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a health section focusing on Northern Colorado
May 17, 2012
Summer survival tips
2 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
Health Line of Northern
Colorado is a monthly
by the Loveland Daily
in this publication is
intended for personal,
purposes only and
does not constitute a
with respect to any
procedure or activity.
You should seek the
advice of a professional
Kids need the
right nutrition to
Spice It Up
Peppers do more than
add heat to meals
Beat the Heat
Tips, tricks to
survive the summer
Uncommon Sense............................................pg 8
Get t with kids...............................................pg 10
Health Calendar..............................................pg 20
Health Briefs...................................................pg 21
Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 3...
Clink, glub, glub, glub, ahhh.
Take a moment to sip on some ice-cold
water, allowing it to freshen the senses
and ready you for the summer months.
With so many cold, delicious drinks to
choose from, water can rarely be the
drink of choice. Its easy to forget how
important it is to drink enough of it on
a daily basis, too.
We know water is essential for
the human body, but what exactly
does it do for us? Christine Bennett,
a registered dietitian with House and
Heart Nutrition, LLC in Longmont, says
water is essential because it helps
our bodies to function properly. We
need water to transport nutrients and
oxygen around our bodies (blood) and
to remove by-products of metabolism
from our bodies (urine), she says.
We need water to make enzymes to
digest food and for our metabolism,
to moisten the respiratory and gastro-
intestinal tracts and also to maintain
Drinking enough water daily is worth
the gain, not in weight, but in health.
The benets are endless from improved
skin tone to weight management to
supporting the conduction of electrical
impulses that maintain heart function,
Diana Bunker, a certied nutritionist in
A large amount of calories con-
sumed on a daily basis are from the
uids we drink from soda to juice to
hot or cold coee drinks. Often these
drinks dont keep us feeling full for very
long, so we have consumed the calories
and are looking for another snack soon
afterward, Bennett says. The list of
what water provides to the body goes
on and on.
With summer in full force, stay-
ing hydrated is particularly important.
Because the body uses water to
regulate body temperature, not staying
adequately hydrated can put an excess
amount of stress on the body, Bennett
With so much information out there,
its hard to know how much water we
should drink, and what the benets can
be. Simply drinking water is one of the
best ways to consume it. While we do
consume a fair portion of our daily uid
intake through the foods we eat, gulp-
ing it down is just as easy.
And everyone has heard the eight
glasses a day requirement. Although
that seems like the right amount for
everyone, its actually not as accurate
as we think. The best rule of thumb:
When youre thirsty, drink uids. Bun-
ker provides specic guidelines: Ideally
we should be drinking half of our body
weight in ounces daily. For example, a
150 pound person should consume 75
ounces daily, which is a good rule of
thumb for everyone.
Changing habits overnight is often
unrealistic. Bennett and Bunker recom-
mend starting with small, attainable
goals. Keeping a water bottle close
by is a gentle reminder, Bunker says.
However, the good thing about
changing habits is that you can
easily exchange one habit for another.
Strike a deal with yourself: I can
drink the soda after I drink a half cup of
water, Bennett says. Another way
might be to think about all the uids
youre going to consume that day and
try to switch one or two of those to
water. This might feel more achiev-
able than cutting out juice or soda all
For the person who doesnt enjoy
drinking water, its most likely due to
its taste. Fortunately, a water lter can
make all the dierence. In addition,
because a lot of people have teeth
sensitivity to cold, Bunker recommends
drinking room temperature water,
which can help water go down a lot
easier. And if you drink juice or other
avored beverages, try mixing the
avored beverage with water so you
achieve the increased water intake,
while tricking your taste buds in the
For all the things water does to
keep our bodies healthy, think twice
the next time you reach out to crack
open the top of a soda pop can or
avored beverage. Instead, grab your
water bottle or glass and take a swig
your body will thank you.
Dominique Del Grosso
For the Reporter-Herald
The 411 on H2O
drinking half of
our body weight
in ounces daily.
For example, a
150 pound person
75 ounces daily,
which is a good
rule of thumb for
- Diana Bunker,
4 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
Ask the Experts:
I have veins in my legs that are discolored and painful.
What are these and how are they treated?
Varicose veins are superficial veins that are dilated and bulge under the skin. They can
be blue or purple in color and are often found behind the knees and in calves and thighs.
They can cause swelling, aching in the legs and damage to the skin leading to open wounds.
Varicose veins are treated with a laser procedure to seal the vein.
Spider veins are tiny blood vessels below the surface of the skin.
These are treated, via injection, through a method called
sclerotherapy that causes the vein walls to collapse.
Maurice Lyons, D.O., Cardiovascular Surgeon
Kenneth Richards, M.D., Cardiovascular Surgeon
Todd Bruce, PA-C,Cardiovascular Physician Assistant
NCMC Vein Clinic-
CardioVascular Institute of North Colorado
1800 15th St., Suite 340, Greeley
Appointments (970) 378-4100
McKee Medical Center & North Colorado Medical Center
Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 5...
Heres a new spin on the saying, If you
snooze you lose.
What if the lose part applied to your weight?
No, its not as simple as going to sleep and
waking up slimmer. Alas.
But a recent Harvard study does suggest that
people who get a good nights rest nd it easier
to resist overeating especially when it comes
to gorging on high-calorie foods like ice cream,
cheeseburgers or French fries.
We all know the temptation: Youre drowsy
during the day, get hungry and head to the
snacks aisle or a vending machine for junk food or
a candy bar.
Daytime sleepiness was positively related
to greater hunger and elevated preference for
high-calorie foods, concluded the study, led by
researcher William Killgore, an assistant professor
of psychology at Harvard Medical School.
MRIs of study volunteers showed why. Sleepier
people had less activity in the self-control part of
the brain the prefrontal cortex. Thats the area
that puts the brakes on and slows you down
from doing things you shouldnt do like eating
too much fattening, unhealthy food, says Killgore.
If youre sleepy, youre more likely to reach
out and take a few extra bites of food or go for
that extra dessert or say yes to something you
wouldnt have, says Killgore.
New preliminary ndings show that women are
even more inclined than men to overeat and to
prefer junk food when they get sleepy during the
People think theyre so busy that, if theyre
going to chintz on something,
theyre going to cut out some sleep. And thats
one thing they shouldnt do, says Killgore. It
aects our ability to control food intake.
Twenty or 30 years of doing that is going to
make us larger and more unhealthy.
New study nds:
If you snooze you lose ... Weight?
6 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
Dr. Susan Agrama
Dr. Peyton Taliaferro
1327 Eagle Drive, Loveland
To make an appointment,
Schedule your annual checkup today.
Dr. Susan Agrama and
Dr. Peyton Taliaferro are now
welcoming new patients.
The Poudre Valley Medical Group
Primary Care clinic is conveniently
located in the heart of South
Loveland. The ofce is south of
King Soopers in the Thompson
Valley Towne Center shopping
center, just west of Starbucks.
14th St. SW
Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 7...
Dear Dr. Beth: When a mature
woman chooses to live life on her own
what are the challenges both mentally
and physically she must adjust to? It is
a process and an interesting journey.
How do you stay positive as best you
Dr. Beth: When a mature woman
chooses to live life on her own, there
are a tremendous number of challenges
and rewards associated with this transi-
tion. Some of these challenges are
expectable and anticipated; others are
entirely unexpected, and may be either
negative or positive.
Most women who choose to live
on their own due so because of their
decision to leave a marriage or other
committed relationship and live alone.
This usually involves a shift to support-
ing themselves nancially and living
their lives on their own terms rather
than having to compromise their needs
to live with a husband or partner. Often
this decision is made in order to move
out from under the shadow of a mar-
riage in which she has had to give up
signicant parts of herself being in the
The adjustment challenges are
numerous and often quite dicult
mentally and physically. Physically and
pragmatically, this is often the rst
time a woman has lived alone or on her
own for many, many years or ever. I
have heard many women speak of the
challenge of dealing with a quiet house
whether the partner they were living
with was positive or negative, noisy
or quiet, it is a big deal to learn to
become accustomed to being the only
person moving around in a house or
coming home from work or an evening
Many women have been in rela-
tionships where the many activities
required to run their lives were shared
between them. Many women feel
overwhelmed by the need to gure
out how to accomplish these neces-
sary household tasks on their own
without someone with whom she can
share those burdens. Limited nancial
resources also frequently complicate
You are right in discussing this
transition as a journey. Here are a few
ideas that can help you along the way.
First, if you have the luxury of really
choosing the timing of going on your
own, it is very helpful to learn and
practice some of the practical skills
you will need before moving out onto
your own. Learn about the nances of
running a household,
how to x basic things
that go wrong in your
apartment or house,
and who to call if you
cant x it yourself. It
is also really important
to connect with other
women and men on a
social, friendship basis
so that you have
other people to call
and to do things with
As you mentioned
in your question, this is a process and
a journey. Dont expect everything
to run smoothly or to be immediately
rewarding although some parts of
the process might be really freeing and
Every day will not be joyful and
satisfying, but this happiness tends to
occur more and more frequently over
time. A lot of that shift comes about
as a result of recognizing your likes and
dislikes and making your life both in
and out of the home reect your needs
interests and tastes. It isnt always an
easy journey, but it is often a journey
well worth taking.
Dear Dr. Beth: My partner has a
problem with buying from every sales
person that calls. She also tends to
trade work for money owed her and
gets into trouble every time with lack
of quality work. What can I do to help
her save money and make better deci-
sions? I dont want to try and change
Dr. Beth: This is a huge issue for
couples. Societys conventional wisdom
tells us that nances, sex and children
are the primary sources of conict for
a couple and the reason that many
relationships break up. First, it is im-
portant to realize that you really dont
have the power to change your partner.
You can invite her to change, you can
talk to her about the patterns you
notice in her decision-making and how
her choices aect you and aect your
with Beth Firestein
Dr. Beth Firestein is a licensed
psychologist. She has 24 years of
therapy experience and has practiced in
Loveland for more than 14 years.
She may be reached by calling her
ofce at 970-635-9116, via email at
[email protected] or by visiting
Dr. Beth Firestein
A life journey worth taking
It can take awhile to
get used to living alone
8 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
Bringing up this subject and discuss-
ing it are healthy things to do; how-
ever, repeating the message frequently
is a form of nagging and never really
makes the relationship better. Your
partner make take some of your feed-
back and make some changes and that
would be great, but she make take very
little of your input or perhaps not use
any of it and that can be extremely
You can support your partner in
making better decisions and sharing
your own experience and expertise
with saving and budgeting money, but
it is not within your power to actually
change your partner and you really
dont sound like to want to change her
Some practical steps you can take
to manage the situation include try-
ing to have a constructive discussion
about the topic and see how far the
two of you can get on your own. You
can also hire a nancial counselor or
therapist to help the two of you get on
the same track with respect to money.
Some couples choose to separate their
nances or live apart due to the fact
that one person may be making choices
that prevent her from fullling her -
nancial commitment to the relationship
and the way her decisions adversely
aect you. Often, this is not easy to
accomplish. If the two of you are stuck
or ghting frequently, working with
a couple therapist can sometimes be
very helpful as well. You can also help
her by giving her encouragement and
support for the changes she is willing
Few issues in a relationship are as
emotionally loaded as disagreements
about the handling of family nances.
It is possible to learn to live with your
partners problem with money, but may
eventually decide that you are not will-
ing to continue to deal with this after a
certain length of time.
Let me be clear: your partner really
can get the help she needs and make
signicant changes in her behavior. It
isnt hopeless. But your role in this pro-
cess is quite limited and often the most
constructive thing you can do is stay
out of way. Let her come to terms with
this issue on her own and nd a place
of personal emotional balance within
the relationship that you can sustain
regardless of what your partner does or
Columbines' Colors of Caring
Call today to learn more about
our health care continuum
Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 9...
Next time youre around children, take a moment to
observe their behavior.
Kids run everywhere. They climb trees, wrestle friends,
bounce basketballs and swim in pools. They make up
games with ever changing rules and only stop long enough
to examine a scraped knee or get something to drink.
Doesnt that sound like fun?
Indeed, it does - at least according to a new survey by
the American Cancer Society.
Forty percent of women surveyed said they would be
more physically active if exercise felt less like work and
more like play.
Gym workouts can be monotonous and uninspiring;
tossing a Frisbee or speeding down a waterslide is fun.
Today, the American Cancer Societys Choose You
movement is launching its 100,000 Acts of Play Chal-
lenge. The eort is aimed at getting women to let go of
a little adult responsibility for awhile and enjoy being like
It is essential to nd a way to bring the power of play
and physical activity that you enjoy back to your day,
says Colleen Doyle, the societys nutrition and activity di-
rector, in a news release. There are so many options: Play
tag with your kids, jump rope with a friend or even Hula
hoop at the oce. The important thing is to get moving
and have fun.
Choose You is sending teams to New York, Los Angeles
and Washington. The teams, acting rather like ash mobs,
will erupt into a urry of seemingly spontaneous play,
inviting passers-by to participate with nostalgic childhood
toys, including the 80s famed Skip It, Hula hoops, hoppity
hop balls and double-Dutch jump ropes, according to the
Staying active can improve heart health, increase t-
ness and limit the risk of certain cancers. Although the
Play Challenge is focused on womens health, both sexes,
adults and children, can benet from playtime. Make it a
After each play session, go online to www.chooseyou.
com/play to share your fun. Choose You hopes to have
100,000 entries on the site by the end of May. By then,
maybe youll feel like a kid again.
Ladies, its time to play
Get active simply by playing with your kids
It is essential to nd a way to bring the power of play and physical
activity that you enjoy back to your day There are so many options:
Play tag with your kids, jump rope with a friend or even Hula hoop at the ofce.
The important thing is to get moving and have fun.
10 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
Steven H. Peck, M.D Winfield M. Craven, MD.
Michael D. Roller, M.D. Craig R. Clear, M.D. Robert R. Quaid, M.D
Healthy Legs, Healthy You!
Do you suffer from bulging, painful varicose
veins in your legs? Maybe you notice that your
legs ache, swell, or feel heavy and fatigued,
especially by the end of the day? All of these can
be signs of vein disease caused by faulty valves in
your veins. If left untreated they can lead to more
serious health issues such as blood clots, venous
hemorrhage, or skin ulcerations.
The veins in your legs have to work hard against
gravity to get the blood back to your heart using
one-way valves. When these veins become
stretched, the valves weaken and are unable to
completely close, resulting in increased vein pres-
sure. It is this increased pressure that is the source
of the problems.
Factors that contribute to
venous disease are:
Prolonged periods of standing or sitting
Conservative methods of treatment are to avoid
sitting or standing for long periods, the use of
compression stockings, regular exercise, and
controlling your weight. If a patients symptoms
do not improve with conservative measures then
a physician may recommend a consultation for
treatment known as Endovenous Laser Treatment,
EVLT is performed by the comprehensive vein
specialists at The Vein and Laser Center of North-
ern Colorado. This group uses the most advanced
laser delivery system, VenaCure 1470, which
provides the patient with a manageable post
procedure recovery period, allowing the patient
to return to work the following day. Procedures
are done in the office in less than 2 hours, and are
typically covered by insurance.
Complimentary screenings with a limited ultra-
sound are an option to see if you are a candidate
for EVLT. The Vein and Laser Center invites
you to call with your questions or to schedule a
consultation at 970-267-2661.
Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 11...
Its vegetable season and this year
its about spicing things up. Peppers,
not only add avor and heat to what
you are cooking, but they are packed
full of health benets too.
The focus has really been on
tomatoes the last couple of years,
says Anne Zander an extension agent
of family and consumer science at
the CSU Extension of Boulder County.
Now more and more people are fo-
cusing toward peppers in their home
garden, because they are realizing
Peppers, whether they are big,
small, sweet or spicy, are rich in vita-
mins and minerals. These avorful and
spicy vegetables are not only high in
Vitamin C, but are a great source of
beta carotene, potassium, folic acid
Aside from their many health-
related benets, they also oer avor
and color to dishes and are easy to
use. This versatile vegetable can be
eaten raw, cooked, baked, roasted,
stewed, pickled and even stued.
You name it or have a recipe it can
probably be done.
And to add to their greatness.
Peppers, all kinds, grow great in the
hot, Colorado climate. Kim Jackson,
annuals manager at The Flower Bin
in Longmont, says peppers love the
sun. Our climate is known for the
hot peppers, especially Anaheim and
jalapeno, she says. They just love
our hot summer days ... any kind of
With a little soil amending, a
monthly fertilizer, regular watering
and six to eight hours of sun, growing
a pepper should be easy.
Zander says like any vegetable,
adding peppers into your diet is
always a good idea. They are full of
vitamins and minerals and are low in
calories, while lling you up. But she
cautions that people new to using
peppers should work them into their
diet slowly and try all dierent kinds
to discover what you like best. It
is also a good idea to make sure to
wear gloves when cooking with hot
peppers, because the oils can transfer
to your hands very easily.
Be adventurous and start o
with a small amount, Zander says.
Usually the smaller the pepper, the
hotter they are.
Zander says getting cre-
ative with peppers is the fun
part. While they can easily
be cut up and stored in the
refrigerator for snacking and
cooking, peppers can really
be added to any dish. Ideas
for fresh peppers include
salsas, marinades, vinai-
grettes for salads, avored
oils and vinegars.
Just remember the
longer they (peppers) sit
(in a dish) or in a avored
vinaigrette it will get
stronger and spicier,
Zander cautions. That is
why the tasting part is so
While most who are new
to peppers begin by adding
bell peppers, which are
often the least spicy and
more sweet, it is easy to
start trying other peppers
by just substituting one
in place of a bell pepper in
dishes you like.
For more tips or information
on storing, canning or freez-
ing peppers for year round
use, contact Anne Zander at
303-678-6238 or [email protected]
Spice It Up
Peppers add more than
heat to your favorite dishes
12 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
Invented by Wilbur Scoville, the Scoville Heat
Index ranks peppers in order from mildest to hottest.
It starts with zero being the mildest and goes over
1,000,000 to indicate the hottest peppers. Heres
information on more widely used types.
Bell Peppers, which can be red, yellow, green or
orange, arent hot peppers. They are very common
sweet peppers. Since this type of pepper has no heat,
its Scoville Heat Index is zero.
Also known as pimento peppers, cherry peppers are
heart-shaped and are about 4 inches long and 3 inches
wide. These peppers are actually very mild, scoring about a
500 on the Scoville Heat Index.
Another mild type of pepper is the Anaheim pepper. This
pepper is usually maroon in color and has a long, skinny
body. While the Anaheim pepper usually has a Scoville Heat
Index around 1,000, some varieties can have a rating as
high as 5,000.
The jalapeno is one of the most common types of
peppers in the United States. Many people like this type
of pepper because of its spicy yet not overwhelming taste.
Jalapeno are usually either red or green and are about 2 to
3 inches long. Their Scoville Heat Index is typically around
5,000, however jalapenos can range anywhere from 2,000
The Serrano pepper is similar to the jalapeno in its look,
but this pepper is much hotter. On the Scoville Heat Index,
the Serrano Pepper can be between 10,000 and 25,000.
This pepper is usually small (around 2 inches) and green in
The Cayenne pepper is another hot pepper (be-
tween 25,000 and 50,000 on the Scoville Heat Index)
that is popular with those looking to add heat to food.
Red in color, the Cayenne pepper is generally dried
and used in powder form. Additionally, this pepper has
been used in natural medicines for hundreds of years
due to reported healing attributes.
Grown in Thailand and neighboring countries, the Thai
pepper is a type of pepper that can be classied as very
hot. With a Scoville Heat Index of between 50,000 and
100,000, these peppers are sure to leave your taste buds
wanting relief. The Thai pepper is one of the smallest pep-
pers, measuring in at less than 1 inch.
HABANERO CHILI PEPPER
Of hot peppers that are commonly used, the Habanero
chili is recognized as the hottest. This pepper, which can be
any color from green to yellow to pink, is usually only around
3 centimeters in length. The Scoville Heat Index for the
Habanero chili can range from 150,000 to 350,000.
Types of Peppers
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Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 13...
T-ball, soccer, softball and tennis
are in full swing, and young athletes
need nutritious foods for top-notch
In order to properly fuel their bod-
ies for sport, youngsters need to eat
a daily diet that focuses on adequate
calories, particularly in the form of
carbohydrates, to support exercise and
growth, and adequate protein, says
registered dietitian Mary Wilson.
A board-certied specialist in sports
dietetics and director of the Didactic
Program in Dietetics at Eastern Ken-
tucky University, Wilson recommends
that parents follow the 2010 dietary
guidelines for Americans and Myplate.
gov for feeding their active young-
The best foods for young athletes
are: carbohydrates from whole grains
(breads, cereals, pasta, brown rice),
fruits, vegetables, and low-fat milk
and yogurt; and protein from legumes,
nuts, seeds, low-fat milk, yogurt
and cheese, poultry and lean cuts of
Registered dietitian Jill Kindy, the
mother of two young athletes ages
9 and 11, says planning is important
in providing healthful foods for young
people. Kindy, health education coor-
dinator at the University of Kentucky,
recommends keeping non-perishables
such as granola bars, cheese and
crackers, dry cereal or trail mix in the
car, so theyre available to eat when
kids are heading to the park after
We sometimes travel with an
insulated bag/cooler with an ice pack,
so we can have items like string cheese
or cold drinks. This way, you wont
get stuck running through the drive-
through and ending up with a high-fat,
high-calorie choice. If you do end up
at fast food, go for the grilled chicken,
a sub sandwich, and apples and fruit
instead of french fries.
Kindy, who also is a sports dietetics
specialist, suggests that youngsters
eat something that is mainly carbohy-
drates before a game or practice that
lasts longer than an hour. During a
lengthy activity, children can eat fruit,
bagels or granola bars, and they can
drink sports drinks.
After strenuous activity, its good
to replenish losses shortly after the
competition or practice ends like
within 30 to 60 minutes, Kindy says.
This meal or snack should contain
some carbohydrates and some protein.
Snacks can be chocolate milk or peanut
butter crackers or low-fat cottage
cheese and fruit.
For a meal after the game, young-
sters should eat lean protein, starch
and vegetables, with the plate being
about three-fourths rice or pasta and
vegetables or fruit, and one-fourth
If your plate looked like a clock,
from about 12 to 4 should be protein
(lean meat, chicken, sh) and from 4
back around to 12 should be starch
and vegetables, she says. Also,
remember to drink enough to replenish
Consuming adequate uids is
important to prevent dehydration,
Urine color can be a convenient
way to monitor hydration, Wilson
says. Urine should be pale yellow.
Dark urine indicates dehydration and
shows that an athlete needs to drink
more uids before, during and after
One of the best insurance policies
for adequate nutrition during competi-
tion is eating well on a daily basis dur-
ing the season, Wilson says.
Parents can help by ensuring that
these healthful foods are readily avail-
able, helping kids learn to plan ahead
to fuel workouts and competitions,
and, of course, serving as a role model
for children with respect to nutrition,
Just as important as what active
youngsters eat is when they eat.
Meals and snacks should be spaced
To be successful, young athletes need good nutrition
Providing the right fuel
14 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
throughout the day, so en-
ergy is available to muscles
when needed, she says.
An athlete who trains or
practices at 4 p.m. should
eat breakfast, lunch, and
possibly a light snack before,
followed by dinner after the
For a 6:30 p.m. practice,
the athlete should eat break-
fast, lunch and a light dinner
or substantial snack about
4 or 5 p.m., followed by a
substantial snack or light
meal after practice, she
As the season continues,
the young athletes will head
into tournaments that can
last all day. Athletes should
stick to familiar, well-tolerat-
ed foods, focusing on
carbohydrates and lean
protein on the day of
competition, Wilson says.
Most exercisers can eat a
snack one to three hours
prior to a competition. This
is especially important for
For daylong competi-
tions, planning is crucial to
ensure that adequate car-
bohydrates and protein are
available during the event.
Good choices to have on
hand include fresh
and dried fruit, crackers,
yogurt, sandwiches, cheese,
granola bars and peanut
Wilson advises young-
sters to stick to the normal
sports diet (plenty of whole
grains, fruits, vegetables,
low-fat milk products and
lean protein) during the
week before and day before
Kindy says the pre-game
meal cannot undo a bunch
of unhealthy eating that you
do the rest of the week. If
you eat well all the time,
then you will be practic-
ing at your optimum, which
ultimately should mean that
you are competing at your
Meals and snacks should be spaced throughout the day, so energy is
available to muscles when needed.
- Mary Wilson, registered dietician
3419 W. Eisenhower 970-669-9986
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Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 15...
Sunny days, warm breezes, outdoor
sports and long weekends at the beach
all the fun of summer can sure put
a spring in your step. Unfortunately,
some summer situations can also slow
you down unless you take precautions
to prevent injury to your feet.
In summer, your feet may be
exposed to risks that dont occur in
winter, such as cuts and abrasions from
walking barefoot on the beach where
broken shells or sharp debris may lurk,
burns from hot sand or too much sun,
and pain or blisters caused by ill-tting
ip-ops or sandals that lack support.
Knowing how to prevent and treat
summer-specic foot problems can help
ensure your summer fun stays on track
this year, says Joseph Caporusso,
DPM, president of the American Podiat-
ric Medical Association (APMA).
APMA oers some advice:
You may enjoy the sensation of
the ground on your bare feet, but avoid
walking barefoot. Not only does going
barefoot expose your feet to the risk
of sunburn, plantar
warts, athletes foot,
ring worm and other
infections, bare feet
are at risk for cuts,
and other injuries,
screen all over your
feet, especially the
tops and fronts of ankles to prevent
sunburn. If you do get a burn, clean
the area and apply burn ointment if the
area is red.
IN THE WATER
Jellysh stings are a possibility
at many beaches. Wearing swim shoes
into the water can help protect your
feet if you step on a jellysh. If you get
stung, leave the water immediately and
watch for signs of an allergic reaction,
such as swelling in the mouth, diculty
breathing, nausea, vomiting or diar-
rhea. Seek immediate medical attention
for these symptoms. For less serious
stings, use seawater to wash the af-
fected area, which will help deactivate
the stinging cells. Applying vinegar for
about 30 minutes can help with pain,
but shaving cream, soap, or a paste of
sand/mud and seawater can be substi-
tuted in a pinch.
ON THE GO
If you experience a cut or punc-
ture on your feet, clean your hands
with antibacterial soap before you
clean the injury. Clean the wound and
apply direct pressure to stop the bleed-
ing, if necessary. Once the bleeding is
stopped, apply antibiotic ointment to
aid in healing and prevent infection.
Flip-ops with soles that bend
or twist freely oer no support or
stability. Choose a ip-op style that
bends only at the ball of the foot and
provides arch support, which cushions
the foot and improves stability.
Tips to keep feet healthy,
in-step with summer fun
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16 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
Beat the Heat
Staying cool this summer
Dominique Del Grosso
For the Reporter-Herald
Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 17...
The feeling warms your skin, beads of sweat roll down
your sun-kissed forehead and while smacking your lips
together, suddenly realizing your mouth is drier than
normal, youre in need of something cold. Lethargically,
mustering all the energy possible, you shue to the
kitchen, ip the faucet to its on position and stare
blankly as the clear liquid lls the glass. Plopping down on
the couch, you take a gulp. Ah. Gazing back up, the ceil-
ing fan hypnotizes your mind as it spins round
and round, and the breeze it creates grants little relief.
Sweltering temperatures the summer heat is upon us.
Chilly to the bone weather is a distant memory, as
thoughts of how hot it feels consume your mind. Beating
the heat entirely is tough, but keeping as cool as possible
doesnt have to be.
EXERCISING COMMON SENSE
Even though the summer heat can be brutal at times,
exercising during the right part of the day, wearing the
right kind of materials and fueling your body with healthy
foods and uids can make the temperatures more
Being outside or exercising during the hottest part
of the day is never the best idea, a no-brainer. Exerting
energy during that part of the day can make any outside
workout more challenging, less productive and potentially
dangerous. Chad Parish, the sports performance director
of an athletic training program called No Limits Sports
Performance at Longmont Athletic Club, says exercising
at any time other than early morning is hard on the body.
Morning would be the best because of the lower tem-
peratures. Extreme heat taxes the body tremendously,
especially in the typical dehydrated state that most
people are in, he says.
Even early evening exercise is doable. Although the
air may still feel a bit warmer from the days heat, once
the sun starts to set, the sun wont blaze directly on
your body as you exercise, making it equally physically
possible. In addition, Colorado weather cools o a bit
starting in the early evening, so exercising during that
time is a nice way to take advantage of some of those
beautiful summer nights.
Kim Walker, president of outdoor DIVAS in Boulder,
says there are two important things to remember when
it comes to the heat and exercise: Drink plenty of water
and listen to your body.
DRESSING FOR THE HEAT
Its a scorcher, and getting dressed can be a
nightmare, because no matter what, sweating is
inevitable. Allowing the body to sweat, its natural
cooling mechanism, Parish says, is essential to keeping
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18 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
cool. Knowing which materials to wear can make all the dier-
Lightweight clothing is ideal for summertime. And for any
type of activity where you might be working up a sweat, synthet-
ic, quick-dry apparel is mandatory, Walker says. Cotton will hold
moisture, and once you stop aerobic activity, the wet material
keeps that moisture right next to your skin.
Beyond the clothes, accessories can make a dierence, too.
Sunglasses are essential. Our (Colorado) sun is so strong and
keeping our eyes protected is essential, Walker says. Opting for
a face shielding, skin-protecting hat is a good choice as well. Any
hat will do, but generally the lighter weight, breathable materi-
als are best. The most important thing a hat can oer is to keep
sunlight directly o your face.
HYDRATING IN THE HEAT
Christine Bennett, a registered dietician with House and Heart
Nutrition in Longmont, says watching for signs of dehydration are
critical to keep safe in summer heat.
To understand the benets of staying hydrated, we need to
understand the negative eects of dehydration. Dehydration
puts extra strain on your heart, because the blood is a bit thicker,
your heart needs to work harder to pump that blood around
your body, she says. In the summer months, this is particularly
important. The body uses water to regulate body temperature,
so without adequate water, you can increase your internal tem-
perature and put additional stress on your organs to function.
Other signs and symptoms of dehydration include: headaches,
dizziness, fatigues, irritability, weakness, cramping and constipa-
tion, Bennett says. The moral of the story, stay hydrated to stay
As the summer heat approaches, set your alarm clock for
the early a.m., slather on sunscreen, throw on you lightweight
clothes, hat included, chug some chilled water and hit the
pavement. But most importantly, stay cool.
Colon cancer claims the lives of over 50,000 men and women each year
Check our website for screening guidelines www.digestive-health.net
Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 19...
Health Line Calendar
Breast-Feeding Support Group
When: Mondays, Wednesdays and Fridays
(except holidays), 10-11 a.m.
Where: McKee Medical Center
Cost: Free. No need to register
Bright Beginnings for Infants
Bright Beginnings is designed to celebrate the birth of
new babies and provide families with health, safety,
development, play and community resource information.
When: May 21, June 18, 11:15 a.m.-12:15 p.m.
Where: Family Birth Center Conference Room, 3rd Floor
Contact: 970-495-7526 to register
Total Joint Education
Physical therapists and occupational therapists prepare
patients for surgery. This program is coordinated
through your physicians oce as part of the surgery
When: Thursdays, 3 p.m.
Where: McKee Conference and Wellness Center
Contact: 970-635-4172 to register
Breast Cancer Support Group
Where: McKee Cancer Center lobby
Caregiver Cancer Support Group
Where: Call for locations
For caregivers of elderly adults. The group focuses on
providing support and education about community
resources and behavior issues, particularly for people
with Alzheimers and memory impairment.
When: Third Thursday of the month, 1:30-3:30 p.m.
Where: First Christian Church, 2000 N. Lincoln Ave.,
Cost: Free. Care of elderly adult family members or
friends is available through Stepping Stones Adult Day
Program during meeting times at no charge.
General Cancer Support
Where: McKee Cancer Center lobby
Man-to-Man: Prostate Cancer Support Group
Where: McKee Conference and Wellness Center
Soulplay Art Therapy
People whose lives are touched by cancer experience
the benets of expressing themselves through art. No
art experience needed.
Where: McKee Cancer Center Conference Room
Blood Pressure Screening
Have your blood pressure checked by a wellness
When: Monday through Thursday, 8 a.m.-4:30 p.m.
Where: McKee Wellness Services,1805 E. 18th St. Suite
Wellness services oers low-cost blood screenings open
to community members; some immunizations are also
available upon request and availability. Please fast 12
hours prior to blood draw. Payment is due at time of
service. Insurance billing is not available.
When: By appointment only. June 5, 19, 20, 7-9 a.m.
Where: McKee Wellness Services, 1805 E. 18th St.
Suite 6, Loveland
Spirit of Women
Spirit of Women provides health information for
women in all stages of life. We host innovative events
featuring timely health education topics for women
and Spirit Business Partners. To learn more about
events through McKee Spirit of Women, visit
www.BannerHealth.com/McKeespirit or call
Weekend Warrior Wisdom
As part of home safety month, McKee Spirit of Women
will help you take action to increase safety at home
inside and outside.
When: June 12, 5:30 p.m.-7:30 p.m.
Where: Home Depot, 1100 Nickel Drive, Loveland
Contact: 970-203-6631 to register
20 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
McKee Medical Center Foundation receives $75,000 grant
The McKee Medical Center Foundation has accepted a
grant for $75,000 from the Denver Metropolitan Ali-
ate of Susan G. Komen for the Cure to provide money for
breast cancer treatment for uninsured and under-insured
women across Northern and Northeastern Colorado.
Gale Coddington, MSW, oncology social worker at Mc-
Kee Cancer Center, and Brooke Vander Wal, grants writer
with the McKee Medical Center Foundation, accepted the
award April 19 at the Denver Metropolitan Susan G. Ko-
men for the Cure 20th Anniversary Celebration in Denver.
The treatment grant will ensure that under-insured,
uninsured or women who do not have other resources will
have access to breast cancer treatment at McKee, North
Colorado Medical Center, and Sterling Regional Medical
Center. The oncology social work navigators will identify
and qualify women for the treatment grant and assure
they receive the full range of services in the continuum of
care as developed by the Larimer County Womens Health
Coalition. This project will allow these women to receive
the care they deserve as they struggle to recover from
breast cancer and all the medical ramications of their
Overall, the Komen Denver Aliate is awarding $2.5
million to 15 organizations in Colorado this scal year.
McKee, NCMC, East Morgan among Banner Health
hospitals recognized for complete electronic medical
Seventeen Banner Health facilities have achieved Stage
7, the nal stage in the adoption of electronic medical
record as acknowledged by HIMSS Analytics, a wholly
owned nonprot subsidiary of the Healthcare Information
and Management Systems Society. HIMSS Analytics moni-
tors and recognizes levels of EMR adoption and meaningful
use in hospitals in the United States, Canada and other
In Colorado, the three Banner Health hospitals to
meet this achievement are East Morgan County Hospital
in Brush, North Colorado Medical Center in Greeley and
McKee Medical Center in Loveland. HIMSS lists no other
Colorado hospitals as having achieved this level of EMR
The Stage 7 recognition by HIMSS Analytics is a
compelling example of Banner Healths emergence as a
national leader in health care. Banner Healths 17 Stage
7 hospitals are among only 82 hospitals in the nation at
this top level of EMR use. Banner is also recognized by
Thomson Reuters as a Top Five Large Health System in
the nation and as a Top Leadership Team/Large System
by HealthLeaders magazine.
In order to obtain the nal stage in the EMR adoption,
hospitals must be paperless and be able to share clinical
information with other health care facilities, networks, clin-
ics, employers, payers and patients. At this stage, health
care organizations also can store and analyze data to use
to improve clinical outcomes and patient experience.
HIMSS Analytics surveyors conducted an on-site review
of Banners EMR technologies at Banner Good Samaritan
Medical Center located in Phoenix. Because nearly all
Banner facilities have the same level of EMR adoption and
usage, surveyors were able to judge facility capabilities
across the system based on their ndings at Banner Good
Samaritan Medical Center.
Four more Banner Health facilities will achieve Stage 7
this summer once they have implemented using bar-cod-
ing technology for patient identication and medications
administration. The remaining facilities will achieve Stage
7 in 2013.
All faiths or beliefs are welcome. 09-G0452
45 miles of nerves. 630 muscles.
206 bones. 60 billion brain cells.
Recovery in body, mind and spirit. To learn
more about our Gardner Therapy Center,
call us at (970) 624-5458.
Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 21...
follow us on twitter
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it pays to be social breaking
Q&A with staff
sales and deals
share and share alike in real time
For 24 years, the certified
nurse-midwives at Banner Women
First have been providing care to area
women at all stages of their lives.
The philosophy of the group of five
midwives is simple: supporting choices
Everyone is different, says Patti
Valasek, one of the CNMs at Banner
Women First, located across on 18th
Street just south of the hospital.
The biggest benefit we provide is a
great deal of education. We are
advocates for our patients and can
offer generous amounts of time spent
with our patients to connect with
them and meet their specific needs.
While the term midwife is
commonly associated with labor and
delivery, the CNMs at Women First
provide a host of health care services
for women including well woman
gynecological examinations, contra-
ceptive counseling, prescriptions,
menopause counseling along with
prenatal, labor and delivery care.
Providing expert care during labor,
delivery, and after birth is a specialty
of midwives that makes them unique.
All of the CNMs are masters degree
prepared registered nurses who
have graduated from an advanced
education program accredited by the
American College of Nurse-Midwives.
In addition to Valasek, the clinic
boasts over 90 years of combined
midwifery experience from CNMs
Linda Davison, Cindy Dean, Janelle
Komorowski and Carolyn Bottone-
It is a misconception that we
only provide birthing services, says
Valasek. We have many patients who
come to us for support during preg-
nancy and continue their care with us
throughout their lives.
Another misconception is that
midwife services are used primarily
by women who choose to have home
births. In fact, the CNMs at Women
First only do hospital deliveries and
work very closely with the physicians
at OB/GYN Associates and McKee
Center for Womens Health. We
have a good relationship of trust
and mutual support with our physi-
cians, says Valasek. We value their
expertise and enjoy working with the
The midwives manage their labor
and deliveries at McKee unless there
is a complication or a cesarean
section is required. In that case,
they assist the physician and provide
support to the patient and family.
Currently, the CNMs deliver approxi-
mately one-third of the 800+ births
at McKee each year.
Another benefit is that their
patients have access to amenities
provided by McKee to their laboring
moms. Spacious, private rooms where
a mother can labor, deliver, recover
and receive post partum care without
having to move are available with
large whirlpool bathtubs. McKee
provides the innovative use of
peanut balls during labor to
help mothers have easier and faster
deliveries. Peanut balls are peanut
shaped vinyl exercise balls that
research has shown can reduce labor
time and lower chances of the patient
requiring a c-section.
Another misunderstanding of
choosing midwifery is synonymous
with choosing to have no pain relief
during delivery. This is not the case
as patients are educated about
all of the methods of pain relief
available and supported in their
decision. According to Valasek,
Women Firsts epidural rate is similar
to that of the OB/GYNs.
Our main goal is to develop a
long lasting relationship with our
patients and to meet their needs
individually by educating the
patients about the choices they have
in regards to childbirth, contraception
and general womens health matters,
said Valasek. Women First is located
at 1647 E. 18th St. in Loveland;
appointments can be made by
calling 970-663-9523. Most
private insurance is accepted
along with Medicaid and self pay
Banner Women First midwives
support all choices of women
McKee Medical Center
22 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...
Kaea Beresford, MD Eric Yeh, MD
June 1 in Loveland
Is excited to bring
CNM care to Loveland
and the surrounding
delivering at Medical
Center of the Rockies.
Caring for All
2500 RockyMountain Ave
NorthMedical Building Suite 150
Loveland, CO 80538
John Carlton, MD
Tina Downes, CNM
Robert Burke, MD
Susan Bush, CNM
Announcing Retirement Summer 2012
Dr. Jennifer Reeve
Thursday, May 17, 2012 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado 23...
Ask the Expert:
My child has been short of breath and tired lately.
Are these warning signs of RSV?
Respiratory Syncytial Virus (RVS) is a common and frequent cause of
respiratory illness in young children. Its highly contagious and spreads
through schools between late fall and early spring.
Adults and older children may experience flu-like symptoms. Infants or
small children may have trouble breathing and eating, act unusually
lethargic and irritable, and may become blue in the lips and fingernails.
Most cases are not life-threatening and can be treated like a cold.
Serious cases can lead to pneumonia and bronchitis.
Prevention can be managed by frequent hand-washing and
through the quarantining of children with symptoms. Talk with
your pediatrician for more information.
McKay Marler, M.D.
2555 E. 13th St. Suite 130
Appointments (970) 663-5437
Banner Medical Group
McKee Medical Center
To find a Banner Health physician in your area, visit www.bannerhealth.com/COdoc
Connect with us:
24 LOVELAND REPORTER-HERALD / Health Line of Northern Colorado Thursday, May 17, 2012 ...