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HealthLine of Northern Colorado - July

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Health Line of Northern Colorado is a monthly publication produced by the Loveland Reporter-Herald.

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We make

easyschool physicals

Foxtrail Family Medicine and Loveland Family Practice offer same-day appointments for back-to-school physicals in most cases. Each clinic is conveniently located to serve you.

P O U D R E VA L L E Y H E A L T H S Y S T E M

pvhs.org

Dr. Anne Siple and Dr. Bradley SchneeDr. Susan Beck

FOXTRAIL FAMILY MEDICINE1625 Foxtrail Drive

(Just south of Medical Center of the Rockies in Centerra)

970.619.6900

LOVELAND FAMILY PRACTICE3850 Grant St., Suite 100(Highway 287 and East 37th Street)970.669.5717

Call today for an appointment!

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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 3

Page 8

Health Line of Northern Colorado is amonthly publication produced by the

Loveland Reporter-Herald. The informationprovided in this publication is intended forpersonal, non-commercial, informational

and entertainment purposes only anddoes not constitute a recommendation or

endorsement with respect to any company,product, procedure or activity. You

should seek the advice of a professionalregarding your particular situation.

For advertisinginformation, contact:

Linda Story — 635-3614

For editorialinformation, contact:

Jade Cody, editor: 635-3656jcody@repor ter-herald.com

Rhema Muncy, reporter: 635-3684r muncy@repor ter-herald.com

insideBackpacking Basics Page 5

Health in a Handbasket

Destination: Healthy Page 11

Aquatic Fitness Page 14

Mediterranean Diet Page 18

Crandoodles Page 20

Uncommon Sense Page 21

The Healthy Plate Page 23

Health Briefs Page 26

4 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

Approximatelyhalf of adults

surveyed on watersafety say they’vehad an experiencewhere they nearly

drowned, and one infour knew someone

who drowned,according to the

American Red Cross.

According to the American College of Sports Medicine,wearing flip-flops as primary footwear is harmful to your feetand legs. Though they may seem comfortable, flip-flops lackthe support that sneakers and other shoes give you. Thenther e’s all the extra work you have to do to keep them on yourfeet. The ACSM found that flip-flops force people to changetheir gait, which may explain the foot and leg pain that comesfrom wearing them for too long.

This doesn’t mean you should never wear flip-flops — justnot all the time and when walking long distances. And replacethem often, the ACSM said. But in the end, when it comes tosneakers and flip-flops, sneakers are the better choice.

Flip-flops may cause damage

Health Shorts

Nothing beats a dip in the pool on a hot, muggyday. But before you cannonball off the diving board,consider this: some lakes, hot tubs and pools can bebreeding grounds for bacteria that cause gastrointesti-nal illnesses, ear and eye infections and even respira-tory, neurological and viral problems, according to in-fectious-disease specialists at the University of Wiscon-sin School of Medicine and Public Health.

Municipal and private pools tend to be the safest be-cause their chlorine contents are closely monitored.But there are also some things you can do to protectyourself. Here’s what the Centers for Disease Controland Prevention recommend:

• Shower with soap and tap water before and afterswimming.

• Wash your hands thoroughly after using the toiletbefore jumping back in the water.

• Avoid swallowing water, even just a little.• Don’t swim in warm, stagnant water or use poorly

maintained hot tubs or pools.

Looking to slim down for bathing suit season? Put down thatsoda. Cutting back on calories from sugary beverages can go along way to helping you shed pounds. Even drinking one lesssugary beverage per day can mean a loss of more than twopounds over 18 months. While not by itself the ticket to a small-er pant size, limiting liquid calories does contribute to a healthi-er lifestyle when coupled with regular exercise and smart eatinghabits.

Avoid Bacteria

Cut back on that soda

Practice healthyhabits while on

summer vacationWhether you’re a frequent flyer who

travels regularly for work or just an occa-sional vacationer, you don’t have to giveup on all your health and fitness goalswhen you are on the road. Rebecca John-son and Bill Tulin, the authors of “Tr a v e lFitness,” a guide to diet and exercisewhile traveling, offer these tips:

• Before boarding your plane, drinktwo 8-ounce glasses of water. Keep drink-ing water on the plane to avoid dehydra-tion.

• Plan to arrive at your destination dur-ing the day so that when you get thereyou can take advantage of remaining day-light to do something active outside.

• Set a goal of exercising at least everythird day to keep your energy level up,performing at least a third of your typicalaerobic routine. Complete your strengthtraining routine at least once a week.

• To help yourself pick healthier mealswhen eating out, decide on what youwant before you even look at the menu,such as steamed veggies or fish, and justorder it.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 5

BackpackingAdventures

Even beginnerscan trek across themountains with theright preparation

Jupiter Images photos

Rhema MuncySpecail Sections Reporter

Hiking peaks abovetree line is one ofLoveland moun-

taineer Ron Tuttle’s favoritegetaways. Now 72, Tuttlestarted his backpacking ca-reer in Boy Scouts at the ageof 12. He continues his for-ays into the wilderness withthe Loveland Mountain Club.

“The beauty of the moun-tains has kept me in them.,”Tuttle said. “The proximitywe have is amazing. I do alot of peak climbing. Whenyou get on top of mountainsabove the tree line, it is justamazing and quiet andpeaceful.”

When preparing for a trip,the first thing Tuttle consid-ers is the terrain and weather.

“The changeable weatherof the mountains especiallyclose to tree line becomesmuch more of an issue,” hesaid. “It is typically colderand with more rain involved.In the desert it is hot or coldand lightening is not an is-sue.”

Tuttle always packs a tent,sleeping bag, compass, sur-vival essentials and a map.

“You need a 25-poundpack of minimum gear to justget by,” he said. “People usu-ally figure a couple poundsof food a day. So if you aregoing to do three days, youare thinking a 32- poundpack with light gear.”

When owner of TheMountain Shop in FortCollins Mike McKelligottplans a trip, mapping out theproper gear is top priority.He has backpacked all overthe world for the past 25years.

“If you don’t get a properlyfitted pack or boots, youar en’t going to be able to govery far without getting blis-ters or being really uncom-fortable,” McKelligott said. “Ifyou are an ultra light guy, gowith the lightest possibleweight you can afford andthe smallest possible pack tocarry your gear comfortably.”

Arranging gear in the packcorrectly is crucial for back-packing longevity.

“You have to keep asmuch weight down low andinto the middle of your backas possible,” McKelligottsaid. “Put most of the weightin the center of and close toyour middle back. If the

weight is at the top you willtopple over. At the bottom itwill strain your hips.”

McKelligott also recom-mends trekking poles to takeoff some of the weight andhelp disperse some of theload by utilizing arm power.

Getting started with back-packing can be easy, evenwith the 25-plus pound packneeded for deep wood out-door adventuring.

“Backpacking is not some-thing you really have to trainf o r, ” McKelligott said. “It canbe a test of endurance if youdo really long treks. But themost important thing is prop-er gear selection. If you wantto be a serious back-packer and do20- plusmiles a

day, train with cardio workand hike as much as possi-ble.”

Tuttle recommended train-ing with a 25-pound pack ona shorter route, such asRound Mountain right out-side of Loveland.

“Nothing takes the place ofdoing the actual activity topr epar e,” Tuttle said. “It isdifficult to exercise thosemuscles without doing theactivity.”

And don’t run up themountain — work up slowlyto adjust to the elevationchanges, he said.

“If you feel light headed,sit down and rest,” Tu t t l esaid. “Typically those things

go away after awhile. Mostbackpacking in [Estes

Park] is done at 10-20 thousand

feet.”

6 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

The 11 backpacking essentialsFrom www.backpacking.net:• Map — If navigating cross-country

consider a more detailed map.• Compass — Especially in the back

country at all times.• Flashlight/Head-lamp — These ar e

important even on day trips. You neverknow when you might need to spend thenight or make that last mile after sunset.

• Extra Food — Whenever you go out,even for a day trip, bring extra food incase you are delayed by emergencies, foulweather or just get lost. Bring at least onegood meal more than what you need.

• Extra Clothing — Bring extra clothingwhich would get you through the worstconditions you might come up against.

• Sunglasses — Your eyes can experi-ence damage from the intensity of moun-tain skies, ultraviolet rays and light reflect-ing off of snow. As elevation increases sodoes the intensity of ultraviolet rays.

• First-Aid Kit — Carry first-aid suppliesfor minor injuries. In particular, carry plen-

ty of adhesive band-aids and sterilizedbandages. They can’t be improvised.

• A Pocket Knife and Tools — A multi-purpose knife with several different toolsis best.

• Waterproof Matches and Fire Starter— Carry matches which have been water-proofed along with something to strikethem on in a waterproof container. Firestarters are useful for quickly starting afire, especially in emergency situations.They are also useful for igniting wetwood.

• Water/Filter/Bottles — If you are fa-miliar with the area in which you are trav-eling, and can be sure that water sourcesare available, carry enough water to getyou there. Treat all water you draw fromthe back country.

• Whistle — For emergencies, whenyou’re lost, someone else is lost or you’rehurt and need help. Go for the plasticwhistle so that the lips do not freeze onmetal.

McKelligott stronglyrecommended that allhikers take a wildernesssurvival class. A coupleof times on trips he losthis way in a blizzardand survived the nightby building a snowcave, using his cover-ings to keep warm andeating the food and wa-ter he brought with him.

“That is where propereducation comes in,” hesaid.

But the dangers of na-ture pale in comparisonto the freedom thatdraws McKelligott outtime and time again.

“To me, backpackingis the real outdoor ex-perience,” McKelligottsaid. “If you go to a lakeand there are 100 otherpeople with RVs, youstill aren’t experiencingthe outdoors.”

Matthew Ehrlich, M.D.Board Certifi ed Ophthalmologist

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970.667.0663

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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 7

Take a Tour!

Come take a tour of

our state-of-the-art

birthing center.

Call for a schedule of

upcoming tour dates—

970-495-7500.

M E D I C A L C E N T E R O F T H E R O C K I E SP O U D R E V A L L E Y H E A L T H S Y S T E M

If you’re having a baby, we’re here for you.If you’re expecting a baby, the team of

physicians and birthing center professionals

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ensure that you and your baby have a safe,

comfortable delivery.

We look forward to

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special day.

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8 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

einfeld had Newman. Jerryhad Tom. Paper has scissors,and scissors has rock. Pricklyin nature, pesky in perspec-

tive, they are known as nemeses.Reporter-Herald readers, meet Carrie.

She is my Newman.I might be embellishing a smidge, but

that’s my job.Carrie is actually avery nice person,she just happens tobe able to kick myrear end at justabout every singleworkout we’vedone in our Cross-Fit class together. Iwould show aphoto of her butshe is camera shy.

The workouts atCrossFit Lovelandare intense andtimed, so everyoneknows where theystand in relation toone-another. Un-fortunately Carrie stands directly infront of me on a nearly full-time basis.

But I am improving. After completinga month of CrossFit — going just threetimes a week — a lot has changed. Igot stronger, faster and in better shape.Honestly I have never been able to getthis type of result, especially this quick-ly, with another workout program.

During the past four weeks, my train-ers at CrossFit in Loveland have lit my

world up. There was a day when wedid a workout called the Filthy Fifties,in which we did 50 repetitions of about12 exercises — burpees, jumping pull-ups, squats with medicine balls (ooh,that could be my tribal name), jumpingrope ... the list goes on. It is prettymuch how I imagine military fitnesstraining, only without shouting drillsergeants, buzz cuts and peeling pota-toes.

The name of the game with CrossFitis to push yourself with a variety ofworkouts, which, in turn, can beapplied to a wide range of sports andactivities.

S

Drinking the Kool-Aid

CROSSFIT GLOSSERY

Wall Ball: This one consists of pro-pelling a 20-pound up against a walland coming back down with it in asquat. Then you do it over and overagain until, you know, you cry on theinside. This one is especially toughwhen you’re fatigued.

AirDyne: This is the brand name ofan satanic exercise bike in the gym.OK I can’t prove that it is possessed,

but I hate it a bunch.

Burpees: Awful, disgusting exercisein which you drop down from astanding position, do a pushup, hopback to your feet using a squattingmotion and jump straight up in the airwhile clapping your hands aboveyour head.

Jumping pull-up: This is a modifi-cation for when a person is too fa-tigued to do a normal pull-up. It just

means you jump off the ground to be-gin the pulling motion. Comes inhandy when you’re nearing thethrow-up level of the filthy fifties.

Drinking the Kool-Aid: This is ac-tually a reference from a cult in the70s, in which all the townspeopledrank poison and died. It can also beused to describe people who havegrown to believe in a specific thing ...such as CrossFit. I believe.

Top: On oneoccasion flip-ping this tirewas part ofthe warm-upat CrossFit.Left: I’m doingwall ball. Farleft: About aweek ago Iwas able todo handstandpush-ups.

Story by Jade Cody • Photos by Rhema Muncy

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 9

Then and NowThen: When I started CrossFit a month ago, I could only

do two or three measly pull-ups. I am aware of how patheticthat sounds.

Now: My personal best is 15 in a row.

Then: Two weeks ago I crumbled while trying upsidedown pushups while doing a handstand. Guess all thosecollege keg-stands didn’t pay off.

Now: Yep, I can do ’em. Maybe five or six in a row.

Then: My belt was one loop wider.

Then: My chest and stomach muscles were less aboutmuscle and more about bouncing every time I hit a bumpwhile driving.

Now: This is what I’m most excited about: I’m gettingmuscle tone that I’ve never had before. I’ve never had ANYmuscle tone before. Sleeveless shirts, get ready to be worn.Just kidding.

Left: The end of aworkout. Exhaust-ed and consider-ing a stay in thehospital. Below:Doing side plankswith CrossFit ownerDave Wells.

Co-owner Dave Wells told me that he scales the workoutsfor anyone’s ability. He adjusts load, reps and intensity tofind the right balance for each person. He also said there ismerit in the ever-changing workout regimens. “CrossFit isconstantly varied functional movements performed at highintensity,” he said.

My workouts changed every time I went in, which I liked.It helped to keep working out from becoming too mundane.I need tires to flip, Carrie to challenge and pushups to dowhile standing on my hands — it just keeps things interest-ing.

If you’d like to try a CrossFit workout, e-mail Dave orTheresa Wells at [email protected] or call them at 970-449-2934. It is located at the Thompson Valley Town Centerjust behind King Soopers.

Jade Cody can be reached at [email protected].

F O X T R A I L FA M I LY M E D I C I N EP O U D R E V A L L E Y H E A L T H S Y S T E M

Looking for a family-focused

doctor?Foxtrail Family Medicine offers comprehensive family care—for infants, children, moms-to-be, adults and seniors.

Dr. Bradley Schnee and Dr. Anne Siplelook forward to caring for you and your family.

Call today for an appointment:(970) 619-6900

Foxtrail Family Medicine1625 Foxtrail DriveLoveland(Just south of Medical Center of the Rockies)

Managed by Associates in Family Medicine

Dr. Anne Siple and Dr. Bradley Schnee

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10 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

Dr. Howell made Sabrina’s birthing experience as painless as possible. And the hospital’s free massages and cookies didn’t hurt either.

www.BannerHealth.com, keyword: McKee Maternity • 2000 N. Boise Ave. • Loveland(970) 669-4640 • Job opportunities: 866-377-5627 (EOE/AA) or www.BannerHealth.com

Banner Health is the leading nonprofit health care provider in northern Colorado.

Sabrina was treated to all-around great care when having her baby at McKee Medical Center.She received personal phone calls from her physician, Dr. Howell, to inform her of test results in the days leading up to her delivery. And she was able to relax before and after the birth of her baby in a private jetted tub. The caring staff even provided free massages and delicious cookies to help make her comfortable. But it wasn’t just about Sabrina. Her whole family enjoyed the experience of the new baby together in a spacious and relaxing labor, delivery, recovery and postpartum room. McKee Medical Center provides a private, feel-good atmosphere where you can welcome your baby into the world.McKee Medical Center. Remarkable health care inspired by you.

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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 11

Amanda Wicker is a Loveland nativeand the founder of Destination:Healthy, a free weight loss supportgroup held at Message of LifeMinistries on the first and thirdTuesdays of every month. Amanda haslost a total of 130 pounds using dietand exercise. She can be reached [email protected].

Destination: Healthy

TIPS TO GET AND STAY MOTIVATED:• Keep what motivates you in a place you

know you will see it everyday• Encourage someone else with their goal.

(Excitement is contagious)• Hire a personal trainer to keep you on your

toes• Keep a journal of your progress•Make a choice everyday to meet your goals

Amanda WickerDestination: Healthy

I am asked quite oftenwhat my motivation wasfor losing weight. It seems

there is a defining moment —something that sparks action.For me this moment came af-ter we got home from a vaca-tion and I got my photosback. There was a picture ofmy family and me in front ofthe castle at Disney World. Itis the happiest place on earthand we had a wonderful time.When I saw that picturethough sadness came overme, I knew it was me in thepicture but did not recognizemyself. It was that moment I

knew something had tochange.

Finding your motivation is avery personal matter. Whatworked for me may not workfor you. It also seems that ifyou are having trouble stayingthe course, what you think isyour motivation, may not be.Depending on your goal,your motivation may evenchange along the way. One ofmy favorite sayings is “Motiva -tion is what gets you started,Habit is what keeps you go-ing.” So, like a fire, your moti-vation may spark you intogetting things going, butyou’re going to have to give itsome fuel to get it going andkeep it going.

What keeps you motivated?HL Destination: Healthy

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12 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

Vicky HallettThe Washington Post

Unlike first kids Malia and Sasha,my brother and I never con-vinced our parents to let us

adopt a dog. “I’m allergic,” lied my dad,while my mom came up with a morecreative excuse: “We don’t believe inspecies subjugation.” Actually, theydidn’t believe in picking up poop.Which, in hindsight, is understandable.

But I’ve come up with a new, fool-proof tactic for kids pleading for a Por-tuguese water pup: Tell your parents itcould help them lose weight.

Then hand over a copy of “The DogDiet: What My Dog Taught Me AboutShedding Pounds, Licking Stress andGetting a New Leash on Life.” The au-thor, Patti Lawson, found herself quiteby chance saddled with a pooch; shethen discovered, just as unexpectedly,that her new roommate was shrinkingher waistline — by stealing her snacks,

providing the comfort she used to lookfor in pints of ice cream and forcing herto wake up before dawn for walks.(The first lady could certainly vouch forthat last point: A few weeks ago, shetold a group of congressional wives thatBo has her up and out at 5:15 a.m.)

“She wanted to be so active, and itbecame much more fun,” says Lawson,who quickly discovered that exercisewith her furry personal trainer could beits own reward. “And she never beggedme to stop for a latte, like my girl-friends.”

Jessica Berger Gross shares a similarexperience in “enLIGHTened: How ILost 40 Pounds with a Yoga Mat, FreshPineapples, and a Beagle Pointer.”When she and her husband adoptedSalem from a shelter, they figured theywere signing up for “love and snug-gles,” not a weight-loss program. Butthat was before they realized that onlyan exhausted Salem wouldn’t chew uptheir furniture.

Dog is a man’s best workout partnerJupiter Images

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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 13

Not all dogs — or humans — love a long run, but that’s no excuse for notgetting your exercise (or not helping your pooch get hers). So celeb trainerGunnar Peterson has developed a series of moves you can do together to fightboredom and fat. “It’s all about efficiency,” he said. You can see his videos atthe “Training Room” link on Petfit.com, but here’s a preview:

• Power dog the walk with intervals. Peterson’s four massive mastiffs aren’tcut out for marathon training, but he can make their strolls more effective.“What I love is adding in side shuffles, lunges and light jogging,” he says. “Theminute you speed up the pace, the dog thinks it’s a party.” The stop-and-startway the dogs prefer to move isn’t frustrating if you think of it as fat-burningbouts.

• Fetch abs. Grab your dog’s favorite toy and then get down and do a sit-up.As you reach the top of the move, fake a throw to send your pooch on a mis-sion to hunt it down. Then your job is to pump out as many crunches as youcan before he figures out you tricked him. “Everybody’s getting something outof it,” Peterson explained.

• Dogstacle course. No, the obstacles aren’t for the dog; they’re for you. Setup stations around your yard for challenges such as hops, push-ups and stepclimbing, and dash around with your pet, trying to complete the circuit asquickly as possible. Peterson promises your pooch will become the best train-ing buddy you’ve ever had. “I can tell you it’s the one partner who will neverlet you down,” he said.

“Living and exercisingwith a dog teaches you tointegrate fitness in a naturalway. It’s not always aboutputting gym clothes on,”Gross says. Instead, sheand her husband learnedto burn calories by headingto the dog park and ex-ploring hiking trails. Nowthey’re walking for an houra day, and often plan two-or three-hour excursionson weekends, which helpimprove their attitudes aswell as Salem’s. “We be-come grumpy if we don’tget our exercise,” sheadded.

Before you go off andadopt a dog for the fitnessbenefits, though, remem-ber that unlike a set ofstretchy bands, the totaltail-wagging packagecomes with a fair share ofslobbering and shedding. Ifyou’re like my parents, thatmight sound a little, well,ruf f.

Exercise moves youcan do with your dog

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Why did you choose The Wexford for your mother?“We looked around the area, several places to be honest with you, The Wexford seemed to fit her lifestyle the most. With a variety of different sizes and styles of apartments to meet people’s needs, The Wexford met my Mother’s.”

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Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 1514 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

Meghala DivakaranFor the Reporter-Herald

Water aerobics oraqua fitness pro-grams have been an

integral part of fitness routines

offered by fitness centersaround the world. They pro-vide an excellent whole bodyworkout, and make it fun andexhilarating. Besides, there isnothing like making a bigsplash in cool water on a hot

summer day.According to Alma Kirk, a

water aerobics instructor at theSenior Center in Fort Collins,“It’s the greatest way to exer-cise. You are getting a work-out but there’s no reason whyyou can’t have fun doing itand that’s part of the reasonwhy people come to wateraerobics classes and thenkeep coming back.”

Introduced to aqua fitnessby a friend several years ago,Kirk has been an avid waterfitness instructor for the lastdecade. “I feel more ener-gized and my endurance hasdefinitely gone up,” Kirk said.

Water aerobics is differentfrom other exercises becauseit is easier on the joints.

“The water cushions youand for a lot of people withmedical issues like knee andhip replacements, this issomething you can do with-out causing damage or irrita-tion to these joints,” Kirk said.

And the best part is thatyou can do it at any age.

“I have taught people whoare almost 90 years old andexercise at their own paceand still gain all the benefitsof regular exercise,” Kirk said.She added that there are dif-ferent levels of workout inany given class and you don’thave to worry about keepingpace with anybody.

Even Sandra, a senior whoexercises in the water withher oxygen tank in tow at Or-chards Athletic Center inLoveland, gets a workout un-

like anything she has known.Nan McClurg, age 54 of Fort

Collins, does water aerobicswith Kirk in Fort Collins. Shelikes the fact that she can exer-cise at her own pace.

“If I were walking or jog-ging with a group of peopleon land and I wanted to slowdown, I would be left behind,but in water aerobics, I canslow down, take a break, orexercise in different sectionsof the pool with varyingdepths to get the workout Ineed and am comfortablewith.”

McClurg also vouched forthe fact that it’s gentler on thejoints.

“Land aerobics really take atoll on the body; to get thebenefits of getting your heart-rate up, you have to tortureyour body and experiencewear and tear. In water aero-bics, weightlessness reallyhelps and you are able to get avery good cardiovascular ex-ercise without harming yourbody,” McClurg said. “Anotherthing is that I can do many ex-ercises to strengthen my badjoints in warm water that Icannot do on land. For in-stance, I have plantar fasciitis,an intense heel pain, that if leftuntreated, can lead to heelspurs, and I walk it off in thewater. There are other simpleexercises that help stretch andtone my calf and heel musclesin the water and it makes atremendous difference inpain.”

According to Patti Welfare, a

fitness instructor of 25 years atthe Chilson Recreation Centerin Loveland, “Water aerobics isalso very good for maintainingbalance and for breathing bet-ter, particularly for seniors. It’salso a great combination ofcardiovascular exercise andstrength training and youdon’t have to get your head inthe water or know swimmingto do it.”

Welfare also said that at theChilson Recreation Center,there are people on walkerswho did not get any exerciseat all, coming in for water aer-obics and seeing a differencein the way they feel. Wateraerobics also helps increasesc i rc u l a t i o n .

“The aerobic component inthis workout makes you workthe heart muscle. It’s also agreat way to tone your body.”

In her classes, Kirk alter-nates between toning for legsusing flotation devices likedoughnuts and toning forarms using water bells , fol-lowed by a general bodyworkout including abs, usingwater noodles.

“It’s also a great calorieburner as you are using the re-sistance of the water to walk,jump and squat,” she said.

“It’s a myth that water aero-bics is only for seniors; foryounger people, there’s alsodeep water exercise, a higherintensity, higher impact work-out where you are spendingthe whole hour treading waterwhile doing various exercis-es,” Kirk said. “There are awide variety of classes that canmeet everybody’s needs at allages.”

According to McClurg, “thebest part is that you don’t haveto know how to swim to dowater aerobics.” Instead, shebicycles astride the noodlethat keeps her afloat andmoves through the length ofthe pool, getting a whole-body, low-impact, high calorieburning workout.

Christine Papke, a seniorwho has been doing water

aerobics for the last 12 years,added, “It’s my pain relieverand anti-inflammatory medi-cation.”

Kirk advocated the mentalgrowth associated with thesport as well as the communi-ty building that takes place.

“It’s very inclusive and veryoften groups who exercise to-gether make great friends,celebrate birthdays togetherand generally hang out,” shesaid.

According to Pam Phifer, afitness instructor of 25 years,at the Orchards Athletic Clubin Loveland, “Water aerobicclasses provide for a wonder-ful social networking oppor-tunity and people who exer-cise together are known to begreat friends outside too. Wa-ter is very forgiving and it’s al-most like getting a massage.”

According to HughMacEachran, the Fitness Di-rector and Owner of Or-chards Athletic Club, “Forthose who get tired after 15minutes of exercise on land,water aerobics allows forstretching it to 30 minutes oreven an hour, and peoplewho exercise more are bettertoned and flexible than thosewho don’t.”

MacEachran added thatthere are National FootballLeague (NFL) athletes whodo water aerobics as part oftheir fitness routine. “You canwork out just as intensely,push your heart rate up just ashigh but you are not abusingyour joints and are thereforenot as sore. In fact, some ath-letes that undergo rehabilita-tion programs are able towork out much harder in thewater than on land,MacEachran said.

“Another class that is offeredthrough the Arthritis Society iscalled the Twinges Plus class.The program includes gentleexercise instruction in a heat-ed pool for full body range ofmotion. This is for those whoare unable to move, and this isthe only way they can get re-

lief from their arthritis pain,”according to Kirk, who hastaught these classes at theEdora Pool Ice Center (EPIC)in Fort Collins. “I have peoplewho are physically or mentallychallenged in my classes, andwater aerobics is truly suitablefor not only all ages but alsofor those with various healthconditions that may slow youdown on land.”

According to Kim Lynn, ayoung mother with rheuma-toid arthritis, “I see a big re-duction in pain and an in-crease in flexibility after wateraerobics. This is the only formof exercise I get and I enjoyevery minute of it.” Lynn doeswater aerobics at the OrchardsAthletic Club.

According to MacEachran,water aerobics is particularlybeneficial for extremely over-weight people.

“Almost half of the Ameri-can population is either over-weight or obese, and thesepeople find it awkward to liftweights or ride stationarybikes, but in water aerobicsthey feel lighter and are ableto move in many ways thatthey are unable to on land,”MacEachran said. “For a lot ofpeople who take our wateraerobics classes, this is the on-ly exercise they get, and if it’sbetween no exercise and ex-ercise in water, it’s the greatestexercise in the world,” he said.“Another thing is that water isdense and it’s one thing to

Make aSplash

Water aerobics combineexercise and fun

RH photos / Rhema MuncyAbove, a water fitness class at the Chilson Recreation Center.Left, a water aerobics class at the Orchards Athletic Club.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 1514 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

Meghala DivakaranFor the Reporter-Herald

Water aerobics oraqua fitness pro-grams have been an

integral part of fitness routines

offered by fitness centersaround the world. They pro-vide an excellent whole bodyworkout, and make it fun andexhilarating. Besides, there isnothing like making a bigsplash in cool water on a hot

summer day.According to Alma Kirk, a

water aerobics instructor at theSenior Center in Fort Collins,“It’s the greatest way to exer-cise. You are getting a work-out but there’s no reason whyyou can’t have fun doing itand that’s part of the reasonwhy people come to wateraerobics classes and thenkeep coming back.”

Introduced to aqua fitnessby a friend several years ago,Kirk has been an avid waterfitness instructor for the lastdecade. “I feel more ener-gized and my endurance hasdefinitely gone up,” Kirk said.

Water aerobics is differentfrom other exercises becauseit is easier on the joints.

“The water cushions youand for a lot of people withmedical issues like knee andhip replacements, this issomething you can do with-out causing damage or irrita-tion to these joints,” Kirk said.

And the best part is thatyou can do it at any age.

“I have taught people whoare almost 90 years old andexercise at their own paceand still gain all the benefitsof regular exercise,” Kirk said.She added that there are dif-ferent levels of workout inany given class and you don’thave to worry about keepingpace with anybody.

Even Sandra, a senior whoexercises in the water withher oxygen tank in tow at Or-chards Athletic Center inLoveland, gets a workout un-

like anything she has known.Nan McClurg, age 54 of Fort

Collins, does water aerobicswith Kirk in Fort Collins. Shelikes the fact that she can exer-cise at her own pace.

“If I were walking or jog-ging with a group of peopleon land and I wanted to slowdown, I would be left behind,but in water aerobics, I canslow down, take a break, orexercise in different sectionsof the pool with varyingdepths to get the workout Ineed and am comfortablewith.”

McClurg also vouched forthe fact that it’s gentler on thejoints.

“Land aerobics really take atoll on the body; to get thebenefits of getting your heart-rate up, you have to tortureyour body and experiencewear and tear. In water aero-bics, weightlessness reallyhelps and you are able to get avery good cardiovascular ex-ercise without harming yourbody,” McClurg said. “Anotherthing is that I can do many ex-ercises to strengthen my badjoints in warm water that Icannot do on land. For in-stance, I have plantar fasciitis,an intense heel pain, that if leftuntreated, can lead to heelspurs, and I walk it off in thewater. There are other simpleexercises that help stretch andtone my calf and heel musclesin the water and it makes atremendous difference inpain.”

According to Patti Welfare, a

fitness instructor of 25 years atthe Chilson Recreation Centerin Loveland, “Water aerobics isalso very good for maintainingbalance and for breathing bet-ter, particularly for seniors. It’salso a great combination ofcardiovascular exercise andstrength training and youdon’t have to get your head inthe water or know swimmingto do it.”

Welfare also said that at theChilson Recreation Center,there are people on walkerswho did not get any exerciseat all, coming in for water aer-obics and seeing a differencein the way they feel. Wateraerobics also helps increasesc i rc u l a t i o n .

“The aerobic component inthis workout makes you workthe heart muscle. It’s also agreat way to tone your body.”

In her classes, Kirk alter-nates between toning for legsusing flotation devices likedoughnuts and toning forarms using water bells , fol-lowed by a general bodyworkout including abs, usingwater noodles.

“It’s also a great calorieburner as you are using the re-sistance of the water to walk,jump and squat,” she said.

“It’s a myth that water aero-bics is only for seniors; foryounger people, there’s alsodeep water exercise, a higherintensity, higher impact work-out where you are spendingthe whole hour treading waterwhile doing various exercis-es,” Kirk said. “There are awide variety of classes that canmeet everybody’s needs at allages.”

According to McClurg, “thebest part is that you don’t haveto know how to swim to dowater aerobics.” Instead, shebicycles astride the noodlethat keeps her afloat andmoves through the length ofthe pool, getting a whole-body, low-impact, high calorieburning workout.

Christine Papke, a seniorwho has been doing water

aerobics for the last 12 years,added, “It’s my pain relieverand anti-inflammatory medi-cation.”

Kirk advocated the mentalgrowth associated with thesport as well as the communi-ty building that takes place.

“It’s very inclusive and veryoften groups who exercise to-gether make great friends,celebrate birthdays togetherand generally hang out,” shesaid.

According to Pam Phifer, afitness instructor of 25 years,at the Orchards Athletic Clubin Loveland, “Water aerobicclasses provide for a wonder-ful social networking oppor-tunity and people who exer-cise together are known to begreat friends outside too. Wa-ter is very forgiving and it’s al-most like getting a massage.”

According to HughMacEachran, the Fitness Di-rector and Owner of Or-chards Athletic Club, “Forthose who get tired after 15minutes of exercise on land,water aerobics allows forstretching it to 30 minutes oreven an hour, and peoplewho exercise more are bettertoned and flexible than thosewho don’t.”

MacEachran added thatthere are National FootballLeague (NFL) athletes whodo water aerobics as part oftheir fitness routine. “You canwork out just as intensely,push your heart rate up just ashigh but you are not abusingyour joints and are thereforenot as sore. In fact, some ath-letes that undergo rehabilita-tion programs are able towork out much harder in thewater than on land,MacEachran said.

“Another class that is offeredthrough the Arthritis Society iscalled the Twinges Plus class.The program includes gentleexercise instruction in a heat-ed pool for full body range ofmotion. This is for those whoare unable to move, and this isthe only way they can get re-

lief from their arthritis pain,”according to Kirk, who hastaught these classes at theEdora Pool Ice Center (EPIC)in Fort Collins. “I have peoplewho are physically or mentallychallenged in my classes, andwater aerobics is truly suitablefor not only all ages but alsofor those with various healthconditions that may slow youdown on land.”

According to Kim Lynn, ayoung mother with rheuma-toid arthritis, “I see a big re-duction in pain and an in-crease in flexibility after wateraerobics. This is the only formof exercise I get and I enjoyevery minute of it.” Lynn doeswater aerobics at the OrchardsAthletic Club.

According to MacEachran,water aerobics is particularlybeneficial for extremely over-weight people.

“Almost half of the Ameri-can population is either over-weight or obese, and thesepeople find it awkward to liftweights or ride stationarybikes, but in water aerobicsthey feel lighter and are ableto move in many ways thatthey are unable to on land,”MacEachran said. “For a lot ofpeople who take our wateraerobics classes, this is the on-ly exercise they get, and if it’sbetween no exercise and ex-ercise in water, it’s the greatestexercise in the world,” he said.“Another thing is that water isdense and it’s one thing to

Make aSplash

Water aerobics combineexercise and fun

RH photos / Rhema MuncyAbove, a water fitness class at the Chilson Recreation Center.Left, a water aerobics class at the Orchards Athletic Club.

16 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

swing or push your legs onland than it is in water. Theharder you push the water,the harder it pushes back atyou, and that provides for agreat workout.”

Vicki Carnes, who exer-cises in the pool at OrchardsAthletic Center, vouched forthe weight-loss benefits ofwater aerobics and is look-ing forward to reaching hertarget weight loss goal soon.Margaret Orlowski, who al-so exercises with Carnes,said that it’s a fun and awonderful way to makefriends, while getting a goodworkout.

Water aerobics is also par-ticularly beneficial for preg-nant women,” Kirk said.“The water lifts the weightoff the body and makes youfeel lighter. It also increasesstamina and a lot of momshave easier deliveries fol-lowing water aerobics, and

they also get their bodyback faster because themuscles have been toned.”

For pregnant women withserious health conditions,water aerobics is the onlyexercise a doctor may allowthem to do.

“Those women that haveback issues or sciatica dur-ing pregnancy also get a lotof relief from water aerobicsbecause the buoyancy of thewater helps relieve some ofthe pressure from thosenerves,” Kirk said.

Overall, water aerobics isa fantastic opportunity to getinto shape and have funwhile doing it. Whether it isseniors, pregnant women orathletes, this exercise offerssomething for everybody.Besides, what can be morefun than splashing around inwater with friends, whilegetting a workout?

RH photo/Meghala DivakaranSeniors participate in a water aerobics class at the SeniorCenter in Fort Collins.

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18 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

Prioritize produce and whole grainsMediter raneandiet promotesholistic health

solutions

Rhema MuncySpecial Sections Reporter

Living on the southerncoast of Spain for 18months gave Loveland

nutritionist and owner ofHealth Dynamics Paula Clarka first hand look at theMediterranean way of life.She shopped at the localmarkets where vendors of-fered fresh fish and leanmeats along side their sea-sonal fruits and vegetables.She leisurely ate meals withfriends, reveling in the un-hurried culture of the peo-ple.

“In Spain it was crude towalk down the boulevardeating food,” Clark said.“You need to take time to sitdown and eat food.”

Clark saw the stark con-trast between the relaxedlifestyle of the Spaniards sheencountered and the typicalAmerican way of fast foodconsumption, which usuallyingests 75 to 80 percent ofdaily calories after work.

“After a big meal, thestomach is distended and somuch glucose is in the bloodthat the body has to workharder to create homeostasiswith the glucose,” Clark said.

Finding glucose balanceoften means the body mustconvert the excess carbohy-drates into storage by thepath of least resistance —usually fat, she said.

“That is why 500 caloriesof donuts is different than500 calories of brown riceand veggies,” Clark said.“Your body stores it differ-ently and uses it differently.”

Clark advocates Mediter-ranean eating principles be-cause of the carbohydratebalance benefits the diet cre-ates.

“Carbs have to do withserotonin levels in the body,”Clark said. “When we haveproper amounts of sero-tonin, we are alert and cre-ative. When our serotonindips, we are tired, mentallyconfused and irritable. Oneof the simple ways to upserotonin is to reach for sim-ple carbs, caffeine or com-mercial drugs. But if we areeating appropriate amountsof complex carbohydrates,lean meats and simple fats,our bodies make healthy lev-els of serotonin and have

predictable levels of energy.”

MEDITERRANEAN EATINGHABITS

According to Poudre Val-ley Health System outpatientdietician Cecilia Jamieson,there is no specific Mediter-ranean diet, as all of the buzzaround the subject suggests.There are 16 countries thatborder the Mediterraneansea and they all have differ-ent styles of cuisine but thereare several commonalities indiet.

The main tenants of the di-et include high consumptionof fruits and vegetables,whole grain bread withoutbutter, whole grain cereal,beans, nuts, seeds, olive andcanola oils and fish rich in

Omega 3s, Jamieson said.“Dairy products and red

meat are eaten in smallquantities, and so are eggs,”she said. “There is also wineconsumption in modera-tion.”

And moderation means 4-5 ounces a day, not an entirebottle, she said. The Ameri-can Dietetic Association rec-ommend not drinking alco-hol if that is not a habit al-ready, as the same benefitsof wine can be found ingrapes.

As far as dessert is con-cerned, Clark said the dish isbrought out as a last courseand is almost always fruitwith an assortment ofcheeses.

Photo courtesy OldwaysThe Mediterranean diet food pyramid emphasizes exercise, whole grains and produce.

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 19Jamieson theorized that the Mediterranean way of life

may be a key to good health because of the phytochemi-cals and phytonutrients found in fresh locally grown fruitsand vegetables. These natural components help fight offdisease, and the heart healthy oils found in nuts and seedsdecrease bad cholesterol (LDLs) and increase good choles-terol (HDLs).

Jamieson did warn about the high fat content of aMediterranean diet, a concern of The American Heart Asso-ciation. Because the American way of life is nearly seden-tary, a high fat diet might cause more weight gain, wherean active Mediterranean culture would fight weight gain.

Implementing these principles into an American dietwould be beneficial to health, Jamieson noted.

“Simple things would be to slowly add in more wholegrains, fruits and vegetables to the diet,” she said. “Eat lean-er cuts of red mean and eat more fatty fish like salmon ortrout, at least two servings in a week of four ounces ormor e.”

And change doesn’t have to happen all at once.“If you could just step by step chose one thing to change,

once that works into your diet, you can go ahead andmake another change. That’s when it works the best is ifyou make the changes gradually.”

Jamieson, M.S., R.D., C.D.E, can be reached at 970-495-8205. Clark, RN, BSN of Health Dynamics can be reachedat www.healthdynamicsco.com.

Wild Rice and Lentil SaladRecipe by Ellen Ecker Ogden, Oldways Tabls

Ingredients:1 cup vegetable or chicken stock1 cup brown rice or wild rice blend1 cup dry French green lentils1/2 cup extra virgin olive oil1/2 cup freshly squeezed lemon juice1/2 cup red wine vinegar2 garlic cloves, minced and mashed6 scallions, coarsely chopped2 cups halved cherry tomatoes or diced regular tomatoes2 cups coarsely chopped fresh arugula1 cup crumbled goat or sheep feta cheeseInstructions:1. Combine 1 cup water and the stock in a saucepan

over high heat and bring to a boil. Add the rice, cover, andsimmer over medium heat until well done (30 minutes).

2. Meanwhile, place lentils in a saucepan over mediumheat and cover with 1 1/2 cups water. Simmer until just ten-der, about 15 minutes. Drain and let cool. In a large saladbowl, combine the cooked rice and lentils.

3. Prepare a vinaigrette by whisking together the oliveoil, lemon juice, vinegar and garlic in a small bowl. Pourthe dressing over the lentils and rice. Add the choppedscallions and cherry tomatoes. Place in the refrigerator andchill for at least 2 hours. Just before serving, add thechopped arugula and crumbled feta cheese.

NUTRITIONAL ANALYSIS:Per Serving for 6: Calories: 492, Protein: 19 g, Fat: 27 g,

Saturated Fat: 8 g, Carbohydrates: 46 g, Fiber: 13 g, Sodium:195 mg

Per Serving for 8: Calories: 370, Protein: 15 grams, Fat:20 grams, Saturated Fat: 6 grams, Carbohydrates: 34 grams,Fiber: 9 grams, Sodium: 146 mg

Following a Mediterranean diet —emphasizing fruits, vegetables andolive oil and little red meat — may be

associated with not only a lower risk forAlzheimer’s disease, but also an increase incognitive function.

According to a recent study in the Archivesof Neurology, people who adhere to aMediterranean diet are less likely to developmild cognitive impairment. In addition,research indicates traditional Mediterraneaneating may reduce your risk of heart diseaseand perhaps some cancers.

The Mediterranean diet typically featuresplenty of grain products, vegetables,legumes, nuts and fruits, fish, poultry andmoderate amounts of wine. The fat in thisdiet is mostly monounsaturated from oliveoil. Yogurt and cheese offer other sources ofpr otein.

Virtually everyone can benefit from eatingmore fruits, vegetables, legumes and healthyoils. A registered dietitian can help you makehealthful changes to your daily eating plan.

— American Dietetic Association

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20 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

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Tips to fight procrastinationBeth Firesetin, Ph.D.Uncommon Sense

Question: I am ahopeless procrasti-nator, both at homeand at work. How

can I motivate myself to getthings done?

Answer: Today I checkedmy e-mail and noticed that Ihad received a message frommy editor at the Reporter-Herald. She noticed that Ihadn’t yet turned in my col-umn for this month. I real -ized I had procrastinatedlonger than usual on writingthis column. I had to laugh atmyself when I realized thetopic of your question wasprocrastination. Procrastina-tion is living proof that weare human.

It can be a habit that af-

fects almost everything youdo or it might just be a prob-lem on certain types of tasksor projects. Some people feelthat they procrastinate on ev-erything, but this is almostnever true. Most peopledon’t procrastinate on activi-ties or hobbies they considerfun. Reading the newspaper,checking out what yourfriends are doing on Face-book, listening to a new CD,getting outside on a beautifulday ... I bet you can easilythink of things you don’tprocrastinate on. We procras-tinate on things that we don’twant to do, on projects thatseem overwhelming and onthings we don’t think we areskilled enough to do.

Action is more helpfulthan figuring out why weprocrastinate. If you spend

hours and hours wonderingwhy you procrastinate, youare just doing more of thesame — pr ocrastinating.

CHANGE YOUR ATTITUDEABOUT THE TASK

It’s easy to think of howhuge and difficult the task is,because fear and procrasti-nation make tasks seemworse than they are andputting them off actuallymakes these unpleasanttasks go on longer.

REWARD YOURSELF FORPROGRESS

Punishment and self-criti-cism are ineffective ways tobring about new, positivehabits. Instead, outline sever-al small, doable tasks reasonsto complete them.

USE CONSTRUCTIVEP R O C R A S T I N AT I O N

For some unknown rea-son, it’s easier to re-organizethe kitchen cabinets than it isto organize your personal fi-nances. If it motivates you toaccomplish something easierthat you’ve been putting off,go for it.

HL Uncommon Sense

Dr. Beth Firestein is a licensedpsychologist. She has 23years of therapy experienceand has practiced in Lovelandfor over 12 years. She may bereached by calling her office at970-635-9116 or via e-mail atf i re w o m @ w e b a c c e s s . n e t .

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22 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

HL Health Line Calendar

BRIGHT BEGINNINGSPoudre Valley Health System

presents free Bright Beginningsvisits for families in LarimerCounty with children 0-3 yearsof age. To register, call 495-7528or visit brightbeginningsco.org

• Bright Beginnings for In-fants (Program A): Bring babyand learn how nurturing interac-tions, a healthy/safe environ-ment and playing games supportbrain and emotional develop-ment.

When: Aug. 10 or Sept. 14,11:15 a.m.-12:15 p.m.

Wher e: McKee Medical Cen-ter

When: Aug. 18 or Sept. 15,noon-1 p.m.

Wher e: Medical Center of theRockies

• Bright Beginnings for OneYear Olds (Program B): Explorehow thinking and interactionschange as infant becomes a tod-dler on the go. Special emphasison the relationship betweencognitive, emotional, and lan-guage development. Toddlerswelcome to attend with parents.

When: Aug. 10 or Sept. 14,10-11 a.m.

Wher e: Loveland Library• Bright Beginnings for Two

Year Olds (Program C)Learn about guidance strate-

gies that promote literacy, braindevelopment, and a healthy en-vironment during the activetwo’s. Children may attend withpar ents.

When: Aug. 17, or Sept. 1, 9-10 a.m.

Wher e: Medical Center of theRockies

BLOOD PRESSURE SCREENHave your blood pressure

checked by a specialistWhen: Monday through

Thursday, 8 a.m.-4:30 p.m. andFriday 8 a.m.-noon.

Wher e: McKee Wellness Ser-vices, 1805 E. 18th St., Ste. 6,Loveland

Cost: No chargeCall: 970-635-4056

COPD (CHRONIC OBSTRUC-TIVE PULMONARY DISEASE)

This seven-session multidisci-plinary education series helpswith the management of COPD.The team reviews the respiratorysystem, how it works, what hasgone wrong and how you canconserve energy and decreaseshortness of breath. Anyonewho has COPD, emphysema orbronchitis is encouraged to at-tend along with family and/orsignificant others.

When: Tuesdays from 1-3p.m. Seven-week session beginsJuly 21.

Wher e: McKee Conferenceand Wellness Center

Cost: No chargeContact: 970-635-4138

DIABETES INFO GROUPAn informational / education-

al meeting for anyone touchedby diabetes who wants to learnand share. There will be a differ-ent subject matter for each meet-ing.

Wher e: McKee Conferenceand Wellness Center

Cost: No charge. No registra-tion needed.

Contact: 970-667-5610 formore information and topics.

TOTAL JOINT EDUCATIONPhysical and occupational

therapists prepare patients forsurgery. Program is coordinatedthrough your physician's officeas part of the surgery schedulingpr ocess.

When: Classes meet Thurs-days at 3 p.m.

Wher e: McKee Conference &Wellness Center

Contact: 970-635-4172

Support GroupsGENERAL CANCERSUPPORT GROUP

When: 5:30-7 p.m. Tuesdays.Wher e: McKee Cancer Center

lobby.Contact: 635-4129

CAREGIVER’S SUPPORTGROUP FOR CAREGIVERSOF CANCER PATIENTS

When and where: Call fortimes and locations — 635-4129.

BREAST CANCERSUPPORT GROUP

When: 2nd Thursday of eachmonth from 5:30-7 p.m.

Wher e: McKee Cancer Centerlobby.

Contact: 622-1961

MAN TO MAN PROSTATECANCER SUPPORT GROUP

When: 5:30-7 p.m. on the 4thThursday of the month

Wher e: McKee Conferenceand Wellness Center

Contact: 622-1961 for moreinfor mation.

SOULPLAY ART THERAPYPeople whose lives are

touched by cancer experiencethe benefits of expressing them-selves through art. No art experi-ence needed.

When: Wednesdays, 9:45-11:45 a.m.

Wher e: McKee Cancer CenterConference Room

Contact: 635-4129

THE SEASONS CLUBMembership to the Seasons

Club is free and open to adults50 and up.

• Mind, Body, and SpiritWalks with Peggy

Come enjoy the benefits ofexercise on gentle nature walksalong the McKee Wellness Walk.

When: 10 a.m. WednesdaysWher e: McKee Conference

and Wellness CenterContact: 970-635-4097 to reg-

i s t e r.

FREE BLOOD PRESSURECHECKS

When: 10 a.m.-noon, Tues-days

Wher e: McKee Conferenceand Wellness Center

SEASONS CLUB SPEAKERSERIES

• What is a Caregiver?When: Aug. 19, 1 p.m.Wher e: Chilson Senior CenterContact: 635-4097• Your Aging Knee – When is

it time to get a new one?When: Aug. 27, 5 p.m.Wher e: McKee Conference

and Wellness CenterContact: 635-4097

MCKEE MEDICAL CENTERFOUNDATION EVENTS

• Wills, Trusts and AdvancedDir ectives

Learn more about these im-portant estate planning tools.Bring your questions and ask theexperts. Presenters: Bill Kauf-man, attorney; Linda Davidson,McKee Medical Center patientservices manager.

When: Aug. 18, 3-5 p.m.Wher e: McKee Conference

and Wellness CenterContact: 635-4001 for more

infor mation

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 23

The Associated Press photoStrawberry-Pomegranate Sorbet with Cream

Jim RomanoffThe Associated Press

Icy fruit sorbets rarely have any fat and are loaded withhealthy nutrients. The basic recipe is simple: Place aboutthree cups of frozen fruit and a cup of juice in a food

processor, then process until smooth. Serve it right away ortransfer to a plastic container and freeze to enjoy later.

Frozen fruit becomesquick, cool summer treat

HL The Healthy Plate

Strawberr y-Pomegranate Sorbet

with CreamStart to finish: 1 hour 10

minutes (10 minutes active)Servings: 6Ingredients:3 cups frozen strawberries1 cup pomegranate juice1/3 cup heavy whipping creamPlace 6 small dessert dishes in

the freezer to chill.

Dir ections:In a food processor, combine

frozen berries and the pome-granate juice. Process untilsmooth. Transfer to bowl, coverand place in freezer for 1 hour.Serve drizzled with cream.

If the sorbet has been storedlonger and has become hard,let is soften briefly in the refrig-erator before serving. If it hasbecome granular, reprocess itbriefly.

Nutrition information per serving: 95 calo-ries; 45 calories from fat; 5 g fat (3 g saturated;0 g trans fats); 18 mg cholesterol; 13 g carbo-hydrate; 1 g protein; 2 g fiber; 12 mg sodium.

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24 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

Electronic medical records streamline careLisa BohlmannMcKee Medical Center

Imagine that your spouseor child has a medicalemergency. You run him

to the emergency depart-ment and within minutes ofbeing checked in, the pa-tient’s entire medical historyis available, including recentmedical test results, recordsof past surgeries and themedications he takes or hastaken recently. Care can be-gin right away.

With the integration ofelectronic medical records inhealth care facilities acrossthe country, this imaginedscenario is becoming reality.While many health care facil-ities provide parts of EMRsystems, McKee MedicalCenter is at the forefront ofthis initiative.

Last summer, the hospitalimplemented electronicmedical records for medicalunits within the hospital.This month, providers seeingpatients at the hospital willbegin entering their treat-ment notes and orders digi-tally in a system referred toas Computerized ProviderOrder Entry, instead ofhandwriting them on a pa-per sheet or prescriptionpad. That information is thenimmediately integrated withthe rest of the patient record,and potential conflicts, suchas a possible medication in-teraction are relayed to thephysician or provider. Theinformation is also immedi-ately available in the areaswhere treatment is pre-scribed, for instance radiolo-gy or pharmacy. The result isthat McKee patients can beeven more secure in the effi-ciency, quality and safety ofthe care they receive at thehospital.

According to Edward Nor-man, M.D., an internist and

hospitalist at McKee MedicalCenter, EMRs provide a vari-ety of benefits.

“Wi t helectr onicmedicalrecords, it’seasier for thephysician toaccess pastdiagnosesand treatments,” he said. “Inthe hospital, we can pull upwhat’s happened since thelast time the patient wasseen and immediately haveaccess to surgical informa-tion, X-ray reports, test re-sults. Without having to trackdown a record and follow apaper-trail, we can speed upour work and provide caremore quickly.”

Other benefits include re-duction of medication errors,reduction of adverse drugevents, improved adherenceto clinical guidelines andbest practices and reducedcosts.

“Changing from a papermedical record to an elec-tronic one is very complex,”said Trish Will, Care Trans-formation Deployment Di-rector for Banner Health,which owns McKee MedicalCenter. “What patients willnotice is a more streamlinedexperience and more timewith caregivers.”

When patients have theirinitial contact with the hospi-tal, their medical and healthhistory will only need to betaken once, then it is savedin their electronic recordwhich can be accessed bymultiple caregivers in multi-ple locations.

However, the privacy ofconfidential medical infor-mation is strictly maintainedand only those involved in apatient’s care will accesstheir medical record. Dr.Norman pointed out thatwhile there are risks associ-

ated with EMRs, they havebeen designed to be very se-cur e.

“Sophisticated hackerscould break into the systemin the same way that some-one could break through awindow or a door and ac-cess paper records in thepast. But people haveworked very hard to ensurethat this information is pro-tected as much as possible.”

Banner Estrella MedicalCenter in Phoenix was thefirst in the Banner Healthsystem to implement EMRsin January 2005. Findingsfrom a study identified bene-fits in patient safety, im-proved lab turnaroundtimes, reduced patient waittime in the Emergency De-partment, improved patientsatisfaction and improvedstaff retention. It alsoshowed shorter hospitalstays for commonly diag-nosed conditions.

One of the most importantbenefits of EMRs, accordingto Will, is the time it givesback to caregivers to spendat the bedside.

“One nurse quoted in thestudy said that she used tospend 80 percent of her timecharting and 20 percent atthe bedside. Now she

spends 20 percent of hertime charting and 80 percentof her time at the bedside.”

The evolution of EMRs isongoing, but McKee’s imple-mentation of CPOE puts it ina minority of hospitals na-tionwide using that level ofdigital technology. To date,Banner Health has investedmore than $100 million toimplement EMRs at its 22 fa-cilities.

Dr. Norman said the nextstep will be to integrate out-patient clinics with the hos-pital systems. “There arehundreds of different EMRsystems out there. The goalis to integrate them all sothat the quality and safety ofcare isn’t bound by facilities.There are groups at state andnational levels working onintegrating these systems sothat medical records can beaccessed through a secureInter net.”

Dr. Norman said that it canbe difficult for health care fa-cilities and providers to goforward with full electronicsystems. “But once you do, itis almost impossible to thinkabout going back to papercharts. An integrated systemno doubt makes you a moreefficient, higher quality med-ical practitioner.”

McKee Medical Center photosCertified Nursing Assistant Joyce Wells and Veronica Wilson,RN, review a patient record on a computer.

Edward Norman

Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009 25

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26 Thursday LOVELAND REPORTER-HERALD/Health Line of Northern Colorado July 16, 2009

HL Health Line BriefsCANDO RECEIVES FUNDING

CanDo (the Coalition forActivity and Nutrition to De-feat Obesity) announcedthat it has received contin-ued funding from LiveWellColorado in the amount of$336,898 to support localprograms and activities toprevent obesity and educateand encourage residents ofFort Collins and Loveland tolive healthy lives. The grantwas awarded by LiveWellColorado, a non-profit com-mitted to reducing obesity inColorado by inspiringhealthy eating and active liv-ing.

LiveWell Colorado recent-ly awarded $4 million dol-lars to communities to helpprevent the state’s obesitytrends and reduce relatedchronic diseases. CanDo’sinitiatives in Fort Collins andLoveland are two of 25 com-munities to receive fundingunder the initiative in 2009.LiveWell Colorado grant re-cipients promote healthyeating and active living byimplementing policies, pro-grams and infrastructurechanges in school, work-site, healthcare and commu-nity settings.

Among its many initia-tives, CanDo will use thegrant funds to support well-ness in Thompson andPoudre School Districts, ex-pand current work site well-ness efforts, enhance com-munity gardening effortsthroughout the county, andcollaborate with the healthcare community.

LiveWell Colorado is fund-ed by The Colorado HealthFoundation, Kaiser Perma-nente and the Kresge Foun-dation, with support fromthe Colorado Department ofPublic Health and Environ-ment. The organizationleverages and coordinatesstatewide and community-

based efforts to encouragehealthy lifestyles, with thegoal of reaching every Col-orado community.

For more informationabout CanDo, visitwww.CanDoOnline.org. Formore information about theLiveWell Colorado statewideinitiative, please visitw w w . l i v e w e l l c o l o r a d o . o rg .

POUDRE VALLEY PRENATALPROGRAM CELEBRATES20 YEARS

The Poudre Valley Prena-tal Program will mark 20years and 6,000 healthy ba-bies this weekend.

The program is a collabo-rative, community-basedprenatal, labor and deliveryprogram for low-incomewomen and teens. Its goal isto make sure every womanin the community has accessto prenatal services, deliveryand hospital services andpost-partum care.

It also works as a naviga-tor to help women find oth-er needed services in thecommunity, such as helpwith housing needs, coun-seling, nutrition and sub-stance abuse treatment.

Over the last 20 years, theprogram has met each of itsoriginal goals while makingsure low-income womencan get the prenatal care andsocial support they need tohave healthy, happy chil-dren. It also encourageswomen and families to pur-sue and use preventivehealthcare programs.

The PVP Program’s origi-nal goals included:

• Reduction in the inci-dence of low birth-weightinfants.

• Reduction in health andsocial support costs to thispopulation.

• Development of a mod-el program for community-based coordinated maternity

care to the low-income pop-ulation.

• Measurement of the im-pact of health promotionand pyschosocial interven-tion activities on pregnancyoutcomes.

• Reduction in the inci-dence of subsequent un-planned pregnancies.

• Development of educa-tional opportunities for resi-dent physicians and otherhealthcare workers.

• Measurement of the de-mographic and epidemio-logical data to demonstratethe effectiveness of commu-nity-based healthcare ser-vices.

PVHS HOSPITALSHONORED FORCUSTOMER SERVICE

A national company thattracks the customer servicequality of U.S. health carehas honored Poudre ValleyHealth System’s two hospi-tals for consistently provid-ing outstanding customerservice to patients.

During an annual meetingin Denver June 22, AvatarInternational, headquarteredin Orlando, Fla., named theMedical Center of the Rock-ies, Loveland, as one of thenation’s 20 overall best per-forming hospitals in consis-tently meeting high stan-dards of patient care acrossmultiple service lines. Thiswas the second year in arow that MCR received thisaward.

Meanwhile, Avatar recog-nized Poudre Valley Hospitalfor exceeding patient expec-tations, the sixth consecutiveyear the company recog-nized PVH for customer ser-vice quality.

PVHS GETS STATE GRANTFOR SPECIALIZEDBARIATRIC AMBULANCE

Poudre Valley Health Sys-tem has received a $68,650

grant from the Colorado De-partment of Public Healthand Environment to helppay for an ambulancegeared specifically for safelytransporting overweight pa-tients, an increasingly press-ing concern for ambulancepr oviders.

The new ambulance,which is 14 feet wide insteadof the standard 12 feet, willhelp safely move and treatobese patients with dignityand reduce the risk of injuryor interruption of care. Thenew ambulance will provideadditional room for patients,medical staff and bariatricequipment.

The new bariatric ambu-lance will be available 24hours a day, seven days aweek for dispatch through-out Northern Colorado. Thiswill be the only ambulancein Northern Colorado specif-ically designed to transportbariatric patients.

PVHS EMS transportedfour to five bariatric patientsa month in 2008. The grantwill pay for half of the$137,300 ambulance; PVHSwill pay for the rest.

Poudre Valley Hospital is aleading provider of bariatricsurgery in the region.

MEDICAL CENTER OF THEROCKIES RECEIVES GRANTTO IMPROVE PATIENTSAFETY

A grant of $35,00 from theCardinal Health Foundationwill provide funding for pro-grams that implement cre-ative and replicable methodsto improve the quality of pa-tient care. Medical Center ofthe Rockies in Loveland wasone of the 35 hospitals se-lected. The specific projectat Medical Center of theRockies is aimed to elimi-nate healthcare associatedinfections at MCR.

www.BannerHealth.com, keyword: McKee Cancer

2000 N. Boise Ave. • Loveland • (970) 669-4640

Job opportunities: 866-377-5627 (EOE/AA) or www.BannerHealth.com

Banner Health is the leading nonprofit health care provider in northern Colorado.

Jerry’s cancer team gave him his life back. And that’s music to everyone’s ears.

Even after he was diagnosed with non-

Hodgkin’s lymphoma, Jerry found comfort

in playing the piano. And thanks to McKee

Medical Center’s carefully coordinated

cancer team, he soon found the strength to

go on to a healthy life. The pathology and

imaging departments quickly gave Jerry’s

doctors his test results, which helped get

his treatment started right away. Yet, Jerry

said his considerate doctors and nurses

took the time to explain his condition and

give him the best care possible. Because of

this highly specialized, personal approach,

Jerry’s life is in tune. Now he not only plays

for comfort, he gives back by using his

piano to lift the spirits of those in cancer

support groups. McKee Medical Center.

Remarkable health care inspired by you.

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