICINE

Servi, Jane T., MD2121 E. Harmony Rd., Ste. 290 ...............224.9890

Yemm, Stephen J., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

GASTROENTEROLOGY

Burgert, Stephen L., MD2555 E.13th Street, Ste. 220 (Loveland) .. 669.5432

Chase, Jerry A., MD2555 E.13th Street, Ste. 220 (Loveland) .. 669.5432

Compton, Rand F., MD3702 Timberline Dr., Bldg. A ................... 207.9773

Dowgin, Thomas A., MD3702 Timberline Dr., Bldg. A ....................207.9773

Dunphy, Rebecca C., MD3702 Timberline Dr., Bldg. A ....................207.9773

Durkan, Mark N., MD3702 Timberline Dr., Bldg. A ....................207.9773

Holland, Rod R., MD3702 Timberline Dr., Bldg. A ....................207.9773

Jenkins, Joseph X., MD3702 Timberline Dr., Bldg. A ....................207.9773

Langer, Daniel, MD3702 Timberline Dr., Bldg. A ....................207.9773

Lynch, Kathryn L., MD2555 E.13th Street, Ste. 220 (Loveland) .. 669.5432

McElwee, Hugh P., MD3702 Timberline Dr., Bldg. A ....................207.9773

Nosler, Michael J., MD3702 Timberline Dr., Bldg. A ....................207.9773

Sears, Stephen, MD2555 E.13th Street, Ste. 220 (Loveland) .. 669.5432

Simmons, Robert A., MD3702 Timberline Dr., Bldg. A ....................207.9773

Strong, Lewis R., MD2555 E.13th Street, Ste. 220 (Loveland) .. 669.5432

Witt, Peter C., MD2500 Rocky Mnt Ave.Ste. 340 (Loveland) 619.6030See ad on page 115

GYNECOLOGY

Lepine, Lisa, MDBoulder, CO ....................................... 303.440.9320

Thayer, David O., MDBoulder, CO ....................................... 303.440.9320

HEMATOLOGY/ONCOLOGY

Brown, Regina, MD2121 E. Harmony Rd., Ste. 150 ... 493.6337See ad on page 52

Fangman, Michael P., MDP.O. Box 27140 .........................................217.5160

Kanard, Anne Margaret, MD2121 E. Harmony Rd., Ste. 150 ... 493.6337See ad on page 52

Kemme, Douglas J., MD1900 16th Street (Greeley) ........................353.3722

Lininger, Thomas R., MD1900 15th St. (Greeley)...........................378.4170

53



2121 East Harmony, Ste. 270 | Fort Collins, CO 80528 | [970] 221-1993 | FAX: [970] 221-9170


Michael P. Curiel, MD

Marschke, Robert F. Jr., MD2315 E. Harmony Rd., Ste. 110. ..............212.7600

Medgyesy, Diana C., MD2315 E. Harmony Rd., Ste. 110. ..............212.7600

Moore, James C., MD2315 E. Harmony Rd., Ste. 110. ..............212.7600

Romero, Paolo, MD2121 E. Harmony Rd., Ste. 150 ... 493.6337See ad on page 52

Scott, Miho Toi, MD2121 E. Harmony Rd., Ste. 150 ... 493.6337See ad on page 52

Sorensen, Matthew D., MD2121 E. Harmony Rd., Ste. 150 ... 493.6337See ad on page 52

Shelanski, Samuel A., MD2050 N. Boise Ave., Ste. A (Loveland)........667.7870

Stone, Michael D., MD1900 16th Street (Greeley) ........................378.4170

INFECTIOUS DISEASES

Cobb, David K., MD, FACP2121 E. Harmony Rd., Ste. 380 ... 224.0429See ad above

LiaoOng, Jacob C., MD2121 E. Harmony Rd., Ste. 380 ... 224.0429See ad above

Peskind, Robert L., MD2121 E. Harmony Rd., Ste. 380 ... 224.0429See ad above

INTERNAL MEDICINE

Abbey, David M., MD1100 Poudre River Dr. ..............................224.9508

Alessi, Grace, MD4674 Snow Mesa Dr., Ste.100 ..................482.3712

Allen, David K., MD305 Carpenter Rd. ................... 292.0179See ad on page 76

Asadi, S. Daniel, DO1021 Robertsono St.................................482.0666

Berntsen, Mark F., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Bush, James F., MD ................................. Fort Collins

Cash, Robert L, MD1900 16th Street (Greeley) ........................350.2438

Christiansen, Dana L., MD7251 W. 20th Street, Ste. K (Greeley) ........353.4322

Currie, James B., MD7251 W. 20th Street, Ste. K (Greeley) ........353.4322

Ebens, John B, MD1900 16th Street (Greeley) .............................. 350.2438

Ellis, Robert H., MD................................. Fort Collins

Griffin, Daniel, MD1006 Robertson St. ..................................482.3820

Hendrick, James D., MD4674 Snow Mesa Dr., Ste. 100.................482.3712

Hendrick, Jennifer M., MD4674 Snow Mesa Dr., Ste. 100.................482.3712

Homburg, Robert C., MD1100 Poudre River Dr. ..............................224.9508

Juhala, Robert J., MD4674 Snow Mesa Dr., Ste. 100.................482.3712

Khera, Sukhjinder K., MD1006 Robertson St. ..................................482.3820

Knepper, Katherine L., MD4674 Snow Mesa Dr., Ste. 100.................482.3712

Loecke, Steven, MD1900 16th Street (Greeley) ........................350.2438

Lopez, William, MD1006 Robertson St. ..................................482.3820

Lynch, Michael J., DO1101 Oakridge Dr., Ste. B.........................223.1199

Orton, Lambert C., MDSteamboat, CO .................................. 970.879.3327

Ow, Cathy L., MD4674 Snow Mesa Dr., Ste. 100.................482.3712

Randle, Michael T., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Reimer, Christina, MD4674 Snow Mesa Dr., Ste.100 ..................482.3712

Reinhardt, Marcus R., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Stafford, Neil K., MD1100 Poudre River Dr. ..............................224.9508

Sunderman, Steve R., MD607 Castle Ridge Ct. .................................223.8922

Thompson, Keith S., MD1900 16th St. (Greeley)............................350.2438

Tryggestad, David I., MD1900 16th St. (Greeley)............................350.2438

Zenk, Daniel R., MD1900 16th St. (Greeley)............................350.2438

INTERNAL MEDICINE/HOSPITALIST

Austin, William Bennett., MD2121 E. Harmony Rd., Ste 300 ................207.9958

Clipsham, Victoria A., MD2121 E. Harmony Rd., Ste 300 ................207.9958

Espinosa, Amy J., DO2121 E. Harmony Rd., Ste 300 ................207.9958

Gaines, Jennifer L, MD2121 E. Harmony Rd., Ste 300 ................207.9958

Johnston, Christine G., MD2121 E. Harmony Rd., Ste 300 ................207.9958

Kopel, Charles S., MD2121 E. Harmony Rd., Ste 300 ................207.9958

LumLung, Christine M., MD2121 E. Harmony Rd., Ste 300 ................207.9958

Reghitto, Charmaine, MD2121 E. Harmony Rd., Ste 300 ................207.9958

Spannring, Mary M., MD2121 E. Harmony Rd., Ste 300 ................207.9958

Yoder, Elizabeth Anne, MD2121 E. Harmony Rd., Ste 300 ................207.9958

INTERNAL MEDICINE/PEDIATRICS

Drysdale, Christopher R., MD4674 Snow Mesa Dr., Ste. 120.................266.3650

Lang, Christina, MD4674 Snow Mesa Dr., Ste. 120.................266.3650

Simmons, Mark S., MD4674 Snow Mesa Dr., Ste. 120.................266.3650

Widness, Craig P., MD4674 Snow Mesa Dr., Ste. 120.................266.3650

MATERNAL & FETAL MEDICINE

Heyborne, Kent D., MDDenver, CO ........................................ 303.860.9990

Porreco, Richard P., MDDenver, CO ........................................ 303.860.9990

Stettler, R. William, MDDenver, CO ........................................ 303.860.9990

NEONATOLOGY

Barry, James S., MDAurora, CO ........................................ 303.724.2840

Hall, Daniel M., MDAurora, CO ........................................ 303.724.2840

MacRitchie, Amy N., MDPVH, 1024 S. Lemay Ave. .........................495.8280

Paisley, Jan E., MDPVH, 1024 S. Lemay Ave. .........................495.8282

Satterwhite, Daniel J., MDPVH, 1024 S. Lemay Ave. .........................495.8280

Thilo, Elizabeth H., MDAurora, CO ........................................ 303.724.2840

Wilkening, Randall B., MDAurora, CO ........................................ 303.724.2840

NEPHROLOGY

Merritt, Jason L., MD1600 Specht Point Rd., Ste. I ...... 493.7733See ad on page 54

Muelken, Kevin D., MD1600 Specht Point Rd., Ste. I ...... 493.7733See ad on page 54

Rademacher, Donald R., MD1900 16th Street (Greeley) ......................350.2438

Simmons, Richard E., MD1600 Specht Point Rd., Ste. I ...... 493.7733See ad on page 54

Singer, James R., MD1600 Specht Point Rd., Ste. I ...... 493.7733See ad on page 54

Teruel, Mark A., MD1600 Specht Point Rd., Ste. I ...... 493.7733See ad on page 54

NEUROLOGY

Allen, Timothy J., MD2121 E. Harmony Rd., Ste. 270 ... 221.1993See ad on page 29 & page 54

Curiel, Michael P., MD2121 E. Harmony Rd., Ste. 270 ... 221.1993See ad on page 29 & page 54

Friedman, Sheri J., MD1221 E. Elizabeth St., Ste.3 .....................482.4373

Himes,Terry M., DO2500 Rocky Mnt Ave., Ste.310 (Loveland) ...619.6000

McIntosh, Gerald C., MD1221 E. Elizabeth St., Ste. 3 ....................482.4373

Meredith, Lawrence A., MD310 E. 5th St. (Loveland).........................667.7664

Miller, Tamara A., MD2121 E. Harmony Rd., Ste. 180 ...............226.6111

Nash, Jerry D., MD2121 E. Harmony Rd., Ste. 180 ...............226.6111

Schumann, Richard R. Jr., MD2500 Rocky Mnt Ave., Ste.310 (Loveland) ...619.6000

Tolge, Celina F., MD5890 W. 13th Street, Ste. 112 (Greeley).....353.2255

OBSTETRICS/GYNECOLOGY

Beresford, Kaea, MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

Cloyd, David G., MD1136 E. Stuart St., Bldg. 2, Ste. 100 .......493.5904

Donnelley, Beverly E., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 28, page 47, page 78 & back cover

Hayes, Karen E., DO1224 E. Elizabeth St. ................................221.4977

Hayes, Kimberly W., MD1136 E. Stuart St., Bldg. 2-#100 ............493.5904

Hoffman, Mark F., MD1136 E. Stuart St., Bldg. 2-#100 ............493.5904

James, Warren K., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Jeffrey, Ransy L., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

Kieft, Larry D., MD1136 E. Stuart St., Bldg. 2-#100 ............493.5904

King, Angela, MD 1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

Kozak, Susan H., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Ludwin, Gary A., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

Micetich, Kara L., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Priebe Philip N., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Serniak, Elizabeth K., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Stauffer, Christine F., MD1006 Luke St. ...........................................419.1111

Tool, Audrey L., MD 1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Tool, Kevin J., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Vance, Maude M., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

OBSTETRICS/GYNECOLOGY/INFERTILITY

Bachus, Kevin E., MD1080 E. Elizabeth St. ................ 493.6353See ad on page 37, page 55 and back cover

OCCUPATIONAL MEDICINE

Holthouser, Michael G., MD1330 Oakridge Dr. ....................................495.8450

Scherr, Frederick P., MD 1025 Pennock Pl., Ste. 121....................495.8450

5454


2121 East Harmony, Ste. 270 | Fort Collins, CO 80528 | [970] 221-1993 | FAX: [970] 221-9170


Michael P. Curiel, MD

Marschke, Robert F. Jr., MD2315 E. Harmony Rd., Ste. 110. ..............212.7600

Medgyesy, Diana C., MD2315 E. Harmony Rd., Ste. 110. ..............212.7600

Moore, James C., MD2315 E. Harmony Rd., Ste. 110. ..............212.7600

Romero, Paolo, MD2121 E. Harmony Rd., Ste. 150 ... 493.6337See ad on page 52

Scott, Miho Toi, MD2121 E. Harmony Rd., Ste. 150 ... 493.6337See ad on page 52

Sorensen, Matthew D., MD2121 E. Harmony Rd., Ste. 150 ... 493.6337See ad on page 52

Shelanski, Samuel A., MD2050 N. Boise Ave., Ste. A (Loveland)........667.7870

Stone, Michael D., MD1900 16th Street (Greeley) ........................378.4170

INFECTIOUS DISEASES

Cobb, David K., MD, FACP2121 E. Harmony Rd., Ste. 380 ... 224.0429See ad above

LiaoOng, Jacob C., MD2121 E. Harmony Rd., Ste. 380 ... 224.0429See ad above

Peskind, Robert L., MD2121 E. Harmony Rd., Ste. 380 ... 224.0429See ad above

INTERNAL MEDICINE

Abbey, David M., MD1100 Poudre River Dr. ..............................224.9508

Alessi, Grace, MD4674 Snow Mesa Dr., Ste.100 ..................482.3712

Allen, David K., MD305 Carpenter Rd. ................... 292.0179See ad on page 76

Asadi, S. Daniel, DO1021 Robertsono St.................................482.0666

Berntsen, Mark F., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Bush, James F., MD ................................. Fort Collins

Cash, Robert L, MD1900 16th Street (Greeley) ........................350.2438

Christiansen, Dana L., MD7251 W. 20th Street, Ste. K (Greeley) ........353.4322

Currie, James B., MD7251 W. 20th Street, Ste. K (Greeley) ........353.4322

Ebens, John B, MD1900 16th Street (Greeley) .............................. 350.2438

Ellis, Robert H., MD................................. Fort Collins

Griffin, Daniel, MD1006 Robertson St. ..................................482.3820

Hendrick, James D., MD4674 Snow Mesa Dr., Ste. 100.................482.3712

Hendrick, Jennifer M., MD4674 Snow Mesa Dr., Ste. 100.................482.3712

Homburg, Robert C., MD1100 Poudre River Dr. ..............................224.9508

Juhala, Robert J., MD4674 Snow Mesa Dr., Ste. 100.................482.3712

Khera, Sukhjinder K., MD1006 Robertson St. ..................................482.3820

Knepper, Katherine L., MD4674 Snow Mesa Dr., Ste. 100.................482.3712

Loecke, Steven, MD1900 16th Street (Greeley) ........................350.2438

Lopez, William, MD1006 Robertson St. ..................................482.3820

Lynch, Michael J., DO1101 Oakridge Dr., Ste. B.........................223.1199

Orton, Lambert C., MDSteamboat, CO .................................. 970.879.3327

Ow, Cathy L., MD4674 Snow Mesa Dr., Ste. 100.................482.3712

Randle, Michael T., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Reimer, Christina, MD4674 Snow Mesa Dr., Ste.100 ..................482.3712

Reinhardt, Marcus R., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Stafford, Neil K., MD1100 Poudre River Dr. ..............................224.9508

Sunderman, Steve R., MD607 Castle Ridge Ct. .................................223.8922

Thompson, Keith S., MD1900 16th St. (Greeley)............................350.2438

Tryggestad, David I., MD1900 16th St. (Greeley)............................350.2438

Zenk, Daniel R., MD1900 16th St. (Greeley)............................350.2438

INTERNAL MEDICINE/HOSPITALIST

Austin, William Bennett., MD2121 E. Harmony Rd., Ste 300 ................207.9958

Clipsham, Victoria A., MD2121 E. Harmony Rd., Ste 300 ................207.9958

Espinosa, Amy J., DO2121 E. Harmony Rd., Ste 300 ................207.9958

Gaines, Jennifer L, MD2121 E. Harmony Rd., Ste 300 ................207.9958

Johnston, Christine G., MD2121 E. Harmony Rd., Ste 300 ................207.9958

Kopel, Charles S., MD2121 E. Harmony Rd., Ste 300 ................207.9958

LumLung, Christine M., MD2121 E. Harmony Rd., Ste 300 ................207.9958

Reghitto, Charmaine, MD2121 E. Harmony Rd., Ste 300 ................207.9958

Spannring, Mary M., MD2121 E. Harmony Rd., Ste 300 ................207.9958

Yoder, Elizabeth Anne, MD2121 E. Harmony Rd., Ste 300 ................207.9958

INTERNAL MEDICINE/PEDIATRICS

Drysdale, Christopher R., MD4674 Snow Mesa Dr., Ste. 120.................266.3650

Lang, Christina, MD4674 Snow Mesa Dr., Ste. 120.................266.3650

Simmons, Mark S., MD4674 Snow Mesa Dr., Ste. 120.................266.3650

Widness, Craig P., MD4674 Snow Mesa Dr., Ste. 120.................266.3650

MATERNAL & FETAL MEDICINE

Heyborne, Kent D., MDDenver, CO ........................................ 303.860.9990

Porreco, Richard P., MDDenver, CO ........................................ 303.860.9990

Stettler, R. William, MDDenver, CO ........................................ 303.860.9990

NEONATOLOGY

Barry, James S., MDAurora, CO ........................................ 303.724.2840

Hall, Daniel M., MDAurora, CO ........................................ 303.724.2840

MacRitchie, Amy N., MDPVH, 1024 S. Lemay Ave. .........................495.8280

Paisley, Jan E., MDPVH, 1024 S. Lemay Ave. .........................495.8282

Satterwhite, Daniel J., MDPVH, 1024 S. Lemay Ave. .........................495.8280

Thilo, Elizabeth H., MDAurora, CO ........................................ 303.724.2840

Wilkening, Randall B., MDAurora, CO ........................................ 303.724.2840

NEPHROLOGY

Merritt, Jason L., MD1600 Specht Point Rd., Ste. I ...... 493.7733See ad on page 54

Muelken, Kevin D., MD1600 Specht Point Rd., Ste. I ...... 493.7733See ad on page 54

Rademacher, Donald R., MD1900 16th Street (Greeley) ......................350.2438

Simmons, Richard E., MD1600 Specht Point Rd., Ste. I ...... 493.7733See ad on page 54

Singer, James R., MD1600 Specht Point Rd., Ste. I ...... 493.7733See ad on page 54

Teruel, Mark A., MD1600 Specht Point Rd., Ste. I ...... 493.7733See ad on page 54

NEUROLOGY

Allen, Timothy J., MD2121 E. Harmony Rd., Ste. 270 ... 221.1993See ad on page 29 & page 54

Curiel, Michael P., MD2121 E. Harmony Rd., Ste. 270 ... 221.1993See ad on page 29 & page 54

Friedman, Sheri J., MD1221 E. Elizabeth St., Ste.3 .....................482.4373

Himes,Terry M., DO2500 Rocky Mnt Ave., Ste.310 (Loveland) ...619.6000

McIntosh, Gerald C., MD1221 E. Elizabeth St., Ste. 3 ....................482.4373

Meredith, Lawrence A., MD310 E. 5th St. (Loveland).........................667.7664

Miller, Tamara A., MD2121 E. Harmony Rd., Ste. 180 ...............226.6111

Nash, Jerry D., MD2121 E. Harmony Rd., Ste. 180 ...............226.6111

Schumann, Richard R. Jr., MD2500 Rocky Mnt Ave., Ste.310 (Loveland) ...619.6000

Tolge, Celina F., MD5890 W. 13th Street, Ste. 112 (Greeley).....353.2255

OBSTETRICS/GYNECOLOGY

Beresford, Kaea, MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

Cloyd, David G., MD1136 E. Stuart St., Bldg. 2, Ste. 100 .......493.5904

Donnelley, Beverly E., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 28, page 47, page 78 & back cover

Hayes, Karen E., DO1224 E. Elizabeth St. ................................221.4977

Hayes, Kimberly W., MD1136 E. Stuart St., Bldg. 2-#100 ............493.5904

Hoffman, Mark F., MD1136 E. Stuart St., Bldg. 2-#100 ............493.5904

James, Warren K., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Jeffrey, Ransy L., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

Kieft, Larry D., MD1136 E. Stuart St., Bldg. 2-#100 ............493.5904

King, Angela, MD 1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

Kozak, Susan H., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Ludwin, Gary A., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

Micetich, Kara L., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Priebe Philip N., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Serniak, Elizabeth K., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Stauffer, Christine F., MD1006 Luke St. ...........................................419.1111

Tool, Audrey L., MD 1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Tool, Kevin J., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47, page 78 & back cover

Vance, Maude M., MD1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

OBSTETRICS/GYNECOLOGY/INFERTILITY

Bachus, Kevin E., MD1080 E. Elizabeth St. ................ 493.6353See ad on page 37, page 55 and back cover

OCCUPATIONAL MEDICINE

Holthouser, Michael G., MD1330 Oakridge Dr. ....................................495.8450

Scherr, Frederick P., MD 1025 Pennock Pl., Ste. 121....................495.8450

55


22

Milliken, William J., MD 5441 Boeing Dr., Ste.100 (Loveland) ...........613.1000

Yanagi, Ann K., MD1380 Oakridge Dr.. ...................................495.8400

OPHTHALMOLOGY

Arnold, Patrick D., MD1725 E. Prospect Rd. ................ 221.2222See ad below

Bashford, Kent P., DO1725 E. Prospect Rd. .............. 221.2222See ad below

Crews, Kent R., MD1725 E. Prospect Rd. ................ 221.2222See ad below

Foster, Gary J., MD1725 E. Prospect Rd ................. 484.5322See ad below

Norris, Andrew M., MD2121 E. Harmony Rd., Ste. 190 ...............224.2020

Olsen, Karl Erik, MD1725 E. Prospect Rd ................. 221.2222See ad below

Reistad, Chet Erik, MD1725 E. Prospect Rd. ................ 221.2222See ad below

Robinson, Matthew J., MD1725 E. Prospect Rd. ................ 221.2222See ad below

Shachtman, William A., MD1725 E. Prospect Rd. ................ 221.2222See ad below

Smith, Randall W., MD1725 E. Prospect Rd. ................ 484.5322See ad below

Stevens, William W., MD1725 E. Prospect Rd. ................ 221.2222See ad below

ORAL/MAXILLOFACIAL

Felton, Rickey E., DDS1008 Centre Ave., Ste. B ..........................221.4633

Orr, Mark F., MD2014 Caribou Dr., Ste. 100 ..................... 225.9555

Reynolds, Ralph R., DMD2992 Ginnala Dr. (Loveland) .......................663.6878

Thurgood, David B., DDS2001 S. Shields St. J3 .............................. 498.0196

Troxell, James B., DDS1120 E. Elizabeth St., Bldg. B, Ste.3........482.6811

ORTHOPEDICSBaer, Robert M., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Beard, Douglas W., MD1313 Riverside Ave.. ................. 493.1292See ad on page 44

Beard, David A., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Benz, Robert J., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Biggs, William D., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Brackett, Bess, MDPO Box 336694 (Greeley) ..........................330.5400

Bussey, Randy M., MD5890 W. 13th St. (Greeley)........................348.0020

Chamberlain, Satoru T., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Dhupar, Scott K., MD1800 15th Street, Ste. 320 (Greeley) ..........353.5959

Donner, E. Jeffrey, MD3810 N. Grant Ave. (Loveland) ...................669.8881

Duncan, Kenneth H., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Durbin, Mark B., MD2500 E. Prospect Rd. ............... 493.0112See ad on page 57

Grant, Michael P., MD3810 N. Grant Ave. (Loveland) ...................669.8881

Grey, Sean G., MD2500 E. Prospect Rd. ............... 493.0112See ad on page 57

Grossnickle, Mark D., MD2500 Rocky Mnt Ave.Ste. 340 (Loveland) 619.6030See ad on page 115

Houghton, Michael J., MD2500 E. Prospect Rd. ............... 493.0112See ad on page 57

Hunter, Brett P., MD2500 Rocky Mnt Ave.Ste. 340 (Loveland) 619.6030See ad on page 115

Jackson, Wesley P., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Kindsfater, Kirk A., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Knauer, Sally A., MD2121 E. Harmony Rd., Ste. 290 ...............224.9890

Magsamen, Benedict F., MD3805 S. Centennial Dr ..............................226.4465

Mahon, John H., MD2121 E. Harmony Rd., Ste. 260 ...............221.2827

Martin, Dale R., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

McFerran, Mark A., MD2923 Ginnala Dr. (Loveland) ......... 663.3975See ad above

Nelson, Garth C., MD1020 Luke St. ...........................................493.2102

Pazik, Thomas J., MD6801 W. 20th Street, Ste. 201 (Greeley)...........330.1090

Pettine, Kenneth A., MD3810 N. Grant Ave. (Loveland) ..................669.8881

Reckling, W. Carlton, MDCheyenne, WY ........................................ 307.632.6637

Sanderford, Kelly R., MD5890 W. 13th Street, Ste. 101(Greeley) .....348.0020

Seiler, Steven J., MD2500 Rocky Mnt Ave. Ste.340 .... 619.6030See ad on page 115

Sides, Steven D., MD1900 16th Street (Greeley) .............................. 350.2427

Sobel, Roger M., MD2500 E. Prospect Rd. ................ 493.0112See ad above

Watkins, John J., MD2500 Rocky Mnt Ave. Ste.340 .... 619.6030See ad on page 115

Young, Eric E., MD3810 N. Grant Ave. (Loveland) ....................669.8881

ORTHOPEDICS /SPORTS MEDICINE

Trumper, Rocci V., MD2500 E. Prospect Rd. ................ 493.0112See ad above

PAIN MANAGEMENT

Derrisaw, James, MD3744 S. Timberline Rd., Ste. 102 495.0506See ad on page 58

Girardi, George E., MD3744 S. Timberline Rd., Ste. 102 495.0506See ad on page 58

McCeney, Michael H., MD2001 S. Shields St., Bldg. L ......................221.1919

Sisson, Charles B., MD1136 E. Stuart St., Bldg. 4-104 ...............221.9451

PATHOLOGY

Jones, David L., DO1024 S. Lemay Ave...................................495.8740

Singer, Donald A., MD1024 S. Lemay Ave...................................495.8740

Staszak, Christopher, MD1024 S. Lemay Ave...................................495.8740

Williams, James Elmer, MD1024 S. Lemay Ave...................................495.8740

PEDIATRIC/DENTISTRY

Browning, Michael P., DDS383 W. Drake Rd., Ste. 103 ......................377.2500

Evans, Gregory D., DDS3221 Eastbrook Dr. ..................................407.1020

Van Tassell, Keith A., DDS2001 S. Shields, Bldg. A .......................... 484.4104

PEDIATRICS

Anderson, Carole M., DO1200 E. Elizabeth St ................. 267.9510See ad on page 33

Archer, Deborah, MD1635 Blue Spruce Dr. ...............................494.4040

Ballard, Elizabeth A., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

Booth, Richard R., M2001 S. Shields St., Bldg. G ......................484.4871

Brockway, Julie M., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

Crawford, Deborah D., MD ...................... Fort Collins

Elliott, Max A., MD1200 E. Elizabeth St. ................ 267.9510 See ad on page 33

Guenther, John P., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

Hanson, Vaughn W., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

Hull, Lori J., MD1200 E. Elizabeth St ................. 267.9510See ad on page 33

Markley, Jennifer L., MD2001 S. Shields St., Bldg. G ......................484.4871

McGinnis, James G., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

O’Brien, Barry G., MD2001 S. Shields St., Bldg. G ......................484.4871

Sampera, Kirsten M., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

Schaffer, Michael S., MDAurora, CO ........................................ 720.777.2942

Seidman, Marc H., MD1635 Blue Spruce Dr. ...............................494.4040

5656

22

Milliken, William J., MD 5441 Boeing Dr., Ste.100 (Loveland) ...........613.1000

Yanagi, Ann K., MD1380 Oakridge Dr.. ...................................495.8400

OPTHALMOLOGY

Arnold, Patrick D., MD1725 E. Prospect Rd. ................ 221.2222See ad below

Bashford, Kent P., DO1725 E. Prospect Rd. .............. 221.2222See ad below

Crews, Kent R., MD1725 E. Prospect Rd. ................ 221.2222See ad below

Foster, Gary J., MD1725 E. Prospect Rd ................. 484.5322See ad below

Norris, Andrew M., MD2121 E. Harmony Rd., Ste. 190 ...............224.2020

Olsen, Karl Erik, MD1725 E. Prospect Rd ................. 221.2222See ad below

Reistad, Chet Erik, MD1725 E. Prospect Rd. ................ 221.2222See ad below

Robinson, Matthew J., MD1725 E. Prospect Rd. ................ 221.2222See ad below

Shachtman, William A., MD1725 E. Prospect Rd. ................ 221.2222See ad below

Smith, Randall W., MD1725 E. Prospect Rd. ................ 484.5322See ad below

Stevens, William W., MD1725 E. Prospect Rd. ................ 221.2222See ad below

ORAL/MAXILLOFACIAL

Felton, Rickey E., DDS1008 Centre Ave., Ste. B ..........................221.4633

Orr, Mark F., MD2014 Caribou Dr., Ste. 100 ..................... 225.9555

Reynolds, Ralph R., DMD2992 Ginnala Dr. (Loveland) .......................663.6878

Thurgood, David B., DDS2001 S. Shields St. J3 .............................. 498.0196

Troxell, James B., DDS1120 E. Elizabeth St., Bldg. B, Ste.3........482.6811

ORTHOPEDICSBaer, Robert M., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Beard, Douglas W., MD1313 Riverside Ave.. ................. 493.1292See ad on page 44

Beard, David A., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Benz, Robert J., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Biggs, William D., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Brackett, Bess, MDPO Box 336694 (Greeley) ..........................330.5400

Bussey, Randy M., MD5890 W. 13th St. (Greeley)........................348.0020

Chamberlain, Satoru T., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Dhupar, Scott K., MD1800 15th Street, Ste. 320 (Greeley) ..........353.5959

Donner, E. Jeffrey, MD3810 N. Grant Ave. (Loveland) ...................669.8881

Duncan, Kenneth H., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Durbin, Mark B., MD2500 E. Prospect Rd. ............... 493.0112See ad on page 57

Grant, Michael P., MD3810 N. Grant Ave. (Loveland) ...................669.8881

Grey, Sean G., MD2500 E. Prospect Rd. ............... 493.0112See ad on page 57

Grossnickle, Mark D., MD2500 Rocky Mnt Ave.Ste. 340 (Loveland) 619.6030See ad on page 115

Houghton, Michael J., MD2500 E. Prospect Rd. ............... 493.0112See ad on page 57

Hunter, Brett P., MD2500 Rocky Mnt Ave.Ste. 340 (Loveland) 619.6030See ad on page 115

Jackson, Wesley P., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Kindsfater, Kirk A., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Knauer, Sally A., MD2121 E. Harmony Rd., Ste. 290 ...............224.9890

Magsamen, Benedict F., MD3805 S. Centennial Dr ..............................226.4465

Mahon, John H., MD2121 E. Harmony Rd., Ste. 260 ...............221.2827

Martin, Dale R., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

McFerran, Mark A., MD2923 Ginnala Dr. (Loveland) ......... 663.3975See ad above

Nelson, Garth C., MD1020 Luke St. ...........................................493.2102

Pazik, Thomas J., MD6801 W. 20th Street, Ste. 201 (Greeley)...........330.1090

Pettine, Kenneth A., MD3810 N. Grant Ave. (Loveland) ..................669.8881

Reckling, W. Carlton, MDCheyenne, WY ........................................ 307.632.6637

Sanderford, Kelly R., MD5890 W. 13th Street, Ste. 101(Greeley) .....348.0020

Seiler, Steven J., MD2500 Rocky Mnt Ave. Ste.340 .... 619.6030See ad on page 115

Sides, Steven D., MD1900 16th Street (Greeley) .............................. 350.2427

Sobel, Roger M., MD2500 E. Prospect Rd. ................ 493.0112See ad above

Watkins, John J., MD2500 Rocky Mnt Ave. Ste.340 .... 619.6030See ad on page 115

Young, Eric E., MD3810 N. Grant Ave. (Loveland) ....................669.8881

ORTHOPEDICS /SPORTS MEDICINE

Trumper, Rocci V., MD2500 E. Prospect Rd. ................ 493.0112See ad above

PAIN MANAGEMENT

Derrisaw, James, MD3744 S. Timberline Rd., Ste. 102 495.0506See ad on page 58

Girardi, George E., MD3744 S. Timberline Rd., Ste. 102 495.0506See ad on page 58

McCeney, Michael H., MD2001 S. Shields St., Bldg. L ......................221.1919

Sisson, Charles B., MD1136 E. Stuart St., Bldg. 4-104 ...............221.9451

PATHOLOGY

Jones, David L., DO1024 S. Lemay Ave...................................495.8740

Singer, Donald A., MD1024 S. Lemay Ave...................................495.8740

Staszak, Christopher, MD1024 S. Lemay Ave...................................495.8740

Williams, James Elmer, MD1024 S. Lemay Ave...................................495.8740

PEDIATRIC/DENTISTRY

Browning, Michael P., DDS383 W. Drake Rd., Ste. 103 ......................377.2500

Evans, Gregory D., DDS3221 Eastbrook Dr. ..................................407.1020

Van Tassell, Keith A., DDS2001 S. Shields, Bldg. A .......................... 484.4104

PEDIATRICS

Anderson, Carole M., DO1200 E. Elizabeth St ................. 267.9510See ad on page 33

Archer, Deborah, MD1635 Blue Spruce Dr. ...............................494.4040

Ballard, Elizabeth A., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

Booth, Richard R., M2001 S. Shields St., Bldg. G ......................484.4871

Brockway, Julie M., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

Crawford, Deborah D., MD ...................... Fort Collins

Elliott, Max A., MD1200 E. Elizabeth St. ................ 267.9510 See ad on page 33

Guenther, John P., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

Hanson, Vaughn W., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

Hull, Lori J., MD1200 E. Elizabeth St ................. 267.9510See ad on page 33

Markley, Jennifer L., MD2001 S. Shields St., Bldg. G ......................484.4871

McGinnis, James G., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

O’Brien, Barry G., MD2001 S. Shields St., Bldg. G ......................484.4871

Sampera, Kirsten M., MD1200 E. Elizabeth St. ................ 267.9510See ad on page 33

Schaffer, Michael S., MDAurora, CO ........................................ 720.777.2942

Seidman, Marc H., MD1635 Blue Spruce Dr. ...............................494.4040

57


Whitman, Douglas W., MD1635 Blue Spruce Dr. ...............................494.4040

Wright, Jason T., MD2555 E. 13th Street, Ste. 130 (Loveland) ..663.5437

PHYSICAL MEDICINE & REHABILITIATION

Adamson, Carrie L., MD2021 Battlecreek Dr. ................................206.0851

Bender, John D., DO1330 Oakridge Dr., Ste. 130 ....................377.9555

Jacob, Joseph P., MD4401 Union St. (Johnstown) .......................619.3400

Lockwood, Bruce A., MD1300 Oakridge Dr., Ste. 130 ....................377.9555

Wunder, Jeffrey A., MDWheat Ridge ...................................... 303.423.8334

PODIATRY

Anderson, James C., DPM1355 Riverside Ave., Ste. C ........ 484.4620See ad on page 66

Burns, Michael J., DPM2001 S. Shields St., Bldg. F ......................493.4660

Hatch, Daniel J., DPM1931 65th Ave., Ste. A (Greeley) ... 351.0900See ad on page 109

Hecker, Thomas M., DPM2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Knutsen, Chad M., DPM2001 S. Shields St., Bldg. F ......................493.4660

Moore, Harold Randall, DPM1217 E. Elizabeth St., Ste. 11 ..................472.8700

O’Halloran, William D., DPM1301 Riverside Ave. .................................482.3668

Schulte, Robert C., DPM2001 S. Shields St., Bldg. F ......................493.4660

Schultz, Peter D., MD1440 N. Boise Ave. (Loveland) ........278.1440See ad on page 109

Thomas, Michael I., DPM1355 Riverside Ave., Ste. C ........ 484.4620See ad on page 66

Vaardahl, Michael D., DPM1931 65th Ave., Ste. A (Greeley) ... 351.0900See ad on page 109

Webb, Emily Huang, DPM1927 Wilmington Dr., #102 .....................416.9009

PSYCHIATRY

Gottfried, Joseph M., MD4601 Corbett Dr. .......................................207.4800

Heacock, Craig R., MD4601 Corbett Dr. .......................................207.4800

Moreno, Hermann A., MD4601 Corbett Dr. .......................................207.4800

Nagel, John K., MD4601 Corbett Dr. .......................................207.4800

Oddy, Richard A., MD120 Bristlecone Dr. ...................................224.5209

Pearson, Glenn E., MD4601 Corbett Dr. .......................................207.4800

Straumanis, Eric J., MD1762 Hoffman Dr. (Loveland) ...........................663.3030

Udupa, Usha R., MD4601 Corbett Dr. .......................................207.4800

Watanabe, Kenneth S., MD4601 Corbett Dr. .......................................207.4800

Woodard, Timothy W., MD4601 Corbett Dr. .......................................207.4800

PULMONOLOGY

Breyer, Diana M., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Gunstream, Stanley R., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Hoyt, James D., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Kukafka, David S., MD2500 Rocky Mnt Ave.Ste. 300 (Loveland) 619.6100See ad on page 60

Milchak, Richard J., MD2500 Rocky Mnt Ave.Ste. 300 (Loveland) 619.6100See ad on page 60

Neagle, Mark B., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Negron, Ana M., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Peters, Brent T., MD2500 Rocky Mnt Ave.Ste. 300 (Loveland) 619.6100See ad on page 60

Petrun, Mark D., MD, FCCP2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Stevens, Eric E., MD2500 Rocky Mnt Ave.Ste. 300 (Loveland) 619.6100See ad on page 60

Vassaux, Carlos R., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Wallick, Kristin A., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

RADIATION ONCOLOGY

Casey, William B., MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

Klish, Marie D., MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

Lim, Meng Lai, MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

Lisella, Gwen H., MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

Mackey, Winona R., MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

Simpson, C. Kelley, MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

RADIOLOGY

Berkowitz, Bruce Andrew, MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Bodenhamer, John R., MD2008 Caribou Dr. ..................... 484.4757See ad on page 7

Contreras, Jaime H., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Craven, Winfield M., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7 & page 23

Dunphy, Thomas R., MD2008 Caribou Dr. ..................... 484.4757See ad on page 7

Fleener, Christopher M., MD2008 Caribou Dr. ..................... 484.4757See ad on page 7

Florant, Tracy H., MD2127 E. Harmony Rd., Ste. 130 ... 207.4700See ad on page 7

Fuller, Samuel E., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Geis, J. Raymond, MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Geraghty, Micahel J., MD2008 Caribou Dr ....................... 484.4757See ad on page 7

Gunderson, Deborah Z., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Hayes, Amy S., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Howshar, Mark Edward, MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Jess, Sarah J., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Klingelheber, Bob F., DO2008 Caribou Dr. ...................... 484.4757See ad on page 7

Koplyay, Peter D., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Luttenegger, Thomas J., MD, FACR2008 Caribou Dr. ...................... 484.4757See ad on page 7

Markel, Curtis L., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Pacini, Richard J., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Paquelet, Jean R., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Peck, Steven H., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7 & page 23

Peet, Gary J., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Reese, Mark F., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Singer, Charles J., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Stears, Robert L., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Weinstein, Stanley W., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Weissmann, Jeffrey R., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

RHEUMATOLOGY

Levine, James W., DO1900 16th Street (Greeley) ........................350.2433

Mayer, Patricia A., MD2121 E. Harmony Rd., Ste. 361 .............. 267.9799

Murray, Garvin C., MD239 W. 67th Court (Loveland) .....................461.1880

Thakor, Michael S., MD2121 E. Harmony Rd., Ste. 361 .............. 267.9799

Thompson, John Stephen, MD239 W. 67th Court (Loveland) .....................461.1880

SURGERY CENTERS

Harmony Surgery Center, LLC2127 E. Harmony Rd., Ste. 200 ... 297.6300

Surgery Center of Fort Collins1100 E. Prospect Rd. ................ 494.4800See ad on back cover

SURGERY/ASSIST

Johnson, Robert V., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Kaiser, Dale C., MD2500 E. Prospect Rd. ............... 493.0112See ad on page 57

Kesler, Kelvin F., MD 1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

Tutt, George O., MD ................................ Fort Collins

SURGERY/CARDIOVASCULAR

Guadagnoli, Mark, MD2500 Rocky Mnt Ave.Ste.100 (Loveland) 624.1800See ad on page 81 & page 98

Lamounier, Fernando N., MD2500 Rocky Mnt Ave.Ste.100 (Loveland) 624.1800See ad on page 81 & page 98

Stanton, Michael, MD1148 E. Elizabeth St. ............................... 221.5878

SURGERY/GENERAL

Bauling, Paulus C., MD1148 E. Elizabeth St. ................................221.5878

Blomquist, Thomas M., MD1900 N. Boise Ave., Ste. 420 (Loveland)....669.3212

Chiavetta, Thomas G., MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 45

Clear, Craig R., MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 45

Collins, John A., MD1148 E. Elizabeth St. ................................221.5878

Cribari, Chris MD1148 E. Elizabeth St. ................ 221.5878 See ad on back cover

Dickinson, James M., MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 45

Dubs, Steven, MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Fraser, Lesley A., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Kaufman, Steven L., MD1136 E. Stuart St., Bldg. 4-#102 498.8346See ad on page 15

Lee, James S., MD6801 W. 20th Street, Ste. 202 (Greeley) ....350.0948

Livengood, Joseph C., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Ogren, Jason W., MD1800 15th St., Bldg. 210 (Greeley) .........352.8216

Parsons, Sally A., MD1148 E. Elizabeth St. ................................221.5878

Peetz, Michael E., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Pettine, Stefan, MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 45

Quaid, Robert R., MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 23 & page 45

Roller, Michael D., MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 23 & page 45

Rubinson, Samuel M., MDDenver, CO ...................................................303.831.6100

Turcios, Rosa E., MD1148 E. Elizabeth St. ................................221.5878

Woodard, Scott, MD555 Prospect Ave. (Estes Park) ..............586.2200

SURGERY/OPHTHALMIC/PLASTIC/RECONSTRUCTIVE

Reistad. Chet, MD 1725 E. Prospect Rd. ................ 221.2222See ad on page 56

SURGERY/PLASTIC/RECONSTRUCTIVE

Boustred, Allister Mark, MD2315 E. Harmony Rd., Ste. 160 ...............493.8800

IT’S ABOUT YOUR PAINbecause

Our Physicians at Front Range Pain Medicine specialize in treating painwith interventional pain management practices.

OUR GOALS ARE TO:

- Treat, if possible, the source of the pain

- Offer interventional treatment options

- Promote healthy activities and preventative care

- Return patients to the most functional and productive lifestyle possible

- Coordinate multidisciplinary approaches, if indicated

PROCEDURES

James Derrisaw, MDBoard Certi�ed

Deb DennisPhysician’s Assistant

George E. Girardi, MDBoard Certi�ed58

58

Whitman, Douglas W., MD1635 Blue Spruce Dr. ...............................494.4040

Wright, Jason T., MD2555 E. 13th Street, Ste. 130 (Loveland) ..663.5437

PHYSICAL MEDICINE & REHABILITIATION

Adamson, Carrie L., MD2021 Battlecreek Dr. ................................206.0851

Bender, John D., DO1330 Oakridge Dr., Ste. 130 ....................377.9555

Jacob, Joseph P., MD4401 Union St. (Johnstown) .......................619.3400

Lockwood, Bruce A., MD1300 Oakridge Dr., Ste. 130 ....................377.9555

Wunder, Jeffrey A., MDWheat Ridge ...................................... 303.423.8334

PODIATRY

Anderson, James C., DPM1355 Riverside Ave., Ste. C ........ 484.4620See ad on page 66

Burns, Michael J., DPM2001 S. Shields St., Bldg. F ......................493.4660

Hatch, Daniel J., DPM1931 65th Ave., Ste. A (Greeley) ... 351.0900See ad on page 109

Hecker, Thomas M., DPM2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Knutsen, Chad M., DPM2001 S. Shields St., Bldg. F ......................493.4660

Moore, Harold Randall, DPM1217 E. Elizabeth St., Ste. 11 ..................472.8700

O’Halloran, William D., DPM1301 Riverside Ave. .................................482.3668

Schulte, Robert C., DPM2001 S. Shields St., Bldg. F ......................493.4660

Schultz, Peter D., MD1440 N. Boise Ave. (Loveland) ........278.1440See ad on page 109

Thomas, Michael I., DPM1355 Riverside Ave., Ste. C ........ 484.4620See ad on page 66

Vaardahl, Michael D., DPM1931 65th Ave., Ste. A (Greeley) ... 351.0900See ad on page 109

Webb, Emily Huang, DPM1927 Wilmington Dr., #102 .....................416.9009

PSYCHIATRY

Gottfried, Joseph M., MD4601 Corbett Dr. .......................................207.4800

Heacock, Craig R., MD4601 Corbett Dr. .......................................207.4800

Moreno, Hermann A., MD4601 Corbett Dr. .......................................207.4800

Nagel, John K., MD4601 Corbett Dr. .......................................207.4800

Oddy, Richard A., MD120 Bristlecone Dr. ...................................224.5209

Pearson, Glenn E., MD4601 Corbett Dr. .......................................207.4800

Straumanis, Eric J., MD1762 Hoffman Dr. (Loveland) ...........................663.3030

Udupa, Usha R., MD4601 Corbett Dr. .......................................207.4800

Watanabe, Kenneth S., MD4601 Corbett Dr. .......................................207.4800

Woodard, Timothy W., MD4601 Corbett Dr. .......................................207.4800

PULMONOLOGY

Breyer, Diana M., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Gunstream, Stanley R., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Hoyt, James D., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Kukafka, David S., MD2500 Rocky Mnt Ave.Ste. 300 (Loveland) 619.6100See ad on page 60

Milchak, Richard J., MD2500 Rocky Mnt Ave.Ste. 300 (Loveland) 619.6100See ad on page 60

Neagle, Mark B., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Negron, Ana M., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Peters, Brent T., MD2500 Rocky Mnt Ave.Ste. 300 (Loveland) 619.6100See ad on page 60

Petrun, Mark D., MD, FCCP2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Stevens, Eric E., MD2500 Rocky Mnt Ave.Ste. 300 (Loveland) 619.6100See ad on page 60

Vassaux, Carlos R., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

Wallick, Kristin A., MD2121 E. Harmony Rd., Ste. 300 ...........224.9102See ad on page 60

RADIATION ONCOLOGY

Casey, William B., MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

Klish, Marie D., MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

Lim, Meng Lai, MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

Lisella, Gwen H., MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

Mackey, Winona R., MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

Simpson, C. Kelley, MD2121 E. Harmony Rd., Ste. 160 ...........482.3328See ad on page 45

RADIOLOGY

Berkowitz, Bruce Andrew, MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Bodenhamer, John R., MD2008 Caribou Dr. ..................... 484.4757See ad on page 7

Contreras, Jaime H., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Craven, Winfield M., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7 & page 23

Dunphy, Thomas R., MD2008 Caribou Dr. ..................... 484.4757See ad on page 7

Fleener, Christopher M., MD2008 Caribou Dr. ..................... 484.4757See ad on page 7

Florant, Tracy H., MD2127 E. Harmony Rd., Ste. 130 ... 207.4700See ad on page 7

Fuller, Samuel E., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Geis, J. Raymond, MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Geraghty, Micahel J., MD2008 Caribou Dr ....................... 484.4757See ad on page 7

Gunderson, Deborah Z., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Hayes, Amy S., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Howshar, Mark Edward, MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Jess, Sarah J., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Klingelheber, Bob F., DO2008 Caribou Dr. ...................... 484.4757See ad on page 7

Koplyay, Peter D., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Luttenegger, Thomas J., MD, FACR2008 Caribou Dr. ...................... 484.4757See ad on page 7

Markel, Curtis L., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Pacini, Richard J., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Paquelet, Jean R., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Peck, Steven H., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7 & page 23

Peet, Gary J., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Reese, Mark F., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Singer, Charles J., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Stears, Robert L., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Weinstein, Stanley W., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

Weissmann, Jeffrey R., MD2008 Caribou Dr. ...................... 484.4757See ad on page 7

RHEUMATOLOGY

Levine, James W., DO1900 16th Street (Greeley) ........................350.2433

Mayer, Patricia A., MD2121 E. Harmony Rd., Ste. 361 .............. 267.9799

Murray, Garvin C., MD239 W. 67th Court (Loveland) .....................461.1880

Thakor, Michael S., MD2121 E. Harmony Rd., Ste. 361 .............. 267.9799

Thompson, John Stephen, MD239 W. 67th Court (Loveland) .....................461.1880

SURGERY CENTERS

Harmony Surgery Center, LLC2127 E. Harmony Rd., Ste. 200 ... 297.6300

Surgery Center of Fort Collins1100 E. Prospect Rd. ................ 494.4800See ad on back cover

SURGERY/ASSIST

Johnson, Robert V., MD2500 E. Prospect Rd. ................ 493.0112See ad on page 57

Kaiser, Dale C., MD2500 E. Prospect Rd. ............... 493.0112See ad on page 57

Kesler, Kelvin F., MD 1106 E. Prospect Rd. ................ 493.7442See ad on page 47 & page 78

Tutt, George O., MD ................................ Fort Collins

SURGERY/CARDIOVASCULAR

Guadagnoli, Mark, MD2500 Rocky Mnt Ave.Ste.100 (Loveland) 624.1800See ad on page 81 & page 98

Lamounier, Fernando N., MD2500 Rocky Mnt Ave.Ste.100 (Loveland) 624.1800See ad on page 81 & page 98

Stanton, Michael, MD1148 E. Elizabeth St. ............................... 221.5878

SURGERY/GENERAL

Bauling, Paulus C., MD1148 E. Elizabeth St. ................................221.5878

Blomquist, Thomas M., MD1900 N. Boise Ave., Ste. 420 (Loveland)....669.3212

Chiavetta, Thomas G., MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 45

Clear, Craig R., MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 45

Collins, John A., MD1148 E. Elizabeth St. ................................221.5878

Cribari, Chris MD1148 E. Elizabeth St. ................ 221.5878 See ad on back cover

Dickinson, James M., MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 45

Dubs, Steven, MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Fraser, Lesley A., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Kaufman, Steven L., MD1136 E. Stuart St., Bldg. 4-#102 498.8346See ad on page 15

Lee, James S., MD6801 W. 20th Street, Ste. 202 (Greeley) ....350.0948

Livengood, Joseph C., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Ogren, Jason W., MD1800 15th St., Bldg. 210 (Greeley) .........352.8216

Parsons, Sally A., MD1148 E. Elizabeth St. ................................221.5878

Peetz, Michael E., MD2500 Rocky Mnt Ave.Ste.340 (Loveland) 619.6030See ad on page 115

Pettine, Stefan, MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 45

Quaid, Robert R., MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 23 & page 45

Roller, Michael D., MD2121 E. Harmony Rd., Ste. 250 ... 482.6456See ad on page 23 & page 45

Rubinson, Samuel M., MDDenver, CO ...................................................303.831.6100

Turcios, Rosa E., MD1148 E. Elizabeth St. ................................221.5878

Woodard, Scott, MD555 Prospect Ave. (Estes Park) ..............586.2200

SURGERY/OPHTHALMIC/PLASTIC/RECONSTRUCTIVE

Reistad. Chet, MD 1725 E. Prospect Rd. ................ 221.2222See ad on page 56

SURGERY/PLASTIC/RECONSTRUCTIVE

Boustred, Allister Mark, MD2315 E. Harmony Rd., Ste. 160 ...............493.8800

IT’S ABOUT YOUR PAINbecause

Our Physicians at Front Range Pain Medicine specialize in treating painwith interventional pain management practices.

OUR GOALS ARE TO:

- Treat, if possible, the source of the pain

- Offer interventional treatment options

- Promote healthy activities and preventative care

- Return patients to the most functional and productive lifestyle possible

- Coordinate multidisciplinary approaches, if indicated

PROCEDURES

James Derrisaw, MDBoard Certi�ed

Deb DennisPhysician’s Assistant

George E. Girardi, MDBoard Certi�ed

59


Chapman, Jeffrey K., MD2315 E. Harmony Rd., Ste. 160 ... 493.8800See ad on back cover

Duncan, Diane, MD1701 E. Prospect Rd. ...............................493.7445

Gonyon , Denis L., Jr. MD5881 W. 16th Street (Greeley) ....................313.2760

Tsoi, Christopher M., MD2315 E. Harmony Rd., Ste. 160 ... 493.8800See ad on back cover

SURGERY/NEURO

Coester, Hans C., MD1313 Riverside Ave. ................. 493.1292See ad on page 44 and back cover

Turner, Donn M., MD1313 Riverside Ave. .................. 493.1292See ad on page 44 and back cover

Viola, John J., MD1313 Riverside Ave. .................. 493.1292See ad on page 44

Wirt, Timothy C., MD1313 Riverside Ave. .................. 493.1292See ad on page 44 and back cover

UROLOGY

Brutscher, Stephen P., DO2315 E. Harmony Rd., Ste.140 .... 484.6700See ad on page 31

Eddy, Michael J., MD1647 E. 18th Street (Loveland) ..... 669.9100See ad on page 31

Everett, Randy W., MD2315 E. Harmony Rd., Ste.140 .... 484.6700See ad on page 31

Goodman, Gary R., MD1900 16th Street (Greeley) ........................350.2491

Lee, Michael R., DO2315 E. Harmony Rd., Ste.140 .... 484.6700See ad on page 31

Nasseri, Kevin K., MD2315 E. Harmony Rd., Ste.140 .... 484.6700See ad on page 31

Nemeth, Clifford J., MD1647 E. 18th Street (Loveland) ..... 669.9100See ad on page 31

Phillips, George H., MD1647 E. 18th Street (Loveland) ..... 669.9100See ad on page 31

Soper, Timothy H., MD2315 E. Harmony Rd., Ste.140 .... 484.6700See ad on page 31

* Physician list provided by PVHS. Current as of 7.1.2008

Northern ColoradoPulmonary Consultants, P.C.

Pulmonary Disease Critical Care Sleep Disorders

Pulmonary Disease | Asthma | EmphysemaCOPD | Hypoxia | Critical Care | Sleep

Disorders | Pulmonary & Exercise Testing

FORT COLLINS2121 E. Harmony Rd., Ste 300

Fort Collins, CO 80528970.224.9102

LOVELAND2500 Rocky Mountain Ave., Ste 300

Loveland, CO 80538970.619.6100

Stan Gunstream, M.D. David Kukafka, M.D.James Hoyt, M.D.Diana Breyer, M.D.

Mark Petrun, M.D. Eric Stevens, M.D. Kristin Wallick, M.D.Carlos Vassaux, M.D.

Mark Neagle, M.D.Rick Milchak, M.D. Brent Peters, M.D.Ana Negro’n, M.D.6060

Chapman, Jeffrey K., MD2315 E. Harmony Rd., Ste. 160 ... 493.8800See ad on back cover

Duncan, Diane, MD1701 E. Prospect Rd. ...............................493.7445

Gonyon , Denis L., Jr. MD5881 W. 16th Street (Greeley) ....................313.2760

Tsoi, Christopher M., MD2315 E. Harmony Rd., Ste. 160 ... 493.8800See ad on back cover

SURGERY/NEURO

Coester, Hans C., MD1313 Riverside Ave. ................. 493.1292See ad on page 44 and back cover

Turner, Donn M., MD1313 Riverside Ave. .................. 493.1292See ad on page 44 and back cover

Viola, John J., MD1313 Riverside Ave. .................. 493.1292See ad on page 44

Wirt, Timothy C., MD1313 Riverside Ave. .................. 493.1292See ad on page 44 and back cover

UROLOGY

Brutscher, Stephen P., DO2315 E. Harmony Rd., Ste.140 .... 484.6700See ad on page 31

Eddy, Michael J., MD1647 E. 18th Street (Loveland) ..... 669.9100See ad on page 31

Everett, Randy W., MD2315 E. Harmony Rd., Ste.140 .... 484.6700See ad on page 31

Goodman, Gary R., MD1900 16th Street (Greeley) ........................350.2491

Lee, Michael R., DO2315 E. Harmony Rd., Ste.140 .... 484.6700See ad on page 31

Nasseri, Kevin K., MD2315 E. Harmony Rd., Ste.140 .... 484.6700See ad on page 31

Nemeth, Clifford J., MD1647 E. 18th Street (Loveland) ..... 669.9100See ad on page 31

Phillips, George H., MD1647 E. 18th Street (Loveland) ..... 669.9100See ad on page 31

Soper, Timothy H., MD2315 E. Harmony Rd., Ste.140 .... 484.6700See ad on page 31

* Physician list provided by PVHS. Current as of 7.1.2008

Northern ColoradoPulmonary Consultants, P.C.

Pulmonary Disease Critical Care Sleep Disorders

Pulmonary Disease | Asthma | EmphysemaCOPD | Hypoxia | Critical Care | Sleep

Disorders | Pulmonary & Exercise Testing

FORT COLLINS2121 E. Harmony Rd., Ste 300

Fort Collins, CO 80528970.224.9102

LOVELAND2500 Rocky Mountain Ave., Ste 300

Loveland, CO 80538970.619.6100

Stan Gunstream, M.D. David Kukafka, M.D.James Hoyt, M.D.Diana Breyer, M.D.

Mark Petrun, M.D. Eric Stevens, M.D. Kristin Wallick, M.D.Carlos Vassaux, M.D.

Mark Neagle, M.D.Rick Milchak, M.D. Brent Peters, M.D.Ana Negro’n, M.D. 61When your life depends on it, were here for you. No one expects to suffer a serious injury, but if you do,

you want the best surgeons and trauma specialists around.

Our extraordinary team at Medical Center of the Rockies'

t rauma center saves lives 24/7 w ith breakthrough technologies.

From board-cert ified surgeons to imaging special ists to trauma

nurses and case managers, we're here for you.

Trauma Center of the Rockies is part of t he new M edical Center

of the Rockies in Loveland. Response at a moment's notice and

t rauma care like no other in the region.

62en life bites ...

take me to c

EMERGENCY DEPARTMENT

MEDICAL CENTER OF THE ROCKIES POUDRE VALLEY HEALTH SYSTEM

pvhs.org

LOVELAND, COLORADO I 1-25 and Highway 34 I (970) 624-2500

Spinal injuries can take months or even years to mend, and while the body is slowly repairing itself, the pain can be debilitating—if, indeed, the body can ever fully heal itself.

Two groups of doctors can provide pain re-lief, depending on the type and degree of pain, without invasive surgery or prolonged use of narcotic medications. Radiologists use advanced imaging to pinpoint areas of pain and adminis-ter relief through steroid injections. Intervention Pain Specialists also provide relief from spinal pain through steroid injections and other procedures such as radiofrequency ablation and spinal cord stimulation. Pain management techniques are not without risk and individuals should thoroughly in-vestigate each procedure with a physician special-ized in pain therapy to find their best option.

INjeCTIONsRadiologists use an array of imaging technolo-

gies to diagnose and treat disease. Peter Koplyay, M.D., Radiologist with Advanced Medical Imag-ing Consultants, specializes in pain management for bone, joint, and neurological pain. Fluorosco-py allows Dr. Koplyay to use real-time imagery to pinpoint the exact location of the pain and guide his needle to the point where it will provide the most relief. For spinal pain, Dr. Koplyay often ad-ministers an epidural steroid injection containing an anti-inflammatory, such as cortisone.

Cortisone injections numb pain and decrease swelling around injured spinal disks, areas of ar-thritis, selective nerve root ends, sacroiliac joints at the base of the spine, or facet joints along the spine. The injection is a mixture of short and long acting steroids that work for several weeks

to several months to reduce pain. According to Dr. Koplyay, most injections can provide up to six months of relief.

“The injection allows the body time to hope-fully fix itself,” according to Dr. Koplyay. A good candidate for steroid shots are those who have had a flare up in the back or nerve pain that is reasonably acute. “Something that generally has an abrupt onset,” he adds. These patients often need just one shot to ease the pain while the body heals itself. Those who suffer from chronic arthritis or disk bulge flare-up are also good can-didates, says Dr. Koplyay, “but they tend to come back after a few months for another shot.”

A patient can safely have three shots in a year’s time, but Dr. Koplyay warns that the shots themselves do not fix the root problem. Someone who needs surgery, for instance, can only buy

by Angeline Grenz

Peter Koplyay, M.D., Radiologist, Advanced Medical Imaging Consultants, uses high-tech imagery machinery to diagnose before administering treatment.

The trauma of a serious accident or sports injury can often leave a patient struggling with spine pain long after the more obvious injuries have been bandaged and healed.

MEDICAL PAIN MANAGEMENT

TherapiesPain Management

63


James Derrisaw, M.D., Anesthesiologist and Interventional Pain Specialist, Front Range Pain Medicine, LLC demonstrates a spinal cord stimulation.

pain relief for a limited amount of time. Side ef-fects from the steroid injections include a some-what suppressed immune system and a change in glucose metabolism.

AblATIONWhile injections have successfully allowed a

patient in pain to lead a normal life and avoid sur-gery, their benefits are limited. Patients who have more severe arthritis in the joints and spine, nerve impingement, whiplash victims, or those with degenerative disk disease may see short-lived pain relief from steroid injections and be better candidates for a procedure called radiofrequency ablation. This procedure involves the insertion of a needle into the nerves that serve a joint. “The nerves are heated to the point that they ‘blow up’

or essentially disintegrate,” according to James Derrisaw, M.D., anesthesiologist with Interven-tional Pain Specialist at Front Range Pain Medi-cine, LLC, Board Certified in Pain Medicine and Anesthesiology.

By burning the nerve endings near the joint, pain sensors are destroyed and patients experi-ence a measure of relief from chronic pain. Abla-tion is an outpatient procedure and requires three days of pain medication. In about a week “pa-tients feel a whole lot better,” says Dr. Derrisaw. The procedure generally lasts three to six months; sometimes a year “if you are lucky.”

For Matthew Guerrero, radiofrequency abla-tion has been the only treatment to provide him with any relief from spinal pain. In 2003, Guer-rero was involved in a life-altering automobile ac-

cident. A very active man in his thirties, Guerrero has had to learn to live with constant pain since his accident. “I suffered quite a bit of trauma in the accident and herniated a couple of disks.” Guerrero spent a year in physical therapy and on pain medication before he sought out a pain spe-cialist. His search brought him to Dr. Derrisaw.

“I am only 35. I didn’t want to rush into sur-gery or continue on pain medications,” explains Guerrero. He tried cortisone injections and local blocks, but nothing worked for any length of time. Dr. Derrisaw recommended radiofrequency ablation. Although Guerrero has to have the pro-cedure done every few months, he is now able to participate in the activities he loves, such as bas-ketball, softball, and golf. “I have improved drasti-cally. I have more flexibility, range of motion, and

Peter Koplyay, M.D., Radiologist,Advanced Medical Imaging Consultants

A good candidate for steroid shots are those who have had a flare up in the back or nerve pain that

is reasonably acute. These patients often need just one shot to ease the pain while the body heals

itself. Those who suffer from chronic arthritis or disk bulge flare-up are also good candidates.

6464

a lot more pain tolerance.” “Now, I am able to keep my pain medica-

tions low. My long term goal is to avoid surgery with the ablation procedure, physical therapy, rest and some medication,” says Guerrero. He finds the procedure to be “painless and pretty quick. Recovery time is nothing.”

spINAl COrD sTImulATIONWhile ablation can hold pain at bay for a time,

some patients may eventually have to look at new techniques to manage pain. “When it gets to the point that ablation only helps for a month or two, nerves find another tract through the body, or the

body continues to hold on to the memory of the pain, it is time for the patient to consider some-thing else,” according to Dr. Derrisaw. The next step for patients may be a new procedure called spinal cord stimulation.

Physicians are calling this procedure the “digi-tal drug” that can bring pain relief when medi-cation, steroid injections, and radiofrequency ablation have failed. The procedure involves im-planting electrodes into the epidural space near the spinal cord. The electrodes are connected to a battery device that is implanted much like a pacemaker. The device emits a faint vibration that overrides the pain. Candidates receive a trial im-plant in an outpatient surgery, lasting from five to seven days, to determine if the spinal cord stimu-lation will work for them.

If the procedure is a success, a permanent unit is implanted, a procedure requiring an over-night hospital stay. Once implanted, the battery lasts seven years on average. Like ablation, the procedure buys patients time, allowing them to continue without surgery. According to Dr. Der-risaw, current thinking among many pain special-ists is that surgery can lead to an increase in pain. “In the next ten to twelve years after surgery, the spine can become more unstable and the pa-tient may need to have more disks fused.” For

- James Derrisaw, M.D., Front Range Pain Medicine, LLC

Radiofrequency ablation. This procedure involves the insertion of a needle into the nerves that serve

a joint. The nerves are heated to the point that they ‘blow up’ or

essentially disintegrate The nerves are heated to the

point that they ‘blow up’ or essentially disintegrate.66

66

some patients, Dr. Derrisaw concludes, surgery may have no true benefit over physical therapy and medication, especially on young patients like Guerrero.

Living with spinal pain robs many of the joys of an active lifestyle. Many too, whether young or old, feel surgery is a last resort, choosing to turn to surgical techniques only when all other meth-ods of pain management have been exhausted. Today’s techniques can be life changing.

Procedures like a pinprick of cortisone pain relief, cauterizing nerve endings to dull the body’s pain sensors, or sending messages to the body to override the pain are all options available to help patients return to a relatively normal life. By con-sulting with pain specialists like Dr. Koplyay or Dr. Derrisaw, patients can tap into the latest technol-ogy to help them live better lives, in spite of their spinal pain.

Angeline Grenz is freelance writerliving in Fort Collins.

Matthew Guerreo, patient of Dr. Derrisaw, now plays golf without pain.

67


MEDICAL CARDIOLOGY

Diagnostic Electrophysiology for Heart Arrhythmia

A Return to Normal

Claude Wheeler was 58 when he had his first heart attack, the first one he knew about, anyway. His doctor told him it was likely he had had at least one mini heart attack in the past without even realizing what was happening.

by Angeline Grenz

At that time, his doctor told him his heart was no good. But Wheeler already knew that; his fa-ther had died of heart disease at age 73, his uncle at 70, and his brother at 55.

After Wheeler’s first diagnosed heart attack, the doctor inserted stents into his arteries and sent him home hoping this treatment would last six months, before he would need to return for bypass surgery. The stents lasted only six weeks. Less than a year later, in January 1999, he had a clogged bypass and had to find a new solution to keep his heart functioning. Wheeler’s doctor de-termined his heart’s electrical system was misfir-ing. Wheeler needed a combined pacemaker and defibrillator system to regulate his heartbeat.

Wheeler’s heart, while being regulated against beating too fast or too slow, was still working too hard. Like any muscle in the body, the harder the heart worked, the bigger it got. Because his heart was continually overworked, he felt sluggish all the time. Again, Wheeler’s heart needed some help. This time Wheeler visited Timothy Johnson, M.D., cardiologist with the Heart Center of the Rockies.

DiagnosisThrough a process called diagnostic cardiac

electrophysiology, Dr. Johnson was able to study Wheeler’s heart and the electrical system which kept it beating. This study is performed on per-sons who have been diagnosed with a heart

Tim Johnson, M.D., Cardiologist, Heart Center of the Rockies, listens for a healthy heart beat and steady breathing.

69


arrhythmia, faint repeatedly, or those who con-tinually feel their heart racing. Diagnostic electro-physiology helps doctors to determine the loca-tion causing the irregular heartbeat and the best method for treating the arrhythmia.

“The diagnostic electrophysiology is per-formed by inserting an intravenous line (IV) into one of the large veins of the body, typically the legs. Then a small tube with wires, called a cath-eter, is placed inside the vein up into the heart and the electrical signals from the heart are recorded,” according to Dr. Johnson. During the study, the heart is stimulated and allows physicians to pin-point the areas of stress. The study can last any-where from one to three hours.

TreatmentIf the physician determines the heart is beat-

ing too fast, they may prescribe ablation therapy where the heart tissue surrounding the arrhyth-mia is cauterized in a small area to prevent misfir-ing. “This often cures people of a problem that would have sent them to the hospital or surgery,” Dr. Johnson explains, adding “the procedure is 95 to 99 percent successful.”

Specialists may also elect to implant a defi-brillator into a patient whose heart is beating too rapidly. The defibrillator administers electri-cal shocks to bring the heartbeat back to normal.

Defibrillators are composed of wires inserted into the heart, usually through the large vein under the collarbone. The wires are connected to a gen-erator, which is placed under the skin in the chest region. The generator is roughly the size of a small beeper. The defibrillator’s “mini-computer” inter-prets signals coming from the heart and detects any dangerous or life-threatening misfires in the heart’s electrical workings. When a misfire is de-tected a shock is immediately administered. “It is like having a paramedic following you around with paddles all the time,” says Dr. Johnson.

When the heartbeat irregularity is causing the heart to beat too slowly, the cardiologist may rec-ommend a cardiac resynchronization device, such as a pacemaker. A pacemaker is also inserted into the chest. “The pacemaker provides a backup system in case your natural system fails,” says Dr. Johnson, “Pacemakers get the heart back to beat-ing as good as a healthy heart should.”

Ablation, implanted defibrillators, and pace-makers require out-patient surgery. Recovery time is generally short, with restrictions on heavy lift-ing and sports for up to two weeks. Patients who have had a device inserted into their chest are warned against lifting the arm near insertion over their head. Otherwise, recovery is quick with few complications.

Ablation therapy most often cures the prob-

lem. Defibrillators and pacemakers aid the heart in returning to near-normal function. Today’s im-planted devices allow a patient to be monitored constantly. If a patient’s device is required to give them a shock to return the heartbeat to normal, that information is sent to directly to the physi-cian. “We are able to have that information with-in twenty-four hours,” according to Dr. Johnson. Doctors can be fully informed of the functioning of their patient’s hearts before they come in for their scheduled check-ups.

Applied scienceDr. Johnson determined Wheeler had a sub-

stantially weakened heart muscle. “He was con-sidered to have heart failure. His heart was not pumping efficiently, leaving him weak, tired and short of breath.” Dr. Johnson inserted a third wire into Wheeler’s chest that assisted his heart in pumping at a normal level. The upgraded system, called cardiac resynchronization therapy (CRT), continually monitors Wheeler’s heartbeat and adjusts to help the heart beat in a more synchro-nized, natural way.

For Wheeler, the results of the procedure have been phenomenal. Wheeler’s CRT took place in February 2007. “I definitely have more energy now. I can exercise and I feel more relaxed.” The unit is the size of a beeper and was inserted near

- Timothy Johnson, M.D., Heart Center of the Rockies

Through diagnostic electrophysiology we hope to help diagnose the problem, find a cure for

some people, or install a device into others that will keep them alive and return them to normal

or near-normal functioning for many years.

A sample pacemaker that would be implanted by Timothy Johnson, M.D., Cardiologist, Heart Center of the Rockies.

A sample defibrillator.A drawing of a heart with three leads; the leads deliver small electrical signals to correct the timing of the heart.70

70

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his heart. The device is continually monitored from a machine next to Wheeler’s bed, and col-lects information, which it instantly sends to his physician. “It provides a wonderful safety factor. My doctor can automatically see what is going on. It is like someone watching over you twenty-four hours a day,” says Wheeler. The device’s monitor-ing system has cut down on the number of office visits Wheeler must make. Now, he only has to go into the office if the device needs to be adjusted.

Having CRT has drastically changed Wheeler’s quality of life, giving him peace of mind and a powerful new zeal for living. He carefully moni-tors what he eats, does not smoke or drink, and works in harmony with the device he feels has saved his life. He only regrets “these advances in medicine were not available when my father and brother died of heart disease.” As advances in cardiac medicine continue, Dr. Johnson says more patients are being given the opportunity to live longer, healthier lives. “Through diagnostic electrophysiology we hope to help diagnose the problem, find a cure for some people, or install a device into others that will keep them alive and return them to normal or near-normal functioning for many years.”

Angeline Grenz is freelance writerliving in Fort Collins.

Claude Wheeler is thrilled to be back to life before surgery.

71


ANNUAL FLOWERTRIAL GARDEN

AT COLORADO STATE UNIVERSITYThe outdoor display and test areas at the Annual Flower Trial Garden were established to

allow students, researchers, industry representatives, homeowners and extension personnel to learn, teach and evaluate through horticultural research and demonstration projects conducted

in the unique environmental conditions of the Rocky Mountain/High Plains region.

Donations to the CSU Flower Trial Garden endowment are welcome.

www.flowertrials.colostate.edu

Quality of personnel, commitment to integrity and ethics, as well as their strong reputation in the Colorado marketplace, made this union seamless.

We’ve got news....

Bryon White Dennis Sinnett Todd Piccone

Sinnett Builders, Inc., now a division of Milender White, will maintain the strong regional presence and long-term relationships that they have developed throughout Northern Colorado’s communities for the past 35 years. “Our goal to be the best general contractor

in Northern Colorado hasn’t changed,” said Dennis Sinnett, Founder of Sinnett Builders, Inc. “We simply have more horsepower now to tap into new market segments, perfect the markets we are in and offer our long-term employees even more opportunities.”

ABOUT MILENDER WHITEMilender White Construction Co. provides comprehensive pre-construction and construction management services throughout Colorado. Milender White prides itself on its ability to self perform both vertical concrete and wood framing, as well as participating in both the hard bid and negotiated markets.

ABOUT SINNETT BUILDERSSinnett Builders is a commercial general contractor, building projects throughout Northern Colorado since 1973. Their work includes site development, historical renovations, new construction and remodels. Sinnett Builders has constructed office buildings, retail developments, educational amenities, medical facilities, recreational projects, industrial and warehouse facilities, mixed use developments, religious assemblies and multi-family structures.

4557 Denrose Court • Fort Collins, CO970.493.1770 • www.milenderwhite.com Ability.

Continuing a tradition and values in our community, Sinnett Builders, a division of Milender White, will continue supporting the CSU Annual Trial Gardens and Poudre School District Foundation.

Mike Garcia - MC for Fundraising Breakfast and student at Centennial High School.

Katie Zwetzig, President, Matt Hoeven, Treasurer, Mike Demma Interim Director - PSD Foundation at the Fundraising Breakfast

2008 SPIE grant Recipient: Irish Elementary, Teacher Jeannie Craft, Teacher - David Autenreith and Principal Guillermo Medina

The Poudre School District Foundation works as a partner to support programs and fulfill needs that positively impact student achievement, making sure that every child learns to the best of their ability, regardless

of their ability.

Donations to the Poudre School District Foundation endowment are welcome.

www.psdfoundation.org

72

ANNUAL FLOWERTRIAL GARDEN

AT COLORADO STATE UNIVERSITYThe outdoor display and test areas at the Annual Flower Trial Garden were established to

allow students, researchers, industry representatives, homeowners and extension personnel to learn, teach and evaluate through horticultural research and demonstration projects conducted

in the unique environmental conditions of the Rocky Mountain/High Plains region.

Donations to the CSU Flower Trial Garden endowment are welcome.

www.flowertrials.colostate.edu

Quality of personnel, commitment to integrity and ethics, as well as their strong reputation in the Colorado marketplace, made this union seamless.

We’ve got news....

Bryon White Dennis Sinnett Todd Piccone

Sinnett Builders, Inc., now a division of Milender White, will maintain the strong regional presence and long-term relationships that they have developed throughout Northern Colorado’s communities for the past 35 years. “Our goal to be the best general contractor

in Northern Colorado hasn’t changed,” said Dennis Sinnett, Founder of Sinnett Builders, Inc. “We simply have more horsepower now to tap into new market segments, perfect the markets we are in and offer our long-term employees even more opportunities.”

ABOUT MILENDER WHITEMilender White Construction Co. provides comprehensive pre-construction and construction management services throughout Colorado. Milender White prides itself on its ability to self perform both vertical concrete and wood framing, as well as participating in both the hard bid and negotiated markets.

ABOUT SINNETT BUILDERSSinnett Builders is a commercial general contractor, building projects throughout Northern Colorado since 1973. Their work includes site development, historical renovations, new construction and remodels. Sinnett Builders has constructed office buildings, retail developments, educational amenities, medical facilities, recreational projects, industrial and warehouse facilities, mixed use developments, religious assemblies and multi-family structures.

4557 Denrose Court • Fort Collins, CO970.493.1770 • www.milenderwhite.com Ability.

Continuing a tradition and values in our community, Sinnett Builders, a division of Milender White, will continue supporting the CSU Annual Trial Gardens and Poudre School District Foundation.

Mike Garcia - MC for Fundraising Breakfast and student at Centennial High School.

Katie Zwetzig, President, Matt Hoeven, Treasurer, Mike Demma Interim Director - PSD Foundation at the Fundraising Breakfast

2008 SPIE grant Recipient: Irish Elementary, Teacher Jeannie Craft, Teacher - David Autenreith and Principal Guillermo Medina

The Poudre School District Foundation works as a partner to support programs and fulfill needs that positively impact student achievement, making sure that every child learns to the best of their ability, regardless

of their ability.

Donations to the Poudre School District Foundation endowment are welcome.

www.psdfoundation.org

73

Macular Degenerationby Connie Hein


Kent Crews, M.D., Vitreo-Retinal Surgeon, at Eye Center of Northern Colorado, P.C., explains what happens to the eye when macular degeneration occurs.

When Maxine Schwartz, an artist/sculptor from Greeley, began seeing strange reflections and shadows while doing everyday tasks around the house and began having a hard time with her detailed artwork, she immediately contacted her optometrist. He diagnosed her with macular degeneration, and referred her to Kent Crews, M.D., a Vitreo-Retinal Surgeon at Eye Center of Northern Colorado, P.C.

medical OpHtHalmOlOgy

Miraculous Treatment for

7474

Schwartz is just one of thousands diagnosed with the disease each year. The Macular Degener-ation Foundation, Inc. reports that, “Another case of adult macular degeneration is diagnosed every three minutes in the United States of America.”

The condition is a common symptom of the body’s aging process. Younger people, including infants and young children, do develop macular degeneration, though rarely. They do so in clus-ters within families, because of inherited, genetic conditions.

The macula is a small area in the center of the retina near the optic nerve. Age related macular degeneration (AMD) is a deterioration or break-down of the macula. About 85 – 90 percent of AMD cases are the dry, or atrophic form, in which yellowish spots of fatty deposits called drusen ap-pear on the macula. This form cannot be treated.

The rest of AMD cases are the wet form, so called because of leakage into the retina from newly forming blood vessels in the part of the eye behind the retina. Normally, blood vessels in the choroid bring nutrients to, and carry waste products away from, the retina. Sometimes the fine blood vessels in the choroid, underlying the macula begin to proliferate. When this happens, they leak, and cells in the macula are damaged

or killed. The principal symptom of macular degenera-

tion is reduction or loss of central vision, with re-tention of peripheral vision. However AMD can cause different symptoms in different people. Sometimes only one eye loses vision while the other eye continues to see well for many years. The condition may be hardly noticeable in its early stages. But when both eyes are affected, reading and other close duties can become difficult.

Symptoms of Macular Degeneration Include:

• Distorted vision such as straight lines appearing crooked and irregular

• Blurry distance and/or reading vision

• Dark gray spots or blank spots in your vision

• Size of objects may appear different for each eye

• Colors may not look the same for each eye

Dr. Crews suggests that after the age of 60 we should all make it a habit to check each eye regularly by simply covering one eye when read-ing, and then covering the other and doing the same thing. In early cases with spotty macular cell damage or dysfunction, the brain cleverly learns

to compensate and fill in the missing part of the picture. Thus, most people do not seek help until the disease is fairly advanced. The best advice Dr. Crews has for people experiencing any of these changes in vision is to seek help from your regu-lar eye doctor. As with any other vascular disease, early detection makes a big difference in success-ful treatment.

The newest and most successful treatment for AMD comes in the form of the drugs Avas-tin and Lucentis. Avastin therapy was initially used for cancer treatment. Maxine Schwartz, has been treated with Avastin injections for about a year with excellent results. Schwartz says she is so grateful for the treatment and care from Dr. Crews and his staff. “Dr. Crews is such a great man. I am so glad God brought him into my life and that he knew about the new treatment.” Schwartz’s vision problems made it very hard for her to do the work she loves, so for her this new drug treatment therapy was truly a miracle. “I would encourage anyone with a change in vision to have their eyes checked immediately. I think my treatments have been successful because I caught it early.”

The Avastin therapy treatment that Dr. Crews has administered for Schwartz is what he refers

- Kent Crews, M.D., Eye Center of

Northern Colorado, P.C.

For many years the prognosis for wet AMD

was grim. Although having injections can

seem like a hassle, the alternative may

be losing your vision permanently.

Ocular Coherence Topography Scans showing a patient who was treated for macular degeneration. Patient’s eye before treatment showing a fluid build up under the retina.

Patient’s eye post Avastin treatment showing absorption of fluid.

75


to as a miracle drug for patients. He has worked with patients with this disease for over 15 years. “I remember how depressing and hard it was to have to tell thousands of sometimes otherwise healthy patients diagnosed with AMD that there was nothing I could do to help them.” He knew these patients were losing not only their quality of life, but in some cases their independence. There had been expensive laser treatments using the drug Visudyne that had a small success rate, but because of the risk involved, few patients were even good candidates. Dr. Crews never used the procedure himself because of the expense for the patient and the low success rate.

Then around 2005 there was a new drug called Macugen that was fairly successful in slow-ing down the loss of vision caused by AMD, but did nothing to recover vision already lost. The miracle came about a year later when doctors us-ing Avastin to slow down tumor growth in cancer patients started research using the drug for AMD. Dr. Phil Rosenfeld of Miami started giving the drug as an injection in the body which was not very effective, and caused many side effects. But when he began testing the drug by injecting it di-rectly into the eye, he saw a remarkable improve-ment in AMD. Dr. Crews told us, “It became an overnight sensation for retina doctors everywhere who knew the research was being done, but ex-pected the process to be much slower. It was truly a miracle treatment like I had never seen.”

Crews explains that Avastin is not actually a drug, but an antibody. It is injected directly into the cavity of the eye. There is generally little or no pain from the injection since there is an anes-

thetic given before the treatment. Current recom-mendations call for 2-3 injections spaced about a month apart. Some patients have an immediate and dramatic response and do not require further injections for many months. Others show a less impressive response, but still benefit from injec-tions spaced every 1-3 months. For some patients this “maintenance therapy” can go on for years. In a very few cases, there is little or no response to therapy.

In these cases, Crews sometimes tries Lu-centis, which is a form of Avastin that has been molecularly cut in half. This makes it easier to reach the small blood vessels under the retina. It is much more expensive, and usually no more ef-fective than Avastin, so is infrequently used by Dr. Crews.

He adds, “For many years the prognosis for wet AMD was grim. Although having injec-tions can seem like a hassle, the alternative may be losing your vision permanently.” For Maxine Schwartz and patients like her who want to con-tinue living a full, active life and be able to enjoy their passions, Avastin is truly a miracle.

For more information on AMD, its symptoms and treatments, contact your eye professional, or Eye Center of Northern Colorado, P.C., (970) 221-2222. Or visit www.eyesight.org a site fund-ed by the Macular Degeneration Foundation.

Connie Hein is a freelance writer living in Windsor and the author of the Toliver in Time series of children’s books.

Maxine Schwartz, artist/sculpture enjoys returning to her bas relief artwork after successful macular degeneration treatment.7676

Omega-3 fatty acids are found in fatty fish and other foods. Their importance in heart disease prevention is well document-ed. Now new research suggests that eat-ing fish or taking fish oil may help slow or prevent age-related macular degeneration (AMD).

A Health Alert published by University Health Publishing for Johns Hopkins Medi-cine states, “Eating oily fish like salmon, herring, tuna, and mackerel one to three times a week appears to cut the risk of age-related macular degeneration.

In a study at the University of Sydney Eye Clinic in Australia, researchers fol-lowed nearly 3,000 men and women for five years. Those who ate fish once a week had a 40% reduced risk of early age-relat-ed macular degeneration compared with those who ate fish only once a month; those who ate fish three times a week had a reduced risk of late AMD.”

Kent Crews MD, a Vitreo-Retinal Sur-geon at Eye Center of Northern Colorado, P.C. believes that fish oil is great. He and his family take it regularly for general good health. “Anything that is good for your heart health is also good for your eye health. Macular degeneration is basically a vascular problem as is heart disease.”

However, he does not necessarily agree with the Australia study. “When it comes to AMD, supplements get more attention than they deserve. There is not enough re-search to prove that fish oil or any other supplement has any direct affect on AMD.” Instead he encourages everyone to work on all aspects of a healthy lifestyle to promote good eye health. His suggestions include eating a healthy diet, regular exercise, no smoking, maintaining a healthy blood pres-sure (130/80 or less), and keeping blood cholesterol at low levels.

Fish OilEye Health

77


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82Our game plan is ER care within 30 minutes for our patients. Take Brenton for example. Last year was his

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headache and was lethargic. Brenton and his parents were scared, but the quick emergency care he received

at McKee Medical Center made them feel a lot better. He was able to see a doctor in only 20 minutes because

of McKee's streamlined ER that's zoned to treat the needs of each patient based on the severity of their medical

problem. Our highly skilled team took the time to calm Brenton's fear, while running the required tests that

eventually cleared him to get back in the game. McKee Medical Center. Remarkable health care inspired by you.

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Fort Collins Medical Magazine & Directories 2008 2009 83

Smilesby Jason Webb


Tom Overton, D.D.S., verifies his patient’s tooth brightness after her BriteSmile® treatment.

You may remember an episode of Friends where David Schwimmer’s character, Ross, gets his teeth whitened. The comical results left Ross with teeth so heavily bleached they literally glowed in the dark. Of course, that kind of stuff only happens on television, and whitening your teeth won’t let you read a book by them in the dark. But, how does it work? Is one system better than others?

WELLNESS DENTAL

BrighterMost people know about the various home

teeth whitening systems – the strips, trays, and toothpastes – which do get some results. Most of these systems use a peroxide base that bleaches the stains out of the teeth. Unfortunately, these systems usually only whiten the teeth by one or two shades. That may work for some people, but to get truly dramatic results, expect a trip to a cos-metic dentist, like the one at the Overton Center for Dental Arts, P.C.

Tom Overton, D.D.S., says his practice has whitened teeth for people as young as 14 and as old as 86. He believes one of the chief benefits of a whiter smile is the dramatic improvement in self-confidence, since people smile more readily when they have nice, white teeth. “I would rec-ommend teeth whitening for anyone except for the really young,” says Dr. Overton.

Considering the range of cosmetic pro-cedures available, whitening your teeth is the least invasive option for improving your looks. It doesn’t hurt like plastic surgery, orthodontics or many other cosmetic improvements, but the re-sults can make a huge difference for someone who is insecure about his or her smile.

A dentist has the advantage of having unique

8484

tools and processes incorporated into their prac-tice, allowing them to provide significantly better results than the over-the-counter products. At the Overton Center, patients can choose between two different systems: The $600 BriteSmile® Sys-tem and a $350 tray system. “Both systems work equally as well, but the length in time for each is the main factor,” says Dr. Overton.

BriteSmile®, an in-office treatment, takes just shy of two hours to complete. “We put a gel on your teeth and use a high-intensity light to activate it,” explains Dr. Overton. “This takes about twenty minutes, and then we clean off the gel and do it again.” After three or four cycles of applying the gel and activating it with the light, the patient can go home. The process is gener-ally comfortable for the patient, because sensitive gums are protected from the gel and the light.

Before the patient leaves, Dr. Overton sug-gests certain tips for care. “The teeth are dehy-drated after having the treatment done. As they rehydrate, it’s best to avoid dark colored drinks for 24 hours.” The results make skipping that cup of morning coffee well worth it. “Typically, BriteSmile® treatments lasts for three years.” Maintaining your new BriteSmile® is as easy as brushing your teeth.

Tom Kaufman, a Ph.D. in Educational Admin-istration, decided to freshen up his smile using the BriteSmile® system not very long ago, and he hasn’t regretted it since. The 68-year-old retired junior high school principal had seen the results

- Tom Overton, D.D.S., Overton Center for Dental Arts, P.C.

One of the chief benefits of a whiter smile is the dramatic improvement in self-confidence, since people smile

more readily when they have nice, white teeth. “I would recommend teeth whitening for anyone except for the

really young.

one of his sons had from BriteSmile®, and he knew it was the right choice for him. “The office was very efficient,” Kaufman says. “They knew what they were doing and were very careful of taking care of my gums during the process.”

Kaufman had tried the standard whitening toothpastes, but had never ventured into the realm of whitening treatments. When faced with choosing between the trays and BriteSmile®, the choice was simple. “I didn’t want to mess with the trays because I’m pretty busy,” says Kaufman. “I prefer to spend the money and get it done right away.” The results for Kaufman were more than what he expected. Most patients’ teeth whiten by six shades, which is average with the BriteSmile® method, but for Kaufman, his teeth whitened by a full 10 shades, based on shade matching tests done before and after the procedure.

The alternative to BriteSmile® uses trays that the patient wears over their teeth. Tray whitening with the Overton Center is very similar in concept to the over-the-counter tray systems. With the store-bought trays, you put a small amount of gel into each tray and place them over your teeth. For tray whitening with a cosmetic dentist, the pro-cess starts with an impression of the teeth, and then, a laboratory manufactures custom trays. “Custom trays fit better and get the gel up next to the teeth, allowing a higher concentration,” says Dr. Overton, and consequently, they use less gel.

“With the trays, the patient takes them home and wears them there,” says Dr. Overton. “They wear them for 15 minutes a day for 14 days.” By putting a small amount of hydrogen peroxide-based gel into each tooth’s spot in the tray, the gel can coat the teeth more evenly than the store-bought brands. As the patient wears the tray, the gel penetrates the teeth and begins to whiten them. Because a laboratory custom-designs each tray to fit individual patients, they have proven to be more effective than the whitening trays com-monly found at the grocery store.

Early in May, Shawn Debauch decided to take the plunge and try teeth whitening. He had considered getting his teeth whitened, but heard about mixed results with the over-the-counter products. “My teeth had some stains from cof-fee drinking, and the staff at Dr. Overton’s rec-ommended the tray whitening,” says Debauch. “I thought the procedure was really good. It defi-nitely made a difference.”

Through the two weeks of wearing the trays,

Debauch, who runs the communications divi-sion of one of the largest electrical contractors in Colorado, would put the trays in after brushing his teeth at night and sit and read a book. “I had played football, so the trays were nothing com-pared to a mouth guard,” says Debauch. The only two negatives Debauch can think of are the taste of the gel, which he admits isn’t that bad, and the fact that too much gel in the tray can cause a slight, temporary burning sensation. “I can’t think of any real negatives to say about it. It was well worth the price.”

When asked about potential side effects with teeth bleaching, Dr. Overton says no studies have shown problems with the procedures. Plus, since a BriteSmile® treatment or custom tray whitening only come from a qualified dentist, patients can safely whiten their teeth with incredible consis-tency. Potential patients should know, however, that whitening affects yellow stains more easily than gray ones, which are commonly caused by tetracycline antibiotics.

If you look in the mirror and want to see a brighter white smile, teeth whitening may be for you. You can call the Overton Center for Den-tal Arts, P.C. at (970) 223-6677 to schedule an appointment for any regular or cosmetic dental work.

Jason Webb is a freelance writerwho lives in Johnstown.

Dr. Overton is lighting up smiles all over town.


BriteSmile has a single purpose:Brightening lives by brightening smiles.

Now is the perfect time to look and feel better about yourself with a whiter, healthier, and more confident smile. Let's face it — one of the first things you notice about people is their smile.

When you meet someone with a bright, natural smile, it catches your attention. However, over time, nature's aging process and your lifestyle (smoking or drinking coffee, tea, or wine) can

stain or discolor your teeth.




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Cigarettes are efficient. Not only do they gen-erate billions of dollars, but it only takes them 365 days to kill half a million people. Think about it this way, if killing people was an industry, Big Tobacco would hold the monopoly.

Do me a favor. Stop and pull ‘smoking’ out of your brain’s filing cabinet real quick. I know where you’ve filed it; with the other ‘bad for you’ things, like sunburn, weight gain, dehydration etc., that any new reason WHY they’re bad we’ve essentially tuned out. What do you have in your smoking file? Is there substantial evidence to sup-port your decision to be (and stay) smoke free? I’d like to offer praise for those who abstain, as well as information and courage for those who are brave enough to take the first step to quit-ting.

Did you know that cigarettes are special? Yes, according to the American Cancer Society, “ciga-rettes are the only legal product whose advertised and intended use -- smoking -- is harmful to the body and causes cancer.” Ask people why smok-ing is bad and most will say, “Because you can get lung cancer.” Newsflash: most smokers are not living long enough to get lung cancer.

Lighter fluid, batteries, vinegar, sewer gas, poison, carbon monoxide, rocket fuel, paint, am-monia, insecticide, toilet cleaner, industrial sol-vents, candle wax and barbeque lighters. What a tasty little cocktail. These are just some of the chemicals you inhale when you smoke. Gross. Go clean your house with those chemicals.

Do you have safe sex? Do you ask for a sober ride when you need one? Do you buckle your seatbelt? Do you have a smoke detector and a fireproof safe in your home? The majority of us answer yes to each question. Why? Preven-tion. Keep your answers in mind and ponder this:

Smokingby Meredith Dody-Hettler

“Genocide, that’s what it was, enough to make you weep, if you had a heart, the thought of so many of these … victims, their lives stubbed out upon the ashtray of corporate greed.”-Thank You For Smoking author, Christopher Buckley.

WELLNESS PULMONARY HEALTH

Thank You For Not

BriteSmile has a single purpose:Brightening lives by brightening smiles.

Now is the perfect time to look and feel better about yourself with a whiter, healthier, and more confident smile. Let's face it — one of the first things you notice about people is their smile.

When you meet someone with a bright, natural smile, it catches your attention. However, over time, nature's aging process and your lifestyle (smoking or drinking coffee, tea, or wine) can

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problem, is the fact that nicotine is a powerful va-soconstrictor (decreasing the diameter of the arte-rial vessels). Imagine trying to force more water, at a much faster speed, through a smaller pipe. Eventually the stress would cause the waterway to leak, or the pipe would burst, right? Our “wa-terways” are our arteries, and, instead of water, they transport oxygen and nutrients to all parts of the body. Without proper sustenance (oxygen and nutrients), our extremities will rot, and in the case of Buerger’s disease, amputation of limbs can soon follow. As if this could get anymore dis-mal, but the induced stress on the arteries causes stores of cholesterol and fat to be released into the blood, thus posing significant risk for clogs to form in the arteries.

Not only does smoking destroy the body of the smoker, but also it does significant damage to the non-smoking population. So, before any-one tries to argue the point about how smoking is your right, let’s talk about secondhand smoke. Secondhand smoke is serious, especially when children are exposed to it because their lungs, brain and bodies are still developing. The Ameri-can Lung Association reports that 35% of children

(21 million) are growing up in a smoking home. They also report noticeable levels of a nicotine breakdown product in their blood. Secondhand smoke kills thousands of non-smokers every year, and while it may be your “right” to smoke, it is not your right to harm others in doing so.

Too bad the progressive damage is only evi-dent internally. If the grotesqueness could be seen on our external bodies, I think more people would quit in order to preserve their appearance for the general public. Imagine going to meet up with clients with a black and sticky limb? Yuck. Or, how could someone take you seriously with a dis-integrating, bloody, body part?

Talk to me about quitting…..A common roadblock to quitting is in break-

ing down the “it won’t happen to me” attitude. Some interesting research has been conducted, findings that bring up reasons other than lung cancer to encourage smokers to kick the habit. Are you aware that quitting smoking greatly lowers the chances of complications during any surgery? How about the fact that every single non-smoking day shows marked improvement in immune function? Stopping smoking is one of

the greatest factors in enhancing sexual function-ing. Non-smokers are viewed as better and more sophisticated, more self-disciplined, more mature, more dateable, wiser, more attractive, and young-er than smokers, even by smokers!

A humorous quote I read recently read: “I de-cided to give up cigarettes in two stages. First I’m going to give up smoking my cigarettes…and then I’ll give up smoking other people’s.” In reality, smoking cessation is a day-by-day feat to accomplish. Taking it one day at a time, using nic-otine replacement therapy in addition to counsel-ing, rewarding yourself for small milestones, and having a supportive friend or family member to cheer you on, all greatly enhance the chances for success. Within only 20 minutes, the body starts to repair itself from smoking-induced trauma. Why not start now?

Meredith Dody-Hettler is a 24-year-old, who credits her competitive figure skating training and it’s mandatory focus on healthy living, for being the reason she has developed such a passion for heath & wellness.

smoking slaughters more people than AIDS, alco-hol, drug abuse, car crashes, murders, suicides, and fires – combined. When smoking cigarettes is the most preventable cause of early death in the United States, why is it we, as a whole, are more consistently and proactively trying to pre-vent those things which are to a greater extent unpreventable?

Fort Collins has been breathing clean air for about five years now. It was in 2003 that the Fort Collins Smoking Ban went into full effect, prohib-iting smoking in most public establishments. By 2006, the entire state of Colorado became smoke free with the passage of the Colorado Clean In-door Air Act; law which mandated local govern-ment ordinances be no less restrictive than their statewide counterpart. Thus, to align the smok-ing restrictions set by the city with those set by the state, Fort Collins had to eliminate the exemptions they’d previously made in the ban’s 2002 debut.

According to the CDC, the major players in smoking related deaths are: lung cancer (killing roughly 124,000), heart disease (108,000), and the “chronic” lung diseases, which include em-physema, bronchitis, and chronic obstruction of the airways (90,000). Lung issues such as chronic obstructive pulmonary disease (COPD) are respon-sible for that un-mistakable smokers cough, which

should be evaluated by a physician to establish the extent of airway damage.

Enter Brent Peters, M.D. A graduate of the University of Kansas School of Medicine, Dr. Peters will be joining the practice at Northern Colorado Pulmonary Consultants, P.C. in July, where he will be treating patients with pulmonary diseases and dealing with those with decreased pulmonary functionality. “COPD is non-reversible condition, which is due to constant inflammation.” Symp-toms include: Shortness of breath (dyspnea) per-sisting for months to years, wheezing, decreased exercise tolerance, and cough (with or without phlegm). Dr. Peters just moved to Fort Collins, Colorado from Iowa, where he taught at the University of Iowa. While on faculty in Iowa, Dr. Peters focused on pulmonary, critical care, and occupational medicine where he both evaluated for, and managed lung transplantation proce-dures. Of the 2000 lung transplants per year, 50% were necessary because of COPD conditions began worsening in patients. COPD poses such a threat because any respiratory infection, becomes a potentially life-threatening sickness. For those patients, it is not just a matter of getting put on antibiotics and then going on with their lives. Dr. Peters stated that there is more to be learned about COPD, although in the patients he sees,

roughly 90% of those he diagnoses with COPD are smokers. Diagnosing the condition is done at Northern Colorado Pulmonary Consultants, P.C., at their Pulmonary Function Lab. Here, the physicians determine how well patients’ lungs are functioning, and just how well they’re breathing.

Lung disease/cancer should not be the only life-threatening concern for the smoking popula-tion; circulatory disease is responsible for a great number of the smoking-related deaths everyday. In the previously mentioned chemical cocktail, maybe you noticed that the infamous nicotine was not mentioned. I’m sure you didn’t know that I was referring to it when I listed insecticide as one of the nasty ingredients in a cigarette. Nicotine is the addictive component in cigarettes, and is far more powerful than one might imag-ine. Faster than an intravenous administration of a drug (IV), inhaling nicotine takes only 6 seconds to reach the brain. Nicotine is also single hand-edly responsible for the whirlwind of physiological symptoms of withdrawal, which is why it is hard to quit. Not only addictive, but nicotine, along with carbon monoxide, pose the biggest threat regard-ing the onset of circulatory disease. Nicotine is classified as a stimulant, which means that imme-diately following that first puff, both your blood pressure and heart rate go up. To exacerbate the

- Brent Peters, M.D., Northern Colorado Pulmonary Consultants, P.C.

COPD (chronic obstructive pulmonary disease) is a non-reversible condition, which is due to constant inflammation.” Dr. Peters

stated that … roughly 90% of those he diagnoses with COPD are smokers.

88


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Since the FDA now requires all products to be labeled with the amount of trans fats in each serving, we as consumers have been bombarded with new information about fat content. But for those of us who shop for the idyllic “zero” label on our groceries, reading beyond that label can be shocking when it comes to trans fats.

Though the FDA requires trans fats to be la-beled on foods, they allow up to .49 grams of trans fats per serving before a company has to label their product. According to Jenifer Bowman, Registered Dietitian at Heart Center of the Rock-ies, “It’s a good thing that the FDA [requires com-

The Monster Behind the Zeroby Erica Pauly

Just when we thought that saturated fat was our biggest enemy, trans fats made their entrance. According to Melissa Wdowik, the Director of Colorado State University’s Nutrition Center, “Trans fats were created by food companies to save on costs and spoilage. They are less expensive than other fats and they will keep a long time without going bad.”

Trans Fats

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The Monster Behind the Zeroby Erica Pauly

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panies to label their products with the amount of trans fats in them], but we still have to read the ingredient list for hydrogenated or partially hydro-genated fat.”

Even if a label claims that a food has zero trans fats, the ingredient list is more specific. If partially hydrogenated fat or hydrogenated fat is written anywhere on the ingredient list, you can be sure that there is .1 to .49 grams of trans fat in each serving of your food.

So what exactly ishydrogenated fat?

Bowman explains, “It is a man made fat. You

take liquid oil and turn it into a solid by adding hydrogen to it. Since it is man made, our body doesn’t need it; that is why there is no recom-mended daily amount.” Therefore, our bodies are better off without any trans fats at all. Trans fats are usually hiding in nutrient poor foods like fast food and frozen fried foods.

With more people on the lookout for trans fats, people like Melissa Wdowik, are approached with many questions, concerns and interest on the topic of trans fat. “People do seem to know [what trans fat means] and know to watch out for it on labels. What they often don’t understand is the fact that a food can have up to .49 grams per serving, so eating several servings of that food can contribute a lot of trans fat to the person’s intake.”

Both Wdowik and Bowman suggest that consumers read every ingredient in the product to look for “hydrogenated fats,” rather than the overall assessment of trans fat content.

So the next time you are about to buy your favorite ‘zero trans fat’ product, you may want to take a closer look and read the ingredient list; a monster may be lurking.

Erica Pauly is Editorial Internfor Style Magazine.

91

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Now this may not necessarily come as a big surprise to some of you. After all, these findings are mentioned in the news regularly. Yet most of us are doing very little, if anything, to combat this emerging health threat.

According to the National Institutes of Health, it is estimated that more than 60% of American adults are considered to be overweight and ap-proximately 20% are obese. These rates are rising each year and it is believed that if these trends continue, all Americans will be significantly over-weight by the year 2030. Notice that I didn’t say most Americans…I said ALL Americans!

Likewise, the potential health risks that are as-sociated with being overweight or obese have also significantly increased. There is a 33% rise in those who suffer from diabetes as a result from being overweight in the past decade alone! Heart dis-ease and hypertension are also rising at an alarm-ing rate. In fact, the National Institutes of Health also states that approximately 400,000 people die in America each year as a result of disease and weight related health problems. This number is also predicted to rise dramatically within the next few decades. What makes this statistic even more

Through Exerciseby Jimmie Laney, CFT, SAF


Jimmie Laney, CFT, SAF, Personal Trainer, works out with client Holly Huett-Faatz at Pulse Fitness Center.

Having trouble finding the right incentive to get out and exercise? Well, perhaps these facts will get you motivated. The number of people in the United States who are overweight or obese has reached epidemic proportions.

WELLNESS DISEASE PREVENTION

Disease Prevention

93Fort Collins Medical Magazine & Directories 2008 2009 93

disturbing is that these deaths are mostly prevent-able. In addition to diabetes and heart disease, a myriad of other diseases and health problems can develop, diseases such as certain types of cancers, depression/anxiety, fatigue, osteoporosis and os-teoarthritis - to name but a few.

If we recognize the problem, how do we solve it? What can you do to take charge of your health and develop a strategy for successful weight man-agement. There are several options available. First and foremost, become active! One of the primary reasons for our nation’s health problems is the inactive and sedentary lifestyle that many of us lead. Many of us rarely make the time or the ef-fort to be more active. On average, Americans exercise only 15 minutes per day and watch more than 150 minutes of television.

There are very simple things that you can do to help yourself become more active. For exam-ple: have you ever gone to the grocery store or the shopping mall and spent 15 minutes driving around the parking lot looking for a space that was as close as possible? Next time, try parking at the far end of the lot and walking to the build-ing instead. Ever taken your car to the car wash? Sure, we all have! Next time your car is dirty, grab a bucket and rag and wash it yourself. When you’re at the airport or in a large office building, use the stairs instead of the elevator or escalator. Believe it or not, these simple changes in everyday lifestyle habits can make a significant difference in the long run.

For those of you who may be considering joining a gym to begin a regular workout routine, remember to start out slow and take it easy. A well-rounded exercise program should consist of resistance or weight bearing exercises that are specifically designed to target all the major mus-cle groups of the body. In addition to resistance training, cardiovascular or aerobic exercise should also be included as well. Riding the stationary bike and/or walking on the treadmill are great ways to accomplish this. A certified personal fitness trainer can help you put together a regimen that is cus-tom tailored to your specific needs and goals

Physical activity in weight management and disease prevention is just as important as develop-ing a sensible and well balanced diet. Does this mean that you need to deprive yourself of the “good” foods that you enjoy? Absolutely not! You can still eat the foods that you like, just do so sensibly and in moderation. If you think that this may be difficult for you to do, you may want to consider meeting with a registered dietician or nutritionist. They may have some simple ideas and suggestions to help you develop a balanced and realistic eating program that you can stick to.

Remember that ultimately, the key to your healthy future is in your hands. Don’t think of it as dieting and exercising for a specific period of time. Rather, you should develop healthy lifestyle habits, and then make them a permanent part of your life. If you get frustrated and discouraged, that’s okay…we all do. Just remind yourself that it will take time to adjust and see significant results. After all, Rome wasn’t built in a day. Rest assured that you are doing the right thing and it’s going to pay off!

Jimmie Laney is available for one-on-one personal training at Pulse Fitness Center at(970) 490-1300.

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With food prices increasing and incomes falling, maintaining a healthy and balanced diet has become an increasingly expensive life-style to sustain. According to Melissa Wdowik, the director of the Colorado State University Nutrition Center, “Fruits and vegetables are the first things to go when money is an issue.” When the fruit and vegetables are removed, the sugar and fat move in to fill the gap. But continuing to shop and eat healthy may not be as expensive as you think. Melissa has a few easy tips on how to cut costs while still maintaining your health.

She says, “Plan ahead and stick to your list. This can eliminate extra money spent on junk food or impulse buys. Instead of eliminat-ing fruits and vegetables, buy produce that is on sale, and buy just enough that you won’t waste any of it. As a supplement to fresh pro-duce, try frozen fruits and vegetables.

Don’t shop when you are hungry, every-thing looks enticing on an empty stomach. Buy the store brand because typically you can-not taste the difference. Also remember that beans and eggs make very nutritious and inex-pensive low-fat protein alternatives.” In order to cut costs on shopping trips, Melissa also suggests cutting down on soft drinks, bottled water, and juice drinks. By sticking with tap water, a consumer will save money and put fewer calories in their body; a win-win situ-ation.

Colorado State University offers a weight management class to the community that also includes many ideas for eating on a budget. For more information about the Nutrition Center or to find out more about the Weight Management class offered by CSU, you can visit www.fshn.cahs.colostate.edu/nutrition-center.asp online.

Erica Pauly is Editorial Intern at Style Magazine.

by Erica Pauly

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Richard W. Lindeberg, DDS, MS 1120 E. Elizabeth St., G4 ...............970.221.50502996 Ginnala Dr., Ste. 101 (Loveland) 970.221.5050See ad on page 89

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HEALTH CLUB ::Fort Collins Club1307 E. Prospect Rd ....................... 970.224.CLUBwww.fortcollinsclub.netSee ad on page 94

Pulse Fitness Center2555 S. Shields St. ..........................970.490.1300www.fortcollinspulse.comSee ad on page 93

HOME/DURABLE MEDICALEQUIPMENT (DME) ::Mobility & More1447 N. Denver Ave. (Loveland) .........970.461.8400www.mymobility.bizSee ad on page 95

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MASSAGE THERAPY ::Intuitive Touch Massage-Dianne Batchelder, CMT420 S. Howes St., Ste.100. .............970.222.3128See ad on page 94

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After talking with local experts about ED, it turns out to be a bit more complicated than that. Our experts agree that the choices men make in life can lead to degeneration of the erectile tissue and blood flow in the penis and the development of ED. Smoking, drug use or alcohol abuse, partic-ularly over a long period of time, will compromise the blood vessels of the penis. Lack of exercise, high cholesterol, hypertension, and a sedentary lifestyle may also contribute to the development of ED. Correction of these conditions will improve overall health, and may in some individuals cor-rect mild ED. If changes in lifestyle do not help, then seek assistance from your doctor.

According to Saul Hopper Ph.D. and Licensed Clinical Psychologist in Ft. Collins, almost all men experience ED in varying degrees at different points in their lives, and the treatment for ED is often not as simple as taking a pill. ED is not nec-essarily just a physical dysfunction, but can also be an emotional problem. Dr. Hopper believes that men and women view sex in such different ways that ED can in part be caused by something as simple as a lack of communication between part-ners.

He says, “Men buy into many cultural myths about the erection during intercourse. For most men it is like a competition they brag about in the

MEDICAL MEN’S HEALTH

Erectile DysfunctionSolutions for

Watching even a minimal amount of television these days can make you feel like an expert on erectile dysfunction (ED) treatments. In the many advertisements for Viagra, Levitra, and Cialis, the handsome man takes a little pill. Then the beautiful woman and handsome man have big bright smiles and are seen enjoying fun, relaxing activities in warm, beautiful settings.

by Connie Hein

99


locker room. It is something they feel they must perform or achieve. With women the actual act of penetration in sex is not always the most satisfy-ing part of intercourse.” These differences make life difficult when a man does start experiencing ED. He often starts having feelings of inadequacy, which then distracts him so that he is unable to concentrate on the pleasure of the sexual experi-ence. Dr. Hopper adds, “Even when his partner honestly assures him that it is not important that he perform, the man thinks his partner is just be-ing kind and trying to make him feel better.” Men need to be able to take the pressure off them-selves and just enjoy the experience of being with their partner and learn how to give and receive

pleasure. Spouses need to understand that a lack of desire for them is not the reason for the ED. The stronger the desire for his partner the more pressure the man feels to perform. It becomes a vicious cycle.

Dr. Hopper does couples counseling and is often in a position of explaining to men that hav-ing meaningful, satisfying, sexual experiences has more to do with learning to relax and enjoy one’s partner without all the pressure to perform and achieve. Men and their partners can experience considerable relief from learning to shift their fo-cus, and to reframe how they approach sex.

When asked about the drugs on the market today for ED, Dr. Hopper says he believes them to

be very effective and added, “There have been definite benefits to the drug companies spending millions to advertise drugs such as Viagra, Levitra, and Cialis.” The advertising has been instrumen-tal in getting men to talk to their doctors about ED. This has probably been a factor in the early detection of other serious illnesses that may be associated with ED. “The drug companies started using the term ‘erectile dysfunction’ instead of impotence that had carried such negative con-notations. This change in attitude has made men feel better about discussing ED with their physi-cians.”

Hopper adds that the only negative part of the Viagra craze is some men’s continued mis-

- Saul Hopper Ph.D. Licensed Clinical Psychologist

ED is not necessarily just a physical dysfunction, but can also be an emotional

problem. … Men and women view sex in such different ways that ED

can in part be caused by something as simple as

a lack of communication between partners.

- George Phillips, M.D., Urology Center of the Rockies

Dr. Phillips believes that the three drugs prescribed for ED are all very effective.

The drugs are taken approximately 30 minutes

before intercourse… If erectile function returns

with the oral medications and the patient is satisfied, no further diagnosis and treatment are necessary.100

100

perception. When men believe the only way to satisfy a woman has to do with the size and du-ration of their erection and do not address any other relational challenges, the medication is not going to be very effective. Sometimes when men take prescription medications for ED they make more demands on the women in their lives with-out making any changes in intimacy which causes relationship problems.

George Phillips, M.D., one of the partners at Urology Center of the Rockies with offices in Fort Collins and Loveland, agrees with Dr. Hopper, that there is usually a combination of physical and emotional problems associated with ED. He says “If while doing the patient history we find there are emotional factors such as depression that have not been dealt with, we recommend getting them taken care of as part of the treatment plan.”

He believes that the three drugs they do prescribe for ED are all very effective. The drugs are taken approximately 30 minutes before inter-course. Viagra, the drug that has been on market the longest, should not be taken on an empty stomach. Levitra and Cialis are equally as effective as Viagra and can be taken anytime. The effects of Viagra and Levitra last from 3-6 hours while Cialis may last up to 36 hours. Dr. Phillips says that recently the manufacturer of Cialis has promoted using it in smaller doses on a daily basis to make sexual relations more spontaneous. But this is a new concept that he has not tried with patients. He prescribes the drug that seems to best fit the needs of the individual.

If erectile function returns with the oral medi-cations and the patient is satisfied, no further di-agnosis and treatment are necessary. If the initial treatment response is inadequate or the patient is not satisfied, then further steps may be taken.

Dr. Phillips says that men who find the drugs to be ineffective have another option: an injection of arterial dilator medication directly into the base of the penis approximately 5-15 minutes before intercourse. He says this is a stronger drug and often works when the oral medications fail, but most men are not excited about giving themselves injections. The last resort is usually a penile pros-thesis which uses pumps and cylinders inside the penis. He says, “This procedure has come a long way in the past 20 – 25 years… Patients are gen-erally very satisfied with the results.”

Erectile dysfunction is very complicated in terms of its scope of emotional and physical ramifications. Symptoms may include weakness, fatigue, and low levels of sexual desire, lack of energy, mood disturbances, and depression. Drs. Hopper & Phillips agreed that generally ED can be successfully treated with a combination of lifestyle changes, counseling, and medical treatments.

The first action for men experiencing any of the symptoms should be to see their doctor who will help them make informed decisions about their treatment options.

For more information on treatments for ED, call Dr. Saul Hopper at (970) 221-0118 or Dr. George Phillips or any of the qualified physicians at the Urology Center of the Rockies at (970) 484-6700.

Connie Hein is a freelance writer in Windsor and author of the Toliver in Time series of children’s books.

101


According to Rob Baer, M.D. at Orthopaedic Center of the Rockies in Fort Collins, “Your first sign of problems may well be a fracture.”

Any bone can be affected, but of special con-cern are fractures of the hip and spine. A hip frac-ture almost always requires hospitalization and major surgery. It can impair a person's ability to walk unassisted and cause prolonged or perma-nent disability or even death. Dr. Baer cautions, “Of those who suffer a hip fracture, 25 percent will die within one year, and another 25 percent cannot walk across a room unaided after six months.” Spinal or vertebral fractures also have serious consequences, including loss of height, severe back pain, and deformity.

Osteoporosis, which means “porous bone,” is a disease characterized by low bone mass and structural deterioration of bone tissue. According to Dr. Baer, “With osteoporosis, the bone main-tains the same mineral composition, but the spac-es are larger in between, thus severely weakening the bone structure.”

Put in simpler terms, osteoporosis is a condi-tion where the bones become so vulnerable that they can fracture from minor falls, or even from something as simple as a sneeze. Spinal fractures may initially be felt or seen in the form of severe

and You by Laura Lee Carter


Angela King, M.D., FACOG, The Women’s Clinic of Northern Colorado and a staff member demonstrate a bone density test.

Osteoporosis is a disease where bones become fragile and more likely to break as we age. If not prevented or left untreated, osteoporosis can progress painlessly throughout the years, until a stressed bone suddenly and surprisingly breaks. That is why it is called the “silent disease.”

MEDICAL WOMEN’S HEALTH

Osteoporosis

102102

back pain, loss of height, or spinal deformities such as stooped posture, but in many cases, a vertebral fracture can occur with no pain.

preventionAbout 85-90 percent of adult bone mass is

acquired by age 18 in girls and 20 in boys. Build-ing strong bones during childhood and adoles-cence is the first step in preventing osteoporosis later in life. Dr. Baer states, “We all reach peak bone strength in our 20s. Any treatment after that cannot reverse the disease, only prevent fur-ther bone loss.”

Preventative measures include supplementing daily with calcium and vitamin D, regular weight-bearing and muscle-strengthening exercise, mini-mal use of tobacco or alcohol, and bone density testing as we age with proper medications if needed. Dr. Baer recommends a total of 1200 mg of calcium and 400 IU of vitamin D daily.

Maude Vance, M.D., a new OB/GYN doctor at The Women’s Clinic of Northern Colorado, is very pro-active in her fight against osteoporosis. “It is very important for women to be aware of their risk factors for osteoporosis, and talk to their doctor about screening and potential treatments to help prevent fractures.”

prevalenceOsteoporosis is a major public health threat

for an estimated 44 million Americans, or 55 per-cent of the people 50 years of age and older. In the U.S. alone, 10 million individuals are estimated to already have the disease and another 34 mil-lion more are estimated to have low bone mass, placing them at increased risk for osteoporosis. In addition, Dr. Baer points out, “These figures are increasing with changing demographics, and will only go up as the baby boomer generation ages.” While osteoporosis is often thought of as an older person's disease, it can strike at any age, but, ac-cording to Dr. Baer, it is also inevitable in any of us, if we live long enough.

Females have a 4 to 1 chance of developing osteoporosis in their lifetime, compared to men. The reasons for this are unclear but probably correlate with women’s smaller bone structure, genetics factors, and others relating to estrogen production. Women can lose up to 20 percent of their bone mass in the five to seven years follow-ing menopause, making them even more suscep-tible to osteoporosis. Of the 10 million Americans estimated to have osteoporosis at this time, eight million are women and two million are men.

Significant risk for developing osteoporosis has been reported in people of all ethnic back-

grounds. The greatest risk is thought to be among Caucasian and Asian women age 50 and older, but osteoporosis is under recognized and under treated in patients of every race and background.

Today, ten percent of Hispanic women age 50 and older are estimated to have osteoporosis, and 49 percent are estimated to have low bone mass. When compared with other ethnic/racial groups, risk is increasing most rapidly among Hispanic women.

Costs Experts predict that costs related to osteopo-

rosis-related fractures among Hispanics will in-crease from $754 million in 2005 to $2 billion per year in 2025. Costs for all osteoporosis-related fractures will increase from an estimated $19 bil-lion in 2005 to over $25 billion by the year 2025.

risk FactorsFactors that increase the likelihood of devel-

oping osteoporosis and broken bones are: being female, being older, a family history of osteopo-rosis or broken bones, having a small build, cer-tain race/ethnicities such as Caucasian, Asian, or Hispanic/Latino, a history of bone fractures, low sex hormone levels, especially testosterone in men or estrogen in women past menopause, missed

- Rob Baer, M.D., Orthopaedic Center

of the Rockies

We all reach peak bone strength

in our 20s. Any treatment after

that cannot reverse the disease, only prevent further

bone loss.

- Maude Vance, M.D. The Women’s Clinic of Northern Colorado

It is very important for women to be aware of their risk factors for osteoporosis, and talk to their doctor

about screening and potential treatments to help prevent fractures.

103


periods (amenorrhea), diet, low calcium intake, low vitamin D intake, excessive intake of protein, sodium or caffeine, a sedentary lifestyle, smoking, alcohol abuse, extended use of certain medica-tions such as steroids, and certain diseases such as anorexia nervosa, rheumatoid arthritis, gastro-intestinal diseases and others.

Fractures Approximately one in two women and one in

four men over age 50 will have an osteoporosis related fracture in their remaining lifetime. Frac-tures due to osteoporosis are most likely in the hip, spine and wrist, but any bone can be affected. According to estimated figures, osteoporosis was responsible for more than 2 million fractures in 2005, including approximately: 297,000 hip frac-tures, 547,000 vertebral fractures, 397,000 wrist fractures, 135,000 pelvic fractures, and 675,000 fractures at other sites. The number of fractures due to osteoporosis is expected to rise to more than 3 million by 2025.

An American woman with a hip fracture is at four times the risk of suffering a second one, and these types of injuries often lower a patient’s qual-ity of life. The rate of hip fractures is two to three times higher in women than men; however, the one year mortality rate following a hip fracture is nearly twice as high for men as for women.

A woman's risk of hip fracture is equal to her combined risk of breast, uterine and ovarian can-cer.

DiagnosisToday, specialized tests called bone mineral

density (BMD) tests can measure bone density in various sites within the body. Experts recommend a type of BM.D. test using a central DXA (dual energy x-ray absorptiometry). A DXA test can determine if you have low bone density before a fracture occurs, predict the chances that you will fracture bones in the future, and help your healthcare provider decide if future treatment is needed.

If you are diagnosed with osteopenia, this means you have lower bone density than you should for your age group. According to Dr. Baer, this condition can usually be managed with some lifestyle changes and adjustments in supplemen-tation.

In the near future, some DXA machines will be able to provide a report that gives information on a person’s “Absolute Fracture Risk.” This report will incorporate a person’s bone mineral density results, age and some of the important risk factors for osteoporosis and fractures. The information in this report will be used to help determine your risk of breaking a bone in the next 10 years. Medicare reimburses for BMD testing every two years.

Although the statistics seem overwhelming, awareness of osteoporosis has grown exponen-tially in the past few years. There has been a five-fold increase in office visits for osteoporosis (from 1.3 to 6.3 million) in the past 10 years. Although there is no cure for osteoporosis, it can be treated with a number of effective medications which substantially reduce loss of bone density. With prevention and vigilance, some fractures and oth-er disabilities may be avoided in the future.

Laura Lee Carter is a Fort Collins writer and copy editor. For more information see her website at: www.lauraleecarter.com

104104

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105Bring your dreams to life...

�e kind of homes you want to raise your kids in, the

home you want to retire in, the home you want to enjoy

your golden years in!

- Dan & Gwen Bartran

4050 Harrington CtFort Collins, CO 80525

(970) 204-1700

Joey PorterBroker Associate/Partner

2803 East Harmony RoadFort Collins, Colorado 80528Call Anytime: (970) 481-4814

Office: (970) 229-0700Direct: (970) 377-4905

Vitamin D by Laura Lee Carter

Most of us already know how important calcium is in making and keeping our bones strong. As we get older, our bones start to thin bit by bit, so they become less dense, more brittle, and more likely to break.

New Discoveries about

When this thinning advances to a certain point, it’s called osteoporosis. Each year in the United States there are two million bone fractures associated with osteoporosis, and 300,000 of those breaks will involve a hip.

For years, high calcium intake has been un-derstood as the best way to prevent osteoporosis and related fractures, but recent research suggest there were a few flaws in that reasoning.

Yes, calcium is still essential in keeping bones strong. Most of us need 800 to 1,200 milligrams of calcium each day through consuming dairy products and supplements. More than that is not recommended because it can interfere with absorption of phosphorus, another crucial bone strengthener.

However, new research is showing how vita-min D may figure even more prominently in the health equation. Calcium supplementation is not all that beneficial if vitamin D intake is low. The body needs vitamin D to absorb calcium, and be-tween 30 to 60% of us have less than optimal vitamin D levels in our blood.

According to a recent article in the Harvard HealthBeat, vitamin D is unique because we can’t get very much of it naturally through diet, thus many Americans are deficient.

Harvard Medical School now finds that the benefits of vitamin D extend far beyond its repu-tation for building healthy bones. Studies suggest that adequate amounts of vitamin D may lessen the risk of several types of cancer and may also play a role in preventing high blood pressure, mul-tiple sclerosis, and even schizophrenia.

Low blood levels of vitamin D have been linked with high blood pressure in several stud-ies. Further research is underway to clarify these findings. But correlations between high blood lev-els of vitamin D and cancer prevention are much more conclusive at this time.

A 2007 study comparing cancer rates in sun-ny countries with those in less sunny climes found that vitamin D intake through sunlight exposure may lower the risk of several forms of cancer, es-pecially those found in the stomach, colorectal, liver, gallbladder, pancreas, lung, breast, prostate, bladder, and kidney.

Like calcium, vitamin D plays a crucial role in keeping bones strong and healthy, but supple-menting with calcium does little good if your vitamin D levels are insufficient. Recent research shows that older people who take 700 to 800 IU per day of vitamin D appear to reduce their risk of all fractures including broken hips. Vitamin D de-ficiency can lead to muscle weakness, which can increase your risk of bone fractures.

How do we get enough vitamin D?The recommended dietary intake of vitamin D

increases as we age from 200 IU for those under age 50, to 400 IU up to age 70, and 600 IU for those over 70. However, most experts now rec-ommend getting at least 1,000 IU of vitamin D per day from safe sun exposure, eating vitamin D-rich foods and supplements.

Some foods that are rich in vitamin D include fatty cold-water fish (salmon, tuna, sardines, etc.), eggs, and fortified foods like breakfast cereals, some juices and milk products, but you’d have to eat a lot of these to raise your blood levels. Fur-thermore, Dr. Walter C. Willett, chair of the Har-vard School of Public Health, cautions against over consumption of dairy products because of recent studies linking high dairy consumption with the development of ovarian and prostate cancer.

Instead consider adding brief sun expo-sure when the sun is least damaging before 10 a.m. and after 4 p.m. But, unless you live in the southern U.S. and spend a fair amount of time outdoors, some kind of supplementation will be needed to achieve the full beneficial effects of vi-tamin D in your blood stream.

Remember that most daily multiple vitamins contain at least 400 IU of vitamin D, and many calcium pills also contain added vitamin D. A combined daily dosage of 1,000 IU of vitamin D, should take care of your minimum needs while benefiting your bones, and possibly preventing some cancers and other problems.

Laura Lee Carter is a Fort Collins writerand copy editor. For more informationsee her website at: www.lauraleecarter.com

Studies suggest that adequate

amounts of vitamin D may

lessen the risk of several types of cancer and may

also play a role in preventing high blood pressure,

multiple sclerosis, and even

schizophrenia.

106

106

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Dealing with Alzheimer’sby Jason Webb

Yvonne Myers, Health Systems Coordinator, Columbine Health Systems works with her patients.

Alzheimer’s is a degenerative disease, the most common form of dementia. Early in the disease, sufferers show signs of memory loss, but as it progresses, many experience loss of language, mood swings, and sensory loss. It’s a debilitating disease, affecting roughly 4.5 to 5 million people across the country. Experts believe that by 2050, 14 to 15 million people will suffer from the disease. Yet, it is also difficult to diagnose.

MEDICAL GERIATRICS

An Unfathomable Disease:

108108

Michael Curiel, M.D., of Fort Collins Neurol-ogy, sees patients suffering from various forms of dementia and pseudo-dementia. “The first thing is to rule out other possibilities,” says Dr. Curiel. That takes time. “Currently, there are no blood tests sensitive enough to detect [Alzheimer’s],” so the process of elimination calls for testing for other possibilities – like brain tumors or depres-sion. If all other possibilities are ruled out and the patient fits the profile, than Alzheimer’s is diag-nosed. In later stages of the disease, an MRI can show changes to the brain.

Alzheimer’s can be caused by many factors, but according to Dr. Curiel, a genetic predisposi-tion often determines whether or not a patient is at risk. Other relevant factors include obesity, a lack of exercise, high blood pressure, and diabe-tes. The disease has a slightly higher incidence in women than men, and it is rare in people under 50. However, the chances increase as the patient ages. Over the age of 65, 1 percent to 2 percent of people are diagnosed. By age 75, the percent-

- Michael Curiel, M.D., Fort Collins Neurology

Over the age of 65, 1 percent to 2 percent of people are diagnosed.

By age 75, the percentage jumps to

15, and by age 85, 30 percent to 50 percent of people show signs

of Alzheimer’s disease.

109


age jumps to 15, and by age 85, 30 percent to 50 percent of people show signs of Alzheimer’s disease.

“A lot of people get natural changes to their memories,” says Curiel. “Stress and depression can cause memories to get worse.” For Karen Christensen’s father, Willard, the signs worried her, so she took him to see the doctor. After sev-eral examinations, he was diagnosed with Alzheimer’s six years ago. Some time after that, Christensen was taking her mother, Berniece, to the outlet mall in Loveland. “We had been there hundreds of times together, but this time she asked me which side J. Crew was on,” recalls Christensen. “That’s when I knew she had it, too.”

Having one loved one suffer-ing from this terrible disease is bad enough, but having both parents diagnosed is unfathomable. Still, Christensen, who appreciates the support she gets from friends and family, put her parents first and made the decision to take care of them as best she could. While many children choose to put their parent into a nursing home or as-sisted living facility, Christensen – a member of the Style Media & Design team – and her siblings chose to keep their parents in their own home.

“I just couldn’t put them in a facility,” admits Christensen. “Even though it has been difficult, I wanted them to be home where they know where they are.” To help ensure the well being of her parents, Christensen and her sib-lings moved caretakers into their parents’ home to provide constant care. As Christensen’s mother’s memory started to fail, it was extremely impor-tant to have someone with them at all times. For example, Berniece began forgetting how to cook,

even though she used to love preparing meals.Christensen’s mother began to withdraw, and

her father lost his inhibitions. Her father also be-gan hoarding food, taking leftovers to save for later only to leave them in unusual places. Many Alzheimer’s patients display these signs. Eventu-ally, some Alzheimer’s patients become belliger-ent and may suffer from other behavioral issues,

which is why professional care is crucial.To help Christensen’s parents battle the ef-

fects of the disease, a care taker keeps them ac-tive, taking them for one to two mile walks every day as long as the weather is pleasant. “Physical exercise can help improve brain function,” says Dr. Curiel, which is why it is so important to not let patients just sit in a dark room.

However, not everyone has the means to keep

their parents in their own home while battling Al-zheimer’s. Thankfully, there are facilities in North-ern Colorado that can partner with families to care for their loved ones as they progress through the different stages of the disease. “The family has to know they’re not in it by themselves,” says Yvonne Myers, the Health Systems Coordinator for Columbine Health Systems. “Alzheimer’s is a

disease where you truly need help.” That is exactly what Columbine Health Systems offers.

The expansive Columbine Health System offers 300 units of independent living, 149 apart-ments of assisted living, and 450 beds in their 4 skilled nursing fa-cilities. Among the facilities de-signed for Alzheimer’s patients is New Mercer Commons, 947 Worthington Circle. “We are com-pletely equipped to handle most cases. “As professionals, we can help families and have for the past 37 years,” says Myers. New Mercer is divided into four differ-ent units, which separate patients depending upon the disease’s pro-gression. With semi-private and private rooms that patients and their families can decorate and an enclosed courtyard with raised flowerbeds, each unit is designed to stimulate and care for patients with various forms of dementia.

“Let us take care of the tough stuff,” says Myers. “When you come, you get to be the daughter or the son.” Trained staff – in-cluding personal care providers, activity directors, an RN, and social workers – monitor residents and ensure they are safe, well cared for and having fun, with stimulating activities 24-hours a day. They all are trained to care for the elderly, and specifically for those with memory loss. New Mer-cer works closely with the Gerontology Program

- Laury Dennis,General ManagerMacKenzie Place

Let us take care of the tough

stuff. When you come, you get to be the daughter

or the son.

Laury Dennis, General Manager, MacKenzie Place and Ashley Haga discuss patient care.110110

at Colorado State University, and has many em-ployees and interns from that program.

Across town, a new community has recently opened. MacKenzie Place, 4750 Pleasant Oak Dr., is a senior living facility with 95 apartments for independent living, 26 for assisted living, and 26 for memory care. While many amenities cater to seniors who are in independent living, MacK-enzie Place also provides care for residents with Alzheimer’s. “We’re capable of taking residents currently in the beginning stages of the disease,” says Laury Dennis, the general manager of the facility.

The Memory Care unit at MacKenzie Place is staffed with nurses and resident assistants who have gerontology training that specifically deals with dementia. Complete with a small kitchen and activity areas, the Memory Care unit provides a warm, caring environment and plenty of physi-cal and mental stimulation. An enclosed courtyard allows the residents to go out and get fresh air, too. “It’s the nurse’s and the R.A.’s job to find ac-tivities for each individual,” says Dennis. Whether it’s quietly working on a puzzle or dancing, the Memory Unit staff ensures patients are kept busy.

Unfortunately, facilities like New Mercer and MacKenzie Place are merely temporary. Alzheim-er’s is a terminal disease. Christensen did every-thing she could for her father, but, regrettably, he passed away at the end of May. While it rarely directly causes the patient’s death, Alzheimer’s opens the door for other causes. No cure exists, and only a limited number of medications are on the market. “A combination of drugs can help slow the disease, but not stop it,” says Dr. Curiel, who also states medications for behavior prob-lems or insomnia should only be used sparingly, since they can exacerbate the development of Alzheimer’s.

The Alzheimer’s Association, a voluntary health organization, exists to help families and patients who suffer from the disease. The organi-zation’s goal is to eliminate Alzheimer’s. A driving force behind much of the research in the field, the Alzheimer’s Association not only provides educa-tional materials and information, but also orga-nizes support groups and family counseling. Vari-ous events throughout the year help to increase awareness and raise funds to support further re-search. To contribute to the Northern Colorado Chapter or to get more information about the disease, call (970) 472-9798.

The medical community spends countless hours each year trying to find a cure, but it will take time. New medications take years to come on the market, according to Dr. Curiel, even as new research offers promise. Focusing on different enzymes commonly found in the brain, research-ers hope to establish a link between enzymes and Alzheimer’s, and then find a way to block them or provide a vaccination against them. Even with a tremendous research push created by the baby boom generation, a cure is still far off, accord-ing to Dr. Curiel. His best advice is preventative measures like exercise, eating right, and participa-tion in mentally stimulating activities. “Take care of your body!”

Jason Webb is a freelance writerwho lives in Johnstown.

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WE CAN HELP!

111


Alzheimer’s is a terrifying disease that invades families and leaves them changed forever.

It plagues families with physical, psychologi-cal, and financial problems. Alzheimer’s disrupts normal patterns and roles creating a need for the development of creative coping skills to deal with a whole range of new and scary challenges.

It is estimated that 70 percent of Alzheimer’s patients are cared for by their families. Fam-ily members may have widely different opinions about how to care for a loved one. Conflicts over caretaking responsibilities may arise and add to a caretaker’s burden. A primary caregiver can feel resentment toward other family members who are seen as not contributing their share. Brothers and sisters may disagree greatly on issues affect-ing the entire family. It is not unusual for old pat-terns of relating and interacting to interfere and

amplify current problems. Caregivers eventually begin to experience

“caretaker burnout,” adding to overall fam-ily stress. Their failure to take care of their own needs has an impact that affects the entire family. Studies show caretakers tend to experience high blood pressure and a heightened susceptibility to diseases related to stress. Use of alcohol and to-bacco may increase. Exercise routines are put on hold. All of these can result in depression and fatigue.

Caretaking may go on for many years get-ting progressively more demanding, and requiring more time, money, and energy. Caregivers may begin to ask, “How can I give any more, when there just isn’t any more of me?” Relationships break apart under unbearable strains.

The stress of Alzheimer’s cuts across all gen-

erations. Children in the family are also dealing with Alzheimer’s. They sense the anxiety and live with disrupted schedules. They are afraid for their future and wonder if they will become “like grandma.” Because so much time and energy is required to care for the patient, children can feel abandoned and afraid. Lack of interaction with their parents leaves them lonely and angry. Par-ents may then have to deal with depressed or act-ing out children.

Yet, despite all the challenges, families often report that they are drawn closer together around the care for their relative with Alzheimer’s. They find ways to manage the situation and overcome many of the effects of living with this insidious disease. Not all is grim, and families still have fun times doing the things they enjoy.

In her book Voices of Alzheimer’s, Eileen Kay

A Family Affair by Maureen McVicker Trump, Psy.D.

Alzheimer’s disease is a family tragedy. As former Supreme Court justice Sandra Day O’Connor remarked in speaking of her husband’s condition “It may directly attack only one member of the family, but every member of that family feels the effects. Every member loses something.”

MEDICAL GERIATRICS

Alzheimer’s:112112

offers many useful suggestions from her own experience caring for her mother. According to Kay, one of the key factors is becoming informed. Caregivers should read library books, find in-formation on the internet, and contact the Al-zheimer’s Association.* Educate yourself and your family about what to expect, and how things will change. Accept the reality of the situation and learn all you can about it.

It is also crucial to keep lines of communica-tion open within the family. Families use regularly scheduled meetings to promote understanding and cooperation. These meetings have rules that provide a place for all to be heard and not criti-cized. Together, make a plan with your family and assign duties. For example, one family member may handle legal matters and have power of at-torney. Deciding such issues ahead of time within the family, prevents future misunderstandings. It is best to “share the care.”

Families of Alzheimer’s patients can find help in community resources that make a tremendous difference in family coping. Support groups for the patient and family are highly recommended. Liv-ing with Alzheimer’s leaves many families feeling isolated. Support groups provide the camarade-rie and comfort of regularly being around people who know exactly what you are going through.

Research has found that families who attend counseling and educational programs experience less stress. Caregiver family therapy is a short term talk therapy model that seems particularly effec-tive. Longer term individualized counseling ap-pears to reduce the burden and depressive symp-toms of caregivers. Counseling can assist family members in discovering strategies that help them gain a sense of control, and improve their quality of life.

Families who function well with family mem-bers with Alzheimer’s, live in the moment with their loved one. They schedule time for family activities and plan for fun times together. Their focus is on enjoying what they can as long as they can.

Veteran caregivers have an invaluable piece of advice for new caregivers. They say to do whatev-er it takes to get at least one night off a week. Do not let the disease consume your life. Individuals and families require respite from the constant de-mands of caring for an Alzheimer’s patient. Taking time off is not a selfish act. It is a necessary time when caregivers can recharge, restore their spirit, and renew relationships.

Alzheimer’s disease is indeed a family tragedy, but it need not destroy families. Some report they have developed stronger personal ties, and found a new sense of fulfillment and purpose in caring for a loved one with Alzheimer’s. They have pulled together through tough times. They have found a way through this heartbreaking experience, one which they will never forget.

*Alzheimer’s AssociationNorthern Colorado Alzheimer’s Chapter:

415 Peterson St., Fort Collins, 80524970-472-9798

24 hour help line: 1-800-272-3900www.alz.org

Dr. Maureen McVicker Trump is a Jungian psychotherapist and writer in Fort Collins, CO.

113


“

“Why I picked Pedersen...

-Rita, Dave, Lora & Todd Lund

114Greeley Medical Clinic’s newest location

Medical Clinic at Centerra, P.C.Open Monday through Friday 8 am to 5 pm.Located in the South Medical Office Building

at Medical Center of the Rockies.

2500 Rocky Mountain Avenue, Suites 340 & 350Loveland, Colorado 80538

For appointments call(970) 619-6030

Soon to be in our new Medical Office Building – December 2008

As the largest multi-specialty care medical group in Northern Colorado, we can help coordinate total care for you at these locations:

Greeley Medical Clinic, PC (Main Campus): 1900 16th St., Greeley, CO 80631

Clinic Pharmacy: 1900 16th St., Greeley, CO 80631

Urgent Care: 1900 16th St., Greeley, CO 80631

Peakview Medical Center: 5881 W. 16th St., Greeley, CO 80634

Urgent Care West: 2001 70th Ave., Greeley, CO 80634

Arthritis Center of the Rockies: 239 W. 67th Ct., Loveland, CO 80538

Loveland Hematology/Oncology Associates: 2050 N. Boise Ave., Loveland, CO 80538

Cancer Institute-Oncology: 1800 15th St., Greeley, CO 80631

Medical Clinic at Centerra, PC: 2500 Rocky Mtn. Ave., Stes. 340 & 350, Loveland, CO 80538

970-353-1551

970-350-2413

970-350-2454

970-313-2700

970-378-4155

970-461-1880

970-667-7870

970-378-4170

970-619-6030

“

“Why I picked Pedersen...

-Rita, Dave, Lora & Todd Lund

115Greeley Medical Clinic’s newest location

Medical Clinic at Centerra, P.C.Open Monday through Friday 8 am to 5 pm.Located in the South Medical Office Building

at Medical Center of the Rockies.

2500 Rocky Mountain Avenue, Suites 340 & 350Loveland, Colorado 80538

For appointments call(970) 619-6030

Soon to be in our new Medical Office Building – December 2008

As the largest multi-specialty care medical group in Northern Colorado, we can help coordinate total care for you at these locations:

Greeley Medical Clinic, PC (Main Campus): 1900 16th St., Greeley, CO 80631

Clinic Pharmacy: 1900 16th St., Greeley, CO 80631

Urgent Care: 1900 16th St., Greeley, CO 80631

Peakview Medical Center: 5881 W. 16th St., Greeley, CO 80634

Urgent Care West: 2001 70th Ave., Greeley, CO 80634

Arthritis Center of the Rockies: 239 W. 67th Ct., Loveland, CO 80538

Loveland Hematology/Oncology Associates: 2050 N. Boise Ave., Loveland, CO 80538

Cancer Institute-Oncology: 1800 15th St., Greeley, CO 80631

Medical Clinic at Centerra, PC: 2500 Rocky Mtn. Ave., Stes. 340 & 350, Loveland, CO 80538

970-353-1551

970-350-2413

970-350-2454

970-313-2700

970-378-4155

970-461-1880

970-667-7870

970-378-4170

970-619-6030

11692www.stylemagazinecolorado.com

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2008-07 Northern Colorado Medical & Wellness Magazine and PVHS Physician Directory

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Transcript of 2008-07 Northern Colorado Medical & Wellness Magazine and PVHS Physician Directory