May 2014 Thrive

There’s something IN THE AIR

Now that allergy season is in full force, check out all the ways to help keep the sneezing, runny noses and watery eyes at bay. Page 6.

THRiVEnc» NORTHERN COLORADO WELLNESS

May 2014

» INSIDE: A LOOK AT DONATING BLOOD • CHECK YOUR BLIND SPOT WHEN DRIVING • HEALTH EVENTS

THRIVENC n April 30, 20142 n HEALTH

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

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

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

Accepting Kaiser Permanente Members

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

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

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

April 30, 2014 n THRIVENC 3HEALTH n

«NCMC Adult Fitness, this program is available to people in the community who are interested in starting an exercise program in a health care setting. Cost per month for individuals is $45 or for a couple who must live in the same household is $80. Call (970) 350-6204 for information.

«STAR-support touch and reach breast cancer survivors (Breast Cancer Support Group), 5:30-7 p.m. May 1 at NCMC Cancer Institute Conference Room. For more information, call Betty Parson at (970) 339-7137.

«A Passport to Your Cardiovascular System, 6-8 p.m. May 5 at Pellegrini Ris-torante Italiano, 2400 17th St. in Greeley. An explanation on diagnosis, risk factors and treatment options. Like a street map in a new country, information on Atrial Fibrillation can sometimes be hard to navigate. Join Banner Health CardioVas-cular Institute of North Colorado physi-cian Dr. Shane Rowanas as he guides you on the right path to understanding A-fib. Then learn from Carlo Pellegrini, native of Puglia, Italy, in his cozy restaurant — rem-iniscent of an old-world southern Italian farmhouse or “masseria.” Pellegrini will share food and customs from his roots in Puglia. Cost is $5 per person. Advanced ticket purchase required, no ticket sales at the door. For more information check www.bannerhealth.com/NCMCspirit or call (970) 392-2222.

«Body Check... What you need to know: Head to Toe, by appointment May 6 and 20 at Summit View Medical Commons, 2001 70th Ave. in Greeley. This head-to-toe health assessment gives you the tools to put your health first by receiving a comprehensive set of preventive health screenings. Invest in your health today. This screening includes a Health Fair Panel (fasting blood work, please fast 10-12 hours), sleep questionnaire, lung function test, body composition, weight and Body Mass Index, hip and waist measurements, health education with a wellness specialist, EKG with results read

by a board-certified cardiologist, bone density screening, Peripheral Arterial Dis-ease screening including education about peripheral vascular disease, stroke, stroke prevention and osteoporosis prevention, ankle brachial index, ultrasound of the ca-rotid vessels, and ultrasound of the aorta (screenings are read by a board-certified radiologist). Upon request, a Colorectal Take-Home Kit, $10, Prostate Specific Blood Antigen screening, $23. Cost for screening is $175. Payment is due at time of service, Wellness Services cannot bill insurance. Call (970) 350-6070 to sched-ule an appointment. All results are sent to your personal physician and to you.

«PAD Screening (Peripheral Vascular Disease), 1-3 p.m. May 6 and 20 at Summit View Medical Commons, 2001 70th Ave. NCMC’s Peripheral Vascular Disease Screening program offers the education and prevention proven to be the best tools for fighting vascular disease and stroke. Patients can receive an ankle brachial index; evaluation of leg circulation; carotid artery disease screening; ultrasound of the carotid vessels; abdominal aortic aneurysm screening; ultrasound of the aorta; CardioChek fingerstick: lipid panel; health education with a wellness specialist; and a health information packet. Cost is $100, payment is due at time of service. NCMC is unable to bill insurance. To schedule an appointment, call (970) 350-6070.

«Cooking Classes, 6-7:30 p.m. May 7 at NCMC Cardiac Rehab Kitchen. Come and learn a variety of healthy and delicious meatless meals and explore new ways to include more plant-based foods into your diet. Taught by Mary Branom, registered dietitian. These new ideas are a great way to modify your cooking habits and learn about heart healthy cooking. Recipes and samples are included. Cost is $10 per class. Please call (970) 350-6633 to register.

«Heartsaver CPR with AED in Windsor, 6-8 p.m. May 8 at the Windsor recreation center, 250 11th St. in Windsor. Taught by the American Heart Association certified health care professionals, this class covers adult and infant/child CPR, obstructed airway, Heimlich maneuver and the use of a barrier device. Upon completion of the course, participants will receive a Heartsaver course completion card that is valid for two years. Call (970) 674-3500 to register. Cost is $48. Registration closes at noon, two days prior to class.

«CPR for Health Care Providers (Recertification), 3-5:30 p.m. May 12 at NCMC Union Colony Room. This class is designed for licensed and non-licensed health care providers who need to recertify through the American Heart Association. The certification is valid for two years. The class is located in the Longs Room, on the 2nd Floor, unless

otherwise noted. To register, please call (970) 350-6633. Cost $50. Please notify us one week in advance if you are unable to attend the class. Your registration will be refunded less a $10 service charge. If you are absent from the class, you will be charged the full amount.

«Blood Tests, 7-8:45 a.m. May 14 and 28 at NCMC via Entrance No. 6 and May 21 at Johnstown Family Physicians, 222 John-stown Center Drive. Wellness Services offers low-cost blood screenings open to community members; some immuniza-tions are also available upon request and availability. To schedule an appointment, call (970) 350-6633. Please fast 12 hours prior to blood draw. Payment due at time of service, NCMC will not bill insurance. Cost varies.

«Walk with a Doc, May 17 at the South Entrance of the Greeley Mall. Join this international program where interested people meet at a park or public location (usually Saturday mornings) for an informal five-minute health talk, and a 30-minute walk (at your own pace). Families are encouraged to attend. There are healthy snacks at the completion of the walk. Free blood pressure checks are available for those interested. Upcoming walks are posted at www.walkingwith-adoc.org.

«Heartsaver First Aid, 4-6:30 p.m. May 22 at the Greeley Family FunPlex, 1501 65th Ave. Taught by the American Heart Association certified health care professionals, this first aid class provides participants with an understanding of first aid basics, medical emergencies, injury emergencies and environmental emergencies. Upon completion of the course, participants will receive a Heartsaver First Aid course completion card that is valid for two years. Please call for more information (970) 350-9401.

«Heartsaver CPR with AED, 7-9 p.m. May 22 at the Greeley Family FunPlex, 1501 65th Ave. The class is taught by American Heart Association certified health care

professionals and covers adult and infant/child CPR, obstructed airway, the Heimlich maneuver, the use of a barrier device and AED hands-on training. Upon completion of the course, participants will receive a Heartsaver course completion card that is valid for two years. Cost is $48 CPR only; $45 first aid only; $88 combo. Please call for more information (970) 350-9401. Registration closes at noon, two days prior to class.

«Safe Sitter-Greeley, 9 a.m.-3 p.m. May 27 at Family FunPlex, 1501 65th Ave. in Greeley. Safe Sitter is a one-day, six-hour curriculum designed for 11- to 13-year-olds. Participants learn care of the choking infant and child, babysitting as a business, success on the job, child care essentials, safety for the sitter, preventing injuries, injury and behavior management and preventing problem behavior. For more information and to register, call (970) 350-9400. Registration closes at noon, two days prior to class.

«Yoga Experience for Parents and Children, 10-10:30 a.m. Thursdays May 29-June 19 at NCMC Auditorium A and Colonial Room. Parents will enjoy a 30-minute yoga class while children enjoy a 30-minute yoga class in a separate room next door. Ages for children to participate are 3-10 years old. Cost is $30 for one parent and one child and $5 for each additional parent or child. To register call (970) 350-6633.

«CT Heart Score, 1-2 p.m. Monday-Friday at NCMC. Provides a non-invasive test that accurately measures the amount of calcified plaque in the arteries. The procedure begins with a fast, painless computed tomography CT exam. CT, more commonly known as CAT scanning, uses X-rays and multiple detectors to create interior images of the heart. The heart score program includes a 10-minute consultation with a wellness specialist, focusing on cardiac risk factor education, identification of non-modifiable and

HEALTH EVENTS IN MAY

Turn to Events on P.4

FOR THE TRIBUNE


modifiable risks and lifestyle behavior change options. Cost is $199. Payment is due at time of service, Wellness Services cannot bill insurance. Call (970) 350-6070 to schedule an appointment.

«CPR for Health Care Providers Skills Check, call Wellness Services at (970) 350-6633 to schedule a skills check and bring a copy of the Course Completion Certificate with you. This class is designed for licensed and non-li-censed health care providers who need to recertify through the American Heart Association. The certification is valid for two years. Renew your CPR certification by completing an online CPR module, which includes watching a video, reviewing content and an exam. Fee is $50 for CPR for

Healthcare Providers and in-cludes skills check with a certified American Heart Association instructor. Separate fee for online course, payable online. The class is in the Wellness Conference Room, unless otherwise noted.

«Diabetes and pregnancy education, by appointment or class schedule. Services available in Greeley, Loveland, Johnstown and Windsor. Group and individu-al sessions for women with type 1, type 2 or gestational diabetes to teach skills needed to care for themselves during pregnancy. Topics include healthy eating, being active, blood glucose monitoring, medications, prob-lem solving, healthy coping and reducing risks. The goal is to help you and your baby stay healthy. No referral needed for group sessions, referral from provider is required for individual appoint-ments. Individual appointments

billable to insurance. Cost is $10 per class. Call (970) 392-2344 to schedule an appointment.

« Living Well with Diabetes Program, by appointment or class schedule. Services available in Greeley, Loveland, Windsor and Johnstown. Education offered for patients with diabetes and their caregivers or families, to provide knowledge, skills and tools to successfully manage their diabetes. Topics include nutrition, activity, monitoring, medications, problem solving, healthy coping, reducing risks, weight loss, insulin or considering insulin pump ther-apy. Cost varies, insurance billing available. Call (970) 392-2344 to schedule an appointment.

«Pulmonary Rehabilitation, contact (970) 350-6924 for information and opportunities in lung disease management, education and exercise.

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Many accidents occur because drivers fail to check the blind spot. It’s for this reason that driving instructors teach new drivers where the blind spot is and when to check it. Although mirrors allow a driver to see a wide angle of observation behind them there are areas that cannot be observed in the mirrors. These blind-spot areas can easily hide a cyclist or another vehicle.

When driving, keep your eyes constantly moving, scanning the road ahead and to the side. Check your mirrors every five seconds or so. When using mirrors, there is an area on each side of your vehicle where you cannot see people or vehicles when they are in these spots. Make sure you see other drivers, and they can see you by doing the following:

» Keep a clear view when driving. Do not put anything in your windows that will block your view.

» The windows should not be coated with any material that keeps you from seeing out in any direction.

» Check and adjust your mirrors and find your blind spots. Check your blind spots by turning your head to look over your shoulder before changing lanes, passing, turning or before opening your door when parked next to traffic.

» When making a lane change, check your mirrors for a space in traffic where you can enter safely. Check your blind

spot by looking over your shoulder in the direction of the lane change. Signal when you want to move left or right. Check again to make sure the way is clear and steer gradually into the new lane, maintaining the same speed or gradually accelerating your speed.

» Stay out of the other driver’s blind spots, especially large vehicles like trucks.

» Take extra care to make sure the way is clear behind you when backing up.

Some newer automobiles are being equipped with backup cameras and sensors. This facilitates identifying ob-jects immediately behind a vehicle that are not visible in the rearview mirror. It is always safest to look behind the vehicle before getting inside and to not become overly reliant on backup cam-eras and sensors.

Once you have determined how big your blind spot is, consider other drivers on the roadway around you. It is unlikely they can see you if you are in their blind spot. Remember to be a courteous driver and not linger in that area if you think you are in their blind spot. Driving defensively and constant-ly observing the vehicles and surround-ing area around you are some of the keys to safe driving.

Lyn Tausan is a retired school admin-istrator and resides in Greeley with her

husband. She is the marketing/public relations specialist for DRIVE SMART

Weld County.

MANAGING YOUR BLIND SPOT IS KEY TO SAFE DRIVING

Lyn TAUSAN

DRIVE SMART

U ntil you spend time behind the wheel of a car, the concept of “blind spots” can be difficult to understand.

Even the most experienced driver can forget to perform an over-the-shoulder check when changing lanes from time to

time. A blind spot is any area of the street or intersection for which you do not have a clear unobstructed view or any area of the street where you have a limited line of sight. A blind spot can be anywhere and is generally considered to be on either side of the vehicle.

Have you started to experi-ence challenges with living on your own? Do you need help with medical care or daily ac-tivities? A nursing home may seem like your only option. But there are good alterna-tives, including home care and assisted living. However, it’s important for you to learn what kinds of services Medi-care and Medicaid will and won’t cover.

WHAT IS HOME- AND COMMUNITY-BASED CARE?

You may have access to services such as Meals on Wheels, visiting and shopper services, and adult day care programs. But what if you need other kinds of assis-tance?

Home health services help seniors who need addition-al support so they can safely stay in their homes or who are recovering after a hospital stay. These services include short-term nursing care and rehabilitative care (such as physical therapy).

Medicare pays for a limit-ed number of one-hour home health visits, but only for medical care. Medicaid may pay for other types of home care, depending on your sit-uation.

You may be able to find other non-medical services in your community through your local Area Agency on Aging.

WHAT IS ASSISTED LIVING?

Assisted living facilities

bridge the gap between inde-pendent living and nursing homes. These facilities typi-cally provide services such as assistance with personal care and medications, and they give residents more freedom and privacy than nursing homes. They range in size from small houses that serve a few residents to very large facilities.

Assisted living facilities cost less than nursing homes but are still expensive, averag-ing $3,300 a month.

NURSING HOME CAREMedicare does not cov-

er most nursing home care. Medicare pays only for cer-tain skilled nursing or reha-bilitative care, and only after a hospital stay. The duration of this coverage is limited. To learn more about coverage

limits, go to the Medicare website at www.medicare.gov/coverage/skilled-nurs-ing-facility-care.html.

Medicaid covers most nursing home care if you have a low income. Each state sets its own income eligibility level for Medicaid coverage of nursing home care.

TO LEARN MORETo learn more about Medi-

care and Medicaid coverage, contact your State Health In-surance Assistance Program, or SHIP. Find the SHIP in your state online at https://shipnpr.shiptalk.org/ship-profile.aspx.

Also, the Eldercare Loca-tor connects you with infor-mation on senior services. Find it online at http://www.eldercare.gov/eldercare.net/Public/Index.aspx.

NURSING HOMES AND THEIR ALTERNATIVESBy Ron PollackFamilies USA


Pace said allergy season begins with the pollination of juniper, ce-dar and elm trees between about mid-February to mid-April. This year’s allergy season got started around the beginning of March, he said. The pollination of hardwoods such as poplars, aspens and cotton-woods occurs near the third week in March and tends to drop off in May.

“Once the trees have leafed out, the pollen is gone,” Pace said.

Once the season has started, pollen can be nearly impossible to avoid, Pace said. While some rec-ommend closing windows and not hanging laundry out to dry, Pace said pollen is so ubiquitous, these tips might not offer any relief.

“All of those are impractical,” Pace said. “Pollens are microscopic and blow for miles.”

Instead, Pace said over-the-counter medications are effective for many people who experience seasonal allergies. Antihistamines can take care of most allergy symp-toms except for decongestion, how-ever, Pace said he doesn’t prescribe his patients any antihistamines with pseudoephedrine because it can cause an unsafe increase in blood pressure in some people.

For decongestion, Pace said he recommends using a topical de-congestant for three days at a time or a nasal steroid spray.

For symptoms that don’t get bet-ter with the use of over-the-counter

medicines, Pace suggested people seek out a board-certified allergist.

» What are allergies?Allergies are fairly common, affecting more than one out of every five people. With an aller-gic reaction, the body’s immune system reacts to an otherwise harmless substance. It may be a particular food, plant or even dust particle.

» The most common substances that can cause allergies include:» Pollen» Dust mites» Pet dander» Mold» Food

» Allergies can cause:» Sneezing» Runny nose» Watery eyes» Itching» Rashes

» Living with allergiesAllergies can’t be prevented, but they can usually be treated and controlled. Minor lifestyle

adjustments can help lessen the effects of allergies. Talk to your doctor about allergy medicines that might improve your symp-toms. Discuss any side effects that may result from taking allergy medication.» Limiting the number of aller-gens you are around may help reduce your symptoms. For example, if you are allergic to pet dander, try to avoid having animals in your home that cause allergic symptoms.» If you are allergic to certain types of food, read food labels carefully, and avoid eating foods that cause reactions.» If you’re allergic to pollen, avoid keeping windows open when pollen counts are high, usually in the spring.

» Allergy tips for around your home» Keep windows, especially bedroom windows, closed to prevent allergens from drifting indoors.» Keep the air conditioner on. Be sure to clean or replace filters often.» Vacuum rugs and carpets reg-ularly and dust frequently, using a damp cloth, to remove pollen and mold.» Shampoo pets regularly

to remove allergens from their coats. And keep

them out of the bed-room.

» Wash your hair before going to bed to get the pollen out.» Wear glasses rather than con-tact lenses. Contacts can trap pollen against your eyes.

» So which medicine is right for you?» Antihistamines. An allergen causes your body to release a chemical called histamine. This chemical inflames the tissues in your nose and changes the mucus you pro-duce. Antihista-mine medica-tions prevent histamine from affecting the nasal tissues.

» Decongestants. As the nose tissues produce more fluid and mucus, you may feel congestion and pressure in your nose and head. You may even have trou-ble breathing through your nose. Decongestants help reduce the fluids. This relieves pressure and allows more air to flow through your nose.» Pain reliever. Each of these medications may also include a pain reliever for headaches and congestion.

Sources: University of Colorado Health and Banner Health

THERE’S SOMETHING IN THE AIREverything you need to know to help keep pesky spring allergens at bay

By CASEY [email protected]

FOR THE TRIBUNE

A s April showers give way to May flowers, pollen and other allergens can be a nuisance that last through the summer months.

When residents come in contact with an allergen such as pollen, mold or pet hair, they can experience itchiness, a runny nose, sneezing or the inflammation of breathing airways, said Scott Pace, an allergist and internist with University of Colorado Health’s Greeley Medical Center.


PITTSBURGH — In studies rel-evant to the gridiron and other kinds of battlefields, researchers hope to use a new test based on eye movements to bring in-creased accuracy to the diagno-sis of concussions.

The research, by Allegheny Health Network and corporate partner Neuro Kinetics Inc., involves the use of high-speed digital photography and other technology to analyze a patient’s tracking of dots of light or other visual stimuli, which are project-ed against a light or dark back-ground.

In an initial study of high school football players, those with concussions had more dif-ficulty tracking the images than a control group without brain in-jury. Results of the study will be among the promising develop-ments in orthopedic medicine to be highlighted this month on the website of the American Acade-my of Orthopaedic Surgeons.

With the Allegheny Health Network’s involvement, O’Ha-ra-based Neuro Kinetics now is exploring a potential military application with trials at Naval Medical Center San Diego and Madigan Army Medical Center in Tacoma, Wash.

Mounting concern about the long-term effects of concussions has spawned a flurry of new studies — including other re-search at Allegheny Health and at the University of Pittsburgh and its medical center — on how to better detect and manage con-cussions.

There is no single “confirmato-ry diagnostic test for concussion,” said Dr. Jeff Kutcher, director of

Michigan Neuro Sport at the Uni-versity of Michigan, who helped to write the American Academy of Neurology’s sports concussion guideline.

Unlike broken bones, which show up on X-rays, or other conditions that can be detected through imaging, concussions are not readily observable. While doctors, athletic trainers and professionals have balance and cognition tests to guide them, diagnosis of concussions still re-lies partly on the self-reporting of athletes who may just want to return to the game.

To some degree, “you are re-lying on patients telling you how they feel,” said Sam Akha-van, a sports medicine specialist at Allegheny General Hospital

who’s involved in the research of the Neuro Kinetics technology, called I-Portal.

J. Howison Schroeder, Neuro Kinetics president and CEO, said he hopes I-Portal will be more clinically precise than methods now used to detect concussions, including the well-established King-Devick Test, a 2-minute eye-movement test that mea-sures the speed and accuracy with which a person reads a sequence of numbers. Eye-movement tests, including King-Devick, also are used to assess people for multi-ple sclerosis, Parkinson’s disease, dyslexia and other disorders.

Concussions are a major con-cern for the military, whose sol-diers can sustain the injury in combat, and for sports at the

scholastic, college and profes-sional levels. The National Foot-ball League faces a lawsuit from more than 4,000 former players who claim they weren’t proper-ly warned about, or treated for, concussions. A judge last year rejected a proposed $765 million settlement, saying she didn’t be-lieve the sum was sufficient.

In the I-Portal trial, research-ers administered the eye-track-ing test to 292 high school foot-ball players with no record of brain injury. Ten of those players later sustained concussions that were diagnosed by the standard methods. When they were given the eye-tracking test again, the 10 performed at a significant-ly lower level than they or their peers had before.

“They fell well outside what the normal fit was,” Dr. Akhavan said.

Kutcher and Steven Bro-glio, director of the Universi-ty of Michigan’s NeuroSport Research Laboratory and lead author of the National Athlet-ic Trainers’ Association policy on concussions, said I-Portal is less likely to be the magic bullet for diagnosing concussions than another tool health professionals will have available to them. To increase the accuracy of concus-sion detection, he said, some pro-fessionals use multiple tests on a patient.

The companies owning the King-Devick Test and Pitts-burgh-based ImPACT — which measures attention span, mem-ory, reaction time and prob-lem-solving ability — do joint marketing. Both products have a list of studies backing up their re-liability, but neither considers it-self a stand-alone diagnostic test. James S. Gyurke, chief marketing and sales officer for ImPACT, said his team is among those search-ing for improved measures of concussion detection.

Besides the I-Portal research, Allegheny Health Network is helping to evaluate a test, devel-oped by a Cleveland Clinic Inno-vations spinoff, that incorporates a patient’s vision, balance and motor function into concussion detection.

Awarded one of 16 NFL-Gen-eral Electric grants in January, UPMC is working on the de-velopment of a new imaging technique that would show con-cussion damage. Other grant recipients are working on other imaging techniques and blood tests.

EYE MOVEMENT TEST ASSISTS IN DIAGNOSIS OF CONCUSSIONSPittsburgh Post-Gazette

J. HOWISON SCHROEDER, CEO of Neuro Kinetics Inc., hopes I-Portal will be more precise than other methods used to diagnose concussions.

MCCLATCHY NEWSPAPERS


WHAT TO EXPECT...

Banner Health’s North Col-orado Medical Center is one of two hospitals in northern Colorado that offers a blood donor services center in its facilities. The center collects blood and blood products that help treat many patients. We spoke to Dee Gribble, manager at the center, to ask her about the importance of the facility to the community and about the experience when a person chooses to do-nate blood for the first time.

QUESTION — Why is do-nating blood important?

ANSWER — Because there is no artificial

product that can substitute for human blood. When someone needs a blood trans-fusion — whether it’s red cells, platelets or the liquid part called Plasma — they need it right then and there. In one occasion last year, our trauma program needed 60 units of blood the morning they brought a victim of a hit and run accident. In these sit-uations we cannot wait a day or two for people to donate. It is important to have that sort of blood inventory available at all times for when the need arises.

Q — Who are the recipients of the donated blood?

A — Patients vary from the trauma program to those

in our general health care.

They can be patients who undergo cancer treatment, such as those with leukemia, a bone marrow transplant, heart surgeries, burns and so many other conditions. This provision is a day-to-day need.

Q — Who can donate?

A — Any person who is healthy can do-

nate. There is no maximum age limit but the minimum age limit in Colorado is 17 years, with parents’ consent. Donors also need to weigh at least 110 pounds.

Q — Who can’t donate?

A — Generally if peo-ple have had health

problems, they should call and ask the facility for a more accurate answer of whether they can or can’t. There are conditions for temporary and permanent ineligibility. A history of cancer, a history of infectious diseases, travel to certain areas and intake of certain medications can preclude a person from

donating. Some people may think if they have high blood pressure or diabetes they cannot donate, but that is not always true. It is a case-by-case basis. There are certain general regulations but not as many as people might think.

Q — For how long is the blood stored?

A — The red cells are kept in the refrigerator and

can be used for 42 days, the plasma is frozen and can be used for one year and platelets are kept at room temperature and can be used for five days. We have guidelines of when to use the product, otherwise we have to dispose of it. Since platelets are only good for five days, we try to schedule three people every day we are open. For the whole blood donation we like to have about 35 people every day we are open.

Q — What should be done before donating blood?

A — Donors should eat a healthy meal before they

come in and be well hydrated by drinking plenty of fluids. They will also need their identification with them. Lastly, we encourage them to ask as many questions as they want to eliminate any nervousness.

Q — What is the process?

A — The process takes about 45 minutes

to an hour. The majority of that time is spent answering a series of questions asked to every donor every time to ensure the process is safe for the donor and the product will be safe for the patients. We also do what we call a mini-physical screen to check their iron levels, their blood pressure and pulse. After they pass the questionnaire, the donation process takes about 15 minutes as we extract one pint of blood. The materials used to extract the blood are always new, sterile and disposable. After, we ask donors to sit, have some snacks and relax for a few minutes.

Q — Does the process hurt?

A — The word hurt is not really what should be

used. Patients will feel a little pinch in their arm and they will know there is a needle in it but it is not painful. Most people tolerate the process totally uneventful.

Q — How will patients physically feel after

donating blood?

A — People should feel fine after, if they do have

a reaction, it typically hap-pens before they leave the center that day and they’ll need to let us know right away so we can accommo-date them and get them to feel normal again.

Q — Are there different types of donations?

A — There are two types of donations. We have

the whole blood donation, which is what a person can do every 56 days. A unit of

whole blood can be divided into three products and transfused separately — we can have one unit of packed red cells, one unit of liquid plasma and we can also manufacture platelets. The second form of donation is called the apheresis, which is a platelets and plasma donation and takes longer — close to an hour. It is a totally different process where we take out the blood and ex-tract the platelets and plasma and then insert the remain-ing of the blood back to the donor. Each component can be transfused to different patients with different needs.

When donating bloodBy Odil [email protected]

» ResourcesThe North Colorado Medical Center’s Blood Donor Center is located on the first floor of the main hospital campus. Enter through entrance No. 7 on 1517 16th Ave. in Greeley. Hours are noon-5 p.m. Mondays, 11 a.m.-6 p.m. Tuesdays and 7 a.m.-1 p.m. Fridays. On-site blood drives can be scheduled by calling (970) 350-6100. For more information, visit www.bannerhealth.com and search for NCMC Blood.

» Check out videoSee video with this story at www.greeleytribune.com.

» What to expectIt’s not uncommon to feel a little stressed out when you head to the doctor’s office for a new procedure. Of course, a lot of what makes us worry is that we don’t really know what to expect. This series is designed to give you a basic idea of what to expect when you go in for a common medical procedure. If you’d like to know more about a procedure and would like to see it featured here, contact Tribune reporter Odil Macias at [email protected].

1455 Main Street, Suite 140, Windsor 970.674.9988305 Carpenter Road, Fort Collins 970.663.3500

Are all hospices the same?

Non-profit and for-profit hospices are different. A non-profit hospice uses all resources to care for patients and provide support to caregivers and is not concerned with creating shareholder value.

Pathways Hospice is a local non-profit hospice offering educational and support programs benefiting the entire community at little or no cost.

Learn more about our hospice atwww.pathways-care.org.


TRiBUNE MEDiCAL DiRECTORY 2014ACUPUNCTURE

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

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

ALLERGY AND ASTHMA

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

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

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

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

ALZHEIMER’S/SKILLED CARE

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

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

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

ASSISTED LIVING

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

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

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

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

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

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

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

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

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

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

BALANCE

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

CARDIAC VASCULAR SURGERY

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

CARDIOLOGY

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

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

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

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

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

ENDOCRINOLOGY

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

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

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

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

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

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

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

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

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


TRiBUNE MEDiCAL DiRECTORY 2010TRiBUNE MEDiCAL DiRECTORY 2014FUNERAL SERVICES

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

GASTROENTEROLOGY

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

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

HEALTH AND FITNESS

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

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

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

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

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

HOSPICE

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

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

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

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

INDEPENDENT ASSISTED LIVING W/SERVICES

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

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

INFECTIOUS DISEASE

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

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

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

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

MENTAL HEALTH SERVICES

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

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

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

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

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

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

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

NEUROLOGY

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

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

NEURO-SURGERY BRAIN & SPINE

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

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

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

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

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

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


TRiBUNE MEDiCAL DiRECTORY 2014ONCOLOGY & HEMATOLOGY

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

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

ORTHODONTICS

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

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

ORTHOPEDICS

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

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

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

PERSONAL RESPONSE SERVICE

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

PHYSICAL THERAPY

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

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

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

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

PROSTHETICS & ORTHOTICS

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

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

REHABILITATION

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

BANNER REHABILITATIONPhone: (970)350-6160

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

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


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

SKILLED CARE/REHAB

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

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

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

SPORTS MEDICINE

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

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

SPEECH LANGUAGE PATHOLOGY

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


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

SURGERY GENERAL & TRAUMA

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

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

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

URGENT CARE

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

UROLOGY

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

VEINS

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


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

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

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

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

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

Homeopathic Medicine and Tinnitus Treatment– Part IIIWelcome to Part III in the quest to find the truth about homeopathic remedies and their benefit to tin-nitus patients. In Part II we learned that there have long been issues with homeopathic remedies and most recently as they apply to tin-nitus.

What is Tinnitus Anyway…….Tinnitus is usually reported as ringing, hissing, buzzing or clicking sound and its known causes, among other things, usually include medi-cations and middle or inner ear dis-orders. Tinnitus varies greatly in its intensity, frequency, intermittency, subjectivity, objectivity, etiolo-gy and other variables. Sanders (2012) of the American Tinnitus Association (ATA) defines tinnitus as a totally subjective noise — one that only the person who has it can hear. In rare cases, when the tin-nitus is caused by an abnormality in a vein or artery and is in rhythm with the heartbeat, the sound may be audible through a stethoscope placed on the neck or directly in the ear canal, these situations should be discussed with your phy-sician as they usually require med-ical, sometimes surgical attention. Brain imaging research has shown that tinnitus often involves the lim-bic system, the brain’s emotional center. Brains seem wired to inter-pret constant loud noise, chronic pain, and vertigo as cause for c o n c e r n . Since tinni-tus may be a symptom of some-thing gone wrong, patients should consult their physician first before seek-ing non-medical treatment of any kind.

Tinnitus, as identified by homeo-pathic practitioners are also known scientific and medical causes of tinnitus; others are not. In home-opathy, the cause of the tinnitus is crucial as re m e d i e s are pre-scribed ac-cording to the cause. Some com-mon homeopathic causes of tinni-tus and their specific treatments are as follows:

1. Tinnitus associated with cochle-ar (inner ear) hair cells. Home remedy: Coenzyme Q10

(CO Q 10) a powerful antioxidant that is crucial in the effectiveness of the immune system and the cir-culation to the ears.

2. Tinnitus associated with loud noise and other sensori-neural hearing loss. (could be hair cell) related as well. Home remedy: Bayberry bark, bur-dock root, goldenseal, hawthorn leaf and flower and myrrh gum to purify the blood and counter act infection.

3. Tinnitus associated with hear-ing loss and noise exposure. (could be hair cell related as well)Home remedy: ginkgo biloba helps to reduce dizziness and improve hearing loss related to reduce blood flow to the ears.

4. Tinnitus associated with tem-poral-mandibular joint disorders. Home Remedy: fresh pineapple to reduce inflammation.

5. Tinnitus associated with the stiffening of middle ear joints. Home remedy: Include in your diet plenty of garlic, kelp, and sea veg-etable.

6. Tinnitus associated with a ty-manic membrane perforation or rupture.Home remedy: salt and glycerin a nasal spray bottle to spray each nostril with the solution until it be-gins to drain into the back of the throat.

Homeopathic medicine practi-tioners believe that each of these causes requires a different treat-ment. Their treatments are typi-cally various roots, barks, berries, pineapples, salt, glycerin, and mix-tures that, in their opinion, treat tinnitus of various causes. Some people have taken minerals such as magnesium or zinc, herbal prepa-rations such as ginkgo biloba, ho-meopathic remedies, or B vitamins for their tinnitus and found them helpful. Others have experienced tinnitus relief from acupunc-ture, sacral therapy, magnets, hyperbar-ic oxygen, or hypno-sis. Over a long ca-reer, a clinician will hear lots of stories about home-made treatments curing tinnitus. These ho-meopathic meth-ods, however, are more often in-teresting concoctions reminiscent of “grandma’s remedies,” snake oil, and voodoo. Many concoctions

and treatments have been perpe-trated on those that suffer from tinnitus. Some are simply ”hit and miss” preparations, some homeo-pathically “proven”, and others that actually have research to sup-port claimed benefits, but most are simply not effective for tinnitus.

Real Non- Medical Tinnitus TreatmentsAudiologists consider traditional treatments such as Tinnitus Re-training Therapy, Tinnitus Masking, Neuromonics as well as possible disease processes while homeo-pathic medicine defines treat-ments for tinnitus. Most tinnitus treatment programs, including ho-meopathic remedies suggest coun-seling, diet modifications and a re-view of the use of over-the-counter and prescription medications, as these are both known to cause and/or exacerbate tinnitus. Types of tinnitus listed by the home-p a t h i c m e d i c i n e sites seem to oversimplify the symptom and categorize it according to various areas of the ear that relate to pos-sible causes and suggest a remedy according to it orgin. Once medi-cal causes re rued out, audiologists may be able to reduce the tinni-tus (about 50% of the time) by the use of hearing instruments or inexpensive masking noise generator, such as a pillow that generates noise, or a free phone application that can cover the or distract from the sounds. When choosing an audiologist to con-sult for tinnitus treatment, ex-perience with tinnitus patients really counts. The process takes listening to the patient and their particular tinnitus issue and then considering a number of options. Tying it up

If you have followed the discus-sion through these three parts, it’s been a long journey through the history of homeopathic medicine, how the remedies are made, their administration and finally their use in tinnitus treat-ments. At the beginning of this quest, I was interested in looking at the benefits of these commer-cial preparations to our tinnitus patients in the clinic.I know that many audiologists, like me, in the US and likely many more countries around the world, are not very familiar with homepathic remedies. Like

colleagues worldwide, I have had many patients try these prepa-rations with virtually no positive results. Preparations that are broadly advertised, available on the internet are often extremely expensive and likely of no clinical benefit. Based upon my research, I have concluded that the only ho-meopathic remedy that has any REAL merit for tinnitus is probably the use of antioxidants. If patients are experiencing tinnitus, I will rec-ommend that they consider the use of antioxidants. While the jury is still out, evidence suggests that when these antioxidants are received from natural foods and beverages, there are better results than when obtained from supple-ments. If an antioxidant supple-ment is used it should come from a reputable, known source to en-sure that the substance is of high quality. Best to have great choco-late and a nice expensive red wine to obtain antioxidants than spend huge amounts for home remedies that are ineffective. While I do not endorse, or recommend any of these commercially available compounds, pills, or other prepa-rations for tinnitus there are some effective non-medical audiological treatments for tinnitus. However, an old friend and Greeley colleague, Dr. Ray Yockey (2014) re-minds this author that that some-

times a pill (even an expensive one) with no phys-i o l o g i c a l b e n e f i t , common-ly called a placebo, can be of some significant benefit. He says, “There is a mind-body interaction that is poorly understood by today’s physicians but was well known to the ancient healers, who treated not only the physical but the mental and spiri-tual needs of their patients.”

References:Home Made Remedies. (2014). Ho-meopathic medicine web site for Tinnitus. Retrieved from the World Wide Web, April 16, 2014: http://www.homemademedi-cine.com/home-remedies-tinni-tus.html

Sanders, B.T. (2004). What is Tin-nitus? Tinnitus Today, American Tinnitus Association, Portland OR.

Yockey, R., (2014). Personal com-munication. April 7, 2014.

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

Author’s Bio:Robert M. Traynor,

Ed.D., MBA, FAAA

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May 2014 Thrive