july 2013 thrive

Colorado companies encourage employees to get up and move at work after studies show sitting for long periods can be problematic. Page 6.

THRiVEnc» NORTHERN COLORADO WELLNESS

July 2013

» INSIDE: SEAT BELTS SAVE LIVES • CAFFEINE NOT JUST FOR ENERGY DRINKS • JULY HEALTH EVENTS

PLUS...

Posture pointers and pitfalls

Page 7

Walking device helps people get back in step.

Page 8

STAND UP FOR BETTER

HEALTH

THRIVENC n June 26, 20132 n HEALTH

Ask the Expert: Hip Replacement

I need a total hip replacement but I’m concerned about the long healing time. Are there alternatives?

There is a relatively new approach to total hip surgery called Anterior Total Hip Arthroplasty, available at North Colorado Medical Center.

Potential Patient benefits include:

Surgery is performed through the front of the hip instead of the side, which requires shorter, less-invasive incisions that don’t cut the muscle. That typically makes it easier for your body to heal.

Patients may benefit from a quicker recovery time and shorter hospital stay so you can get back to doing what you love even sooner.

A smaller incision means patients will have less scarring.

Now is a great time to learn more about your options. If you have any questions, contact Dr. Hale today.

Where Experts

Work Best.

Riley Hale, M.d. orthopedic surgeonBanner Health Clinic specializing in Orthopedics and Orthopedic Surgery5890 W. 13th St. Suite 101, GreeleyAppointments: (970) 348-0020

To find a Banner Health physician in your area, visit www.BannerHealth.com/BMGAccepting Kaiser Permanente Members

/BannerHealth

June 26, 2013 n THRIVENC 3HEALTH n

Is your life worth three seconds? That’s about how long it takes to

put on your safety belts. A three-second investment can save your life.

Regular seat belt use is the single most effective way to prevent serious injuries and save people from dying in motor vehicles.

The National Safety Council states seat belt use has been increasing and averages 88 percent nationally, but there are groups less likely to wear them including: teens, commercial drivers, men in rural areas, pick-up truck drivers, people driv-ing at night, and people who have been drinking. The National Highway Traffic Safety Administra-tion reports, “Seat belts are the single most effective traffic safety device for pre-venting death and injury.”

Wearing a seat belt can reduce the risk of crash injuries by 50 percent. Air bags plus seat belts provide the greatest protection for adults. Seat belts are designed to keep the driver and passengers inside the vehicle, where there is “room to live.”

Colorado’s seat belt law declares belts are manda-tory for adult drivers and all front-seat passengers. The two exceptions to the law are driving a vehicle manufactured before 1968, when seat belts became

federally required, and passengers with a physical or psychological disability holding a medical state-ment explaining the dis-ability. Not buckling up is a secondary violation. Adult driv-ers can only be cited in Colo-rado for not wearing a seat belt if they’ve been stopped for another rea-son.

Seat belt rules are more stringent for teen drivers. All occupants of a ve-hicle must wear these re-straints. Driving without a belt is a primary offense — teens can be pulled over and ticketed for not buckling up, and they are responsible for the safety of their passengers.

Over the Memorial Day weekend holiday period, law enforcement agencies across the nation deliv-ered the message “Click It or Ticket,” a nation-wide campaign from the National Highway Safety Administration. Since the campaign started in Colo-rado in 2002, seat belt use in Colorado has increased from 72 percent to 82.9 percent, and unrestrained deaths have declined by 56 percent.

What is your reason for not wearing a seat belt?

» “I’m only going to the shopping center.” Actu-ally, this is the best time to wear a safety belt because 80 percent of traffic fatali-ties occur within 25 miles of home and while driving under 40 mph.

» “I won’t be in an ac-cident: I’m a good driver.” Your good driving record will certainly help you avoid accidents. But even if you are a good driver, another driver may hit you.

» “I’ll just brace my-self.” Even if you had the split-second timing to do this, the force of the impact would shatter the arm or leg you used to brace yourself.

Tips for parents and caregivers:

» Before you drive, wait until everyone is buckled up.

» Make sure your chil-dren are properly buckled up in the appropriate seat belt, booster seat or car seat.

» Have all children, ages 12 and under, sit in the back seat.

Safety belts save lives. But they can only work if you use them properly every time.

Lyn Tausan is a retired school administrator and

resides in Greeley with her husband. She is the marketing/public rela-

tions specialist for DRIVE SMART Weld County.

SEAT BELTS SAVE LIVES

Lyn TAUSAN

DRIVE SMART

1 in 8 women will have breast cancer.

YOU COULD BE ONE.GET SCREENED.

Make your appointment today.970.760.0694 | pvhs.org/breastcaregmc

Greeley Medical Clinic

Survival rates top 98% when detected early.


Waist size competes with BMI for health risk measure

ST. LOUIS — Waist-to-height ratio may be a more accurate measure of cardiovascular health risk than the current standard, the body mass index, a St. Louis expert says.

He’s confident that the waist-to-height ratio may soon eclipse the BMI as a measure of risk for lifestyle diseases such as cardiovascular dis-ease, heart attack, stroke and diabetes.

Not so fast, says another expert: While the height-weight ratio has value, it needs to ma-ture a bit to be more precise.

The ratio says waistlines should be no more than half of height, said Dr. Mario Morales, medical director of the SSM Weight-Loss In-stitute at DePaul Health Center. For example, a 6-foot (72 inches) person should maintain a waistline of 36 inches, he said. Growing past that can lead to health risks, he said.

Recent studies show risks that developed from the 50 percent point grow with the waist-lines, he said, to the point that people whose waistlines reach 80 percent of their height shortened their life spans by 17 years.

The latest research that excited Morales, a bariatric surgeon, was delivered in May at the 19th Congress on Obesity in Lyon, France. Researchers there told European media flatly: “Keeping the waist circumference to less than half of height can help increase life expectancy for every person in the world.”

The European researchers suggested using the waist-to-height ratio as a screening tool to predict health risks. The study analyzed the health of more than 300,000 people and found the ratio was better able to predict high blood pressure, diabetes, heart attacks and strokes than BMI.

The new measure is “much more sensitive to (health risks) than BMI,” because weight-to-height ratio takes into account “where the patients hold their weight — apple shape, pear shape,” Morales said. “Fat that’s behind the ab-dominal wall is not just cells; it’s called meta-bolic reactive fat. It creates (chemicals) that cause inflammation. Inflammation results in scar formation and can cause malfunction of the organs.”

So organs are exposed to “adverse hor-mones and inflammation chemicals that cause diabetes, heart disease, kidney disease — those

types of things,” Morales said.Carrying weight in other parts of the body is

not so dangerous, he said. “If you carry weight in your hips or up around your chest, it’s not so significant,” he said. But, “Weight in the cen-tral region is metabolically reactive and causes metabolic syndrome.”

And the BMI doesn’t address that, he said.Instead, the BMI measures the ratio of

height to weight and nothing else. The re-sulting numbers categorize people as normal weight, overweight, obese and morbidly obese.

Another weight-loss expert wasn’t so ex-cited. He called the measure promising, but “young.”

“Waist to height ratio may be a better pre-dictor of cardiometabolic risk — cardiovascu-lar disease and diabetes — than a body mass index assessment,” said Dr. Samuel Klein, di-rector of the Center for Human Nutrition at Washington University. But, “the relationship between waist to height ratio and disease risk is a continuum. The problem is that we do not know what are the optimal ‘cut points’ (catego-rized measures) on this continuum that will best identify people at increased risk. However the BMI is more precise.”

The BMI was developed in about 1850 in Belgium by researchers seeking a way to cate-gorize degrees of weight in people. In the 1990s it became a popular tool for doctors and insur-ance companies to gauge health risks. How-ever, the BMI has shortcomings.

It was found to be useless to the point of humorous for athletes whose weight is due to muscle mass rather than body fat. The most commonly used example is Arnold Schwartz-enegger’s BMI was 30.8 during his peak years, which would categorize him as obese.

Waistline circumference has long been a measure of metabolic syndrome.

In addition, Morales said. The weight-to-height ratio is consistent for all groups regard-less of fitness, ethnicity, gender or age, he said.

By Harry Jackson Jr.St. Louis Post-Dispatch

Cut points for body mass index are:» Normal: 18.5 to 25» Overweight: 25 to 30 » Moderately obese: 30 to 35» Severely obese: 35 to 40 » Very severely obese: 40 and over

» BMI

Just in case you missed a day...

1-866-467-5230NextCareColorado.comVisit website for additional locations and hours:

2928 W. 10th St., Greeley, CO 80634

Open 7 Days A Week; Extended Hours

Call Us & Skip The Waiting Room!

CO_GreelyTribune_4C_0812.indd 1 8/16/12 4:43 PM


«CPR for Health Care Providers (Initial), 5-8:30 p.m. July 1 at the North Colorado Medical Center Longs Room on the second floor. This class is designed for licensed and non-licensed health care providers. Topics covered include: cardiopulmonary resuscitation, airway obstruction and rescue breath-ing for adult, children and infants. The certification is valid for two years. Cost is $55. Register by noon two days prior to the event by calling (970) 350-6633. Please call one week in advance if you are unable to attend the class. Your registration will be refunded less a $10 service charge. If you are absent from the class, you will be charged a $10 service fee.

«Body Check ... What you need to know: Head to Toe, by appointment July 2 and 16 at Summit View Medical Commons, 2001 70th Ave. Head-to-toe health screening includes health fair panel (fasting blood work, please fast 10-12 hours), sleep question-naire, lung function test, body composition, weight and body mass index, hip and waist measurements, health education with a wellness specialist, EKG with results read by a board-certified cardiologist, bone density screening, peripheral arterial disease, education about peripheral vascular disease, stroke prevention and osteoporosis prevention, ankle brachial index, ultrasound of the carotid vessels and ultrasound of the aorta. Screenings are $175, payment is due at time of service. To schedule an appointment, call (970) 350-6070.

«Breast Cancer Support Group, 5:30-7 p.m. July 4 at NCMC Institute Conference Room. For more informa-tion, call (970) 350-6567.

«Chair Yoga, 9-9:45 a.m. Mondays July 8-Aug. 12 at NCMC. Primarily from sitting in a chair, we focus on gentle movements coordinated with breathing exer-cises to facilitate greater range of motion, flexibility and relaxation. Cost is $48 for six weeks. To register, call (970) 350-6633.

«Yoga Basics, 4:30-5:30 p.m. Mondays July 8-Aug. 12 at NCMC. Yoga Basics is an introduction to the foundational poses in a beginning yoga practice. This class will focus on careful physical alignment for the creation of a safe practice. This class is best suited for those with no physical limitations. The cost is $48 for six weeks. To register, call (970) 350-6633.

«Yoga Flow, 5:45-6:45 p.m. Mondays July 8-Aug. 12 and Wednesdays July 10-Aug. 12 at NCMC. Yoga Flow teaches the student to build skills into flowing

sequences with a focus on combining breath with movement. This class is challenging and dynamic for those with no physical limitations. Cost is $48 for six weeks. To register, call (970) 350-6633.

«Safe Sitter — Windsor, 9 a.m.-3 p.m. July 9 and 31 at the Windsor Recreation Center, 250 11th St. in Windsor. Safe Sitter is a one-day, six-hour curriculum designed for 11- to 13-year-olds. Participants learn care of the choking infant and child, babysitting as a business, success on the job, child care essentials, safety for the sitter, preventing injuries, injury and behavior management and preventing problem behavior. Register by noon two days prior by calling (970) 674-3500.

«Greeley’s Diabetes Information Group/Support Group, 6:30-7:30 p.m. July 9 at the NCMC Cardiac Kitchen. For people with diabetes, their family, friends, caregivers or anyone with an interest in diabetes. This month’s topic is Spice it Up! Cooking Demonstration with Stephanie Tarry Yoo MS, RD. For more information, call (970) 392-2344.

«Pre-diabetes Classes, Series 1 July 9, 16 and 23. Learn the difference between pre-diabetes and diabetes, how to prevent type 2 diabetes and how to create a lifelong plan to keep blood sugars in the normal range. The 3-class session is $30. One support person may join each participant free of charge. For more information, call (970) 392-2344.

«Blood Tests, 7-8:45 a.m. July 10 and 24 at the NCMC Union Colony Room, in Area C on the ground floor. Wellness Services offers low-cost blood screenings open to community members; some immunizations are also available upon request and availability. Ap-pointments are preferred. Please fast 12 hours prior to blood draw. Cost varies and payment is due at time of service. To schedule an appointment, call (970) 350-6633.

«Gentle Yoga, 5:30-6:30 p.m. Wednesdays July 10-Aug. 14. In Gentle Yoga, the postures are presented in an easy to follow, accessible manner with plenty of time for modifications and focus on breath work. This is an excellent class for seniors, those with chronic illness or injuries, those newer to yoga or students wanting a gentle practice. Cost is $48 for six weeks. To register, call (970) 350-6633.

«Aging Well: Healthier Living, 9-11:30 a.m. Thursdays July 11-Aug. 15 at NCMC. Weld County Area

Agency on Aging offers Healthier Living classes for people living with chronic conditions. There is no cost, but donations are accepted. For more information or to sign up, call (970) 346-6950 ext. 6117.

«Spirit Girls ... and Moms Too! Growing Up Healthy and Happy, 6:30-8:30 p.m. July 15 at NCMC Audito-rium, 1801 16th St. (enter through Door 6). The bet-ter you prepare your daughter for those upcoming changes, physical and emotional, the easier her tran-sition to womanhood will be. Join us for a visit with Banner Health Clinic pediatricians and gynecologists for a discussion of normal puberty-related events ... and the opportunity to ask questions in a relaxed setting! There will also be treats and activities to enjoy for moms and daughters ages approximately 8-12. This event is free for Spirit members and $10 for non-members. All girls are free. Call (970) 392-2222 to reserve your space. For more information, visit www.BannerHealth.com/NCMCspirit.

«Heartsaver First Aid, 4-6:30 p.m. July 17 at the Family FunPlex. This is a contract class with the City of Greeley Leisure Services. It is taught by the Ameri-can Heart Association certified health care profes-sionals. This First Aid class provides participants with an understanding of first aid basics, medical emergencies, injury emergencies and environmen-tal emergencies. Upon completion of the course, participants will receive a Heartsaver First Aid course completion card. The certification is valid for two years. The cost is CPR: $48, First Aid: $45, Combo: $88. For more information or to register, call (970) 350-9401.

«Heartsaver CPR with AED, 7-9 p.m. July 17 at the Family FunPlex. This is a contract class with the City of Greeley Leisure Services. It is taught by American Heart Association certified health care professionals and covers adult and infant/child CPR, obstructed airway, the Heimlich maneuver, the use of a barrier device and AED hands-on training. Upon completion of the course, participants will receive a Heartsaver course completion card. The certification is valid for two years. The cost is CPR: $48, First Aid: $45, Combo: $88. Register by noon two days prior by calling (970) 350-9401.

«Man to Man: Prostate Cancer Support Group, 5:30-7 p.m. July 18 at NCMC Cancer Institute Lobby. For more information, call (970) 350-6567.

«Heartsaver CPR with AED — Windsor, 6-8 p.m. July

18 at the Windsor Recreation Center, 250 11th St. in Windsor. Taught by the American Heart Association certified health care professionals, this class covers adult and infant/child CPR, obstructed airway, Heim-lich maneuver, and the use of a barrier device. Upon completion of the course, participants will receive a Heartsaver course completion card. The certification is valid for two years. Cost is $48. Register by noon two days prior by calling (970) 674-3500.

«Safe Sitter — Greeley, 9 a.m.-3 p.m. June 23 at the Family FunPlex. This is a contract class with the City of Greeley Leisure Services. Safe Sitter is a one-day, six-hour curriculum designed for 11- to 13-year-olds. Participants learn care of the choking infant and child, babysitting as a business, success on the job, child care essentials, safety for the sitter, preventing injuries, injury and behavior management and preventing problem behavior. Registration closes at noon two days prior. For more information or to register, call (970) 350-9400.

«Walk with a Doc, July 20 at Sanborn Park, 2031 28th Ave. on the west side of the park. An informal five minute health talk will be followed by a 30-minute walk and healthy snacks. For more information, visit www. WalkwithaDoc.org.

«Cooking Classes: Let’s Grill, 6-7:30 p.m. July 23 at the NCMC Cardiac Rehab Kitchen. These courses are taught by a registered dietician and are a great way to modify your cooking habits and learn about heart healthy cooking. Recipes and samples are included. Class is $10. To register, call (970) 350-6633.

«Pre-diabetes Classes, Series 2 July 30, Aug. 6 and 13. Learn the difference between pre-diabetes and diabetes, how to prevent type 2 diabetes and how to create a lifelong plan to keep blood sugars in the normal range. The three-class session is $30. One sup-port person may join each participant free of charge. For more information, call (970) 392-2344.

«Diabetes and Pregnancy education, call for time and date information. Individual and group options are available for women with type 1, type 2 or gestational diabetes to teach skills needed to care for themselves during pregnancy. Topics include: healthy eating, being active, blood glucose monitoring, medications, problem solving, healthy coping and reducing risks. The goal is to help you and your baby stay healthy. $10. For more information, call (970) 392-2344.

HEALTH EVENTS FOR JULY


Recently, medical research has begun to confirm the suspicion that Ross and many others have had about the connection between standing and improved health. A study published in Archives of Internal Medicine by public health researchers in Australia found that prolonged sitting in front of a computer monitor — 11 hours or more — significantly increases the risk of dying earlier.

Another study published by the Ameri-can Journal of Epidemiology determined that people who spend six hours sitting are 20 percent more likely to develop chronic diseases, including diabetes, cardiovascu-lar disease, and breast and colon cancer, than those who sit for half of that time. In another study, conducted over a 13-year period at Louisiana’s Pennington Biomedi-cal Research Center, scientists found that 54 percent of the people who sat all day long were more prone to fatal heart at-tacks.

Further research detailed in the October 2010 British Journal of Sports Medicine suggests that prolonged sitting results in adverse metabolic and health effects, even if they meet the recommendation of 30 minutes of physical activity on most days of the week.

“I think every kid at school should have a desk that allows them to stand up rather than sit,” said James O. Hill, Executive Director of the Anschutz Health and Well-ness Center in Aurora. “I know (stand-up desks) cost money, but in the scheme of

things, the benefit you’re going to get in preventing disease would be well worth the cost.”

Hill said employers are increasingly taking responsibility for getting workers out of their seats. Employees are adjust-ing their work habits, including routinely getting up and moving around — and installing desks that allow them to stand up for at least a good part of the day. In Colorado, many companies have joined the movement.

This fall, for example, the Denver Cham-ber of Commerce will replace its stationary desks with moveable ones and get rid of outdated straight-backed chairs to make way for rotating chairs with lumbar sup-port.

On a recent outing to a merchant spe-cializing in ergonomic workplace furniture, about a dozen Denver Chamber employees — most of them in their early 30s — moved continuously around a conference desk in comfortable swivel chairs. In one corner, employee Lori Troge walked a slow, steady pace while working on her computer at a treadmill desk. Another desk moves up and down on a hydraulic pump at the touch of a button so that no matter how tall or short, anyone can stand and work.

“We know that it is going to be expen-sive, but we really consider this an invest-ment in our employees’ long-term health,” said Kate Horle, the organization’s director of communications and marketing.

Hill, of the Anschutz Health and Well-

ness Center, said he has recently consulted with several other Colorado companies about improving employee productivity through exercise.

“More and more, management is adopt-ing a new attitude that ‘If you work here,

you have to take care of yourself,’ ” he said.Injury Prevention Specialist at Banner

Health, Teresa Boynton said she encour-ages her employees to get up and move around the office periodically throughout the day. Her office has also started provid-

STAND UP FOR YOUR HEALTHBy Bethany Morris | [email protected]

GABRIELLE PFAFFLIN/Colorado Public News

KIM ROBERTS, A RECEPTIONIST with the Denver Metro Chamber of Commerce, tests out a desk that allows her to stand, rather than sit, at work. The Chamber recently joined a growing trend in Colorado to install healthier workspace equip-ment for employees.

Colorado companies encourage employees to get up and move at work

W hen Frank Ross began having back and hip problems while sit-ting for long hours in his office, he built his own solution — a desk that allows him to stand while he works.

Ross, the pastor at West Greeley Baptist Church, 3251 22nd St., built his desk — which can hold two computers, his books and anything else he needs — in 2004. He said he’s seen an improvement in his health since.

“I noticed my hip kept getting stuck when I would sit down for long peri-ods of time,” Ross said. “When I stand my back and hip don’t bother me.”


POSTURE POINTERS

We’ve been told to stand up straight as long as we’ve been able to stand, but sometimes it’s harder than it seems.

We know why we should do it: Good posture looks good, feels good and makes us look slimmer. On the flip side, studies have linked poor pos-ture with lower self-esteem, depression and back pain.

But, sometimes, posture pointers are confusing.

Remember when we were all supposed to use Pilates balls instead of office chairs? Well, claims that doing so im-proved posture were recently disputed by researchers at the University of Waterloo in On-tario. They found that it didn’t help — or hurt — posture.

But there are still some things you can do to help your stance, as well as some things you can avoid to keep it from getting worse.

HELPSReposition your monitorYour monitor should be 1

to 2 feet away from your face, and your eyes should be level with the top of the monitor, said Janice Novak, author of “Posture, Get It Straight! Look Ten Years Younger, Ten Pounds Thinner and Feel Better Than Ever.” This will prevent your head from lean-ing forward and away from your shoulders.

Lumbar rollsPlace a lumbar roll behind

the small of your back when you’re sitting in a chair, ac-cording to Dr. Richard Guyer,

orthopedic surgeon and co-founder of the Texas Back Institute.

“It helps to maintain the normal curvature in the back when sitting,” he said.

Reposition yourself in your car while driving

Move your seat close enough to the pedals so that your knees are bent. A 90-de-gree angle would be too bent, and anything more than 130 degrees would be too straight. (Make sure your body is at least 13 inches away from the steering wheel in case your air bag deploys.) Your lower back should be against the back of the seat. Sit in an upright or slightly reclining position. Adjust the headrest so your head is actually rest-ing against it. This position places your head directly over your spine and allows your neck and upper back muscles to relax while you drive, No-vak said. Finally, when hold-ing the steering wheel, your elbows should be bent at 120 degrees.

Strengthen your core muscles through exercise

Do three sets of basic and side planks daily, holding each pose for 30 seconds, said Dr. Levi Harrison, or-thopedic surgeon in Los Angeles and author of “The Art of Fitness: A Journey to Self Enhancement.” Start in a pushup position with your arms directly under your shoulders (you may bend your arms if necessary) for the center plank. Keep your head aligned with your neck. After 30 seconds, turn to one

side by lifting your left arm and stacking your body over your right leg, keeping your right arm extended on the ground. You may bend your right arm if necessary. Then switch sides.

HURTSHigh heelsHeels higher than 1 inch

increase your sway backward, which can lead to lower back discomfort, Novak said. Your foot slides to the front of the shoe, which puts too much pressure on the ball of the foot and your toes. High heels also shorten the muscles and tendons on the back of your ankle, and stretch and weak-en the muscles on the front of your ankle, which can lead to shin splints. Heels on shoes also get in the way of the nat-ural stride, which is to place your heel down first, then roll through the ball of your foot. If you must wear heels, don’t wear them for longer than four hours at a time.

OttomansWhen you’re resting your

legs in a straight extension you’re placing stress on your lower back, said Mary Ann Wilmarth, chief of physical therapy at Harvard Uni-versity. Sitting this way can stress your sciatic nerve and may put you in a slouched position without supporting your back. A better alterna-tive would be to rest with both knees bent.

Soft couchesYou should not be able to

sink into a couch, Wilmarth said. “It needs to be firm enough to give you support.” If your couch doesn’t support your lower back, you can use extra pillows to assist it.

By Danielle BraffChicago Tribune

Improve your body alignment

ing adjustable keyboard trays, which allow employees the option of adjusting the height to a sitting or standing position.

“I try to emphasize the importance of exercise to my employees,” Boynton said. “I encourage them to get up and walk around

every 30 minutes or so and also to incorpo-rate walking or standing in their breaks.”

Getting a stand-up desk or adjustable keyboard doesn’t mean that you’ll be standing for an eight-hour workday. Hav-ing the option to stand for part of the day and sit down for the rest is an important tool to stay healthy; moderation is key, Boynton said.

“It’s important to have the ability to alternate between sitting and standing,” she said. “Incorporating the two into your work are important in maintaining a healthy lifestyle.”

Being healthy doesn’t necessarily mean you have to spend money on an adjustable desk or keyboard tray. Simple solutions such as moving your printer across the room, opting to take the stairs rather than the elevator, getting up to get an extra cup of coffee or standing up and doing toes raises at your desk can add months to a lifetime, experts say.

Ross, at West Greeley Baptist Church, said he stands the majority of his workday.

“I’d say I spend about 75 to 80 percent of my time standing now,” Ross said. “Not only has it helped my health, it’s helped me prepare for my sermons, which I stand for the whole time.”

Colorado Public News contributed to this report.

STAND UP FOR YOUR HEALTH

GABRIELLE PFAFFLIN/Colorado Public News

KIM ROBERTS, A RECEPTIONIST with the Denver Metro Chamber of Commerce, tests out a desk that allows her to stand, rather than sit, at work. The Chamber recently joined a growing trend in Colorado to install healthier workspace equip-ment for employees.

The Centers for Disease Control and Prevention recommends two hours and 30 minutes of exercise every week of moderate aerobic activity and two days a week devoted to muscle strengthen-ing for the average adult. Or one hour and 15 minutes of vigorous aerobic activ-ity every week and two or more days a week of muscle strengthening activities per week.For more go, www.cdc.gov/physicalac-tivity/everyone/guidelines/adults.html

» Physical activity

Colorado companies encourage employees to get up and move at work


WALKING DEVICE HELPS PEOPLE GET BACK IN STEPSEATTLE — Carl Simmons regu-larly used to run 5K races. Now the 76-year-old stroke survivor just wants to be able to keep up with his wife on a walk.

Through help from Seattle-based Cadence Biomedical’s walking de-vice, Simmons is hopeful.

The Lynnwood, Wash., retiree is one of several dozen patients using the Kickstart Kinetic Orthosis since the device’s September 2012 debut. Intended for those with mobility impairment resulting from strokes, spinal-cord injuries, traumatic brain injury or ALS, Kickstart, a wearable mechanical device that uses kinetic energy to help improve people’s gait, is even helping people who have been “stuck in wheelchairs for de-cades,” CEO Brian Glaister said.

Five years ago, Simmons ran far-ther than most men his age; he chose to work at his air-conditioning-and-heating job at a time many would have retired. But joint failure led to knee-replacement surgery. Then came a stroke that crippled his right side. When he walked, “trusty cane” in hand, his right leg dragged on the ground. He trudged along slowly.

“I’m always bringing up the rear,” Simmons said.

Upon being fitted for the five-pound Kickstart device, Simmons said he could immediately feel the difference.

The Kickstart resembles a leg brace and was inspired by stretchy horse tendons that store energy, al-lowing the animals to run all day and not get tired, Glaister said.

Springs connected to pulleys at-tach at the ankle and hip flexor and create tension, propelling the oppo-site leg forward with each step.

After hearing about the device from a friend, Simmons visited a physician to see whether he was a good fit. The doctor wrote Simmons a prescription for the device.

Sarco Precision manufactures the Kickstart components and Indepen-dent Tech Service in Sumner, Wash., assembles and customizes them.

Cadence Biomedical, born out of Glaister’s basement, was co-founded in 2007 by Glaister and former col-

league Jason Shoen. Previously, the pair worked on a project at the Vet-erans Affairs Center of Excellence for Limb Loss Prevention and Pros-thetic Engineering in Seattle.

But when people asked when the pricey robotic limbs they were de-veloping would be available for in-home use, Glaister said he had to say “probably never.”

As a result, the conversation shifted toward affordable technol-

ogy that people could actually use, Glaister said. In 2010, the pair built the first Kickstart prototype.

Free of motors and batteries, the Kickstart competes mainly with products ranging from an inexpen-sive ankle brace to the exoskeleton, a robot assistive-walking device that can cost up to $100,000, he said.

While the exoskeleton is avail-able for in-office physical-therapy sessions, Glaister contends that a few therapy visits are not enough to properly retrain the muscles.

Chie Kawahara, vice president of product management at Cadence, said exoskeleton technology is nec-essary for people who are paralyzed

or who can’t walk on their own. Meanwhile, Kickstart is intended for people who need extra assistance to walk normally.

“It takes 1,000 steps a day to re-cover from a stroke,” Glaister said. “If you’re not able to take those steps, or not able to take them properly, then you’re kinda out of luck.”

Orthotist Julie Schaar of Seattle’s Center for Prosthetics Orthotics, who custom-fit the device for Sim-mons, agreed that stroke patients who “aren’t supported in the right way develop poor gait habits.”

Operating out of a small office in Seattle, Cadence Biomedical has five full-time and three part-time employees. It has raised $1.7 mil-lion from investors, and $600,000 in grants from the U.S. Department of Defense and National Institutes of Health.

So far, private insurance users have paid up to $1,000 for the de-vice. Cadence is currently working to raise the slight Medicare reimburse-ment, as patients have paid out-of-pocket costs of $5,000 to $6,000. War veterans are completely covered for the device.

With the overarching goal of helping people walk, the Cadence team is working on another version of Kickstart for use in physical-ther-apy sessions and a product to pro-vide sensory feedback for those who have lost limbs.

Three weeks after Simmons’ in-troduction to Kickstart, he said he’s “never felt better.” Walking to the mailbox is a little easier; trekking up stairs is a little less daunting. And he’s catching up with his wife, Peg.

Now, he hopes to get out on his boat more and eventually start ball-room dancing again. He said he just wants to be able “to do all the normal things that couples do.”

By Alysa HullettThe Seattle Times

MCCLATCHY NEWSPAPERS

CARL SIMMONS, OF LYNNWOOD, tries out the Kickstart walking device after being fitted with it in April at the Center for Prosthetics and Orthotics in Seattle. Simmons, who had a stroke, hopes to go dancing again with his wife, Peg.

It takes 1,000 steps a day to recover from a stroke. If you’re not able to take those steps, or

not able to take them properly, then you’re kinda out of luck.”— BRIAN GLAISTER, Kickstart Kinetic Orthosis CEO

“


CAFFEINE NOT JUST IN ENERGY DRINKS ANYMORE

PHILADELPHIA — If you were unaware caffeine was creeping into foods until last month, when Wrigley was blasted for put-ting the stimulant in a new gum, here’s the latest buzz.

The growing list of so-called energy foods includes such famous names as Frito-Lay’s Cracker Jack’D. There’s also Jelly Belly Extreme Sport Beans, Hershey’s Ice Break-ers Energy mints, and Kraft Foods MiO Energy liquid water enhancer.

Caffeine can now be consumed in waffles, maple syrup, cook-ies, gums, gummi bears, popcorn, marshmallows, hot sauce, jerky — and more — made by small Inter-net entrepreneurs.

Even the Food and Drug Ad-ministration was only vaguely aware of this trend. For one thing, these are novelty and niche prod-ucts that aren’t on grocers’ shelves yet. For another, manufacturers don’t have to tell the agency when they add the habit-forming, poten-tially toxic chemical to foods — not even candy and snacks likely to ap-peal to children.

All the makers have to do is list caffeine as an ingredient on the label. The total amount? They needn’t say.

As caffeinated foods come on the market, “we’ve got no heads-up about them,” said Michael R. Tay-lor, deputy commissioner for foods and veterinary medicine at FDA.

Wrigley’s Alert gum was the tip-ping point. Calling it “one more un-fortunate example,” Taylor said the FDA would investigate the safety of caffeine in foods, particularly the effects on children and teens. He anticipates a crackdown.

A regulatory buzzkill won’t be quick or easy. So-called energy foods reflect cultural, commercial, and consumer factors, just like two other

public health betes noires — caf-feinated energy drinks and sugary sodas. Although Wrigley promptly said it would “pause” production of its Alert gum “out of respect” for the FDA, other companies are showing no such restraint.

“Until we’re able to marshal the (scientific) evidence to take regulatory action, it’s the decision of these companies whether they should be marketing these prod-ucts,” Taylor said.

Along with reams of research on coffee, the FDA and its advis-ers will no doubt review data on a newer source of zip: energy drinks.

A tsunami of brands flooded the U.S. market after Red Bull’s 1997 debut, with many sold as dietary supplements, a barely regulated category. This year, projections are that $19 billion worth of energy drinks will be glugged, mostly by adolescents and young adults.

In moderate amounts, caffeine can ward off drowsiness and im-

prove alertness. Caf-feinated coffee,

studies suggest, reduces the risk of gallstones, Parkinson’s

disease, dia-betes,

and

suicide.But moderation is not the man-

tra of energy drinks and shots, or of its main customers — young males. With names like Full Throt-tle, Monster, Rockstar, and Hard-core Energize Bullet, these quaffs typically have two to seven times as much caffeine as a can of cola.

Colas are the only foods with an FDA caffeine limit — 71 mil-ligrams in a 12-ounce can — al-though most brands have far less. In comparison, a 5-ounce cup of coffee has about twice as much on average, or 115 milligrams.

Studies have linked energy-drink consumption to inadequate sleep, obesity, bad grades, depres-sion, risky behavior such as unsafe sex, and “toxic jock identity” (basi-cally, belligerence).

“Caffeine-loaded energy drinks have now crossed the line from beverages to drugs delivered as tasty syrups,” said a 2010 editorial

in the Canadian Medical Associa-tion Journal.

Despite such pointed (some would say overwrought) warnings, only a subgenre of energy drinks has been reined in. After reports of deaths and hospitalizations linked to caffeinated alcoholic drinks, the FDA in 2010 sent warning letters to the makers. The buzzed boozes, or at least the caffeine in them, vanished.

One reason caffeine is so lightly regulated is that it is “Generally

Recognized As Safe” (GRAS) by experts when consumed nor-mally, which for many years meant in coffee or cola. The FDA allows manufacturers to

determine whether a new food ingredient, or a new use of an old

ingredient, is generally safe.“What we’ve seen, first with en-

ergy drinks, is caffeine moving into other products” besides coffee, Taylor said. “Manufacturers are adding higher levels of caffeine, and it’s being marketed in a differ-ent way.”

Overdoing caffeine has always been relatively common, and can cause j-j-jitters, restlessness, in-somnia, headaches, and heart pal-pitations.

Overdosing is not common. Still, caffeine-related problems such as heart arrhythmias, sei-zures, and inhalation of vomit are growing full throttle. Energy-drink-related emergency-room visits doubled from 10,068 in 2007 to 20,783 in 2011, according to a national public health surveil-lance system. At least 16 deaths have been linked to the beverages since 2004.

In March 18 physicians and researchers sent the FDA a letter that concluded the caffeine levels in energy drinks are not safe under the GRAS standards.

That echoed the American Academy of Pediatrics, which in 2011 said the scientific evidence showed “caffeine and other stimu-

lant substances contained in ener-gy drinks have no place in the diet of children and adolescents.”

Beverage makers say the alarms are unfounded and unfair.

Some food makers, meanwhile, say they have striven to keep their caffeinated products away from youths.

For example, Jelly Belly said its Extreme Sport Beans was “a sports performance product, not a snack or traditional candy. It is sold alongside sports nutrition and is not intended for use by children or pregnant women.”

Wrigley said “we took great strides” to ensure that Alert gum was marketed “in a safe and re-sponsible way to consumers 25 years old and over.”

But Mars Corp., which owns Wrigley, made no adults-only claim for Snickers Charged, a wired version of the traditional candy bar that was sold as a “limit-ed edition” in 2008. Nor did Nestle in 2009 when it temporarily sold Butterfinger Buzz.

Caffeinated foods are so new no one tracks them separately. Euro-monitor International, a market research firm, reported sales of foods touted as “energy boosting” hit $1.6 billion in 2012, up $500 million from 2008. But most of these foods are cereal-based snack bars, some fortified with vitamins and protein, not caffeine.

Experts doubt the FDA will out-right ban added caffeine in foods, but even if it does, regulation may be the mother of invention. Chris Bogdan, who cofounded Get Up and Go Caffeinated Baked Goods (brownies, cookies, muffins) in Ann Arbor, Mich., less than a year ago, is already braced for tougher rules.

“It’s something we’re prepared to work around,” he said. “There are other stimulants you can put in food. We have alternatives. We have backup plans — and we have to.”

By Marie McCulloughThe Philadelphia Inquirer

MCCLATCHY NEWSPAPERS

MANY PRODUCTS MARKETED AS “energy” foods, such as these Wired Waffles, contain caffeine which finds itself sneaking into more and more edibles.


TRiBUNE MEDiCAL DiRECTORY 2013ACUPUNCTURE

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

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

ALLERGY AND ASTHMA

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

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

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

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

ALZHEIMER’S/SKILLED CARE

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

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

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

ASSISTED LIVING

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

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

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

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

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

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

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

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

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

BALANCE

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

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

CARDIOLOGY

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

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

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

GREELEY DENTAL HEALTH1600 23rd Avenue Greeley, CO 80634Phone: (970)353-4329www.greeleydentalhealth.comProfessionals:Randy C. Hatch, DDSCharles W. Johnson, DDS

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

ENDOCRINOLOGY

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

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

FAMILY PHYSICIANS OF GREELEY,LLP-CENTRAL2520 W. 16th St.Greeley ,CO Phone: (970) 356-2520Professionals: Joanna H. Branum, M.D.;Ann T. Colgan, M.D.;Jennifer D. Dawson, D.O.; Douglas A. Magnuson, M.D.;Lori A. Ripley, M.D.;Andrew P. Stoddard, M.D.;D. Craig Wilson, M.D.

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

FAMILY PHYSICIANS OF GREELEY,LLP-WEST6801 W. 20th Street, Suite 101Greeley ,CO Phone: (970) 378-8000Professionals: Daniel R. Clang, D.O.; Tamara S. Clang, D.O.;R. Scott Haskins, M.D.;Mathew L. Martinez, M.D.; Chima C. Nwizu, M.D.;Michelle K. Paczosa, D.O.; Jeffery E. Peterson, M.D.;Kyle B. Waugh, M.D.;Charles I. Zucker, M.D.

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

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

FUNERAL SERVICES

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


TRiBUNE MEDiCAL DiRECTORY 2010TRiBUNE MEDiCAL DiRECTORY 2013GASTROENTEROLOGY

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

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

HEALTH AND FITNESS

STUDIO Z FITNESS3483 W. 10th Street, Unit AGreeley, CO313-6924 or 388-7956

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

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

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

HOSPICE

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

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

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

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

INDEPENDENT ASSISTED LIVING W/SERVICES

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

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

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

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

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

MENTAL HEALTH SERVICES

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

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

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

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

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

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

MIDWIFERY CARECENTER FOR WOMEN’S HEALTH1715 61st AvenueGreeley, CO Phone: (970)336-1500Professionals: Marie Foose, CNM; Krista O’Leary, CNMBrenda Bridges, CNM

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

NEUROLOGY

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

NCMC NEUROLOGY CLINIC1800 15th Street, Suite 100BGreeley, CO 80631Phone: (970) 350-5612 Fax: (970) 350-5619Professionals: Jeffery Siegel, MDWilliam Shaffer, MD; Todd Hayes, DOChristy Young, MD

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

OBSTETRICS & GYNECOLOGYCENTER FOR WOMEN’S HEALTH1715 61st Ave.Greeley, CO Phone: (970)336-1500Professionals: Stewart Abbot, MD; Michael Plotnick, MD;Marie Foose, CNM;Krista O’Leary, CNM;Karen Vorderberg, CNM;Bea Bachenberg, WHCNP;Kecia Doll, Licensed Esthetician;

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

ONCOLOGY & HEMATOLOGY

CANCER INSTITUTE (NCMC)1800 15th Street,Greeley, CO 80631 Phone: (970) 350-6680Toll Free: (866) 357-9276Fax: (970)350-6610Professionals: Elizabeth Ceilley, MDBrian Fuller, MDKerry Williams-Wuch, MDAriel Soriano, MD

OPTOMETRYFOX HILL VISION CLINIC2001 46th AvenueGreeley, CO 80634(970) 330-7070Professionals: Dr. Nancy Smith, ODDr. Tarry Harvey, ODWebsite: www.foxhillvision.com

ORTHODONTICS

GREELEY ORTHODONTIC CENTER2021 Clubhouse Dr., Suite 110Greeley, CO 80634Phone: (970) 330-2500Fax: (970) 330-2548E-Mail: [email protected]: www.doctork.comProfessionals: Dr. Gary J. Kloberdanz

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


TRiBUNE MEDiCAL DiRECTORY 2013ORTHOPEDICS

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

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

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

PERSONAL RESPONSE SERVICE

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

PHYSICAL THERAPY

HOPE THERAPY CENTER(Formerly North Colorado Therapy Center)2780 28th AvenueGreeley, CO 80634Phone: (970)339-0011Website: www.GCIinc.orgProfessionals: Chris Denham, PT; Kryste Haas, OT;Kathie Hertzke, PTA;Moni Kohlhoff, PT;Alex Luksik, PTA;Jeanne Rabe, PT;Howard Belon, PhD, Clinical Psychologist

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

PODIATRYFOOT & ANKLE CENTER OF NORTHERN COLORADO P.C.1931 65th Ave., Suite AGreeley, CO 80634Phone: (970) 351-0900Fax: (970) 351-0940

4401 Union StreetJohnstown, CO 80534Phone: (970) 443-0925Web Site: www.footandanklecolorado.comProfessionals: Daniel J. Hatch, D.P.M. Mike D. Vaardahl, D.P.M.

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

PROSTHETICS & ORTHOTICS

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

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

REHABILITATION

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

BANNER REHABILITATIONPhone: (970)350-6160


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

SKIN CAREKECIAS SKIN CARE @ CENTER FOR WOMEN’S HEALTH1715 61st AvenueGreeley, CO Phone: (970)336-1500 Professinal: Kecia Doll, Licensed Esthetician

SKILLED CARE/REHAB

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

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

SPORTS MEDICINE

MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101Greeley, COPhone: (970)348-0020Fax: (970)348-0044Web Site: www.bannerhealth.comProfessionals: Randy M. Bussey, MDDaniel Heaston, MDThomas Pazik, MDShelly Remley, PA-CKelly R. Sanderford, MDSteven Sides, MDLinda Young, MDNORTH COLORADO SPORTS MEDICINE1801 16th StreetGreeley, COPhone: (970)392-2496

SPEECH LANGUAGE PATHOLOGY

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


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

SURGERY GENERAL & TRAUMA

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

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

SURGICAL ASSOCIATES OF GREELEY PC (NCMC)1800 15th St. Suite 210 Greeley, CO Phone: (970)352-8216Toll Free: 1-888-842-4141Professionals: Lisa Burton, M.D.;Michael Harkabus, M.D.; Jason Ogren, M.D.;Samuel Saltz, D.O.; Robert Vickerman, M.D.

URGENT CARE

SUMMITVIEW URGENT CARE2001 70th AvenueGreeley, CO 80634Phone: (970)378-4155Fax: (970)378-4151www.bannerhealth.comProfessionals:Thomas Harms, MDAmy E. Shenkenberg, MDLinda Young, MD

UROLOGY

MOUNTAIN VISTA UROLOGY5890 W. 13th Street, Suite 106Greeley, CO 80634Professionals:James Wolach, MDCurtis Crylen, MDwww.bannerhealth.com

VEINS

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

july 2013 thrive

Documents

seat belts

seat passengers

seat belt rules

safety belts

regular seat belt use

colorados seat belt

total hip surgery

total hip replacement