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pvhs.org

Ask a friend.85 percent of patients say they would “definitely” recommend Medical Center of the Rockies. That’s higher than any other hospital in Loveland and Greeley, according to a government survey.

Is it the world-class care, the dedicated and compassionate staff, or the state-of-the-art facility?

Simple. All of the above.

But don’t take our word for it. Ask a friend about Medical Center of the Rockies. Source: www.hospitalcompare.hhs.gov

2500 Rocky Mountain Avenue

Loveland, CO | I-25 and Highway 34 | 970.624.2500

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado N ove m b e r 18, 2010 3

Health shorts ............................................................................................. pg. 4Ask Dr. H .................................................................................................. pg. 16Uncommon Sense with Loveland’s Dr. Beth Firestein ........................... pg. 17Destination: Healthy with Amanda Wicker .............................................. pg. 18Health in a Handbasket ........................................................................... pg. 19McKee to renovate lab............................................................................. pg. 20Ask a Health Pro ...................................................................................... pg. 21When to stay home sick .......................................................................... pg. 22Keep stress at bay after retirement ........................................................ pg. 23Loveland health briefs ............................................................................. pg. 24Loveland health calendar ........................................................................ pg. 25

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@repor ter-

h e ra l d . c o m

Jennifer Lehman,special sections reporter:

970-635-3684jlehman@repor ter-

h e ra l d . c o m

Weightlifter, 67,attempts records7Tips for a healthy heart5

Square dancingfor fun, health9

Crandoodles withSteve Crandall8 The Healthy

Plate13Prostate cancer support in thedoctor’s office and in the community14

Also inside

6

Senior Health Issue

4 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado N ove m b e r 18, 2010

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

Astudy published this week in the British Journal ofSports Medicine suggests that a penchant for exer-cise may have a lot to do with you making it to work

on a daily basis.Dr. David Nieman, a professor in the College of Health

Sciences at Appalachian State University, said, “Exercise isprobably the most powerful thing you can do to reduceyour sick days this winter.”

According to a news release from ASU, Nieman and hiscolleagues have spent more than 20 years studying the ef-fects of exercise, diet, weight, gender and education levelson one’s health. Regular exercise was shown to have thegreatest influence.

A brisk walk for 30 to 45 minutes a day increases thenumber of immune system cells that circulate in the body,Nieman said. Although these levels decline within a fewhours, each bout of exercise is likely to enhance surveil-lance of harmful viruses and bacteria, and reduce the num-ber and severity of upper respiratory infections, such as thecommon cold.

Regular exercise,fewer colds

Age 45 was considered to be a long life by individuals fromclassical Rome and Greece, who only lived until about age 28.

45

67.2Thanks to modern medicine and better disease prevention inmost developed areas of the world, the current world averageis 67.2 years. In much of North America, the average is 77.5to 80.

84.4Residents of the People’s Republic of China boast the world’shighest life expectancy at 84.4 years.

Greater Expectations:How life expectancieshave changedRob Stein

The Washington Post

Are you facing a painful medical procedure?If you’re looking for a way to help deadenthe pain, you might think about taking

along a photo of your husband or wife, accordingto new research.

A study involving 25 women found thatthose who looked at photos of loved oneswhile they were subjected to heat on their armswere able to tolerate more pain.

In the study, published in the journal Psycho-logical Science, they conducted a series of testsin which they exposed volunteers’ arms to dif-ferent levels of heat, including levels that theyhad previously determined the subjects foundunpleasant.

The subjects were able to tolerate more painwhen they were looking at photos of their part-ners than when they were viewing photos ofobjects or strangers, the researchers found.

Seeing photos ofloved ones eases pain

Source: Metro Creative Services


YOUNG AT HEARTYOUNG AT HEART

Tips to keep your arteries young

Within a few hours of loading up onsaturated or trans fats, in fact, yourblood vessels likely will be narrower

and working harder move blood along.

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

The blood vesselsthat carry oxygenthroughout your

body get stiffer over time,which can put you at riskfor heart attack, stroke, de-mentia and a wide rangeof other health problems.But you can slow downhow fast your arteries age,doctors say. Here’s how.

EAT LESS SALT

Many people focus onfat and calories in foods,but too much salt may bethe worst thing for your ar-teries. Shun the salt shakerand read labels: salt canlurk in unexpected places,from breakfast cereals tootherwise healthy frozendinners.

EAT MORE FRUITS ANDV E G E TA B L E S

According to one recentstudy, cells that regulateblood flow inside arteriesbecome six percent moreeffective with each dailyserving of fresh produce.Cruciferous vegetablessuch as broccoli and cab-bage and colorful fruits —blues, reds, yellows andpurples — may be espe-cially beneficial.

DO REGULAR AEROBICEXERCISE

Workouts increase theproduction of nitric oxide,a gas that relaxes and di-lates blood vessels.

DON’T CHEAT ON YOURDIET (AT LEAST NOTOFTEN)

A single fatty meal can

strain your arteries. Withina few hours of loading upon saturated or trans fats,in fact, your blood vesselslikely will be narrower andworking harder moveblood along.LOSE EXCESS WEIGHT

Arteries stiffen as peoplegain weight, especially ifthe fat accumulates deepwithin the abdomen.

MANAGE CHRONICCONDITIONS

High blood pressure,which places extra force

on arterial walls, damagesproteins that help keepblood vessels flexible. Un-controlled diabetes leadsto high blood sugar levelsthat cause strands of pro-teins in arteries to bind to-gether, which increasesoverall rigidity.

QUIT SMOKING

The chemicals incigarettes damage the in-side lining of arteries, al-lowing more fatty plaquesto stick to vessel walls.


Understandingyour risk for

Alzheimer’sARA

Scientists are still racingto find a cure forAlzheimer’s disease. Al-

though there currently is nocure for Alzheimer’s, evi-dence points to strategies in-dividuals can take to helpslow the onset of the diseaseor help prevent memoryloss.

Although the symptomsand onset of Alzheimer’s dis-ease are most notable duringa person’s senior years, sci-entists say that the neurolog-ical changes of Alzheimer’sactually may start much ear-

lier on — as early as when aperson is in his or her 20s. Afrantic lifestyle, poor dietarychoices and inactivity cancontribute to Alzheimer’sover one’s lifetime. Recog-nizing behaviors or otherhabits that may contribute toAlzheimer’s is the first step tomaking changes to preventthe condition.

KNOW THE FACTS

• Obesity can increaserisk for Alzheimer’s.

• Smoking after the age of65 makes a person almost 80percent more likely to devel-op Alzheimer’s.

• Diabetics are twice aslikely to get the disease.

• Genetics are only re-sponsible for about one-quarter of Alzheimer’s cases.

PREVENTATIVE MEASURESAlthough there aren’t any

magic pills or potions, thereare easy things anyone cando to reduce risk ofAlzheimer’s disease.

• Stop smoking and great-ly reduce alcohol intake.

• Manage diet to controlor prevent diabetes.

• Avoid activities that canlead to head injuries.

• Eat a balanced diet, andone that limits processedfoods.

• Enjoy brain-friendlyfoods, such as those high inOmega fatty acids.

• Make attempts to reducestr ess.

• Avoid a sedentarylifestyle and behaviors thatlead to obesity.

• Prevent high cholesteroland hypertension.

• Get plenty of sleep andrestorative rest.

• Keep the mind activewith puzzles, reading andother thought-inducing ac-tivities.

The Mayo Clinic reportsthat exercise is very impor-tant to keeping Alzheimer’sat bay. In fact, it may be themost important componentof preventing the disease.Scientists have documentedthat physical activity effec-tively reduces the probabilityof Alzheimer’s disease andother dementias over the du-ration of time. This makesexercise an essential part ofanyone’s lifestyle.

....

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RH photo/Jade CodyPat Howden does tricep extensions at Gold’s Gym in Loveland.

For the RecordAfter bout with alcohol andcigarettes, Pat Howden vowsto muscle the most out of lifeJade CodySpecial Sections Editor

At 67 years old, PatHowden knows hisway around the

weight room. The Harvord,Ill., resident was recently atGold’s Gym in Loveland,on a mission to do 3,350 tri-cep extensions in 46 min-utes, something he believesto be a world record.

Howden described him-self as a former alcoholicand a former smoker ofthree-to-four packs a day.

Now abstinent from alcoholand tobacco, he considershimself lucky.

“I was a functioning alco-holic,” he said. “I was ascheduled drinker.”

More than thirty yearsago, after hearing his youngson ask him why he alwayscame home and drank,Howden began to realizehe had to make a change.“I was so sick ... I could notremember my own kids.

“So for the first time in 30years, I did not have adrink. I quit cold turkey,”

he said, acknowledginghow lucky and rare it is forsomeone to be able to quitwithout outside help.

Now Howden, a painterby trade, focuses his energyon working out six times aweek, doing thousands ofrepetitions of curls, tricepextensions and other typesof weightlifting. EveryTuesday is record day, andhe tries to set records forconsecutive repetitions.

His goal is to find ways tospread his message aboutalcohol and tobacco use,and to eventually use hisrepetitions to raise moneyfor charity in some capaci-ty.

“For every rep I do, Iwant to donate money.

That’s my goal,” he said.With a new lease on life,

Howden said his healthyhabits include eating plentyof fresh veggies and choco-late milk. “I haven’t had aFrench fry in I bet 15years,” he said.

Howden plans to set arecord for bench pressing40 pounds more than 1,460times in a row. “I don’t giveup. If you want to do some-thing bad in life, you cando it.

“Thirty years ago Icouldn’t climb a ladder. Ihad gout and hemorrhoids.When I quit drinking, I lost25 pounds in a couplemonths,” he said.

“I can climb a ladder likeyou wouldn’t believe now.”


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Jennifer LehmanSpecial Sections Re-por ter

Groups of peo-ple all overNorthern Col-

orado and southernWyoming, from Long-mont to Laramie, fromFort Collins to Ovid,gather, sometimes sev-eral times a month, totwirl, circle, enjoy eachothers company andmove across the floorin time to steps andsong in the Americantradition of squaredancing.

At the SquareDusters HalloweenDance on October 29,Santa Claus, MiniMouse and Toy Story’sWoody among manyothers do-si-doed andtraveled the dancefloor in their squares atClub Tico in down-town Fort Collins.

The Square Dusters,one of the two squaredance clubs in FortCollins, is nearly 50years old.

Barbara and DennisMiller, the class coordi-

nators for the clubstarted square dancing20 years ago, takingtime off when theirkids were young andthen coming back.

Square dancing isuniquely American,Dennis said, combin-ing dance traditions ofpeople that came tothe country. Now,square dancing ispracticed all over theworld, in places likeJapan, Germany andAustralia. Squaredance calls, the stepssung and announcedby the caller are al-ways spoken in En-glish, Dennis said.

For the MainstreamBasic level of squaredancing there are 70calls and SquareDusters members at-tend the classes tohelp guide new stu-dents, and it takesabout two months forstudents to be ex-posed to enough callsto enjoy a squaredancing event.

At a square dancingevent, there are severaldance sets called tips,

which are the lengthof two songs. In be-tween the tips areround dances which iscouple dancing, andoften people use thisperiod to take a breakbefore the next tip be-gins.

The driving forcebehind the squaredance is the caller whosings the tunes andthen goes through themovements in timewith music, sometimestraditional music andsometimes contempo-rary music that hasbeen re-recorded towork as square dancemusic.

Dennis finds the

challenge of being be-ing able to follow thecalls and execute themand have everybodystay synchronized to acertain degree themost enjoyable part.

“And it looks so coolwhen you do (syn-chronize), and youfeel good when youget it all right,” Barbarasaid.

For participants,lessons are a jumpingoff point to get into thesquare dancing cul-ture. Lessons help cre-ate a bond amongstthe people that dancetogether, Barbara said,and these groups alsotend to dance together

at the square dancingevents. She said it’s im-portant to spread outand dance with othersas well but that it’samazing how peopleform friendships withthe couples they aredancing with.

When Linda andRalph Goble startedlessons with the Love-land Foot and Fiddlesquare dance club in2003, there was asurge in their sociallife. The Gobles livenear Red Feather lakesand before they startedtaking lessons werebusy raising their fami-ly and running a busi-ness with little time left

Do-si-dotoHealth

Square dancing ishealthful and fun forNorthern Colorado

seniors

RH Photos/Jennifer LehmanLocal square dancers take a spin at the Halloween square dance puton by the Square Dusters, one of the Fort Collins square dance clubs.


over for a social life.“Once we started

square dancing, weimmediately made 50new friends,” she saidand these new rela-tionships are her fa-vorite part of squaredancing.

“I enjoy the socialpart of it. If there’s a lotof single ladies thatdon’t have a partner, Ishare my husband andthat gives me time tojust run around andsocialize,” Goble said.

The couple hadtried all kinds of danc-ing before said Goble,but her husband hadtwo left feet and didn’tenjoy it. She con-vinced him to trysquare dancing andthe were both hooked.

“If you can shakehands and walk, youcan learn to squaredance,” Goble said.

Now the Gobles arethe presidents of TheFoot and Fiddle andthe club is celebrating50 years. In June theystarted a new squaredancing club in Liver-more called the Pon-derosa Promenaders— the newest squaredancing club in Col-orado with 17 of theirneighbors as mem-bers. The couple di-vide their time be-tween the Lovelandclub and all the otherdances held by the dif-ferent square dancingclubs in Northern Col-orado including theclubs in Fort Collins,Longmont, Greeley,Fort Morgan, Laramieand Cheyenne.

The socialization ofsquare dancing, thephysical activity — intwo hours of dancingpeople’s pedometershave recorded be-

tween five and 10miles of steps, — andthe mental attentionrequired in the dancemake square dancinga unique activity that isbeneficial for seniors.

Michael Carey, M.D.,a family physician spe-cializing in senior careat Windsor MedicalClinic said that squaredancing is great forboth physical activityand staying social.

“A lot of times se-niors are kind of in-clined to not doinganything,” he said, ex-cept maybe go out todinner. Activities likesquare dancing helpkeep them young, hesaid.

Some of Carey’s pa-tients are squaredancers and he saidthe ones who are intoare often very enthusi-astic, not allowing oth-er activities to interferewith their squaredancing events.

The physical aspectis important becausesquare dancing can bea good source of exer-cise, but just leavingthe house and doingsomething is an im-portant part of stayingyoung as a senior andthroughout life, hesaid.

Not everyone canget into routine exer-cise and stretching, butsomething with a pur-pose that’s fun likesquare dancing can bea motivator to stay ac-tive, Carey said.

“You are as youngas you act and youfeel,” Carey said.

The nature of squaredancing requires a lev-el of concentrationand memorization thatkeeps the brain active.

The more seniors, or

anyone for that matter,use their brain, thebetter, Carey said.

“It’s pretty easy tokind of decide I’m old,I can sit back and relaxand do nothing,”Carey said, which is abad idea.

Carey said it is wisefor people to discussstarting up squaredancing with theirdoctor if they havespecific health con-cerns, but most peoplecan do it if they justget out the door andgo.

“It’s better to wearout than to rust out,”he said.

Carey said he playsa lot of tennis andthere are people intheir 80s that are run-ning him off the court.

“It’s all about atti-tude. Attitude is every-thing,” Carey said.

The seniors that livethe best are the onesthat continue to be ac-tive along with fulfill-ing any obligations,Carey said, like thosethey have with work,volunteering or theirhobbies. Most peopleare able to live that

way, Carey said.“Despite the joys of

the golden years, weall have some infir-maries, but they areusually not so limitingthat you can’t findsomething that willkeep your body morefit and your mindmore active.”

“Square dancing cer-tainly would qualify.”

Carey said that ingeneral, the more peo-ple try to do thingsthey would have doneat a younger age, theyounger they last.

“Very rarely do yousee a 95-year-old whosat and read all thetime by themselves,”he said.

“The ones that live alot longer continue toparticipate in activities

as if they were 20years younger,” hesaid like gardening,cleaning the house,being social and in-volved.

The Millers enjoythe social and healthbenefits and for themsquare dancing is a lotmore fun thanscheduling sweatygym visits.

“We ’d rather sweaton the dance floor,”Barbara said.

Goble has noticedsome health benefitsas well. Around thetime she started takinglessons, her choles-terol was at 370, whenshe got it checkedagain six months later,it had gone down to275. She said duringthat time she was do-


DanceFrom Page 10

ing nothing except the exercisefrom square dancing.

Goble has also noticed thatsquare dancing helps ease thediscomfort of her sciatic nerve. “IfI don’t dance, it really starts both-ering me. Once I start dancingagain, it goes away,” she said.

“I know there are people thatsay they can’t dance because oftheir hips or their knees. I alsothink some people think theycan’t or don’t want to,” she said.

Goble said there are people re-ally getting up in years on thedance floor.

“They move slowly, but theymove. They are out there doing itbecause they know it’s good forthem. It may be like me, it may bethe only exercise I get, the rest ofthe time I’m driving back and

forth to the dances.”

The Gobles make square danc-ing a part of every vacation. Theytravel around in their motorhomewith a director that lists the squaredancing clubs in every state andtheir contact information. “Sowhen we want to dance, we usu-ally can find a place to go,” shesaid.

The Gobles attend squaredance events all over the countryevery year including the NationalSquare Dance Convention , afour-day dance festival in Indio,Calif. and they spend a week inMontana at a campground wherethey square dance all day.

For more information on whereto find lessons or square dancingevents in Northern Colorado, con-tact Linda Goble at 970-498-8997.

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HL The Healthy Plate

Jim RomanoffThe Associated Press

Thanksgiving dinnertypically isn't a particu-larly virtuous meal, but

there are simple ways tolighten the load.

Gravy is a good place tostart. Traditionally, gravy ismade by browning flour inthe fatty drippings left in thepan from the roasted turkey— clearly not a low-fat tech-nique. Fortunately there areother ways to thicken gravythat don't require all the fat.

Cornstarch can be used toproduce a gravy that is thickand glossy and reheats well.It's just a matter of using thecornstarch to thicken hotbroth or stock (most pack-aged varieties contain almostno fat), which can be sea-soned however you like.

To make a cornstarchgravy, start by making a slur-ry (blend) of cornstarch and asmall amount of cold liquid(generally water or broth).You will need about 1 table-spoon of cornstarch to thick-en about 11/2 to 2 cups ofgravy.

Don't add powdered corn-starch directly to a hot liquid;it will clump. The gravy alsoneeds to be whisked brisklyto ensure a smooth texture,and must be heated longenough to cook off its starchyf l a v o r.

Arrowroot is another plant-based starch that will thickenliquids without flour or fat.Like cornstarch, it will make atransparent, glossy gravy, yetleaves behind no flavor of itsown. Unfortunately, arrow-

root-thickened gravy doesnot reheat well, so don't useit if you plan on having left-overs or want to make thegravy ahead of time.

To prepare an arrowroot-thickened gravy, use 2 to 3teaspoons of arrowroot (pre-pared as a slurry similar tocornstarch) for each cup ofgravy.

Another excellent choicefor fat-free thickening is aquick mixing or instant flour,such as Wondra. This productis a finely milled, low-glutenflour that can be added to hotor cold liquids. Wondramakes a smooth gravy, simi-lar to those made with flourand fat, and almost never de-velops lumps. Use about 2 ta-blespoons for each cup ofliquid to be thickened.

Of course, since fat addsflavor, low-fat gravies can endup bland if you don't alteryour recipe a bit.

Making your own turkeybroth from the giblets or us-ing the defatted drippingsfrom the roasting pan aregood ways to keep the fla-vors vibrant. You also canadd other taste boosters, suchas herbs or even pureed,roasted garlic.

This citrus-miso gravy getsa complex, savory characterfrom the addition of sweetwhite miso paste, which ismade from fermented soybeans and can be found atmost grocers near where tofuis sold. The salty, mellowmiso complements the flavorof chicken or turkey brothand is well-balanced by thebrightness of dry white wineand a touch of orange zest.

AH e a l t hytwist on

G rav y

CITRUS-MISO GRAVYStart to finish: 20 minutesMakes about 4 cups

Ingredients:2 teaspoons vegetable or canola oil1 small yellow onion, finely chopped6 tablespoons all-purpose flour2 tablespoons sweet white miso1/4 cup white wine4 cups low-sodium chicken broth1/2 teaspoon orange zestGround black pepper, to taste

In a large saute pan over medium-high, heat the oil.Add the onion and saute until caramelized and goldenbrown, about 12 to 15 minutes.

Add the flour, miso and white wine, then bring to a sim-mer, whisking and scraping the bottom of the pan. Add 1cup of the broth and whisk until smooth. Add the remain-ing broth and the zest. Whisk vigorously, then cook for 5to 7 minutes, or until thickened. Season with black pep-p e r.

Nutrition information per 2 tablespoons (values arerounded to the nearest whole number): 19 calories; 8 calo-ries from fat (42 percent of total calories); 1 g fat (0 g satu-rated; 0 g trans fats); 0 mg cholesterol; 2 g carbohydrate; 1g protein; 0 g fiber; 43 mg sodium.

14 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado N ove m b e r 18, 2010 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado N ove m b e r 18, 2010 15

Jennifer LehmanSpecial Sections Reporter

Prostate cancer afflictshundreds of thousands ofmen in the United States

each year and is unique in itsnumber of treatment options.

While most cancers generallyhave one standard of care thatis used to treat the illness,prostate cancer has several stan-dard of care options that can beequally effective, said JoshuaPetit, M.D. and Radiation On-cologist at PVHS.

Thus, the decision of whichtreatment path to take becomesa more personal one that is upto the patient, Petit said, de-pending on how advanced thecancer is and how healthy thepatient is.

The differences between thevarious treatment options be-comes the potential risks andinconveniences and what theperson is comfortable with, hesaid.

For patients, having tochoose the route of treatment isharder than having the doctorlay the only option on the table,Petit said.

After learning of a prostatecancer diagnosis, Petit said thefirst step is for the patient togather a team of doctors togeth-er that can guide them throughthe cancer journey: a surgeon,

urologist, radiation oncologist,and possible a medical oncolo-gist and their primary physician.

“Once you have a team, youhave to talk about what info isnecessary to make an informeddecision,” Petit said.

“The key,” Petit said, “is find-ing the team of doctors that youtrust and who has experienceand expertise in treatingprostate cancer, because again,every case is so different, thetreatment I would give this pa-tient has absolutely nothing todo with the treatment this otherperson received, even if theyboth received radiation beamtherapy, it may not be similar atall to what this patient experi-enced.”

To begin, patients need todetermine if they even want totreat the cancer at all, Petit said.

“The thought process is prettysimple,” Petit said, “Do I needto treat this cancer at all, is itlikely to cause harm in my life,or is it something I will live withand die from something else.”

“That’s the first thing I discusswith a patient, do they evenneed to treat it,” he said.

Some patients may choosethis course called active surveil-lance, because of their age, cur-rent health, their preference fortreatment and because prostatecancer often grows slowly.

Depending on the type of

cancer and the patient’s life ex-pectancy, the best decision maybe to move forward with treat-ment. For patients with local-ized cancer possible treatmentoptions include surgery to re-move the prostate gland, exter-nal radiation beam treatmentand getting radioactive seed im-plants.

The radiation options havebeen around for decades butare now more effective than ev-er because they are more fo-cused and precise with less sideeffects, Petit said.

Radioactive seed implants aremade out of titanium surgicalclips, like those used in manyother surgical procedures, andare implanted into the prostategland. The center of each clipcontains a radioactive materialthat burns out over time. Theclips remain in the body as inother surgical procedures anddo not set off security alarms orinterfere with having an MRI,Petit said.

If the cancer has alreadyspread to other parts of thebody, the cancer is then treatedas a chronic condition. Forthese patients, the goal is differ-ent, Petit said, the goal is tomaintain a high quality of lifefor many years while living withthe cancer as a chronic illness.Related treatment options in-clude hormone suppression

(lowering testosterone slowsthe growth of the cancer),chemotherapy therapy and theprostate cancer vaccine.

Petit said that in general high-er risk treatments are used onyounger patients, but that mosttreatment options are availableto a variety of age groups andthe choice of treatment is basedmore on the health of the pa-tient and what they are motivat-ed to with their bodies, he said.

“With modern technology thetreatments are all very well tol-erated,” Petit said.

Larry Hagan was diagnosedwith prostate cancer last sum-mer at age 62. His family physi-cian did the digital rectal exam,“Not one of the more pleasantadventures to go through,” butit caught his cancer, Hagan said.

He was referred to a urologistwho did the biopsy and con-firmed he had prostate cancer.

Though it was not unexpect-ed, because he has a family his-tory of it, he said it is still toughto hear no matter what.

After the diagnosis is whenthe hard part begins, Hagansaid, because of the severalways one can pursue treatmentof prostate cancer.

To make the decision abouthis treatment direction, Haganspoke with his doctors andfriends from church who hadgone through it before. Right af-

ter starting the treatment pro-cess, he joined the local Ameri-can Cancer Society’s Man toMan prostate cancer supportgroup facilitated by McKeeMedical Center.

But what is boils down to isthat you still have to make upyour own mind, Hagan said.

Hagan said Petit laid out all ofthe options on the line andgave him the pros and cons.

“More than anything it boileddown to a comfort level withDr. Petit, his background andhis approach to me seemed themost comfortable,” Hagan said.

Hagan did a combination oftreatments starting with hor-mone suppression to cut thetestosterone level, slowing thecancer growth and reducing thesize of the prostate, he said.Then he underwent externalbeam radiation followed byseed implant radiation.

Hagan said he recently had aphysical because he’s consider-ing retirement. His Prostate-Specific Antigen level wasdown to 0.13, which indicatesthat the radiation he underwentprobably killed all the cancer,he said. Now he said he willwait and see if the cancer evermoved beyond the prostate, be-cause it is common in thosecases to wind up with bonec a n c e r.

“I would encourage men tonot be afraid or not to delay thenotorious finger wave or thedigital rectal exam,” Hagan said.

A patient’s doctors are an im-portant part of the decisionmaking process but friends,family and support from otherprostate cancer patients can al-so be helpful as the patient de-cides what to do.

At the local American CancerSociety’s Man to Man ProstateCancer Support Group, facilitat-ed by McKee Medical Center,the need for education and tes-timonials reflects the myriad ofoptions when treating the ill-ness.

John Ratcliffe of Lovelandwas diagnosed with prostatecancer at the end of 2005 when

he was 69.“The doctors won’t tell you

that you’re over it because onenever knows if you’re com-pletely over it,” Ratcliffe said,The odds are that somethingelse would get me before thatdoes now, so that’s goodenough.”

Ratcliffe said the dread oflearning a cancer diagnosisspurs the need to evaluate all ofthe information that is available“to make realistic determina-tions of how you choose tofight the thing.”

He joined the support groupsoon after his diagnosis to learnabout available treatments andto hear first hand what othershad experienced with theirtr eatments.

“Talking to people is oftenbetter or at least a good adjunctto reading the mountains ofstuff that’s on the internet, Rat-cliffe said, “and that’s thestrength of this support group Ithink.”

“I think that is very helpful forpeople to go to support groupsand talk to other men and hearwhat their experience was likethrough each treatment,” Petitsaid, “That’s often times whatthe decision boils down to,what will the experience belike.”

However, Petit said, it is im-portant to know that the experi-ences of men who have hadtreatment 5-10 years ago maybe very different than what acurrent patient may experiencebecause every case is specific tothe individual and treatmentoptions have continued to im-prove over the years.

Ratcliffe has remained activein the support group for the ed-ucation benefits and to help of-fer perspective to other mem-bers of the group.

For Ratcliffe, prostate cancerwas a bump in the road he ishappy to leave behind. But be-cause it’s impossible to know ifcancer is ever gone completelyor will never return, he likes tobe aware of new treatment op-tions, learning about other tools

for longevity such as dietthrough various health profes-sionals that speak to the groupand speaking with others abouttheir experiences.

“There are some other folksthat I have met at this supportgroup that are utterly terrified,(of getting it again) or catchinga cold and thinking their canceris back. I try to reassure thesefolks that this isn’t the end ofthe road, that there’s more tolife. I think that’s a good thingsabout this support group, peo-ple can help each other throughthis difficulty,” Ratcliffe said.

The incidence of prostatecancer goes up with age, Petitsaid. “In general the older you

are, the higher the probabilitythat you will develop prostatec a n c e r. ” The cancer becomesmore common with every pass-ing decade of life, he said andwhile it is less common to see itin men under 40, it is not un-heard of.

“If you’re going to have can-cer, this is the one to have, be-cause its one of the most treat-able,” Hagan said.

“With modern screening forcancers and modern treatmentoptions, the great majority ofmen who are diagnosed withprostate cancer are cured. Ithink that’s important for peo-ple to know,” Petit said.

MAN TO MAN PROSTATE CANCER SUPPORT GROUP

When: 5:30 to 7 p.m. the fourth Thursday of themonth

Wher e: McKee Conference and Wellness CenterContact: Call 970-622-1961 for more information.

C E L E B R AT EM OV E M B E R

It’s time to grow outthat stache. Accord-ing to the website

( w w w . m o v e m b e r. c o m )for the prostate cancerawareness groupMovember, “Movem -ber (the month former-ly known as Novem-ber) is a moustachegrowing charity eventheld during Novembereach year that raisesfunds and awarenessfor men's health.”

The organizationstarted in Australia andnow claims member-ship support in Aus-tralia, several Europeancountries, South Africa, the United States and Canada.

Many organizations have struck up their own interpreta-tion of the month finding new ways to vocalize awarenessand support prostate cancer patients and families.

To find Movember events happening near you, checkout http://us.movember.com/events/find-an-event/.

FindingDirection

The hardest thing about prostate canceris deciding how to treat it

14 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado N ove m b e r 18, 2010 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado N ove m b e r 18, 2010 15

Jennifer LehmanSpecial Sections Reporter

Prostate cancer afflictshundreds of thousands ofmen in the United States

each year and is unique in itsnumber of treatment options.

While most cancers generallyhave one standard of care thatis used to treat the illness,prostate cancer has several stan-dard of care options that can beequally effective, said JoshuaPetit, M.D. and Radiation On-cologist at PVHS.

Thus, the decision of whichtreatment path to take becomesa more personal one that is upto the patient, Petit said, de-pending on how advanced thecancer is and how healthy thepatient is.

The differences between thevarious treatment options be-comes the potential risks andinconveniences and what theperson is comfortable with, hesaid.

For patients, having tochoose the route of treatment isharder than having the doctorlay the only option on the table,Petit said.

After learning of a prostatecancer diagnosis, Petit said thefirst step is for the patient togather a team of doctors togeth-er that can guide them throughthe cancer journey: a surgeon,

urologist, radiation oncologist,and possible a medical oncolo-gist and their primary physician.

“Once you have a team, youhave to talk about what info isnecessary to make an informeddecision,” Petit said.

“The key,” Petit said, “is find-ing the team of doctors that youtrust and who has experienceand expertise in treatingprostate cancer, because again,every case is so different, thetreatment I would give this pa-tient has absolutely nothing todo with the treatment this otherperson received, even if theyboth received radiation beamtherapy, it may not be similar atall to what this patient experi-enced.”

To begin, patients need todetermine if they even want totreat the cancer at all, Petit said.

“The thought process is prettysimple,” Petit said, “Do I needto treat this cancer at all, is itlikely to cause harm in my life,or is it something I will live withand die from something else.”

“That’s the first thing I discusswith a patient, do they evenneed to treat it,” he said.

Some patients may choosethis course called active surveil-lance, because of their age, cur-rent health, their preference fortreatment and because prostatecancer often grows slowly.

Depending on the type of

cancer and the patient’s life ex-pectancy, the best decision maybe to move forward with treat-ment. For patients with local-ized cancer possible treatmentoptions include surgery to re-move the prostate gland, exter-nal radiation beam treatmentand getting radioactive seed im-plants.

The radiation options havebeen around for decades butare now more effective than ev-er because they are more fo-cused and precise with less sideeffects, Petit said.

Radioactive seed implants aremade out of titanium surgicalclips, like those used in manyother surgical procedures, andare implanted into the prostategland. The center of each clipcontains a radioactive materialthat burns out over time. Theclips remain in the body as inother surgical procedures anddo not set off security alarms orinterfere with having an MRI,Petit said.

If the cancer has alreadyspread to other parts of thebody, the cancer is then treatedas a chronic condition. Forthese patients, the goal is differ-ent, Petit said, the goal is tomaintain a high quality of lifefor many years while living withthe cancer as a chronic illness.Related treatment options in-clude hormone suppression

(lowering testosterone slowsthe growth of the cancer),chemotherapy therapy and theprostate cancer vaccine.

Petit said that in general high-er risk treatments are used onyounger patients, but that mosttreatment options are availableto a variety of age groups andthe choice of treatment is basedmore on the health of the pa-tient and what they are motivat-ed to with their bodies, he said.

“With modern technology thetreatments are all very well tol-erated,” Petit said.

Larry Hagan was diagnosedwith prostate cancer last sum-mer at age 62. His family physi-cian did the digital rectal exam,“Not one of the more pleasantadventures to go through,” butit caught his cancer, Hagan said.

He was referred to a urologistwho did the biopsy and con-firmed he had prostate cancer.

Though it was not unexpect-ed, because he has a family his-tory of it, he said it is still toughto hear no matter what.

After the diagnosis is whenthe hard part begins, Hagansaid, because of the severalways one can pursue treatmentof prostate cancer.

To make the decision abouthis treatment direction, Haganspoke with his doctors andfriends from church who hadgone through it before. Right af-

ter starting the treatment pro-cess, he joined the local Ameri-can Cancer Society’s Man toMan prostate cancer supportgroup facilitated by McKeeMedical Center.

But what is boils down to isthat you still have to make upyour own mind, Hagan said.

Hagan said Petit laid out all ofthe options on the line andgave him the pros and cons.

“More than anything it boileddown to a comfort level withDr. Petit, his background andhis approach to me seemed themost comfortable,” Hagan said.

Hagan did a combination oftreatments starting with hor-mone suppression to cut thetestosterone level, slowing thecancer growth and reducing thesize of the prostate, he said.Then he underwent externalbeam radiation followed byseed implant radiation.

Hagan said he recently had aphysical because he’s consider-ing retirement. His Prostate-Specific Antigen level wasdown to 0.13, which indicatesthat the radiation he underwentprobably killed all the cancer,he said. Now he said he willwait and see if the cancer evermoved beyond the prostate, be-cause it is common in thosecases to wind up with bonec a n c e r.

“I would encourage men tonot be afraid or not to delay thenotorious finger wave or thedigital rectal exam,” Hagan said.

A patient’s doctors are an im-portant part of the decisionmaking process but friends,family and support from otherprostate cancer patients can al-so be helpful as the patient de-cides what to do.

At the local American CancerSociety’s Man to Man ProstateCancer Support Group, facilitat-ed by McKee Medical Center,the need for education and tes-timonials reflects the myriad ofoptions when treating the ill-ness.

John Ratcliffe of Lovelandwas diagnosed with prostatecancer at the end of 2005 when

he was 69.“The doctors won’t tell you

that you’re over it because onenever knows if you’re com-pletely over it,” Ratcliffe said,The odds are that somethingelse would get me before thatdoes now, so that’s goodenough.”

Ratcliffe said the dread oflearning a cancer diagnosisspurs the need to evaluate all ofthe information that is available“to make realistic determina-tions of how you choose tofight the thing.”

He joined the support groupsoon after his diagnosis to learnabout available treatments andto hear first hand what othershad experienced with theirtr eatments.

“Talking to people is oftenbetter or at least a good adjunctto reading the mountains ofstuff that’s on the internet, Rat-cliffe said, “and that’s thestrength of this support group Ithink.”

“I think that is very helpful forpeople to go to support groupsand talk to other men and hearwhat their experience was likethrough each treatment,” Petitsaid, “That’s often times whatthe decision boils down to,what will the experience belike.”

However, Petit said, it is im-portant to know that the experi-ences of men who have hadtreatment 5-10 years ago maybe very different than what acurrent patient may experiencebecause every case is specific tothe individual and treatmentoptions have continued to im-prove over the years.

Ratcliffe has remained activein the support group for the ed-ucation benefits and to help of-fer perspective to other mem-bers of the group.

For Ratcliffe, prostate cancerwas a bump in the road he ishappy to leave behind. But be-cause it’s impossible to know ifcancer is ever gone completelyor will never return, he likes tobe aware of new treatment op-tions, learning about other tools

for longevity such as dietthrough various health profes-sionals that speak to the groupand speaking with others abouttheir experiences.

“There are some other folksthat I have met at this supportgroup that are utterly terrified,(of getting it again) or catchinga cold and thinking their canceris back. I try to reassure thesefolks that this isn’t the end ofthe road, that there’s more tolife. I think that’s a good thingsabout this support group, peo-ple can help each other throughthis difficulty,” Ratcliffe said.

The incidence of prostatecancer goes up with age, Petitsaid. “In general the older you

are, the higher the probabilitythat you will develop prostatec a n c e r. ” The cancer becomesmore common with every pass-ing decade of life, he said andwhile it is less common to see itin men under 40, it is not un-heard of.

“If you’re going to have can-cer, this is the one to have, be-cause its one of the most treat-able,” Hagan said.

“With modern screening forcancers and modern treatmentoptions, the great majority ofmen who are diagnosed withprostate cancer are cured. Ithink that’s important for peo-ple to know,” Petit said.

MAN TO MAN PROSTATE CANCER SUPPORT GROUP

When: 5:30 to 7 p.m. the fourth Thursday of themonth

Wher e: McKee Conference and Wellness CenterContact: Call 970-622-1961 for more information.

C E L E B R AT EM OV E M B E R

It’s time to grow outthat stache. Accord-ing to the website

( w w w . m o v e m b e r. c o m )for the prostate cancerawareness groupMovember, “Movem -ber (the month former-ly known as Novem-ber) is a moustachegrowing charity eventheld during Novembereach year that raisesfunds and awarenessfor men's health.”

The organizationstarted in Australia andnow claims member-ship support in Aus-tralia, several Europeancountries, South Africa, the United States and Canada.

Many organizations have struck up their own interpreta-tion of the month finding new ways to vocalize awarenessand support prostate cancer patients and families.

To find Movember events happening near you, checkout http://us.movember.com/events/find-an-event/.

FindingDirection

The hardest thing about prostate canceris deciding how to treat it


Avoid weight gain after knee surgeryHL Ask Dr. H

DR. MITCHELL HECHTTRIBUNE MEDIA SE RV I C E S

Question: I recently read about astudy that showed that mostpeople who have had knee replacement surgery gain weight

rather than losing weight afterwards. Whydo you think that is so?

Answer: You would think that over-weight people with severe osteoarthritisin their knees would, if given the oppor-tunity to walk and exercise again, losesome of the additional weight that result-ed from limited mobility. But according toa recent study conducted at the Universi-ty of Delaware (January 15, 2010 issue ofOsteoarthritis and Cartilage), most folksafter knee replacement surgery droppedweight while receiving post-op physicaltherapy but gained an extra 14 poundsover the next two years. What appears tobe the case is that 1) the sedentarylifestyle that folks have due to their de-generative knees is a tough habit to break

— even when given a second chance;and 2) the excess calorie consumptionand poor dietary habits that caused themto become obese in the first place still re-main.

An important reason why gainingweight after a total knee replacement is acause for concern is that it will greatly in-crease the chance that the other knee willsoon need replacement.

An important conclusion from thisstudy is that weight gain after surgeryneeds to be treated as a separate concernand integrated into the usual post-op carethrough nutritional counseling and re-training patients to en courage a more ac-tive lifestyle.

Question: I was put on Amarylfor diabetes and ever since I’vebeen on it, my weight has beengoing up. Can you tell me

what’s going on? Are there other optionsfor me that won’t make me gain weight?

Answer: The weight gain you’re expe-riencing from Amaryl is due to the factthat it lowers blood sugar by pushing thepancreas to squeeze out even more in-sulin into the circulation. The insulinmolecule is the culprit in the diabeticweight gain mystery. The insulinmolecule does more than just lowerblood sugar. It encourages the formationand storage of fat in the body; encour-ages the storage of protein in the bodyderived from foods we eat; inhibits thebreakdown of fats and proteins for ener-gy; and works to enhance the activity ofgrowth hormone.

Taking insulin shots will al so causeweight gain; but so does any diabetic pillthat works by pushing the pancreas tomake more insulin. The more “moder n”approach to “adult-onset” diabetes is totry to increase the body’s sensitivity to in-sulin. Instead of putting more insulin into

� See DR. H/Page 21

....

��Columbine cares for seniors

“For each new morning with its light, For rest and shelter of the night, For health and food, For love and friends, For everything thy goodness sends.”

-Ralph Waldo Emerson

Be thankful . . . . . . . .

��

Th e WexfordIndependent Living��

Lakeview CommonsAssisted Living��

North Shore Health& Rehab Facility

Skilled Nursing��

HL-318899


Dr. Beth FiresteinUncommon Sense

Question: I love my family, butsometimes I really don’t likethem very much, and Thanksgiving is just around the corner.

My parents live about two hours away. Iam 33 years old, I work full-time and Iam in a good relationship with myboyfriend of three years. He doesn’tmind going to see my family for Thanks-giving, but it is stressful for me. It’s moreenjoyable to be around his family, andthey live a few hours away in the oppo-site direction from my parents. Whatshould I do?

Answer: It sounds like you have aloving but difficult relationship with yourfamily. You will probably need to make achoice this year between spending theholiday with your family or with yourboyfriend’s family due to the distance be-tween the households. Of course, there isalso the option of having an independentThanksgiving and spending that timewith your boyfriend and some of yourmutual friends.

Here are some factors to consider inmaking your decision.

1) Are there any special reasons that itwould be important to go to your fami-ly’s Thanksgiving this year, rather thanhis family’s gathering? Some reasonsmight be that this is the only year (or lastyear) that certain members of your familywill be at Thanksgiving. This could bedue to a family member having a termi-nal illness, a relative who will be movingto live abroad, or a special relative youreally want to connect with who is rarelyat your family’s gathering.

2) How well do you feel you can han-dle the inevitable stress associated withseeing your family this particular year? Ifyou are in a pretty good place and don’thave too many external stressors in yourlife, this might be a good year to partici-pate in the family Thanksgiving. Anotheryear might not be so good. Perhaps youcan create a new set of expectations withyour family around this tradition. Insteadof attending your family’s Thanksgivingevery year, perhaps you could alternatespending Thanksgiving with your family,your boyfriend’s family and possiblyeven going away for Thanksgiving orcelebrating with your own friends some

years.3) You love your family, even if you

don’t always like them. You should thinkcarefully about the fact that you lovethem and want to have some kind ofmeaningful relationship with them andhow this balances against your own sep-arate needs and comfort or discomfort inbeing around them. Sometimes it is moreimportant to express our love throughaction even if this produces some dis-comfort than it is to avoid that discomfortentirely. It may be a matter of scale: howsevere the discomfort and the relative im-portance of being with your family onthe holiday.

Keep in mind that you can also carveout quality time to spend with your fami-ly at other times, either near the holidaysor in between the holidays. These timescan sometimes be less stressful and moretime-limited: a few hours rather than allday or all weekend. I would also suggestconsidering your boyfriend’s feelings andthe how his family feels about being withthe two of you on the holidays. If this isalso important to him and to his family, itis also important to take his family’sneeds into account. These decisions arecomplicated and require self-honesty andcommunication. Whatever you decide letyour families know with tact and kind-ness.

Question: My sister and I had afight about three years ago andwe haven’t talked since thattime. The issue we fought

about, which seemed really important atthe time, doesn’t seem so important now.I think about her a lot, especially aroundthe holidays. I want to reach out to herbut I don’t know how, and I’m afraid shewill reject me. How can I build a newbridge between my sister and me?

Answer: Holidaysseem to bring up a lotof feelings about ourrelationships, espe-cially our relation-ships with membersof our family. Joys,losses and unre-solved conflicts allfloat into our minds.It seems like this isdefinitely happeningfor you. It is surpris-

ingly common for family members to be-come estranged from each other for anynumber of reasons. Some of these rup-tures last days or weeks, others can lastfor months or even years.

It sounds like you are at a point inyour life where your relationship withyour sister is more important than beingright about a conflict that happened along time ago. I encourage you to act onyour desire to build that bridge, but it isimportant to keep a few things in mind.First and perhaps most obvious: just be-cause you are ready to mend the rela-tionship doesn’t mean she is also ready.

You can extend the olive branch inseveral ways. You could send a card ormessage affirming your past positive re-lationship and your desire to have her inyour life again. It is often helpful to offera genuine apology for your part in ahurtful situation, or you can simply openthe door to a new relationship with yoursister by sharing some aspect of your lifewith her and inviting her to do the same.This is the part you have control over.You don’t, however, have any controlover what her response will be.

The most important thing to keep inmind is that you are doing this out oflove and to make things right. This actionfrees you from feelings of guilt or thepain of your part in an unresolved con-flict. Unfortunately, she may or may notbe in a place to accept your gesture ofreconciliation. If you choose to take thisrisk, be sure that you are ready to acceptthe outcome, no matter what it may be.She may be eager to re-embrace your re-lationship, she may reject your invitationto connect, or she may simply not beready to respond and do nothing. Feelgood about yourself for making the ef-fort. In the best of worlds, she will appre-ciate your effort and respond in kind —if not now, perhaps later.

Act kindly toward family during holidaysHL Uncommon Sense

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 .


Destination: Healthy

HL Destination: Healthy

Amanda Wicker is a Lovelandnative and the founder ofDestination: Healthy, a freeweight loss support group heldat Message of Life Ministries onthe first and third Tuesdays ofevery month. She also hostsDestination Healthy, a segmenton NOCO 5 News everyMonday Night at 10 p.m.Amanda has lost a total of 130pounds using diet and exercise.She can be reached [email protected] at mydestinationhealthy.com.

AM A N DA WICKERDE S T I N AT I O N : HE A LT H Y

Two of the things Ilove about the holi-days are the smells

and rich colors. Each seasonbrings something new to thetable. I know that there aremany things at this time ofyear that are hard on thewaistline; however, thereare some very healthy addi-tions as well. My favorite forthis time of year is pumpkin.

Pumpkin is not only awonderful flavor for ourpalate but extremely rich innutrients. Pumpkin is full ofantioxidants, vitamins, andminerals. One-half cup serv-ing also contains five gramsof fiber. Fiber helps reducebad cholesterol levels, con-trol blood sugar levels, aidsin digestion, and plays arole in weight loss. As youcan see there are many ben-efits to having pumpkin inyour diet. One way I haveincorporated it into my dietwas to look for five healthyrecipes I could try and sharewith friends and family. It isa fun way to enjoy the sea-son and stay healthy. Here

is one of my family’s fa-vorites of the recipes. I amthankful you can join me onthis health journey.

Pumpkin OatmealCookies

Ingredients:

1 cup applesauce

1 cup whole wheat Flour1/2 cup Splenda or sugar sub-

stitute

1 cup flour1/2 cup brown sugar

1 teaspoon baking soda

1 cup pureed Pumpkin

1 teaspoon cinnamon

2 eggs1/2 teaspoon nutmeg

1 teaspoon vanilla

3 cups rolled oats

Dir ections:

Heat oven to 350 degrees.Beat together applesauceand sugars. Add pumpkin,eggs, and vanilla; beat.

Mix in flours, baking so-da, and spices. Then stir inoats. Drop spoonfuls ongreased cookie sheets. Bake10-12 minutes. There areabout 50 calories per cook-ie. Enjoy.

The health of pumpkin

Dr. Pamela (Horstmeyer) Levineis now taking patients.

Dr. Levine offers holisticmedicine for the entire family.Special interests include:

� ��

� ��

� ��

� �� acupuncture

� ��

� ��

� ��

To make an appointment, call 970.392.4752.

For holistic family medicine, we’re here for you

�� !��2500 Rocky Mountain Avenue

Loveland, CO 80538

970.203.7180www.greeleymedclinic.com

HL-318208


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.

We l c o m eto the

Jade CodySpecial Sections Editor

They say that ageis just a number— you’re only as

old as you feel.Tell that to my Gold’s

Gym health avatar, whoI’ve named Gordy out ofanger and hostility. De-spite being born on thesame date and year as Iwas, he’s 12 years olderthan I am. I hate him.

Gordy was created tobe my identical fitnessand health twin, and tomake me feel bad aboutmyself. Whatever I havedone in my life, Gordyhas done. Whenever Ispend a night with myfriends Mr. Lasagna andMr. Beer, Gordy doestoo (don’t worry,Mr. Lasagna is the soberdriver).

The staff at Gold’shelped me create thismini-me by calculatingmy health information.It is part of the VisualFitness Planner (VFP)software that Gold’s us-

es to help guide itsmembers toward alonger, healthier life.The software uses basicinformation such as age,weight, height, lifestyleand family health historyto determine every per-son’s health age.

Once created, mem-bers are asked how theywould like their avatarto change. Since Gordyis packing a few extrapounds in the midsec-tion and has the muscledefinition of a bar stool,I decided a little weightloss and muscle gainwould greatly benefithim, er, us.

As would be done forGold’s members, thetrainers outlined a newexercise plan of re-demption that will getGordy in check, and injust six months, returnhim to his swimsuit fig-ur e.

As part of my newplan, I am supposed tostart eating at least a lit-tle something for break-

fast, begin working outfour-to-five times aweek instead of justthree, and add a dailymultivitamin to the mix.

If I stick to the plan, Ishould see real results insix months, or April 27.I’ll update you on myprogr ess.

I like the concept ofthe VFP software, and Ithink it could serve as agreat visual tool for peo-ple with dramaticweight loss goals. It alsoserves as a good re-minder of the impacts ofpoor health on a per-son’s life expectancy.Things like smoking,diseases in family histo-ry and a sedentarylifestyle bump up a per-son’s health age.

For me, I gained 12years almost purely onthe fact that it consid-ered me a smoker be-cause I used to chew to-bacco.

If you’re interested increating your ownGordy or Rhonda, giveGold’s a call, the assess-ment is free to allprospective and currentmembers.

This is Rhonda, my avatar Gordy’s second cousin. If she followsGold’s plan of fitness, she can reach her goal of 54 pounds of fatloss in as little as 5 months. Below, additional screen shots.

Health Age


SARA QUA L E , MMCPAID AD V E RT O R I A L

As part of BannerHealth’s continuedinvestment in heart

care in Northern Colorado,McKee Medical Center isrenovating its cardiac/inter-ventional radiology catheteri-zation lab.

In McKee’s cath lab, whichopened on Valentine’s Dayof 2000, workers areinstalling a General ElectricInnova 3100IQ imagingsystem. This machine is de-signed to perform a range ofcardiovascular and interven-tional radiology procedures.The technology is easy touse and continues to allowthe physician to focus on thepatient rather than the imag-ing system.

Lee Bellows, cath lab pa-

tient services senior manag-er, said the system will givephysicians the ability to docardiac and peripheral pro-cedures with the newesttechnology available. It willprovide better image qualityand offer reduced radiationexposure to patients.

Physicians from Banner’sCardioVascular Institute ofNorthern Colorado, servingNorth Colorado MedicalCenter and McKee, weighedin on the selection of the GEsystem. This is the same sys-tem used at NCMC’s cardiaccath lab. Having one systemat both hospitals makes iteasier for staff and physi-cians who work in bothplaces. “That improves ourquality of care,” Bellowssaid.

Tina Ryan, a radiologictechnologist, said the reno-

vation and addition of newequipment is an example ofBanner giving employees thetools they need to do theirjob. Because of that commit-ment, Ryan said the numberof people seeking heart careat McKee is increasing.

She cited an increase in thenumber of cardiac proce-dures done in the cath lab in2010 compared to 2009. Jan-uary-August 2010 showeddouble the number of car-diac patients compared towhat was done in the cathlab in all of 2009.

Work began in Octoberand is expected to concludein early 2011. In the meantime, cardiac cath andinterventional radiologyprocedures are done in adedicated operating room.

What happens in a cathlab?

In the cath lab, interven-tional cardiologists conduct a

special study of the heart.This study allows the physi-cian to see the chambers,valves or coronary arteries.To do the study, the physi-cian guides a thin plastictube or catheter through anartery or vein in the arm orgr oin.

This is a minimally-inva-sive way to treat some formsof heart disease. Doctors donot surgically open the pa-tient’s chest. They enter theheart through arteries in thelegs or arms. Then they usespecial tools to inject dye,clear blocked arteries or in-sert a stent (small metal tube)when needed. McKee offersmany cardiac and interven-tional radiology catheteriza-tion procedures including:Angioplasty (balloon),Diagnostic Catheterizations,Stent Implantation,ICD/Pacemaker Implant,Peripheral Vascular Proce-dures and Intervention.

Construction underwayon Banner lab

Photo Courtesy Banner HealthM c Ke e ’s cath lab will look like this once completed.

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Surviving the Holidays After the Death of a Loved One

A presentation for bereaved persons providing ideas to navigate the holiday season.

Thursday, November 18 • 1-2:30 p.m. And Again On:

Tuesday, December 7 • 7-8:30 p.m. NO FEE, NO REGISTRATION REQUIRED

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The Missing MolarsHL Ask a Health Pro

TED E. MIODUSKI, III, DDSPAID AD V E RT O R I A L

Question: Last year Ilost two molar teeth inmy lower jaw.What are my options

for replacement, and are thererisks to waiting a while?

Answer: These are greatquestions, and ones that we’refaced with daily. First off, wecan’t stress enough to patientsthat time is of the essence,with regard to replacing miss-ing teeth. Studies have demon-strated that 25 percent of sup-porting bone is lost during thefirst year after a tooth is re-moved. But, it doesn’t stopthere. Without the presence ofa tooth root or a dental im-plant, the supporting bone willgradually atrophy, or shrink.This atrophy can result in per-manent and irretrievable boneloss, a sunken facial appear-ance, shifting of adjacent teeth,and even problems with prop-er nourishment in certain cas-es.

Molars are actually the mostcommonly missing teeth. Infact, it is estimated that ap-proximately 65 percent of peo-ple ages 45-64 are missing atleast one molar tooth. This be-comes significant when weconsider the incredible crush-ing forces that molar teeth sus-tain. Without molars in themouth, there is a decreasedsurface area for chewing, and

other teeth must bear the bur-den of heavy chewing forces.Increased stress on other teethcan lead to problems with mo-bility, pain, fracture, and evenfurther tooth loss.

Enter the dental implant. Im-plants are small titanium an-chors placed within the jaw-bone, designed to provide afoundation for replacementteeth. When fully restored, im-plants look, feel and functionlike natural teeth. Perhaps bestof all, implants can hold thebone in its position, and mayhelp to actually resist bone lossin that site.

Research currently indicatesthat implants have higher long-term success rates as com-pared to traditional methods ofreplacing teeth, such as tooth-supported bridges. Becauseimplants are not prone to den-tal decay, they may last muchlonger than other options forsingle-tooth replacement.

Implants can be used to re-place a single missing tooth orcan be used to provide sup-port for a bridge that replacesseveral missing teeth. Addi-tionally, implants can providesupport for loose removablepartial dentures and completedentur es.

For more information aboutdental implants, and other op-tions for improving your smile,please call 970-663-1000 orvisit www.implantdds.com.

the circulation, why not getthe body to be come moresensitive to all that insulinthat’s already out there?The first step in that effortis weight loss through dietand exercise. As little as 5-10 pounds of weight losscan make the body awhole lot more sensitive toall the insulin that’s floatingaround. That’ll lowerblood sugar. If drugs areneeded, it may be firstworth trying a drug likeGlucophage (metformin).It works by getting thebody to use the insulin thatit already has, rather thangetting the body to makemore. Januvia and Onglyzaare pills that modestly low-ers blood sugar withoutany weight gain. Byetta,which does require two in-jections per day, not onlyeffectively lowers bloodsugar but causes a fewpounds of weight loss. Aonce-weekly shot of Byettais being considered by theFDA.

Question: I was re-cently diagnosedwith breast cancerand diabetes. The

oncologist I saw said thatthe metformin my primarycare doctor put me on fordiabetes will actually helpkill the breast cancer cells.Can you explain how itdoes that?

Answer: There is grow-ing evidence that met-formin used to treat dia-betes can slow the growthof cancer cells — especial -ly breast cancer.

The proposed mecha-nism by which metforminacts as an anti-breast can-cer agent is that metforminlowers insulin levels. Thehormone insulin stimulates

cell growth, and cancercells have 6-10 times thenumber of insulin recep-tors as do non-cancerouscells. Colon, breast, uter-ine, pancreatic andprostate cancer cells seemespecially sensitive to theeffects of insulin. In partic-ular, breast cancer cells areexquisitely sensitive to theeffects of the insulin hor-mone. Insulin may also in-fluence the activity of es-trogen, another hormonethat can trigger the growthof cancer cells.

It’s been observed forsome time that obese folkshave a higher incidence ofcolon, breast, uterine, pan-creatic and prostate cancer.Obesity tends to be associ-ated with higher levels ofinsulin and estrogen. Itmakes sense then that met-formin used in the treat-ment of diabetes, insulinresistance and polycysticovarian syndrome (condi-tions more prevalentamong the overweight andobese) may be helpful asan adjunctive treatment forbreast and other cancers.

Future research will beneeded to determine if insulin-lowering drugs likemetformin may play a fu-ture role in the preventionof breast cancer.

One important questionthat comes to mind whenlooking at this research is:Will the use of insulinshots or diabetic drugs thatin crease insulin levels in-crease one’s risk of breastand other cancers? The ex-pert consensus at this pointin time is that the benefit ofproperly treating diabetesand pre venting its seriousand irreversible complica-tions out weighs the po-tential in creased risk ofdeveloping cancer in thefutur e.

Dr. Mitchell Hecht is aphysician specializing ininternal medicine.

DR. HFrom Page 16


Metro Creative Services

In today’s volatile em-ployment market, work-ers who have jobs are

doing just about anythingthey can to keep them. Forsome, this can mean head-ing to work even when itmay be best to stay home.Other employees fail to takesick days because a day outof work means a day with-out pay.

Although there certainlyare employees who use sickdays when they have a snif-

fle or a splinter, many otherdiligent workers maintainnear-perfect attendance andchoose going to work whenthey should be resting athome.

Going into the officewhen ill is not a smart idea.Not only does it put otherworkers at risk for catchinggerms, but also chances arethe sick employee’s produc-tivity will be poor and he orshe may make mistakes thatcould cost the companymoney while under the fogof medication. Furthermore,working while sick will de-lay the body’s healing pro-

cess, which could escalatethe illness even further —leading to more sick daysneeded.

Although every symptomdoes not warrant a sick day,here are some symptomsthat could mean it’s time totake a day off.

STOMACH ISSUES

Vomiting and diarrhea aresymptoms of food poison-ing or other bugs that wreakhavoc on the gastrointestinalsystem. In general, these ill-nesses do not last longerthan 12 to 24 hours. It’smuch more convenient —and private — to do bath-room business in the com-forts of home.

FEVER

A higher fever (tempera-ture more than 101 degreesin adults) could be a signalof the flu or the body fight-ing another infection. It’s awise idea to remain at homeuntil the fever breaks. A2006 fact sheet from the In-stitute for Women’s PolicyResearch (IWPR) reportedthat a worker with the flu islikely to infect 1.8 out of ev-

ery 10 coworkers.

BAD COLD

The first few days of arunny nose and sneezingare often the most conta-gious. A person who issneezing and blowing hisnose repeatedly could endup infecting the entire officein the process. Stay homeand rest up. Coworkers willappreciate it.

BACTERIAL INFECTION

Strep throat or conjunc-tivitis (pink eye) is causedby contagious bacteria. Itcan take 24 hours after thefirst dose of an antibiotic un-til a person is no longerconsidered contagious.

MOBILITY INJURY

Workers who havesprained or hurt a part ofthe body resulting in an in-ability to do the job effec-tively may want to stayhome until the injury is bet-ter. What’s more, workingwhile injured could causean even greater injury to oc-cur. Be sure to report the in-jury to the proper personnelif it was the result of an acci-dent at work.

When to take aSick Day

....


Ke e pStressat Bay

METRO CR E AT I V E SE RV I C E S

Perhaps no medicalissue flies under theradar more than

stress. A recent survey bythe American Psychologi-cal Association found thatone-third of Americans areliving with extreme stress,while close to half of allsurvey respondents felttheir stress levels are onthe rise.

While stress is a prob-lem many feel stems fromwork, stress is not solely abyproduct of work, andthose without work-relat-ed stress can still be over-whelmed by feelings ofstress. Simply put, stresscan affect everyone, eventhe nation's retirees. Whileretirement is often seen asa chance to relax and en-joy the fruits of a life'sworth of labors, retirementcan also be a stressful timefor many people. Gettingby on less income can bestressful, as can health is-sues that might arise as weage. In fact, a person's

ability to relax after astressful event actually be-comes more difficult theolder we get. Such a reali-ty only underlines the im-portance of stress preven-tion for retirees, who candecrease their risk of stressor stress-related illnesswith some common pre-ventive measures.

DIET AND EXERCISE

While seniors might notbe able to do all that theyused to when it comes toexercise and athletics, dai-ly exercise combined witha healthy diet can go along way to preventingstress. When exercising,be careful not to over-ex-ert yourself but be sure toinclude exercise as part ofyour daily routine. Exer-cise can include a dailywalk out in the fresh air,or a trip to the gym forsome light weightlifting

and cardiovascular work.Seniors should alwaysconsult a physician beforebeginning an exercise reg-imen.

With respect to diet,avoid sugar, fried foodsand overconsumption ofalcohol, as each of thingscan aggravate an existingcondition, increasing thehealth-related stress manyseniors feel as their im-mune system weakensand they become moresusceptible to disease oradditional ailments.

BE SURE TO SOCIALIZE

Stress doesn't just comefrom work or a physicalailment, it can also be theresult of a mental ailment,such as depression result-ing from loneliness. Justlike everyone else, seniorsneed to share their prob-lems and concerns as wellas their good times with

others. Just because you'reretired from work doesnot mean you're retiredfrom life. Stay actively in-volved in your communi-ty, and be sure to maintainregular contact withfriends and family mem-bers. Socialization comesin many different forms,and seniors should takeadvantage of community-based programs to con-nect with other seniors oreven share their experi-ence with younger gener-ations whenever possible.

DEVELOP A DAILYROUTINE

Part of the joy of retire-ment is having the free-dom to do whatever youwant whenever you wantto do it. However, manyretirees find that a dailyroutine helps them instill asense of order in theirlives and avoid stress. Thedaily routine can include amorning round of golf, aweekly lunch or dinnerwith the kids, or anythingelse that promotes a senseof purpose.

Don't succumbto stress afterretirement

Stay actively involved in yourcommunity, and be sure to

maintain regular contact withfriends and family members.


HL Health News BriefsCU SCHOOL OF MEDICINERESEARCHERS FIND LINK TOINFECTION

Researchers at the Univer-sity of Colorado School ofMedicine and The Children’sHospital have taken a bigstep toward understandingwhat causes one of the mostserious liver diseases in in-fants.

The disease is called bil-iary atresia, It blocks the bileducts in young infants,through which bile, crucialfor digestion, flows to thesmall intestine. The disease israre – it strikes in about onein 10,000 births. But it’s life-thr eatening.

Surgical removal of theblocked main bile duct canbuy time but ultimately thetreatment in the majority ofcases is a liver transplantduring infancy or childhood,a procedure that is bothcomplicated and expensive.

Until now, doctors weren’tsure what caused biliary atre-sia, which is important toknow in order to developbetter treatments. The CU re-searchers propose that an in-fection late in the thirdtrimester of pregnancy orsoon after birth initiates thebile duct injury.

The discovery, publishedrecently in the journal Gas-troenterology, isn’t a cure.But it is a big step.

For additional news andinformation, please visitw w w . u c d e n v e r. e d u/about/newsr oom.

PEAKS MEDICAL CENTER AR-CHITECT ANNOUNCED

Longmont United Hospitaland Poudre Valley HealthSystem made two major an-nouncements about a medi-cal center they will build at I-25 and Highway 52 in Fred-erick in southwestern WeldCounty.

The medical center will benamed Indian Peaks MedicalCenter after a range of

mountains called IndianPeaks west of the 70-acresite.

The two healthcare organi-zations, through their jointventure called Carbon ValleyHealthcare Holdings Corpo-ration, also announced theselection of H+L Architec-ture/Turning Point Health-care Advisors to providemaster campus planning anddesign services for IndianPeaks Medical Center.

Architectural work for thecenter will immediately be-gin. Architectural designs areexpected to be completed byearly 2011 with constructionon the urgent care center tobegin in spring to early sum-mer 2011.

For more information, visitp v h s . o rg .

BARIATRIC SURGEON TOBEGIN SEEING PATIENTS INN OV E M B E R

Patients in the Lovelandarea now have access intheir own community to anexperienced advanced la-paroscop -ic surgeonwho spe-cializes intr eatingmorbidobesitywith mini-mally in-vasives u rg e r y .

Bariatrics u rg e o nMichael Johnell, MD, leadsthe Bariatric Center of Excel-lence at North ColoradoMedical Center in Greeley,which along with McKee ispart of Banner Health. Heperforms surgery at NCMC.Dr. Johnell will offer initialconsultations and follow-upappointments beginning inNovember at Aspen MedicalCenter, 2923 Ginnala Drive.His office hours in Lovelandwill be 9 a.m.-3:30 p.m.Mondays. To schedule an

appointment, call 970-378-4433 or toll-free at (866) 569-5926.

Johnell has 25 years ofgeneral surgery experience,20 years of advanced laparo-scopic surgery experience,and 10 years of laparoscopicbariatric surgery experience.Dr. Johnell is board certifiedin general surgery by theAmerican Board of MedicalSpecialties, is a Fellow of theAmerican College of Sur-geons, and is a member ofthe American Society forMetabolic and BariatricS u rg e r y .

For more informationabout the bariatricsurgery clinic, pleasevisit www.bannerhealth.com/NCMCbariatrics.

MCKEE MEDICAL CENTERTURKEY TROT ISSUES MID-DLE SCHOOL CHALLENGE

The Loveland or Berthoudmiddle school that has themost participants in the 2010Turkey Trot at McKee Medi-cal Center is in for an earlyChristmas present: a $250grant courtesy of the McKeeMedical Center Foundation.

The foundation, which or-ganizes the annual 5KThanksgiving Day race, haschallenged six middleschools to compete and seewhich school can send themost runners to this year’srace. The schools are BillReed, Conrad Ball, LucilleErwin, New Vision Charter,Turner and Walt Clark mid-dle schools. Walt Clark tookhome the grant in 2009 with59 participants.

The winning school willreceive the grant, which canbe used for a health or well-ness related purpose, saidDawn Paepke, McKee Medi-cal Center Foundation eventsc o o r d i n a t o r.

Race fees and sponsorshipcontributions benefit theStepping Stones Adult DayProgram at McKee Medical

C e n t e r.The race on Nov. 25 be-

gins on Hoffman Drive justnorth of McKee MedicalCenter and proceeds northto 37th Street to the bikepath at Boyd Lake. It thenturns south and heads backto 18th Street where it finish-es at McKee Medical Center.This route is wide open andbeautiful, offering a great runfor more than 1,600 Love-land residents who value fit-ness and family time beforethe big feast. The TurkeyTrot is a 3.1-mile run/walkand begins at 8:30 a.m.

Individuals may registerfor the Turkey Trot in one offour ways: 1) register onlineat Active.com 2) printout aregistration form at McK-eeFoundation.com and mailit in 3) register in person atFoot of the Rockies, 150 E.Harmony Road in FortCollins or Runner’s Roost, atHarmony and Ziegler in FortCollins 4) or register the dayof the race starting at 6:30a.m.

Race fees are $25 foradults and $13 for kids 12and under until Nov. 24. Af-ter Nov. 24, race fees are $35for adults and $15 for kids 12and under. Team registra-tions of three or more are$20 each before Nov. 24 and$30 after. All participants willreceive a t-shirt.

Prizes will go to the topoverall male and femaleand male and femaleMasters runners along withthe top three in each agegr oup.

Prizes for Largest Teamand Best Team Time will al-so be awarded. Door prizesdonated by area businesseswill be given away duringthe awards ceremony.

For more informationabout the school challengeor the race, please call DawnPaepke at 970 203-2519.

Michael Johnell


HL Health Line CalendarBREAST FEEDINGSUPPORT GROUP

When: 10-11a.m. Monday,Wednesday and Fri-day

Cost: Fr eeContact: 970-

669-9355

BLOOD PRESSURESCREENING

Have your bloodpressure checkedby a Wellness Spe-cialist.

When: 8 a.m.-4:30 p.m., Mondaythrough Thursday;8 a.m.-noon on Fri-days

Cost: No charge Contact: 970-

635-4056Wher e: McKee

Wellness Services,1805 E. 18th St.Suite 6, Loveland

BRIGHT BEGIN-NINGS

Poudre ValleyHealth System of-fers free Bright Be-ginnings materialsfor all families inLarimer Countywith children birthto 36 months ofage. Materials covergrowth and devel-opment, health andsafety, and informa-tion on communityresources. Thesematerials can beobtained through ahome visit or by at-tending a class.Registration is re-quired. Call 970-495-7528 to registeror to learn more

about the programs.Below is the sched-ule for Decemberclasses:

Program A forbirth to 12months

•December 20 at11:15 a.m. at McKeeMedical Center

•December 14 atnoon at the MedicalCenter of the Rock-ies

Program B for12-24 months

• December 13 at9 a.m. at the Medi-cal Center of theRockies

Program C for24-36 months

• December 13 at10 a.m. at the Medi-cal Center of theRockies

DIABETES INFOR-MATION GROUP

An information-al/educationalmeeting for anyonetouched by diabeteswho wants to learnand share. Therewill be a differentsubject matter foreach meeting.

Wher e McKeeConference andWellness Center

Cost: No charge.No registrationneeded.

Contact 970-203-6550 for more infor-mation and topics.

HEART FAILURE ED-UCATIONAL SERIES2010

The goal of theHeart Failure Edu-

cational Series is tooffer people withHeart Failure (andtheir family andfriends) informa-tion, resources andsupport. We focuson management ofHeart Failure. Theseries is open tomembers of thecommunity whowant to learn moreabout Heart Failure.There is no need toregister. Topics aresubject to changewithout notice.

When: 3:30-5p.m. on the secondTuesday of everymonth

Wher e: McKeeMedical Center inthe Wellness andConference Center

Cost: No chargeContact: McKee

Medical Center CareCoordination at970-635-4138.

Upcomingdates:

Dec. 14 Topic:Devices and Surg-eries to Treat HeartFailure — What'sthe next step aftermedicines? GuestSpeaker: MissyJensen, RN, NursePractitioner

CAREGIVER’S SUP-PORT GROUP-FORCAREGIVERS OFCANCER PATIENTS

When: Call fortimes and locations:970-635-4129.

BREAST CANCERSUPPORT GROUP

When: 5:30 to 7p.m. on the secondThursday of eachmonth

Wher e: McKeeCancer Center lob-by.

Contact: 970-622-1961

SOULPLAY ARTT H E R A PY

People whoselives are touched bycancer experiencethe benefits of ex-pressing themselvesthrough art. No artexperience needed.

When: Wednes -days, 9:45-11:45a.m.

Wher e: McKeeCancer Center Con-ference Room

Contact: 970-635-4129

MAN TO MANPROSTATE CANCERSUPPORT GROUP

When: 5:30 to 7p.m. the fourthThursday of themonth

Wher e:McKeeConference andWellness Center

Contact: Call970-622-1961 formore information.

CAREGIVERS SUP-P O RT

For caregivers ofelderly adults. Thegroup focuses onproviding supportand educationabout communityresources and be-havior issues, par-

ticularly for peoplewith Alzheimer'sand memory im-pair ment.

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

Wher e: FirstChristian Church,2000 N. LincolnAv e .

Cost: No charge.Care of elderly adultfamily members orfriends is availablethrough SteppingStones Adult DayCare program dur-ing meeting times atno charge.

Contact: 970-669-7069

GENERAL CANCERSUPPORT GROUP

When: 5:30-7p.m. Tuesdays.

Wher e: McKeeCancer Center lob-by.

Contact: 635-4129

WORLDWIDE CAN-DLE LIGHTING VIG-IL

This ceremonytakes place aroundthe world to recog-nize and honorchildren who havedied. More than 200family membersand friends fromLoveland and sur-rounding communi-ties attend.

When: 6:30 p.m.Dec. 12

Wher e: McKeeMedical Center

....

26 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado N ove m b e r 18, 2010 ....

Caring For People of All AgesQuality medicine. Lasting relationships. Compassionate care.

3850 North Grant Ave., Suite 200 | Loveland, CO 80538970.624.5170

www.pvhs.org

Victor Palomares, PA-CDr. Kevin Felix

General and preventative family medicine for newborns to geriatrics. Now accepting patients.

To make an appointment,call 970.624.5170.

Victor

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Dr. Susan Beck

3850 North Grant Ave., Suite 200 | Loveland, CO 80538970.624.5170

www.pvhs.orgHL-318207

Where Experts

Work Best.Ask the Expert

Question: I am severely overweight and have high blood pressure and cholesterol. Can adjustable gastric banding surgery help me become healthier?

Answer: Two-thirds of Americans are now either overweight or obese and adult obesity continues to rise. Being overweight comes with potentially life-threatening conditions such as diabetes, hypertension, high cholesterol and sleep apnea.

For patients who have tried losing weight by dieting or medication and have failed, bariatric surgery is a very good choice. They want to lose weight to become healthier and spend more time doing things with their families.

The adjustable gastric banding procedure is done by placing a silicone band around the upper part of the stomach, creating a pouch. This small pouch allows a much smaller portion of food to be eaten, thereby reducing the caloric intake without being hungry. The benefits of the adjustable gastric banding procedure include: • Fully adjustable for each patient • Does not alter the anatomy • Least invasive weight loss surgery with the

lowest complication rate • Low risk for malnutrition • Most cost-effective bariatric procedure • Associated medical conditions can improve

or be resolved

Michael W. Johnell, M.D., FACS is a board certified general and bariatric surgeon who has been practicing minimally-invasive bariatric surgery since 2000. He specializes in the adjustable gastric banding procedure. North Colorado Medical Center is a Bariatric Center of Excellence.

Beginning in November 2010, patients will be able to schedule pre-surgery appointments as well as follow-up care in the new Loveland office at 2923 Ginnala Drive. Call (970) 378-4433 to schedule an appointment.

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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Banner Medical GroupMcKee Medical CenterNorth Colorado Medical Center

Michael W. Johnell, M.D., FACS Bariatric Surgeon Greeley, Loveland, Lafayette Pre-surgery appointments: (970) 378-4433

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