Healthline

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado M ay 19, 2011 3

Mental HealthTaking Strides to Save Lives Page 24

Skin Cancer:Self-exams can helpsave your life

Page 14

Crandoodles ........................................... pg. 10Uncommon Sense with Dr. Firestein..... pg. 16Loveland health briefs ........................... pg. 25Loveland health calendar ...................... pg. 26

Health Line of NorthernColorado is a monthly

publication produced by theLoveland Daily Reporter-Herald. The information

provided in this publication isintended for personal, non-commercial, informational

and entertainment purposesonly and does not constitute arecommendation or endorse-

ment with respect to anycompany, product,

procedure or activity. Youshould seek the advice of aprofessional regarding your

particular situation.

For advertisinginfor mation,

contact:Linda Story,

advertising director:970-635-3614

For editorialinformation, contact:

Jade Cody,special sections editor:

970-635-3656jcody@r eporter-herald.com

Jennifer Lehman,special sections reporter:

970-635-3684jlehman@r eporter-herald.com

also inside

depar tmentsNutr ition

Wo m e n ’s Health

Race Day:How to preparefor a 5K

Page 5

Jess No Less:Going on theroommate diet

Page 13

Power Up:Pair high-techtoys with yourfitness routine

Page 8

Nursing Gallery Walk:Exhibition displaysnurse memorabilia

Page 18

Prepping for baby No. 2 Page 20

Big plates, big waistlines Page 4The Healthy Plate Page 21

fe a t u r e s

Health in a Handbasket:Practicing with the Colorado Ice 11

Myth or truth: Menopause Page 17

4 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado M ay 19, 2011

HL Nutr itionprone toaddiction

12-inch plate:6 ounces pasta:

630 calories11/2 cups sauce:

180 calories5 meatballs:417 calories

Total: 1,227 calories

10-inch plate4 ounces pasta:

420 calories1 cup sauce: 120 calories4 meatballs: 333 calories

Total: 873 calories

9-inch plate2 ounces pasta:

210 calories1/2cup sauce: 60 calories

3 meatballs:250 calories

Total: 520 calories

Brian Wansink, who heads Cornell Uni-versity’s Food and Brand Lab, wrotethe book “Mindless Eating” and stud-

ied how big plates make people fat. OK, it’snot the plate. But the bigger the plate, themore you can fill it. Dinner plate sizes haveincreased 36 percent since the ’60s, he said.And if you go from a 10-inch plate to a 12-inch plate, “the amount people serve them-selves goes up about 22 percent.”

A 9-inch plate is better? Maybe not. “Some -times people start realizing they’ve servedthemselves less and go back for seconds andthirds,” he said.

To find out the difference, researchersfilled three plates (9-inch, 10-inch and 12-inch) with spaghetti, bottled sauce and frozenmeatballs, then tallied calories. The 9-inchplate holds serving sizes printed on the pack-ages.

— M c C l a t c h y - Tr i b u n e

Yale researchers found thatthe brains of subjects whoscored high on a foodaddiction scale exhibitedneural activity similar to thatseen in drug addicts, withgreater activity in brain regionsresponsible for cravings andless activity in the regions thatcurb urges.

— McClatchy-Tr ibune

Andrea WalkerM c C l a t c h y-Tr i b u n e

Ther e’s a new diet rage that hascropped up just in time for peo-ple to slim down in preparation

for bathing suit season. The 17-Day Dietis the idea of Michael Moreno, a hunkyfamily medicine doctor in California.

It’s gotten the attention of Dr. Philand the talk show “The Doctors,” whichhave featured segments about the dieton its shows.

The diet seems very similar to theSouth Beach diet, which restricts carbsand then reintroduces good carbs intothe diet.

Mor eno’s diet has three cycles thatlast 17 days. The cycles, he explained,prevent boredom and trigger calorieconfusion, which helps burn caloriesand fat faster.

Cycle 1 is the most restrictive, allow-ing for 1,200 calories a day and elimi-nating bad carbs.

Cycle 2 allows for 200 more caloriesand adds two servings of healthy carbs.

Cycle 3 once again allows for morecalories including small snacks andone serving of alcohol.

Cycle 4 is when you hit your goalweight and are working to maintain it. Itallows for some splurging on week-ends.

The diet also calls for exercise —17 minutes a day in cycle 1, ramping upwith each cycle.

Chain restaurants(with 20 or moreunits) will berequired to listcalorie informationon menus bymid-2012.

— McClatchy-Tr ibune

calor iescount

17d aydiet

New diet is gettingattention in Hollywood

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16,368 feet.3.1 miles.5 Kilometers.

Whether you are a track champ or a5K virgin, there is always room forimprovement. Turn the page for afew tips, provided by Emily Wester,personal trainer at Gold’s Gym inLoveland, for 5K success.


Your Type: You don’t have muchexperience running, but you want totry a 5K.

Four months before the race:Pick a race and begin running, saidEmily Wester, personal trainer atGold’s Gym in Loveland.

Try 10-to-15-minute walk/runstwo-to-three times a week to get yourbody used to physical activity andavoid over-doing it.

The workout: During each run, tryjogging as much as possible and walkwhen necessary, she said. Every weekincrease the run/walk by three min-utes. In eight weeks, you’ll be able torun/walk for at least 30 minuteswithout stopping.

When you can jog longer: Try in-tervals. Set a treadmill for 20 minutes,picking up the speed for one minute,then resting for two minutes andr epeating.

It increases the physical demand onthe body, Wester said, and the speedincorporates fast-twitch fiber muscles— which helps your body become fa-miliar with that type of pace.

Also try: A longer distance runaround five to six miles.

Quick tip: Try running in a rangeof weather conditions, such as coldand wind. That way your body is ac-climated to exercising in a variety ofenvironments, and you’ll have confi-dence no matter what the conditionsare on race day.

Your type: You run pretty regu-larly and have tried a few 5K races.

Two-to-four months beforethe race: Set your goal time.Eight-minute mile, prepare to be ac-complished.

The workout: Try interval train-ing on a track or treadmill. Do fivelaps of 400 meters, going on racepace for each lap and resting be-tween, Wester said. For example, ifyour goal is to run eight-minutemiles during a 5K, practice runningtwo-minute laps (400 meters), thenresting four minutes in betweeneach lap. When it becomes easier,increase the pace.

When that becomes easier:Head for the hills. Start with a milewarm-up, then run up a hill andback down three times, she said.Try holding race pace each timerunning up the hill. Afterward, aone-mile cool down.

Quick tip: Omit the interval/hilltraining during the week of the race.

Your type: A high enduranceathlete who competes in severaldistance runs throughout the year.

The workout: Change things up alittle. Wester recommends designatingat least two workouts per week towardsexercise other than running. The rea-son: Running is a high-impact exercise,and it can be hard on your body. Trythings like swimming or biking to les-son the impact.

It also helps to change up the routinefrequently. Try running trails and hikingto ward off mental and physical com-placency. “It keeps it fun,” Wester said.

Hit the weights: It is imperative thatrunners of all degrees have a frequentweight lifting routine, she said. Itstrengthens the body, keeps injuries at aminimum, increases metabolic rate andmakes you a stronger overall runner.

Quick tip: Stop running trails andlifting weights during the week of therace.


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ENERGY EQUALS RESULTSCarbohydrates are a runner’s best friend, Wester said.

They provide the energy you will need to get the most outof your run. Get in around 200 calories of carbohydratesbefore a run, she said. In the 30 minutes following the run,load up on whey protein to repair muscle. Whey protein isalready broken down, and is delivered to the muscles im-mediately, as opposed to meat, which takes longer to bebroken down.

“It is vital to replace energy burned (glycogen) within30 minutes of the run,” Wester said. In this 30-minutewindow, the muscles are hungry for sugar (carbs), and inturn, glycogen stores are refilled for the next workout.

Eat often: Runners should be eating six times a day,getting in plenty of carbs, Wester said. For someonerunning 20 miles every week, consume 2,000-2,500 totalcarb-packed calories a day.

Drink often: It is important that runners are well-hydrated, Wester said. Try to take in a gallon of water perday, and it will make a big difference with recovery afterworkouts.

Quick tip: Don’t change up your routine on race day,Wester said. If you normally have a cup of coffee beforerunning, then do that on race day, too. “Do what yourbody is used to,” she said.

FOOTWEAR IS ESSENTIAL

When running, it is imperative to find correct-fittingshoes, said Emily Wester, personal trainer for Gold’s Gym inLoveland. She recommends going to a running store such asRunners Roost in Fort Collins, where customers are evaluat-ed for the proper shoe based on running style and gait.

The store will identify if you have high arches or flat feet,or if you have supination or pronation in your feet whenrunning, which can cause damage to foot, knee and leginjuries.

Quick tip: Even if they don’t look like they need to bereplaced, shoes need to be changed about every 400 miles.


Waterproof iPod Shuffle

Finis SwiMP3.1G

HL Fi t n e s s

Eric GwinnM c C l a t c h y-Tr i b u n e

Looking to energize your workoutswith some high-tech gear? Here are afew fantastic options.

SWIMMERSSwimmers have more choices than ever

for underwater music players, but two ofthe best options out there are the Water -proof iPod Shuffle from H2OFriendly($139.99; http://h2ofriendly.com andthe Finis SwiMP3.1G ($149.99;www.finisinc.com click on “Equipment”).

The Waterproof iPod Shuffle is what itsays it is: a two-gigabyte iPod Shuffle thatholds about 500 songs and has been madewaterproof. The lightweight gadget clips

onto your swimwear and, like the4th-generation iPod Shuffle, you can usethe free VoiceOver Kit that lets you speakyour request to search for your next song,so you can pause in the water after yoursecond lap and call for a power tune to getyou through your next three laps. It comeswith a one-year waterproof guarantee. A kitwith waterproof earphones and strap isavailable for $169.99.

The Finis SwimP3.1G is a one-gigabytemusic player that holds about 250 songsand clips onto your goggles. Unlike mostunderwater music players, it has earphonesbuilt in. But the earphones don’t slip intoyour ear; they rest on the side of your head.As a result, the music sounds louder andclearer underwater than music through in-ear earphones, and there’s no ear fatigue.

RUNNERS/BIKERS

Motion Traxx Radioapp for Android phones($2.99; Android AppMarket). Get a nonstophigh-energy soundtrackfor your workouts thatkeeps you motivatedand moving. You get aselection of music pod-casts that you can down-load to your phone’smicroSD card.

Nike + GPS for iOS4 devices the iPhoneand for iPod Touch ($1.99; iTunes AppStore). Useyour phone’sGPS receiverto track thedistance ofyour work-out, andwhen youneed an extrakick, dial upyour favoritePowerSongto motivateyou. And it’s fun sharing your results withfriends at nikeplusactive.com.

FOR THE RESTHeart rate monitoring apps (Free; An-

droid and iPhone). These free apps work inthe same way; while the app is running,press your finger to the phone’s camera. Itwill gauge your pulse by reading theamount of light coming through your finger(afterward, wipe your camera lenses with adry, soft, lint-free cloth — or the hem ofyour T-shirt, if that’s all that’s handy). Nowwhen you’re walking the dog or working inthe yard, you’ll know your pulse rate andwhether you should pick up the pace.

power upFind some high-techsuggestions for fitness



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With what would have to be theabsolute last pick in the worstdraft class ever, the Colorado Ice

select: Jade Cody.No they didn’t. But they did let me, a

comparatively slow, athletically under-achieving editor, participate in a real teampractice. Judging by the lack of invitationto come back, I’m pretty sure I have beencut from the team. This reminds me of thetime in fifth grade I asked out a girl the

day before Valentine’s Day, went toa dance with her, then broke upwith her the next day. Karma, par-ty of one. I have been served.

HL Health in a Handbasket

Health in a Handbasket

Health in a Handbasketis a monthly feature in whichI try a health-related adven-ture and write about it. If youhave an idea for a newadventure, write to me atjcody@r eporter-herald.com.

Story/photos by Jade Cody • Repor ter-Herald

We ’reTa l k i n g

aboutP ra c t i c eColorado Ice football teamallows slow, pathetic editor torun through drills in practice


I have had some pretty special momentson the gridiron, though, especially ingrades two-five, when I pretty much

dominated my dog, Jazz, not to mentionmy sister. My dad and I even had a trade-mark high five/handshake sequence forspecial moments such as the time I divedand caught a pass from him after I gothome from school one day. Let’s just saymy highlight tape is pretty exceptional.

So, as one of the elite football prospectsheading into the fifth grade (according tomy mom), I was seemingly destined forfootball greatness. Somehow, though, ge-netics failed me. As a fifth grader, I weighedroughly as much as our junior high custodi-an’s right leg, and I didn’t top 100 poundsuntil I was a sophomore in high school.Add to that the fact that I was a late

bloomer (I remember searching on a dailybasis, and wishing, for armpit hair of allthings), and you can begin to see why Inever actually became Gerald Willhite.

Now that I’m older and I have embracedmy athletic shortcomings, getting a chanceto practice with professional football play-ers was about the most exciting thing in theworld for me. Aaron Freimark, the Directorof Football Operations for the Colorado Ice,our local indoor football team based in FortCollins, invited me to participate in a teampractice.

I admit, going into it I wondered thingslike “can I bring my mom agent,” and “willanyone be able to perform my dad and I’ssecret handshake in case they let me scorea touchdown.” Also I was scared for mywell being, because, well, look at me.

On the day of practice, I made sure toeat a large breakfast made up of toughthings like nails and well done pork chops.I chugged a shake with chopped wasp be-hinds and ground-up rattlesnake rattles,then hissed at myself in the mirror (soscary). I was ready.

When I got there, I was fitted for ahelmet, and we all stretched in preparationfor practice. After a special teams walk-through, we started doing drills. I waspaired with the wide receivers, and we allbegan running pass routes.

I scrambled to keep up with them andran some truly ugly routes, but I managedto catch a few balls (and drop a couple),with possibly the biggest smile that has ev-er been on my face.

Ken Witter, who leads the Ice in receiv-ing touchdowns this year, took me underhis wing and walked me through each drill.

As a second year receiver, Witter saidarena football is a lot faster than collegefootball. He played for Indiana University

of Pennsylvania — and said many of theplayers are originally from areas across themap.

“These are all guys coming across thecountry to play football,” said CoachGeorge Martinez, who was leading theoffensive drills.

“All these guys get along real well,they’re best friends off the field,” he said.

The Ice are 8-1 this season, and hold athree-game lead in its division. With 10holdovers from last year’s team, the Icebrought in 20 new players this year.

“We got a lot of new faces that are reallycontributing,” Witter said.

This year’s season hasn’t been without itsshare of nail-biters, however.

“Every game we have had has beenclose — we’ve won some games in the lastseconds,” Witter said. “We ’ve been in dogfights all year long, we’ve just found waysto win games.”

As an editor at a newspaper, getting thechance to practice with professional arenaleague football players was about as goodas it gets ... even if I did loosely resemble aPinto at a Ferrari show.

For more information about theIce or to get tickets to watch as theteam makes a playoff push, visitwww.thecoloradoice.com.


HL Jess No Less

My roommate, who shall be referred to as Maria, got sick ofme complaining about how I hated food because it was justthere to torture me.

So she put me on what I will now call “TheMaria diet,” except her real name is in place ofMaria.

Maria doesn’t have a problem eating right.She eats a lot of whole grains, organic foods,fruits and vegetables and a piece or two ofdark chocolate. She also likes to eat thoseburgers and corn dogs that don’t contain meat.

Those things are creepy. If I’m going to eata hamburger, I don’t want to know that it’sbeen made with black beans and vegetables.Because that is not a burger. Maybe it doesn’ttaste too bad. Maybe it tastes almost like meat ... but that is no excuse.It is not meat. One has to put their foot down somewhere.

Maria is an excellent food role model and if she, on the rarest ofrare occasions, wants to order pizza, I jump at the chance becausegenerally we are a non-pizza household.

Maria spent an evening writing up a meal plan for me (after I re-minded her that there better not be any tofu meat elements to it),handed it over and told me I don’t eat enough during the day and thatI needed to follow it.

So I did for two weeks. I didn’t follow it exactly. I used it as a guideto eat little meals throughout the day and eat more vegetables andhigh-protein breakfasts. I did have a couple of cheat meals —because I’m me. And I lost three more pounds.

But let’s not tell her she was right. No need to give her a big head.Below, the non-expert-but-pretty-wise Maria plan (keeping in mind

that this is not law or something official that has been tested; this isone person’s idea of eating better):

theMaria DietJessica tries out the roommate diet

M O N DAY• Breakfast: one cupKashi Go Lean Crispcereal, 1/2 cup 1 per-cent milk, piece of fruit• Snack: Cereal bar(such as Kashi TLC)• Lunch: Wrap withlow-carb tortilla,turkey, avocado, let-tuce, red onion, lowfat mayonnaise andmustard. One fruitand 1/2 cup carrots.• Snack: Laughingcow light cheesewedge, flat bread.• Dinner: Recipe withless than 400 caloriesfrom a low-calorierecipe book such as“Eat This, Not That”along with a freshvegetable and fruit.

T U E S DAY• Pre-workout: One hard boiled egg• Breakfast: Protein shake• Snack: Cereal bar• Lunch: Amy's organic frozen meal, carrots orbell pepper, fresh fruit• Snack: Laughing cow light cheese wedge, flatbread• Dinner: Homemade recipe, fresh vegetable,fr uit.

W E D N E S DAY• Breakfast: two eggs, flat bread, fruit• Snack: Cereal bar• Lunch: Wrap with low-carb tortilla, turkey, avo-cado, lettuce, red onion, low fat mayonnaise,mustard. One fruit and 1/2 cup carrots.• Snack: Protein shake• Dinner: Homemade recipe of 400 calories orless, fresh veggie, fruit.

That’s a sample that has helped me. Also, drink500 milliliters of water with every meal or snackand don’t eat dinner at 5 p.m., expecting that tocarry you for the night. I’m down to 155 pounds.

Jessica Benes

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Jennifer LehmanSpecial Sections Reporter

Skin cancer is the most common formof cancer. Over 3.5 million skin can-cers are diagnosed in over 2 million

people in the United States each year, morethan lung, prostate, colon and breastcancers combined according to the SkinCancer Foundation. Knowing your skin canmean the difference in early detection ofskin cancer and in general, cancer found bypatients — whether breast, testicular orskin, are found at an earlier state, leading toa better prognosis said Dr. Andrew Kalajian,a dermatologist with Fort Collins SkinClinic.

At about age 20 everyone should get askin check by their doctor, Kalajian said.This initial skin check determines the fre-quency of future visits based a variety of riskfactors like physical features (fair-skinned,light-eyed, red-hair individuals are at ahigher risk, as are people with naturally

high numbers of moles or larger moles(both run in families); family history of skincancer and personal burn history (blisteringsunburns or high numbers of past sunburnsincrease the risk of melanoma). Tanningbeds also greatly increase the risk ofmelanoma according to new studies,Kalajian said, as does being immunosup-pressed as the result of organ transplant,HIV or leukemia.

THE SELF-SKIN EXAMWhat to look for, or knowing your

ABCDEs:ABCDE is a tool the American Academy

of Dermatology came up with to help peo-ple remember which moles and spots mightlead to trouble. Find diagrams on how to doself-skin exams and photos examples ofABCDEs at www.aad.org. A printable dia-gram of the body is also available on thesame site to assist in mapping moles overtime, tracking any new ones or any changesin appearance.

A is for Assymetry: The rest of the letterguidelines kind of fall under this rule.Nobody’s perfect, but harmless moles andspots tend to be symmetrical in color,shape, texture and elevation. Even if a moleis patterned in some way, consistency iswhat matters. Like wallpaper, that patternshould be the same throughout, Kalajiansaid.

B is for Borders: Moles generally have around or oval shape, Kalajian said. Wavy,scalloped, jagged, blurred or undefinededges may be a sign of trouble.

C is for Color: Going back to asymme-try: moles and spots should have similarcolor patterns throughout. Keep a look outfor random blotches of pink, tan, black orother colors that don’t fit.

D is for Diameter: While diameter is nota stand alone criteria because cancerousand benign moles can be big or small —like big flat birthmark moles — mostmelanoma spots are 6 millimeters or largerand tend to grow and spread, Kalajian said.

E is for Evolution: “Most things that areworrisome or cancerous will evolve andchange,” Kalajian said. Despite common be-lief, cancer can arise in both pre-existingmoles and spots or from funky moles andspots that appear out of nowhere. Look forchanges in color, size, shape and elevation.

CHECK EVERYTHINGNo plane of skin should go unchecked,

including the groin area, scalp, bottoms offeet, in between toes and everywhere else.Use a mirror for help and check the scalpwhen hair is wet, revealing skin more easily.

It may seem daunting but chances areyou already known your skin pretty well.

“Things that are dangerous are usuallynoticed by a patients as being different,”Kalajian said, “It’s kind of an ugly duckling— they may not know what it is, but theyknow it’s different than the other spots theyhave.”

“Even if you have a lot of spots, you’llget to know your spots, you’ll know if it’sdifferent, you’ll know if one stands out fromthe rest.”

Places where the sun doesn’t shine areless susceptible to sun exposure, the leadingcause of skin cancer, but not the only cause,Kalajian said. People get random mutationsin cells all the time, and sometimes that canresult in skin cancer.”

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MAJOR TYPES OF SKIN CANCER

Basal cell skin cancer accounts for 2.8 of the 3.5 million non-melanomaskin cancer cases each year, Kalajian said. It grows locally rather than spread -ing to different areas of the body. However, it can grow into anything aroundit including muscle, bone and cartilage if untreated. Caught early, and theremoval will just leave a scar, caught late, and you might lose something youdidn’t want to, Kalajian said.

Squamous cell skin cancer also grows locally. Ten percent or less ofsquamous cell diagnosis will metastasize, but if they do, they can take yourlife, Kalajian said.

Melanoma spreads quickly so early detection is crucial. Of the 115,000cases of melanoma a year, about half of those are confined to the outer layerof skin, the edpidermis, when found, and can be treated effectively as thecancer has not yet hit any blood vessels (the epidermis does not have bloodvessels), Kalajian said. The other half or so of melanoma cases are diagnosedwith invasive melanoma that has grown into the second layer of skin, thedermis. That second layer does have blood vessels increasing the risk that itwill metastasize. If it spreads to the lymphnodes, chances for survival aren’tgreat, 20-30 percent, Kalajian said. Current radiation or chemotherapytechniques are not very effective for metastasized melanoma.

PREVENTION

Self-skin care helps with early detection, butaction can be taken to prevent skin cancer.

Sunscr een: For the everyday, wear amoisturizer with 30 SPF, Kalajian said, and forsun-intense activities like outdoor sports, 30 SPFand up. No matter the SPF, sunscreen breaksdown in about two-and-a-half hours, soreapplication is a must to get the full benefit.

Hat: Go for a 3-inch brim and pair it withsunscreen. Seek shade when in the sun.

Clothing: Some companies now make cloth-ing to serve as a form of sun protection mea-sured by an ultraviolet protection factor (UPF).Sticking with a regular long-sleeved tee at thebeach is fine as something is better than nothing,Kalajian said, but go for tight weaves to keep outmore sun.

Stay Away from Tanning Beds: Va r i o u sstudies have demonstrated the link between cas-es of melanoma and tanning bed use. The WorldHealth Organization added tanning beds to a listof the most dangerous forms of cancer-causingradiation in 2009, Kalajian said.

WHO and the Skin Cancer Foundation areadvocating for restrictions and even a ban ontanning beds. The recent Vitamin D craze is notreason enough to justify tanning beds, Kalajiansaid. Instead, get vitamin D from a bottle andgetting a blood test for Vitamin D may even putthe issue to rest if there isn’t a deficiency.


HL Uncommon Sense

Advice from Dr. Beth Firestein • licensed psychologist

bouncingb a ck

after a layoff

Dear Dr. Beth: A month and a halfago I was laid off from a job I’dhad for 11 years. Since that time

I’ve applied for a bunch of jobs, but Ihaven’t gotten an interview much less aresponse on any of them. It is the mostfrustrating thing I’ve ever been through.What can I do keep an upbeat frame ofmind and not get down on myself?

Dr. Beth: Beating the unemploymentblues is definitely a challenge. I talk topeople every day from every walk of lifewho present the same frustrations aroundreplacing a lost job. You have enough workexperience to know that you are competentand you can perform well in a job setting,so it sounds like confidence is not theprimary issue. Still, loss of confidence canbecome an issue after an extended periodof frustration.

At this point, I think you are asking thebest possible question: how do I keep anupbeat attitude in the face of a completelack of positive affirmation from potentialemployers? Here are a few ideas that maybe helpful:

1) Doing things we enjoy and are pas-sionate about keeps our attitude about lifein tip-top condition. Treat your job searchlike a part-time job. Do the work part ofeach day, but then go skydiving, sunbatheat the local pool or go for a mountain bikeride. Sitting in your backyard and pettingyour pet iguana counts too.

2) Don’t slip into expecting the worst,but don’t put your heart and soul into everyresume you send out either. Think of eachresume sent as a seed you have planted.You don’t know which ones will come upand produce, but it is important to plant asmany seeds as you can.

3) Working and feeling productive arean important part of self-esteem for mostof us. During this time, it is really importantto shift the emphasis of our sense of

self-worth. You can derive self-esteem fromdonating time to causes and organizationsyou value, accomplishing personal projects(like finally cleaning out your basement)and from being a good friend, partner andpar ent.

Life is always throwing wrenches intoour plans as well as opening doors to newadventures. Sometimes both happen simul-taneously, like when we are laid off froma job. Continue your efforts, but keepnourishing your soul. Your job search andyour attitude will be better for doing so.

Dear Dr. Beth: My girlfriend saysthere is no way that a male and fe-male can ever have a 100 percent

platonic relationship. She says there is al-most always one friend who likes the otheras more than a friend — even if the personwith romantic feelings doesn’t outwardlyexpress it. I disagree. What say you?

Dr. Beth: It is definitely possible for aman and a woman to have a truly platonicfriendship. Frequently, we come into a newromantic relationship hav-ing a group of friendswho are already a part ofour lives. Some of thesepeople may be rela-tively new friends andothers may have beenfriends of ours sincemiddle school or col-lege.

If you are luckyenough to have a funand caring set offriends, you are way

ahead of the game in terms of life satisfac-tion. It means you are a fun person to bearound and people like you — hopefullyboth women and men. Usually thosefriendships are just friendships for a reason.Either the option of romance was neverthere to begin with or the idea was consid-ered and discarded due to lack of mutualityor discovering that they are not a romantic“fit.”

While some people have friends of onlyone gender, that is actually pretty uncom-mon these days. Most people have friendsof both genders, and if they are lucky, theyhave friends of different cultural back-grounds and age groups too. Be careful ifyour romantic partner tries to separate youfrom your friends because you are now in arelationship with each other.

On the other hand, if you do know thatyou and one of your friends have a power-ful sexual chemistry, it probably makessense to step back and give that relation-ship a little space. You might lower theintensity of the friendship by spending lesstime with that person. Don’t use thepretense of “friendship” as a rationale forstirring up unnecessary jealousy in yourromantic relationship. Being courteous toyour partner and acting with integritymatter a great deal in creating a fulfillingand trusting relationship.

We have come a long way from the dayswhen having an opposite sex friendshipcould fit into only one category — a bud-ding romance. While there are certainlypeople in friendships who have romantic orsexual feelings for one another, this isn’ttrue of all opposite-sex friendships. Even ifthose feelings are present in one of thefriends, mature adults know when toexpress those feelings and how modulatethem and channel them into the friendshipin a healthy way.

Real friends don’t mess with the otherperson’s intimate relationships. Instead, realfriends support us in making our relation-ships work and help us get through therough times with our romantic partner.

Uncommon Sense

with Beth Firestein

Dr. Beth Firestein is a licensed psychologist.She has 24 years of therapy experience andhas practiced in Loveland for over 14 years.She may be reached by calling her office at970-635-9116, via e-mail [email protected], or by visitingw w w. b e t h f i re s t e i n . c o m .


HL Wo m e n ’s Health

M c C l a t c h y-Tr i b u n e

Hot flashes are the sports car of menopause — they getall the attention. But there are plenty of othermenopause myths that are perpetuated from generation

to generation. Lauren Streicher, clinical professor of obstetricsand gynecology at Northwestern University’s medical school,confirms and dispels common myths and misconceptions.

Myth: The age of menopause is determined by how old youwere when you started your period.Answer: False. It’s genetically set by when your mother wentthrough menopause.

Myth: A total hysterectomy will put you into instant menopause.Answer: False. A total hysterectomy refers to the removal of theuterus and cervix. But it does not include the ovaries and there-fore nothing changes hormonally.

Myth: The average time hot flashes last is two years.Answer: True.

Myth: Menopause occurs when you run out of eggs.Answer: False. The eggs get old and the ovaries stop producingestrogen, but there are still millions of eggs left.

Myth: Low estrogen levels cause weight gain and contribute towrinkles.Answers:Weight gain: False. Low estrogen causes a redistribution of fat.Wrinkles: True. There is a decrease in skin collagen so skinsags.

Myth: Women live one third of their lives after menopause.Answer: True.

Myth: If you are on the pill and you stop getting your period, itmight be menopause.Answer: False. If you are on the pill, you are taking hormonereplacement and there is no way to know your menopause sta-tus.

Myth: If you haven’t had your period in six months, you neverwill again.Answer: False. Your ovaries might still kick in; 12 months withno period is considered when you are done.

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The

Histor yof Care

Nursing MemorabiliaWalking Gallery captures

the progress and heritage ofa profession

RH Photos/Jennifer LehmanHistoric Red Cross volunteer nurse uniforms, a uniform fromthe 1960s and WWII army nursing uniforms displayed atthe Nursing Gallery held earlier this month. The local RedCross chapter and Colorado Nurses Foundation NursingHistorical Society donated the uniforms. The mannequinswere donated by Maurices in Loveland.

Antique amputation tray contributed to the exhibit by thePVHS Foundation.


Vintage nurse uniformsand antique surgicaltools were among the

collections at the Nurses Memo-rabilia Walking Gallery held atMedical Center of the Rockiesearlier this month.

“We ’ve had a tremendous re-sponse,” said Kay Miller, chiefnursing officer at MCR.

The second annual NursesMemorabilia Walking Gallery isa part of National Nurses Week,May 6-12, and was started lastyear to commemorate the 100thyear of Florence Nightingale’sdeath. Florence Nightingale died

in 1910 and is considered to bethe founder of modern nursing,said Kay Miller, Chief Nurse atMCR. Each year, the final day ofNational Nurses Week falls onher birthday. The gallery aboutdoubled in size this year, Millersaid.

The exhibit included collec-tions from local organizations,hospital staff, community mem-bers and the PVHS foundation.

Dr. Eric Olsen contributedseveral items to the gallery in-cluding most of the antique in-struments, an apothecary boxand antique EKG machines, onenearly a century old. and anapothecary box, said Judy Bauerwith the MCR Resource ServicesOffice and one of the coordina-

tors of the gallery. Olson begancollecting after a nurse sold himsome antique medical equip-ment found in the attic of ahome she was renting and theowners didn’t want, Bauer said.

“The man has just a wonder-ful collection, he’s very generousto share it with us,” Bauer said.

The gallery’s memorabiliacaptured the history of nursingwith the American Red Crossand the military, not just in hos-pitals, Miller said.

The Northern Colorado Chap-ter of the American Red Crosslocated in Fort Collins donatedseveral items to the gallery in-cluding a 1967 photo of all thevolunteer nurses in the area, RedCross nurse uniforms, a RedCross flag, a cot and copies ofold promotional posters includ-ing one with Uncle Sam and aRed Cross volunteer nurse —“The Red Cross Needs You.”

“It’s just wonderful becausewhen you realize what theywent through as nurses and theconditions they had to endure,I’d complain. But they didn’t,and way to go,” Bauer said.

WWII nurse uniforms includ-ing a casual uniform for the off-duty nurse and a uniform desig-nated for African-American nurs-es were donated to the displayby the Colorado Nurses Founda-tion Nursing Historical Society.

A doctor’s visit in 1925 inLarimer County would have costyou a $1.50, a leg amputation,$50 according to an old list ofhealth services and fares on dis-play.

MCR staff donated items frompersonal collections, familynursing history and their ownhistory.

Jacquin Coxon of Lovelandheard about the event and con-tributed several items reflectingthe nursing career of her latemother, Lucille W. Goodwin.

The photos of Coxon’s moth-er show the nurse outfit she al-ways wore: white shoes, whitehose, white uniform, white cap.

For decades nurses wore onlywhite, with unique cap designsfor each nursing school.

“Even in the 70s when I was anurse’s aid it was white whitewhite white white,” Bauer said.


A table of antique surgical tools displayed at the second annualNursing Memorabilia Gallery Walk at MCR.

The gallery gave the younger and newer nurses adifferent appreciation for nursing today and nursing50-to-100 years ago, Miller said, as all the electrical andcomputer-based elements of contemporary healthcarewere missing.

“The technology has dramatically changed thepractice of nursing,” Miller said.

As part of National Nursing Week, MCR also held itsannual State of the Nursing address where plans for thefuture are discussed and awards given to top nursesnominated by their peers. “The State of Nursing addressand National Nursing Week celebrates the presentwhile discussing the future and the nursing gallery iswhere we all reminisce,” Miller said.

Plans are already in the works for an expansion onthe collection next year with interest from the hospital’spharmacy group for a pharmacy portion of the exhibitand more people from the community looking to sharetheir collections and stories, Miller said.

Miller said it was fun to watch and learn from com-munity members and staff who came through and rem-inisced about their nursing careers, explaining the useof tools they remember and sharing their heritage in thepr ofession.

Conversations like that happened over and overagain during the course of the exhibit, Bauer said. “It’sbeen delightful.

“The display really touched on a lot of history andculture, and its beautiful,” Bauer said, “It’s a privilage towork in this profession.”

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HL Wo m e n ’s Health

preppingpreppingfor for

No.No. 2BABYBABY

What toexpect witha secondpregnancy

Elena Donovan MauerM c C l a t c h y-Tr i b u n e

We hate to break itto you, but yoursecond pregnancy

might not be all “been theredone that.” The fact is, youmay have to deal with somepregnancy symptoms youdidn’t get the first timearound. And of course,you’ll have to get baby No. 1used to the idea of a newsibling and make room athome for a fourth familymember. Here’s how to getyour body, social life, homeand family ready.

EXPECT SYMPTOMSSOONER — ANDSTRONGER

Don’t assume that if youdidn’t experience certainsymptoms the first time,you’ll be as lucky this time.Some moms swear thoseearly-pregnancy symptoms— fatigue, morning sickness— are stronger the secondtime around. Some tricks tocombat morning sickness?Eat small meals and snacksthroughout the day, nibbleon ginger, sip pepperminttea, suck on Preggie Pops,and try Sea-Band acupres-sure wristbands.

You also can expect mostthings to happen soonerthan they did the last time

around. Since you alreadyknow what it feels like tofeel baby move, you’ll prob-ably recognize the subtlesensations earlier. You mightalso start showing sooner.And labor? Well, it’s likely togo faster.

DON’T THINK YOU HAVEEVERYTHING YOU NEED

Contrary to what somepeople think, it is perfectlyokay to have a party for ba-by No. 2. You do actuallyneed some new stuff (ahem,double stroller). And be-sides, it’s a good way to seeall your loved ones beforeyou’re too busy juggling twotots.

As far as stuff goes ... Sure,you can reuse lots of thingsfrom baby No. 1, like oldclothes, some furniture andgear. But be wary of anysafety items you’re consider-ing unearthing from the attic.Car seats are generally onlygood for about six years, socheck the expiration. Also, ifyou have a drop-side crib,consider upgrading. Thisstyle is off the market now.One of the biggest problemswith drop-sides is thatthey’re not as sound asfixed-side models and age-related wear and tear canweaken them, making themdangerous. So make sureyours is 100-percent sturdy

and intact before committingto reusing it.

GET BABY NO. 1ON BOARD

As your pregnancy pro-gresses, it’s important to behonest with baby No. 1about how life will changewith the new baby around.Make sure he knows aheadof time that you and Dadmight not have as muchtime to spend with him oncehis little brother or sister ar-rives. And make sure he un-derstands that he won’t beable to play with the babyfor a few months after he’sbor n.

Some moms like to preptheir kid by teaching him tobe more independent in cer-tain ways, like cleaning uphis toys himself. Considergiving your child a baby dollor stuffed animal to “takecare of” while you care forthe new baby to make himfeel included.

But while you want yourbig kid to be prepared, youalso want things to feel asnormal as possible through-out the changes — and thatmeans making sure your kidknows you’ll always stilllove him and that he’ll al-ways be very special to you.Make it a point to spendone-on-one time with himnow and plan to continue todo that once the babycomes, too. Make arrange-ments with a sitter or familymember so he can stay inhis own bed when you gointo labor. And, when thebaby is born, ask friends andfamily who’ll bring gifts tobring one for baby No. 1,too.

NURTURE YOURR E L AT I O N S H I P

Um, you’re about to besuper busy. If you thoughtyou barely had enough timefor romance with your part-ner now, you ain’t seennothing yet. Hire a sitter andhave a few date nights, soyou can enjoy some much-needed couple time beforebaby makes four.

Jennifer M. FrazierM c C l a t c h y-Tr i b u n e

“PREGO-FIT AND FABULOUS”

Happily Ever After, $17.95

What it is: This video works yoga,Pilates and stretchinginto an easy work-out, even into thethird trimester.

Who leads theworkout: JillianMoriarty, a physical-therapy expert, cer-tified Pilates in-structor and mom.

Appr oximatelength of work-out: 40 minutes

Equipment you’ll need: small ball(playground size). Note: The DVDsays a pillow will assist with routines.

What was good: This low-impactvideo focuses on toning rather thanhigh-energy cardio. During even thelast few days of the third trimester, youcould do this workout.

What might have been better:Music. The lack of music and slowpace of the video make this 40-minutevideo seem more like an hour and 40minutes. The sleepy speed won’t cut itafter the baby arrives (even though thevideo makers say this is good for post-natal exercise, too).

Grade: B-

Wor koutDVD review:

“prego-fit &fa bu l o u s ”

Fo u rout of every

ten birthsare to unmarried women.

— Source: National Center for Health Statistics


HL The Healthy Plate

Start to finish: 1.5 hours (20 minutes active)Servings: 8

Ingredients for the crust:3/4 cup whole-wheat pastry flour1/2 cup all-purpose flour, plus more for dusting2 teaspoons baking powder1/4 teaspoon salt1/2 cup low-fat cottage cheese1/3 cup sugar3 tablespoons canola oil2 tablespoons milk3/4 teaspoon almond extract

Ingredients for the toppings:1/3 cup seedless raspberry jam2 tablespoons orange juice3 tablespoons sweetened coconut flakes, divided2 kiwi fruit, peeled and thinly sliced3 large strawberries, thinly sliced

Dir ections: To prepare the crust, in small bowl whisk togetherthe whole-wheat flour, all-purpose flour, baking powder and salt.Set aside.

In a food processor, puree the cottage cheese. Add the sugar,oil, milk and almond extract, then process until smooth. Add thedry ingredients and pulse five to six times, just until the doughclumps together (it will be sticky). Turn out onto a lightly flouredsurface and using floured hands press the dough into a ball. Kneadtwo or three times, but do not overwork. Dust the dough withflour, wrap in plastic and refrigerate for at least 30 minutes.

Meanwhile, prepare the topping. In a small bowl, whisk togeth-er the raspberry jam and orange juice. Set aside.

To bake and assemble the pizza, position a rack in the middle ofthe oven. Heat the oven to 400 degrees. Coat a 12-inch pizza panor large baking sheet with cooking spray.

On a lightly floured surface, roll the dough into a 12-inch circleabout 1/4-inch thick (be sure to sprinkle flour on the rolling pin orthe dough will stick). Roll the dough back over the rolling pin andtransfer to the prepared pan or baking sheet.

Spread the raspberry jam mixture over the dough, leaving a 3/4-inch border around the edge. Bake until the crust is golden andcrisp, 15 to 20 minutes. Transfer to a wire rack and cool for 15 min-utes.

Place the cooled crust on a clean pizza pan or large servingplate and sprinkle evenly with 11/2 tablespoons of the coconut. Ar-range the strawberry and kiwi slices on top to look like pizza top-pings. Sprinkle evenly with the remaining coconut. Cut into 8wedges and serve immediately or cover with plastic wrap, tentedwith toothpicks stuck into the pizza, and refrigerate for up to 3hours before serving.

Nutrition information per serving: 208 calories; 56 caloriesfrom fat (27 percent of total calories); 6 g fat (1 g saturated; 0 gtrans fats); 1 mg cholesterol; 35 g carbohydrate; 4 g protein; 3 gfiber; 258 mg sodium.

— Source: The Associated Press

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Stroke symptoms

Better TechnologyBetter Care

Te l e m e d i c i n eprogram offersquicker care forstroke patientsMcKee Medical Center

McKee Medical Center ispartnering with one ofthe nation’s top stroke

centers on a telemedicine pro-gram aimed at providing fasterassessment and treatment forstroke patients at McKee.

Neurologists based atSwedish Medical Center in Den-ver will be available within min-utes of a request by physiciansat McKee. Using two-way audiovideo equipment connected toa computer, the Swedish physi-cians will examine McKee pa-tients in real-time by askingthem questions and using thecamera to zoom in for physicalexaminations.

“Swedish is thrilled to partnerwith McKee Medical Center inoffering timely, effective strokecare to McKee patients via theCO-DOC telemedicine pro-gram,” commented Lisa Ruiz,RN, director of neurosciencesand outreach at Swedish Medi-cal Center. “Using current tech-nology to assess potential strokepatients gives these patients thebest chance of getting appropri-ate treatment. We look forwardto working with staff at McKeeto help deliver positive out-comes for stroke patients.”

The neurologists at Swedishcan provide a valuable consul-tation or second opinion toemergency room physiciansand neurologists at McKee, saidBrenda Hope, a clinical nursespecialist in the McKee Emer-gency Department. The tele-stroke program has alreadybeen successfully implementedwith great success at McKee’ssister facility in Greeley, North

Colorado Medical Center.Each year about 795,000 peo-

ple in the United States experi-ence a stroke. It is the country’sthird-leading cause of death.

There are two main types ofstroke. An ischemic stroke oc-curs when blood flow to thebrain is blocked due to a clot inan artery. This clot blocks theflow of blood, and the oxygen itcarries, to the brain. The secondtype of stroke is a hemorrhagicstroke. This is bleeding from thesmall brain arteries into thebrain. Both strokes cause braindamage.

A third event called a tran-sient ischemic attack (TIA) is atemporary blockage that lasts afew minutes but does not causebrain damage. A TIA can be aprecursor to an actual stroke.

Correctly diagnosing the type

of stroke is imperative becausedifferent types of strokes re-quire different treatments.

Another benefit of the tele-stroke program is that it will fa-cilitate treatment of McKee pa-tients who need advanced care.

“We all agree that our prefer-

ence is for McKee patients to re-ceive treatment here to the ex-tent possible, but certain inter-ventions and surgeries shouldbe done at Swedish because oftheir expertise and this programwill make our transfer processeven smoother,” Hope said.

If you or someone you know exhibits the following strokesymptoms, call 911 and seek medical assistance immediately:

Face — facial droop or an uneven smileArm — Arm numbness or arm weaknessSpeech — Slurred speech; difficulty speaking or under-

standingTime — Call 911 and get to the hospital immediatelyACT F.A.S.T.

— Sour ce: American Stroke Association


www.BannerHealth.com/COexperts

Banner Health has been named as a Top 10 Health System in the U.S. for patient care according to Thomson Reuters.

Although the content of this ad is intended to be accurate, neither the publisher nor any other party assumes liability for loss or damage due to reliance on this material. If you have a medical question, consult your medical professional.

Question:McKee Medical Center is the only hospital in Colorado that is named an Epicenter for Robotic-Assisted Surgery. As only one of 23 Epicenter surgeons in the nation, can you explain why this is such an important designation?

Answer:Intuitive Surgical, manufacturer of the da Vinci Surgical System, recently named McKee Medical Center as an Epicenter Teaching Center for robotic-assisted gynecological surgery.

As an Epicenter training facility, McKee will host surgeons from around the country who wish to train in robotic surgery.

�� expertise of the surgical team we have at McKee.

�� we are dedicated to providing exceptional care for our patients.

We perform a variety of benign and advanced pelvic procedures with the robot including: hysterectomies (partial or complete removal of the uterus), �� prolapse, tubal re-anastamosis (reversal of tubal ligation), lymph node removal and procedures for cervical, endometrial and ovarian cancers.

John T. Crane, M.D. Obstetrician/Gynecologist OB/GYN Associates, Loveland Appointments: (970) 667-2009

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Str idesTa k i n g

Annual suicideawareness walkseeks to educate

and honor lives lost

What: “Taking Strides to Save Lives” Walk and Candlelight VigilWhen: Registration and music begins at 6 p.m., walk begins at 7 p.m., June 12Wher e: Old Town Fort CollinsCost: Pre-registration is $25, $30 the day of, kids 12 and under are free.Contact: 970-635-9301 or www.suicideresourcecenter.org

TO SAVE LIVESCRISIS/SUICIDE HOTLINESNational Suicide Prevention Hotline:1-800-273-TALK (1-800-273-8255)Larimer County Mental Health24-Hour Emergency Services:970-221-5551Emergency Services: 911

SUPPORT GROUPS/EDUCATIONSuicide Resource Center of LarimerCounty: 970-635-9301 orwww.suicider esourcecenter.orgLarimer County Mental Health:www.larimercenter.org; Loveland,970-494-9870; Fort Collins, 970-221-5551

INFORMATION ON MENTAL ILLNESSNational Institute for Mental

Health: www.nimh.nih.gov


The tenth annual “Taking Strides toSave Lives” awareness walk, cande-light vigil and fundraiser for the

Suicide Resource Center of Larimer Countyis taking place in downtown Fort Collins onJune 12.

The goal of the annual walk is three-pronged, said Lori Daigle, ExecutiveDirector of the Suicide Resource Center ofLarimer County: To raise awareness aboutsuicide prevention, mental health and theprograms offered by the Resource Center;honor those lost to suicide and raise moneyfor the center’s programs.

“Raising awareness and honoring thoselost is really our focus first and foremost.”

“We want to be there as continual sup-port for families who have lost loved onesto suicide,” Daigle said, “It gives thoseloved ones a chance to walk together andremember. I really like that part of it.”

The walk this year will be more focusedon awareness and outreach than in year’spast, Daigle, said.

“We are making it one of those eventsthis year where people can get information,enjoy music and really become a part ofwhat we do.”

To draw people in, several fixtures in theFort Collins music scene will perform forthe first hour before the walk starts includ-ing Liz Barnez, Cary Morin, Marty Rein andSteve Amedée. They will be performingbeginning at 6 p.m. (registration time) and

ending at 7 p.m. (the start of the walk).“They want to give their time, because

they believe in the cause,” Daigle said.“(The music) will create this feel that you

almost won’t be able to describe before westart walking,” Daigle said.

Daigle hopes this approach will reducethe stigma surrounding discussion onsuicide and mental illness and get the com-munity more involved in the organization.

“Suicide has such a negative connotationto it, — what I say is it doesn’t have to.That’s when we’re being reactive instead ofbeing proactive. We’re trying to save somelives, let people know that we’re here, wecare, have services, there’s people to listen.”

“The more people talk about mentalhealth and mental illness, the more theycan receive the help that they need, and wecan have them on this planet to enjoy aslong as possible.”

There is a myth that talking aboutsomething bad makes it happen, Daiglesaid, but it’s occurring regardless.

The Suicide Resource Center is not acrisis center but focuses on education,suicide prevention as well as offeringsupport programs for those grieving theloss of a loved one, those dealing with amental illness like bipolar disorder anddepression and support for their families.

Ninety percent of people who completesuicide are suffering from undiagnoseddepression or bipolar disorder, Daigle said.

Fifty-one individuals in Larimer Countytook their lives last year — that is almostone person a week, she added.

Compared to 2009, when 59 people inLarimer County completed suicide, 2010was an improvement, Daigle said, “butgosh, I want it to be less.”

The Suicide Resource Center is hoping125-200 people will be in attendance at theawareness walk with fundraising goals of$10-$15,000.

Money raised will go to sustain the re-source centers educational programmingand support services.

Part of the education programming foryouth and adults is teaching them how torecognize when an individual may be introuble and what to do about it.

If you and I were in a restaurant and Iwas choking, you would help me or getsomeone to help me, Daigle said.

“When someone is in need of help, weshould be able to help or know who topoint to to help,” she said.

Statistics aren’t kept on the number ofindividuals at risk of suicide who get thehelp they need, but for the 51 lives lost lastyear, there are so many more times thatpeople are getting help, Daigle said.

“That’s the powerful part when peoplesay you changed my life, you’ve given mehope — that’s why we’re here.”

School counselors get close to 200 refer-rals a year, when students refer a distressedfriend to seek help, Daigle said.

“It’s really a sweet process to see thatlight go off in someone, to be like, wow, Imight be able to get some help.”

If you go:

Suicide preventionand mental health

r esour ces

“That’s the powerful partwhen people say youchanged my life, you’vegiven me hope —

that’s why we’re here.”— Lori Daigle, Executive Director

of the Suicide ResourceCenter of Larimer County


TWO PVHS BUSINESSES TO OPENTwo Poudre Valley Health System businesses designed to

pamper, relax and rejuvenate customers will open June 6 in theMarina Health Campus in Windsor’s Water Valley community.

Twenty Three Trees, a high-quality medical and wellnessspa, and The Blend Coffee Shop, which will serve gourmetproducts, including a PVHS signature blend of coffee, willoccupy 2,355 square feet near Poudre Valley Medical Fitness, astate-of-the-art medical fitness center that PVHS opened inN o v e m b e r.

NEW PRIMARY CARE CLINIC TO OPEN NEARPROPOSED ACE SITE IN LOVELAND

Poudre Valley Medical Group Primary Care opened its doorsApril 19 near the proposed Loveland site for NASA’s Aerospaceand Clean Energy (ACE) Manufacturing and Innovation Park.

The new primary care clinic at 1327 Eagle Drive will offerfamily and internal medicine with an emphasis on diabetes,hypertension, weight management, disease prevention,lifestyle wellness and general medicine.

The clinic’s staff will include a family medicine physician,Dr. Peyton Taliaferro, and an internal medicine physician,Dr. Susan Agrama.

CERTIFIED NURSE-MIDWIFE JOINS BANNER OB/GYNASSOCIATES IN LOVELAND

Banner OB/Gyn Associates welcomes the addition of acertified nurse-midwife to the practice. Heidi Von Nieda, CNM,joined the practice April 4. She specializes in preventive healthcare for women, adolescent health care, contraception,perimenopause and menopause health promotion.

Von Nieda joined McKee Women First Certified Nurse-Midwives in 1996. For more information or to schedule anappointment, call 970-667-2009.

PATHWAYS HOSPICE ACCEPTS GRANT FORAFRICAN HOSPICE FROM MDRT FOUNDATION

Gregory D. Anderson, CLU, ChFC, from Fort Collins CO, se-cured a $5,000 grant from the MDRT Foundation for PathwaysHospice on behalf of Island Hospice in Bulawayo, Zimbabwe.This year, the MDRT Foundation will award more than$850,000 USD in grants to more than 100 charities. Anderson,of Vision Financial Group and an MDRT member, is an activesupporter of Pathways Hospice and the fundraising efforts forBulawayo Island Hospice.

PVHS ANNOUNCES NEW DIRECTOR OFCOMMUNICATIONS AND MARKETING

Kevin Darst has been named director of communicationsand marketing for PVHS.

Darst, a former news reporter and editor, will be in chargeof a seven-member staff of marketing and public relationsspecialists and graphic designers responsible for the healthsystem’s public, employee and physician communications.

He will also oversee marketing endeavors for Poudre ValleyHospital, Medical Center of the Rockies, Poudre Valley MedicalGroup, and other PVHS services throughout northernColorado, Wyoming and southwestern Nebraska.

Darst joined the PVHS staff in May 2009 and managed thehealth system’s web site, pvhs.org; developed social mediatools; created patient education materials and marketingcampaigns for PVHS services; and often was the healthsystem’s media spokesperson.

1327 Eagle DriveLoveland, CO 80537

To make an appointment,

call 970.619.6450

1327Lovela

Toapp

call 97

Nowwelcoming

new patients.

pvhs.org/clinics

“As an internal medicine doctor, I specialize in adult medicine with emphasis on diabetes, hypertension, weight management and disease prevention. I’m

interested in developing relationships with patients that not only address illness, but focus on long-

term healthy lifestyle management.”

- Dr. Susan Agrama

“As a family medicine doctor, I treat patients of all ages, from infants to seniors. I’m interested in

building relationships with my patients that extend to their entire family as we work together to ensure

the healthiest living possible.”

- Dr. Peyton Taliaferro

Dr. Susan Agrama

Dr. Peyton Taliaferro

1564

850

HL Health Briefs

� See BRIEFS/Page 26


B R E A S T- F E E D I N GSUPPORT GROUPWhen: 10 a.m.-11 a.m., Mondays,Wednesdays and Fridays (exceptholidays)Wher e: McKee Medical CenterCost: Fr eeContact: 970-669-9355

DIABETES SELF-MANAGEMENTPROGRAM

Become a better manager ofyour diabetes. Topics covered in-clude: preventing low blood sug-ar, delaying complications, read-ing nutrition labels and learning tools to fight fatigue and frustra-tion, dealing with depression, andcommunicating better with yourfamily and health care providers,to name a few.When: 7-8:30 p.m., May 19Wher e: McKee Conference andWellness CenterCost: No charge, no registrationneeded.Contact: 970-622-1950 for moreinformation and topics.

TOTAL JOINT EDUCATIONPhysical therapists and occupa-tional therapists prepare patientsfor surgery. This program is coor-dinated through your physician'soffice as part of the surgeryscheduling process.When: 3 p.m., ThursdaysWher e: McKee Conference &Wellness CenterCost: Fr eeContact: 970-635-4172

GENERAL CANCER SUPPORTWhen: 5:30-7 p.m., TuesdaysWher e: McKee Cancer CenterlobbyContact: 970-635-4129

CAREGIVER CANCERSUPPORT GROUPWhen: 11:30 a.m.-1 p.m., everyother Thursday, May 19, June 2Wher e: Call for locationsContact: 970-635-4129

SOULPLAY ART THERAPYPeople whose lives are touched

by cancer experience the benefitsof expressing themselves throughart. No art experience needed.When: 1:30-3:30 p.m., Wednes-daysWher e: McKee Cancer CenterConference RoomContact: 970-635-4129

BREAST CANCERSUPPORT GROUP

When: 5:30-7 p.m. Second Thurs-day of the month

Wher e: McKee Cancer CenterLobby

Contact: 970-622-1961

MAN TO MAN: PROSTATECANCER SUPPORT GROUPWhen: 5:30-7 p.m., fourth Thurs-day of the month

Wher e: McKee Conference andWellness Center

Contact: 970-622-1961

CAREGIVERS SUPPORT

For caregivers of elderly adults.The group focuses on providingsupport and education aboutcommunity resources and behav-ior issues, particularly for peoplewith Alzheimer's and memory im-pair ment.

When: Third Thursday of themonth, 1:30-3:30 p.m.

Wher e: First Christian Church,2000 N. Lincoln Ave., Loveland

Cost: No charge. Care of elderlyadult family members or friends isavailable through Stepping StonesAdult Day Care program duringmeeting times at no charge.

Contact: 970-669-7069

BREATHE EASIER PUL-MONARY SUPPORT GROUP

Living with, learning about andsharing information on chroniclung related issues. Upcomingguest speakers are Keanne Jor-genson and Joe Walsh of the Col-orado Society for Respiratory Care

When: 10 a.m.-Noon, June 10

Wher e: McKee Conference andWellness Center

Contact: RSVP by calling 970-635-4053

BLOOD PRESSURE SCREENING

Have your blood pressurechecked by a Wellness Specialist.

When: 8 a.m.-4:30 p.m., Mondaythrough Thursday and 8 a.m.-noon, Friday.

Wher e: McKee Wellness Services,1805 E. 18th St. Suite 6, Loveland

Cost: Fr ee

Contact: 970-635-4056

HL Health Line Calendar

MCKEE MEDICAL CENTER HIRESNURSING EXECUTIVE FROM MICHIGAN

Debra Fox, BSN, MS, joined McKee on April 18 as thetop nursing leader for the facility.She will oversee all aspects ofnursing care and serve as a mem-ber of McKee’s executive leader-ship team.

Fox came to McKee from St.Joseph Health System in TawasCity, Mich., where she served asvice president of patient care,chief nursing officer and chiefoperations officer. She has 20years of experience in nursingleadership at the executive leveland an additional five years ofexperience as the director of in-patient services for a 375-bed trauma center. Prior toworking in leadership roles, Fox worked in critical carenursing.

BANNER MEDICAL GROUP HIRES SCOTT BAKERAS VP OF OPERATIONS — WESTERN REGION

Scott Baker has joined Banner Health as the WesternRegion Vice President of Opera-tions for Banner Medical Group.Baker began his new role April18.

Scott is an experienced grouppractice executive who has manyyears of leadership experience inan integrated health system andin large multi-specialty medicalgroups. Baker comes to Bannerfrom Aurora Health Care inMilwaukee, Wis., the largestintegrated health care system inthe state. There he served as vicepresident of Clinic Operations where he led a team of225 providers in 24 clinic sites.

TRIO OF PHYSICIANS SHARE TREATMENTINFORMATION FOR CONTINENCE CONCERNS

Incontinence can be treatable, but often the firsthurdle is overcoming fears of talking about the issuewith your health care provider.

Three Loveland physicians will topple that hurdle atMcKee’s Health and Wellness Series lecture on urinaryand fecal incontinence.

Urologists Benjamin Girdler, MD, and GeorgePhillips, MD, and gastroenterologist Crystal North, DO,will discuss those conditions and treatment options andanswer questions at the event.

When: 5:30-7 p.m., May 24Wher e: McKee Conference and Wellness Center,

2000 Boise Ave.Cost: Fr eeContact: RSVP by calling970-635-4053 and for more information on upcoming

Health and Wellness Series events, please visitw w w . b a n n e rh e a l t h . c o m / c l a s s e s .

BRIEFSFrom Page 25

Debra Fox

Scott Baker

Answer: Nationwide, one-in-three babies is born via cesarean section. A C-section, or surgical delivery of a baby, can be planned or may be needed after a woman has begun labor and complications arise. Mothers-to-be should learn about cesarean delivery and why it is sometimes appropriate.

A physician may plan a C-section delivery if he/she knows certain factors exist that make a vaginal birth risky.

Reasons for planning a C-section include:• The mother had a C-section before, and is not a

candidate for, or chooses not to, have a vaginal birth after C-section.

• The mother has had other uterine surgery.• The baby is in breech position

or other malpresentation.• The mother has a medical condition that could

put the baby at risk in a vaginal delivery.• The baby has certain birth defects (such as

hydrocephalus).• The mother has problems with the placenta. • There are twins, triplets, etc.

Some C-sections are emergency deliveries performed after labor has started and a complication has come up. Reasons an obstetrician may elect to do a C-section include:

• Labor has failed to progress.• The baby or mother is in distress.• Placental abruption (placenta separates from the

uterine wall too soon) has occurred.

All pregnancies and deliveries differ. A C-section is generally considered a safe procedure, and has been used to save the lives of many women and babies. Work closely with your physician to decide what’s best for you and your baby.

Banner Medical GroupMcKee Medical Center

Where Experts

Work Best.Ask the Expert: C-seCTion

Ken Slack, M.D., Obstetrician/Gynecologist Appointments – (970) 203-6801McKee Center for Women’s Health

www.BannerHealth.com/CoexpertsBanner Health has been named as a Top 10 Health System in the U.S. for patient care according to Thomson Reuters.

Although the content of this ad is intended to be accurate, neither the publisher nor any other party assumes liability for loss or damage due to reliance on this material. if you have a medical question, consult your medical professional.

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Question: What are some of the reasons a C-section might be necessary?

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