2006-01 northern colorado medical & wellness magazine and banner health physician directory

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Loveland/Greeley

2006magazine / directory

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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.

For ad rates, subscription information, change of address, or corresponfance, contact: style Media and design inc., 2627 Redwing Rd., Suite 220, Fort Collins, Colorado 80526. Phone (970)226-6400, Fax (970)226-6427.E-Mail: [email protected] or [email protected]

©2006 style Media and design inc. All rights reserved. The entire contents of Style Magazine is copyrighted and may not be reproduced without the expressed written con-sent of the publisher. style Media and design inc. is not responsible for unsolicited material. All manuscripts, art-work, and photography must be accompanied by a SASE. The views and opinions of any contributing writers are not necessarily those of style Media & design inc.

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

Occupational TherapyOncologyOphthalmologyOral SurgeryOrthopedic SurgeryOsteoporosis ServicesOtolaryngology (ENT)PharmacyPhysical TherapyPlastic SurgeryPreventative MedicinePulmonologyRheumatologySports MedicineThoracic SurgeryUltrasoundUrgent CareUrologyVascular SurgeryVein ClinicVestibular/Balance ClinicX-Ray

Family PracticeInternal MedicinePediatrics

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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

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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:


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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Client: Banner Health Trim: 8.375x10.875 Ad: McKee Man Oncology








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







*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.








*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


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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022-025 MCKEEBREAST.indd 25 1/27/06 2:32:03 PM

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


• 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

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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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33

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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

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Anne Kanard MD

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

970.493.6337


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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

a world class bank that's helping to

make life better for everyone in our

community, call Home State Bank. 203-6100.

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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.





typical health care. Our highly trained and compassionate medical staff has the most advanced equipment available to practice leading



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.





typical health care. Our highly trained and compassionate medical staff has the most advanced equipment available to practice leading



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

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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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zzz.indb 42 1/26/06 5:56:19 pM

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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zzz.indb 43 1/26/06 5:56:20 pM

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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zzz.indb 44 1/26/06 5:56:23 pM

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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zzz.indb 45 1/26/06 5:56:30 pM

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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zzz.indb 46 1/26/06 5:56:33 pM

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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“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








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.


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.






















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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.


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.







Laura, RNDeb, RN��

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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.


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.







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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zzz.indb 69 1/26/06 5:59:32 pM

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.








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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.








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zzz.indb 73 1/26/06 6:00:06 pM

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.


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.







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zzz.indb 74 1/26/06 6:00:08 pM

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.


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.







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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

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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.

Back Pain continued from page 65.

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II

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11111111

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


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�0cHange seRVice ReQuested

2627redwingrd,ste220fortcoll ins,co80526

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2006-01 northern colorado medical & wellness magazine and banner health physician directory

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