medicalwellness
Loveland/Greeley
2006magazine / directory
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II ••••• • • •• II
Loveland I Greeley Medical Magazine & Directory 2006
medicalwellness
Loveland/Greeley
2006
magazine / directory
sty le media and design, inc.| 970.226.6400 |
w w w. s t y l e m e d i a . c o m
Publisher/President Lydia Dody
eXeCutiVe editor Austin J. Lamb
Photo editor Diane M. Specht
Art direCtor Anne Marie Martinez
senior GrAPhiC desiGner Tammy Beard
GrAPhiC desiGner Lisa Gould
GrAPhiC desiGn intern Andrea Gomez
sAles MAnAGer Saundra Skrove 217-9932
AdVertisinG sAles eXeCutiVesJon Ainslie 481-1459
Karen Christensen 679-7593Lydia Dody 227-6400
Court Klinck (303) 941-2273
offiCe MAnAGer Ina Szwec
ACCountinG MAnAGer Karla Vigil
dAtA entry Betty Frye
ContributinG WritersAlice Ashmore, Lynn Dean, Lydia Dody,
Daniel J. Hatch, Kerrie Hill, Austin J. Lamb, Jennifer Johnson,
John Penney, Diane M. Specht, Maureen Trump, Lynne Ward
ContributinG PhotoGrAPhersDiane M. Specht,
Charles Lynch, Rimrock Photography
AffiliAtionsFort Collins Area Chamber of Commerce
Estes Park Chamber of CommerceGreeley Chamber of Commerce
Johnstown Milliken Chamber Of CommerceLoveland Chamber of Commerce
2006 style MagazinesJanuary-Loveland/Greeley Medical & Wellness
Magazine and DirectoryFebruary-Building & Remodeling
March-Family, Community & NonprofitApril-Business of Northern Colorado
May-Home & GardenJune-Men & Business
July-Fort Collins Medical & Wellness MagazineAugust-Women & Business
September-Home Interiors & EntertainmentOctober-Lifestyle, Health & Beauty
November-HolidayDecember-Winter/Wedding
style Media and design, inc. magazines are free monthly publications direct-mailed to homes and businesses in Northern Colorado. Elsewhere, subscriptions for twelve is-sues cost $24 annually (53% off newstand price). Copies are also delivered to Chambers of Commerce, professional and city offfices, financial institutions, medical facilities, health clubs, real estate offices and advertiser’s business locations.
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Providing Comprehensive Medical Care for You andYour Family
Primary Care Specialties:
Clinical Services:AllergyBone Density StudiesCancer SurgeryCardiologyCoumadin ClinicCT ScanDermatologyEchocardiographyEmployment Drug ScreenExercise ServicesGastroenterologyGeneral SurgeryHearing Services (Audiology)HematologyInfertilityKidney DiseaseLaboratoryLung DiseaseMammographyMRINephrologyNeurologyObstetrics & GynecologyOccupational Medicine
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GREELEY MEDICAL CLINIC www.greeleymedclinic.comMAIN CAMPUS1900 16th St., Greeley(970) 353-1551Mon-Fri 8am-5pm
URGENT CARE1900 16th St., Greeley(970) 350-2425Mon-Sat 7am-7pm, Sun 10am-5pm
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PEAKVIEW MEDICAL CENTER5881 W. 16th St., Greeley(970) 313-2700Mon-Fri 8am-5pm
ARTHRITIS CENTER OF THE ROCKIES239 W. 67th Ct., Loveland(970) 461-1880Mon-Fri 8am-5pm
LOVELAND HEMATOLOGY/ONCOLOGY2050 N. Boise Ave., Loveland(970) 667-7870Mon-Fri 8am-5pm
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table of contents
on the cover
Rick Sutton, MS, FACHE, became the Chief Executive Officer at McKee Medical Center May 2005.
Gene O’Hara is Chief Executive Officer for North Colorado Medical Center.
Cover photo by Charles Lynch, Rimrock Photography.
page 10Publisher’s Letter
page 14FEATURE:The Legacy Project: Exceptional Quality Care
page 19FEATURE: North Colorado Medical Center—2nd Century Project
page 23WOMEN’S HEALTH: Breast Medical Care
page 26GASTROENTEROLOGY: GERd...The Fire Within
14
19 23
The enclosed articles in this issue of Love-land/Greeley Medical Wellness Magazine/Directory are for your general knowledge and not as a substitute for medical advice or treatment. If you have any questions or concerns about your health, please contact your doctor or health care provider.
page 32CARDIOLOGY: Stressing Out Your Heart
page 35 medical directory
page 48CANCER CARE: Treatment With Compassion
page 51HEALING: A Healing Environment
page 55OBSTETRICS: All The Comforts of Home
page 60ESTES PARK: Medical Center Expansion
page 62PAIN MANAGEMENT: Oh My Aching Back!
page 66CARDIOLOGY: 64-Slice CTAt North Colorado
page 69FOOT AND ANKLE: These Feet Were Made For Walking
page 71 wellness section
page 75NUTRITION: Trans Fat...The Phantom Fat
page 79OPHTHALMOLOGY: Chronic dry Eye
page 83ORTHODONTICS: Adult Orthodontics
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wellnessLoveland/Greeley
2006
magazine / directory
medical
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Afternearly twoyears in theplanning,this 2006 Loveland/Greeley Medical and Wellness Magazine and Directoryisareality.Wearethrilledtobeabletoaddthis issuetoourStyleMediaandDesign,Inc.familyofpublicationsthatwedirectmailtotheColo-rado FrontRange.Without the confidenceand support of the people behind BannerHealth, McKee Medical Center, and NorthColorado Medical Center this issue wouldnothavebeenpossible.OurthankstoRickSutton, CEO, Betty Patterson, Public Rela-tionsDirectorandJeannieLancaster,SeniorPublic Relations Specialist at McKee Medi-calCenter.And,atNorthColoradoMedicalCenter thanks to Gene O’Hara, CEO andGene Haffner, Director, Community Rela-tions.Weappreciatethemsharingourvisionof bringing medical and wellness informa-tionfromtheLovelandandGreeleyareatoNorthernColorado.Thankyoualso,tothephysicians, administrators and their staffsforlisteningtous,participatingininterviewsand forbelieving in theneed for thisnewpublication. Today more than ever, consumers aremoreinformedandtakeownershipintheirhealthcare.Wearefortunateinourregionto be blessed with exceptional hospitalsstaffedwithcaringandhighlyskilledprofes-sionals.Ourphysiciansareamongthefinest,ourfacilitiesareawardwinning,ourtechnol-ogystate-of-the-artandourcomplementaryhealth care services are varied, ample andprogressive.Wehavetheresourcesanditisour individual responsibility tobe informedand proactive about our health and well-ness.We,atStyleMediaandDesign, Inc.,want to help you by providing timely andinterestingarticlesalongwithaphysiciandi-rectory to use as an annualreference. As always, we wel-come your feedbackand suggestions for fu-ture articles. I hope thispublication will becomeyour local informationsource for timely medical,health and wellnessinformation. Ingoodhealth,
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publisher’s letter
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Mobility & More carries a complete line of Durable Medical Equipment.
Dear NortherN ColoraDo reaDer,As I approach my first anniversary as Chief Executive Officer at
McKee Medical Center, a Banner Health facility, I am honored to be associated with such an outstanding medical team, and to lead this organization into the future.
We all are very aware that the health care environment we live in is about to change dramatically. I assure you that the McKee team will meet that change, and continue to deliver high-quality, compassionate health care to the people of Loveland and surrounding communities.
McKee has been providing the Loveland community with health care for the past 30 years. Many of you were born at McKee, and probably more of you have received health care at McKee over the past three decades. We have always been the community hospital for Loveland, and have established vital relationships with this community.
Yet, we recognize that as the landscape changes, so must McKee. We have a world class team at McKee, and we are prepared to move forward. Be assured your hospital team provides excellent care in all aspects of the health care continuum. We have made, and will continue to make, strategic decisions that will move us into the future, and put your hometown hospital in a position of continued strength.
We have compiled five priorities that everyone at McKee has committed to work toward, with the outcome of increased quality care and a wonderful hospital experience at the core. The five areas are: Employee Engagement, Patient Satisfaction, Quality Outcomes, Physician Friendly and Financial Strength.
We are committed to ensuring that all staff at McKee are highly engaged, determined and committed to give you the best care possible. We believe that having highly engaged staff results in the ability to provide higher quality care, lower turnover, increased productivity and a more effective organization overall.
We also are concentrating on our patient satisfaction to make your experience at McKee one of the best in the country. At McKee we are compared nationally to other hospitals in the country, and are consistently placing in the top one-third of all hospitals participating in the patient satisfaction survey.
Of utmost importance is our ability to deliver quality health care, and according to our metrics, you can be assured that quality health care is something that you will receive at our hospital.
We also ensure that our staff members are highly trained and that we provide state-of-the-art technology so you receive the best health care in the market. You deserve that, and at McKee Medical Center, that is what you will experience.
We also continue to work hand-in-hand with our physicians to ensure they are pleased with the care their patients are receiving. We are making sure that all necessary equipment and supplies are available to them as they provide health care to this community.
McKee continues to be financially strong due to the support of the community, physicians, and staff, and we’re well prepared to grow with this community in the future.
It boils down to this: Your community hospital is a physician friendly facility, employing highly engaged staff members that provide the highest level of quality health care to you and your family.
We will always strive to ensure that you will not have a better health care experience than the one you will have at McKee. Quality health care at your hometown hospital – that’s what we’re all about.
Sincerely,
Rick SuttonChief Executive OfficerMcKee Medical Center
Rick Sutton, MS, FACHEChief Executive OfficerMcKee Medical Center
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Dear NortherN ColoraDo reaDer,North Colorado Medical Center (NCMC) recently celebrated its
100th anniversary of providing quality health care service and leadership for the residents of Greeley, Weld County and northeastern Colorado. Thousands of people in Weld County, northern Colorado, western Nebraska and southeastern Wyoming have experienced the quality health care provided by NCMC’s caring employees and medical staff.
For over 100 years, North Colorado Medical Center has been dedicated to medical excellence, education and community service. A Colorado landmark since 1904, NCMC, a Banner Health facility, is now a standard by which 21st century medical centers can be measured.
The NCMC, Inc. Board of Directors and Banner Health began planning and preparation, in 1999, to meet the growing population and health care needs in our service region for a second century of service. The planning of NCMC’s Second Century Project led to the construction and opening of a new Emergency Department in 2003; a new comprehensive Cancer Institute in 2004; and a new patient care services expansion in December, 2005.
The recently opened expansion includes the CardioVascular Institute of North Colorado featuring a full range of cardiac and vascular services all in one location with the most advanced diagnostic cardiology equipment in northern Colorado. The Monfort Family Birth Center has been expanded with comfort-enhanced spacious rooms and neonatal intensive care nursery. The surgical needs of patients are met in twelve (12) new Surgical Suites, Pre-op Assessment area, Post Anesthesia and Post Surgical Care areas. Robotic surgery will be the latest surgical advancement offered in early 2006. A new Intensive Care Unit with 16 private beds and sophisticated monitoring systems for each patient is provided as well.
Comfort and convenience is provided for our guests in family-friendly waiting areas, welcome center, retail pharmacy, gift shop and café. Over 100 new private rooms can be available to meet patient needs. Special lift systems in the ceiling of each room help ensure patient and staff safety. A comfortable alcove area allows family and friends to stay with patients overnight if desired.
With completion of the $128 million Second Century expansion, North Colorado Medical Center is transformed into the largest, most comprehensive, state-of-the-art health care facility in the region.
But excellent patient care is more than a modern facility. It’s people—doctors, nurses and hundreds of medical professionals and volunteers – all committed to medical excellence.
Medical excellence is measured, in part, by patient feedback about our service and recognition by state and national organizations for the world-class care provided. NCMC is proud of our recognition as a Colorado Performance Excellence Award recipient in 2005 and the designation of the Bariatric Surgery program as a Center of Excellence by the American Society of Bariatric Surgery.
These and many other awards received are significant recognitions and achievements. However, it is the day-to-day excellence of over 350 physicians and medical staff members and 2,700 employees that results in providing the highest quality services to patients, families and guests.
We are honored that thousands of people have chosen NCMC for their care. We are committed to continuing to make a difference in people’s lives through excellent patient care.
Sincerely,
Gene O’HaraChief Executive OfficerNorth Colorado Medical Center
Gene O’Hara, PharmDChief Executive Officer
North Colorado Medical Center
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McKeeMedicalCenterhasprovidedvitalmedicalservicesandhealthcaretoLovelandand itssurroundingareasforoverthirtyyears. Inthosedecades,McKeehasestablishedahometownrelationshipwithitscommunitybyofferingadvancedmedicaltechnologiesalongwithexceptionalcareandattentiontoeachpatient’sneeds.TheLegacyProjectexpansionatMcKeeMedicalCenternowmarksyetanotherexampleofMcKee’songoingcommitmenttoprovidingthehighestqualitymedicalservicetothecommunity,offeringawonderfulhealthcareexperience,andfulfillingMcKee’svision“tobethebesthospitalinNorthernColorado,BannerHealthandthenation.”
How does McKee Medical Center achieve this commitment to outstanding health care?
AccordingtoRickSutton,ChiefExecutiveOfficerofMcKee,everyoneatthehospitalhascommittedtoandparticipatesinpursuingfivefundamentalprioritiesthat“providedirection,clarity and focus” to all levels of McKee and its health care services. These five prioritiesincludeEmployeeEngagement,PatientSatisfaction,QualityOutcomes,PhysicianFriendlyandFinancialStrength.
the legacy projectbyJohnPenney
exceptional quality care
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the legacy project
Employee EngagementSutton explains that McKee Medical
Center is committed to ensuring thateveryoneonitsstaffis“highlyengagedanddetermined to give each patient the bestcare possible.” This commitment not onlycreatesanincreaseinthequalityofcare,butalsoresultsinalowerturnoverrateofstaff,management and support personnel. As aresult,employeesarepersonallyengagedinprovidingexceptionalserviceandhealthcarethroughMcKee’sfacilities.Thiscombinationultimately generates a more effective andproductiveorganization.
McKeeMedicalCenterisalsoamemberof Banner Health, one of the largest not-for-profithealthcaresystemsintheUnitedStates with 25,000 employees serving
Alaska, Arizona, California, Colorado,Nebraska,NevadaandWyoming.“It is
agreatsystemfortheemployee,includingthe benefits, training and educationalopportunities,”saysSutton.“Investintheemployees, and the employees will take[McKee]tothehighestlevelofhealthcareperformance.”
Patient SatisfactionIn recent national survey
comparisons with other participatinghospitals within the United States,McKee Medical Center placed inthe95thpercentileforthecategory
of patient satisfaction. One of thereasons for this high rating is thatMcKee offers leading-edge medicaltechnology while maintaining arelationship of dignity and respecttowardeachpatient.ThestaffatMcKeealso focusesonan individualizedcare
environment that will help assist eachpatient in comfort and on his pathtowardhealing.Staffandadministrative
personnelaresensitivetotheneedsofthepatientandherlovedones.Someofthe“personaltouches”thathelptoencouragethishealingenvironmentincludeofferinghomemadecookiesandmilktorecoveringmothersintheOBwing,aswellasdedicatingsethoursofquiettimeforallpatientsinordertopromoterestandrecovery.
Quality Outcomes TheLegacyProjectexpansion representsamajoraddition to theMedicalCenter,and
symbolizesMcKee’sfocustocontinuallyprovidesuperiorqualityhealthcare.Theexpansionfirstbeganduringtheautumnof2003,andPhase1openedinthespringoflastyear.Phase1encompassesanewlyconstructed120,000-square-foot,three-storywing,whichincludestwenty-nineprivatepatientrooms,withanallotmentofspaceforanadditionaltwenty-six.
ThefirstfloorofthenewwingincludestheMcKeeSurgeryCenter,plusasophisticatedmaterialmanagementprocess. The secondfloor contains a state-of-the-art IntensiveCareUnitforpatientsundergoingcriticalcare.TheICUroomsprovideanareaforvisitingfamilymembers.
The third floor includes the Family Birthing Center. Birthing suites are designed toaccommodatetheexpectantmotherandherbabythroughouther labor,delivery,recoveryandpost-partumcare.Plus,thereisspaceenoughforthefathertospendthenightinthesuiteifhedesires.TheFamilyBirthingCenterisasecuredunitrequiringapassforallentrants.ThefacilityalsoincludestwoC-sectionoperatingrooms,anursery,privatenursingrooms,andjettedtubsintheL.D.R.P.suites.
Phase 2 of the Legacy Project addresses the construction of anew Emergency Department, additions to the dining facilities andthechapel,aswellas theexpansionof theMcKeeCancerCenter.Phase2alsoconsistsofrenovatingtheexistingoperatingrooms,theadditionofanewlaboratoryandpharmacyandtheacquisitionofPET/CTimagingtechnology.
Another recent development to the range of servicesoffered by the hospital is the McKee Breast Center, wherepatientscanreceivediagnosticandscreeningmammography,breast ultrasound, biopsy, and MRI breast scans (March2006).Ifrequired,surgicalproceduresareavailablethroughMcKeeMedicalCenter.
McKeealsoprovidesfully-equippedfacilitiesandastaffofphysicians,nursesandtrainedsupportpersonnelforobstetrical,pediatric,orthopedicandcriticalcareprocedures.
Physician FriendlyAs part of the ongoing objective to increase the quality of
itshealthcare,McKeeMedicalCenterensuresthatitsphysiciansand staff have access not only to some of the most advancedmedicaltechnologiesandequipmentobtainableinthehealthcareprofession,but tothetrainingandcollaborationofknowledge
“We work hand-in-hand with our physicians to ensure they are pleased
with the care their patients are receiving…”
— Rick Sutton Chief Executive Officer
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available to physicians and personnel within BannerHealth.“Weworkhand-in-handwithourphysicianstoensuretheyarepleasedwiththecaretheirpatientsarereceiving,” saysSutton.“Wearemaking sure thatallthenecessaryequipmentandsuppliesareavailabletothemastheyprovidehealthcaretothiscommunity.”
Financial Strength “McKee continues to be financially strong due
to the support of the community,” Sutton adds. Inaddition,BannerHealthhelpsmaintainMcKee’sfinancialstrengthbyofferingaconsolidatedcentraldepartmentforsupport.Incontrast,a“standalone”hospitalmaynothavethesameopportunitiesforthatsupport.Thisfinancialstrengthtranslatesintoanincreasedqualityofpatientservices.
“IamfortunatetohavecometoMcKee,”saysSutton,notingthatpastleaders,withinalllevelsofthehospital,deservepraisefortheirpartinshapingMcKee’history,andnowinthevisionandgrowthofthefacility.WiththeLegacyProject,McKeehasenhanceditscharacterasahometownhospital,increaseditscapacitytoprovideexceptionalqualitycare,andfurthereditsabilitytobe“thebesthospitalinNorthernColorado,BannerHealth,andthenation.”
Special thanks both to Rick Sutton, CEO of McKee Medical Center, and to Betty Patterson, Public Relations Director, for sharing their time and their insights.
John Penney is a freelance writer living in Fort Collins
2000 N. Boise Ave. • Loveland(970) 669-4640
Client: Banner Health Trim: 8.375x10.875 Ad: McKee Man Oncology
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
Transforming the lives of morecancer patients than anyone in the region.
Life is a journey with many turns. For one in three people, that journey includes a cancer diagnosis. That’s where McKee Medical Center comes in. Our experienced, caring professionals change lives with state-of-the-art technology, a wide array of specialists and specialized therapies. By conducting clinical trials as part of a national network, we remain on the leading edge of cancer treatments. McKee is part of Banner Health, known for treating more cancer patients than anyone in northern Colorado. Through Banner Health, we can provide the broadest range of treatment options in the region. All of this means more hope for those facing cancer. McKee Medical Center and Banner Health. More experience at transforming the lives of cancer patients.
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2000 N. Boise Ave. • Loveland(970) 669-4640
Client: Banner Health Trim: 8.375x10.875 Ad: McKee Man Oncology
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
Transforming the lives of morecancer patients than anyone in the region.
Life is a journey with many turns. For one in three people, that journey includes a cancer diagnosis. That’s where McKee Medical Center comes in. Our experienced, caring professionals change lives with state-of-the-art technology, a wide array of specialists and specialized therapies. By conducting clinical trials as part of a national network, we remain on the leading edge of cancer treatments. McKee is part of Banner Health, known for treating more cancer patients than anyone in northern Colorado. Through Banner Health, we can provide the broadest range of treatment options in the region. All of this means more hope for those facing cancer. McKee Medical Center and Banner Health. More experience at transforming the lives of cancer patients.
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Leading the way in cardiac careso you can follow your heart.
Heart patients turn to North Colorado Medical Center, a Banner Health hospital, to keep their lives in rhythm. Our new, comprehensive, state-of-the-art CardioVascular Institute offers everything from the most advanced diagnostic imaging in northern Colorado to leading edge open-heart surgery. This remarkable care is delivered by our highly skilled physicians who rate in the top 2% nationally in patient satisfaction.* It’s no wonder why North Colorado Medical Center ranks among the best in the nation for heart attack care—higher than any other hospital in northern Colorado.** At the CardioVascular Institute, we’re setting the standard for cardiac care so you can follow your heart.
1801 16th Street • Greeley(970) 352-4121
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
*Press Ganey Associates patient satisfaction survey, December 2005. **Total Benchmark Solution CMS Quality Measures.
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The2ndCenturyProjectstandsbothasasymbolofansweringtheneedforadditionalmedicalservicesinourgrowingregion,andasacommitmenttoNorthColoradoMedicalCenter’svisionto“berecognizedasanationalhealthcareleaderbyprovidingworldclassquality,service,technologyandoperationalexcellence.” As a part of a campus master plan developed in 1999, the 2nd Century projectconsistedofaseriesofimprovementsfocusingonpatientservicesandbuildingexpansionsas well as state-of-the-art technology. Physicians and staff have the opportunity to
The 2nd Century
project is composed of
a series of improvements
focusing on building
expansions and patient
services, as well as
state-of-the-art
technology.
2ndcenturyproject
north coloradomedicalcenter
byJohnPenney
NCMC’s new facility expansion features over 600 pieces of art including this hanging sculpture, “Tulip Cloud” by Rob Fisher, in the Grand Staircase Lobby.
Leading the way in cardiac careso you can follow your heart.
Heart patients turn to North Colorado Medical Center, a Banner Health hospital, to keep their lives in rhythm. Our new, comprehensive, state-of-the-art CardioVascular Institute offers everything from the most advanced diagnostic imaging in northern Colorado to leading edge open-heart surgery. This remarkable care is delivered by our highly skilled physicians who rate in the top 2% nationally in patient satisfaction.* It’s no wonder why North Colorado Medical Center ranks among the best in the nation for heart attack care—higher than any other hospital in northern Colorado.** At the CardioVascular Institute, we’re setting the standard for cardiac care so you can follow your heart.
1801 16th Street • Greeley(970) 352-4121
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
*Press Ganey Associates patient satisfaction survey, December 2005. **Total Benchmark Solution CMS Quality Measures.19
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diagnoseand treat illnesseswith someof thefinest equipment andmethods available tothemedical profession.According toGeneHaffner,Director of Public Relations forNorthColoradoMedicalCenter, the2ndCenturyProjectcharacterizes thevisiontoexpandwiththegrowthofourregion.Yet,withinthatexpandingvisionisalsothecommitmenttotheindividualpatientbaseduponaone-hundredyearrelationshipwithGreeleyandtheNorthernColoradoregion. NorthColoradoMedicalCenterisanot-for-profitorganization.ItisownedbythelocalNCMC,Inc.BoardofDirectors,andmanagedbyBannerHealth.AccordingtoGeneO’Hara,CEOofNorthColoradoMedicalCenter,thepartneringwithBannerHealthprovidesalevelofsupportandexpertisethatwouldbedifficulttofindina“standalone”hospital.Forexample,the2ndCenturyprojectaddedapproximately372,000squarefeettotheNCMC,atacostof$128million.BannerHealthhelpedtodesignandmanagethe2ndCenturyProject,whichwascompletedaheadoftheoriginalscheduleandunderbudget. ThepartnershipwithBannerHealthnotonlyallowedforgreatermanagementresources,but also allowed for a solid bond rating that ledto more cost-effective funding. North ColoradoMedical Center remains the largest hospital innorthern Colorado, with a total of 398 licensedpatientbeds. Recently celebrating its 100th anniversary,NCMC’s expansion project was named The2nd Century Project to reflect preparation andcommitmenttoitssecondcenturyofmedicalservice. The project included the opening of anewEmergencyDepartment inMayof2003.Theemployee parking structure was completed inMarch of 2004, followed by the Cancer Instituteopening later that year. ThePatientCare Services
expansion,whichopenedonNovember18of2005,isthecapstoneofthe2ndCenturyProject.Someoftheparticularmedicalservicesenhancedbythe2ndCenturyprojectincludedoublingthesizeoftheneonatal intensivecare unit; expanding the Monfort FamilyBirthCenter;providingtwelvenewsurgicalsuites;creatinganew16-bedintensivecareunit;andexpandingthecardio-vascularcarecenter.TheCardioVascularInstituteofNorthColorado, as it is named, now includes a64-sliceCT, aminimally-invasivediagnostictoolusingcomputedtomographytorenderascannedimageoftheheart.Theresultingimage isasuperblyclearviewoftheheartthat can be evaluated to determine thepresence of heart disease or blockages.Theadvancedtechnologyisdevelopedandmanufactured by General Electric, and theCardioVascular Institute ofNorthColoradohas been named a showcase site fordemonstration of advanced cardiovasculartechnology.
A comfortable, living room atmosphere was created for a patient’s family and guests in the lobby of the NCMC Cancer Institute.
The 2nd Century project added approximately
372,000 square feet to the NCMC, at a
cost of $128 million.
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The Cancer Institute offers a fullrange of treatment and care and is theonly Northern Colorado ComprehensiveCommunityCancerprogramdesignatedbythe American College of Surgeons. Someofthefacilitiesincludearadiationoncologydepartment, medical oncology andchemotherapy infusion areas, communityresource library, physician offices andoutpatientoncologyinfusionservice. Thenewpatientcareservicesexpansionitselfisanarchitecturalgem.Thelobbyofthebuildingincludesafour-storyglassatrium,awelcomecenter,patient registration,agiftshop,café,retailpharmacy,visitors’businesscenter, several waiting areas as well as afamily friendly-waitingarea.Over100newprivate patient rooms have been added inthenewfacility.Withinthecommitmenttopatient service are the “acuity-adaptable”patient rooms.Apatient is able to remainin one room while being provided with avariety of treatments and care, instead ofbeingtransferredbetweenroomstoundergodifferent procedures. For the patient andvisitors, rooms featurenatural lightingandpeacefuldécortohelppromoterestfuland
healing recovery, while the support areas such as storage and shelving are ergonomicallydesignedtohelptheemployeesworkcomfortablyandsafely. In addition, NCMC also houses the Western States Burn Center. Dr. Cleon Goodwin,theMedicalDirector,isaburnsurgeonwhocametoNCMCfromJohnsHopkinsUniversityBayviewMedicalCenterandwhohasauthoredleadingarticlesinthefieldofburntreatment.TheWesternStatesBurnCenteristheonlyburncenterinnorthernColorado,andcurrentlyserves a six-state area. North Colorado Medical Center also provides the only medical airtransportsystemnorthofDenverthroughtheAirLifeofGreeleyhelicopterservice,whiletheBariatricSurgeryprogramisoneoffortyintheUnitedStatesratedasaBariatricCenterofExcellence. PartneringwithBannerHealth alsohelpsboth thepatient and theNCMCemployeesbecause access is allowed to educational opportunities and resources availablewithin theentireBannerHealthorganizationtoincreasetheeffectivenessofpatientcare.Thisbenefitisacrucialavenueforsharinginformationorcollaboratingonknowledgeandtechniquerelatedtopatientcare. FromitsrootsasTheGreeleyHospital,andlateronastheWeldCountyHospital,NorthColoradoMedicalCenterhasbeenservingthelocalcommunityandsurroundingregionwithmedicalcareforthepast100years.The2ndCenturyprojecttransformsNCMCintoaneweraofmedicalservicedesignedtoofferoutstandingdiagnosis,treatmentandpatientcarefortoday,andforthefutureoftheGreeleycommunity,andneighboringregionsandstates.
John Penney is a freelance writer living in Fort Collins.
The CT-Simulator is utilized to help with visualization of the tumor
and treatment planning process at the NCMC Cancer Institute.
Within the NCMC Radiation Oncology Department, a patient can view aspen leaves framing a blue sky while being treated with the linear accelerator.
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II ••••• • • •• II
Lydia's STYLE Magazine
TheMcKeeBreastCenter,locatedinLoveland,offerswomenacomfortable,relaxedandprivateenvironmentwheretheycanreceivetheirannualscreeningsandlearnaboutbreasthealth. Thecenterisdesignedspecificallytomeetpatients’needs.Experienced,certifiedphysicians,mammography technologists and a supportive staff, sensitive to both their physical andemotionalneeds,servethepatients,alongwiththelatestadvancementsinequipmentandtechnology.ProceduresattheBreastCenterinclude:
nScreeningandDiagnosticMammograms
n Biopsy(Ultrasound-guidedandstereotactic)
nSentinelLymphNodeImagingwithSurgicalFollow-up
nMRIBreastScansandMRI-guidedBiopsy(comingSpring2006)
nBreastUltrasound
nNeedleLocalization
nCystAspiration
nDuctogram
The McKee Breast Center, located in Loveland, offers women a comfortable, relaxed and private environment where they can receive their annual screenings and learn aboutbreast health.
medical carebreast
WOMEN’S HEALTH
byJenniferJohnson
Brenda Santillanes, Mammography and Radiology Technologist, stands behind glass during a mammogram on Patricia Rankin.
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Lee Ann White, RN, BSN, Breast Health Specialist, discusses breast awareness issues with Debbie Netzel in the McKee Breast Center Resource Lobby.
“TheBreastCenterwasestablishedinordertoprovideaseparateidentityfromthemainhospital,whichhasmadeiteasierforwomentocomeinfortheirannualscreenings,”saysDr.CurtisMarkel,aradiologistattheBreastCenter.“Itisveryconvenientforthepatients;wehaveeverythingweneedinordertoprovidethemwithexcellentcare.” Markelbelievesthatpatientcareisoneofthemostimportantaspectsofthecenter.“Allof the radiologists are actively involved with the process of every patient from beginningtoend,”he says.“Wealsohaveawonderfulbreasthealth specialistonhand to supportthe patient and answer any questions they mayhave.” Lee Ann White is the center’s breast healthspecialist.Sheistheretoassisttheradiologistsandtechnologistswithinvasiveprocedures,tosupporteverypatientbothphysically andemotionally, aswellastoeducatewomenandestablishatrustingrelationship. With 18 years of nursing experience, Whitehasanincredibleamountofinsightintoprovidingempathyand support forherpatients. She says,“It’snotjustatechnicalprocedurethatweneedtoperform.Thehumanaspectisalsoveryimportantinthislineofwork.” According to national research, White saidthatonascalefrom1-14(14beingthehighest),womenwhoaregoingthroughthisprocess rateanxiety levels at a 13. “This just shows us howimportantitistobethereforthematalltimes,whetheritisholdingtheirhandortalkingthemthrougheverystep.” Establishinga connectionanda trusting relationshipwith thepatient canalsohelp torelieveoverallanxiety.“It is importantformetoestablishan initial relationshipwithevery
patient and build upon it throughout theprocess,”shesays.“Itiscomfortingtoknowthatthepatientcantrustyoutobethereforthemeverystepoftheway.” Whendiscussingtheoverallprocesswithpatients, White explains that she alwaystakes the time to make sure they have aclearunderstandingofeveryaspectandallof the facts regarding the procedure. Thisincludes everything from general breasthealth information to information aboutthe equipment. Literature is also providedintheofficeforwomentolearnaboutandresearch a variety of breast health topicsandissues. White is also involved in severalcommunity outreach programs which areofferedtoprovidebreasthealtheducationalexperiencestoallwomen.“OneofourmaingoalsattheBreastCenteristoreachouttoall women in the community so that theyareabletomakeinformedchoicesthroughthegainedknowledgewehaveprovidedforthem.” Aside from their excellence in patientcare and community outreach programs,McKee is also leading the way with thelatestequipmentandtechnologyavailableat the Breast Center. McKee utilizes theR2 Computer Aided Detection (CAD)system, the ImageChecker, in its imagingdepartment.ThissystemiscurrentlytheonlyFDA approved CAD system for screeningand diagnostic mammography. The
Brenda Santillanes, Mammogra-phy and Radiology Technologist positions Patricia Rankin for a mammogram.
Breast MRI can sometimes find cancers not detected by the stan-
dard breast screening exams such as mam-mography, ultrasound and physical exams.
—Rick Pacini, MD
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ImageChecker is a sophisticated computer program that assists the radiologist by detecting and marking potential abnormalities on the mammogram. The Breast Center is also looking forward to receiving a new 1.5 Tesla Siemens Avanto MRI System later this spring. “This new MRI equipment is very sophisticated,” says Dr. Rick Pacini, a radiologist at the center. “The machine is able to receive better resolution images at a faster rate than standard MRI units.” Instead of using large receiver coils, the new machine uses multiple, smaller coils in order to boost the signal which translates into faster imaging. This allows a more accurate depiction of the tumor enhancement patterns. The machine will also be more comforting for patients - Avanto’s AudioComfort takes sound to a new, and very low, level - up to a 97% noise reduction - yet it still delivers the kind of high gradient performance needed for the most demanding applications. “Breast MRI can sometimes find cancers not detected by the standard breast screening exams such as mammography, ultrasound and physical exams, says Dr. Pacini. “When McKee acquires its MRI guided breast core biopsy system, it will allow the complete biopsy to be done through the skin in the MRI scanning room.” This past October, a campaign was launched by the McKee Medical Center Foundation, devoted to raising money for a digital mammography system. The new equipment will be able to provide quicker,
Mammography machine is equipped with a warming
pad and a warmed robe for patient comfort.
Brenda Santillanes, Mam-mography and Radiology Technologist, examines an x-ray of breast tissue.
more accurate results for women. Currently, the center is almost half way to goal and is hoping to publicly announce the campaign within a month or two. “We have been holding several events which consist of small get-togethers of about 15-20 people,” said Julie Johnson Haffner, Director of the McKee Foundation. “At the events we provide breast health education, talk about the benefits of the new equipment and accept gifts for the campaign.” One of the most exciting aspects of the new equipment is the turn around time. It can take up to a week or more for results with the current equipment, but with the digital mammography equipment results may be returned within 24-48 hours. “This will help to decrease stress and anxiety for the patients,” said Haffner. The McKee Breast Center anticipates being the first center in Northern Colorado to acquire the digital mammography equipment. Haffner expects the new technology to attract women from many areas. “Once we can publicly announce the campaign and begin to accept several smaller gifts, we are hoping to wrap up the campaign and have the new equipment by April,” said Haffner. With all of the new amazing technology, incredible support and comfortable environment at the McKee Breast Center, it’s no wonder why it meets the needs of so many women in the Northern Colorado community.
Jennifer Johnson is a Technical Journalism and Fashion Merchandising major at CSU, and a freelance writer for Style Media and Design, Inc.
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Yourstomachfeelslikeapitofmoltenlavachurning,burning,scorching.Andlikeavolcano,everysooftenthemagmaescapesfromthatpit,lappingupthewallsofyouresophagusandsearingyourinsides.You’restoppedshortbyafierceeruptionspewingthe stinging, sour liquidup intoyour throat. If you’re lucky, in thatmoment, likeme,you rememberwhatyou forgotearlier in theday-yourAcipHex®orotherprescribedconcoctionofmodernmedicine.Ifyou’renotsolucky,andyou’veputoffgoingtoseethedoctor,youreachforachalkyantacidandhopeitwillsquelchthefirebelow.Anditjustmight,atleastforalittlewhile. a c i d r e f l u x— “Symptomsareoftencharacterizedasa senseofburningorahotcharcoalfeelingatthelowerportionoftheribcageortheupperportionofthestomach,” saysStevenKading,MDagastroenterologistat theGreeleyMedicalClinic.“Patientsdescribeahot,burningsensation.”Butpyrosis,theLatinnameforthatvolcanicfeeling,doesnotalwayscomealone.“Othersymptomsthatcouldbepartnersincrime,”saysDr.Kading,“includebelching,waterbrash(asaltyliquidinthemouth),orasenseofliquidflowinguptheesophagus.Allofthesearepartofagroupofsymptomsofacidrefluxdisease.” Thesesymptomsarehardtoignore,butmanyofustrytodosoanyway.“It’snothing,”wetellourselves.“Everybodyhasheartburn.”“Ijustatesomethingthatdidn’tagreewithme,”werationalize.Or,“I’munderalotofstress.” Whileallofthosethingsmightbetrue,heartburn,alsoknownasacidreflux,mightbeasignofsomethingveryserious:GERD-gastroesophagealrefluxdisease.Ifignored,GERDdamagestheesophagus,ulceratingandscarringit,makingit’sopeningtothestomach
Your stomach feels like a pit of molten lava churning, burning, scorching. You’re stopped short by a fierce eruption spewing the stinging, sour liquid up into your throat.
the fire withinGERD…
GASTROENTEROLOGY
byLynnDean
above-From Introduction to GERD/Astra Zeneca Pharmaceutical
right-From AllRefer Health.com/Adam Pharmaceutical
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smallerandsmallerandswallowingpainful.Eventuallyfood can get trapped and must be removed with anendoscope. The acid can also irritate the vocal cordscausingvocalchangesandhoarseness. Itcancausedentalproblems,pittingtoothenamelandleadingtodecay. Moreserioushealthproblemscanalsoresultfromprolongedandfrequentexposuretoacidreflux.Thecellsintheliningoftheesophaguscanchangeandbecomemorelikethoseinthestomach.KnownasBarrett’sesophagus,thesechangescanbeaprecursortocancer.“Wethinkthereisasequenceofeventsovertime,”saysDr.Kading.Heexplainsthatthecellsoftheesophagusstartoutnormal,thenheseesesophagitis(inflamation),followedlaterbyBarrett’sandthendysplasia(abnormalcells).“Whenweseeanylevelofdysplasia,weworrythatthecancerriskmightbeincreasingintheBarrett’smucosa.” “Esophagealcancer isoneof thecancers that’s increasing in frequency,”saysGreeleyoncologistDouglas J. Kemme,MD, FACP. “I don’t think anybody really understandswhy.Diet?Amorestressful life?Moreacidproduction?Whatwedoknow is thatpeoplewithGERDhaveagreater riskofhavingBarrett’s,and thecurrent thought is thatpeoplewithBarrett’shaveagreaterriskofesophagealcancer.Tomakemattersworse,nowpatientscanself-medicatewithover-the-countermedicationsandneverseeadoctor.” So,nowhe’sgotmyattentionandyours,Isuspect.Wecan’tletouracidrefluxrunamokunchecked.Buthowdowedistinguishasimplecaseofheartburnfromgastroesophagealrefluxdisease? “Ifyou’reeatingtoomanyyuppiemintsoryuppiecocktails (Tums–Mylanta–orotherantacids),asIliketocallthem,”saysDr.Kemme,“thenit’stimetoseeyourdoctor.”“There’snogoodreasontoletyoursymptomsgoonandon,unevaluatedandunchecked,”addsDr.Kading.“Theearlieryoucatchtheproblem,theeasieritistofix.” Ifyourdoctordeterminesthatyou,likeme,sufferfromacidrefluxdisease,heorshewillrecommendadualtreatmentapproachdesignednotonlytoquenchtheboilingwithin,butalsotokeepitfromboilingoverinthefirstplace. Thefirstapproachwillmostlikelybeprescriptionmedication.“Themainstayoftherapy
Dr. Steven Kading explains the difference between a simple case of heartburn and GERD to a patient.
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these days is acid suppression,” says Dr.Kading. “Acid is the prime culprit.” Dr.Kading explains that medicines developedover the last 25 years have revolutionizedthetreatmentofulcersandGERD.Thefirsttypesof thesemedicationswerehistaminetype II drugs,whichblocked thepathwaysfor acid production. “They worked likemagic,”hesays. But over time, researchers discoveredthatthesefirstdrugsweremoreeffectiveathealingulcersand lesseffectiveat treatingGERD than drug types developed morerecently. These drugs, called proton pumpinhibitors, block acid production at thecellularlevel. Your doctor may also prescribemedications that improve motility, thatis, they allow food to move through yoursystem more quickly and help sweep theesophagusclearofacid. The second approach to treatingGERD is to implement lifestyle changes.“I recommend my patients avoid spicesand vices,” says Dr. Kading. Spices don’tnecessarily refer to spicy foods but thosefoods(anddrinks),whichtriggerheartburnand most often include tomato-basedproducts. Vices include alcohol, cigarettes,caffeine, mints and chocolate. Dr Kadingalso recommends that patients avoidovereating,notreclinewithintwohoursofeating, go to bed on an empty stomach,andifnecessary,elevatetheheadofthebedsothattheshouldersareonahigherplanethanthestomach. IfyoudohaveGERD,yourdoctormightrecommendanesophogastroduodenoscopy,(EGD)tolookfordamagetotheesophagus.Inthisprocedure,whichisquitecomfortableand done with the help of a sedatingmedication, a small, flexible tube, with achip video camera, is passed through themouthintotheesophagus.Thedoctorwillalso examine the stomach and duodenumwhile he or she is down there. This is thebest test to examine the surface tissue oftheseorgans. Acidrefluxis,atbest,veryuncomfortableand, at worst, destructive. But it can bemanagedeasilywithmedicationsandlifestylechanges. Even so, Dr. Kading cautions,don’t mistake the disappearance of yoursymptomsasa signofacure.“Whenyoustop the therapy, all the things that causethesymptomscomeback,”hesays. So, ifyou’vebeenputtingoffavisittoyourdoctor,tellingyourselfthatit’snothing,
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It •••• Ahmed Sherif, M.D. Yazan A. Qwaider, M.D. Edward Marino, PA-C
NORTH COLORADO 1 gastroen tero ogy Diagnosis and management of Gastro Intestinal disorders including:
diseases of the esophagus, stomach, large intestines, hepatobiliary
and pancreatic diseases. Also specializing in diagnostic and therapeu
tic Endoscopy which includes: state of the art Endoscopic Ultra Sound,
Sphincter of Oddi Manometry and Colorectal cancer screening.
Clinic's at NORTH COLORADO MEDICAL CENTER Monday through Friday 8:00a.m. to 4:30p.m.
EAST MORGAN COUNTY (Brush) and STERLING REGIONAL, Call for available days.
Ahmed Sherif, M.D. ~
Yazan A. Qwaider, M.D.
To schedule appointments or for more information please call:
970-378-4676 or fax your referral
to 970-378-4315.
Banner Health
North Colorado 1801 16th Street I Greeley, CO Medical Center®
SPECIALIZING IN MEDICAL & SURGICAL MANAGEMENT OF
Ear, Nose & Throat Disorders • Head & Neck Surgery
• Adult & Pediatrics
• Endoscopic Sinus Surgery
Listed in cc.Best Doctors In America"
Nationally Recognized Expert in Sinus & Nasal
Disease
Board Certified Former Fa culty of Johns Hopkins Hospital
Loveland I Greeley Medical Magazine & Directory 2006
• Voice Disorders
• Hearing & Balance Disorders
• Snoring and Sleep Apnea
(970) 493-5334
TOLL FREE:
1-866-493-5334
2001 South Shields, Building E - Suite 101
Fort Collins, CO
• Sinus & Nasal Disease
• Coblation Tonsillectomy
• Injection Snoreplasty
Board Certified Tulane University
Lynn Dean is a freelance writer living in Fort Collins.
Dr. Kading says, “I recommend that my patients avoid spices and vices.”
andgrabbingtheantacids toquell thefirewithin, take heart. With a few lifestyleadjustments and a drug therapy regimen,you and your stomach can once againbe comfortable. So, say goodbye to your“yuppie mints” and hello to your doctor.You’llbegladyoudid.
is it a warning sign? There’s another good reason to vis-it your doctor and have your symptomscheckedout. Itmightnotbeacidrefluxatall,butsomethingmoreseriousmasquerad-ingasheartburn.“Aheartattackcanmimicheartburn,” warns Steven Kading, MD agastroenterologist at the Greeley MedicalClinic. “So can gall bladder disease and anumberofotherailments.”Dr.Kadingrec-ommends that if youhaveanypain in thelowerchestorupperabdomen,youshouldbeevaluatedbyadoctor.
are you in the clear? Yoursymptomswentawayonitsown,so you’re in the clear, right? Maybe notwarnsStevenKading,MD.AccordingtoDr.Kading, symptoms may change over timeandpeoplewithseriousGERDmaynotfeelit.“OneofthecomplicationsofseriousGERDisdamagetotheesophagus.”Patientswithsuchdamageusedtofeelthefire,butdon’tanymore. Without acid reflux’s warningsigns,theymaynotevenrealizetheyareatserousriskandmayletthediseasecontinuetoravagetheirbodies.
We’re pleased to announce that Northern Colorado Surgical Associates, surgeons
Robert Quaid, MD, Stefan Pettine, MD, and James Dickinson, MD, together with the
Bariatric Center of the Rockies at Poudre Valley Hospital, have been selected by the
American Society for Bariatric Surgery (ASBS) as a Bariatric Center of Excellence.
As a medical specialty, bariatric physicians treat people who are 100 pounds or more
above normal weight. Weight loss surgery effectively treats this morbid obesity and
improves such related health problems as diabetes and high blood pressure.
To be designated a Center of Excellence, the surgeons, their practice, and PVH had to
demonstrate that they provided their patients with safe, effective surgery based on a
thorough review of the surgery results, and confirmed with a site visit by representatives
of the ASBS.
Poudre Valley Hospital and Northern Colorado Surgical Associates have also been
recognized as a Center of Excellence by Anthem Blue Cross/Blue Shield of Colorado.
For more details, visit www.pvhs.org or contact Northern Colorado Surgical at
(970) 482-6456 or PVH at 1-866-495-7579 (leave message for return call).
BARIATRIC CENTER
P O U D R E VA L L E Y H O S P I TA L
O F T H E R O C K I E S
Excellence in Weight Loss Surgery
A M E R I C A N S O C I E T Y F O R B A R I AT R I C S U R G E R Y C E N T E R O F E X C E L L E N C E
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We’re pleased to announce that Northern Colorado Surgical Associates, surgeons
Robert Quaid, MD, Stefan Pettine, MD, and James Dickinson, MD, together with the
Bariatric Center of the Rockies at Poudre Valley Hospital, have been selected by the
American Society for Bariatric Surgery (ASBS) as a Bariatric Center of Excellence.
As a medical specialty, bariatric physicians treat people who are 100 pounds or more
above normal weight. Weight loss surgery effectively treats this morbid obesity and
improves such related health problems as diabetes and high blood pressure.
To be designated a Center of Excellence, the surgeons, their practice, and PVH had to
demonstrate that they provided their patients with safe, effective surgery based on a
thorough review of the surgery results, and confirmed with a site visit by representatives
of the ASBS.
Poudre Valley Hospital and Northern Colorado Surgical Associates have also been
recognized as a Center of Excellence by Anthem Blue Cross/Blue Shield of Colorado.
For more details, visit www.pvhs.org or contact Northern Colorado Surgical at
(970) 482-6456 or PVH at 1-866-495-7579 (leave message for return call).
BARIATRIC CENTER
P O U D R E VA L L E Y H O S P I TA L
O F T H E R O C K I E S
Excellence in Weight Loss Surgery
A M E R I C A N S O C I E T Y F O R B A R I AT R I C S U R G E R Y C E N T E R O F E X C E L L E N C E
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Ithasbeenobservedforyears,forinstance,thatmanyexecutiveswithhigh-pressurejobsseemtoremainquitehealthyuntiloldage–theyseemtoflourishintheirpressure-cooker jobs.Recentstudieshaveshedlightonthisphenomenon. Itturnsoutthatthetypeof emotional stressoneexperiences is important. In comparing theoutcomesofindividualswithdifferenttypesofjob-relatedstress,itwasfoundthatpeoplewithrelativelylittlecontrolovertheirownworkplacedestiny(clerksandsecretariesforinstance)faredfarworsethantheirbosses.(Bosses,ofcourse,tendtohavemorecontrolovertheirownlives–andthelivesofothers.Assomeoneoncesaid,it’sgoodtobeking.)Asenseoflossofcontrol,therefore,appearstobeaparticularlyimportantformofemotionalstress.Furthermore, this evidence seems to confirm that if some senseof control overone’sdestinyismaintained,jobrelatedstresscanbeexhilaratingratherthandebilitating. Whyarethemenwhowork lessthansevenhoursadaymoreatriskforaheartattack?Oneword-depression.Depressionisacommonsideeffectandendresultofprolonged stress. People have always associated depression with heart problems. Weeventalkaboutbeingheartbrokenwhensad.Thisstresscanleadtounhealthybehavior–suchassmokingmore,drinkingtoexcessandexercisingless–whichincreasesriskofheartproblems,orstresshasitsownindependentbiologicaleffectontheheart. Actually, quite a bit of evidence suggests that it may be the individual, and notthe stress itself that is the problem. People with Type A personalities (time-sensitive,impatient,chronicsenseofurgency,tendencytowardhostility,competitive)areathigherriskforcoronaryarterydiseasethanpeoplewithTypeBpersonalities(patient,low-key,non-competitive).Inotherwords,giventhesamestressfulsituation,somewillrespondwithfrustrationandanger,therushofadrenalineandthefight-or-flightmode,andsomewillreactserenely. This iswhythecommonadviceto“avoidstress” issouseless.Nobodycanavoidall stresswithout completelydroppingoutof society andbecomingamonk.Besides,peopleoftheTypeApersuasionwillcreatetheirownstressfulsituations.Asimpletriptothegrocerystorewillbefilledwithepisodesofbaddrivers,poorly-timedtrafficlights,crowded aisles, indifferent checkout clerks, and thin plastic grocery bags that rip tooeasily.“Theworldisfilledwithhalf-brainedincompetentswhoseonlypurposeistogetinmyway,”theywillconclude.“It’sawonderanyofthemsurvivedtoadulthood.”
People who live in a chronically stressed-out condition are more likely to take up smoking and overeating, and are far less likely to exercise.
your heartstressing out
CARDIOLOGY
byAustinJ.Lamb
quitsmoking
exerciseregularly
avoidexcessalcohol
eatahealthydiet
reduceyourweightifitisaboveaverageforyourheight
haveyourbloodpressurecheckedandtakeadviceifitishigh
Italsomakessensetolimitstresswherepossibleandlearnhowtomanageyourstresswhenitcannotbeavoided.
Evenifstresscancauseheartproblems–asstudiesseemtosuggest – it is certainly not the biggest risk factor. Expertsagreethattokeepahealthyheartyoushouldtacklethemainrisks.Thismeansyoushould:
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It
-==I I
••••
COLUMBINE HEALTH SYSTEMS Proudly Announces
LEMAY AVENUE HEALTH & REHAB FACILITY
Opening in 2007 at Lemay Avenue and Rule Drive
THE CONTINUATION OF
COLUMBINE CARE CENTER EAST
Michael P. Fangman MD, FACP
Miho Toi Scott MA,MD
Paolo Romero MD
Anne Kanard MD
at the POUDRE VALLEY HOSPITAL HARMONY CAMPUS 2121 E. Harmony Rd. Suite 150, Fort Collins • www.cancercenteroftherockies.com
970.493.6337
Loveland I Greeley Medical Magazine & Directory 2006
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II
~ LENDER
••••
In 1977 Roger Sample was working
for a national accounting firm when
he realized there could be more to
accounting than just numbers. He
envisioned a local firm in Fort Collins
that could deliver world class
accounting services and dedicate
itself to our community.
Twenty-eight years later, Sample
& Bailey is the premier accounting
firm in our region, and Roger (photo,
right) is a leading voice in our community
for well-managed, responsible growth.
When Roger recently decided to
find a local bank that shares his
commitment to our community, he
discovered Home State Bank.
"Actually, we found Roger," says Don
Churchwell, CEO of Home State. "We
were looking for a leader to join our
board of directors and help us play an
even greater role in the growth of our
"There's more to business than just a bottom line."
community." Today,
Roger is both a
customer and a
director of Home
State Bank.
Member FDIC
If you're looking
for a high-powered
accounting firm, call Sample & Bailey.
But if you'd like to do business with
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directorymedical
&medical centernorth colorado
banner healthmckeemedical center
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The hospitals of Banner Health treat thousands of patients every year in northern Colorado. Just seeing them get well and hearing their stories gives us the inspiration to go above and beyond typical health care. Our highly trained and compassionate medical staff has the most advanced equipment available to practice leading medicine, but it’s their simple acts of kindness that really make a difference. Like offering patients DVDs and CDs. Or teaching them cross-stitch to help pass the time. Anything to put a twinkle in their eyes or a smile on their face. Banner Health. Inspired to go the extra mile every day. For every one of our patients.
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
typical health care. Our highly trained and compassionate medical staff has the most advanced equipment available to practice leading
Banner Health facilities include:
North Colorado Medical Center
Our patients are the reasonwe go the extra mile every day.
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&north colorado medical center
banner healthmckee medical center
directorymedicalallergy- immunologyJames, John M., MD2525 16th Street, Ste. CGreeley, CO 80634 ..............970-356-3907
Kailasam, Velusamy, MD1130 38th Avenue, Ste. 2Greeley, CO 80634 .............970-330-5391See ad below
Lanting, William A., MD1130 38th Avenue, Ste. 2Greeley, CO 80634 .............970-330-5391See ad below
allergy- immunology-internal medicinePace, R. Scott, MD2000 16th Street, Ste. 5Greeley, CO 80631 ..............970-353-0155
allergy- internal medicineVedanthan, P.K., MD1018 14th StreetGreeley, CO 80631 ..............970-330-5391
anesthesiologyAbston, Phillip A., MDPO Box 336910Greeley, CO 80633 ..............970-396-6994
Agnello, Joseph, MD2204 Hoffman Dr., Ste. ALoveland, CO 80538 ............970-667-9794
Balestrieri, Frank, MD2204 Hoffman Dr., Ste. ALoveland, CO 80538 ............970-667-9794
Dick, Milton L., MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Dry, Owen L., MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Foley, Kevin, MD2204 Hoffman Dr., Ste. ALoveland, CO 80538 ............970-667-9794
Greenfield, J. Carlyle, MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Harrison, John W., MDPO Box 336910Greeley, CO 80633 ..............970-352-7366
Hart, Robert (Ted), MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Jones, Steven W., MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Landes, Valdon G., DOGreeley, CO .................................. Unlisted
Lloyd, Alan, MD2204 Hoffman Dr., Ste. ALoveland, CO 80538 ............970-667-9794
Lord, Jonathan G., DOPO Box 336910Greeley, CO 80633 ..............970-350-6970
Michael, Christopher S., MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Morrow, Kenyon S., MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Peetz, Shelley L., MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Regnier, Patricia L., MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Song, Yo-Jun, MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Stenbakken, Gelerie D., MDPO Box 336910Greeley, CO 80633 ..............970-350-6970
Thomas, Christopher D., DOPO Box 336910Greeley, CO 80633 ..............970-352-7366
Thorton, Meg N., MDPO Box 336910Greeley, CO 80633 ..............970-353-5400
cardiacelectrophysiologyCohen, Andrew I., MD1421 S. Potomac, Ste. 40Aurora, CO 80012 ...............303-750-0822
Fuenzalida, Charles, MD1421 S. Potomac, Ste. 40Aurora, CO 80012 ...............303-750-0822
Prager, Nelson A., MD1421 S. Potomac, Ste. 40Aurora, CO 80012 ...............303-750-0822
The hospitals of Banner Health treat thousands of patients every year in northern Colorado. Just seeing them get well and hearing their stories gives us the inspiration to go above and beyond typical health care. Our highly trained and compassionate medical staff has the most advanced equipment available to practice leading medicine, but it’s their simple acts of kindness that really make a difference. Like offering patients DVDs and CDs. Or teaching them cross-stitch to help pass the time. Anything to put a twinkle in their eyes or a smile on their face. Banner Health. Inspired to go the extra mile every day. For every one of our patients.
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
typical health care. Our highly trained and compassionate medical staff has the most advanced equipment available to practice leading
Banner Health facilities include:
North Colorado Medical Center
Our patients are the reasonwe go the extra mile every day.
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cardiologyAshmore, Roger, MD2121 E. Harmony Rd., Ste. 100 & 200Fort Collins, CO 80528 ........970-221-1000
Beckmann, James H., MD1800 15th Street, Ste. 310Greeley, CO 80631 .............970-392-0900See ad on back cover
Chapel, Harold L., MD1800 15th Street, Ste. 310Greeley, CO 80631 .............970-392-0900See ad on back cover
Cullinane, David, MD2121 E. Harmony Rd., Ste. 100 & 200Fort Collins, CO 80528 ........970-663-3107
Doing, Anthony, MD2121 E. Harmony Rd., Ste. 100 & 200Fort Collins, CO 80528 ........970-221-1000
Green, C. Patrick, MD2121 E. Harmony Rd., Ste. 100Fort Collins, CO 80528 ........970-663-3107
Gryboski, Cynthia L., MD1800 15th Street, Ste. 310Greeley, CO 80631 .............970-392-0900See ad on back cover
Hurst, Paul G., MD1800 15th Street, Ste. 310Greeley, CO 80631 .............970-392-0900See ad on back cover
Johnson, C. Timothy, MD2121 E. Harmony Rd., Ste. 100 & 200Fort Collins, CO 80528 ........970-221-1000
Larson, Dennis, MD2121 E. Harmony Rd., Ste. 100 & 200Fort Collins, CO 80528 ........970-221-1000
Marsh, Randall C., MD1800 15th Street, Ste. 310Greeley, CO 80631 .............970-392-0900See ad on back cover
Myers, Gerald, MD1900 N. Boise Ave., Ste. 410Loveland, CO 80538 ............970-663-3107
Oldemeyer, J. Brad, MD2121 E. Harmony Rd., Ste. 100 & 200Fort Collins, CO 80528 ........970-221-1000
Rath, Gary A., MD1800 15th Street, Ste. 310Greeley, CO 80631 .............970-392-0900See ad on back cover
Shihabi, Ahmad H., MD500 Main St.Fort Morgan, CO 80701 .......970-867-7900
Stoltz, Chad, MD2121 E. Harmony Rd., Ste. 100 & 200Fort Collins, CO 80528 ........970-221-1544
Treat, Stephen, MD1900 N. Boise Ave., Ste. 410Loveland, CO 80538 ............970-663-3107
Voyles, Wyatt, MD1900 N. Boise Ave., Ste. 410Loveland, CO 80538 ............970-663-3107
Zumbrun, Steven R., MD1800 15th Street, Ste. 310Greeley, CO 80631 .............970-392-0900See ad on back cover
dentistry
Bland, Andrew A., DDS3400 16th Street, Bldg. 8-EGreeley, CO 80634 ..............970-356-5277
Ligon, Richard S., DDS1825 56th Avenue, Bldg. EGreeley, CO 80631 ..............970-353-6249
dermatologyBlattner, Mary A., MD5881 W. 16th StreetGreeley, CO 80634 ..............970-313-2734
Castle, Stephen P., DO7251 W. 20th Street, Bldg. EGreeley, CO 80634 ..............970-330-6075
ear, nose, throatChand, Maria, MD1120 E. Elizabeth St., Bldg. F-101Ft Collins, CO 80524 .......... 970-221-1177See ad below
Childers, Marvin, MD3820 N. Grant Ave.Loveland, CO 80538 ..........970-669-6851See ad below
Gill, Sarvjit, MD3820 N. Grant Ave.Loveland, CO 80538 .......... 970-593-1177See ad below
Gupta, Sanjay K., MD5881 W. 16th StreetGreeley, CO 80634 ..............970-313-2740
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Peterson, James H., MD2528 W. 16th StreetGreeley, CO 80634 ..............970-356-4646
Peterson, Keith E., MD2528 W. 16th StreetGreeley, CO 80634 ..............970-356-4646
Peterson, Thomas T., MD2528 W. 16th StreetGreeley, CO 80634 ..............970-356-4646
Zachais, David, MD1120 E. Elizabeth St., Bldg. F-101Fort Collins, CO 80524 ...... 970-221-1177See ad on page 38
emergency medicineBaker, Jeffrey T., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Busse, Daniel, MDPO Box 830Loveland, CO 80538 ............970-635-4071
Campain, James J., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Cole, Charles A., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Dellota, Kriss, MDMMC Emergency DeptLoveland, CO 80539 ............970-635-4071
Dixon, Mark, MDMMC Emergency DeptLoveland, CO 80539 ............970-635-4071
Dupper, Robert L., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Fuhrmann, Eric, MDMMC Emergency DeptLoveland, CO 80539 ............970-635-4071
Genova, Ronald T., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Harms, Thomas L., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2425
Hurst, John G., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Hutchison, Timothy J., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
James, Tyler M., DONCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Jobin, Michael, MDMMC Emergency DeptLoveland, CO 80539 ............970-635-4071
Link, David W., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Maxwell, Peter W., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
McCoy, Kristin, MDMMC Emergency DeptLoveland, CO 80538 ............970-635-4071
McLaughlin, Keith, MDMMC Emergency DeptLoveland, CO 80539 ............970-635-4071
Purdie, Frank R., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Rein, Jody A., DONCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Sato, Randall, MDMMC Emergency DeptLoveland, CO 80539 ............970-635-4071
Schwartz, Jeffrey C., MDNCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Shuler, James B., DONCMC Emergency DeptGreeley, CO 80631 ..............970-350-6244
Waggener, William, MDMMC Emergency DeptLoveland, CO 80539 ............970-635-4071
endocrinologyHanson, Thomas, MD1800 15th Street, Ste. 200Greeley, CO 80631 .............970-203-6653See ad below
39
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family practiceAlbritton, Eliz, MD7603 Colland Dr.Fort Collins, CO 80525 ........970-461-8031
Allen, Thomas, MD295 E. 29th StreetLoveland, CO 80538 ............970-669-6000
Anderson, Thomas, MD2701 Madison Square Dr.,Loveland, CO 80537 ............970-663-0722
Armour, Ross, MD401 10th StreetBerthoud, CO 80513 ............970-532-4910
Bearden, Jacqueline S., MD5623 W. 19th StreetGreeley, CO 80634 .............. 970-353-9011
Bender, John L., MD4674 Snow Mesa Dr., Ste. 140Fort Collins, CO 80528 ........970-482-0213
Bradley, Robert C., MD1300 Main St.Windsor, CO 80550 .............970-686-5646
Branum, Joanna H., MD2520 16th StreetGreeley, CO 80634 ..............970-356-2520
Budensiek, Richard L., DO5623 W. 19th StreetGreeley, CO 80634 .............. 970-353-9011
Cabrera, Anthony, MD914 W. 6th StreetLoveland, CO 80537 ............970-667-3976
Carey, Michael V., MD1300 Main St.Windsor, CO 80550 .............970-686-5646
Clang, Daniel R., DO2520 16th StreetGreeley, CO 80634 ..............970-356-2520
Clang, Tamara S., DO2520 16th StreetGreeley, CO 80634 ..............970-356-2520
Colgan, Ann T., MD1175 58th Avenue, Ste. 100Greeley, CO 80634 ..............970-378-8000
Coonrod, Aline R., MD1600 23rd AvenueGreeley, CO 80634 ..............970-356-2424
Corliss, Scott A., MD5881 W. 16th StreetGreeley, CO 80634 ..............970-313-2700
Corona, Joseph A., MD5881 W. 16th StreetGreeley, CO 80634 ..............970-313-2700
Dallow, Kurt T., MD1600 23rd AvenueGreeley, CO 80634 ..............970-356-2424
Danforth, James, MD2701 Madison Square Dr.Loveland, CO 80538 ............970-663-0722
Deutchman, Mark E., MDPO Box 6508Aurora, CO 80045 ...............303-724-9725
Doft, Anthony, MD2701 Madison Square Dr.Loveland, CO 80538 ............970-663-0722
Fahrenholtz, Daniel H., MD1600 23rd AvenueGreeley, CO 80634 ..............970-356-2424
Flower, Thomas J., DO2122 9th StreetGreeley, CO 80631 ..............970-356-7555
Frickman, C. Elmo, MD3320 W. Eisenhower Blvd.Loveland, CO 80537 ............970-669-2849
Garber, Stacey L., MD1600 23rd AvenueGreeley, CO 80631 ..............970-356-2424
Grauerholz, Brent D., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2425
Greene, Dana, MD2420 W. 16th StreetGreeley, CO 80631 ..............970-353-7668
Gregory, Joseph E., MD222 Johnstown Center Dr.Johnstown, CO 80534 .........970-587-4974
Grosboll, Robert, MD232 W. 4th StreetLoveland, CO 80537 ............970-667-3565
Hailey, Mark, MD914 W. 6th StreetLoveland, CO 80537 ............970-667-3976
Hall, Deborah A., MD1600 23rd AvenueGreeley, CO 80631 ..............970-356-2424
Haskins, R. Scott, MD1175 58th Avenue, Ste. 100Greeley, CO 80634 ..............970-378-8000
Horstmeyer, Pamela, MD914 W. 6th StreetLoveland, CO 80537 ............970-667-3976
Hughes, Andrew, MD2701 Madison Square Dr.Loveland, CO 80538 ............970-663-0722
Jeffers, Wayne S., MD1600 23rd AvenueGreeley, CO 80634 ..............970-356-2424
Kang, David S., MD100 S. Cherry Ave.Eaton, CO 80615 .................970-454-3838
Kasenberg, Thomas, DO295 E. 29th StreetLoveland, CO 80538 ............970-669-6000
Kenigsberg, Thomas A., MD222 Johnstown Center Dr.Johnstown, CO 80534 .........970-587-4974
Kennedy, Christopher T., MD2420 W. 16th StreetGreeley, CO 80634 ..............970-353-7668
Krantz, Laurence, MD3320 W. Eisenhower Blvd.Loveland, CO 80537 ............970-669-2849
Ley, James W., MD5881 W. 16th StreetGreeley, CO 80634 ..............970-313-2700
Magnuson, Douglas A., MD2520 16th StreetGreeley, CO 80634 ..............970-356-2520
Major, James C., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2425
Manter, Charles D., DO2627 W. 10th Street, Ste. 3Greeley, CO 80634 ..............970-352-3274
Martinez, Matthew L., MD1175 58th Avenue, Ste. 100Greeley, CO 80634 ..............970-378-8000
MC Call, Janis R., MD5623 W. 19th StreetGreeley, CO 80634 .............. 970-353-9011
McDermott, Martin D., MD327 N. Park Ave.Fort Lupton, Co 80621 .........303-659-3151
Miller, Leigh Wayne, MD1801 16th StreetGreeley, CO 80631 ..............970-350-6244
Morgan, Frank D., MD5623 W. 19th StreetGreeley, CO 80634 .............. 970-353-9011
Nelson, Jerry A., MD1028 5th AvenueGreeley, CO 80631 ..............970-353-9403
Nye, Bret, MD3320 W. Eisenhower Blvd.Loveland, CO 80537 ............970-669-2849
Olds, Kenneth M., MD1175 58th Avenue, Ste. 100Greeley, CO 80634 ..............970-378-8000
Oligmueller, William, MD5881 W. 16th StreetGreeley, CO 80634 ..............970-313-2700
Paczosa, Michelle K., MD1175 58th Avenue, Ste. 100Greeley, CO 80634 ..............970-378-8000
Peterson, Jeffrey E., MD1175 58th Avenue, Ste. 100Greeley, CO 80634 ..............970-378-8000
Pflieger, Daniel P., MD2420 W. 16th StreetGreeley, CO 80634 ..............970-353-7668
Powell, Patricia K., MD1028 5th AvenueGreeley, CO 80631 ..............970-353-9403
Rangel, Keith A., MD1300 Main St.Windsor, CO 80550 .............970-686-5646
Reents, William, MD914 W. 6th StreetLoveland, CO 80537 ............970-667-3976
Ringel, Marc A., MD2400 W. EdisonBrush, CO 80723 .................970-842-6262
Ripley, Lori A., MD2520 16th StreetGreeley, CO 80634 ..............970-356-2520
Risenhoover, Edwin, MD295 E. 29th StreetLoveland, CO 80538 ............970-669-6000
Rommereim-Madden, Daphne, MD1028 5th AvenueGreeley, CO 80631 ..............970-353-9403
Rule, Ingrid, MD1323 Harlow LaneLoveland, CO 80537 ............970-667-3030
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Ruschak, Lisa J., MD1028 5th AvenueGreeley, CO 80631 ..............970-353-9403
Schafer, Donald, MD914 W. 6th StreetLoveland, CO 80537 ............970-667-3976
Schaffer, Scott, MD7603 Colland Dr.Fort Collins, CO 80525 ........970-461-8031
Schipper, Leslie A., DO1300 Main St.Windsor, CO 80550 .............970-686-5646
Schmalhorst, Brian K., MD5881 W. 16th StreetGreeley, CO 80634 ..............970-313-2700
Shenkenberg, Amy E., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2425
Sheppard-Madden, Dena, MD295 E. 29th StreetLoveland, CO 80538 ............970-669-6000
Smith, David B., MD1600 23rd AvenueGreeley, CO 80634 ..............970-356-2424
Trevino, Julia B., MD1028 5th AvenueGreeley, CO 80631 ..............970-353-9403
Tucker, Kelly W., MD1175 58th Avenue, Ste. 100Greeley, CO 80634 ..............970-378-8000
Volk, John W., MD222 Johnstown Center Dr.Johnstown, CO 80534 .........970-587-4974
Wallace, Mark E., MD1600 23rd AvenueGreeley, CO 80634 ..............970-356-2424
Ward, John David, II, MD1175 58th Avenue, Ste. 100Greeley, CO 80634 ..............970-378-8000
Waugh, Kyle B., MD1600 23rd AvenueGreeley, CO 80634 ..............970-356-2424
Wiggins, Michael, MD914 W. 6th StreetLoveland, CO 80537 ............970-667-3976
Wignall, William B., MD1600 23rd AvenueGreeley, CO 80634 ..............970-356-2424
Wilson, D. Craig, MD2520 16th StreetGreeley, CO 80634 ..............970-356-2520
Young, Linda E., MDUNC-Cassidy Hall, Campus Box 37Greeley, CO 80639 ..............970-351-2412
Young, Mark D., MD2420 W. 16th StreetGreeley, CO 80634 ..............970-353-7668
Zableckas, Egle A., MD1300 Main St.Windsor, CO 80550 .............970-686-5646
Zucker, Charles I., MD2520 16th StreetGreeley, CO 80634 ..............970-356-2520
gastroenterologyAbu Qwaider, Yazan, MD1800 15th Street, Ste. 200Greeley, CO 80631 .............970-378-4475See ad on page 29
Burgert, Stephen, MD2555 E. 13th Street, Ste. 220Loveland, CO 80537 ............970-669-5432
Chase, Jerry, MD2555 E. 13th Street, Ste. 220Loveland, CO 80537 ............970-669-5432
Kading, Steven O., MD1800 15th Street, Ste. 320Greeley, CO 80631 .............. 970-356-0011
Lynch, Kathryn, MD2555 E. 13th Street, Ste. 220Loveland, CO 80537 ............970-669-5432
Sherif, Ahmed M., MD1800 15th Street, Ste. 200Greeley, CO 80631 .............970-378-4475See ad on page 29
Strong, Lewis, MD2555 E. 13th Street, Ste. 220Loveland, CO 80537 ............970-669-5432
Witt, Peter C., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2440
gynecologyBurke, Robert, MD1813 N. Cheyenne Ave.Loveland, CO 80538 ............970-669-4176
Carlton, John, MD1813 N. Cheyenne Ave.Loveland, CO 80538 ............970-669-4176
Englert, Thomas, MD2216 Hoffman Dr., Ste. 3Loveland, CO 80538 ............970-669-8960
gynecology- breast centerCarter, Susan D., MD1800 15th Street, Ste. 220Greeley, CO 80631 ..............970-353-1335
hyperbaric medicine (hbo)-woundFarstad, David J., MD1800 16th StreetGreeley, CO 80631 ..............970-350-6071
Olsen, Eric B., MD1800 16th StreetGreeley, CO 80631 ..............970-350-6071
Radin, Robert A., MD1800 16th StreetGreeley, CO 80631 ..............970-350-6071
hematology-oncologyKemme, Douglas J., MD1800 15th St., Ste. AGreeley, CO 80631 ..............970-353-6722
Lininger, Thomas R., MD2050 N. Boise Ave., Ste. ALoveland, CO 80538 ............970-667-78701800 15th Street, Ste. CGreeley, CO 80631 ..............970-378-4170
Minkoff, Monica, MD1501 S. Lemay Ave.Fort Collins, CO 80524 ........970-212-7600
Shelanski, Samuel A., MD2050 N. Boise Ave., Ste. ALoveland, CO 80538 ............970-667-78701800 15th Street, Ste. CGreeley, CO 80631 ..............303-861-6868
Stone, Michael, MD2050 N. Boise Ave., Ste. ALoveland, CO 80538 ............970-667-78701800 15th Street, Ste. CGreeley, CO 80631 ..............970-378-4170
infectious diseaseBreen, John F., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6360
Liao Ong, Jacob, MD2121 E. Harmony Rd., Ste. 380Fort Collins, CO 80528 ........970-224-0429
Peskind, Robert, MD2121 E. Harmony Rd., Ste. 380Fort Collins, CO 80528 ........970-224-0429
internal medicine- infectious diseaseCurrie, James B., MD7251 W. 20th Street, Bldg. KGreeley, CO 80634 ..............970-353-4322
internal medicineBerntsen, Mark F., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2438
Cash, Robert L., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2438
Christiansen, Dana, MD7251 W. 20th Street, Bldg. KGreeley, CO 80634 ..............970-353-4322
Denzel, Gregory D., DO2928 W. 10th StreetGreeley, CO 80634 ..............970-351-8181
Ebens, John B., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2438
Edwards, Stanley O., MD7251 W. 20th Street, Bldg. KGreeley, CO 80634 ..............970-351-7722
Honea, Bertrand, MD2000 Boise Ave.Loveland, CO 80538 ............970-593-6099
Loecke, Steven W., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2438
Norman, Edward, MD1808 N. Boise Ave.Loveland, CO 80538 ............970-278-1862
Parliment, Joel, MD1808 N. Boise Ave.Loveland, CO 80538 ............970-278-1862
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Randle, Michael T., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2438
Reinhardt, Marcus R., MD7251 W. 20th Street, Bldg. KGreeley, CO 80634 ..............970-353-4322
Smith, Peter, MD1808 N. Boise Ave.Loveland, CO 80538 ............970-278-1862
Tello, Robert, MD232 W. 4th StreetLoveland, CO 80537 ............970-667-3565
Thompson, Keith S., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2438
Tryggestad, David I., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2438
Valin, James, MD1808 N. Boise Ave.Loveland, CO 80538 ............970-278-1862
Zenk, Daniel R., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2438
neonatologyWilkening, Ranndall B., MD1056 E. 19th Avenue, Ste. B070Denver, Co 80218 ................303-861-6868
nephrologyHaygood, Thomas, MD1600 Specht Point Rd., Ste. IFort Collins, CO 80525 ......970-493-7733See ad this page
Muelken, Kevin, MD1600 Specht Point Rd., Ste. IFort Collins, CO 80525 ......970-493-7733See ad this page
Mullins, David E., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2438
Rademacher, Donald R., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2438
Simmons, Richard, MD1600 Specht Point Rd., Ste. IFort Collins, CO 80525 ......970-493-7733See ad this page
Singer, James, MD1600 Specht Point Rd., Ste. IFort Collins, CO 80525 ......970-493-7733See ad this page
nephrology- internal medicineBruce, Julia L., MD900 14th StreetGreeley, CO 80631 ..............970-304-0010
neurologyEwing, David L., MD7251 W. 20th Street, Bldg. CGreeley, CO 80634 ..............970-356-3876
Jacobs, Marianne B., DO1632 Hoffman Dr.Loveland, CO 80538 ............970-461-3694
Mazowiecki, Michael C., MD7251 W. 20th Street, Bldg. CGreeley, CO 80634 ..............970-356-3876
Schmitt, Joseph, MD1632 Hoffman Dr.Loveland, CO 80538 ............970-461-3694
Tolge, Celina, MD5890 W. 13th Street, Ste. 112Greeley, CO 80634 ..............970-353-2255
Woodcock, Jonathan H., MD8515 Pearl St., Ste. 203Thorton, CO 80229 ..............303-288-7882
ob-gynAbbott, Stewart M., MD1275 58th Avenue, Ste. AGreeley, CO 80634 ..............970-336-1500
Allen, Neil H., MD2410 16th StreetGreeley, CO 80634 ..............970-352-6353
Berdahl, Laurie D., MD2410 16th StreetGreeley, CO 80634 ..............970-352-6353
Beresford, Kaea N., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2403
Burket, Charles R., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2403
Colberg, Craig S., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2403
Crane, John, MD1900 N. Boise Ave., Ste. 300Loveland, CO 80538 ..........970-667-2009See ad on page 57
Edenfield, Diana, MD1900 N. Boise Ave., Ste. 300Loveland, CO 80538 ..........970-667-2009See ad on page 57
Fiala, Jenna E., MD2410 W. 16th StreetGreeley, CO 80634 ..............970-352-6353
Hess, Kevin D., DO1257 58th Avenue, Ste. AGreeley, CO 80634 ..............970-336-1500
Hiratzka, Paul S., MD2410 16th StreetGreeley, CO 80634 ..............970-352-6353
Hobbins, John C., MD4200 E. 9th Avenue, Mailstop B-198Denver, CO 80262 ...............303-372-6697
Kiser, Rick E., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2403
O’Neal, Jean-Pierre, MD2410 16th AvenueGreeley, CO 80634 ..............970-352-6353
Saenz, Suzanne, MD1900 N. Boise Ave., Ste. 300Loveland, CO 80538 ..........970-667-2009See ad on page 57
Sokolowski, Irene, MD1900 N. Boise Ave., Ste. 300Loveland, CO 80538 ..........970-667-2009See ad on page 57
Soriano, Michelle, MD1900 N. Boise Ave., Ste. 300Loveland, CO 80538 ..........970-667-2009See ad on page 57
Stoltz, Michelle, MD2410 W. 16th StreetGreeley, CO 80634 ..............970-352-6353
occupational medicineCharbonneau, John D., MD, MPH1275 58th Avenue, Ste. CGreeley, CO 80634 .............. 970-352-8311
Smith, Cathy D., MD1800 15th Street, Ste. 100BGreeley, CO 80631 ..............970-350-6810
Wunder, Jeffrey, MD1517 16th Avenue Ct.Greeley, CO 80631 ..............970-392-2170
opthalmologyAdams, John C., MD3400 W. 16th Street, Ste. OGreeley, CO 80634 ..............970-351-6216
Brotsky, Rochelle J., MD1616 15th StreetGreeley, CO 80631 ..............970-352-6688
Carter, Douglas B., MD1931 65th Avenue, Ste. CGreeley, CO 80634 ..............970-352-1877
Cecil, Jennifer, MD2902 Ginnala Dr., Ste. 1Loveland, CO 80538 ............970-669-8998
Crews, Kent R., MD1725 E. Prospect Rd.Fort Collins, CO 80525 ........970-484-5322
Crews, Michael J., MD3400 W. 16th Street, Ste. OGreeley, CO 80634 ..............970-351-6216
Dougherty, Marilyn A., MD385 BroadwayBoulder, CO 80303 ..............303-449-3770
Foe, Elaine V., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2454
Kirk, John, MD3650 E. 15th StreetLoveland, CO 80538 ............ 970-669-1107
Palmer, Charles F., MD3400 W. 16th Street, Ste. PGreeley, CO 80634 ..............970-351-0999
Uyemura, Matthew J., MD1616 15th StreetGreeley, CO 80631 ..............970-352-6688
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Weeks, Jeffrey B., MD1931 65th Avenue, Ste. CGreeley, CO 80634 ..............970-352-1877
Welch, John R., MD1616 15th StreetGreeley, CO 80631 ..............970-352-6688
orthodonticsEdgren, Bradford N., DDS3400 16th Street, Bldg. 4-VGreeley, CO 80634 .............970-356-5900See ad on page 82
Edgren, Burdett R., DDS3400 16th Street, Bldg. 4-VGreeley, CO 80634 .............970-356-5900See ad on page 82
orthopaedicsAnderson, Gilbert I., MD1801 16th StreetGreeley, CO 80631 ..............970-392-2496
Beard, David, MD2923 Ginnala Dr.Loveland, CO 80538 ............970-663-3975
Benz, Robert, MD2923 Ginnala Dr.Loveland, CO 80538 ............ 970-493-0112
Brackett, Bess, MD7251 W. 20th Street, Bldg. NGreeley, CO 80634 ..............970-330-5400
Bussey, Randy M., MD5890 W. 13th Street, Ste. 101Greeley, CO 80634 ..............970-348-0020
Chamberlain, Satoru, MD2500 E. Prospect Rd.Fort Collins, CO 80525 ........ 970-493-0112
Dhupar, Scott K., MD5890 W. 13th Street, Ste. 102Greeley, CO 80634 ..............970-348-0020
Donner, E. Jeffrey, MD3810 N. Grant Ave.Loveland, CO 80538 ............970-669-8881
Duncan, Kenneth MD2500 E. Prospect Rd.Fort Collins, CO 80525 ........ 970-493-0112
Durbin, Mark, MD2500 E. Prospect Rd.Fort Collins, CO 80525 ........ 970-493-0112
Fenton, Darrel, DO1405 S. 8th Street, PO Box 1191Sterling, CO 80751 ..............970-522-2264
Grant, Michael, MD3810 N. Grant Ave.Loveland, CO 80538 ............970-669-8881
Grossnickle, Mark D., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2427
Hajek, Michael R., MD5890 W. 13th Street, Ste. 101Greeley, CO 80634 ..............970-348-0020
Heare, Travis C., MD5890 W. 13th Street, Ste. 101Greeley, CO 80634 ..............970-348-0020
Houghton, Michael, MD2500 E. Prospect Rd.Fort Collins, CO 80525 ........ 970-493-0112
Hunter, Brett P., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2104
Lundy, Douglas, MD2923 Ginnala Dr.Loveland, CO 80538 ............970-663-3975
Martin, Dale, MD2923 Ginnala Dr.Loveland, CO 80538 ............970-663-3975
McFerran, Mark, MD2923 Ginnala Dr.Loveland, CO 80538 ............970-663-3975
Pazik, Thomas J., MD7251 W. 20th Street, Ste. PGreeley, CO 80634 ..............970-330-1090
Sanderford, Kelly R., MD5890 W. 13th Street, Ste. 101Greeley, CO 80634 ..............970-348-0020
Shannon, Michael J., MD5890 W. 13th Street, Ste. 102Greeley, CO 80634 ..............970-348-0020
Tartaglia, Louis, MD1708 Boise Ave.Loveland, CO 80538 ............970-669-6880
Watkins, John J., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2427
Young, Eric, MD3810 N. Grant Ave.Loveland, CO 80538 ............970-669-8881
pain managementKormylo, Nicholas, MD1136 E. Stuart St., Bldg. 4-104Fort Collins, CO 80525 ........970-221-9451
Sisson, C. Brad, MD1136 E. Stuart St., Bldg. 4-104Fort Collins, CO 80525 ........970-221-9451
pathologyAllen, Patrick, MDPO Box 419Loveland, CO 80539 ............970-635-4126
Bee, Christopher, MDPO Box 419Loveland, CO 80539 ............970-635-4126
Bonelli, Joseph E., MDPO Box 3500Sterling, CO 80751 ..............970-521-3159
Chaffin, D. Joe, MD1801 16th StreetGreeley, CO 80631 ..............970-350-6724
Cina, Stephen, MDPO Box 419Loveland, CO 80539 ............970-635-4126
Dunn, Cory D., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6725
Halbert, Richard E., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6726
Hamner, H. Wentzell., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6433
Neuhauser, Thomas, MDPO Box 419Loveland, CO 80539 ............970-635-4126
pediatricsBruce, Robert, MD2555 E. 13th Street, Ste. 130Loveland, CO 80537 ............970-663-5437
Dubynsky, Orest G., MD1620 25th Avenue, Ste. DGreeley, CO 80631 ..............970-356-2600
Fink, Anthony G., MD5881 W. 16th StreetGreeley, CO 80634 ..............970-313-2700
Kaplan, Kenneth H., MD1620 25th Avenue, Ste. BGreeley, CO 80631 ..............970-352-1900
Kolanz, Meshelle M., MD5881 W. 16th StreetGreeley, CO 80634 ..............970-313-2700
Mead, Andrea, MD2555 E. 13th Street, Ste. 130Loveland, CO 80537 ............970-663-5437
Moore, Christopher P., MD5881 W. 16th StreetGreeley, CO 80634 ..............970-313-2700
Norman, Jennifer, MD2555 E. 13th Street, Ste. 130Loveland, CO 80537 ............970-663-5437
Patrick, Jenny, MD2555 E. 13th Street, Ste. 130Loveland, CO 80537 ............970-663-5437
Quintana, Michael, MD2021 N. Boise Ave.Loveland, CO 80538 ............970-669-3298
Ryan, Joseph P., MD5890 W. 13th Street, Ste. 101Greeley, CO 80634 ..............970-313-2700
Sewell, Jeffery W., MD100 N. 11th AvenueGreeley, CO 80631 ..............970-352-8898
Tomlinson, Alan, MD2555 E. 13th Street, Ste. 130Loveland, CO 80537 ............970-663-5437
Wiesner, Mark, DO2555 E. 13th Street, Ste. 130Loveland, CO 80537 ............970-663-5437
Wright, Jason, MD2555 E. 13th Street, Ste. 130Loveland, CO 80537 ............970-663-5437
pediatrics-
allergyMurthy, Krishna C., MD1130 38th Avenue, Ste. 2Greeley, CO 80634 .............970-221-2370See ad on page 37
pediatrics- cardiology
Christensen, Douglas, MD10103 Ridgegate Pkwy., Ste. 107Lone Tree, CO 80124 ..........303-860-9933
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Sondheimer, Henry M., MD1056 E. 19th AvenueDenver, CO 80218 ...............303-861-6669
pediatrics-dentistry- orthodonticsMorin, Charles K., DMD, MSC2003 46th AvenueGreeley, CO 80634 ..............970-330-4600
pediatrics- gastroenterology
Sondheimer, Judith M., MD1056 E. 19th AvenueDenver, CO 80218 ...............303-861-6669
pediatrics- physical medicine & rehabilitationApkon, Susan D., MD1056 E. 19th AvenueDenver, CO 80218 ...............303-861-6633
pediatrics- urology
Koyle, Martin A., MD1056 E. 19th AvenueDenver, CO 80218 ...............303-837-2680
physical medicine & rehabilitationBender, John D., DO1517 16th Avenue Ct.Greeley, CO 80631 ..............970-392-2170
Cutter, Nancy C., MD1517 16th Avenue Ct.Greeley, CO 80631 ..............970-392-2170
Gehrs, Mindy A., MD8515 Pearl St., Ste. 350Thorton, CO 80229 ..............303-255-4000
Lockwood, Bruce A., MD1300 Oakridge Dr., Ste. 130Fort Collins, CO 80525 ........970-377-9555
Mason, Kristin D., MD8515 Pearl St., Ste. 201Thorton, CO 80229 ..............303-286-2888
Reichhardt, Gregory, MD1517 16th Avenue Ct.Greeley, CO 80631 ..............970-392-2490
Schaeffer, Martin A., MD4251 S. Kipling St., Ste. 220Wheatridge, CO 80033 ........303-423-8334
Shih, Franklin, MD8515 Pearl St., Ste. 350Thorton, CO 80229 ..............303-255-4000
Van den Hoven, Raymond P., MD1275 58th Avenue, Ste. CGreeley, CO 80634 .............. 970-352-8311
Wunder, Jeffrey A., MD1517 16th Avenue Ct.Greeley, CO 80631 ..............970-392-2170
Zimmerman, Frederick D., DO4251 Kipling St., Ste. 220 Wheatridge, CO 80033 ........303-423-8334
podiatryAtwood, Thomas C., DPM2122 9th Street, Ste. 3Greeley, CO 80631 ..............970-353-5800
Hatch, Daniel J., DPM1931 65th Avenue, Ste. AGreeley, CO 80634 .............970-351-0900See ad on page 68
Jensen, Jeffrey L., DPM4600 Hale Pkwy., Ste. 440Denver, CO 80220 ...............303-321-4477
Masterson, Jean T., DPM2000 16th Street, Ste. 3Greeley, CO 80631 ..............970-352-4815
Vaardahl, Michael D., DPM 1931 65th Avenue, Ste. AGreeley, CO 80634 .............970-351-0900See ad on page 68
Webb, Emily H., DPM1136 E. Stuart St., Bldg 3, Ste. 220Fort Collins, CO 80525 ............... 416-9009
psychiatryBarnhart, William J., MD928 12th StreetGreeley, CO 80631 ..............970-352-1056
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Collier, Carol D., MD 928 12th StreetGreeley, CO 80631 ..............970-352-1056
Jerome, G. Victoria, MD1907 Boise Ave., Ste. 3Loveland, CO 80538 ............970-663-9237
Sills, Theron G., MD900 14th StreetGreeley, CO 80631 ..............970-352-4284
psychiatry- child-adolescentLane, Nicholas C., MD928 12th StreetGreeley, CO 80631 ..............970-352-1056
pulmonologyBreyer, Diana, MD2121 E. Harmony Rd., Ste. 300Fort Collins, CO 80528 ......970-224-9102See ad on page 44
Groves, Robert H., Jr., MD1800 15th Street, Ste. 340Greeley, CO 80631 ..................... 378-4593
Gunstream, Stanley, MD2121 E. Harmony Rd., Ste. 300Fort Collins, CO 80528 ......970-224-9102See ad on page 44
Holcomb, Barry W., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2448
Hoyt, James, MD2121 E. Harmony Rd., Ste. 300Fort Collins, CO 80528 ......970-224-9102See ad on page 44
Kukafka, David, MD2121 E. Harmony Rd., Ste. 300Fort Collins, CO 80528 ......970-224-9102See ad on page 44
Neagle, Mark, MD2121 E. Harmony Rd., Ste. 300Fort Collins, CO 80528 ......970-224-9102See ad on page 44
Petrun, Mark, MD2121 E. Harmony Rd., Ste. 300Fort Collins, CO 80528 ......970-224-9102See ad on page 44
Schwartz, Elaine K., MD 1900 16th Street Greeley, CO 80631 ..............970-350-2448
Schwartz, Michael D., MD 1900 16th StreetGreeley, CO 80631 ..............970-350-2448
Stevens, Eric, MD1808 N. Boise Ave.Loveland, CO 80538 ..........970-461-9124See ad on page 44
Wallick, Kristin, MD2121 E. Harmony Rd., Ste. 300Fort Collins, CO 80528 ......970-224-9102See ad on page 44
radiationoncologyLim, Meng Lai, MD1801 16th StreetGreeley, CO 80631 .............970-350-6680See ad below
Lisella, Gwen H., MD1801 16th StreetGreeley, CO 80631 .............970-350-6680See ad below
Mackey, Winona, MD624 Forest View WayMonument, CO 80132 .........719-481-00061801 16th StreetGreeley, CO 80631 ..............970-350-6680
Moore, Randy L., DO1801 16th StreetGreeley, CO 80631 .............970-350-6680See ad below
Simpson, C. Kelley, MD1801 16th StreetGreeley, CO 80631 .............970-350-6680See ad below
radiologyBauerle, Gary W., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6860
Berkowitz, Bruce, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Bodenhamer, John, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
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FRONT RANGE CENTER forBRAIN & SPINE SURGERY, P.C. Specialists in Neurological Surgery Since 1978
In a conservative-yet-progressive treatment approach, our neurosurgeons treat patients who have injuries or diseases of the spine, brain, or peripheral nerves that may include:
New patients and referrals are welcome.Ft. Collins: 1313 Riverside Ave. (970) 493-1292Greeley: 2001 70th Avenue (970) 356-4488Loveland: 1900 Boise Avenue (970) 669-0470
Tim Wirt, M.D. Donn Turner, M.D. Hans Coester, M.D. John J. Viola, M.D.
We serve many insurers and HMOs including:Blue Cross/Blue Shield of Colorado and Wyoming, Aetna, Medicare, TRICARE, HMO CO, Sloan’s Lake,PacifiCare, and others.
• ruptured discs • brain tumors• head injuries • Kyphoplasty• spinal cord injuries• chronic neck or back pain• carpal tunnel syndrome (wrist)• ulnar nerve entrapment (elbow)• instability of the spine or spine fractures• stenosis (a tightening of the spinal cord)• disc arthoplasty (artificial disc replacement)
(800)458-0306 www.brain-spine.com
Comprehensive Neurosurgical Care
Craven, Winfield, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Dunphy, Thomas, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Fuller, Samuel, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Geis, J. Raymond, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Geraghty, Michael, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Gunderson, Deborah, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Gutierrez, Hilarie J., MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Harris, John P., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6860
Hayes, Amy, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Howshar, Mark, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Kahn, Robert, MDMMC Radiology Dept.Loveland, CO 80538 ............970-635-4065
Koplyay, Peter, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Kreider, Dan F., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6860
Lile, Robert L., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6260
Luttenegger, Thomas, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Markel, Curtis, MDMMC Radiology Dept.Loveland, CO 80538 ............970-203-6502
Nelson, Todd P., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6860
Pacini, Richard, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Peck, Steven, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Powell, David F., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6860
Raque, James D., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6860
Singer, Charles, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Squicquero, David M., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6860
Stears, Robert, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Weinstein, Stanley, MD2008 Caribou Dr.Fort Collins, CO 80525 ........970-484-4757
Weissmann, Jeffrey, MDMMC Radiology Dept.Loveland, CO 80539 ............970-203-6502
rheumatologyLevine, James W., DO1900 16th StreetGreeley, CO 80631 ..............970-350-2434
Murray, Garvin C., MD239 W. 67th CourtLoveland, CO 80538 ............970-461-18801900 16th StreetGreeley, CO 80631 ..............970-350-2433
Thompson, J. Stephen, MD239 W. 67th CourtLoveland, CO 80538 ............970-461-18801900 16th StreetGreeley, CO 80631 ..............970-350-2433
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surgery- cardiothoracicAmmons, Mark A., MD2005 Franklin St. Midtown 1, Ste. 700Denver, CO 80205 ...............303-832-6165
Carson, Stanley D., MD2005 Franklin St. Midtown 1, Ste. 700Denver, CO 80205 ...............303-832-6165
Miller, Kevin B., MD2005 Franklin St. Midtown 1, Ste. 700Denver, CO 80205 ...............303-832-6165
Guadagnoli, Mark, MD2121 E. Harmony Rd., Ste. 100Fort Collins, CO 80528 ........970-224-4434
Lyons, Maurice I., DO2005 Franklin St. Midtown 1, Ste. 700Denver, CO 80205 ...............303-832-6165
Richards, Kenneth M., MD1800 15th Street, Ste. 340Greeley, CO 80631 ..............970-378-4593
Stanton, Michael, MD2121 E. Harmony Rd., Ste. 100Fort Collins, CO 80528 ........970-224-4434
Tullis, Gene E., MD1800 15th Street, Ste. 340Greeley, CO 80631 ..............970-378-4593
surgery-dentalReynolds, Ralph, MD2992 Ginnala Dr.Loveland, CO 80538 ............970-663-6878
Zulian, Michael, DDS2800 Madison Square Dr.Loveland, CO 80538 ............970-669-6850
surgery- ear, nose, throat- plastic surgeryGill, Sarvjit, MD3820 N. Grant Ave.Loveland, CO 80538 .......... 970-593-1177See ad on page 38
surgery-generalBurton, Lisa K., MD1800 15th Street, Ste. 210Greeley, CO 80631 ..............970-352-8216
Blomquist, Thomas, MD1900 N. Boise Ave., Ste. 420Loveland, CO 80538 ............970-669-3212
Collins, Jerome, MD1900 N. Boise Ave., Ste. 420Loveland, CO 80538 ............970-669-3212
Cribari, Chris, MD1148 E. Elizabeth St.Fort Collins, CO 80525 ........970-221-5878
Dubs, Steven M., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2426
Fraser, Lesley A., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2426
Johnell, Michael W., MD1800 15th Street, Ste. 200Greeley, CO 80631 ..............970-378-4433
Keeler, Bradford, MD1900 N. Boise Ave., Ste. 420Loveland, CO 80538 ............970-669-3212
Lee, James S., MD1500 16th Avenue Ct.Greeley, CO 80631 ..............970-350-0948
Lee, Jeffrey S., MD1500 16th Avenue Ct.Greeley, CO 80631 ..............970-350-0948
Ogren, Jason W., MD1800 15th Street, Ste. 210Greeley, CO 80631 ..............970-352-8216
Peetz, Michael E., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2426
Schiefen, James C., MDPO Box 95Imperial, NE 69033 ..............308-882-5557
Simchuk, Erik, MD1900 N. Boise Ave., Ste. 420Loveland, CO 80538 ............970-669-3212
Tyburczy, Joseph A., MD1800 15th Street, Ste. 210Greeley, CO 80631 ..............970-352-8216
surgery-general-burnGoodwin, Cleon W., MD1801 16th StreetGreeley, CO 80631 ..............970-350-6301
surgery-neuroCoester, Hans, MD1313 Riverside Ave.Ft Collins, CO 80524 ..........970-493-12922001 70th Ave., Ste. 300Greeley, CO 80634 .............970-356-4488See ad on page 10 & page 46
Turner, Donn, MD1313 Riverside Ave.Ft Collins, CO 80524 ..........970-493-12921630 17th AvenueGreeley, CO 80631 .............970-356-4488See ad on page 10 & page 46
Viola, John, MD2001 70th Avenue, Ste. 300Greeley, CO 80634 .............970-356-4488See ad on page 10 & page 46
Wirt, Timothy, MD1313 Riverside Ave.Ft Collins, CO 80524 ..........970-493-12921630 17th AvenueGreeley, CO 80631 .............970-356-4488See ad on page 10 & page 46
surgery-oculoplasticWilloughby, Brian J., MD3250 E. 2nd Avenue, Ste. 100Denver, CO 80206 ...............303-320-5700
surgery- oralBiggs, Don R., DDS1032 Luke St.Fort Colins, CO 80524 ......... 970-482-1156
Mellin, Richard W., DDS, MD3400 16th Street, Bldg. 1S, Ste. AGreeley, CO 80634 ..............970-353-5826
Nicholas, Kenton C., DDS1900 16th StreetGreeley, CO 80631 ..............970-350-2458
Reynolds, Ralph R., MD2992 Ginnala Dr.Loveland, CO 80538 ............970-363-6878
surgery- plastic surgeryBrewster, Amy E., MD2121 E. Harmony Rd., Ste. 360Fort Collins, CO 80528 ........970-266-0456
Chapman, Jeffrey, MD1217 E. Elizabeth St., Bldg. 7Ft Collins, CO 80524 ...........970-493-8800
Gonyan, Denis L., MD5881 W. 16th Street, Ste. DGreeley, CO 80631 ..............970-313-2740
Jaouen, Richard M., MD1640 25th AvenueGreeley, CO 80634 ..............970-356-3449
surgery-thorasicRichards, Kenneth, MD1800 15th Street, Ste. 340Greeley, CO 80631 ..............970-378-4593
urologyBruns, Thomas C., MD1907 Boise Ave.Loveland, CO 80538 ............970-669-2770
Charepoo, Khashaiar, MD1601 25th AvenueGreeley, CO 80634 ..............970-353-4085
Eddy, Michael J., MD1647 E. 18th StreetLoveland, CO 80538 ............970-669-9100
Goodman, Gary R., MD1900 16th StreetGreeley, CO 80631 ..............970-350-2491
Henderson, Stephen, MD1925 W. Mountain View Ave.Longmont, CO 80501 ..........720-494-3137
Nasseri, Kevin, MD1500 S. Lemay Ave.Fort Collins, CO 80524 ......970-484-6700See ad on page 30
Nemeth, Clifford J., MD1647 E. 18th StreetLoveland, CO 80538 ............970-669-9100
Phillips, George H., MD1647 E. 18th StreetLoveland, CO 80538 ............970-669-9100
Soper, Timothy, MD1500 S. Lemay Ave.Fort Collins, CO 80524 ......970-484-6700See ad on page 30
Wolach, James W., MD5890 W. 13th Street, Ste. 106Greeley, CO 80631 ..............970-378-1000
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034-053 DRI.CANCER.64.HEALING.in47 47 1/27/06 5:56:06 PM
“I’m afraid I have some bad news. It’s malignant.” Cancer.It’sadiagnosisoneinthreeofuswillfacesometimeinourlifetime.IthitCarolDeVrieslikeatonofbricks.“Whyme?”shethought.“Whynow?”Theavalancheof informationthatfollowedthepronouncementoverwhelmedher.Shehaddecisionstomake.Herdoctorneededanswersnow.Whowouldbeheroncologist?Hersurgeon?Wherewouldshegofortreatment?Whattreatmentoptionswouldshechoose?Shewasinundated.Themanwhonormallystoodbyherside,andhadforthepast25years,ingoodtimesandinbad,hadhimselfjustundergonehipreplacementsurgerythatdayandlayinahospitalbed. Carol lived inLovelandandshecouldn’taffordthetimefrequenttripsout-of-townwouldtake.Cancerornot,Carolwasstillacaregiverandshewantedtobewithherhusbandasmuchaspossibleduringhisconvalescence.Andhers.SosheandherhusbanddecidedontheMcKeeCancerProgram,oneoftwoBannerHealthcancertreatmentfacilitiesinNorthernColorado. Thefactis,youdon’thavetogotoFortCollinsorDenver,oranywhereelse,inordertoreceive“thebest”cancertreatment.Youcangetitrightinthecommunityinwhichyoulive.Andthroughtheuseofmodernvideoconferencingandinternettechnology,evenifyouliveinaremoteareaof ruralColorado, you can access these treatments and yourownpersonal teamof oncologyexperts. “The biggest misconception is that there are more cutting-edge treatments availableelsewhere,” says Sam Shelanski, MD, an oncologist who has practiced in both Banner Healthfacilities.“WecanprovidetheexactsametreatmentsthatapatientwouldreceiveatMDAnderson,
“There are a lot of facets that need to be addressed – emotional, spiritual and physical. If we don’t attend to all of those needs, the treatment will be dis-satisfying in one way or another.”Thomas Lininger, MD
compassiontreatment with
byLynnDean
CANCER CARE
Joan LeTourneau, Senior Research Associate, Oncol-ogy, shares information with patients regarding cancer clinical trials.
Patients are welcomed to a beautifully landscaped
entrance at McKee Cancer Center, Love land.
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TheMayoClinicorSloan-Kettering.ThestaffhereisunequivocallythebestI’veeverworkedwith.Iknowthatfromthetimemypatientswalkinthedooruntilthetimetheyleave,theywillreceivepersonalizedcare.Peopledon’tgetlostintheshufflehere.Weknowwhoyouare.Weknowyourfamily!” Indeed both Banner Healthfacilities, Loveland’s McKee CancerCenter and Greeley’s North ColoradoMedicalCenterCancerInstitute,striveto treat the whole patient, not justthecancer.Todo this,BannerHealth,along with medical professionals andrepresentatives from each community,have designed two comprehensivecancer treatment centers and havebrought together state-of-the-artequipment, oncologists in privatepractice, nurses and social workersto create two “one-stop-shops” forcancertreatment. “We saw an advantage tocombiningourresources,”saysThomasLininger, MD, an oncologist in private
Sharon Alfers, RN, BSN, Oncology, reviews materials
available to patients with volunteer, Norma Nemeth,
in the McKee Cancer Re-search Library.
A bright, comfortable seat-ing area is provided for patients and guests in the McKee Cancer Center Lobby.
practicewhositsontheCancerCommitteesat both McKee and NCMC facilities. “Wewere looking foraway tomarry the formofacancercenterwithhowitfunctionsandwhatitneedstodo.” The NCMC Cancer Institute andMcKee’s Cancer Center bring multipledisciplinestogethertoprovideforthemostcoordinated,convenientapproachavailablewith access to the latest in technology,services, cancer research, education andsupport. Both centers were specificallydesigned to offer unique atmospheresthatprovide for theseservices inahealingenvironmentforpatientsandtheirfamilies. As soon as they enter one of thefacilities, patients and their families aregreeted by a team of friendly staff andvolunteers. Aesthetic features such as
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Patients also have access to the newest drugs approved by the FDA through eachcenter’sparticipationinclinicaltrials.“AspartoftheWesternRegionalCommunityClinicalOncologyProgramourpatientscanparticipateinlarge-scalestudiesthattakeplaceacrosstheUnitedStatesandCanada,”saysJoanLeTourneau,SeniorResearchAssociateinOncologyatBannerHealth.“Theyenableapatienttoreceivestate-of-the-arttreatmentrighthereinNorthernColorado.Theonlywaytogetsomeoftheseinvestigationaldrugsistoparticipateinoneofthestudies.” But even patients who don’t participate in clinical trials benefit. “Being part of thenetworkmeansthatwehavetobeontopofthelatesttechnologiesandtrends,”explainsDr.Kemme.“Wehavetokeepwatching.Wehavetokeepupgrading.” Cancercareismorethanjustmedicine.“Icannottellyouthatwetreatcancerbetterthanotherplaces,becausetreatmentisverystandardizednow,”saysDr.Shelanski.“That’snotwhatmakesthedifference,inmybook.Whatmakesthispractice,thisplacespecial,ishowwetreattheperson.” “TheCancerCenterisjustabuilding,”agreesDr.Lininger.“Whatweofferisastaffthatcreateslifeinthisbuilding.Patientscomeintothissettingandfeelthatlife.Theyarenot discouraged, depressed or without hope. We strive to create hope for people withextremelydifficultproblemstoface.It’snotjustonething.It’samultipleofallthingsthatcometogether.” CarolDeVriesbelieveschoosingtheMcKeeCancerCenterwasoneofthebestdecisionssheevermade.“RightfromthegetgoIhadthemostwonderfulexperience,”saysCarol.“Theirwholefocusistomakethepatientcomfortable–welcome.”Theyhelpedheroutfromundertheavalancheofinformationandwalkedherthroughherjourney,onestepatatime.Theyprovidedtreatmentwithaheart.
Lynn Dean is a freeelance writer living in Fort Collins.
Michael Jensen, Radiation Therapist, positions patient on the linear acceler-ator for Intensity Modulated Radiation Therapy at McKee Cancer Center.
“healing gardens” and outdoor treatmentareas welcome and relax even the mostfrazzled patients and make them feel athome. And because patients go to thesame location to visit theironcologist, talktoasocialworker,orreceivechemotherapyor radiation therapy (or a combination ofthese activities on the sameday), they arewelcomed“home”timeandtimeagain. The centers’ convenience also worksto the physicians’ advantage and offersoncologistsandothermedicalprofessionalstheopportunitytoworktogetherasateam,“comparenotes”anddevelopcomprehensivetreatmentplans.“EveryFridaywemeetforTumor Board,” shares Douglas J. Kemme,MD, FACP, an oncologist on the NCMCCancerCommittee.“Weget togetherandtalk about patients. Physicians in differentspecialties also have the opportunity topresent the latest advancements in theirfields.” The treatment plans developed can,and do, include more than just medicalinterventions. “Together, we have a betterfeel for what patients need along thisjourney,” says Dr. Lininger. “There are alot of facets that need to be addressed –emotional,spiritualandphysical.Ifwedon’tattendtoallofthoseneeds,thetreatmentwillbedissatisfyinginonewayoranother.” The centers meet the spiritual andemotional needs of patients in a varietyof ways. Support groups are available tostrengthen families and uphold caregivers.Social workers are on-site to providereferrals, help patients trudge throughmedical information, forms, insurance andhealthbenefits,andhelpthemmanagetheeverydayaspectsof their lives.Wigbanksandbeautyadvisersliftspiritsandhidetheravagesofthediseaseanditstreatment. Even so, these facilities do more thanjustprovideaconvenientsettingandmakepatients feel comfortable. They also offerthe highest level of technology availablein radiation oncology. In addition to state-of-the-art linearaccelerators, theRadiationOncology departments also offer CT-Simulation technology, three-dimensionalcomputerized treatment planning systems,Intensity Modulated Radiation Therapy(IMRT), Stereotactic Radiosurgery (inGreeley), Brachytherapy, High Dose Rate(HDR) Brachytherapy (in Greeley), andElectronic Portal Imaging (EPI) – in otherwords, the latest, cutting-edge treatmentsavailableanywhereinColorado. 1801 16th Street • Greeley
(970) 352-4121
Client: Banner Health Trim: 8.375x10.875 Ad: NCMC Woman Oncology
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
Transforming the lives of morecancer patients than anyone in the region.
Life is a journey with many turns. For one in three people, that journey includes a cancer diagnosis. That’s where North Colorado Medical Center comes in. Our experienced, caring professionals change lives with state-of-the-art technology and a wide array of specialists. By conducting clinical trials as part of a national network, we remain on the leading edge of cancer treatments.We’re part of Banner Health, known for treating more cancer patients than anyone in northern Colorado. Through Banner Health, we can provide the broadest range of treatment options in the region, such as specialty radiation therapies and stem cell transplants. All of this means more hope for those facing cancer. North Colorado Medical Center and Banner Health. More experience at transforming the lives of cancer patients.
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Canenvironmenthelpusheal?ThestaffmembersatMcKeeMedicalCenterthinkso,andtheyarecommittedtomakingMcKeeaplaceofhealingexcellence.Theybelievethattheenvironmentmustbehealthyifthepatientistobecomehealthy.Theirmissionistoestablishabiogenic,orlife-givingenvironment,foreveryoneatMcKee. According to PatVillage,nursemanagerof the surgical oncology andorthopedicunits,nursesand staffneed toprovideenvironments thatenhancehealing.AsVillagesays,“wewanttocreateapositiveexperience…thatcombatsthefearofhospitals”. In 2005 Village received an Imagine Grant from Banner Health that proposes anIntentionalHealingmodelforthefacility.ThemodelisinplaceatMcKeeontheoncologyand orthopedic units. Village hopes to have it implemented hospital-wide in the nearfuture. Accordingtothemodel,thepatient’sperceptionofbeinginacaringenvironmentisvitaltohealing.AsVillagesays,theenvironmentshouldinducefeelingsoftranquilityandwell-being. LookingaroundtheunitatMcKee,youwillnoticethechangesthatmakeitawarmer,calmermorenurturingplace.Thehallwaysarecleared,the lightingisdimmedandnotsoharshandthereisartonthewallsfilledwithcolorandhealingimages.Patientsmaybeenjoyingtheir“quiettime”duringthedayfrom2to3:00p.m.whentheycanrestundisturbedinmostcases.
environmenta healing
byMaureenMcVickerTrump,Psy.D.
HEALING
A patient and family can stroll amidst natural gardens in a healing outdoor environment at McKee Cancer Center.
034-053 DRI.CANCER.64.HEALING.in51 51 1/27/06 6:17:11 PM
VillageandhercolleagueMaryGriffin,R.N.OncologyNurseandClinicalSpecialist,notethattheapproachtakesnursingpracticebacktoitsrootswithFlorenceNightingale.Nightingalefocusedonpreservinghumandignityintheprofessionofnursing.Inlinewiththisfocus,thenursesnowgivetheirshiftreportsintheroomwiththepatient.The“walkingreports”focusonincludingthepatientandkeepinghim/herintheprocess.Patientsarealsoencouragedtosetagoalforthedayandtobeinvolvedintheirtreatment. Recently,thenursingstaffatMcKeereceivedtraininginthecaringmodelwithJeanWatson,PhD,distinguishedprofessorofnursingattheUniversityofColorado.Watsonisatheoristwhoseworkfocusesoncaringinnursing.Shestressestheimportanceofseeingthepatientasawholepersonwithspiritual,emotionalandphysicalneeds.AccordingtoWatson inherbook,CaringScienceasSacredScience,healing isgroundedintherelationshipwiththepatient. Watsonfocusesontheimpactofwords,presenceandbeingwithpatients.AccordingtoVillage,nursingisasharedexperiencebetweenthe nurse and the patient. She says that, in a real way, the nursebecomes the patient’s environment. They create an environmenttogether.Griffinsays,“Thenursecanbethedifferenceinapatient’slife. We need to listen to their story and believe in the power oflisteningtotheirstory.” Healers,therefore,mustbehealthyinordertoprovideacaringenvironment for their patients. To help insure that nurses have aplacetoprocesstheirthoughtsandfeelingsandre-center,anursingsanctuaryisavailableforthem.
Within McKee Cancer Center, a chapel, as well as a chaplain, is available to patients and their families.
In the Nursing Sanctuary, Pat Village, Nurse Manager of Surgical Oncology and Orthopedic Units, shows a special memory basket, along with candles that can be lit to remember one’s patients.
Colorful and inspirational art is placed in the hallways and lobbies of McKee to create a more nurturing environment.
Continued on page 59.
1801 16th Street • Greeley(970) 352-4121
Client: Banner Health Trim: 8.375x10.875 Ad: NCMC Woman Oncology
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
Transforming the lives of morecancer patients than anyone in the region.
Life is a journey with many turns. For one in three people, that journey includes a cancer diagnosis. That’s where North Colorado Medical Center comes in. Our experienced, caring professionals change lives with state-of-the-art technology and a wide array of specialists. By conducting clinical trials as part of a national network, we remain on the leading edge of cancer treatments.We’re part of Banner Health, known for treating more cancer patients than anyone in northern Colorado. Through Banner Health, we can provide the broadest range of treatment options in the region, such as specialty radiation therapies and stem cell transplants. All of this means more hope for those facing cancer. North Colorado Medical Center and Banner Health. More experience at transforming the lives of cancer patients.
034-053 DRI.CANCER.64.HEALING.in52 52 1/27/06 6:18:06 PM
1801 16th Street • Greeley(970) 352-4121
Client: Banner Health Trim: 8.375x10.875 Ad: NCMC Woman Oncology
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
Transforming the lives of morecancer patients than anyone in the region.
Life is a journey with many turns. For one in three people, that journey includes a cancer diagnosis. That’s where North Colorado Medical Center comes in. Our experienced, caring professionals change lives with state-of-the-art technology and a wide array of specialists. By conducting clinical trials as part of a national network, we remain on the leading edge of cancer treatments.We’re part of Banner Health, known for treating more cancer patients than anyone in northern Colorado. Through Banner Health, we can provide the broadest range of treatment options in the region, such as specialty radiation therapies and stem cell transplants. All of this means more hope for those facing cancer. North Colorado Medical Center and Banner Health. More experience at transforming the lives of cancer patients.
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You might be surprised at how much we go above and beyond at Banner Health. Our highly trained and compassionate staff is not only inspired to improve lives with leading technology, but with the little things that can brighten someone’s day. Like a birthday cake. When a baby was admitted to McKee Medical Center, a Banner Health facility, on his fi rst birthday, our nurses had a party for him and his family, complete with gifts, hats and party favors. Our wish is not just to get our patients healthy, but keep them and their loved ones happy along the way. Banner Health. Inspired to go the extra mile every day. For every one of our patients.
2000 N. Boise Ave. • Loveland(970) 669-4640
Client: Banner Health Trim: 8.375x10.875 Ad: McKee Deb and Laura
One mother never planned on having herbaby’s fi rst birthday party at the hospital
So our staff planned it for her.
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
Laura, RNDeb, RN��
zzz.indb 54 1/26/06 5:57:24 pM
Oneofthemostprecioustimesinlifeissharingthebirthofanewbaby,andtheMcKeeFamilyBirthingCenterisdedicatedtomakingitbothaspecialandmemorableexperience. The center, which opened this past May, is designed to provide excellent care tomothers,babiesandfamilies.Accordingtotheinformationprovidedonthewebsite,www.bannerhealth.com.Keyword:McKee,thecenterfeatures13spaciousLDRPs(birthingsuites)where mothers can go through labor, delivery, recovery and post-partum care withouthavingtomovefromroomtoroom.Theunitalsohasfourpost-partumrooms.WithineachoftheLDRPstherearejettedtubsforthemother’srelaxation.Otherservicesprovidedbythecenterinclude:
n TwoprivateoperatingroomsandfourrecoveryroomsformotherswhoareundergoingC-sections.
nVIPsuitswhichareavailableforanadditional$275andincludefreshfloralarrangements,largescreenplasmatelevisions,wonderfullypreparedmeals,breathtakingviewsofthesurroundinglakeandalimousineridehomeforthenewfamily.
One of the most precious times in life is sharing the birth of a new baby and the McKee Family Birthing Center is dedicated to making it both a special and memorable experience.
of homeall the comforts
byJenniferJohnson
OBSTETRICS
Marcus and Laura Foerster enjoy family time with
their son, Dylan, in the cozy setting of the LDRP.
You might be surprised at how much we go above and beyond at Banner Health. Our highly trained and compassionate staff is not only inspired to improve lives with leading technology, but with the little things that can brighten someone’s day. Like a birthday cake. When a baby was admitted to McKee Medical Center, a Banner Health facility, on his fi rst birthday, our nurses had a party for him and his family, complete with gifts, hats and party favors. Our wish is not just to get our patients healthy, but keep them and their loved ones happy along the way. Banner Health. Inspired to go the extra mile every day. For every one of our patients.
2000 N. Boise Ave. • Loveland(970) 669-4640
Client: Banner Health Trim: 8.375x10.875 Ad: McKee Deb and Laura
One mother never planned on having herbaby’s fi rst birthday party at the hospital
So our staff planned it for her.
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
Laura, RNDeb, RN
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n ALevelIInurserydesignedtoprovidequality,efficientcarefornewbornswhentheyneedextramonitoringorwhenmomneedsarest.Shouldababyneeedtostaylonger,McKee’snewnurseryalsohasprivateareaswherefamiliescanspendtimewiththeirnewborns,alongwithprivatelactationroomswhereanewmothercannurseherchild.
n Atriageareaisavailableforwomenwhoneedtobemonitoredorhaveanynecessarytestsadministeredtodetermineifsheisindeedinlabor.Thisisdonebeforesheisadmittedtothehospital,thusavoidingunnecessaryroomcharges.
n Thenewunitalsofeaturesalargeconference/classroomwhereexpectantornewparentscanparticipateineducationalclassesincluding:ChildbirthwithConfidence,FundamentalsofBreastfeeding.
McKee Women’s Services also offers:n TheHealthyBeginnings/PrenatalPlusprogramtoassist low income,under-insuredand
uninsuredclientsaccesstoearlyprenatalcare.Theprogramalsoprovidesfamilieswitheducationandsupportduringpregnancy.
n WomenFirst,CertifiedNurseMidwiveswhoprovidemid-wiferycareforwomenthroughoutall the stages of their life. This includes prenatal care, conception and contraceptiveeducation,annualexamsandhospitaldeliveries.
“Wehaveagreatnursingstaffhere,”saysGlendaSkaggs,ManagerofWomen’sandChildren’s Services at McKee Medical Center. “Our customer satisfaction rate is currentlywithinthe95thpercentileintheUnitedStates–customersatisfactionisveryimportanttous;itisalwaysoneofourmaingoals.” Skaggs emphasized how important the commitment of quality patient care is to thedoctors,nursesandhealthcareprovidersatthecenter.“Notaminutegoesbythatwearen’tthinkingaboutourpatients–whatwecandotomakethemmorecomfortableandhowwecanmeettheirneeds,”shesaid.
Some of the newest services thecenterprovidestomomsincludefreebodymassagesandaspecialquiettimeforfamilybonding, in which cookies and milk areprovidedtothefamily. “Weareheretomakethemomsfeelathomeand topromotewhataspecial timethisis,”saidSkaggs.“Withthemanygreatprogramsandservicesofferedatthecenter,weareabletomakethishappen.”
Madeline Davison, RN, checks heart-beat of newborn, Dylan James Foer-ster, in the arms of his parents, Marcus and Laura Foerster.
McKee features 13 spacious LDRPs
(birthing suites) where mothers can go through labor, delivery, recovery
and post-partum care without having to move
from room to room.
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The classes offered at the Birthing Centerare a wonderful resource, which offer anincredibleamountofeducationandsupportto both expecting and new moms. A pre-natalbreastfeedingclassprovidesmothers-to-be with proper techniques, while theBreast Feeding Education and SupportClinic isdesigned toansweranyquestionsnewmothersmayhaveduringthefirstfewdays with their newborn. The center alsooffers a variety of classes throughout theyear,includingageneralbirthingclassandabreathingtechniqueclass–allofwhichcanbefoundonthecenter’swebsite. “McKeeMedicalCenterpridesitselfonproviding a family-centered environment.Ourspaciousandprivatepatientroomsaredesigned to allow you to have unlimitedaccess to your baby and to participate inhisorhercare.Theyalsoallowfamilyandfriends to be with you as much as youchoose,”saysSkaggs.“YoucanrestassuredthatyourstayatMcKeeMedicalCenterwillnotonlybecomfortable,butsecure.” McKee has supported Andrea Meadthroughtwopregnancies,oneofwhichwasthis December with her newest addition,Carson,inthenewbirthingcenter.“McKee
The spacious LDRP is a comfort-able suite where a mother can go through labor to delivery without
having to leave the room.
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is absolutely amazing and wonderful! Thenurses, obstetricians and overall staff arealwaysontopofitandattendtoyoureveryphysicalandemotionalneed.” Meadandherhusbandattendedseveralpre-natal courses at the center with thepregnancy of their first son. “The birthingclasses offered are incredibly helpful inprovidingyouwithinformationonwhattoexpectduring theoverallprocess.”Mead’shusband also believes that the classes areabighelp and loveshowcomfortable thecenter makes him feel. “Dads are ableto stay right in the room with mom andbaby.Thecenterisnotjustattentivetotheneedsofthepatient,butalsotofriendsandfamilies,”hesaid. AlthoughMeaddidnotstayinoneoftheVIP rooms, she says that thegeneral LDRProomsareamazingaswell.“Theroomsaresomuchlargernowandextremelyspacioussincethenewcenterwascompleted-thereisplentyofspaceforfamilymemberstovisitanditneverfeelscrowded.”
Mead feels that the center has a way ofmakingyoufeelathomeandrecommendsthecentertoanyparentexpectingachild.“It’s such a great center! It’s comforting,caringandsupportive–It’stheperfectplacetobringinanewbaby!”
Jennifer Johnson is a Technical Journalism and Fashion Merchandising major at CSU and a freelance writer for Style Media and Design, Inc.
Alan Fahrenbruch at-tends to his newborn son in the McKee Birth-ing Center Nursery.
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A Healing Environment continued from page 52.
The room is quiet space with a tranquil fountain and special memorials in honor of patients. Nurses can spend time dealing with grief and other issues that surface in caring for patients and their families. Thoughts about their experiences with patients or memories of them are preserved in a memory book. Nurses can take time to be refreshed and strengthened and to strengthen each other. The whole focus at McKee is to provide patients with a positive, caring, healing environment. For example, patients may choose to view the C.A.R.E. Channel™ (Continuous Ambient Relaxation Environment) in their rooms. This television channel provides scenes of nature and plays soothing music to provide relaxation and reduce stress. The C.A.R.E. Channel™ is playing in the lobby as well, so that people entering the hospital are provided with a calming experience that sets the tone for the facility. At the McKee Cancer Center, patients also have access to the inspirational healing gardens. Through large windows, people can view flowering plants and a naturalistic waterfall. People can also walk the three-quarter mile wellness walk that reflects the various eco systems in Colorado. The walk is designed to be a place of solitude and has a spiritual feel. At the Breast Center the focus is on making a woman’s experience convenient, warm and helpful. Careful attention is paid to a patient’s needs and comforts. The staff members understand that a person may have great anxiety about her condition so they have streamlined their process to provide prompt results. The center includes a resource center that provides much needed information. The birthing center is designed to make mothers feel special and to make the birth process a positive experience for all. Mothers have labor, delivery, and postpartum care in the same spacious and beautifully decorated room. There is even a jetted tub! Families are welcome and dad can spend the night. Everyone has anxiety about having surgery. The Heal Faster program is an exciting and effective way of helping patients deal with their anxiety and actually heal faster after their procedures. Designed by Peggy Huddelston, M.T.S., the program teaches mind-body techniques to pre-surgical patients. The techniques help patients feel
calmer, use less pain medication, and heal faster. Patients learn the techniques in a 1-hour workshop held one to two weeks before their surgery. One of the techniques, the use of healing statements, has been found to reduce the use of pain medication by twenty-three to fifty percent. Patients at McKee also have access to a chapel, and the hospital chaplain, Rev. Bruce Rippe, is available for the patients’ needs. As McKee grows, the expansion of its existiing chapel is part of the continuing effort to provide the most comprehensive healing environment possible. The efforts at McKee Medical Center have paid off in excellent patient care and high patient satisfaction. A survey of the patients on the cancer unit showed a satisfaction with care that placed the unit in the top one percent. At McKee, patients find that health is built into the environment and caring surrounds them at every turn.
Dr. Maureen McVicker Trump is a psycho-therapist in Fort Collins.
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054-059 BIRTHING.indd 59 1/27/06 6:19:57 PM
ESTES PARK
After a highly successful bond issue vote, the Estes Park Medical Center expansion and renovation will soon become a reality.
expansionestes park medical center
byKerrieHill
Afterahighlysuccessfulbondissuevote,theEstesParkMedicalCenterexpansionandrenovationwillsoonbecomeareality.ConstructionisscheduledtobeginonApril3,2006onthesouthendofthehospital. Anew49,757squarefoottwo-storybuildingwillbeaddedtothehospitalwhichisthefirstofaninephaseconstructionproject.Themainentrancewillberelocatedtotheeastsideofthehospital,andthefirstfloorwillhousetheFamilyMedicalClinicwhichwillhaveroomtohouse9physicians.Theadditionalareaswillbeoccupiedbyphysical,occupational,andspeechtherapy,andacardiacrehabilitationprogram.WhatisnowtheexistingFamilyMedicalClinicwillberenovatedandreconfiguredsothattheSpecialtyClinicphysicianscanoccupythe space.The spaceoccupiedby theSpecialtyClinicwillbe remodeledand thebusinessofficewillmoveintothatareainAugust2007. The second floor of the new building will have two expanded operating rooms, aprocedureroom,andthemedicalsurgicalfloorwillexpandfrom15bedsto25beds,allofwhichwillbeprivate rooms.Theexistingmedical surgicalunitwillbe remodeledand the
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A NEW 49,757 SquARE FOOT TWO-STORy BuILDING WILL BE ADDED TO THE HOSPITAL WHICH IS THE FIRST OF A NINE
PHASE CONSTRuCTION PROJECT.
estes park medical center current surgery area will become the New
LifeCenterwithnursery. Phase I of the plan is expected to becompleted by October 8, 2007, at a costof17 to17.5million.The remainingeightphasesarepartofthehospital’sfivetotenyear Master Plan. Phase II will focus onimprovementsfortheemergencyroomandduring Phase III the current administrativeareaswillberenovatedandwillbeoccupiedby the Dietary Department. The six otherphases,includingimprovementstoparking,remodeling of the long-term care facility,and the relocation of the Home Care andHospiceDepartment.PhaseIIisestimatedtocost2millionandtherestofthephasesareestimatedtocostbetween5and6millioncombined.
Kerrie Hill, Director of Marketing Estes Park Medical Center
An architectural rendering shows the renovated, expanded Estes Park Medical Center, scheduled to be completed by October, 2007.
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You’re likely to join the estimated 80 percent of Americans who will visit their doctor at some time complaining of back pain.
aching back!oh my
PAIN MANAGEMENT
byAliceAshmore
Perhapsitwillbeanepicbattlewiththesnowshovel,a“weekendwarrior”expeditionorsimplytoomuchtimeatacomputerkeyboard.Whateverthecause,you’relikelytojointheestimated80percentofAmericanswhowillvisittheirdoctoratsometimecomplainingofbackpain. “Theonlythingmorecommonthanbackpainissin,”jokesLovelandorthopedicsurgeonandbackspecialistDr.KenPettine.Hecreditshispriestwiththeline,sayingthetwowillneverlackforbusiness. Thestatisticsonbackpainarestriking.OnethirdofallAmericansoverage18hadabackprobleminthepastfiveyearsthatwassevereenoughtorequireprofessionalhelp.Thecostoftheircarewasover$50billionannually–notincludinglostincomeorproductivity,saystheAmericanChiropracticAssociation. “Althoughthereisnotreallyanywaytopreventbackinjury,smokingandasedentarylifestylehasledtoanepidemicofbackpain,”saysPettine. Smokingcausesbackpain?Pettinenotesthatinastudyofrabbitsregularlyexposedtocigarettesmoke,sixtypercentdevelopeddegenerativediscdiseasewithinsixmonths.Headds“Withman’suprightpostureversusgravity,itmakespreventionofbackproblemsarenearlyimpossible.” Pettine recently completed clinical trails of the Maverick artificial disk to replace
above-Patrick Mallory, D.O. and physician’s assitant, Shari Lopez, treat Lawrence
Melanson with Intervertebral Differential Dynamics, a therapy for treating lower back and neck pain on an Accuspina Machine, at
Mallory Osteopathic Family Practice.
right-Dr. Becky Holm-Johansen at Thompson Valley Chiropractic performs a scan on
Renee´ Dallam with a Gonstead scope, which measures heat to detect nerve irritation.
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degenerated disks. The device is nowawaiting approval from the U.S. Food andDrug Administration. “The patients whomI see are usually in chronic, severe backpain.” Treatment options for back paincontinue to expand including traditionalmedicaltherapies,non-surgicalosteopathictreatments, chiropractic care, massagetherapy and exercise. “No one treatmentcanhelpeverybody,”saysPettine.
What’s an Osteopath? If the letters D.O. make you want tolook elsewhere for a doctor – don’t. Youcan rest assured they’ve passed the samelevelofacademicrigorandtrainingastheirallopathic (M.D.)counterparts.OsteopathicphysicianshavealltherightsandprivilegesofanM.D.withsomeadditionaltreatmentalternatives. LovelandosteopathDr.PatrickMalloryworks as both a family practice physicianandaspecialist inpaintreatments.Mallorymoved his practice from Cheyenne toLovelandinMarchof2005.“It’satwo-sidedpractice. I can be your family doctor fromcradle-to-grave and I dopain treatments.”Chronicpaintreatmentcomprisesabout60percentofMallory’spractice.JustlikeM.D.’s,osteopathic physicians complete a four-yearmedicalprogramandaresidencyaftermedicalschool.Bothareabletospecializeinafield,mustpassstatelicensureexams,andcan prescribe medications, order medicaltestsandperformsurgery. In addition, D.O’s are specially trainedto perform Osteopathic ManipulativeTreatment (OMT), the hands on diagnosisandtreatmentofmuscularskeletalissues. Mallory explains, “I can prescribemedication for a sinus infection, as wellas perform manipulation on the neck,whichwill improvelymphaticdrainageandpromotehealingofthe infection.Headds,“Touch fosters a rapport between doctorandpatient.” His cadre of office talent, includingphysician’s assistant Shari Lopez, followedMallory from Cheyenne to his Lovelandoffice. The pair has worked together formany years, including while both were onactivedutyintheUnitedStatesAirForce. Mallory uses Intervertebral DifferentialDynamicsTherapy(IDD)tocombatbackandneckpain.IDDisperformedonanAccuspinaMachinemadebyNorthAmericanMedicalCorporation.Malloryhasoneof four suchmachinesinNorthernColorado. Hedescribesitas“animprovedwayof
delivering intermittent traction topatients.”Themachine isoperatedbyacomputerwithpatient-specificprogramming.IDDiscompletelynon-invasive,painlessandthepatientisabletointerruptthetherapyprogramiftheneedarises. PriortoanIDDsession,Mallory’spatientsrelaxonanewSolajettable,whichdeliversasoothingsoft-tissuemassageviacompletelydry,warm-waterjetsystem. Mallorycitesat86%successrateinpeoplewithlowbackpainfrombulgingorherniateddiscs, sciatica, facet syndrome, and anumberof other causes. The treatment involves 20sessionsonthemachineoverfourtosixweeks,eachsessionrunningfrom15to35minutes.IDDiscoveredbymedicalinsurance. Counter indications include any surgical hardware in the back or neck, fractures, oradvancedosteoporosis.Lopezsaysthattheabilitytotreatchronicpainnon-invasivelyis“verysatisfyingfromaprovider’spointofview.”
Skeptics No Longer Notsomanyyearsagochiropractorswereregardedwithmorethanabitofskepticism.
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Dr. Jon-Eirik Holm-Johansen, Thompson Valley Chiropractic, performs a surface EMG on Kimberly Weirich, which measures the degree of muscle activity and produces a computerized image.
Kenneth Pettine, MD, orthopedic surgeon and back specialist, explains the replacement of degenerated disks with Maverick artificial disks.
Now, chiropractors work in concert with physiciansto help relieve back pain and address other healthcomplaints. “The biggest acceptance has come from thepublic itself,” says Dr. Becky Holm-Johansen. Sheand husband Dr. Jon-Eirik Holm-Johansen openedThompson Valley Chiropractic in Loveland nearlysix years ago. The couple’s thriving practice givestestament to thegrowingpopularityof chiropracticcareforpatientswithbackpain. “Painisnottheproblem;it’sjustthesignalthatsomethingiswrong.Wehavetheabilitytodiagnoseandtreatthecauseofthepain.”Chiropractorsadjust“subluxations”ormisalignmentsofthespine. “Werestablishnervecontrolandfunctiontothebody,”Dr.Jon-Eiriksays.“Mostsicknessandailmentscanbeattributedtoeithernotenoughortoomuchfunction,” Anewpatientcanexpect to receiveadetailedmedical consultation with a thorough medicalhistory,includinganytraumatothebody.“Wedo66differenttests,includingneurological,orthopedicandchiropracticexaminations.”X-raysof the spinemayalsobetaken. Chiropracticadjustmentsofbackpaingenerallyrequire a series of regular adjustments to achievestabilizationandcorrectionresultsandusuallyextendsintoongoingwellnesscareasapatientdesires. Dr.Becky’sfirstadviceforacutebackpainisice.“If someone hurts themselves and has pain, please
don’tputheatonit.Iceshouldbeusedfor20to30minuteswithtwenty-minutebreaksforthefirst24to48hours.”
Getting Physical HughMacEachran,co-ownerandfitnessdirectorattheOrchardsAthleticClubinLovelandsaysexercisecangoalongwaytowardsrelieving and preventing back injury and pain. Prior to coming toThe Orchards, MacEachran spent five years working in spinalrehabilitationatMed-XSpineandOrthopedicPhysicalTherapyinFt.Collins. He says back pain is a common complaint “We often haveclientscomeintothegymsayingthatbackpainisaproblem.”Heattributesmanybackcomplaintstolifestylechanges.“MostoftheproblemsweseeinWesternsocietyarebecauseofweakness.“Wedon’t live the physically laborious lifestyle our great-grandparentsdid.” Heplacesspecialemphasisonthebody’scoremuscles.“Peopleoftenthinkofcoremusclesastheabdominalmuscles,butitisreallythegirdleofmusclesbelowtheribsandabovethepelvisincludingthemusclesoftheback.Strengtheningyourcoreisareallyeffectivetoolforpreventingandtreatingspinalinjury.” Exercises tostrengthenyourbackdon’thave to takeamajorcommitmentoftime.“AtMed-Xwetaughtourpatientsavarietyofat-homeexercisestostrengthentheirbacksthatrequiredonlyabout15minutesoftime.” Be sensible in your approach to strength training. Consult aknowledgeable physical trainer or physical therapist for help indeveloping your core muscle group to prevent back pain. Alwaysincludeyourphysicianinyourexercisedecisions,especiallyifyouarebeginninganewexerciseregimen. The Orchard’s Athletic Club employs two highly-credentialed
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Hugh MacEachran, co-owner and fitness director at Orchards
Athletic Club in Loveland, shows
Sunni Lauke exercise movements to
strengthen the back.
personaltrainers:GregWheddleandChristySullivan.“Notalldoctorsagreeonatreatmentforbackpain,buttheyallbelievethatexerciseisagoodidea,”saysMacEachran
The Power of Touch Backpaincanbecausedbyaplethoraofthings.Themostcommoncauseoflowbackpainisweakabdominalmuscles.Ofcourse,traumaorinjuryofanysortcanbecontributory.Wheneveranyskeletalmisalignmentormusculartension/spasminotherpartsofthebodyispresent,itcanalsocausesecondarypainintheback.Thisiswhyitisimportanttohaveamassagetherapistwhoistrainedtoassessthecauseofthebackpain,notjustdotechniquetothepainfulpartsalone.Thelatterisessentiallyaddressingsymptoms,notthecause,andthepainislikelytorecurornotresolveatall. GayleMartinchickofTranquilHealthMassage&WellnessCenterpracticesthehealingartofmassage.Typically,treatmentsessionscanvaryinlengthfrom30-120minutes,anditisbesttohavefrequenttreatmentsinthebeginning(2-3timesperweek),weaningdowntoonceperweek,twicepermonth,thenmonthlyasthebodygetsusedtoitsnewchangesandholdstheproperposture.“Itiscommontohaveothermusclesseemsoreafteratreatment,because as some muscles relax from a chronic state, it can cause others to temporarily“retaliate”tocompensate,”Martinchickexplains. Thisisoftenshort-livedbecausethelongerthepainhasbeenpresent,thelongeritwilltaketoreversetheeffects.Sometimesmassagecanhelptheproblemtoresolveinoneortwosessions,butoftentimesthepersonwillrevertbacktotheoriginal,painfulplaceiftoomuchtimehaslapsedbetweensessions. Clienteducationisalsoimportant.Martinchickmustaskspecificquestionsofherclientsinordertomakeavaliddiagnosis.Whatisgoingonintheclient’severydaylifethatiscausingand/orworseningthesituation?Isdeskpositioningpoor?Istheclientliftinginappropriately,therefore straining musculature? What are healthier alternatives to those contributingfactors? Treatmentforaspecificcomplaintcantakethewholeallottedtimeforthemassage,soifaclientwishestohaveafullbodymassageinadditiontotherapeutictechnique,itisessentialtoscheduleatleast90minutesforthesession.“Sometimesthepoweroftouchisenoughtoremovepain.Whentheexactpainispinpointed,massagetherapycanbeaveryeffectivemethodtobringapersonbacktothelandoftheliving–apain-freelife,”Martinchicksays.
The Final Straw Sowhatdoyoudowhenthefinalstrawhaslandedonyourachingback?Whenonehasexperimentedwithallmethodstorelievebackpain,andnothinghasbeen100%effective?Backsurgeryperhaps? Theprimarypurposeofbacksurgeryornecksurgeryistocorrectananatomicallesioninindividualswhofailtoshowimprovementwithconservativetreatment.Forthosepatientswho have pain, but no anatomical lesion can be identified that accounts for their pain,surgeryisnotanoption.Surgeryisusefulonlytochangeapatient’sanatomy(e.g.removeadischerniation).“Thereisveryrarelyareasontoconsiderexploratorysurgeryto“look”for
continued to page 87
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The 64-slice CT is a Computed Tomography Scanner which renders a three-dimensional image of the heart and its associated blood vessels.
north colorado 64-slice CT at
byJohnPenney&RandallMarsh,MD
CARDIOLOGY
Theheartpumpsbloodtoitself…andtherestofthebody…neverstopping.Thinkabout
that;itneverstops.Inordertokeeppumpingwithoutstopping,theheartismadewithits
ownremarkablyrichbloodsupplysystem.Threebloodvessels(knownascoronaryarteries)
withmultiplebranches,wraparoundtheheartinthreedifferentdirectionstokeeptheheart
musclesuppliedwithoxygenandnutrients.Ifanythinginthissupplysystemgoesawry,the
heartwillquicklybeintrouble.
The major killer disease in this country known as atherosclerosis (or hardening of the
arteries) is theone thatbuildsupblockages in these threearteries to thepoint that they
cancompletelycloseand,asaresult,causeheartmuscletodie.Wecallthisaheartattack.
Enormouseffortandmoneyhasbeenexpendedfiguringoutways to lookat these three
vesselssowecandealwithblockagesbeforetheycause irreversibledamagetotheheart.
Theproperfunctioningofourheartsandourcirculatorypathwaysrepresentatremendously
importantcomponentofourhealth.And,aswithmanyofourinternalorgansandtissues,
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64-slice CT at
heartproblemsarebesttreatedwhentheyaredetectedintheearlieststagesofdevelopment,a
timewhenanillnessoradiseasemightberemediedbeforeitwillcauseadditionaldamage.
Upuntilnow,ifwereallywantedtoseewhatwasgoingon,wehadtogetinsidethe
aortaandtakepicturesof the threevessels from inside thebody.Wecall thisacoronary
arteryangiogramorcardiaccatheterization.Thisisnotamajorproceduretoperform,but
it isveryexpensive,causessignificantapprehension,andcomeswithsomeverysmallrisk.
Oldcatscannersusedanx-raybeamthatpassedthroughthebodyandthen1,4oreven16
so-called“detectors”collectedtheinformationattheotherendofthescanner.Themore
detectorsyouhadattheotherendallowedyoutocollect4or16timesmoreinformation
simultaneouslyfromthesamex-raybeam.Becausetheheart isalwaysmovingwithinthe
chest,oldcatscantechnologycouldnotgetgoodcrisppicturesoftheheart,evenwith16
detectorsdetectingsimultaneously.Theheartsimplymovestoofastfortheoldscanners.
Nowanewtechniquecalledmulti-detectorcomputerizedtomography(anew,reallyfast
catscanner)isavailableatNorthColoradoMedicalCenterthatwillallowustogetagood
lookatthesevessels(andtherestoftheheart)usinganIV,somecontrast(ordye),andabout
10-15secondsoftime.Itistrulyremarkablewhatonecanseewiththisx-raytechnologyand
howfastandeasywegettheinformation.Furthermore,theimplicationsofthistechnology
areclearlystaggeringwhenitcomestoourabilitytodetectthenation’snumberonekiller
disease.Itisinthediagnosisanddetectionprocessesthattheadvancedtechnologyofthe
64-sliceCT,aComputedTomographyScanner,issovaluable.
Why is the 64-slice CT a valuable medical tool? Forthoseofuswhohavewitnessedthe“imaging”evolutionofthepastdecadescome
intobloomwith incredibleadvancements inthecolorandqualityofourhomevideoand
televisionimages,thescannedimageresultingfromthe64-sliceCTisaleapinclarityand
detailforthemedicalfield.The64CT,orthe“64-slice”,referstothenumberofdetectors
beingusedtoassembleandcreateathree-dimensionalimageoftheheartanditsassociated
bloodvessels.Theimagecanthenberotatedonscreentorevealviewpointsandperspectives
thatshowafullycompletedpictureofthecoronaryvasculature,similartotheviewofrotated
images created by the functions inside our modern engineering and architectural design
softwareprograms.
TheCardioVascularInstituteofNorthColoradoisastate-of-the-artmedicalfacilityoffering
a full spectrumofcomprehensivecare.LocatedwithinNorthColoradoMedicalCenter in
Greeley,theCardioVascularInstituteservicesbothournorthernFrontRangecommunities,as
wellasprovidingassistancetoregionswellbeyondourneighboringareas,suchasWyoming
andwesternKansas.
Inadditiontomaintaininganoutstandingteamofcardiologists,surgeons,nurses,support
staffandadministrativepersonnel, theCardioVascular InstituteofNorthColoradohouses
someofthemosttechnologicallyadvancedequipmentavailabletothemedicalprofession.
Oneexampleofthisadvancedequipmentisthe64-sliceCT,whichrendersathree-dimensional
imageoftheheartanditsassociatedblood
vessels.Theseadvancementsaretoolsinthe
skilledhandsofamedicalteamcommitted
to offer an exceptional level of heart care
foreverypatient,whetheritisinthefieldof
diagnostics, treatment, surgical procedures
orrehabilitationservices.
GeneHaffner,DirectorofPublicRelations
for North Colorado Medical Center, likens
the resulting imagery produced by the 64
CT to the futuristic science fiction movie
of the1960s, Fantastic Voyage,wherein a
teamofscientistsandtheir laboratoryship
areminiaturizedand injectedona journey
through the arteries of a human body. Of
course,the64CTisnotashrunkenmedical
submarine propelling itself forward with a
crewofsurgeonsbouncingabout; instead,
the64CTisaminimallyinvasivediagnostic
toolwhoseimagingcapabilitiesprovidethe
spectacular visualization that one might
actually encounter from the perspective
of having a window seat while traveling
throughandaroundthehumanheart.
THIS NEW SCANNER WILL VERy LIKELy BE THE BIGGEST ADVANCE
IN HEART DISEASE FOR THE FORESEEABLE FuTuRE.
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When and where is the 64 CT used? According to Dr. Jim Beckmann,
Cardiologist and Medical Director of the
CardioVascularInstituteofNorthColorado,
the64CTisusedasadiagnostictoolwhen
apatienthashadnopriorhistoryofheart
problems, such as a heart attack or heart
disease.The64-sliceCTistheonlyscanner
ofitstypeinNorthernColorado.
What are the advantages of using the 64 CT? For thepatient, the64CTprocedure is
convenientandquick.CTscanshavebeen
usedformanyyearsasaneffectivetoolto
diagnoseheartproblems.
Usingtheimagesproducedbythe64CT,
a physician can view the coronary arteries
even though they are pulsing. With less
advanced imaging techniques, the arteries
wouldappearfuzzyduetotheirmovements.
Dr.Beckmann notes that the sharp images
producedbythe64CTaresomewhatsimilar
to the results one may experience while
usinghighspeedphotographicfilm,where
thepropercamera,lensandfilmwillcapture
fastmotionsintoaclear,non-blurredimage.
Thebenefitforthephysician isacomplete
view of the coronary vasculature allowing
foramoreprecisediagnosis.
Additionally, for the patient, the 64
CT diagnosis involves a minimally invasive
medicalprocedure,withtheexposuresbeing
only those of x-rays and an intravenous
injectionofdye.Thedyeisusedasacontrast
mediumtohighlightvesselsduringthescan.
Forpatientswhoundergoadiagnosiswith
the64CT,thereisminimalrecoverytime.
Whatdoyoudoifyouthinkyoumight
benefit from one of these scans? Talk to
yourprimarycarephysicianandhe/shewill
be able to make the initial determination.
Yourdoctorwillneedtotalktooneofthe
heartspecialists,atleastintheearlystages,
tomakesurewearedoingthisfortheright
reasons.Asourknowledgeincreases,these
decisionswillbecomeeasierandroutine.
John Penney is a freelance writer
living in Fort Collins.
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FOOT AND ANKLE
Theaveragepersonwillwalkover115,000milesinalifetime.Themechanicsofthefootandankleenablesustoenjoyexerciseandsports,whileprovidingsimpledailyambulation.Whenworkingproperly,thefootandankleisoftenignored.Whenpainandlimitedactivityoccurs;theimportanceofindependentambulationbecomesparamount.Asthesayinggoes:“whenyourfeethurt,youhurtallover!”Whenthishappenswewanttheconditionfixedquickly,painlesslyandwithminimalinterruptiontoourlifestyle.Assuch,newtechnologieshaveevolvedtohelpmeetthesegoals.Ingeneral,thesetechnologiesfocusonhealingonthecellularlevelandemploynon-invasiveorminimallyinvasivetechniques. ExtracorporealShockwaveTherapy (ESWT) isaderivativeof lithotripsywithorthopedicapplications. Sound waves are generated and focused to the area of inflammation. FirstutilizedinEuropeintheearly1990’s, ithasbeenFDAapprovedintheUSoverthepast5yearsforplantarfasciitis(heelpain)andmorecurrentlylateralepicondylitis(tenniselbow).Thesoundwavesstimulateahealingcascadeatthecellularlevel.Thisnon–invasivetechnologyisusuallyutilizedafter traditionalconservativemeasuresareemployed.Thesuccess rate isapproximately 70 percent and offers a nice alternative to surgical intervention. Heel paincomprisesapproximatelyfifteenpercentofallvisitstothespecialistofthefootandankle.Shockwaveisalsobeingusedtotreatnon-unionfractures. Abnormal tendon tissue fromchronic inflammation (tendonopathy) isdifficult to treat.This is due to a variety of factors involving constant motion, scar tissue and poor bloodsupply to the area. Typically, long periods of immobilization, physical therapy, and anti-inflammatorymedicationareutilized.Whentheconditionpersists,aformofminimallyinvasiveradiofrequencycanbeused.Thisisdonethroughasmallincision,removingabnormaltissueandstimulatingnewbloodcellsintotheareatopromotehealing.Thistechniqueminimizesscartissueformationandrecuperationascomparedtomoreopensurgicaltechniques. Monochromatic infrared energy (MIRE) has been utilized for a variety of extremitypathologies. These include, tendonitis, wound healing and in the treatment of diabeticneuropathy.Thisisanon-invasivetechnologythatutilizeslightenergytostimulatethe release of nitric oxide at the cellular level. This has shown to be effectiveincreasingbloodsupplytothearea.Subsequently,accelerationofhealingtakesplace. Diabetic neuropathy (numbness in feet) can lead towards devastatingeventsandpossiblelossoflimb.Extensivestudiesaretakingplacetoimprovethissituation.MIREtechnologyhasshownsomepromiseinrestoringsensationalongwithmoreinvasivesurgicaltechniquessuchasnervedecompression. Thefieldoforthobiologicsisexplodingwithnewtreatmentsforthehealingofboneandtreatmentofarthritis.Osteoarthritisissecondonlytoheartdiseaseinproducingchronicdisability.Traditionallyinreconstructivesurgeryforarthritis,
boneandcartilagegraftshavebeen takenfrom another site and transferred to theaffectedarea(autograft).Whilesuccessful;the procurement of the graft has its owninherited complications and risks. Tissueengineeringhasevolvedtothepointwherealternativestothistraditionaltechniqueareavailable. Most of these products providea scaffold for the body’s own cells toincorporate (osteoconductive),whileat thesame time stimulating a healing response(osteoinductive). Timing and degree ofarthritis is a factor in treatment option.However, if the joint can be resurfacedbefore irreparable damage occurs; theincidence of joint replacements may bedelayedoravoidedalltogether. The ultimate goal of these newtechnologies is to restore function withminimalinterruptioninlifestyle.Theabilitytowalkpain-freeisvitaltoone’soverallhealth.Whilewehaven’treachedthetechnologyof“StarTrek” forhealing;newtechnologiesareinchingcloser.
Daniel J Hatch, DPM,FACFAS is a foot and ankle surgeon in Greeley, Colorado. He has
been in practice 25 years and is Director of podiatric residency training at North Colorado Medical Center. He is also medical director of the Diabetic Foot and Ankle section of the Wound Center at NCMC and currently serves as secretary- treasurer of the American College of Foot and Ankle Surgeons. www.footandanklecolorado.com
The mechanics of the foot and ankle enables us to enjoy exercise and sports, while providing simple daily ambulation.
made for walkingthese feet were
byDanielJHatch,DPM,FACFAS
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Experienced cardiac care that keeps you healthyso you can follow your heart.
McKee Medical Center keeps your life in rhythm with state-of-the-art diagnostic and interventional heart procedures, as well as cardiac rehab services to get your heart back in shape. When you need more advanced care, you can take comfort in knowing that McKee Medical Center is part of Banner Health, giving you access to an extraordinary network of cardiac physicians experienced in providing comprehensive care for even the most serious heart conditions. McKee Medical Center and Banner Health. Keeping you healthy so you can follow your heart.
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
2000 N. Boise Ave. • Loveland(970) 669-4640
North Colorado Medical Center
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wellness
Experienced cardiac care that keeps you healthyso you can follow your heart.
McKee Medical Center keeps your life in rhythm with state-of-the-art diagnostic and interventional heart procedures, as well as cardiac rehab services to get your heart back in shape. When you need more advanced care, you can take comfort in knowing that McKee Medical Center is part of Banner Health, giving you access to an extraordinary network of cardiac physicians experienced in providing comprehensive care for even the most serious heart conditions. McKee Medical Center and Banner Health. Keeping you healthy so you can follow your heart.
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
2000 N. Boise Ave. • Loveland(970) 669-4640
North Colorado Medical Center
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At Northern Colorado Rehabilitation Hospital, we believe rehabilitation means more than iust physical. At our state of the art facility, we care for patients who have suffered functional deficits from traumatic events such as:
• stroke • brain injury • surgery • spinal cord injury Rest easier knowing that you and your loved one now have a choice for recovery in Northern Colorado.
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Lydia's STYLE Magazine
II
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Delivering health care that goes above and beyond what’s expected. That’s North Colorado Medical Center, a Banner Health facility. Recently, when a woman was admitted due to preterm labor, our highly trained and compassionate people provided her with not only some of the best medical care using the latest in technology, but the little things that helped her feel at home. Like pedicures, potluck dinners and pajamas instead of hospital gowns. Or movies, magazines and cross-stitch lessons to help her pass the time. It’s the simple acts of kindness that make a big difference. Banner Health. Inspired to go the extra mile every day. For every one of our patients.
Left to Right: Joan, RN; Susan, RN; Dr. Kaea, MD; Claudette, CNA; Brenda, RN.
1801 16th Street • Greeley(970) 352-4121
Client: Banner Health Trim: 8.375x10.875 Ad: NCMC Group Nurses
To avoid early labor, a momhad to spend a month in the hospital.
These professionals made it their labor of love.
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
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Ithaslurkedmysteriouslyinthefoodsupplyforyears!Expertshaveevencatego-rized itapotentialkiller.Underacloakofsecrecy, transfattyacidshavemasqueradedasshortening,hydrogenatedandpartiallyhydrogenatedoilsandthehigheruponalistthoseingredientsappear,themoretransfattyacidsarecontained.So,whatexactlyaretransfattyacids?Theyaresimplyartificial,man-madeorprocessedfatsmadewhenhy-drogenisaddedtoliquidvegetableoilandpressureisadded.Theresultisastifffat,likethefatfoundinacanofCriscoorhardenedmargarine.AccordingtoChrisBook,regis-tereddietitiananddiabeticcounselorwithPartnersinNutritionLLCofLoveland.“We’veknownaboutthedangersofthesefatsforyears.Thepumpingofhydrogenatomsintounsaturatedvegetableoilsactuallyalterstheirnaturalcomposition.”Thentheybehaveassaturatedfatswheningestedintoone’sbody.Whyaretheseunnaturalcompoundssodetrimentaltoone’shealth?Tobetterunder-stand,let’sconsiderthechemistryinvolved.Anatural,unsaturatedfattyacidhasseveraldoublebondsbetweenadjacentcarbonatoms,whichiswhatmakesit“unsaturated.”Saturated fats havenodoublebonds.All of the spaces available areoccupiedby thehydrogenatoms.Whenthisoilishydrogenated,itisnotpossibletocontrolwherethehy-drogenatomsareaddedtothestructure.Ifbothhydrogenatomsareaddedtothesamesideofthestructure,itiscalleda“cis”fat.Cisfatsexistnaturallyandbecausethehydro-genatomsarecrowdedononesideofthemolecule,theybend,allowingotherchemi-calsandenzymestobindtothem.If,however,onehydrogenatomaddstoonesideof
It has lurked mysteriously in the food supply for years! Experts have even categorized it a potential killer.
NUTRITION
the phantom fattrans fat...
byDianeSpecht&LynneWard
The “scientific” information in the phantom fat article came (almost verbatum) from: Natural Health Information Centre.
Not all similar foods are alike! Check the new Trans Fat category on the Nutrition Facts Label for grams per serving!
As yummy as these foods might look and taste, they are the worst source of fat in our food supply.
Foods that come from nature won’t have trans fat!
Delivering health care that goes above and beyond what’s expected. That’s North Colorado Medical Center, a Banner Health facility. Recently, when a woman was admitted due to preterm labor, our highly trained and compassionate people provided her with not only some of the best medical care using the latest in technology, but the little things that helped her feel at home. Like pedicures, potluck dinners and pajamas instead of hospital gowns. Or movies, magazines and cross-stitch lessons to help her pass the time. It’s the simple acts of kindness that make a big difference. Banner Health. Inspired to go the extra mile every day. For every one of our patients.
Left to Right: Joan, RN; Susan, RN; Dr. Kaea, MD; Claudette, CNA; Brenda, RN.
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Client: Banner Health Trim: 8.375x10.875 Ad: NCMC Group Nurses
To avoid early labor, a momhad to spend a month in the hospital.
These professionals made it their labor of love.
For more information, visit www.BannerHealth.com or call 800-505-6877.For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627).
Banner Health is the leading provider of not-for-profi t health care in northern Colorado.
McKee Medical Center Sterling Regional MedCenter
East Morgan County Hospital
Banner Health facilities include:
North Colorado Medical Center
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thestructureandtheotheratomaddstotheother side, it creates trans fat. Because thestructure isnotcrowded, theydonotbendandsoothermoleculesandenzymesfinditmoredifficulttobindtothem.Itistheveryfactthatbecausetheyarestraightthatallowstrans fats to solidify at room temperature.Natural,cisfatsarecurved,sotheycan’tpackintoacrystalformationatroomtemperature.Trans fats are straight and can pack into acrystal formation,whichallowsthemtoso-lidifyatroomtemperature.LeahBarrett,MS,MSW, LCSW, Nutritionist and Psychothera-pist,saysthatonecansimplyremember,“Ifitissolidatroomtemperature,itisnotfoodforme.”Asarule,transfatsdonotexistnatu-rally,withtheexceptionofasmallamountoftransfattyacidsarefoundnaturally indairyproducts,somemeatandotheranimal-basedfoods,whichhappenswhen food fermentsinthedigestivetractsofcows.Thisfat,oncenicknamedthe“stealth,”or“phantom fat” was not listed on our foodlabels, so many consumers are unaware ofit.Butnolongerwillaliasessuffice.TheFDAhasrequiredthatallfoodmanufacturersarenow required tocreatea separatecategoryfortransfattyacids,listedastransfat,onev-eryNutritionFactsLabel,asofJanuary,2006.TheFDAfinallygotseriousaboutthisartery-cloggingfatanditistimeforyou,theedu-catedconsumer,togetserious,aswell!Perhapsyouarewondering,iftransfatissobadforone’shealth,whydidittakesolongto get it properly named on the NutritionFactsLabel?Scientificreportshaveconfirmedtherelationshipbetweentransfatandanin-creasedriskofcoronaryheartdisease.Well,forthefoodmanufacturers,transfatisaverynicefat.Itdoesn’tgorancideasily,hasalongshelf life, stabilizes flavor and can be heat-edtoahighmeltingpoint,whichproducesa really crisp texture. French fries, cookies,
doughnuts, pastries, icing, microwave popcorn, crackers,commercialpeanutbutterandchipsseduceunsuspectingconsumerswithenticingflavorsandaglistening,visualap-peal,alongwithanaddedtexturalcrispness.So,asyummyasthesefoodsmightlookandtaste,theyarethesourceoftheworstfatinourfoodsupply.Accord-ingtotheFDA,ifeatenregularly,anymorethantwogramsperday,one’sriskofheartdiseaseissignificantlyincreased.Thissimplyhappenswhenthemoleculesoftransfatenterone’sbloodstream,therebycreatingasimultaneouseffect,whereuponone’s“bad”cholesterol,orlowdensitylipopro-tein(LDL),goesupandone’slevelof“good”cholesterol,highdensitylipoprotein(HDL),goesdown.Thehealthybal-anceof aperson’s cholesterol level is damaged. Inotherwords, while LDL levels are boosted, arteries are being
cloggedlikebacongreaseinakitchendrain,yetHDLlevelsarereduced,whosejobitistokeeparteriesclear.Andthat’snotall!Alongwithmajorcloggingofthearteries, type2diabetes,obesityandanincreasedriskincoronaryheartdiseaseareotherpotentialhealthhazardsofthisdietarydisaster.Isthereanygoodfatoronlybadfat?Whatdoesthebodyreallyneed?Dr.StephenTreat,LovelandbasedCardiologistfortheHeartCenteroftheRockies,simplifiesthedefinitionsoftypesoffatsthisway:“Saturatedfatsoriginatefromthingsthatwalk(meatanddairyprod-ucts).Unsaturatedfatscomefromplantsandfish.”Dr.Treatsays,“Saturatedfatsarejustnotgoodfortheheart.Bloodcholesterollevelsareraised,whichinturnraisestheriskofcoronaryheartdisease.Thereisadirectrelationshipbetweenwhatisonone’sforkandwhatisinone’sheart.Ninetypercentofthepeoplewhoentermyclinichavenotbeendiscerningabouttheirfoodchoices!”He furtherexplains, thatalthoughdiet isa significant factor contributing tocardiacdisease,physicalactivityalongwithgender,genetics,othermedicalconditionsandhighriskfactorssuchassmokingmayalsoincreaseanindividual’scandidacyforheartdisease.Dr.Treatadamantlystates,”Everyonehassomecontroloverone’sbloodpressureandcholesterol.Andsinceourbodiesneedsomefat,itispossibletochoosetherightkindoffat.”Heexplainsthattherearetwotypesofunsaturatedfat:monounsaturatedandpolyunsaturated.Monoun-saturatedfats,suchasolive,peanutandcanolaoils,nuts,nutbuttersandavocadosdefinitelyhelptolowertotalbloodcholesterol.HenamesthepolyunsaturatedOmega3fats,likefish,especiallysalmon,tuna,mackerelalongwithwalnutsandflaxseedasatastywaytogetthegoodfat.You,asaconsumer,dohavepower.Publicawareness,alongwiththeFDAruling,mustbemakingadifference.Frito-LaytellsConsumerReportsthatitplanstoeliminatetransfatfromCheetos,Doritos,andTostitos.Althoughit’sworthnotingthatthistransformationdoesn’tqualifythemashealthysnacks.McDonaldssaysthatitwillreducenearlyhalfthetransfat
THERE IS A DIRECT RELATIONSHIP
BETWEEN WHAT IS IN ONE’s FOrk aNd what
is iN ONE’s hEart.
Dr. Stephen Treat Loveland-based Cardiologist for the Heart Center of the Rockies.
Jenifer Bowman, MS, RD, Registered Dietitian at Heart Center of the Rockies.
what’s mOrE CONvENiENt THAN A BANANA? MOST OF THE PEOPLE I WORK WITH
NEED TO BE EDuCATED AND BECOME AWARE THATTHERE ARE TASTy AND
CONVENIENT FOODS THAT ARE HEART HEALTHy.
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in its French fries, and Lipton, Nestle andCadburyaretakingstepstoeliminatetransfat from some of their products. In 2003,a U.S. non-profit corporation filed a law-suitagainstKraftFoods,withthe intenttorequireKraft to remove trans fat from theOreo cookie. The lawsuit was eventuallywithdrawnwhenKraftagreedtodevelopasubstituteforthetransfat.Barrettemphati-callystates,“ReadtheNutritionFactsLabel.Withthepressuretoremovetransfatfromitsproducts,manufacturerswillmost likelybe using other fillers as replacements. Askyourself if this is a product or compoundthatyouunderstand.”Thestepsyoutaketodaycanpreventonefrombeingacandidateforheartdiseasebe-ginningasearlyasone’s40s,andifyouareaparent,youcanhelpyourchildrenavoidheartattacksandstrokes.Herearesometips:n Make healthy food choices convenient
and tasty. Buy fruits, vegetables,wholegrains,beans,chickenandotherunpro-cessed foodsand recipes. Trynew reci-pes.Cookandprepare foods athome,not relying tooheavilyon fast foodsorhighlyprocessedfoods.
n Learn to identify trans fat andhigh fatfoodsbyreadingthe ingredients.Avoidfoodslabeled“hydrogenatedorpartiallyhydrogenated canola, soybean or cot-tonseedoil.”Notice theorder inwhichhydrogenatedfatsarelisted.Ifitisoneof the first three ingredients, there isplentyofitinthefood.
n Learn to identify lowfat foods.Naturalfoodsaregenerallylowfat.Thisincludesalltypesoffruitsandvegetables,chicken,turkey,fish,wholegrains,beans,breads,andsomecereals.Foodsthatcomefromnaturewon’thavetransfat(hydrogenat-edfats).Thesefoodscanbepreparedsotheyappealtoachild.
n Learn the categories of foods likelyto contain trans fats. Fast foods: friedchicken, biscuits, fried fish sandwiches,French fries, fried apple or other piedesserts. Ready-to-eat, prepared foods,one can purchase at the supermarket:donuts,muffins,crackers,mostcookies,cake, cake icing, pie, pop tarts, micro-wavepop corn, cannedbiscuits, coffeecreamers,internationalandinstantlattecoffeebeverages.
n Beasmart shopper.Shoptheperimeterofthestore.Notethatmostofthepro-cessedfoods,whichcontainalotoftransfat,areontheinnerislesofthemarket.
Haveaplanforquickmeals,snacksandlunch items.Buy foods thatcanbepre-pared quickly at home such as stir-frypackages, bagged salads, rice or cous-cous,andchickenorsalmonforthegrill.
Jenifer Bowman, MS, RD, RegisteredDietitian at Heart Center of the Rockies,says her patients argue that convenienceandtastearetheprimaryreasonfastfoodsor processed foods are heartily consumed.Bowman responds to their excuses with“What’s more convenient than a banana?MostofthepeopleIworkwithneedtobeeducatedandbecomeawarethattherearetasty and convenient foods that are hearthealthy.” Bowman offers her patients cre-ativealternatives tobad fat, suchasnatu-ral peanut butter on whole-wheat toast,avocado on a burrito, or nuts on a saladtonourishone’sbodywithgoodfat.Bow-man says, “One of the most important is-suestobeawareofwiththenewFDArulingontransfatlistedis‘servingsize’.TheFDAonlyrequiresmanufacturerstolisttransfaton the Nutrition Facts Label if one servinghasatleast½gram.Therefore,afoodmaystillcontaintransfat,althoughnotlisted.Ifone consumes more than a single servingsizeofa foodwith trans fat, an individualcould consume a rather large amount oftransfatwithoutknowingit.”So,don’tbefooled,beeducated!Itisimportantthatwe,as consumers, become and stay aware ofchanging information regardingourhealthanddiet.Ourchoicestodaywilldirectlyaf-fectourqualityof life inthenot-so-distantfuture.Dr.Treatoffersthisadvice,“Investinyourhealthtoday,orpaylater.”
Diane Specht is Photo Editor for Style Magazine. Lynn Ward is a freelance writerliving in Fort Collins. Information provided by Natural Health Information Centre.
When the molecules of trans fat enter one’s
bloodstream...the healthy balance of a person’s cholesterol level is damaged.
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An expanded care team, easier access and a new name reflectour even greater commitment to specialized root canal treatment.Endodontic Associates of Northern Colorado is now EndodonticSpecialists of the Rockies and we welcome the opportunity toserve you.
Anthony F. Girardi, DDS
David M. Jones, DDS
Kelly B. Jones, DDS, MS
Jason E. Maines, DDS, MS
David O. Carbone, DDS, MS
Fort Collins1331 E. Prospect, Bldg. B-1
Fort Collins, CO 80525970.482.4916
Loveland2996 Ginnala Dr., Ste. 101
Loveland, CO 80538970.461.1994
Longmont1055 17th Ave., Ste. 105
Longmont, CO 80501303.651.0202
coloradorootcanal.com
WE ARE
ENDODONTIC SPECIALISTS
OF THE ROCKIES
Endodontic Specialists of the Rockies - 1/2 page Horizontal Ad - 7.5” x 4.75” 07/13/2005 5:00 PM Burke Design 303.473.0664C
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Womenapplymascaraordaboneyecreamstominimizewrinkling,whilebothmenandwomenwearglassesorpopincontacts,andneithermayeventhinkabouttheireyesuntil a painful drynessbegins tooccur.Dr. Elaine Foe, aGreeleyOphthalmologist, says,“Theeyescanbecomeredandirritated,onecanexperienceblurredvisionandcanevenbeafflictedwitha‘foreignbodysensation,’whichseemslikesomethingislodgedwithintheeye.”Dr.JohnKirk,OphthalmologistatKirkEyeCenterinLoveland,saysheregularlyhearsthefollowingcomplaints: “Myvisionisblurred.” “IgetaglarewhenIdriveatnight.” “Myeyesarelightsensitive.” “Itfeelslikemyeyesarefightingeachother.” “Itseemslikeafilmcomesovermyeyes.” “Myeyesfeeltiredallthetime.”Thesecomplaintshaveonethingincommon.Eachcanbesymptomaticofteardeficiency.All this and it’sworseat theendof theday.Add somewindor adry climateand teardeficiencycancausesevere,intensepain.Therealizationthattearsarenotjustforcryingbecomesareality,butunderstandingthattheeyeisdryisnoteasilyrecognized. Dr. JenniferCecil,aLovelandOphthalmologist says thatmanyofherpatientsmistakethese symptoms for the need to obtain a new eyeglass prescription. She says, “I explainthatwhen the surfaceon the eye is dry, it is like adirtywindshield. Inboth cases,what
dry eyechronic
OPHTHALMOLOGY
byDianeM.Specht
Tears are made up of layers: mucous, watery and oily. Each of
the three types of tear glands can produce insufficient tears.
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oneseesisobscured.”Dr.Kirksaysmanyofhis patients fear that the conditionof theireyesmaysuggestthepresenceofcataracts,orworse.Withmuchexperience intreatingdryeye,Kirksays,“ChronicDryEyeisunderrecognized.Mostpeoplesimplydon’tknowwhatitis.” MillionsofAmericanswakeupeverydaywith dry, irritated, itchy eyes, accompaniedwithblurredvision,hinderingone’sabilitytocarryoutdaily tasks.Thiscondition,knownas Chronic Dry Eye, or keratoconjunctivitis-sicca, is sucha frequentcomplaint, saysDr.Foe, who claims that 15% of her patientsseektreatmentforChronicDryEye,butad-mitsthatitseemslikemore.Sheexplainsthatenvironmental effects like heat, wind, fans,air-conditioningorourdryColoradoclimatemay exacerbate the condition, though notcauseit. Let’sexaminewheretheproblembegins.Whenthetearproducingglandsoftheeyeproduceaninsufficientqualityorquantityoftears, the eyes grow increasingly dry. Tearsareacombinationofwater,oilsandmucous,alongwithspecialproteins.Thiscombinationisseparatedintothreelayers.Thefirstisthemucouslayer,afoundationfortheotherlay-ers,isproducedbygobletcellslocatedinthewhiteoftheeyeandintheinnersurfacesoftheeyelid.Thesecondisthewateryorlacri-mal layer,whichsitsatopthemucous layer,produced by the lacrimal gland betweenthe eye and the eyebrow. Lacrimal produc-tionslowsdownduringsleep,whichiswhyeyescanbedryuponawakening.Thethirdisthemeibomianoroilylayerwhosejobitistopreventevaporationofthewaterylayer.Thistoplayerexudesoilfrom70oilglands,liningthe inneredgeof theeyelid.An imbalanceinanyofthesessubstancescanresult inaninsufficientamountoftears.Anormaleyeisconstantlyprotectedbyalayeroftears. Other conditions that can be associ-atedwithdryeyepainareallergy-triggeredinflammations, chronic blepharitis, inwhichthe edges of the eyelids become inflamed,chronic meibominitis, the inflammation ofthe oil-secreting glands of the eyelids or aVitamin A deficiency. High risk factors forChronic Dry Eye are aging, in conjunction-with hormonal changes and autoimmunediseasessuchasarthritis,lupusandSjogren’sSyndrome,wherethebody’simmunesystemmistakenlyattacksitsownmoisture-produc-ingglands.Dryeyecanalsobemadeworsebydiabetesorinsomepeople,lasik,orcor-nealsurgery.
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Surprisingly,ChronicDryEyeaffects3.2millionwomen,aratioof1in12,overtheageof50,intheUnitedStates.Menreporttheproblem,butwomenaretwotothreetimesmorepronetotheconditionthanmen.Unfortunately,theeye,likeanyotherpartofthebodyissubject to aging. In post-menopausalwomen, a decline in theproductionof certain hor-monescanincreasetheriskofinflammationoftheocularsurface,andinturnreducestearproduction.Testosteroneiscriticalinmaintainingthatsecondlayer,thelacrimalgland. The impactofthisdiseaseaffectsone’sabilitytoread,workatacomputer,effectuateanysortofclose-upwork,driveatnight,toleratebrightsunlight,orbeinanenvironmentofbrightorfluorescentlighting.Doesonehavetosufferpersistentdiscomfortwhilethecondi-tionimpedesone’slifestyle?Notatall.Withproperdiagnosisthereareeffectivetreatmentoptions.Afterassessingtheconditionasdryeye,Dr.Foerecommendstheuseofeyedrops,alubricatingproductthatactsasartificialtears.Althoughaddingmoisturetotheeyes,thesesolutionsandointmentsmaygivetemporaryrelief,butdonotarresttheproblem.Dr.Kirkexplainsthattheuseofartificialtearsisaninexpensive,convenientapproachtotreatingthe
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conditioninitially.Manyproductsareavail-ablewithoutaprescription,intheformofdrops,gelsorointments,soseveralcanbetriedtofindtheoneyoulikebest.Dr.Kirksays, that a ‘gets the redout’ dropor al-lergyeyetreatmentshouldnotbeusedfordryeye. Iflubricatingtheeyesurfaceisnotasat-isfactory treatment, Dr. Cecil explains thatophthalmologists may decide to close thetearductswithpunctalplugs,calledpunctalocclusion,whichkeepthe tearfilmonthesurface fora longer time,slowingthe rateof drainage from the eye. For eyes, whichdon’trespondtothesetreatments,ormoreseverecases,anophthalmologistmightrec-ommendananti-inflammatoryprescriptiondrug, called Restasis, which actually helpsthe eyes to produce more tears naturally.Because it is a more expensive treatment,most ophthalmologists try to lubricate theeyewiththeprevioustreatments.
ThereisnocureforChronicDryEye,althoughDr.Foesaysthatalongwithanophthalmol-ogist’s recommended treatment, one canmakesomeenvironmentalchangesbyavoid-ingfansandusingahumidifier.Dr.Cecilsaysthatthemajorityofpeopleplaguedwithdryeye can find relief. Patients with the mostsevereconditionoveranextendedperiodoftime are at an increased risk of developingscarring or ulceration, which could lead topermanentvision loss. Ifyouareexperienc-inganyofthesesymptoms,seekprofessionalhelp.Scheduleaneyeexamwithyouroph-thalmologist. Itcouldprovidereliefforyoureyes,ifnotsaveyourvision.
Diane M. Specht is Photo Editor and a contributing writer for Style Mediaand Design, Inc.
Dr. John Kirk, Ophalmologist, Kirk Eye Center, performs an eye exam on Loveland resident, John Frost.
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“Doadultsreallygetbraces?”
“Arethereanyagelimits?”
“Isadultorthodontictreatmentanydifferentthanteenageorthodontics?”
“WillIbestuckwitha‘metalmouth’andwon’tbeabletokiss?”
“Whyshouldanadultbothertobetreatedwithorthodontics?”
Dr.BradfordEdgren,partnerinOrthodonticAssociatesofGreeley,withhisfather,Dr.BurdettEdgrensays,“Adultsreallydogetbraces.Infact,30%ofourpatientsareadults.Orthodonticsarenotjustforchildren.Wearecurrentlytreatingagrandmother,sonandgrandson.”Whenaskedwhyadults are knockingon theorthodontist’s door, heexplains,“Thepopulation’s‘dentalIQ’hasimprovedovertheyearsandpeoplewanttoreapthebenefitsofgoodoralhealth.Sometimespatientshavestoppedwearingtheirretainersandsothepreviouscorrectionwasnotmaintained.Perhapsaparentdidn’tprovideorthodonticsforachild.Oranindividualmayhavewantedorthodontics,thenobserveshisownchild’stransformationandsays,‘Do
“Orthodontics are not just for children. We are currently treating a grandmother, son and grandson.”Burdett Edgren, DDS/MS
orthodonticsadult
ORTHODONTICS
byDianeM.Specht
Dr. Burdett Edgren, and Dr. Bradford Edgren discuss Greta Steinmetz’s successful orthodontic treatment, which relieved chronic headaches
and neck pain.
Dr. Burdett Edgren examines Greta Steinmentz’s braces, in consultation
with Dr. Bradford Edgren.
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thesameforme.’”Whentheprocessiscomplete,bothdoctors repeatedlyhear thesamecomments frombothmenandwomen,“IamsogladIdidthis;IwishIwouldhavedone it earlier.” Theyhave seenapatient’s smilebe amazingly transformed, boosting both confidenceandself-esteem.Aftertreatment,thepatientcan’tstopsmiling. Are there differences between treating adults andchildren?Dr.BradfordEdgrenexplainsthatthesameoralproblems that affect children affect adults as well. Thecommon conditions are crowded or overlapping teeth,protruding upper or lower teeth and irregular spacing.Also, some adults may have been treated as a childand because of relapse, perhaps due to lack of properretainerwear,needfurthertreatment.Lossofteethcancausetheremainingteethtoshift,whichaffectsthebite.Dr. Burdett Edgren adds, “I have patients who tell methat their jaw joint pops and clicks and may complainof chronic headaches or neck pain. Our combinedorthodontic treatment and multi-disciplined approachprovidesfunctionalrelieftothesepatients.”Dr.BradfordEdgrenexplainsthattheybasetheirtreatmentplanonacomprehensive evaluation, which begins with an examanddiagnosticrecords.Thesediagnosticrecordsincludephotographs of the face, photographic images of theteeth,apanelipseX-rayoftheteeth,X-raysofboththefrontandlateralsidesoftheface,andarticulatedplastermodelsoftheteethtodemonstratethefitoftheteeth.AcomputerizationoftheX-raysoftheface ismadesothepatientcanseebothskeletalanddentaldiscrepanciesthatneedtobeaddressedduringtreatment inordertoachievethedesiredresults.Dr.BurdettEdgrenexplainsthattheoveralldiagnosiswilllikelyinvolveateamapproach.Sinceanadult’steethand jaw are no longer growing, there may be specialissues that don’t apply to children. The orthodontistneeds to align the teeth so the general dentist orprosthodontistcanrebuildorreplacemissingteethwithnewcrownsorbridges.Sometimesanoralsurgeonmaybeneededtocorrectthemalocclusion,thedental termforabadbite,with jawsurgery. Emphasizingthat jawsurgery,with certain exceptions, is only appropriate foranadult,headdsthatsurgeryoccursduringthemiddleoftheorthodontictreatment.Ifthegumshavereceded,oriftherearesignsofgumdisease,thegeneraldentistorperiodontistwilltreatthepatient,andmonitorthehealthofthegumsbeforeandaftertreatment.Dr.BurdettEdgrensaysthathemayevenneedtobringanENT,anear,noseandthroatspecialist,totheteam.TheseBoardCertifiedorthodontistsemphasizethattheirsharedfatherandsongoalistoprovidethemostcomprehensive,individualized,functionalandaestheticallypleasingtreatmentforeachpatient. Braces have come a long way in recent years. Dr.BradfordEdgrensaysthattheyplaceclearbrackets,madeof industrial grade sapphire, onto the teeth. Bracketsmade of metal, which are cemented directly to theteeth,areanotheroption.Yourorthodontistwilldecide
Adult male and female patients successfully treated by Orthodontic Associates of Greeley
BEFORE
AFTER
AFTER
BEFORE
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which appliance best suits your particularmalocclusion. Braces will work with one’scurrentlifestyle,whetherit’ssinging,playinga musical instrument, dining out, kissingor having a picture taken. Chewing ice,caramels, peanut brittle and gum are offlimits.Dr.BradfordEdgrenstates,“Eachstepisconsideredwithonegoalinmind:Theteethshould fit together for proper function.And ifonehasa functionalbite, itwillbeaesthetic.” Dr. Burdett Edgren adds, “Ourgoal is to combine the artistic aspect oforthodonticsalongwiththetechnicalpart,which achieves a balanced relationshipbetweenformandfunction.”Theirpatientstellthem,“Notonlydomyteethlookbetter,buttheyfeelbetter.”Eachadulthashisorherownreasonforundergoing treatment. But Dr. BradfordEdgrenemphasizes,“Teeththatfittogether,are less likelytobedamagedbecausetheywill wear more evenly. Chewing is moreenjoyable and straight teeth are definitelyeasiertoclean.Therefore,incidentsoftoothdecay and gum disease are reduced.” Toachieve these benefits, he explains to theadult patient that the manipulation of theteeth may require a longer period of timethanforachild. Becauseof the increasedresistanceofadultbonetotoothmovement,most adult cases are treated within 36months.However, hefinds that the adultshetreatsareactuallymorepatientthanthechildren,becausetheyarehighlymotivatedtoreaptheresultsofanice,functionalbite.At the end of treatment, he will prescribetheuseofretainers,tomaintaintheresultsthathavebeenachieved. Successful treatment isalwaystheresultofapartnership,withtheorthodontist,thefamilyand,ofcourse,acooperativepatient.Dr.BurdettEdgrenandDr.BradfordEdgrenstressthattheirpartnershipprovidesapatientwith continuous second opinions, and acontinuity of patient care. An investmentinoneselfistrulyagreatvalue.OneofDr.BurdettEdgren’sadultorthodonticpatientscompletedhertreatmentwiththesewords:“Youhavebeentheonepersonwhocouldgivemerelieffrommyheadaches.Youhavemadeadifferenceinmylifethatcannotbemeasured.”
Diane Specht is Photo Editor and a contributing writer for Style Media and Design, Inc.
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WHOLEB O D YWELLNESS
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a causeofpain,” saysDr.HansCoester, aneurosurgeonwithFrontRangeCenter forBrain&SpineSurgeryinFortCollins. Spinesurgery is typicallyan“elective”undertaking,meaning that it is consideredasapossibleapproachtoenhanceapatient’sability to function and decrease pain. Justbecauseitiselectivedoesnotmeanitisnotcovered by insurance. Elective surgery canbe medically necessary. It just means thatsurgery of the spine is rarely an absolutenecessity.Onlyinrareinstances,suchasforpatientswhohaveaprogressiveneurologicallossof functionor suddenonsetofbowelor bladder incontinence, is spinal surgeryactuallynecessaryonanemergencybasis.
Spine surgery can basically accomplish three tasks:n It can decompress a nerve root or the
spinalcord.
n It can stabilize an unstable or painfulsegmentwithfusionsurgery.
n It can reduce a deformity (e.g. scoliosissurgeryinthethoracicspine)
“Most traditional forms of back painrespond to anti-inflammatory medications,activity modification, a workout regiment,and chiropractic care. But in some cases,backpain is the resultofadischerniationor another type of anatomical deviation.Whenthatisthecase,youneedtoseektheexpertise of a specialized neurosurgeon,”explainsDr.HansCoester. Althoughspinesurgeryisperformedbyeitherorthopedicsurgeonsorneurosurgeons,it is increasingly becoming a field untoitself. Many surgeons are doing additionalspecialized training in the field after theirresidency training (fellowship training).Giventheprecisionrequiredforthesemoredemanding surgical techniques, manyorthopedicorneurosurgeonswithfellowshiptrainingarechoosingtofocusmoreoftheirpractice on spine surgery. Some believethat the increased levelof specialty trainingand focus on the spine has contributed toenhancements in surgical technique. Thishas led to overall improved success ratesand reduced morbidity (e.g. reduced post-operative discomfort) with many types ofspinesurgery.
Alice Ashmore a freelance writer living in Fort Collins.
Enjoy eating and living well!
2201 S. College Ave. at Rutgers Ave.
Fort Collins, CO 80525970-267-9200
Bakery & Coffee Bar Hours 7am - 10pm
Store Hours 8am - 10pm
287 - College A
ve.HarmonyN
• The highest quality, least processed and most flavorful food.
• No artificial additives, sweeteners, colorings, preservatives and hydrogenated oils
• Educated, helpful team members, brochures, and recipes empower you to make informed decisions about nutrition, food preparation and special dietary concerns.
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FORT COLLINS NEUROLOGYI P.C. DIPLOMATES, AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
2121 East Harmony, Suite 270
Fort Collins, CO 80528
(970) 221-1993 • FAX: (970) 221-9170
Michael P. Curiel, MD
Timothy J. Allen, MD
GOT FEAR?
Dentistry
The most advanced medical procedure for the fearful dental patient.
Am I A Good Candidate for Sedation Dentistry? • Have high anxiety or fear about dental visits
• Have had traumatic dental experiences in the past
• Need wisdom teeth removed
• Have difficulty getting numb • Have strong gag reflex
• Have TMJ troubles and cannot open their mouth for extended periods
·Are afraid of needles
• Have sensitive teeth • Hate the noises and/or smells associated with dental care
• Have busy schedules and need dental visits combined into fewer appointments
Roger L. Northen, D.D.S. 1001 Centre Ave.
Fort Collins, CO 80526
970.407.1001 www.fortcollinsdentist.com
Lydia's STYLE Magazine
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