October 2011 THRIVEnc

THRiVEncOctober 2011

» INSIDE: HealtHy Competition Banner HealtH/nCmC Walk to rememBer HealtH events

Food Fight

» northern colorado wellness

■■ The FDA and the food industry are battling over how best to label foods to help you and other consumers make nutrition decisions and reverse the nation’s obesity epidemic. PAGE 8

■ Businesses are competing to provide flu shots, and you could be the beneficiary of the battle.

■ Families that have felt the pain of losing an infant will come together to remember and honor their children.

■ See what’s happening this month in the local health care community.

Ask the Expert: Breast Cancer

What do I need to know about hereditary breast cancer?

1)2)3)

4)

5)6)7)

WhereExpertsWork Best.

Ariel Soriano, M.D.

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Banner Medical GroupNorth Colorado Medical Center

THRIVEnc n Sept. 28, 20112 n HEALTH

We take heartburn seriously, and so should you.

Heartburn is a common condition, experienced by •most everyone at some point in their life.

If left undiagnosed and/or untreated, heartburn can •lead to more severe problems such as cancer.

Chronic heartburn could be a symptom of a serious •condition such as gastroesophageal reflux disease also known as GERD.

The Heartburn Clinic physicians at North Colorado Medical Center specialize in

gastroenterology and the treatment of severe and chronic heartburn.

Call North Colorado Gastroenterology Heartburn Clinic at North Colorado Medical Center for your

assessment today at 970-378-4475 or 1-800-557-0505

1800 15th St., #300, GreeleyAlso located at:The Medical Arts Centre of Windsor1300 Main Street, Windsorwww.bannerhealth.comkeyword: NCMC GI

The symptoms of heartburn are hard to ignore.

As in any emergency, if you think you may be having a heart attack, please dial 911.

■ THRIVEncSept. 28, 2011 3HEALTH ■

«Spirit of Women Spirit Girls’ Night Out, 6:30 p.m. Oct. 13 at the University of Northern Colorado ballroom, in the Uni-versity Center, 11th Avenue and

20th Street, Greeley. The event will provide up-to-date health education on breast health, women’s cancers and will also include an opportunity to visit

with Banner Medical Clinic physicians. The theme of the evening will be laughter and fun is central to good health. There will also be food, games and prizes. Actors from the show “Girls Only, The Secret Comedy of Women” will also provide entertainment. Tickets are $15 and can be purchased at the North Colorado Medical Center gift shop, 1335 8th Ave., Greeley, online at www.BannerHealth.com/NCMC-spirit, or at the door for $20.

«Blood Tests, 7-8:45 a.m. Oct. 12 and 26, North Colorado Medical Center, Union Colony Room, Area C on the ground fl oor, 1801 16th St., Greeley. Wellness Services o� ers low-cost blood screenings open to community members. Some immunizations also are available upon request and availability. Participants need to fast for 12 hours before the blood draw. To make an appointment, call (970) 350-6633.

«Body Check Head To Toe, 7-10 a.m. Oct. 4, 11, 18 and 25 at the Summit View Medical Commons, 2001 70th Ave., Greeley. Head-to-toe health screenings including blood work, sleep questionnaire, lung function test, body composition, hip and waist measurements, health education, EKG with results, bone density, Peripheral Arterial Disease screenings, ultrasound of carotid vessels and ultrasound of aorta. Cost $175. To schedule an appointment, call (970) 350-6070.

«Casseroles and Crock Pot Meals Cooking Class, 6-7:15 p.m. Oct. 19 at North Colorado Medical Center, Cardiac Rehab Kitchen, 1801 16th St., Greeley. This class is taught by Mary Branom, R.D., and will teach fun and healthy cooking options. The cost is $10. To register, call (970) 350-6633.

«CT Heart Score Screening, 1 and 2 p.m. Mondays-Fridays

at North Colorado Medical Center, 1801 16th St., Greeley. This is a noninvasive test that measures the amount of calcifi ed plaque in the arteries. The procedure uses X-rays and multiple detectors to create interior images of the heart. The Heart Score program includes a 10-minute consultation with a well-ness specialist, focusing on cardiac risk factor education, identifi cation of nonmodifi -able and modifi able risks, and lifestyle behavior change options. Cost: $199. To make an appointment, call (970) 350-6070.

«Peripheral Vascular Disease screening, 1-3 p.m. at Summit View Medical Commons, 2001 70th Ave., Greeley. Wellness Services’ Peripheral Vascular Disease Screening program o� ers the education and prevention proven to be the best tools for fi ghting vascular disease and stroke. Fasting is not required. Pa-tients receive evaluation of leg circulation, ultrasound of the carotid vessels, Carotid Intima Media Thickness testing, ultra-sound of the aorta, lipid panel, health education with a Well-ness Specialist and a health in-formation packet. Cost: $100. To make an appointment, call (970) 350-6070.

«Restorative Yoga, 5:15-6:15 p.m. Mondays Oct. 3-Nov. 7 at North Colo-rado Medical Center, Colonial Room, 1801 16th St., Greeley. Recommended for those recovering from surgery or chronic illness. This gentle movement support group uses chairs and mats only, no standing poses. The focus is on gentle movements coordinated with breathing exercises to facilitate greater range of motion, fl exibility and relaxation. The instructor will address the full spectrum of students’ needs by using a personalized approach. The instructor will also teach modifi cations of all poses so students can learn a safe

and e� ective way to practice yoga. Cost: $48 for six weeks. To register, call (970) 350-6633.

«Yoga Basics, 5-6 p.m. Wednesdays, Oct. 5-Nov. 9; or 6:15-7:15 p.m Wednesdays, Oct. 5-Nov. 9 at North Colo-rado Medical Center, Colonial Room, 1801 16th St., Greeley. Introduction to the founda-tional poses in a beginning yoga practice. This class will focus on careful physical alignment for the creation of a safe practice that students can take into their homes or other yoga classes. Yoga Basics will also emphasize yoga as a tool for strength, fl exibility and balance. This class is for students of most physical abilities.

«Yoga Flow, 5-6 p.m. Wednes-days, Oct. 5-Nov. 9; or 8-9 a.m. Saturdays, Oct. 8-Nov. 12. at North Colorado Medical Center, Colonial Room, 1801 16th St., Greeley. Explore the strength, cardiovascular stamina and freedom of fl exibility o� ered through the practice of yoga fl ow. This class o� ers traditional yoga poses linked together through movements called Vinyasa, which means to move with purpose. The fl ow style of moving practice puts the body into a fat-burning zone through anaerobic activity. Yoga Flow is for students of all levels.

«Coping With Cancer Support Group, 5:30-7 p.m. Tuesdays at North Colorado Medical Center, Cancer Institute lobby 1801 16th St., Greeley.

«Breast Cancer Support Group, 5:30-7 p.m. Thursdays at North Colorado Medical Center, Cancer Institute lobby, 1801 16th St., Greeley.

«Man to Man, Prostate Cancer Support Group, 5:30-7 p.m. third Thursdays, Cancer Institute lobby,North Colorado Medical Center, 1801 16th St., Greeley.

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LiveWell is a supporter of Weld County school district healthy eating and active living initiatives!

LiveWell is a supporter ofWeld County school district

healthy eating and active livinginitiatives!


Active Community Environments Access to Healthy Foods Farm to School Programs Worksite Wellness

Weld County Department of Public Health and Environment. (970) 304 6470.

Weld County Department of Public Health and Environment. (970) 304-6470.

moreabout adventure. to subscribe, call 970.352.8089


By Cynthia Billhartz GregorianSt. Louis Post-Dispatch

S T. LOUIS — Mike Johnston has no idea what he was

thinking when he took up cigarettes at age 15

“I was definitely more impulsive back then than I am now,” said Johnston, 39, of Oakville, Mo., as he puffed away on a down-town sidewalk during a work break. “I was young and had no responsibilities. Now I have a wife and two kids.”

Charlie Condor, 49, of St. John, Mo., was smoking with co-workers when he admitted that his lifestyle and woeful views about life might have played a role in his decision to start smok-ing 28 years ago.

“Just kid stuff, you know? I was coming up through adulthood and it seemed like life was against me,” he said.

The way that Johnston and Condor assess their younger selves mirrors recent findings of two researchers at University of Missouri.

By analyzing data col-lected during a long-term study, Andrew K. Little-field, doctoral student in psychology, and Kenneth J. Sher, professor of psychol-ogy, have found that people who smoke at age 18 have higher rates of impulsivity than nonsmokers at that age. They’ve also found that those who quit between ages 18 and 25 show the biggest decreases in im-pulsivity during that time period.

The study, which began in 1987 with one group of 489 Mizzou students and has continued with several more groups, is intended to assess substance use in general, not just smoking, according to Littlefield.

Among other things, subjects are asked to rate how well two statements describe their behaviors on a scale of one to 10. The statements pertain to whether they tend to think through facts, details and consequences before decid-ing to do something and whether they tend to worry a lot.

They are surveyed seven times — once a year during college then at about age 25, 29 and 35.

“We see the biggest changes in impulsivity and neuroticism between age 18 and 25,” Littlefield said. “After age 30, most person-ality traits are usually set in plaster and they’re not changing much.”

Changes in people ages 18 to 25 begin happening when they leave their fami-

lies, go to college, enter the workforce, get married and have children. Logic would dictate that becoming less impulsive and neurotic are a part of maturing, which causes many smokers to quit.

But Littlefield and other scientists aren’t ready to draw that conclusion yet.

Quitting smoking might be prompting the changes in personality traits, he said. He stressed, however, that he means personality changes over a long time frame, not short-term ones like nervousness and lower self-regulation that come from nicotine withdrawals.

Littlefield and Sher have also concluded that, by the time a person is 35, smok-ing is usually no longer related to neuroticism and impulsivity.

“Now, it’s moving from those traits to addiction and compulsivity, which is when your behaviors are patterns,” Littlefield said. “You’re on autopilot, light-ing up without thinking when you get out of bed or on the way to work.”

He believes the findings of his study could be useful in figuring out ways to help people quit smoking before it becomes addictive and compulsive.

Studies have shown, he said, that “there are residual effects when you follow up with students after they’ve taken a money management course. You find that many of them reduce drinking and either quit or reduce smoking. They not only spend less, but they reduce behaviors associated with high impulsivity.”

He urges people to think of self-regulation as a mus-cle. It can become fatigued if you use it too much, or it can grow stronger when exercised.

“Likewise,” he added, “if you can target internal thoughts, you can make them more positive and reduce the impact of being neurotic.”

STudy offERS InSIGHTS InTo SmokInG dECISIonS

We see the biggest chang-

es in impulsivity and neuroticism be-tween age 18 and 25. After age 30, most personality traits are usually set in plas-ter and they’re not changing much.”— Andrew K. LittLefieLd, doctoral student in psychology at University of Missouri

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By David [email protected]

E leven years ago, only two families participated in Ban-

ner Health/North Colorado Medical Center’s Walk to Remember, which honors families that have experi-enced the loss of an infant through perinatal or neo-natal death, stillborn death or Sudden Infant Death.

By last year, that number had ballooned to more than 150.

And once more, on Oct. 16, the medical center will

honor those families with a walk around Greeley’s Glenmere Park.

Ruth Alles, a nurse at the medical center, orga-nized the event and runs it with fellow nurses and volunteers. She said the ceremony can be especially emotional because many of the families who attend have never had a memorial service for their children. But she said many of the families continue to come back — some for five or six years — and provide sup-port for other families.

“It is very emotional,”

Alles said. “But it’s nice to see these families again. (The nurses) were with these families when they went through their trag-edies.”

This year’s event will start with a roll call of the babies being honored, with participants blowing bubbles “to heaven” after each name. Participants will then walk around Glenmere pond and share letters, comments or music dedicated to their lost chil-dren, followed by a release of balloons with messages to the infants.

Much of the ceremony will be presented in both English and Spanish, and help pamphlets will be printed in both languages as well.

■n Banner HealtH/nortH Colorado MediCal Center’s Walk to reMeMBer

EVEnT LETs fAMILIEs MouRn TogETHER

JIM RYDBOM/[email protected]

This yEar’s Walk to Remember is Oct. 16.

The event will take place from 2-4 p.m. Oct. 16 at Glen-mere Boulevard and 16th Avenue in Greeley.For more information, those interested can call Monfort Family Birth Center at (970) 350-6580. Guests register the day of the event.

» Information


THERApy-dRug combo HELps kIds wITH ocdby melissa HealyLos Angeles Times

W ASHINGTON — Children plagued by the

repetitive behaviors, ir-rational fears and intrusive thoughts of obsessive-compulsive disorder often get some relief from widely prescribed antidepressants. But when they also get a form of psychotherapy that teaches them different ways to think about and respond to their fears and compul-sions, they get much better, a new study finds.

The study extends to children a finding that already has some traction among adults. The nation’s 2.2 million adult sufferers of OCD have been shown to respond to cognitive be-havioral therapy for the dis-order. But roughly a third of people with this anxiety disorder are thought to have suffered symptoms in childhood, and there’s not much research on what works best for them.

The study, published this week in the Journal of the American Medical Associa-tion, or JAMA, divided into three groups 124 children who had a diagnosis of OCD and were between the ages of 7 and 17. All the subjects had already been prescribed an antidepressant in the class of medications called selective serotonin reuptake inhibitors, or SSRI, and had seen some improvement of symptoms with the medications.

One group continued on those medications with no additional treatment. In the second group, psy-chiatrists who prescribed the medication saw the child seven times over 12 weeks for about 45 minutes each. In addition to check-ing the child’s response to medications, the psychiatrist offered brief instructions on cognitive behavioral therapy, a checklist of problematic

behaviors and responses to practice at home. Two “brief telephone check-ins” by the physician were used to review the instructions. This arm of the trial was designed to approximate a treatment plan “that could feasibly be implemented by psy-chiatrists in clinical practice settings that typically do not allow for long sessions,” the authors wrote.

The third group of kids got 14 hourlong sessions con-ducted over 12 weeks with a clinical psychologist, who conducted a standardized cognitive behavioral therapy treatment for OCD. In that form of therapy, four sessions are spent identifying the ritu-als and obsessive thoughts and challenging the patients’ thinking and assumptions about those. Eight sessions follow in which the therapist gradually exposes the patient to the objects of her fears and teaches new responses to the thoughts and external trig-gers that set off the rituals. In the final two sessions, patient and therapist relate the les-sons to unfamiliar places or future challenges, and plan ways to prevent relapses.

After 12 weeks, kids in all groups were showing fewer OCD symptoms on average. The drugs-only group saw small improvements over where they started. And those who got brief instruc-tions from a psychiatrist were doing a little better, but the statistical differenc-es between the two groups’ levels of improvement was so slight that research-ers could not conclude

that brief instructions in cognitive behavioral therapy conferred any benefit at all.

The kids who got 14 ses-sions of cognitive behav-ioral therapy, however, saw significant reductions in their symptoms: By one standardized measure, the severity of their OCD symp-toms declined 58 percent more than those of kids who got medications only.

Clinical psychologist Mary Alvord of Rockville, Md., who was not involved in the current study, called it important. While she said the usefulness of the technique even for young children has been borne out in her practice, the study released this week “provides further support.”

“Children and teens do best when they are gradu-ally exposed to their fears with trained clinicians,” Al-vord said. “Medications help with the biological aspects. But (cognitive behavioral therapy) gives children and teens the skills and strate-gies to combat OCD over a lifetime,” she said.

For an anxious child, whose coping rituals have taken on a life of their own and reinforced the fears they were meant to dispel, such therapy offers a chance to regain control, Alvord said.

“It’s empowering to know that you can effect change in a potentially disabling disorder through facing your fears and preventing the rituals with the guidance of a trained professional,” Alvord said.

Children and teens do best when they are gradually exposed to their fears with

trained clinicians. Medications help with the biological aspects. But (cognitive behavioral therapy) gives children and teens the skills and strategies to combat OCD over a lifetime.”— Mary alvord, clinical psychologist of Rockville, Md.

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By Carol McKinleyColorado Public News

Y ou may want to shop around for your flu shot this

fall, because businesses are competing for the opportu-nity to sell you one.

Enticing offers include everything from a $5 discount on the vaccination to free groceries. Rite Aid is giving away coupon books with a flu shot. And if you get stuck at Safeway, you’ll receive a whopping 10 per-cent off of your shopping trip, anytime through flu season, Safeway’s Lindsey Carpenter said.

There’s good reason for the sharp competition: Analyst say the profit mar-gin for a flu shot runs from 30 to 50 percent.

Dr. Lisa Miller, the state health department’s direc-tor of disease control and environmental epidemiol-ogy, says it’s not too early to get your shot.

“It takes a couple of weeks for the vaccine to be effective,” she said. “That’s why we recommend people

get vaccinated now. We don’t expect to see the flu for a couple of months, at least in large numbers.”

Health officials say you should not skip a flu shot this year because you had one last year. The vaccina-tion contains the same strains, but “with the flu vaccine, our immunity wanes or decreases over time,” Miller says. “So we do recommend that every year people get vaccinated, even if those strains remain the same.”

Last year, only 41 per-cent of Americans received the vaccination, and 1,000 Coloradans were hospital-ized with the flu.

Flu vaccinations tend to cost $14 to $32. Some

insurers, such as Kaiser Permanente, make their flu shots free.

Those with needle phobias will be relieved to know that there are other options. This includes nasal sprays (recommended for 2- to 49-year-olds) and an intra-dermal vaccination, which only touches the skin and avoids penetrating muscle tissue.

The Centers for Disease Control and Prevention is recommending immuni-zations for everyone 6 months old and up.

For a list of flu shot clinics near you, check the website www.immunize colorado.com to find the closest clinic. They call it influenza.

■n HealtHy competition

BusInEssEs fIgHT To gIVE you fLu sHoTs

It takes a couple of weeks for the vaccine to be effective. That’s why we

recommend people get vaccinated now. We don’t expect to see the flu for a couple of months, at least in large numbers.”— Dr. Lisa MiLLer, the state health department’s direc-tor of disease control and environmental epidemiology

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THRIVEnc n Sept. 28, 2011n HEalTH n THRIVEncSept. 28, 20118 HEalTH n 9

By DaviD [email protected]

G reeley resident Jan Carroll never really paid attention to the nutrition labels, but she knows that she should. The labels are difficult to

understand, and she needs her glasses to read the tiny print.

And she isn’t the only one. According to a study from the Ameri-

can Dietetic Association, only about 60 percent of people use the nutrition facts panel on food packaging when deciding to purchase foods.

“Now that I’m raising my granddaugh-ters, I try to look out for sugars,” Carroll said. “But it’s something that I just never got in the habit of.”

But with some proposed changes from the Food and Drug Administration, she said she might take a little more time to stop and read the labels.

The FDA wants to revise the nutrition facts label — that breakdown of fats, salts, sugars and nutrients on packag-ing — to give consumers more useful information and help fight the national obesity epidemic.

A proposal is in the works to change several parts of the label, including more accurate serving sizes, a greater empha-sis on calories and a diminished role in the daily percent values for substances like fat, sugar, sodium and carbohy-drates.

“I look for things with a lot of sugar in them because it makes my kids crazy,” said Heather Hemesath, a Greeley mother of two.”I think (changing the labels) is a great idea, as long as it’s ac-curate.”

The change is the latest attempt to im-prove the way Americans view food and make choices about what they eat, and comes in the wake of major advances in nutrition regulations by the Obama administration.

Calorie counts are popping up on menus of chain restaurants across the country, and the longstand-ing food pyramid was toppled this year by the U.S. government in favor of a plate that gives a picture of what a healthy daily diet looks like.

The struggle to redesign the labels on every box, can and carton has been in the works since 2003, and some of the changes could be proposed as soon as this year. FDA Deputy Commissioner Michael Taylor cautions not to expect a grand overhaul, but the revamped label does mark a shift to create a more useful nutritional snapshot of foods millions of Americans consume every day.

“It’s very important to have that information available, even if people are looking at it on a need-to-know basis,” said Marisa Bunning, an extension specialist at Colorado State University’s department of food science and human nutrition. “And in that case it needs to be portrayed accu-rately ... and it needs to be understandable.”

For two decades, the black and white label has offered a glance of nutritional information about what’s inside each package, including calories and grams of fats, cholesterol, protein and carbohy-drates. Critics have complained it’s confusing and doesn’t offer a simpler way to make a choice about whether it’s good for them — a judgment the industry wants to leave to consumers.

The proposed label is likely to produce several changes, Taylor said.

For starters, portion sizes should better reflect

reality. The 2.5 servings listed on a 20-ounce soda bottle are typically slurped up by an individual in one sitting rather than split between a couple and their child.

The FDA is also likely to find a way to em-phasize calories, which many people rely on for weight control. Other items likely to disappear or change because they haven’t proven useful include calories from fat and the daily percent value numbers that show how much an average diet should include.

Still, some wish the revisions would go further to list information about the amount of preser-vatives in a food and the degree of processing it has undergone. Health activists say such changes could help trim waistlines in America.

The food industry wouldn’t like to see many ma-jor changes. The current label is easily recognizable and adaptable to food packages of different sizes because it’s simple, said Regina Hildwine, director for science, policy, labeling and standards at the Grocery Manufacturers Association.

Hildwine says her Washington-based group, which represents 300 top food and beverage companies, has provided extensive feedback to the FDA in the run-up to the proposed rule.

Advocates believe the government and indus-try are too cozy, and that food companies are reluctant to overhaul food labels for fear of their profits being hurt.

“It’s against the industry’s interest to help the con-

sumer make better choices because then they’ll sell less food,” said Kelly Brownell, director of Yale University’s Rudd Center for Food Policy and Obesity. “If the popu-lation is going to lose weight, it’s going to eat less food, so that means less business for them.”

But Bunning said other areas of the indus-try, particularly those who showcase their food benefits, would benefit from these changes. Even smaller producers who aren’t required to include nutrition information generally include it anyway, she said, because consumers like to see it and the ingredient list sets them apart from larger com-mercial food producers.

There’s no shortage of ideas on how to improve the label. A recent contest by the University of California, Berkeley and Good Magazine yielded 60 colorful new designs.

A familiar theme popped up: red, yellow and green colors of a traffic light to indicate whether a food is good or bad. Another offered thumbs up and thumbs down on nutrients, depending on how much.

Manufacturers don’t think a stoplight system would work because most foods have a mix of nutrients and diets are not the same for everyone, Hildwine said.

“A color-coded scheme would not be as helpful to consumers as a fact-based approach,” she said.

The winning design was created by Renee Walker, whose label is topped by a large blocks of color above the nutrient listing, with each block representing an ingredient. For example, a jar of peanut butter would typically have a big box for peanuts, a smaller box for sugar and other blocks for other ingredients.

David Kessler, who served as FDA commis-sioner during what he called a “battle royale” over the first label, says the label is due for an update.

Like many experts, he’d like to see the new la-bel address how much ingredients are processed.

A pie-chart could, for example, show how much of a jar of tomato sauce is from actual tomatoes, and how much is sugar, fats, sodium, water and whatever else may be in it.

Not that all food processing is bad. Skim milk and lean meat have been skimmed and trimmed of fat. Frozen vegetables are typically captured at peak ripeness without introduction of preserva-tives or sodium.

But many highly processed foods are stuffed with unpronounceable and nutritionally questionable sub-stances. Add fat, sugar and salt, as processed foods so often do, Kessler said, and you have the perfect recipe for an American-style obesity epidemic.

“Twenty years ago, you would have maybe 20 to 30 chews per bite of food,” said Kessler. “Today, food is so highly processed and so stimulating it goes down in a wash (of saliva), like we’re eating adult baby food.”

The Associated Press contributed to this report

Government, industry spar over best way to help you make nutrition decisions

FDa consIDERs nEw look FoR FooD labEls

AssociAted Press

Designer renee Walker poses next to her food label samples in San Francisco. Nutrition and design experts want to overhaul the “nu-trition facts” panel found on packaged foods to make it easier to understand what a food’s value is — and, hopefully, make healthier choices.

THRIVEnc n Sept. 28, 2011n HEalTH n THRIVEncSept. 28, 20118 HEalTH n 9

By DaviD [email protected]

G reeley resident Jan Carroll never really paid attention to the nutrition labels, but she knows that she should. The labels are difficult to

understand, and she needs her glasses to read the tiny print.

And she isn’t the only one. According to a study from the Ameri-

can Dietetic Association, only about 60 percent of people use the nutrition facts panel on food packaging when deciding to purchase foods.

“Now that I’m raising my granddaugh-ters, I try to look out for sugars,” Carroll said. “But it’s something that I just never got in the habit of.”

But with some proposed changes from the Food and Drug Administration, she said she might take a little more time to stop and read the labels.

The FDA wants to revise the nutrition facts label — that breakdown of fats, salts, sugars and nutrients on packag-ing — to give consumers more useful information and help fight the national obesity epidemic.

A proposal is in the works to change several parts of the label, including more accurate serving sizes, a greater empha-sis on calories and a diminished role in the daily percent values for substances like fat, sugar, sodium and carbohy-drates.

“I look for things with a lot of sugar in them because it makes my kids crazy,” said Heather Hemesath, a Greeley mother of two.”I think (changing the labels) is a great idea, as long as it’s ac-curate.”

The change is the latest attempt to im-prove the way Americans view food and make choices about what they eat, and comes in the wake of major advances in nutrition regulations by the Obama administration.

Calorie counts are popping up on menus of chain restaurants across the country, and the longstand-ing food pyramid was toppled this year by the U.S. government in favor of a plate that gives a picture of what a healthy daily diet looks like.

The struggle to redesign the labels on every box, can and carton has been in the works since 2003, and some of the changes could be proposed as soon as this year. FDA Deputy Commissioner Michael Taylor cautions not to expect a grand overhaul, but the revamped label does mark a shift to create a more useful nutritional snapshot of foods millions of Americans consume every day.

“It’s very important to have that information available, even if people are looking at it on a need-to-know basis,” said Marisa Bunning, an extension specialist at Colorado State University’s department of food science and human nutrition. “And in that case it needs to be portrayed accu-rately ... and it needs to be understandable.”

For two decades, the black and white label has offered a glance of nutritional information about what’s inside each package, including calories and grams of fats, cholesterol, protein and carbohy-drates. Critics have complained it’s confusing and doesn’t offer a simpler way to make a choice about whether it’s good for them — a judgment the industry wants to leave to consumers.

The proposed label is likely to produce several changes, Taylor said.

For starters, portion sizes should better reflect

reality. The 2.5 servings listed on a 20-ounce soda bottle are typically slurped up by an individual in one sitting rather than split between a couple and their child.

The FDA is also likely to find a way to em-phasize calories, which many people rely on for weight control. Other items likely to disappear or change because they haven’t proven useful include calories from fat and the daily percent value numbers that show how much an average diet should include.

Still, some wish the revisions would go further to list information about the amount of preser-vatives in a food and the degree of processing it has undergone. Health activists say such changes could help trim waistlines in America.

The food industry wouldn’t like to see many ma-jor changes. The current label is easily recognizable and adaptable to food packages of different sizes because it’s simple, said Regina Hildwine, director for science, policy, labeling and standards at the Grocery Manufacturers Association.

Hildwine says her Washington-based group, which represents 300 top food and beverage companies, has provided extensive feedback to the FDA in the run-up to the proposed rule.

Advocates believe the government and indus-try are too cozy, and that food companies are reluctant to overhaul food labels for fear of their profits being hurt.

“It’s against the industry’s interest to help the con-

sumer make better choices because then they’ll sell less food,” said Kelly Brownell, director of Yale University’s Rudd Center for Food Policy and Obesity. “If the popu-lation is going to lose weight, it’s going to eat less food, so that means less business for them.”

But Bunning said other areas of the indus-try, particularly those who showcase their food benefits, would benefit from these changes. Even smaller producers who aren’t required to include nutrition information generally include it anyway, she said, because consumers like to see it and the ingredient list sets them apart from larger com-mercial food producers.

There’s no shortage of ideas on how to improve the label. A recent contest by the University of California, Berkeley and Good Magazine yielded 60 colorful new designs.

A familiar theme popped up: red, yellow and green colors of a traffic light to indicate whether a food is good or bad. Another offered thumbs up and thumbs down on nutrients, depending on how much.

Manufacturers don’t think a stoplight system would work because most foods have a mix of nutrients and diets are not the same for everyone, Hildwine said.

“A color-coded scheme would not be as helpful to consumers as a fact-based approach,” she said.

The winning design was created by Renee Walker, whose label is topped by a large blocks of color above the nutrient listing, with each block representing an ingredient. For example, a jar of peanut butter would typically have a big box for peanuts, a smaller box for sugar and other blocks for other ingredients.

David Kessler, who served as FDA commis-sioner during what he called a “battle royale” over the first label, says the label is due for an update.

Like many experts, he’d like to see the new la-bel address how much ingredients are processed.

A pie-chart could, for example, show how much of a jar of tomato sauce is from actual tomatoes, and how much is sugar, fats, sodium, water and whatever else may be in it.

Not that all food processing is bad. Skim milk and lean meat have been skimmed and trimmed of fat. Frozen vegetables are typically captured at peak ripeness without introduction of preserva-tives or sodium.

But many highly processed foods are stuffed with unpronounceable and nutritionally questionable sub-stances. Add fat, sugar and salt, as processed foods so often do, Kessler said, and you have the perfect recipe for an American-style obesity epidemic.

“Twenty years ago, you would have maybe 20 to 30 chews per bite of food,” said Kessler. “Today, food is so highly processed and so stimulating it goes down in a wash (of saliva), like we’re eating adult baby food.”

The Associated Press contributed to this report

Government, industry spar over best way to help you make nutrition decisions

FDa consIDERs nEw look FoR FooD labEls

AssociAted Press

Designer renee Walker poses next to her food label samples in San Francisco. Nutrition and design experts want to overhaul the “nu-trition facts” panel found on packaged foods to make it easier to understand what a food’s value is — and, hopefully, make healthier choices.

By Marilynn MarchioneAssociated Press

Fatherhood may be a kick in the old testosterone, but it may also help keep

a man alive. New research suggests

that dads are a little less likely to die of heart-related problems than childless men are.

The study — by the AARP, the government and several universities — is the largest ever on male fertil-ity and mortality, involv-ing nearly 138,000 men. Although a study like this can’t prove that fatherhood and mortality are related, there are plenty of reasons to think they might be, sev-eral heart disease experts said.

Marriage, having lots of friends and even having a dog can lower the chance of heart problems and cardi-ac-related deaths, previous research suggests. Similarly, kids might help take care of you or give you a reason to take better care of yourself.

Also, it takes reasonably good genes to father a child. An inability to do so might mean a genetic weakness that can spell heart trouble down the road.

“There is emerging evi-dence that male infertility is a window into a man’s later health,” said Dr. Michael Eisenberg, a Stanford University urologist and fertility specialist who led the study. “Maybe it’s telling us that something else is involved in their inability to have kids.”

The study was published online Monday by the journal Human Reproduction.

Last week, a study by other researchers of 600 men in the Philippines found that testos-terone, the main male hormone, drops after a man becomes a dad. Men who started out with higher levels of it were more likely to be-come fathers, suggesting that low levels might reflect an underlying health issue that prevents repro-duction, Eisenberg said.

In general, higher levels of testosterone are better, but too much or too little can cause HDL, or “good cholesterol,” to fall — a key heart disease risk factor, said Dr. Robert Eckel, past president of the American Heart Associa-tion and professor of medicine at the University of Colorado, Denver.

“This is a hot topic,” Eckel said. “I like this study because I have five children,” he joked, but he said many factors such as job stress affect heart risks and the decision to have children.

Researchers admit they couldn’t measure factors like stress, but they said they did their best to account for the ones they could. They started with more than 500,000 AARP members 50 and older who filled out peri-odic surveys starting in the 1990s for a long-running research project sponsored by the National Cancer Institute.

For this study, researchers excluded men who had never been married so they could focus on those most likely to have the intent and opportunity to father a child. Men with cancer or heart disease also were excluded to compare just men who were healthy when the study began.

Of the remaining 137,903 men, 92 percent were fathers and half had three or more children. After an average of 10 years of follow-up, about 10 percent had died. Researchers calculated death rates according to the number of chil-dren, and adjusted for differences in smoking, weight, age, household income and other factors.

They saw no difference in death rates between childless men and fathers. However, dads

were 17 percent less likely to have died of cardiovascular causes than childless men were.

Now for all the caveats.Researchers don’t know how

many men were childless by

choice and not because of a fertil-ity problem.

They don’t know what fertility problems the men’s partners may have had that could have left them childless.

They didn’t have cholesterol or blood pressure information on the men — key heart risk factors.

Less than 5 percent of par-ticipants were blacks or other minorities, so the results may not apply to them.

All those questions aside, however, some prominent heart experts were reassured by the study’s large size and the steps re-searchers took to adjust for heart disease risk factors.

“I think there’s something there,” and social science supports the idea that children can lower heart risks, said Dr. Eric Topol, a cardiologist and genetics expert at Scripps Health in La Jolla, Calif. “Whether it’s with a pet, a spouse or social interaction ... all those things are associated with better outcomes.”

Dr. Daniel Rader, director of preventive cardiology at the Uni-versity of Pennsylvania, said: “It’s biologically plausible that there’s a connection,” but the reduced risk attributed to having children “is pretty modest.”

Men often ask him what they can do to keep from dying of a heart attack, he said.

“I’m not really prepared to, on the basis of this, tell them to start having a few kids,” Rader said.

■■ Study: Fertility and mortality in men

Having kids May Help Heart

tHrivenc ■ Sept. 28, 201110 ■ HealtH

AssociAted Press

A FAther And son play basketball at Independence Park near uptown Charlotte, N.C. New research suggests that dads are less likely to die of heart-related problems than childless men are. The study by AARP, the government and several universities is the largest ever look at men, fertility and mortality.

Medical journal: http://humrep.oxfordjournals.org/content/early/recent

» Online

I think there’s something there

(and social science supports the idea that children can lower heart risks). Whether it’s with a pet, a spouse or social interaction ... all those things are associated with better outcomes.”— Dr. Eric TOpOl, a cardi-ologist and genetics expert at Scripps Health in La Jolla, Calif.

“

Save the

Date!

2011

501 N 14th Avenue, GreeleyIsland Grove Regional Park

Saturday, October 8Sunday, October 910am-4pm

Applications are available online at: greeleytribune.com/2011craftContact Emily V Tilton: [email protected] • 970.392.4450

PreviouslyThe Holiday Craft Show

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TRiBUNE MEDiCAL DiRECTORY 2011Acupuncture

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

Alzheimer’s/skilled cAre

Bonell Good sAmAritAn708 22nd StreetGreeley, CO 80631Phone: (970)352-6082Fax: (970)356-7970Web Site: www.good-sam.com

GrAce pointe1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919www.gracepointegreeley.com

meAdoWVieW oF Greeley5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Web Site: www.meadowviewofgreeley.com

Assisted liVinG

Bonell Good sAmAritAn708 22nd Street Greeley, CO 80631Phone: (970) 352-6082Fax: (970) 356-7970www.good-sam.com

GrAce pointe1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919www.gracepointegreeley.com

meAdoWVieW oF Greeley5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Web Site: www.meadowviewofgreeley.com

the BridGe Assisted liVinG4750 25th StreetGreeley, CO 80634Phone: (970)339-0022

AudioloGyAlpine All ABout heArinG1124 E. Elizabeth Street, #E-101Fort Collins, CO 80524Phone: (970)221-3372Fax: (970)493-92373820 N. Grant AvenueLoveland, CO 80538Phone: (970)461-0225Fax: (970)593-0670Web Site: www.allabouthearing.comProfessionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-ACheryl Hadlock, M. S., CCC-A

AudioloGy AssociAtes2528 16th Street Greeley, CO Phone: (970)352-2881Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A

mirAcle-eAr2404 17th Street Greeley, CO 80634Phone: (970)351-6620

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

peAkVieW medicAl center5881 W. 16th StreetGreeley, CO Phone: (970)313-2745Fax: (970)313-2744Professional: Dice, Noel G., AuD

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;Sonie Harris, 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 & VAsculArsurGery (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;Ahmad Shihabi, MD;

heArt center oF the rockies1900 16th StreetGreeley, CO 80631Cardiologists: Roger C. Ashmore, MD, FACCWendy J. Austin, MD, FACCWilliam B. Baker, MD, FACCAnthony H. Doing, MD, FACCTristan J. Dow, MD, FACCThomas R. Downes, MD, FACCC. Patrick Green, MD, FACCJennifer Hill, NPTimothy C. Johnson, MD, FACCAnnaliese Jordan, NPDennis G. Larson, MD, FACCEmily Leibow, PAGary J. Luckasen, MD, FACCRobert H. Kiser, MD, FACCWilliam E. Miller, MD, FACCGerald I. Myers, MD, FACCJ. Bradley Oldemeyer, MD, FACCMatthew T. Purvis, MD, FACCRobert Schultz, MPChad L. Stolz, MD, FACCJustin A. Strote, MD, FACCStephen A.Treat, MD, FACCTodd B. Whitsitt, MD, FACC

cArdioVAsculAr/cArdiothorAcic surGeons

heArt center oF the rockies1900 16th StreetGreeley, CO 80631Mark B. Douthit, MD, FACC, FACSMark D. Guadagnodi, MD, FACC, FACSThomas L. Mathew, MD, FACC, FACS

chiroprActiccBp spine center1180 Main Street, Suite 7Windsor, COPhone: (970)686-9117Fax: (970)686-5441Website: www.windsorspinecenter.com Professionals: Dr. Jason W. Haas Dr. Sandra Haas

corporAte heAlth

Greeley medicAl clinic pc1900 16th StreetGreeley, CO 80631Phone: (970)350-2471Fax: (970)350-2418Professionals:John Charbonneau, MDThomas Lynch, MDRaymond Van Den Hoven, MD

dentistry

Greeley dentAl heAlth1600 23rd Avenue Greeley, CO 80634Phone: (970)353-4329www.greeleydentalhealth.comProfessionals:Randy C. Hatch, DDSCharles W. Johnson, DDS

sidney Benner, d.d.s.Julie shArp, d.d.s.3400 W. 16th Street, Suite 8-EGreeley, CO 80634Phone: (970)351-0400www.bennersharp.com

roBert kron, dmdscott WilliAms, dmd3535 W. 12th Street, Suite BGreeley, CO 80634Phone: (970)351-6095www.drkron.com

dentistry - hyGene

AABsolutely smiles1135 N. Lincoln Avenue, Suite 4 Loveland, CO 80537Phone: (970)622-0970Fax: (970)622-0971www.aabsolutelysmiles.com

dentistry - pediAtric

pediAtric dentAl Group2003 46th Avenue Greeley, CO 80634Phone: (970)330-4600www.pediatricdentalspecialties.comProfessionals: David Strange, DDS, MSMalcolm Strange, DDS, MSCourtney College, DDS, MSJustin Cathers, DDS, MSGary Belanger, DDS

dermAtoloGypeAkVieW medicAl center5881 W. 16th StreetGreeley, CO 80634Phone: (970)313-2700Fax: (970)313-2733Professionals: Mary A. Blattner, MD

medicAl clinic At centerrA pc2500 Rocky Mountain AvenueLoveland, CO 80538Phone: (970) 619-6558Fax: (970) 619-6092Professionals: Michelle D. Wis, MD


TRiBUNE MEDiCAL DiRECTORY 2010TRiBUNE MEDiCAL DiRECTORY 2011EAR, NOSE & THROAT

AlpiNE EAR, NOSE & THROAT1120 E. Elizabeth Street, Suite F-101Ft. Collins, CO3820 N. Grant AvenueLoveland, COPhone: (970)221-1177Professionals: Andrea Biegnski, P.A.C. Chris Eriksen, M.D., Maria Chand, M.D., Marvin Childers, M.D., Sarvjit Gill, M.D., Meg Ricci, PA-C, Matt Robertson, M.D.David Zacheis, M.D.

NORTH cOlORAdO EAR, NOSE, & THROAT2528 West 16th StreetGreeley, CO 80634Phone: (970) 356-4646Professionals:Dr. Keith Peterson, ENT Specialist;Dr. Thomas Peterson, ENT Specialist

pEAkviEw mEdicAl cENTER5881 W. 16th StreetGreeley, CO 80634Phone: (970) 313-2700Professionals: Arthur Chen, MD

ENdOcRiNOlOgy

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

FAmily pRAcTicE mEdiciNE

FAmily pHySiciANS OF gREElEy,llp-cENTRAl2520 W. 16th St.Greeley ,CO Phone: (970) 356-2520Professionals: Joanna H. Branum, M.D.;Ann T. Colgan, M.D.;Jennifer D. Dawson, D.O.; Douglas A. Magnuson, M.D.;Lori A. Ripley, M.D.;Andrew P. Stoddard, M.D.;D. Craig Wilson, M.D.

FAmily pHySiciANS OF gREElEy,llp-cOTTONwOOd2420 W. 16th StreetGreeley ,CO 80634 Phone: (970) 353-7668Professionals:Christopher T. Kennedy, M.D.; Daniel P. Pflieger, M.D.; Mark D. Young, M.D.; Stacey L. Garber, M.D.Amy E. Mattox, M.D.

FAmily pHySiciANS OF gREElEy,llp-wEST6801 W. 20th Street, Suite 101Greeley ,CO Phone: (970) 378-8000Professionals:Daniel R. Clang, D.O.; Tamara S. Clang, D.O.;R. Scott Haskins, M.D.;Mathew L. Martinez, M.D.; Chima C. Nwizu, M.D.;Michelle K. Paczosa, D.O.; Jeffery E. Peterson, M.D.;Kyle B. Waugh, M.D.;Charles I. Zucker, M.D.

kENNETH m. OldS6801 W. 20th Street, Suite 208Greeley ,CO 80634Phone: (970)330-9061

mEdicAl ARTS pRAcTicE1300 Main StreetLoveland, CO 80550Phone: (970)686-5646Fax: (970)686-5118Professionals: Lance Barker, DOJonathan Kary, MDTrina Kessinger, MDpharmacy on site - open to the public.

mEdicAl cliNic AT cENTERRA pc2500 Rocky Mountain AvenueLoveland, CO 80538Phone: (970)203-7180Fax: (970)203-7105Professionals: Pamela Levine, MD

NEXT cARE2928 W. 10th StreetGreeley, CO Phone: (970)351-8181Fax: (970)351-0281Professionals: Gregory Denzel, DO

pEAkviEw mEdicAl cENTER5881 W. 16th StreetGreeley ,CO 80634Phone: (970)313-2700Fax: (970)313-2720Professionals:Joseph Corona, MDJames W. Ley, MDWilliam J. Oligmueller, MDBrian K. Schmalhorst, MD

wESTlAkE FAmily pHySiciANS, pc5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Richard Budensiek, D.O.; Jacqueline Bearden, MD; Janis McCall, MD;Angela Mills, MD Frank Morgan, MD;David Pols, D.O. www.bannerhealth.com

wiNdSOR mEdicAl cliNic1455 Main Street, Ste 100Windsor, CO 80550Phone: (970) 686-3950Fax: (970) 686-3960Professional: Emily Anderson, MDEgle Bakanaislas, MDRovert Bradley III, MDMichael Carey, MDKeith Rangel, MDJulie Homann, FNP

FUNERAl SERvicES

AllNUTT & RESTHAvEN FUNERAlSERvicES702 13th Street, Greeley, CO Phone: (970) 352-3366650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-32088426 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 JGreeley, CO Phone: (970)207-97733702 TimberlineFt. Collins, CO Phone: (970)207-97732555 E. 13th Street, Suite 220Loveland, CO Phone: (970)669-5432Website: www.digestive-health.net

gREElEy mEdciAl cliNic pc1900 16th StreetGreeley, CO 80631Phone: (970)350-2740Professionals:Steven Kading, MDPeter C. Witt, MD

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

wiNdSOR mEdicAl cliNic1455 Main Street, Ste 100Windsor, CO 80550Phone: (970) 686-3950Peter Witt, MD

HEAlTH ANd FiTNESS

BEllS RUNNiNg/wAlkiNg3620 W. 10th StreetGreeley, CO 80634Phone: (970)356-6964

STUdiO z FiTNESS2000 35th AvenueGreeley, CO 80634Phone: 970-388-7956Phone: 970-313-6924www.zumbalove.ning.comwww.zumba.com

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

HOmE HEAlTH cAREcARiNg HEARTS HOmE HEAlTHcARE6801 W. 20th Street, Suite 207Greeley, CO 80634Phone: (970)378-1409

HEAliNg HElpERS, llc3527 W. 12th StreetSuite 104, Greeley, COPhone: (970) 302-5559Email: (970) [email protected]

REHABiliTATiON ANd viSiTiNgNURSE 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

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


TRiBUNE MEDiCAL DiRECTORY 2011infectious 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

Greeley medical clinic Pc1900 16th StreetGreeley, CO 80631Phone: (970)350-2438Fax: (970)350-2473Professionals:Berntsen, Mark F. MDCash, Robert L. MDChristiansen, Dana L. MDDemacupoulos, Nicola MDEbens, John B. MDFloyd, Chelsca PA-CLoftin, Andrew PA-CRademacher, Donald R. MDRacine, Kim PA-CRandle, Michael T. MDThompson, Keith S. MDTryggestad, David I. MDZenk, Daniel R.MD

next care2928 W. 10th St.Greeley, CO 80634Phone: (970)351-8181Fax: (970)351-0281Professionals: Gregory D. Denzel, DO

massaGe theraPy

healinG touch massaGe @ center for Women’s health1715 61st AvenueGreeley, CO Phone: (970)336-1500 Professional: Becci Payne, Certified Massage Therapist

medical equiPment & suPPlies

aerocare700 Automation Drive Windsor, CO Phone: (970)686-6424

Banner home medical equiPment (ncmc)Phone: (970)506-6420

mental health services

ncmc - Behavioral health928 12th StreetGreeley, CO 80631Professionals: Cheryl Giambrone, LPCAngelica Perino, LPC, CACIIIElise Pugh, LPCShawn Crawford, LPCLaura Grotenhuis, LPCTia Lewis, LPCRenée Rogers, LMFTDr. Robert Ruegg, MD-psychiatryJose Vasquez, Psychiatric Nurse Practitioner

midWifery carecenter for Women’s health1715 61st AvenueGreeley, CO Phone: (970)336-1500Professionals: Marie Foose, CNM; Michael Plotnick, MDKrista O’Leary, CNMKaren Vorderberg, CNM

neuroloGy

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

Greeley medical clinic1900 16th StreetGreeley, CO 80631Phone: (970) 350-2438Professionals: Donal Rademacher, MD

ncmc neuroloGy clinic1800 15th Street, Suite 100BGreeley, CO 80631Phone: (970) 350-5612 Fax: (970) 350-5619Professionals: Siegel, Jeffery, MDShaffer, William, MD; Hayes, Todd DO

nursinG home rehaBilitationcentennial health care center1637 29th Ave. PlaceGreeley, CO 80634Phone: (970) 356-8181Fax: (970) 356-3278

oBstetrics & GynecoloGy

Greeley medical clinic Pc1900 16th StreetGreeley, CO 80631Phone: (970)350-2403Fax: (970)392-4708Professionals:Burket, Charles R. MDColberg, Craig S. MDKiser, Rick E., MD

center for Women’s health1715 61st Ave.Greeley, CO Phone: (970)336-1500Professionals: Stewart Abbot, MD; Marie Foose, CNM;Michael Plotnick, MD;Krista O’Leary, CNM;Karen Vorderberg, CNM;Bea Bachenberg, WHCNP;Kecia Doll, Licensed Esthetician; Becci Payne, Certified Massage TherapistWestlake family Physicians, Pc5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Jacqueline Bearden, MD; Richard Budensiek, D.O.; Janis McCall, MD;Angela Mills, MDFrank Morgan, MD;David Pols, D.O. www.bannerhealth.com

occuPational medicine

Greeley medical clinic1900 16th StreetGreeley, CO 80631Phone: (970)350-2471Professionals:John Charbonneau, MDRay VandenHoven, MDRobert Nystrom, DOMichael Deitz, PA-C

oncoloGy & hemaloloGy

cancer institute (ncmc)1800 15th Street,Greeley, CO 80631 Phone: (970) 350-6680Toll Free: (866) 357-9276Fax: (970)350-6610Professionals: Elizabeth Ceilley, MDBrian Fuller, MD

Greeley medical clinic1800 15th St.Greeley, CO 80631*Moving in August - 1675 18th Avenue, Greeley, COProfessionals: Thomas R. Lininger, MD Phone: (970)378-4170 Fax: (970)378-4171Douglas J. Kemme, MD Phone: (970)353-6722 Fax: (970)353-6434Michael D. Stone, MD Phone: (970)378-4170 Fax: (970)378-4171Debra DeWall, PA-C

Greeley medical clinic loveland2050 N. Boise Ave.Loveland, Co, 80538Professionals: Samuel A. Shelanski MDPhone: (970)667-7870Fax: (970)667-4510

orthodonticsGreeley 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, Pc3400 W. 16thSt., Bldg 4-VGreeley, CO 80634Phone: (970) 356-5900Website: www.dredgren.comProfessionals: Burdett R. Edgren, DDS, MS; Bradford N. Edgren, DDS, MS

oral surGery & maxillofacial surGurynicholas, kenton c. mdGreeley medical clinic1900 16th StreetGreeley, CO 80631Phone: (970)350-2458Fax: (970)392--4715

orthoPedics

Greeley medical clinic Pc1900 16th StreetGreeley, CO 80631Phone: (970)350-2427Fax: (970)350-2421 Professionals:Grossnickle, Mark D. MDHunter, Brett P. MDSnyder, Joshua MDSimonsson, Michelle PA-C

mountain vista orthoPaedics5890 W. 13th Street, Suite 101Greeley, COPhone: (970)348-0020Fax: (970)348-0044Web Site: www.bannerhealth.comProfessionals: Randy M. Bussey, MDDaniel Heaston, MDThomas Pazik, MDShelly Remley, PA-CKelly R. Sanderford, MDSteven Sides, MDLinda Young, MD

PediatricsBanner health clinic6801 W. 20th Street, Suite 201Greeley, CO 80634Phone: (970)350-5828www.bannerhealth.com

PeakvieW medical center5881 W. 16th St.Greeley, CO 80634Phone: (970)313-2700Fax: (970)313-2727Professionals:Amy Driscoll, MDMeshelle M. Kolanz, MDChris Moore, MDRobert L. Pedersen, MDJoseph Ryan, MDTom Deen, PA-C

Pediatric rehaBilitationBanner rehaBilitation center1801 16th StreetGreeley, COPhone: (970)350-6160Fax: (970)378-3858

Personal resPonse serviceBanner life line (ncmc)2010 16th Street, Suite CGreeley, CO 80631Phone: 1-877-493-8109(970) 378-4743

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

PeakvieW medical center5881 W. 16th StreetGreeley, CO 80634Phone: (970) 313-2775Fax: (970) 313-2777Professionals: Kirk Henderson Ann Hurst, PT Lindsay Paulson, PTM. Elissa Marshall, OTOla Simonsson PC-A

Podiatryfoot & ankle center of northern colorado P.c.1931 65th Ave., Suite AGreeley, CO 80634Phone: (970) 351-0900Fax: (970) 351-0940

4401 Union StreetJohnstown, CO 80534Phone: (970) 443-0925Web Site: www.footandanklecolorado.com

Professionals: Daniel J. Hatch, D.P.M. Mike D. Vaardahl, D.P.M.

Greeley foot & ankle2000 16th Street, Suite 3Greeley, CO 80631Phone: (970)352-4815Fax: (970)352-5130Professionals: Dr. Jean Masterson


TRiBUNE MEDiCAL DiRECTORY 2011pulmonary/critical care

north coloradopulmonary (ncmc)2010 16th Street, Ste AGreeley, CO 80631Phone: (970)392-2026Fax: (970)392-2028Professionals:David Fitzgerald, DOKelli R. Janata, DORobert J. Janata, DO

prosthetics & orthotics

hanGer prosthetics & orthotics7251 West 20th Street, Building MGreeley, CO 80634 Phone: (970)330-9449 Fax: (970)330-42172500 Rocky Mountain Avenue, Suite 2100North Medical Office Building Loveland CO 80538 Phone: (970) 619-6585 Fax (970) 619-6591Website: www.hanger.comProfessinal:Ben Struzenberg, CPOMichelle West, Mastectomy Fitter

radioloGy

Greeley medical clinic pc1900 16th St.Greeley, CO 80631Phone: (970) 350-2423

rehabilitation

ascent at liFe care center4800 25th StreetGreeley, CO 80634Phone: (970)330-6400Website: www.lcca.comProfessionals: Annie BennettLeslie Vail

banner rehabilitationPhone: (970)350-6160

cbp spine center1180 Main Street, Suite 7Windsor, COPhone: (970)686-9117Fax: (970)686-5441Website: www.windsorspinecenter.com Professionals: Dr. Jason W. Haas Dr. Sandra Haas

peakview medical center5881 W. 16th St.Greeley, CO 80634Phone: (970)313-2775Fax: (970)313-2777

rheumatoloGy

Greeley medical clinic/loveland1900 16th StreetGreeley, CO 806312500 Rocky Mountain AvenueLoveland, CO 80538Professionals:James Levine, DO Phone: (970)350-2433 Fax: (970)392-4768Garvin C.. Murray, MD Phone: (970)461-1880 Fax: (970)593-9731J. Stephen Thompson, MD Phone: (970)461-1880 Fax: (970)593-9731

skin carekecias skin care @ center For women’s health1715 61st AvenueGreeley, CO Phone: (970)336-1500 Professinal: Kecia Doll, Licensed Esthetician

skilled care/rehab

bonell Good samaritan708 22nd StreetGreeley, CO 80631Phone: (970)352- 6082Fax: (970)356-7970Website: www.good-sam.com

Grace pointe1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919Website: www.gracepointegreeley.com

speech and lanGuaGe

unc speech lanGuaGepatholoGy 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-SLPMark Guiberson, Ph.D., CCC-SLP

sports medicine

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

north colorado sports medicine1801 16th StreetGreeley, COPhone: (970)392-2496

speech lanGuaGe patholoGy

banner rehabilitation center1801 16th StreetGreeley, COPhone: (970)350-6160Fax: (970)378-3858

surGery General & trauma

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

Greeley medical clinic/loveland1900 16th StreetGreeley, CO 806312500 Rocky Mountain AvenueLoveland, CO 80538Phone: (970)350-2426Fax: (970)350-2452Professionals:Steven M. Dubs, MDLesley A. Fraser, MDMichael E. Peetz, MD Phone: (970)350-2426 Fax: (970)350-2452James Schiefer, MD Phone: (970)203-7250 Fax: (970)619-6094

surGery western states burn center (ncmc)1801 16th StreetGreeley, CO 80631Phone: (970)350-6607Fax: (970)350-6306Professionals: Gail Cockrell, MD Cleon W. Goodwin, MD BURN

windsor medical clinic1455 Main Street, Ste 100Windsor, CO 80550Phone: (970) 383-3950Mark Grossnickle, MDBrett Hunter, MDJoshua Snyder, MD

surGical associates oF Greeley pc(ncmc)1800 15th St. Suite 210 Greeley, CO Phone: (970)352-8216Toll Free: 1-888-842-4141Professionals: Lisa Burton, M.D.;Michael Harkabus, M.D.; Jason Ogren, M.D.;Samuel Saltz, D.O.; Robert Vickerman, M.D.

urGent care

Greeley medical clinic1900 16th StreetGreeley, CO 80631Phone: (970)350-2425Fax: (970)350-2447Professionals:Grauerholz, Brent D. MDLee, Dan PA-CNoordewier, Edward, MDNystrom, Robert DO

summitview urGent care2001 70th AvenueGreeley, CO 80634Phone: (970)378-4155Fax: (970)378-4151www.bannerhealth.comProfessionals:Thomas Harms, MDAmy E. Shenkenberg, MDLinda Young, MD

uroloGy

Greeley medical clinic1900 16th StreetGreeley, CO 80631Phone: (970)350-2491Fax: (970)350-2492Professionals:Gary R, Goodman, MDHank Jounson, PA-C

mountain vista uroloGy5890 W. 13th Street, Suite 106Greeley, CO 80634Professionals:James Wolach, MDCurtis Crylen, MDwww.bannerhealth.comveins

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

women’s services

Greeley medical clinic1900 16th StreetGreeley, CO 80631Phone: (970) 350-2403Charles Burket, MDCraig Colbery, MDRick Kiser, MDAmy Schweers, NP


*W.A.C. See dealer for complete details. *2.9% APR for up to 72 months, availabe on all new 2011 Subaru Models. Cost of fi nancing for 2.9% for 72 months is $15.15 per $1,000 fi nanced. **1.9% APR up to 36 months available on all new 2011 Subaru Models. Cost of fi nancing for 1.9% for 36 months is $28.62 per $1,000 fi nanced. Subject to vehicle insurance and vehicle availability. No down payment required. Subaru Impreza, Outback, Legacy and Forester are registered trademarks. All vehicles subject to prior sale. All sale prices are good day of publication only. All offers include all rebates, incentives plus tax, tag, and license with

approved credit. Photos for illustration purposes only. Not responsible for typographical errors. Color and equipment my vary. Offer ends 9/30/11. See dealer for complete details.

2.9%APR UP TO 72 MOS.

1.9%APR UP TO 36 MOS.

ON ALL NEW 2011 SUBARU MODELS

*

**

EhrlichSUBARU

0N 8TH AVE

EHRLICH MOTORS, INC.

www.EhrlichSubaru.com • 970-353-7707 • 866-413-55788TH

AVEN

UE

HIGHWAY 34 BYPASS

8TH AVENUE & HWY 34 BYPASS

GREELEY, COLORADO

2011 SUBARU IMPREZA

$595 Down Payment $0 Security Deposit $179 First Months Lease Payment $595 Acquisition fee

$1369 Total Due At Lease SigningOR

TO FINANCETO FINANCE

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2.5i

BJA-01From Factory AllocationPER MO.LEASE/36 MOS.10,000 miles per year.

1.9%UP TO 36 MOS.

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*UP TO 31 MPG

$595 Down Payment

BJA-01From Factory AllocationPER MO.LEASE/36 MOS.10,000 miles per year.

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2011 SUBARU OUTBACK


$4779 Total Due At Lease SigningOR



2.5i

BDA-01FROM FACTORY ALLOCATIONPER MO.LEASE/36 MOS.10,000 miles per year.

1.9%UP TO 36 MOS.

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$3995 Down Payment

BDA-01FROM FACTORY ALLOCATIONPER MO.LEASE/36 MOS.10,000 miles per year.

$189

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BFA-21From Factory AllocationPER MO.LEASE/36 MOS.10,000 miles per year.

1.9%UP TO 36 MOS.

**2.9%UP TO 72 MOS.

*

UP TO 32 MPG

$2995 Down Payment

BFA-21From Factory AllocationPER MO.LEASE/36 MOS.10,000 miles per year.

UP TO 72 MOS.

$176

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2.5iBAA-01From Factory AllocationPER MO.LEASE/36 MOS.10,000 miles per year.

UP TO 37 MPG

$1495 Down Payment

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GREELEY


Documents

October 2011 THRIVEnc