September 2014 Thrive

KIDDOcrusaders Health clerks in our schools are on the front lines of treating our children when they get sick. See how they handle this tough task. Page 8.

THRiVEnc» NORTHERN COLORADO WELLNESS

September 2014

» INSIDE: DAYTIME HABITS AFFECT SLEEP • SMART DRIVING CAN PAY OFF • SEPTEMBER EVENTS

THRIVENC n August 27, 20142 n HEALTH

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Jason Ogren, M.D. Samuel Saltz, D.O.Michael Harkabus, M.D.Molly Decker, D.O. Robert Vickerman, M.D.

Specializing in General Surgery1800 15th St., Suite 200, Greeley

Appointments: (970) 352-8216www.BannerHealth.com/BMG-GreeleySurgery

Accepting Kaiser Permanente Members

Acid reflux occurs when acid from your stomach enters your esophagus rather than your intestinal tract, causing irritation to the lining of the esophagus which is perceived as heart burn.

Heart burn is the most common symptom of acid reflux. Other symptoms include coughing, a sour taste in your throat, hoarseness of your voice, and frequent clearing of your throat. In some cases, chronic obstructive lung disease (COPD) and asthma may be due to acid reflux.

Lifestyle changes, dietary modification, and medications can adequately treat most cases of acid reflux.

Surgical treatment of acid reflux can be used as an alternative to medications, or when medications do not adequately control acid reflux.

Minimally invasive surgical techniques for control of acid reflux recreate the body’s natural barrier to acid

reflux, and has over a 90% patient satisfaction rate.

Heart burn is often due to acid reflux, or gastroesophageal reflux (GERD). This is a very common problem. Fortunately, there are many excellent treatment options available, ranging from medications, to minimally invasive surgery.

If you have acid reflux, ask your provider about seeing a Banner Health surgeon today.

I have terrible heart burn. Do I need to see my doctor about this?

August 27, 2014 n THRIVENC 3HEALTH n

«PAD Screening (Peripheral Vascular Disease), 1-3 p.m., Sept. 2 and Sept. 16, at Summit View Medical Commons, NCMC’s Peripheral Vascu-lar Disease Screening program offers the education and prevention proven to be the best tools for fighting vascular disease and stroke. Patients receive: ankle brachial index: evaluation of leg circulation, carotid artery disease screening: ultrasound of the carotid vessels, abdominal aor-tic aneurysm screening: ultrasound of the aorta, lipid panel voucher, health education with a Wellness Specialist, health information packet. The cost is $100 and includes all four screen-ings. Payment is due at the time of service. NCMC will not bill insurance. Call (970) 350-6070 to schedule an appointment.

«Body Check... What you need to know: Head to Toe, by appoint-ment, Sept. 2 and Sept. 16, at Summit View Medical Commons, 2001 70th Ave. This head-to-toe health assessment gives you the tools to put your health first by receiving a comprehensive set of preventive health screenings. Invest in your health today!

«This screening includes: Health Fair Panel (fasting blood work-please fast 10-12 hours), sleep questionnaire, lung function test, body composition, weight and body mass index, hip and waist mea-surements, health education with a wellness specialist, EKG with results read by a board-certified cardiol-ogist, peripheral arterial disease screening includes: education about peripheral vascular disease, stroke, stroke prevention and osteoporosis prevention, ankle brachial index, ultrasound of the carotid vessels, ultrasound of the aorta (above four screenings are read by a board-cer-tified radiologist), upon request: colorectal take-home kit, $10, upon request: prostate specific blood

antigen screening. Call (970) 350-6070 to schedule an appointment. Cost for a screening is $175. Payment is due at time of service, Wellness Services is not able to bill insurance. All results are sent to your personal physician and to you.

«Heartsaver First Aid, 4-6:30 p.m., Sept. 4, at the Family FunPlex. This class is taught by the American Heart Association certified health care professionals, this First Aid class provides participants with an under-standing of first aid basics, medical emergencies, injury emergencies and environmental emergencies. Upon completion of the course, participants will receive a Heartsaver First Aid course completion card. The certification is valid for two years. For more information please call (970) 350-9401.

«Heartsaver CPR with AED, 7-9 p.m., Sept. 4, at the Family FunPlex in Greeley. The class is taught by American Heart Association certified health care professionals and covers adult and infant/child CPR, obstruct-ed airway, the Heimlich maneuver, the use of a barrier device and AED hands-on training. Upon completion of the course, participants will re-ceive a Heartsaver course completion card. The certification is valid for two years. Registration closes at noon, two days prior to class. The cost is $48 for CPR and $45 for first aid and combo cost is $88. Please call for more information (970) 350-9401.

«Yoga Basics, 4:30-5:30 p.m., Sept. 8-Oct. 13. NCMC Yoga Basics is an in-troduction to the foundational poses in a beginning yoga practice. This class will focus on careful physical alignment for the creation of a safe practice. This class is best suited for those with no physical limitations. The cost is $48 for six weeks. For more information please call (970) 350-6633.

«Gentle Yoga, 4:30-5:30 p.m., Sept. 10-Oct.15 at NCMC. NCMC offers yoga classes with Yoga Alliance Certified Teachers. In Gentle Yoga, the postures are presented in an easy to follow, accessible manner with plenty of time for modifications and focus on breath work. An excellent class for seniors, those with chronic illness or injuries, those newer to yoga, or stu-dents wanting a gentle practice. The cost is $48 for six weeks. For more information call (970) 350-6633.

«Spirit Passport to Health Com-munity Lecture, “Palliative Care: to relieve suffering always.” 6:30-7:30 p.m., Sept. 8, in the NCMC Auditori-um, 1801 16th St., park in the east lot and use Entrance No. 6. Learn how to navigate the terrain of serious illness and the role of Palliative Care. A new approach to medical care providing relief, comfort and support for individuals with serious disease or chronic illness and their families. Find answers to questions everyone won-ders about, but are hesitant to ask. The Spirit Community Lecture Series is designed for men and women. Pre-registration is requested at (970) 392-2222 or email [email protected]

«Cooking Class, “Harvest Party”, 6-7:30 p.m. Sept. 10, in the Cardiac Rehab Kitchen at NCMC. Come and learn a variety of fun and healthy cooking options. These courses are taught by a registered dietitian and are a great way to modify your cooking habits and learn about heart healthy cooking. Recipes and samples are included! Do you have zucchini, tomatoes and other garden produce overflowing? We’ll help you find tasty new ideas to use your gar-den abundance. It’s always fun in this class to share your extras. We’ll have baskets if you want to bring extra produce for those without a garden to take a little home with them. The class will be taught by Mary Branom,

R.D. Cost is $10 for each class, unless otherwise noted. Payment due at the time of registration. If you are absent from the class, you will be charged the full amount. To register please call (970) 350-6633.

«Blood Tests, 7-8:45 a.m. Sept. 10 and Sept. 24 at NCMC via Entrance No. 6 and Sept. 17 at Johnstown Family Physicians, 222 Johnstown Center Drive. Wellness Services offers low-cost blood screenings open to community members; some immu-nizations are also available upon request and availability. Appoint-ments preferred; please fast 12 hours prior to blood draw. To schedule an appointment, call (970) 350-6633. Payment is due at the time of service, NCMC Wellness Services will not bill insurance.

«Heartsaver CPR with AED, 6-8 p.m., Sept. 11 at the Windsor Recre-ation Center, 250 11th St. This class is taught by the American Heart Association certified health care pro-fessionals, this class covers adult and infant/child CPR, obstructed airway, Heimlich maneuver, and the use of a barrier device. Upon completion of the course, participants will receive a Heartsaver course completion card. The certification is valid for two years. The cost is $48 and registra-tion closes at noon, two days prior to class. Call (970) 674-3500 to register.

«CPR for Health Care Providers (Recertification), 3-5:30 p.m., Sept. 15, in the Union Colony Room at NCMC. This class is designed for licensed and non-licensed health care providers who need to re-certify through the American Heart Asso-ciation. The certification is valid for two years. The cost is $50. If you are absent from the class, you will be charged the full amount. Refunds will not be processed once classes have begun. To register, please call (970) 350-6633.

«Walk with a Doc, Sept. 21 at Sanborn Park, 2031 28th Ave, meet on the West side of the park. Walk with a Doc (WWAD) is an international program where interested people meet at a park or public location (usually Saturday mornings) for an informal five-minute health talk, and a 30-minute walk (at your own pace). Families are encouraged to attend. There healthy snacks at the completion of the walk. Free Blood pressure checks are available for those interested. Upcoming walks are posted on the Walk with Doc www.website-WalkwithaDoc.org

«CPR for Health Care Providers Skills Check, in the Wellness Conference Room, by appointment. This class is designed for licensed and non-licensed health care providers who need to re-certify through the American Heart Association. The certification is valid for two years. Renew your CPR certification by completing an online CPR module, which includes watching a video, reviewing content and an exam. When the online module is complete and a Course Completion Certificate is printed, call Wellness Services to schedule a skills check. Please bring a copy of the Course Completion Certificate with you. The cost is $50 for CPR for Healthcare Providers and includes skills check with a certified American Heart Association instruc-tor. Separate fee for online course, payable online. If you are absent from the class, you will be charged the full amount. Payment due at the time of registration. The class is located in the Wellness Conference Room, unless otherwise noted. To register, please call (970) 350-6633.

«CT Heart Score, 1-2 p.m., Monday-Fri-day at NCMC. CT Heart Score provides a non-invasive test that accurately measures the amount of calcified

SEPT. HEALTH EVENTS

Turn to Events on P.5


Weld County schools are back in session, and sometime during the first half of the school year, many local high schools have scheduled a DRIVE SMART Weld County Teen Driver Safety presentation. Coalition members, including law en-forcement, Weld County Department of Public Health and Environment employ-ees, local business representatives and Banner Health EMTs, voluntarily present the two- to three-hour DRIVE SMART Teen Driver Safety program to students. The program focuses on creating aware-ness around the choices young drivers make before and during the time they get behind a steering wheel.

In addition to the high school presen-tations, schools and the students also are given opportunities to promote teen driver safety awareness through various contests and challenges supported by DRIVE SMART Weld County. Individ-ual schools and students can win prizes, including scholarships and grant money.

The Team Challenge is an activity that could involve a school club, class or group of friends. The group can apply for a $500 min-grant that would empower the team to complete a teen driver safety project within their school. For example, projects can be centered on seat belt safety with a seat belt checkpoint set up at the entrance and exit of a school’s parking lot. Or, a no-texting-while-driving campaign. Groups can create a video or host a rally. There are first- and second-place prizes.

The Poster Challenge is another way students can win cash. Students are able to create an original art poster using a safe driving theme. Themes should be tied into seat belt safety, distracted driving or no texting while driving. First

prize is $200, and the poster is reprint-ed and distributed to all Weld County high schools. Second place prize is $100 and there is a $25 prize for honorable mention.

Drive Smart Weld County receives support from State Farm and Allstate Insurance. State Farm is promoting its safe teen driver awareness campaign called Celebrate My Drive. Celebrate My Drive is about celebrating the freedom that comes with a driver’s license. Part of that freedom means making smart choices behind the wheel, which is why DRIVE SMART Weld County is helping spread the message of 2N2 — two eyes on the road, two hands on the wheel. It’s a simple habit that can reduce distracted driving and help new drivers build confi-dence on the road.

The program coincides with National Teen Driver Safety Week, Oct. 15-24. From Oct. 15-24, high schools across the U.S. and Canada will be able to compete for prizes, including grants of $100,000, $25,000 and a private concert by Gram-my nominated The Band Perry.

To participate, high schools must be registered to be eligible for prizes. High school administrators can go to www.cel-ebratemydrive.com to complete a simple registration form. Participation is easy and tools and resources are available on the site to help rally students and com-munity members to make safe driving commitments in support of registered high schools.

Tamara Pachl of State Farm is a DRIVE SMART coalition member.

DRIVE SMART offers students a chance to win by focusing on their safe drivingBy Tamara PachlFor The Tribune » For more

For additional details about the mentioned programs, go to www.drivesmartweldcounty.com.

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plaque in the arteries. The procedure begins with a fast, painless computed tomogra-phy CT exam. CT, more com-monly known as CAT scanning, uses x-rays and multiple detec-tors to create interior images of the heart. The Heart Score program includes a 10-minute consultation with a Wellness Specialist, focusing on cardiac risk factor education, identifi-cation of non-modifiable and modifiable risks and lifestyle behavior change options. The cost is $199 and payment is due at time of service. NCMC Wellness Services is not able to bill insurance. To schedule an appointment please call (970) 350-6070.

«NCMC Adult Fitness, the

Adult Fitness Program is available to people in the community who are interested in starting an exercise program in a health care setting. The cost per month: individual $45 or couple (living in the same household) $80. For more information call (970) 350-6204.

«STAR, 5:30-7 p.m., Sept. 18 in the Cancer Institute Confer-ence Room at NCMC. Come and support, touch, and reach breast cancer survivors (Breast Cancer Support Group). For further information please contact, Betty Parsons at (970) 339-7137.

«Prostate Cancer Support Group, 5:30-7 p.m. Sept. 18 in the Cancer Institute Conference Room at NCMC. For further information please

contact: Julianne Fritz at (970) 350-6567.

«Pulmonary Rehabilita-tion-Lung Disease Man-agement, education and exercise, for more information and opportunities contact (97) 350-6924.

«Flu clinics, 7 a.m.-4 p.m., Sept. 22-Sept.25, at the NCMC Wellness Walk-in Clinic. Flu shots available for ages 4-17 with parent present. We accept Medicare Part B for the flu and pneumonia vaccines; please bring your Medicare Part B card with you to the clinic. The clinic offers, flu shots, $25, nasal flu mist, $35, pneumonia vaccine, $90, and Tdap vaccine, $55. NCMC will not bill insurance; we do accept cash, credit card or check.

Events from P.3

A good night’s sleep is important not only to be able to function well, but also because people who suffer from chronic sleep problems are more apt to suffer from serious diseases, according to the Centers for Disease Control and Prevention. Among those diseases are hypertension, diabetes, depression and obesity, as well as from cancer, increased mortality, and reduced quality of life and productivity.

Dr. Kelli Janata, is a pulmonologist and sleep specialist with North Colorado Medical Center. Among the patients she treats are those who complain of not feeling rested after sleep.

Correcting sleeping problems begins with ensuring the patient understands how their lifestyle affects their sleep hab-its. One of the first things Janata does is ask patients to track their activities in a detailed sleep diary.

“The patient tracks everything they do from the time they get up to the time they go to sleep,” Janata said. At the first appointment, she looks over the diary to see if she can find what could be causing the sleep problems.

“Just as the quality of our sleep im-pacts us during our waking hours, our daily activities affect how well we sleep,” Janata said. “It’s important to recognize and avoid certain activities that com-monly cause people to have difficulty falling asleep or staying asleep.”

As an example, Janata notes that when people who suffer from insomnia take naps during the day, it throws off the body’s natural clock, or circadian rhythm, which tells the body when and how long to sleep. Also, while getting a workout in before bed may seem like a good idea, exercise produces adrenaline, which can make it more difficult to fall asleep, notes Janata.

Recent research shows the blue-green waves of light emitted by laptops, smart phones and tablets can stimulate the eyes and turn off production of the body’s natural sleep hormone, melatonin. Other potential daytime activities that have an impact on sleep include eating a high-fat diet and consuming stimulants, such as caffeine and nicotine, later in the day.

“Stimulants, like caffeine and nico-tine, can delay the onset of sleep or can interrupt your sleep,” says Janata. “Also, drinking alcohol at night may help some people fall asleep, but the effects usually wear off in a few hours, leading to frag-mented sleep.”

As the patient records activities in the sleep diary, a clearer picture of what could be causing the sleep disturbances takes shape. Janata can then work with the patient to change behaviors to help promote better sleep.

One of the key messages Janata stress-es to her patients is that bed is for sleep rather than reading or watching televi-sion. Janata also advises patients not to get frustrated if they are having trouble falling asleep because it can make the problem worse.

“If you’re not asleep within 20 min-utes, get up and do something boring,” says Janata. “I tell people to go to the living room and read the dictionary backwards starting at ‘z.’ ”

Another important factor to getting a good night sleep is to make sure the room is at a comfortable, cool tem-perature, which stimulates the body’s production of melatonin. A hot shower three hours before bedtime can also help relax the body before falling asleep.

“Americans put sleep on the back burner, and we live in 24-hour society,” says Janata. “Sleep is vitally important. If you have problems sleeping, get help.”

Jason Webb is a public relations special-ist for Banner Health.

DAYTIME HABITS HOLD KEYS TO NIGHTTIME SLEEPBy Jason WebbFor The Tribune

www.columbinehealth.com

Come Stay & Play!

Columbine CommonsAssisted Living Windsor

449-5540


Seniors face significant life chang-es that put them at risk for mental health and substance use disorder challenges. Retirement, death or illness of loved ones, increased fears, physical ailments, loneliness and isolation, loss of career, and even medications can make one feel depressed or anxious, impact-ing energy, sleep, work, hobbies and relationships.

Older adults may also have little understanding of depression and anxiety, thinking that these emotions are a normal part of aging. Many can also miss the connection between these feelings and physical illness.

Depression and anxiety aren’t always identified by sadness and

constant worry. Other symptoms to watch for:

» Sleep disturbances (difficulty falling or staying asleep, over-sleeping, or daytime sleeping)

» Increased use of alcohol or drugs

» Weight loss or loss of appetite » Social withdrawal or isolation

(a reluctance to socialize or leave home)

» Losing interest in family ac-tivities, hobbies or other pleasur-able activities

» Fatigue

» Hopelessness or helplessness » Loss of self-worth» Irritability » Neglecting personal care

(forgetting meds, ignoring per-sonal hygiene)

» Excessive worrying or fretting over seemingly ordinary issues

The good news is that regard-less of age, you don’t have to

suffer with depression or anxiety. For seniors, one effective way to address these challenges is peer counseling. Peer counselors are older adults trained to work with seniors and their families. They provide encouragement and support, and they are often able to help older adults cope with the stress and problems that accompany aging. Unlike younger

counselors, they have usually experienced many of these same challenges and can relate effec-tively and easily with older adults.

There are many positive aspects to aging. It is challeng-ing but healthy to grieve the losses that come with growing older. There is also joy and hope in realizing that there is always more to do and that your life has made a difference. While seniors face difficult challenges, they also have wonderful resilience, strong problem-solving skills, and wise perspectives and insights — all strengths that need to be recog-nized, embraced and celebrated.

Dee McClure is a licensed pro-fessional counselor and certified

addiction counselor at North Range Behavioral Health.

SUBSTANCE ABUSE, MENTAL ILLNESS CAN BE CHALLENGES FOR SENIORS

By Dee McClureFor The Tribune » Mental illness

One in four adults suffers from a diagnosable mental illness or substance use dis-order. Many of these adults are seniors.

» North Range Behavioral Health Peer Counseling Program(970) 347-2125 or (970) 347-2120 » Program started in 1976. » Serves hundreds of Weld County residents. » 14 Peer Counselors (including Spanish-speaking). » Clients can be seen in the privacy of their own home or apart-ment, assisted living, nursing facility or in the community. » No charge for program; funded by Weld County Agency on Aging.

Centennial Area Health Educa-tion Center is proud to announce the regional 2014 Health Profes-sions Scholars.

The scholarships in the amount of up to $30,000 and were awarded to health care pro-fessionals who excel in leadership, service to others, and overall commitment to their profession and the rural communities.

The scholarship is for up to two years for professional study and is open to health professions students. Nurse practitioners, be-havioral health, and physician as-sistants are favored for 75 percent of the scholarships. The other 25 percent go to other health fields.

This scholarship program is sponsored by The Colorado Health Foundation, the El Pomar Foundation and Colorado AHEC.

It is anticipated that over 114,000 rural and/or underserved indi-viduals will be impacted by these scholars each year. The Centenni-al Area Health Education Center is proud to announce Linda Tuzzolino and Keli Sherman as the northeastern Colorado recip-ients of this dis-tinguished honor. Both students were selected based upon their outstanding leadership, com-mitment to their professions and the region. Both have demonstrated leadership and hard work both in and out of the classroom.

Sherman attends the Univer-

sity of Colorado at Denver, where she has been admitted into the rural track of the physician assis-tant program. With the help of the program, she will prepare to start her career as a rural health-care provider.

“I will use the knowledge and skills I have gained from shadowing, volunteering, and teaching to further my education and strive to be the best rural healthcare provider possible,” she said. Sherman will graduate in May 2017

Tuzzolino is a student at Regis University. Upon obtaining her credentials as a family nurse practitioner, she plans to work

in a community health clinic in a rural setting in eastern Colorado.

“This solidified my com-mitment to working with underserved patients,” she said. “My hope is to serve in an area

of great need providing people with the tools, support, and medical care that will empower them to make better health choices in life.”

She plans to graduate in May 2016

We are pleased to sponsor both of these scholars. The Cen-tennial Area Health Education Center is a nonprofit organiza-tion committed to education and professional advancement of cur-

rent and future health care work-ers. The Centennial Area Health Education Center jumped at the chance to partner with the Colorado Area Health Education Center and the El Pomar Foun-dation to implement this schol-arship program and bring aid to some of our most outstanding healthcare professional students committee to serving the region. CAHEC’s mission is to promote equity in health and health care through professional education with an emphasis on workforce development. To learn more about CAHEC and the scholar-ship programs we participate in, go to www.cahec.org.

Monica Daniels-Mika is the ex-ecutive director of the Centennial

Area Health Education Center.

Education center awards scholarships to health professionals

Monica DANIELS-

MIKAFor The Tribune

Sherman Tuzzolino


I t’s only the second day of school, but Billie Martinez Elementary School Health Clerk Blanca Rivera doesn’t

have enough fingers on two hands to count the number of students she’s seen in the health office so far this year.

“Yesterday I had five kids. Today I’ve already passed that,” she said about 10 a.m., as one student rested in her office. “Right now I have one laying down with really bad aller-gies. He’s going home, and we’re referring him to a doctor.”

Rivera has been a health clerk at the school for six years, where she works with students suffering from both simple and serious health-re-lated issues. Greeley-Evans School District 6 has more than 30 health clerks like Rivera who not only see ill students, but also help them take their daily medications and main-tain the health offices at each of the district’s schools.

“In our district, we’re lucky that we have a trained health clerk in each of our school buildings,” said Maribeth Appelhans, lead school nurse consultant for the school district. “They are on the front lines every day, taking care of kids, doing first aid as needed, calling parents as needed. You name it, they do it.”

Rivera said the busiest part of her day is during the lunch hour, when many kids who require daily med-ications come to her office to get them. The lunch hour also is when she tends to see playground injuries from recess, such as scraped knees or finger injuries.

KIDDO CRUSADERSBy CASEY KELLY

[email protected]

School health clerks on the front lines of treating sick students

“It’ll get to where it’s non-stop sometimes,” Rivera said. “Those are busy hours.”

She said she commonly sees kids for symptoms such as coughs, sore throats and fevers. On the first day of school in mid August, she saw a young girl suffering from blisters

caused by her new shoes and another whose mosquito bites

were bleeding from scratching them too much.

Rivera said her job is not only to help kids with their health, but also cheer them up and make them feel comfort-able at school. For instance, a girl new to the school came to her wheezing from her asthma to get her inhaler, and when she left Rivera’s office, she was

BLANCA RIVERA HELPS A student pick out a book as he waits for his parents to pick him up from school Aug. 15 at Billie Martinez Elementary School in Greeley.

JOSHUA POLSON/[email protected]

» Back-to-school healthy tips» Eat nutritious meals» Drink adequate fluids» Get enough sleep» Wash hands thoroughly,

several times a day» Keep kids home when their symptoms indicate they may be contagious to others


KIDDO CRUSADERSSchool health clerks on the front lines of treating sick students

in a much better mood than when she arrived, Rivera said.

“When she left, I said ‘see you later.’ And she turned around and said ‘see you later, alligator.’ I thought that was cute for a new student,” Rivera said.

Some of the common illness-es seen in the schools are virus-es such as the common cold and gastrointestinal viruses, Appelhans said. Children are checked for symptoms when they are ill and then health services staff follows specific guidelines from the Colorado Department of Public Health and Environment for either keeping them in school or sending them home.

Appelhans said the district’s health services department also works to prevent illness

and promote attendance. The district tracks students’ immu-nization records and follows up with parents if their child isn’t up to date with the state-re-quired immunizations. The de-partment works with parents to help get kids access to care, like with recent vaccination clinics coordinated by the Weld County Department of Public Health and Environment and Sunrise Community Health to offer free tetanus, diphtheria and pertussis vaccines to mid-dle school students.

“I love the kids,” Rivera said. “Sometimes they’re funny, sometimes they’re serious, but you have to make them laugh. The main thing is to show them love. Some of them don’t get that at home, so we show it to them here.”

» When should you keep your child home from school?» Cough — Recommended for students experiencing severe, uncontrolled coughing or wheezing, or difficulty breathing.» Stomach ache — Recommended if the pain is severe, if the pain appears after an injury, or if the student had symptoms in addition to the stomach ache such as vomiting, fever, diarrhea, etc.» Fever — Recommended if the student has symptoms in ad-dition to the fever such as a rash, sore throat, vomiting, diarrhea, etc. Student should be fever free for 24 hours without medica-tion before returning to school.» Contagious illness — Students on antibiotics for contagious illnesses, such as strep throat, tonsillitis, bronchitis, pinkeye or pneumonia, must stay home until antibiotic has been taken for 24 hours. All skin lesions must be covered by a bandage or cloth-ing during the school day. This may include impetigo, ring worm, scabies, and other fungal, bacterial or viral skin infections.This is only a partial list of symptoms that may indicate your child should be kept home from school. For a complete list of symptoms and exclusions, go to http://tinyurl.com/kct49gg.

WASHINGTON — Sometime in el-ementary school, you quit counting your fingers and just know the an-swer. Now scientists have put young-sters into brain scanners to find out why, and watched how the brain reorganizes itself as kids learn math.

The take-home advice: Drilling your kids on simple addition and multiplication may pay off.

“Experience really does matter,” said Dr. Kathy Mann Koepke of the National Institutes of Health, which funded the research.

Healthy children start making that switch between counting to what’s called fact retrieval when they’re 8 years old to 9 years old, when they’re still working on fun-damental addition and subtraction. How well kids make that shift to memory-based problem-solving is known to predict their ultimate math achievement.

Those who fall behind “are im-pairing or slowing down their math learning later on,” Mann Koepke said.

But why do some kids make the transition easier than others?

To start finding out, Stanford University researchers first peeked into the brains of 28 children as they solved a series of simple addition problems inside a brain-scanning MRI machine.

No scribbling out the answer: The 7- to 9-year-olds saw a calcula-tion — three plus four equals seven, for example — flash on a screen and pushed a button to say if the answer was right or wrong. Scientists re-corded how quickly they responded and what regions of their brain be-came active as they did.

In a separate session, they also tested the kids face to face, watching if they moved their lips or counted on their fingers, for comparison with the brain data.

The children were tested twice, roughly a year apart. As the kids got older, their answers relied more on memory and became faster and more accurate, and it showed in the brain. There was less activity in the prefrontal and parietal regions as-sociated with counting and more in the brain’s memory center, the hip-pocampus, the researchers reported.

The hippocampus is sort of like a relay station where new memo-ries come in — short-term working memory — and then can be sent elsewhere for longer-term storage and retrieval. Those hippocampal connections increased with the kids’ math performance.

“The stronger the connections, the greater each individual’s ability to retrieve facts from memory,” said Dr. Vinod Menon, a psychiatry pro-fessor at Stanford and the study’s se-nior author.

But that’s not the whole story. Next, Menon’s team put 20 ado-

lescents and 20 adults into the MRI machines and gave them the same simple addition problems. It turns out that adults don’t use their mem-

ory-crunching hippocampus in the same way. Instead of using a lot of ef-fort, retrieving six plus four equals 10 from long-term storage was almost automatic, Menon said.

In other words, over time the brain became increasingly efficient at retrieving facts. Think of it like a bumpy, grassy field, NIH’s Mann Koepke explained. Walk over the same spot enough and a smooth, grass-free path forms, making it eas-ier to get from start to end.

If your brain doesn’t have to work as hard on simple math, it has more working memory free to process the teacher’s brand-new lesson on more complex math.

While the study focuses on math, Mann Koepke said cognitive devel-opment in general probably works the same way. After all, kids who match sounds to letters earlier learn to read faster.

Stanford’s Menon said the next step is to study what goes wrong with this system in children with math learning disabilities, so that scientists might try new strategies to help them learn.

Kids’ brains reorganize when learning math skillsAssociated Press

THIRD-GRADE TEACHER MELISSA GRIESHOBER teaches a math lesson at Silver Lake Elementary School in Middletown, Del., last year.

ASSOCIATED PRESS


It’s no coincidence that archrivals Apple and Google launched com-peting software initiatives this summer for wearable gadgets that track fitness and health.

Health technology is hot in the Bay Area, where some of the big-gest tech companies and a swarm of startups are working on every-thing from doctor-recommenda-tion apps and video diagnostic ser-vices to data-crunching analytics and cutting-edge DNA sequencing.

Hoping to capitalize on the pow-er of mobile computing, artificial intelligence and new analytics soft-ware — as well as new laws and the sense that a bloated health care in-dustry is ripe for new efficiencies — venture capital firms and big tech companies are pouring vast sums into new medical technology.

The pending “collision of new technology and the life sciences” will bring radical change to “what health care means and what it looks like, in the next 20 years,” said Bill Maris, managing partner of Google Ventures, the Internet gi-ant’s in-house investing arm.

Some entrepreneurs want to change the way people interact with doctors and insurance compa-nies. Others believe they now have the tools to unlock the genetic se-crets of health and serious disease, and to identify effective treatments by analyzing mountains of data.

And some just want to help you lose a few pounds.

In just the first six months of 2014, investors put a record $2.3 billion into digital health startups — or slightly more than the $2 bil-lion invested in all of 2013, accord-ing to a survey by Rock Health, which funds health tech compa-nies.

Health companies are also hot on Wall Street: The Ipreo research firm counted 52 initial public offer-ings in the first half of 2014, com-pared with 53 in all of last year.

Some of the valley’s commercial tech giants have dabbled in health before. Intel has long promoted its processors for specialized devices that monitor patients at home and in clinical settings. Hewlett-Pack-ard has sold commercial comput-er systems tailored to the needs of hospitals and biotech labs. IBM has studied public health data at its San Jose research lab.

Now, major tech companies are seeing gold in new consumer health products.

At its annual developer confer-ence in June, Apple introduced a new “Health” app for tracking a user’s heart rate, sleep patterns, cal-orie intake and other health met-rics. Apple also launched “Health Kit,” an Internet platform for app developers that can store data from different devices and share it with a user’s doctor or health system. Three weeks later, Google an-nounced its own initiative, called “Fit,” which includes developer tools and an online platform for collecting data.

Google co-founders Larry Page and Sergey Brin also have a long-standing interest in health research. Google Ventures is a longtime backer of 23andMe, the personal genetics startup led by Brin’s wife, Anne Wojcicki. While that firm has run into regulatory

hurdles, Google launched a spinoff company last fall with the ambi-tious aim of combating “aging and associated diseases” on a cellular level.

Meanwhile, researchers at Goo-gle’s secretive X division are work-ing on wearable medical devices, including a “smart” contact lens that monitors a wearer’s glucose level. The same team is building a database of genetic and molecular information from healthy volun-teers, which they hope to analyze for useful medical knowledge.

Google Ventures is backing at least a dozen other life science companies, ranging from Doctor on Demand, a consumer service that arranges online video consul-tations, to Flatiron Health, which is hoping to mine useful informa-tion from digitized data collected by cancer-treatment providers and researchers.

Data-driven medicine is a key element of the Affordable Care Act, the federal law that implemented President Barack Obama’s health care reforms, which experts say is a major force behind the boom in new health technology. At Rock Health, managing director Malay Gandhi said he’s seen the impact in two ways:

First is the wave of new online startups that provide ratings and information or help consumers find health-related services in new ways. These include startups such as San Francisco’s Stride Health,

a Web service that compares and recommends insurance plans, and Studio Dental, which describes itself as an “Uber for your teeth” because it lets users make appoint-ments online with a dentist who comes to their workplace with a fully equipped van.

Second, Gandhi said, the law provides powerful financial in-centives for doctors and hospitals to show the effectiveness of their care, which is sparking demand for new software to track and analyze patient data. Currently, experts be-lieve as much as a third of health spending in the United States is wasted or unnecessary, said Ed Yu, a health industry expert at Pricewa-terhouseCoopers.

In yet another trend, Yu said he’s seeing a wave of new Bay Area startups that help drug retailers and other companies operate “so-cial listening” websites, where pa-tients and their families can share information with others who are affected by a particular disease.

Surveys show many consumers still have reservations about shar-ing health information online. The Federal Trade Commission has also raised concerns about health apps sharing data with advertisers or other third parties.

But tech companies are working on that, too. Mountain View, Calif., startup TrueVault makes software that helps app developers meet privacy and security standards re-quired by federal health law.

APPLE, GOOGLE, VCS INVEST IN HEALTH TECHNOLOGY

By Brandon BaileySan Jose Mercury News » HEALTH TECH FUNDING

Venture capitalists poured a record $2.3 billion into digital health companies during the first half of 2014, according to a report by startup accelerator Rock Health, which identified six major types of health technology being funded:» Digital medical devices ($206 million)» Data collection and analytics ($196 million)» Consumer tools for buying health care or insurance ($193 million)» Software to help providers track patients’ health and treat-ment effectiveness ($162 million)» Software for tailoring treatment to patients’ genetic informa-tion ($150 million)

Source: Rock Health 2014 Midyear Digital Health Funding Update

What to do in northern Colorado.

NO PLANS THIS WEEKEND?

MAKE SOME.


Many Americans have begun to realize they’re paying too much for prescription drugs. And maybe — just maybe — a national conversation on the topic has begun, sparked by the introduc-tion last year of Sovaldi, touted as the most effec-tive way to treat patients with hepatitis C.

The problem is Sovaldi’s hefty price tag — $84,000 for a three-month regimen — and the fact that insurers have begun factoring the price they are paying for the drug into the premi-ums all of us will pay for health insurance in the next few years. United-Health Group announced it had already paid $100 million to cover Sovaldi for its policyholders in the first three months of this year.

To get an idea how Sovaldi could crowd out spending for other healthcare needs, let’s look at Oregon. One of the state’s Medicaid man-aged care organizations noted that if 30 percent, or 814 members out of a total of 2,466 with hepa-titis C, got the drug, the cost would be about $68 million. Compare this to the $72 million the health plan spent for all its phar-maceuticals last year, and you get the point.

I have written about Sovaldi before in a “Thinking About Health”

column. Since then a Washington-based group called the National Coalition on Health Care, which counts insurers, employers, unions, pro-viders, and faith-based organizations among its members, has launched the Campaign for Sustainable Rx Pricing. CEO John Rother says it’s an effort to discuss possible solutions for rapidly escalating drug prices. Rother, who is the former chief lobbyist for AARP, and helped pass the Medicare prescription drug law a decade ago, knows a thing or two about drugs.

He told me that since the drug law passed, price increases have been held in check largely because of the greater use of generic substitutes. Not so any more with the debut of Sovaldi and with some 200 specialty drugs in the pipeline, which may be priced as high as Sovaldi. The country, he says, is headed down an unsustainable path when it comes to paying for medicines.

As a country we’ve rarely asked whether paying for these super high-priced drugs means we may have to forego other healthcare services. Insurers, employers, Medicare and Medic-aid have rarely blinked. They’ve just paid the bills. Nor have payers always carefully scrutinized the evidence that a new ex-pensive medicine actually

did what the drug maker claimed it would do. They paid even when there was little evidence a drug was effective. This time it’s different.

The California Tech-nology Assessment Forum, a private group funded by insurers, has recommended that Sovaldi be used only for the sickest patients. In Oregon the Center for Evidence-Based Policy es-tablished by the governor a decade ago and based at the Oregon Health & Science University has said there have been no long-term trials, and many of those trials that have taken place were laced with conflicts of interest. It recommends more comparative studies

and restricting use for now.

The U.S. has no official oversight agency like the National Institute for Health and Care Excel-lence — known as NICE — in the U.K., which evaluates new drugs and technologies and makes recommendations to the National Health Service. NICE will complete its review in the fall. Mean-while the British health service is paying the equivalent of $32 million to treat 500 of the sickest patients.

There’s zero chance the U.S. will adopt a NICE-like organization any time soon. The Affordable Care Act prohibits the Patient-Centered Out-comes Research Institute,

created by the ACA, from considering costs when it evaluates the effective-ness of various treat-ments. And Medicare is not allowed to consider cost in deciding wheth-er to cover a drug or a device. The government’s hands are tied.

Rother’s group will have to figure out a way to evaluate cost and effectiveness within the health system’s political boundaries. That won’t be easy, and the drug industry is pushing back. Drug makers want the government to make insurers absorb the extra cost rather than passing them along to patients in the form of higher copays and coinsurance for those who need the drug.

That’s not really a solution, Rother says. “High-cost drugs raise premiums and threaten funding for important health services. Ultimate-ly the individual pays the costs one way or anoth-er. The fundamental problem is the unneces-sary high prices of some drugs, not which pocket the consumer uses to pay for them.”

Editor’s note: The Rural Health News Service is

funded by a grant from The Commonwealth

Fund and distributed through the Nebras-ka Press Association

Foundation, the Colorado Press Association and the South Dakota Newspaper

Association.

PUSHING BACK ON HIGH DRUG COSTS?By Trudy LiebermanRural Health News Service

THINKING ABOUT HEALTH

Core services, as required by Medicare, are similar among all hospice providers. The level of involvement and specialized knowledge of medical direction can vary by organization.

Pathways Hospice … Full time Medical

in Hospice and Palliative Medicine, is locally based and readily available to assist patients and staff here, not from a remote location.

Is the care provided by all

hospices the same?

www.pathways-care.org

305 Carpenter Rd, Fort Collins(970) 663-3500

1455 Main St, #140, Windsor(970) 674-9988


TRiBUNE MEDiCAL DiRECTORY 2014ACUPUNCTURE

PHYLLIS HAMAR, L.A.C.Master of Science, Traditional Chinese MedicineNCCAOM Board Certified710 11th Ave., Ste. 106Greeley, CO 80631970-539-0324

WESTLAKE FAMILY PHYSICIANS, PC5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Richard Budensiek, DO; Janis McCall, MD; Frank Morgan, MD; Jacqueline Bearden, MD; Angela Mill, MDWebsite: www.bannerhealth.com

ALLERGY AND ASTHMA

COLORADO ALERGY & ASTHMA CENTERS, P.C.7251 W. 20th Street, Bldg N, Ste 1Greeley, CO 80634Phone: (970) 356-3907

1136 E. Stuart St, Bldg 3, Ste 3200Ft. Collins, CO 80525Phone: (970) 221-1681

4700 E. Bromley Ln., Ste 207Brighton, CO 80601Phone: (303) 654-1234www.coloradoallergy.comProfessionals: Dr. Daniel LaszloDr. John James

NORTHERN COLORADOALLERGY & ASTHMAGreeley Phone: (970) 330-5391Loveland Phone: (970) 663-0144Ft. Collins Phone: (970) 221-2370www.NCAAC.comProfessionals: Dr. Vel Kailasam, MDKrishna C. Murthy, MDLoran Clement, MDMichael Martucci, MD

ALZHEIMER’S/SKILLED CARE

BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352-6082Fax: (970)356-7970Web Site: www.good-sam.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Web Site: www.meadowviewofgreeley.com

ASSISTED LIVING

BONELL GOOD SAMARITAN708 22nd Street Greeley, CO 80631Phone: (970) 352-6082Fax: (970) 356-7970www.good-sam.com

COLUMBINE COMMONS1475 Main StreetWindsor, CO 80550Phone: (970) 449-5540Web Site: www.columbinehealth.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Web Site: www.meadowviewofgreeley.com

THE BRIDGE ASSISTED LIVING4750 25th StreetGreeley, CO 80634Phone: (970)339-0022

AUDIOLOGYALPINE ALL ABOUT HEARING1124 E. Elizabeth Street, #E-101Fort Collins, CO 80524Phone: (970)221-3372Fax: (970)493-92373820 N. Grant AvenueLoveland, CO 80538Phone: (970)461-0225Fax: (970)593-0670Web Site: www.allabouthearing.comProfessionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-ACheryl Hadlock, M. S., CCC-A

AUDIOLOGY ASSOCIATES2528 16th Street Greeley, CO Phone: (970)352-2881Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A

MIRACLE-EAR2404 17th Street Greeley, CO 80634Phone: (970)351-6620

749 S. Lemay Avenue, Suite A1Fort Collins, CO 80524(970)221-5225

UNC AUDIOLOGY CLINICGunter Hall, Room 0330Greeley, CO 80639Phone: (970)351-2012/TTYFax: (970)351-1601Web Site: www.unco.edu/NHS/asls/clinic.htmProfessionals: Diane Erdbruegger, Au.D., CCC-A;Erinn Jimmerson, M.A., CCC-AJennifer Weber, Au.D., CCC-A

BALANCE

LIFE CARE CENTER OF GREELEY- ASCENT4800 25th StreetGreeley, CO 80634Phone: (970)330-6400Professionals: Cozette Seaver, PT;Leslie Vail, PT

CARDIAC VASCULAR SURGERY

CARDIAC, THORACIC & VASCULAR SURGERY (NCMC)1800 15th Street, Suite 340Greeley, CO 80631Phone: (970)378-4593Fax: (970)378-4391Professionals: Lyons, Maurice I. Jr. DORichards, Kenneth M. MDTullis, Gene E. MD

CARDIOLOGY

CARDIOVASCULAR INSTITUTE (NCMC)1800 15th Street, #310Greeley, CO 80631Phone: (970) 392-0900Professionals: James H. Beckmann, MD;Harold L. Chapel, MD;John Drury, MD;Lin-Wang Dong, MD;Cynthia L. Gryboski, MD;Cecilia Hirsch, MD;Paul G. Hurst, MD;Brian Lyle, MD;Randall C. Marsh, MD;Arnold Pfahnl, MD; James E. Quillen, MD;Gary A. Rath, MD;Shane Rowan, MD;Ahmad Shihabi, MD;Stephen Zumbrun, MD

HEART FAILURE CLINIC (NCMC)(970) 350-6953Missy Jensen, FNP-C

DENTISTRYASCENT FAMILY DENTALScott Williams, DMD3535 W. 12th Street, Suite BGreeley, CO 80634Phone: (970)351-6095www.dentalgreeley.com

JULIE KAVANAUGH, D.D.S.3400 W. 16th Street, Suite 8-EGreeley, CO 80634Phone: (970)351-0400www.drjuliekav.com

RALPH R. REYNOLDS, D.M.D., M.D.Oral Surgery7251 W. 20th St.Building H, Suite 2Greeley, CO 80634(970) 663-6878www.reynoldsoralfacial.com

ENDOCRINOLOGY

ENDOCRINOLOGY CLINIC (NCMC)1801 15th Street, Ste 200Greeley, CO 80631Phone: (970)378-4676Fax: (970)-378-4315www.bannerhealth.comProfessionals: Nirmala Kumar, MDKimberly Rieniets, MDCorinn Sadler, MD

FAMILY PRACTICE MEDICINEBANNER HEALTH CLINIC1300 Main StreetWindsor, CO 80550Phone: 970-686-5646Fax: 970-686-5118Providers:Jonathan Kary, M.D.Trina Kessinger, M.D.Anthony Doft, M.D.

BANNER HEALTH CLINIC100 S. Cherry Ave., Suite 1Eaton, CO 80615Phone: (970)454-3838Professionals: Marianne Lyons, DOLance Barker, DO, Internal Medicine

BANNER HEALTH CLINIC222 Johnstown Center DriveJohnstown, CO 80534Phone: (970)587-4974Professionals:Cara Brown, MDJ.Matthew Brown, MDJoseph Gregory, MDCourtney Isley, MDStephen Kalt, MD, Internal MedicineThomas Kenigsberg, MD

FAMILY PHYSICIANS OF GREELEY,LLP-CENTRAL2520 W. 16th StreetGreeley, CO 80634(970) 356-2520Fax: (970) 356-6928Professionals: Joanna H. Branum, M.D.Angela M. Eussen, PA-CJennifer D. Dawson , D.O.Douglas A. Magnuson, M.D.Paul D. Lobitz, M.D.Lori A. Ripley, M.D.D.Craig Wilson, M.D.

FAMILY PHYSICIANS OF GREELEY,LLP-COTTONWOOD2420 W 16th StreetGreeley, CO 80634(970) 353-7668Fax:970-353-2801Professionals: Stacey L. Garber, M.D.Amy E. Mattox, M.D.Christopher T. Kennedy, M.D.Daniel P. Pflieger, M.D.Mark D. Young, M.D.

FAMILY PHYSICIANS OF GREELEY,LLP-WEST6801 W. 20th St., Suite 101Greeley, CO 80634(970) 378-8000Fax: (970) 378-8088Professionals: Nathan E. Bedosky, PA-CAnn T. Colgan, M.D.Daniel R. Clang, D.O.Tamara S. Clang, D.O.R. Scott Haskins, M.D.Mathew L. Martinez, M.D.Chima C. Nwizu, M.DMichelle K. Paczosa, D.O.Andrew P. Stoddard, M.D.Kyle B. Waugh, M.D.Charles I. Zucker, M.D.

KENNETH M. OLDS6801 W. 20th Street, Suite 208Greeley ,CO 80634Phone: (970)330-9061

WESTLAKE FAMILY PHYSICIANS, PC5623 W. 19th Street, Greeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Richard Budensiek, D.O.; Jacqueline Bearden, MD;Tong Jing, MD;Janis McCall, MD;Frank Morgan, MD;David Puls, D.O. www.bannerhealth.com


TRiBUNE MEDiCAL DiRECTORY 2010TRiBUNE MEDiCAL DiRECTORY 2014FUNERAL SERVICES

ALLNUTT & RESTHAVEN FUNERALSERVICES702 13th Street, Greeley, CO Phone: (970) 352-3366650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-3208 8426 S. College Avenue, Ft. Collins, CO Phone: (970) 667-02022100 N. Lincoln, Loveland, CO Phone: (970) 667-11211302 Graves Avenue, Estes Park, CO Phone: (970) 586-3101

GASTROENTEROLOGY

DOWGIN, THOMAS A., MD.CENTERS FOR GASTROENTEROLOGY7251 W. 20th St., Bldg J, Greeley, CO Phone: (970)207-97733702 Timberline, Ft. Collins, CO Phone: (970)207-97732555 E. 13th Street, Suite 220, Loveland, CO Phone: (970)669-5432Website: www.digestive-health.net

NORTH COLORADO GASTROENTEROLOGY (NCMC)2010 16th Street, Ste. AGreeley, CO 80631Phone: (970)378-4475Fax: (970)378-4429Professionals:Tong Jing, MDMark Rosenblatt, MDAhmed M. Sherif, MDYazan Abu Qwaider, MD

HEALTH AND FITNESS

WORK OUT WESTHealth & Recreation Campus5701 W. 20th Street, Greeley, CO 80634Phone: 970-330-9691www.workoutwest.com

HOME HEALTH CARECARING HEARTS HOME HEALTHCARE6801 W. 20th Street, Suite 207Greeley, CO 80634Phone: (970)378-1409

BLOOM AT HOME1455 Main StreetWindsor, CO 80550Phone: (970) 460-9200Web Site: www.columbinehealth.com/bloom

COLUMBINE POUDRE HOME CARE1455 Main StreetWindsor, CO 80550Phone: (970) 460-9200Web Site: www.columbinehealth.com

REHABILITATION AND VISITING NURSE ASSOCIATION2105 Clubhouse DriveGreeley, CO 80634Phone: (970) 330-5655Fax: (970) 330-7146Web Site: www.rvna.infoProfessionals: Crystal Day, CEO

HOSPICE

HOSPICE OF NORTHERN COLORADOAdministration Office2726 W. 11th Street RoadGreeley, CO 80634Phone: (970)352-8487Fax: (970)475-0037

PATHWAYS HOSPICE305 Carpenter RoadFt. Collins, CO 80550Phone: (970)663-3500Fax: (970)292-1085 Web Site: www.pathways-care.orgEmail: [email protected]

INDEPENDENT ASSISTED LIVINGGRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919Website: www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Website: www.meadowviewofgreeley.com

INDEPENDENT ASSISTED LIVING W/SERVICES

BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352-6082Fax: (970)356-7970Web Site: www.good-sam.com

FOX RUN SENIOR LIVING1720 60th AvenueGreeley, CO 80634Phone: (970)353-7773Fax: (970)330-9708Web Site: www.good-sam.com

INFECTIOUS DISEASE

BREEN, JOHN F., MD (NCMC)1801 16th StreetGreeley, CO 80631Phone: (970)350-6071Fax: (970)350-6702

INTERNAL MEDICINEBANNER HEALTH CLINIC2010 16th StreetGreeley, CO 80631Phone: (970)350-5660www.bannerhealth.com Professionals:Danielle Doro, MD Giovanna Garcia, MD

MEDICAL EQUIPMENT & SUPPLIESBANNER HOME MEDICAL EQUIPMENT (NCMC)Phone: (970)506-6420

COLUMBINE MEDICAL EQUIPMENT1455 Main StreetWindsor, CO 80550(970) 460-9205Web Site: www.columbinehealth.com

MENTAL HEALTH SERVICES

NCMC - BEHAVIORAL HEALTHDr Patricia Al-Adsani, Child and Adolescent PsychiatryBanner Health Clinic-Internal Medicine2010 16th Street, Suite C, Greeley, CO 80631Banner Health Clinic- Windsor1300 Main Street, Windsor, CO 80550

Shawn Crawford, LPCBanner Health Clinic 222 Johnstown Center Dr., Johnstown, CO 80534Banner Health Clinic-Internal Medicine2010 16th Street, Suite CGreeley, CO 80631

Stephanie Carroll, LCSW, CACIIIBanner Health Clinic1300 Main Street, Windsor, CO 80550Banner Health Clinic Fossil Creek303 Colland DrFort Collins, CO 80525

Elise Pugh, LPCBanner Health Clinic Westlake 5623 W 19th St, Greeley CO 80631Banner Health Clinic1300 Main StreetWindsor, CO 80550

Susan Goodrich, LCSW Banner Health Clinic-Loveland PediatricsLoveland Pediatrics, Loveland COBanner Health Clinic- Windsor1300 Main Street Windsor CO, 80550

Renee Rogers, LMFTBanner Health Clinic1300 Main Street, Windsor, CO 80550Banner Health Clinic303 Colland Drive, Fossil CreekFort Collins, CO 80525

NORTH RANGE BEHAVIORAL HEALTHAdult Mental Health & Addictions Services1260 H Street; 1306 11th Avenue; 1309 10th AvenueGreeley, CO 80631970.347.2120 Child, Youth, & Family Mental Health& Addiction Services1300 N. 17th Avenue, Greeley, CO 80631970.347.2120 Counseling Center at West GreeleyChildren, Adult, & Family Counseling 7251 W. 20th Street, Building C, Greeley, CO 80634970.347.2123 Crisis Stabilization Services Crisis & Detox Services1140 M Street, Greeley, CO 80631970.347.2120 South County ProgramAdult, Children, & Family Mental Health& Addiction Services 145 1st Street, Fort Lupton, CO 80621303.857.2723 Suicide Education & Support Services (SESS)Prevention, Education & Grief Support2350 3rd Street Road, Greeley, CO 80631970.347.2120 or 970.313.1089

NEPHROLOGYGREELEY MEDICAL CLINIC1900 16th Street, Greeley, CO 80631Phone: (970) 350-2438Professionals: Donal Rademacher, MD

NEUROLOGY

CENTENNIAL NEUROLOGYDr. David Ewing7251 W. 20th Street, Unit CGreeley, CO 80634Phone: (970) 356-3876

NEUROLOGY CLINIC (NCMC)1800 15th Street, Suite 100BGreeley, CO 80631Phone: (970) 350-5612 Fax: (970) 350-5619Professionals: Barbara Hager, MDTodd Hayes, DOWilliam Shaffer, MDChristy Young, MD


TRiBUNE MEDiCAL DiRECTORY 2014NEURO-SURGERY BRAIN & SPINE

BANNER HEALTH NEUROSURGERY CLINIC1800 15th St., Suite 130Greeley, CO 80631Phone: (970)350-5996Professionals:David Blatt, MDBeth Gibbons, MD

NURSING HOME REHABILITATIONCENTENNIAL HEALTH CARE CENTER1637 29th Ave. PlaceGreeley, CO 80634Phone: (970) 356-8181Fax: (970) 356-3278

COLUMBINE COMMONS HEALTH & REHAB FACILITY1475 Main StreetWindsor, CO 80550Phone: (970) 449-5541Web Site: www.columbinehealth.com

OBSTETRICS & GYNECOLOGYBANNER HEALTH GYN CONSULTANTS1800 15th St., Suite 130Greeley, CO 80631Phone: (970)353-1335Professionals:Susan Carter, MD

BANNER HEALTH OB/GYN CLINIC2410 W. 16th StreetGreeley, CO 80634Phone: (970)352-6353Professionals:Neil Allen, MDLaurie Berdahl, MD

WESTLAKE FAMILY PHYSICIANS, PC5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Jacqueline Bearden, MD; Richard Budensiek, D.O.; Janis McCall, MD;Frank Morgan, MD;David Pols, D.O. www.bannerhealth.com

ONCOLOGY & HEMATOLOGY

CANCER INSTITUTE (NCMC)1800 15th Street,Greeley, CO 80631 Phone: (970) 350-6680Toll Free (866) 357-9276Fax: (970)350-6610Professionals: Jeffrey Albert, MDElizabeth Ceilley, MDBrian Fuller, MDBenjamin George, MDSamuel Shelanski, MDKerry Williams-Wuch, MDAlice Wood, MDAriel Soriano, MD

ORTHODONTICS

ORTHODONTIC ASSOCIATES OF GREELEY, PCProfessionals: Bradford N. Edgren, DDS, MS3400 W. 16thSt., Bldg 4-VGreeley, CO 80634Phone: (970) 356-5900Website: www.drbradsmiles.com

ORTHOPEDICS

MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101Greeley, COPhone: (970)348-0020Fax: (970)348-0044Web Site: www.bannerhealth.comProfessionals: Randy M. Bussey, MDRiley Hale, MDDaniel Heaston, MDThomas Pazik, MDKelly R. Sanderford, MDSteven Sides, MDLinda Young, MD

PEDIATRICSBANNER HEALTH CLINIC6801 W. 20th Street, Suite 201Greeley, CO 80634Phone: (970)350-5828www.bannerhealth.com Professionals: Amanda Harding, MDJames Sando, MD

PEDIATRIC REHABILITATIONBANNER REHABILITATION CENTER1801 16th Street, Greeley, COPhone: (970)350-6160Fax: (970)378-3858

PERSONAL RESPONSE SERVICE

BANNER LIFE LINE (NCMC)2010 16th Street, Suite C, Greeley, CO 80631Phone: 1-877-493-8109(970) 378-4743

PHYSICAL THERAPY

FRONT RANGE THERAPY1475 Main Street, Windsor, CO 80550Phone: (970) 492-6238Web Site: www.columbinehealth.com

HOPE THERAPY CENTER(Formerly North Colorado Therapy Center)2780 28th Avenue, Greeley, CO 80634Phone: (970)339-0011Website: www.GCIinc.orgProfessionals: Jeanne Rabe, PT;Jennifer Branson, PTKryste Haas, OT; Molly Wuethrich, PTAMoni Kohlhoff, PT

NORTHERN COLORADOREHABILITATION HOSPITAL 4401 Union Street, Johnstown, CO 80534Phone: (970) 619-3400Website: [email protected]

PULMONARY/CRITICAL CARENORTH COLORADOPULMONARY (NCMC)1801 16th Street, Greeley, CO 80631Phone: (970)392-2026Professionals: Kelli Janata, DORobert Janata, DODavid Fitzgerlad, DOMichael Shedd, MDDanielle Dial, NP

PROSTHETICS & ORTHOTICS

CERTIFIED PROSTHETICS &ORTHOTICS, LLC (GREELEY LOCATION)1620 25th Avenue, Suite A, Greeley, CO 80634Phone: 970-356-2123Fax: 970-352-4943

HANGER PROSTHETICS & ORTHOTICS7251 West 20th Street, Building M, Greeley, CO 80634 Phone: (970)330-9449 Fax: (970)330-42172500 Rocky Mountain Avenue, Suite 2100North Medical Office Building, Loveland CO 80538 Phone: (970) 619-6585 Fax (970) 619-6591Website: www.hanger.comProfessinal: Ben Struzenberg, CPOMichelle West, Mastectomy Fitter

REHABILITATION

ASCENT AT LIFE CARE CENTER 4800 25th Street, Greeley, CO 80634Phone: (970)330-6400Website: www.lcca.comProfessionals: Annie BennettLeslie Vail

BANNER REHABILITATIONPhone: (970)350-6160

COLUMBINE COMMONSHEALTH & REHAB FACILITY 1475 Main StreetWindsor, CO 80550Phone: (970) 449-5541Web Site: www.columbinehealth.com

FRONT RANGE THERAPY1475 Main Street, Windsor, CO 80550Phone: (970) 492-6238Web Site: www.columbinehealth.com


PEAKVIEW MEDICAL CENTER5881 W. 16th St., Greeley, CO 80634Phone: (970)313-2775Fax: (970)313-2777

RESPITE/ADULT DAY CARE

ELDERGARDEN ADULT DAY CARE 910 27th AvenueGreeley, CO 80634970-353-5003Website: www.eldergarden.orgSliding scale fee or no fee forMedicaid Enrollment process required

SKILLED CARE/REHAB

BONELL GOOD SAMARITAN708 22nd Street, Greeley, CO 80631Phone: (970)352- 6082Fax: (970)356-7970Website: www.good-sam.com

COLUMBINE COMMONS HEALTH & REHAB FACILITY1475 Main StreetWindsor, CO 80550Phone: (970) 449-5541Web Site: www.columbinehealth.com

GRACE POINTE1919 68th Avenue, Greeley, CO 80634Phone: (970) 304-1919Website: www.gracepointegreeley.com

SPORTS MEDICINE

MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101, Greeley, COPhone: (970)348-0020Fax: (970)348-0044Web Site: www.bannerhealth.comProfessionals: Randy M. Bussey, MDRiley Hale, MDDaniel Heaston, MDThomas Pazik, MDKelly R. Sanderford, MDSteven Sides, MDLinda Young, MD

NORTH COLORADO SPORTS MEDICINE1801 16th Street, Greeley, COPhone: (970)392-2496

SPEECH LANGUAGE PATHOLOGY

BANNER REHABILITATION CENTER1801 16th Street, Greeley, COPhone: (970)350-6160Fax: (970)378-3858


UNC SPEECH LANGUAGE PATHOLOGY CLINICGunter Hall, Room 0330, Greeley, CO 80639Phone: (970)351-2012/TTYFax: (970)351-1601Web Site: www.unco.edu/NHS/asls/clinic.htmProfessionals: Lynne Jackowiak, M.S., CCC-SLPJulie Hanks, Ed.DPatty Walton, M.A., CCC-SLP


PITTSBURGH — Concerned about a growth on his face, Mt. Lebanon, Pa., resident, Robert Johnston could have made an ap-pointment with the dermatologist already treating him for other rea-sons.

Instead, he snapped photos of himself and the affected area, up-loaded them to the doctor’s website and waited.

“I got feedback from him the same day. It was probably within three, four hours,” Johnston, 52, who required follow-up care at the doctor’s office, said.

Such is the promise of telemed-icine, the use of technology to con-nect patients and health care pro-viders who may be miles or even half a world apart. The growing trend is touted as a way to increase

access to medical care, especially among patients in remote areas, and to bring efficiency to an over-burdened health care system.

It is, said Robert McCaughan, vice president for pre-hospital care services at Allegheny Health Net-work, one more way to improve care. It already is being used in doz-ens of specialties and, at least in the Pittsburgh area, on the front lines of emergency medicine.

McCaughan this year helped to establish what the network is billing as the state’s first pre-hospital tele-medicine initiative.

When paramedics answered a June 30 diabetic emergency call in Leechburg, Pa., they brought a doc-tor with them. So to speak.

After assessing 59-year-old Bar-bara Verdu’s condition, paramedics used an iPad to set up an on-the-spot video consultation with an emergency department physician

at Allegheny Valley Hospital, in Natrona Heights, Pa. In the end, patient and caregivers agreed that Verdu had no need for a hospital vis-it, a decision that saved her time and money, put the paramedics back in service for other calls and helped to prevent overcrowding in the hospi-tal emergency department.

It was an interesting experience, said Verdu, who had called 911 after waking up with low blood sugar. “I was just so nervous because it wasn’t going up,” she said.

The number of telemedicine services is increasing around the country, and research supporting the initiatives is growing, too. In July, for example, the journal Gen-eral Hospital Psychiatry published a University of Pittsburgh School of Medicine study showing that tele-phone follow-up helped patients manage symptoms of depression — and reduce medical costs — fol-

lowing coronary artery bypass graft surgery.

The telemedicine market in-cludes not only services provided by local health care organizations such as Allegheny Health Network and UPMC but those offered by out-of-state, investor-backed networks, such as 12-year-old, Texas-based Teladoc and six-year-old Flori-da-based MDLIVE.

While the concept may sound new to patients, telemedicine orig-inated with doctor-to-doctor tele-phone consultations and has been evolving for at least 25 years, said Natasa Sokolovich, executive direc-tor of telemedicine for UPMC.

“It’s been around for longer than I think most people realize,” Sokolovich said. A shortage of psy-chiatrists helped give telemedicine a boost in the early 2000s, she said.

Technological advances — some that have improved diagnostics and

others that have ensured the confi-dentiality of patient communica-tion — also have fueled the surge.

But insurance hasn’t yet caught up with the technology. In some cases, patients have to pay out of pocket for telemedicine, though the fees may be no more than the co-pay for an office visit.

In November, UPMC estab-lished AnywhereCare, offering around-the-clock consultation on common ailments. Patients log on to a website, answer a series of ques-tions and usually get a diagnosis and treatment plan from a nurse practitioner, physician assistant or physician within 30 minutes.

If follow-up questions are nec-essary, Sokolovich said, patient and practitioner may communicate by phone, email or a video conferenc-ing capability built into the website. So far, the service has had more than 2,100 patient visits.

Devices slice time, distance for patients via ‘telemedicine’By Joe SmydoPittsburgh Post-Gazette

TRiBUNE MEDiCAL DiRECTORY 2014SURGERY GENERAL & TRAUMA BARIATRIC SURGERY (NCMC)

1800 15th Street, Suite 200, Greeley, CO 80631Phone: (970)378-4433866-569-5926Fax: (970)378-4440Professionals: Michael W. Johnell, MD

SURGERY WESTERN STATES BURN CENTER (NCMC)1801 16th Street, Greeley, CO 80631Phone: (970)350-6607Fax: (970)350-6306Professionals: Gail Cockrell, MD Cleon W. Goodwin, MD BURN

SURGICAL ASSOCIATES OFGREELEY PC (NCMC)1800 15th St. Suite 210, Greeley, CO Phone: (970)352-8216Toll Free: 1-888-842-4141Professionals: Molly Decker, DO;Michael Harkabus, MD; Jason Ogren, MD;Samuel Saltz, DO; Robert Vickerman, MD

URGENT CARESUMMITVIEW URGENT CARE2001 70th Avenue, Greeley, CO 80634Phone: (970)378-4155Fax: (970)378-4151www.bannerhealth.comProfessionals: Susan Beck, MDThomas Harms, MDSusan Kelly, MDAmy E. Shenkenberg, MDLinda Young, MD

UROLOGY

MOUNTAIN VISTA UROLOGY5890 W. 13th Street, Suite 106, Greeley, CO 80634Phone: (970)378-1000Professionals:Curtis Crylen, MDDavid Ritsema, MDJames Wolach, MDwww.bannerhealth.com

VEINS

VEIN CLINIC (NCMC)1800 15th Street, Suite 340, Greeley, CO 80631Phone: (970)378-4593Fax: (970)378-4591Professionals:Maurice I. Lyons Jr., DOKenneth M. Richards, MDGene E. Tullis, MD


Deafness and Rocket Science

Edward Ciołkowskia was a Polish orthodox priest who was deported deep into the heart of Russia on the order of Alexander II because of his political activities. Edward Russian-ized his name and married an edu-cated Tartar woman; they had 18 children of whom Konstantin was fifth. Living about 120 miles south of Moscow in the Spassky District, young Konstantin’s father became a forester, teacher and later a low level government official that pro-vided a meager but adequate in-come for his family. As most Russian children of the time, Konstantin often time spent away from the tyrannical clutches of parental discipline and enjoyed roaming through domestic cor-ridors and wild gardens. About 1866, he contacted Scarlet Fever and became hearing impaired from the disease. While Scarlet Fever is a disorder that affects the eardrum and middle ear bones that can be repaired in the 21st century, at the time it was a serious hearing loss there was no amplification (hear-ing aids). Konstantin lost a signif-icant portion of his hearing and became isolated from his peers. By the age 14, he was suspended from school, having acquired only a few brief years of formal educa-tion. As a reclusive home-schooled child, Konstantin passed much of his time by reading books and be-came interested in mathematics and physics. As a teenager, he be-gan to contemplate the possibility of space travel, considered folly at the time. Encouraged by the boy’s crafty designs, Konstantin’s father agreed to pay for his education in Moscow, but Konstantin failed to enter the technical school there and decided on his own to stay in Mos-cow and educate himself by read-ing books. His father sent him little

money and he later recalled, “I ate just black bread didn’t have even potatoes and tea. Instead I was buying books, pipes, sulfuric acid

(for experiments) and so on.” Kon-stantin’s arrival in Moscow, how-ever, coincided with great changes in Russian society, arts and scienc-es. It was the age of Tchaikovsky, Dosteovsky and Dimitri Mendeleev who developed the first periodic ta-ble of elements. Nikolai Zhukovsky did his pioneering work on aero-dynamics. He was teaching him-self at the Chertkovskaya Library in Moscow where a very strange and brilliant man named Nikolai Fyodorov (1829-1903), a library employee. Konstantin taught him-self math, took an active interest

in Fyodorov’s scientific philosophy of space travel and even began to wonder what could be done with all of the immense number of dead humans if and when they returned.

The thought led Konstantin to think about outer space and the subject came to dominate the rest of his life. At the library, Konstantin came across Nikolai Fedorov (1829-1903), whose theories,- cosmism, however bizarre, captured his imagination. In 1865 From the Earth to the Moon a novel by Jules Verne was also cre-ating a stir. After three years in Moscow, Kon-stantin returned home and earned his living with private tutoring, and later passed official exams to get the position of a teacher at a state school. Before taking his first teaching job, however, he built a centrifuge with the idea of testing gravitational effects. Local chickens served as his test subjects. He lat-er came to believe that colonizing space would lead to the perfection of the human race, with immor-tality and a carefree existence. He taught arithmetic and geometry in the local school in Borokvsk, a small town 70 miles south of Mos-cow. There, he married Varvara Sokolova and raised a family. In 1892, Konstantin was promoted to another teaching position in Kaluga (about 200 km, 120 miles south of Moscow) where he spent most of his life in a log house until his death in 1935.

Of course, this story refers to Kon-stantin Tsiolkovsky the founding father of rocketry and cosmo-nautics. His Tsiolkovsky Formula, published in 1903, established accurate relationships between mass of the rocket and its propel-lant, the speed of the gas at exit, and rocket speed. Additionally, he predicted many aspects of space travel with stunning accu-racy, describing many of the de-tails of pressurized space suits, orbital space stations, the use of solar power, life in low gravi-ty environments, a the need for multi-stage rockets to achieve escape velocity. Konstantin even predicted the advantages of com-bining liquid hydrogen and liquid oxygen for rocket fuel. Although

two other scientists, Robert God-dard and Hermann Oberth derived many of his basic principles around the same time (independently), it

was Tsiolkovsky who would later be given credit for inspiring and in-forming the fledgling Soviet space program that beat the US into space. In 1917, after the Bolshevik Revolution led to the creation of the Soviet Union, his work received for-mal recognition and in 1921 he was awarded a lifetime pension from the state. He retired from teach-

ing to devote himself wholly to his space flight investigations. In 1935 he died at his home in Kaluga, Rus-sia at the age of 78. Honors paid to him have included induction into the International Aerospace Hall of Fame, the naming of a lunar crater in his honor and the creation of the

Konstantin E. Tsiolkovsky Stat Mu-seum of the History of Cosmonau-tics devoted to his work. In Russia, Konstanin Tsiolkovsky is known as the “the father of theoretical and applied cosmonautics”.

Not bad for a self-taught, hearing impaired recluse Rocket Scientist!

Miller, a co-researcher at Michigan, that the noise-induced hearing loss prevention concoction could be available within two years.

In another study funded by the Oklahoma Medical Research Foundation,researchers Dr. Robert Floyd and retired Army surgeon, Dr. Richard Kopke, M.D., discovered a combination of two compounds stopped damage to the inner ear caused by acute acoustic trauma – something like an IED exploding. Although they did not indicate what the compounds were they felt that,“This is a very exciting finding,” said Dr. Floyd, who holds the Merrick Foundation Chair in Aging Research at OMRF. “The research is still at a pre-clinical stage, but we’re hopeful that we soon can begin testing in humans.

More recently, Dr. Kathryn Campbell's work at Southern Illinois University involves the use of an antioxidant called D-methionine, a component of fermented protein

that is found in yogurt and cheese. The antioxidant, in concentrated doses, has been found to improve some forms of hearing loss and even prevent hearing loss before the exposure to noise. "We've been able to show in animal studies that if we give it before and after noise exposure, that we can get pretty full protection from noise-induced hearing loss," Campbell said. According to Campbell and her colleagues will continue their studies by looking at the effects of varying dosages of D-methionine on animal subjects exposed to different noises. They have already found that the drug can be given up to seven hours after the noise is experienced and still be effective. "It doesn't mean it's going to work for long-standing hearing loss, but it does mean that in the early stages, you could intervene and keep it from becoming permanent," she said. The research will then move into determining if even more time can elapse before the drug is given and the hearing loss becomes permanent. In a discussion in November 2012 Dr. Campbell stated that the human clinical trials with the U.S. Army are in the early planning stages, Campbell said.

So, with AuraQuell in field tests to defend against noise-induced hearing loss, the D-methionine possibilities also in clinical trial, and the ongoing stem cell research reported by Hearing International (www.hearinghealthmatters.org) last fall, a "morning after" pill for that tinnitus and noise induced hearing loss created the night before may soon be a simple swallow away.

Robert M. Traynor is the CEO and practicing audiologist at Audiology Associates, Inc., Greeley, Colorado with particular emphasis in amplification and operative monitoring. Dr. Traynor holds degrees from the University of Northern Colorado (BA, 1972, MA 1973, Ed.D., 1975), the University of Phoenix (MBA, 2006) as well as Post-Doctoral Study at Northwestern University (1984). He taught Audiology at the University of Northern Colorado (1973-1982), University of Arkansas for Medical Sciences (1976-77) and Colorado State University (1982-1993). Dr. Traynor is a retired Lt. Colonel from the US Army Reserve, Medical Service Corps and currently serves as an Adjunct Professor of Audiology at the University of Florida, the University of Colorado, and the University of Northern Colorado. For 17 years he was an Audiology Consultant to major hearing instrument and equipment manufacturers providing academic and product orientation for their domestic and international distributors. A clinician and practice manager for over 35 years, Dr. Traynor has lectured on most aspects of Audiology in over forty countries.

Author’s Bio:Robert M. Traynor,

Ed.D., MBA, FAAA

September 2014 Thrive

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