the 2010 guide to healthy living in grand county

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  • 8/14/2019 The 2010 Guide to Healthy Living in Grand County

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    Fitness

    Health

    &

    guide to healthy liviin Grand County

    2010The

    He

    it

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    page 2 2010 Grand County Health & Fitness

    Couples, Family andIndividual Counseling

    Substance Abuse Depression AnxietyParenting ADHD Self-Esteem

    Life Transitions

    [email protected]

    Amy Tekansik, MA, LPC, NCC Licensed Professional Counselor ~

    What would you attempt to do if you knew you

    could not fail?HOME PRACTICE: Wheatridge & Frisco (21 years)

    YEARS EXPERIENCE: 32

    ADDRESSING ISSUES OF:

    Sinuses | Larynx | Oral CavityUpper Pharynx and Structures of the Neck and

    Face, including Plastic Surgery

    Call the Specialty Clinic at Kremmling Memorial Hospital

    970.724.3115

    V IS I T IN

    GRA N D C O

    O N C E

    P ER M O N

    Dr. Michael A. Tralla, M.D. F.A.C.S.OtolaryngologyEar, Nose and Throat Specialist

    424 E. Agage Ave. P.O. Box 409Granby, CO 80446 p: 970.887.3334

    www.skyhidailynews.com

    Publisher Kim [email protected]

    Editor Drew [email protected]

    Advertising Representative Laurie Findley, [email protected]

    Page Design Reid [email protected]

    Printing Colorado Mountain NewsMedia, Gypsum Colorado

    By Gretchen BergenGrand County

    A lot happens in the small office behindthe Hot Sulphur Springs Library onMoffat Avenue. Parents bring babies forimmunizations, adults arrive for flu shots,and new mothers sign up for federal WIC(Women,Infants and Children) assistance.

    Grand County Public Health promotesthe health and well-being of GrandCounty in many ways. The departmenthelps prevent communicable diseases likepertussis (whooping cough), and preparesfor emergencies like pandemic flu out-breaks and wildfires. Its also ground zerofor Grand Countys H1N1 flu vaccine.

    Public Health has three registered nurs-es (RNs), a WIC coordinator, two admin-istrative assistants, and an interpreter/com-munity education person for the Spanish-speaking population. Last year, GrandCounty Nursing Services became Home

    Health (medical) and Home Care (non-medical). Public Health Director BreneBelew-LaDue, RN, also oversees HomeHealth and Home Care, plus SeniorNutrition Services.

    H1N1 and ImmunizationsSince October, Public Health nurses

    have given 3,700 H1N1 and seasonal flu vaccinations. Last year, Jan Carrasco, RN,established a county-wide immunizationcoalition with local doctors and healthcareproviders, which paved the way for asmooth rollout of H1N1 vaccine. PublicHealths Carrasco also immunizes adults

    for tetanus, pertussis and hepatitis B;organizes the annual flu shot program; andfollows up on individuals with communi-cable diseases to prevent outbreaks.

    Helping the UninsuredDuring economic hard times, the

    demand on public health grows. AndGrand County is no exception. The coun-ty has a high rate of uninsured 25 per-cent compared to the states average of 17percent.

    When people lose jobs, they often losetheir health insurance, explains Belew.The most recent Grand County HealthAssessment showed that the No. 1 issuethat the public is concerned about is accessto care.

    Like many rural areas, Grand County has no community clinic for the uninsured.

    To fill the gap, Grand Countys RuralHealth Network created the award-win-ning ACHES & PAINS programs, which

    Public Health helps administer. ACHES(Advocacy for Childrens Health & Education Services) and PAINS (Partnersfor Adults In Need of Services) providemedical vouchers to uninsured childrenand adults with financial need. The pro-grams are funded by county agencies, pri-

    vate donations and state grants.All partic-ipating healthcare providers donate theirtime, or write off a portion of the bill.

    Since beginning in 2005, ACHES hasissued 289 vouchers to children, withdemand for the program increasing 30 per-cent from 2008 to 2009. Mobile medicaland dental vans served 165 children in

    2009; 163 children in 2008; and 279 chil-dren in 2007.In 2009, the PAINS programserved 79 adults, increasing almost 40 per-cent from 2008.

    WIC, Prenatal Services andChildrens Health Outreach

    Currently, Public Health handles a case-load of 140 children and mothers with a

    Tuesday WIC clinic administered by Ellen Tinkum, plus once-a-month clinics inFraser and Kremmling. When childrenand parents apply for WIC, the RNs check their immunization records and assist withhousing and nutritional problems. KarenHadleyDike, RN, handles prenatal care forpregnant women, and helps mothers getthe care they need through Medicaid.Heading up Childrens Outreach, GailVanBockern, RN, visits daycare centersaround the county, educating directors andstaff about health issues like nutrition,immunizations and CPR.

    Home HealthHome Health provides care for adults

    and children requiring home medical careranging from physical therapy to post-operative rehabilitation. In 2008, the Stateof Colorado passed a law requiring allhome health agencies to be licensed.Today Grand County Home Health and GrandCounty Home Care are the only twolicensed home agencies in Grand County,according to Tina Strang, Home HealthAdministrator. Home Healths new clinicalcoordinator and clinical staff help patientsand families make a smooth transition

    from hospital to home. A physicalpist assists with both pediatric anatric patients. Previously, our contion was on Medicare patients, but wexpanded our focus to try to serve community, says Strang.

    Home CareHome Care provides non-medica

    tance with personal care and homemservices to help keep people out oterm care facilities.Home Care is ato those on Medicaid and priva

    These services are for a wide range from elderly homebound patients t

    viduals who need a little help with Bathing, dressing, light housekchanging bed linens and vacuum

    just some of the services Home Ca vides.

    Senior Nutrition ServicesSenior Nutrition Services pr

    healthy, affordable meals to anyoage 60 three days a week in GranKremmling.The program is fundedby the Older Americans Act andFunds for Senior Services. Seniorshave to qualify financially, Strang sizes. The meals are fantastic wihomemade bread,and this is a greatbuild a sense of community. Homered meals are also available to homseniors.

    For more information, call 970-725or see www.co.grand.co.us

    Getting to Know GC Public Health & Nursing Services

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    970-887-7470145 Parsenn Rd., Winter Park

    Family PracticeEmergency ServicesLevel V Trauma CenterSki-related injuries

    Open year-roundHours may varyWalk-ins Welcome

    970-887-7400480 E. Agate Avenue, Granby

    Emergency ServicesLevel IV Trauma CenterOpen 24hr/day, 7 days a week

    Family PracticeOpen Mon, Wed, Fri 8am-5pmTues, Thurs 7am-5pmSat 8am-12pm

    www.stanthonymountainclinics.org

    You can depend on us for

    all your health and wellness needs.

    strength compassion hope innovation expertise

    CardiologyChronic Pain ManagementCT Scanning ServicesInternal MedicineLaboratory and X-Ray ServicesOrthopedicsPrenatal/Postpartum CarePhysical TherapyPodiatryUrology

    Located at the base of Winter Park Ski Resort

    Back Row (L. to R.): Marylou Humble, David Lurye, Alice Myerly, Mary Saines, Katerina Tybus, LuLiliya Taktamysheva, and Motor Coulson. Front Row (L. to R.): Mark Chua, Rasa Jucdagalviene, K

    and Kathy Jamison. Not Pictured: Glenda Spooner.

    JOIN US for an APPRECIATION OPEN HOUSEFebruary 23, 2010 - 4:30pm to 6:00pm

    Come meet our staff, enjoy some wine and cheese, and possibly win a pri

    970.726.555621 Kings Crossing, Suite 107

    PO Box 1266Winter Park, COStreet Level, Pine Tree Plaza

    [email protected]

    From a patient centered approach, our goal is to provide high quality, gentle dentalcare and to improve oral health through prevention, restoration, and education.

    page 4 2010 Grand County Health & Fitness

    By Tonya BinaSky-Hi Daily News

    W hen people think of exercise and staying healthy, they mostly think of the body from the neck down.But what about the condition of your brain? Top experts in the realm of brain health say keeping your brain

    healthy can lead to defenses against neurological illnesses, such asdementia.

    Every 70 seconds,someone is diagnosed with Alzheimers disease, themost prevalent form of dementia that targets one out of eight peopleolder than age 65 and half of the population older than age 85.

    In fact, with Alzheimers the sixth leading cause of death in the UnitedStates, there are more people diagnosed with that disease than prostateand breast cancer combined, according to the national AlzheimersAssociation.

    There are currently about 72,000 people in Colorado living with thedisease, and with a rising baby boomer population becoming elderly, thestate is bracing for the second highest percentage increase of Alzheimersdiagnosis in the U.S.:To 140,000 people in the next 20 years.

    With currently 5.3 million people in the U.S. with Alzheimers, itsprojected 10 million baby boomers will have Alzheimers in their life-time.

    Research is ongoing,but at this point, there isnt anything that lookslike a cure, said Emmalie Conner, the Northern Colorado RegionalDirector of the Colorado Alzheimers Association.

    But ongoing research is bringing about a better understanding of thedisease, she said, and there are new drugs coming about that addresssymptoms of the disease and may even slow its progression.continued on page 5

    Byron Hetzler/Sky-Hi DaiWith all its steps do-si-dos, promenades, chasses and cast offs the social, mental ansquare dancing is one good example of an activity that is healthy for the brain as well as

    Dive head-first into brain health

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    2010 Grand County Health & Fitness

    DID YOU KNOW...Northwest Colorado has the highest incidence of Melanoma?

    The Dermatology Center of Steamboat SpringsDr. Sandi Eivins, M.D.is here to help you with your skin care needs.Serving the community for 10 years.

    940 Central Park Drive, Suite 210Steamboat Springs

    970-871-4811

    Specializing In: Mohs Micrographic Surgery for Skin Cancer Disease of Skin, Hair and Nails Photodynamic Therapy forAcne, Pre-cancer and Photoaging Phototherapy for Psoriasis & Other Skin Conditions Vascular Laser forRosacea, Warts, Hemangiomas Extensive Therapies for Photo-rejuvenation Botox, IPL, Dermal Fillers,Thermage, Fractional Resurfacing, Microdermabrasion

    continued from page 4

    Maintaining Your BrainIt can be an exciting thing, starting the New Year being

    proactive about your health, Conner said.Not just yourphysical health,but your brain health too. Its a great time tolook at things you can do to lower your risk.

    As part of her job, Conner travels around the state pro-moting brain health through the Associations programMaintain Your Brain.

    There are two factors people cannot change about them-

    selves to reduce risk, she said, and those are age and geneticpredisposition.

    But compelling research is pointing to a link betweenbrain health and heart health and those are factors onecan influence.

    Diet Scientists believe there may be a link between type 2 dia-

    betes and Alzheimers, going so far as to contemplate callingAlzheimers type 3 diabetes,Conner said.

    Individuals with type 2 diabetes have an increased risk of later developing dementia, reads a 2006 AlzheimersAssociation report on the subject.

    Scientists have found evidence that links insulin resistanceand high blood sugar to an increased risk of dementia.But itis not yet proven as to whether treating insulin resistance

    can prevent or slow Alzheimers or other dementias. Yet the research does point to the probability that lifestylechanges can help reduce risk.

    A healthy brain diet is a healthy heart diet, Conner said.A 2009 report published by the American Medical

    Association states mid-life obesity,diabetes and hyperten-sion are all vascular risk factors for late-life dementia and arestrongly influenced by diet.

    To help stave off cognitive impairment, experts recom-

    mend foods based on a Mediterranean-type diet that is low in sugar and fat and high in fruits, nuts, legumes and cereals,fish, low to moderate intake of wine, and low intake of redmeat and poultry.

    ExerciseAnd just as physical exercise is good for the heart, it also is

    for the brain.Any exercise is positive,but exercises that are both physi-

    cally beneficial and mentally challenging are even better.Conner recommends activities such as dancing lessons,

    which can provoke thought as well as an increased heartrate.We know its important to challenge ones self cognitive-

    ly, she said. Years ago, the belief was that individuals are born with all

    the brain cells they can get.But now we know that when we learn, we create new

    pathways and connections, no matter ones age Conner said.

    Take a walk while memorizing a poem,go square-danc-ing, learn to Tango, learn tai chi or yoga.

    The key is to stay active both mentally and physically.

    SocializeStudies are also showing that ones lack of social connec-

    tions may be a variable that leads to developing Alzheimersor related dementia, Conner said.

    The Alzheimers Association endorses activities that cancombine physical,mental and social elements.

    Be a volunteer, take a class interact and stay connected.When we retire, we dont want to just sit in f ront of the

    television,we want to engage in other people,Conner said.And she practices what she preaches.Even though she travels around the region delivering tips

    on brain health,Conner still finds time to take Spanish les-sons and is learning how to tap dance.

    10 ways to Maintain Your Brain Head first Good health starts with your braimaintenanceTake brain health to heart Whats good for thbrain. Do something every day to prevent heart dsure, diabetes and stroke, all of which can increaAlzheimers Your numbers count Keep your body weighterol and blood sugar levels within recommende Feed your brain Eat less fat and more antiox Work your body Physical exercise keeps theencourage new brain cells. Do what you can, likday, to keep both body and mind active. Jog your mind Keeping your brain active anvitality and builds reserves of brain cells and congames, learn new things, do crossword puzzles. Connect with others Leisure activities that cand social elements may be most likely to preven Heads Up! Protect your brain Take precautiUse your care seatbelts, unclutter your house to met when cycling and skiing. Use your head Avoid unhealthy habits. Donalcohol or use street drugs. Think ahead: Start today! You can do sometyour tomorrow.Source: Maintain Your Brain program, the ColorAlzheimers Association

    2010 brain health seminars in Grand County

    Maintain Your Brain, 6 to 7:30 p.m., TueKremmling Public Library. Caregiving tips: Activities for people wit3:30 p.m., Tuesday, May 18, at Kremmling M Memory Loss and Diabetes: Is there a linWednesday, May 19, at the Juniper Library,

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    page 6 2010 Grand County Health & Fitness

    GRAND COUNTY

    Public Health

    OUR PUBLIC HEALTH PROGRAMS OFFEWOMENS HEALTH:

    Medicaid/CHP+ for low income pregnant women WIC Referrals to affordable health care Pregnancy tests/Prenatal education Health promotion material

    CHILD HEALTH:

    Immunization Referrals to affordable health care A.C.H.E.S. vouchers program

    (medical, dental & mental health) Childcare Center RN consultation Health Care Program for Children with Special Nee

    (HCP) Cavity Free at Three Reach Out and Read WIC FREE newborn home visits/breastfeeding support

    by a Grand County Public Health Nurse Medicaid/CHP+ for low income children Parenting Resources & Referrals Mobile Health and Dental Vans

    Health promotion material

    ADULT HEALTH:

    FREE blood pressure checks P.A.I.N.S. voucher program (acute medical health) Immunizations Health promotion material

    150 Moffat Avenue - P.O.Box 264Hot Sulphur Springs, CO - Mon-Fri 8:30 a.m. to 5 p.m

    970-725-3288Public Health EmergencyPreparedness &Pandemic InuenzaPlanning

    Communicable DiseaseControl

    Community Outreachand Education

    NACO PrescriptionDiscount Card

    I f you are seeking a better quality of life in 2010 and beyond, you need tolook no further than integrating a con-sistent exercise program into your daily life. The concept of forever fitnessmeans that you make yourself a priority in your life.

    We all have demands placed on usthroughout our lives and fitness is oneof the coping mecha-nisms that we haveright at our finger-tips. No matter

    where you are on your life's journey, if you have not inte-grated physical fitnessinto your life, or havebeen on a hiatus, now is the time. Follow the steps describedbelow and experience the most impor-tant benefit that forever fitness has to

    offer-a better quality of life for a life-time. As always, prior to beginning any exercise program,please consult yourphysician.

    Step 1 - Set written,specific, measur-able, attainable, realistic and timely fit-ness goals (S.M.A.R.T.).

    An example is as follows: My long

    term goal is to lose 20 pounds withinthe next six months, and keep it off,

    which is approximately three-fourpounds per month. I will begin thisprocess with the following weekly forthe next eight weeks:

    I will attend two boot camp/cyclingclasses per week at the fitness studio onMondays and Wednesdays from 8-9:15

    a.m. I will walk/run for

    45 minutes on Tuesdays at 6:30 a.m.at an RPE of 4-6 fol-lowed by a 30-minute

    weight training pro-gram provided to meby my certified trainer

    which includesabdominal/core conditioning and flexi-bility/stretching.

    On Fridays, I will work with my cer-

    tified trainer for a one-hour in-studiotraining session. Saturday or Sunday, depending on

    the week, I commit to either playingtennis or sailing during the warm

    weather months or snowshoeing orsnowmobiling for a minimum of one-two hours followed by the stretchingcontinued on page 7

    Jackie Wright: Ten Steps to Fo

    Step 2 maintain a daily

    exercise journal.

    Jackie WrightOwner, Never Summer Fitness

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    2010 Grand County Health & Fitness

    Lunch served to Seniors ov60 years old 12:00 Noon

    Monday, uesday, & Tursday

    $3.00 Suggested Donation

    Please Call for a Reservation

    Grand CountyGrand County Senior Nutrition ProgramSenior Nutrition Program

    GRANBY

    (970) 887-99Granby Community Center

    3rd and Jasper}

    KREMMLING(970) 724-97

    Silver Spruce Apartments

    Hwy 40 & Hwy

    Te nutrition progris funded in part thrthe Older America

    and State Funds for Senior Servi

    Continued from page 6

    program that my certified trainerhas provided to me.

    I will expend a minimum of 400-500 kcal per workout.

    Step 2 - Maintain a daily exer-cise log.

    Step 3 - Maintain a daily food journal. Most of my new personal train-ing clients are unaware of how many calo-ries they are inputting daily. One of thefirst conditions of their training programis to begin a daily food journal so that wecan calculate their caloric input. It is usu-ally a real eye opener and helps the clientto be more aware of portion sizes, caloric

    values of food and what it takes to burnoff those inputted calories.

    Step 4 - Purchase a good quality heart

    rate monitor. Make certain to purchase amodel which will display your calories as well as your heart rate.

    Step 5 - Periodically, modify your exer-cise program. Change is important toensure progress and results. The body adapts fairly quickly to exercise. Once itadapts, plateaus may occur which can sab-otage your fitness level and long termprogress. Consequently, every few weeks,modify the frequency, intensity, time ortype of exercise you are performing.

    Step 6 - Hire a qualified, certified, and

    experienced instructor/trainer todesign an individual exercise pro-gram for you. If money is a littletight, ask a friend or co-workerto go in with you.

    Step 7 - Location, location,location. Be honest with yourself and choose a workout locationthat you know will work for you.

    Step 8 - Have a plan B, a plan C and aplan D because life will happen and youmay have to miss a workout session. Thisshould include an in-home supplemental

    workout plan.

    Step 9 - Create a support/accountability system. Whether this means finding a

    workout buddy or just asking your family and friends to encourage you to stay com-mitted to your exercise program for life,

    just find that support.

    Step 10 - Be active daily. Active doesnot mean busy, it means actually moving

    your body through space and time by tak-ing a brisk walk, taking the stairs ratherthan the elevator,carrying your groceries,

    walking around the office while you aretalking on the phone and sitting as rarely as possible.

    Jackie Wright is the owner/manager of Never Summer Fitness,LLC located inGrand Lake, Colorado. She can be reached at her website at www.neversummer fitness.com or her email at [email protected].

    JACKIE WRIGHT

    10 steps to lifelong fitnessAll three 9HealthFairs in Grand County willrun between the hours of 7:30 a.m. to 11:30a.m. this year. Coordinating the times was aneffort to, eliminate confusion, says JohnErwin, Fraser 9HealthFair organizer

    Free and low-cost screenings will continue tobe offered. No-cost screenings include vision,blood pressure,oral cancer, foot health,hearingand breast, as well as height/weight/body massmeasurements, talk with a professional, ask-a-pharmacist site, body in balance tests, and aheart health corner. Please note that not allscreening are offered at each site.

    In addition to free screenings, low-costscreenings are also available:

    Blood Chemistry Analysis - $30 Blood Count Tests - $15 Prostate Specific Antigen Screening - $25 Colon Cancer Screening - $20

    Health Fair participants can use the internet to pre-register online anpay the cost of the low-cost screenings using a Visa or MasterCard. Tregister on-line, visit www.9health.com. The Kremmling site also offesite registration from 7 a.m.-5 p.m.Wednesday,April 7, at the Kremm

    Memorial Hospital conference room.Volunteers are always appreciated at all sites. Contact Sherri Solaw(970) 724-3442 if you would like to volunteer as either a medical profor as a non-medical volunteer.

    Perhaps the most common question is whether to fast. According to9HealthFair website, participants who opt for the low-cost blood chemscreening should fast for 12 hours in advance. Diabetics should neverbecause their blood sugar level may get dangerously low. It is importcontinue to drink water while fasting. Lastly, they recommend that thoprescription medications continue to take as advised by their doctor.

    It is hoped that people will take these results to their doctors and foup with a healthy life style plan, says Kremmling site coordinator, ShSolawetz. She said that health fairs are not meant to replace a personlar check-ups, just enhance it, possibly discover something early and kpeople on track for healthy habits.

    9HealthFairs: A Healthy Tradition

    Dates andLocations

    (all times are 7:3011a.m.)

    KremmlingSaturday, April 10thWest Grand High Schoo

    208 12th Street

    GranbySaturday, April 17thGranby Elementary202 East Topaz

    FraserSaturday, April 24thFraser Elementary Scho125 Eastom Ave.

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    page 8 2010 Grand County Health & Fitness

    Providing quality one-on-one physical therapycare for residents of Grand County.

    We offer same day appointments, flexible hours,8 a.m. to 7 p.m. 5 days a week and weekends by appointment.

    Our clinic is centrally located. It is the only fully-equipped physicaltherapy clinic in the county with a full line of equipment.

    Providers for most major insurance plans including Medicare, BCBS, RMHCP, UHand Pinnacol. Arrangements available for uninsured and self pay.

    Workers Comp Orthopedic &

    Sports Rehab Back & Neck

    Injuries

    Massage Therapy Auto Accidents Balance

    Coordination Strength

    Training

    Headaches &Sinus Pain

    Post SurgeryRehab

    62801 U. S. Hwy 40(located in Grand Elk building, lower level parking lot, north side of building)

    Granby, CO 80446(970) 887-2733 FAX: (970) 887-0133

    Dave Siegfried, P.T.

    By Reid Armstrong Sky-Hi Daily News

    I f youve never heard of a pump track, you might be surprised to learn thatthere are at least seven of them on public

    lands, parks and open spaces in GrandCounty.A pump track is small, looping bike

    trail system involving a series of dirtrollers and berms nothing over a cou-ple of feet in height that are spaced tokeep momentum going so that riders canmove around the track continuously with-out pedaling.

    Riders maintain speed along the track by pulling up and pushing down withtheir legs and arms, creating a pumpingmotion. Proficient riders can hit speeds of more than 20 mph without using a singlepedal stroke.

    Developed to help mountain bikerslearn to generate speed, carry speedthrough corners, and improve handling,pump tracks have gained popularity among the general public as great form of exercise.

    Its a full body workout, said Wade Wilderman, a local bike shop owner andformer pro who has been helping todevelop pump tracks around the county in

    recent years. It helps strengthen thshoulders and upper body.

    Its the ideal 20-minute workout.only three laps on a pump track,a ranaerobic,Wilderman said.

    Relatively safe, and easy enough

    year-old or a 63-year-old,A pumpis something that anybody that ridecan use to better their skills, Wildesaid. It teaches you to accelerate fand get more speed out of the trail places.

    Any type of bike with dirt tires caused on a pump track, including BMbikes, dirt jumpers and mountain b

    Wilderman said.Safer than skate parks,pump trac

    a particularly good way to get kids side, exercising, especially those whfer a little thrill in their activities.

    Ive seen tiny kids out there, jus years old with 12 inch tires, and theit, he said. Ive seen 8-year-olds wblow me away.There are also a lot ple out there riding pump tracks thanever think would dig it.

    Inexpensive and easy to build andtain, pump tracks can fit into the smbackyards or corner of a public parloop or figure-8 track can be built ocontinued on page 10

    Get pumped

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    2010 Grand County Health & Fitness

    G RANBY R ECREATION G RANBY R ECREATIOND EPARTMENTD EPARTMENTPROVIDING QUALITY RECREATION

    OPPORTUNITIES FOR ALL AGES~ R ESIDENTS AND V ISITORS A LIKE ~

    Youth & Adult Sports Leagues Adult Fitness Classes Parks & Playgrounds Special Events Youth Sports Camps Indoor Soccer Dome Adult Enrichment Classes Day Camp & After School Programs

    Skateboard Park Teen Activities Tennis Courts Youth Enrichment Classes Preschool Programs Softball & Baseball Fields Room Rentals

    LOCATED IN G RANBY TOWN H ALL 0 J ASPER A VE .FOR M ORE INFORMATIONF OR MORE INFORMATION

    CALL US AT 887-3961C ALL US AT 887-3961

    Pregnant? You haveoptions.

    Hotline:1-800-672-2296

    Free Pregnancy TesCaring. Condential

    Condential,non- judgmental atmosphere

    Maternity & baby clothing

    Literature & educationalmaterials to help in makingan informed decision

    Support for the post-abortive man or woman

    Free pregnancy testing &option advising

    Ultrasounds available

    244 East Agate Ave. Suite B - PO Box 187 - Granby,80446-0187 (970) 887-3617

    Pregnancy Resource Connection, Inc.

    Serving the Men and WomeGrand County for 25 Year

    continued from page 8

    10-by-30-foot, level plot of land, using nothing morethan shovels, Wilderman said.

    Once built, pump tracksrequire very little mainte-nance and,unlike a grassy lawn, need virtually no water-ing or fertilizing.

    Its xeriscape with a pur-pose,writes LeeMcCormick, author of

    Welcome to Pump Track Nation, a guide to buildingpump tracks.

    In Grand County, there aresummer pump tracks at

    Winter Park Resort,Hideaway Park, Fraser Valley Sports Complex, SolVista,Snow Mountain Ranch,onpublic land along CR 8 andin several neighborhoods.

    Reid Armstrong can be reached at 970-887-3334 ext. 19610 or [email protected].

    Fun FactThe first pump track on

    American soil was built in 2004at The Fix Bike Shop in Boulderby Steve Wentz.

    Pumped

    Bonfils Blood Center offers many opportu-nities to donate blood in Grand County this

    year. Lori Freerksen, community donor rep-resentative says that they are impressed withGrand County donors but due tobudget restraints,fewer blood drives

    will be offered in2010.

    According toFreerksen,60 per-cent of the popula-tion of Colorado iseligible to donate

    while only 4 per-cent actually do.

    With a weekly demand of 4,000donations per week,

    supply is a chal-lenge to meet and every pint is appreciated.Bonfils reminds potential donors of how

    easy it is to participate and that it is particu-larly important to give this year as there arefewer local drives than last year. With twoblood drive locations in Granby andKremmling, both with several dates, partici-

    pants can donate on a regular basis. Every 56 days is the rule.

    Bonfils encourages donating blood by stat-ing that it takes less than one hour and that

    it can save up tothree lives.

    The biggest usersof the donatedblood are cancerpatients followed by accident and sur-gery patients.Blood must also bestored in case of larger scale emer-gencies. Nearly 200Colorado hospitalsand other healthcare facilities benefitfrom the efforts of

    Bonfils and fromthe kindness of participants.Registration is simple and can be done by

    phone or the web. For those who havedonated in the past, Bonfils will call two

    weeks in advance to make the appointment.All registered donors are given a courtesy reminder call one week in advance.

    2010 Blood Drives

    KremmlingKremmling Memorial Hospital ConfereRoom214 S. 4th Street

    1:30 p.m. - 5:30 p.m.Thursday, March 25Tuesday, June 1Thursday, July 29Wednesday, Nov. 3

    GranbyGranby Community Center3rd & Jasper10:00 a.m. - 2:30 p.m.Monday, March 1Monday, May 24Monday, July 26Monday, October (TBA)Monday, Dec. 20Middle Park High School795 N. 2nd Street11:30 a.m. - 3:30 p.m.Thursday, May 6Thursday, Dec. 9

    Register for the Kremmling and Granbyblood drives in advance by calling theBonfils appointment center: 800-365-0006 extension 2 or on line atwww.bonfils.org.

    2010 Bonfils blood drives scheduledOnly 4 percent of Coloradans give blood

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    page 10 2010 Grand County Health & Fitness

    Cliffview Assisted Living R esidence

    A Great Place to Live in Grand County

    For more information contact:Jeff Pexton, Administrator

    970-724-3530 PO Box 1119710 Eagle Avenue, K remmling, CO 80459

    www.cliffviewassistedliving.org

    Medicaid accepted, short term stays welcome

    By Tami Griffith, CFNP-BCGranby Medical Center

    E very time you read a magazine or watch TV, there is an add for a par-ticular vitamin or mineral that is sup-posed to cure all of your ailments.

    How do you determine the truth?Vitamins are compounds that are

    needed for normal metabolism and forthe body to function properly.

    Vitamin D can be received by exposureto sunlight but the other vitamins needto be received through our diet. Our dietin the Western world today is sometimeslacking in the essential vitamins andminerals. During pregnancy, excess alco-hol consumption, and stress, our bodiesneed an increase in some of these ele-ments.

    Folic Acid, one of the B vitamins, canbe found in green leafy vegetables,legumes, nuts, fruits such as lemons andbananas, and grains.

    Over the years, we have learned that adeficiency in Folic acid can lead to ane-mia, neural tube defects in neonates, car-diovascular issues, dementia, and osteo-porosis.

    Folic Acid is needed for cell division.

    The neural tube is formed approximate-ly 15-28 days after conception.

    Therefore it is important that any femaleconsidering conception receive an ade-quate amount of folic acid before con-ception occurs. One study showed thatfemales that took 400 mcg of folic aciddaily around the time of conception had1:1000 chance of delivering an infant

    with a neural tube defect. The women who did not take any folic acid duringthat time period had a 4.8:1000 chanceof delivering a newborn with a neuraltube defect. The current recommenda-tions are 400 mcg/day for women of childbearing years and 400-800 mcg/day

    for women trying to conceive.Other studies indicate that adequate

    folic acid levels can prevent pre-eclamp-sia in pregnant females as well.

    Individuals diagnosed with cardiovas-cular disease, dementia, and osteoporosisshow an increased level of homocysteinein their system. Folic Acid along withB6 and B 12 vitamins have been shownto decrease those levels.

    The current recommendations forfolic acid are 400 mcg/day for women of childbearing years and 400-800 mcg/day if trying to conceive.

    Vitamin D is needed to help absorbCalcium and make strong healthy bones.

    This vitamin has shown to decrease theincidence of falls in the elderly as well.

    This may be due to an increase in musclestrength from the vitamin as well.

    Some studies have shown calcium tobe effective in decreasing breast,prostate,and colon cancer, as well as depression,heart disease, diabetes, and weight gain.

    Vitamin D can be obtained throughexposure to sunlight however foods canoffer this vitamin as well. Salmon,Mackerel, sardines, tuna, orange juice,milk, and Vit. D fortified cereals all con-tain good amounts of Vitamin D.

    The current recommendatioapproximately 600 IU of Vitamindaily along with 1.2 g. of Calcium.

    A blood test can be performed to your level of Vitamin D. If it is too your provider may recommeVitamin D and Calcium supplement

    Antioxidant vitamins include(retinol and beta carotene),C, andSome research shows that there areradicals in our body.. Free radicalunstable molecules that can break dthe cell structures in our bAntioxidants have been found to fthese radicals by preventing them being effective in their destruction.

    Vitamin A can be found in milk, legg yolks, and butter.

    Beta-carotene converts to Vitamiin the body. Foods high in Beta-caroinclude: apricots, carrots, pumpkin,bcoli, and spinach.

    Vitamin C helps with Red bloodformation, wound healing, and bolevels of noradrenaline. Noradrenis a mood enhancer.

    Foods high in Vitamin C inclubroccoli, tomatoes, orange juice,grapefruit.continued on page 11

    Are supplements necessary?

    TAMI GRIFFITH

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    2010 Grand County Health & Fitness

    Grand Park Community Recreation Centerowned and operated by the Fraser Valley Recreation District

    1 Main St. Fraser, CO 80442 (970)726-8968

    Natatorium with 20ft loop slide, spray & play feature,lazy river, zero-depth entry pool & 25 yrd 4 lane lap pool

    Whirlpool, Sauna & Steam Room Locker rooms & family changing rooms Climbing wall Multi-sport gymnasium Gymnastic studio including a foam & tramp pit Running / walking track Cardio, circuit training & free weights Fitness /dance studio room

    Drop-in childcare Pool party room Multi-purpose classroom Beautiful lobby area with replace, TV and game tables

    *some features are only available for scheduled programs

    Facility Hours of OperationMonday Friday 6am 9pm

    Saturday 7:30am 9pm I Sunday 10am 6pm*aquatics area closes thirty minutes before facility close* Please bring your own towels and locks!

    For programming information, please visit our website www.fraservalleyrec.org download

    our Activity Guide, and register online.

    GRANBY DENTAL, PC

    Dr. Andrew Burns

    Dentistry with a Gentle Touch

    Of ce Hours by Appointment

    887-3832290 East Agate Ave., Granby

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    11 Years Experience Addressing Chronic Pain including:Sciatica, Rotor Cuff, Headaches, Neck and Shoulders, Numb

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    Nancys cell: 970-531-2635 A La Mode Salon: 970-887-0174

    Vitamin E slows the aging processand helps with formation of Redblood cells as well.

    Vitamin E can be found in corn

    oil, peanut butter, and hazelnuts.Overall vitamin and mineral rec-

    ommendations may need to be tai-lored to each individual. A diet with5-9 servings of colorful fruits and

    vegetables everyday usually provideenough nutrients for an individual sothat additional supplementation isnot needed. A healthy diet with a

    variety of foods provide a goodsource of vitamins and minerals as

    well as fiber that is needed.Some vitamins can be toxic if

    taken in excess therefore you shoulddiscuss vitamin supplements with

    your provider.

    Vitamins A and E taken in excesshave been shown in some studies tobe detrimental to a person's health.Research has shown the possibility of fracture increase in some people.

    This appears to be true especially inpost-menopausal women with anincreased risk of osteopenia.Individuals taking Coumadin shouldavoid high doses of Vitamin E due tothe possibility of increased bleeding.

    Pregnant females, individuals withalcoholism, a history of gastric bypasssurgery, vegetarian diet, malabsorption

    disease, and those on hemodialysis orparental nutrition may need to receiveadditional supplements.

    Eat healthy, baked or grilled chicken,fish, or turkey, eat several colored foodsdaily in the vegetable and fruit group,

    drink plenty of water, have a littlsure to sunlight, and exercise. Ththe tools needed for a healthy life

    continued from Page 10

    Supplements Help Achieve Overall Heal

    Omega-3 supplements help improve heart health.

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    page 12 2010 Grand County Health & Fitness

    Serving the Grand County area and beyond!

    Dr. Daniel S.Tenney (Palmer graduate)

    Neck & Back Painand Discomfort

    Headaches &Dizziness

    TMJ Sports Injuries

    Numbness & Tingling Shoulder, Elbow &Wrist Pain Hip, Knee & Ankle/

    Foot Pain Indigestion Menstrual Difficulty

    Recurring Infections Fatigue Hypoglycemia Allergies & Asthma Carpal Tunnel

    Overuse Syndrome

    970-887-9104 AUTO ACCIDENTS W ORKERS COMPENSATION

    MOST INSURANCE ACCEPTED62801 US HWY 40, GRANBY

    Located in the Grand Elk (former Timberline) building, lower level parking lot, north side of the building

    Applied Kinesiology Spinal Care Sports Injury Nutritional Counseling Cranial/Sacral Therapy

    Difficult/Chronic/Painful Conditions

    Advanced LabAnalysis Available

    24 HOUR URGENT CARE AVAILABLECall for an appointment

    Relief for:

    Dr. Patrick Barry MD Dr. Astrid Lampey MD

    Well Woman and Pre-Natal CareAdult and Pediatric Medicine

    Preventative ServicesImmunizationsVasectomies

    Acute Illnesses and Minor EmergenciesSame Day and Walk in Appointments Welcome

    In the Fraser Market Place Building (Next to Safeway)Monday-Friday 9am-5pm

    970-726-6778 www.FraserMedicalClinc.com

    By Beth SandsFraser Curves

    In todays uncertain economy, familiesare looking to cut any expenses thatseem like a luxury or even the slight-est bit frivolous.One of the items receiv-ing scrutiny in many households is gymmemberships. Yet a growing body of evi-dence suggests that cutting that gymmembership may be exactly the wrongmove for even the most cash-strappedfamily.

    According to the Centers for DiseaseControl and Prevention, inactive adultshave significantly higher direct medicalcosts than active adults, and the costsassociated with physical inactivity increase with age.

    "To put it in perspective," said BethSands, owner of the Curves womens fit-ness center in Fraser, "for every dollar you

    spend on wellness, you save as much asfive dollars on illness."Curves has partnered with major health

    insurance and third party providers including Healthways SilverSneakers,AARP, and Blue Cross Blue Shield

    who see financial benefits in wellness pro-grams and offer reimbursements and

    incentives on gym memberships to theirplan members.

    For example, Blue Cross Blue Shield of Minnesota recently completed a land-mark study that found that people who

    went to the gym at least eight times a

    month had significantly lower healthcarecosts than those who did not. These fre-quent gym attendees had:

    39 percent fewer visits to the

    Emergency Room 41 percent fewer hospital admissions 18 percent lower overall claims costsIn an era where many have no health

    insurance at all and those who do havehigher copays, a gym membership may bethe most affordable way to keep health-care dollars in consumerspockets.

    Everyone knows the human body thrives on regular exercise and that stay-ing fit and maintaining a healthy weightcan contribute to significantly reducedrisks for various cancers (by as much as 60percent!), diabetes, heart disease, hyper-

    tension and many other debilitating con-ditions.Here are some other great reasonsto head to the gym:

    Exercising with others can "greatly

    improve your exercise adherence". Itsmuch easier to stick to an exercise pro-gram when you have accountability from trainers and coaches, friends, orboth. (University of Georgia Departmentof Kinesiology and Health)

    Exercise is like Miracle-Gro for yourbrain and can make you smarter by releas-

    ing chemicals that cause neuronbranch and connect in new ways.

    junctions between neurons are the balearning. (Kristin R. Wehner KefEntrepreneur.com)

    Exercise may make you a better w

    er by as much as 15 percent accoto a study presented to the AmerCollege of Sports Medicine enhances time-management skills, mperformance, ability to meet deadmood, and interactions with co-wor(MSNBC.com)

    Exercise directly reduces stresdecreasing the production of stress mones and increasing the productioendorphins your brains "feel gneurotransmitters. (MayoClinic.com)

    Exercise pays you back double:hour of exercise adds two to your(Harvard Alumni Study)

    "The research is clear: Exercising

    larly and maintaining a healthy wcan save not only your life but your mas well," said Sands. "Your health ismost precious asset,and not taking cait is going to cost you more in the run."

    For more information, contact B970-726-8155 or [email protected]

    Research shows exercise saves money

    The research is clear. Exercising regularly and main-

    taining a healthy weight can save not only your life but

    your money as well.Beth Sands

    Fraser Curves

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    2010 Grand County Health & Fitness

    Grand County Home Care

    A Certied and Licensed Non- Medical Home Care Agency!

    Serving all ofGrand County

    Phone:725-3288

    Let us help you remain in your home

    Grand County Home CareProvides non-medical services

    including:Bathing Dressing/groomingMopping Vacuuming/dusting

    Changing of bed linensCleaning of rooms and kitchen

    An incredible hospital.Wonderful people.

    Very competent people. Beautiful location.They took incredible

    care of mother.~Jim Cartwright, son of Jean Cartwright ~

    Jean Fontius Cartwright October 24, 1915 - September 27, 2009

    Extended Careat Kremmling

    Memorial Hospital

    Ask to speak withDawn Mathews, Case Manager

    970-724-3442

    Bryan Bomberg, MD Board Certied Orthopaedic Surg Sub Specialty Training In Sports

    Medicine Former Assistant Team Physician

    the Boston Bruins and New EnglaPatriots

    Former Chief of Sports Medicine the Air Force Academy and TeamPhysician for the Air Force FalconTeams

    Member Us Olympic Team Physic

    Services Ofered in Grand County Joint Replacement Surgery, Foot and Ankle, Knee, H

    Elbow, Hand, Wrist and Shoulder Surgery.

    Minimally Invasive Hip, Knee, Shoulder ReplacemenPartial Joint Replacement Surgery.

    COMPLETE CARE RIGHT HERE!Clinics in Granby and Kremmling.

    Surguries performed locally at Kremmling Memorial HospRehabilitation services available at Timberline Family

    Practice and Kremmling Memorial Hospital.

    Call 877-404-4612 or970-879-4612

    By Dr.Glancey & Dr. Kennedy

    T here have been multiple news stories lately regardingchanges in screening guidelines for women. Changeshave come in both breast cancer screening and cervicalcancer screening,some controversial and some not so con-

    troversial.Most recently the United States Preventative Services

    Task Force (USPSTF), an independent panel of doctors,nurses and prevention experts, issued new guidelines forbreast cancer screening. These guidelines differ fromguidelines issued by the American Cancer Society as wellas the American College of Obstetrics and Gynecology (ACOG).

    The new guidelines recommend mammograms for women starting at age 50 and continuing every other year. They recommend against routine screening for womenages 40-49 and against breast se lf-exam for any age group.

    While formulating these recommendations the USPSTF does not consider cost or cost-effectiveness as part of theirguidelines they specifically look at the benefits of thescreening versus the harms.

    There are several important things to understand aboutthese recommendations. The first is that the guidelinesuse the word routinefor women age 40-49 and do go onto say that women should discuss the risks versus the ben-efits with their doctor individually. While there are equalbenefits to getting a mammogram for women in their 40sand women in their 50s, women in their 40s experiencemore harm secondary to screening. Increased screeningleads to more radiation exposure, false positive and falsenegative testing and anxiety while waiting for results.Given this information some women may choose to con-tinue screening while other may choose not to.

    While not as controversial and not as publicized therehave also been changes to cervical cancer screening guide-lines issued by ACOG. These new recommendations

    change the initiation of screening with a pap smear to theage of 21 regardless of initiation of sexual activity or

    whether women have had HPV vaccine. Women underthe age of 21 have a very low risk of developing cervicalcancer and harm done by overtreatment of abnormal papsmears is highly likely.

    Once cervical cancer screening has been initiated papsmears should be done every two years for women age 21-29 and every two to three years for women age 30-65.

    Women over 30 may also opt for HPV testing alontheir pap smear. If they are HPV negative theyneed to have pap smears more than every 3 years is the main cause of cervical cancer. Women overof 65 can stop cervical cancer screening all togeth

    Guidelines are always being revisited and remeet the needs of the general population. It is imto remember that you should always discuss whafor your specific situation with your family doctor

    Updates on screening for breast and cervic

    A nurse assists with a mammogram screening.

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    By Eric Murray

    T otal knee replacements are project-ed to increase by 245,000 annualprocedures to 450,000 by 2030, accord-

    ing to the American Academy of Orthopaedic Surgeons. Thisanticipated increase is reflective

    of the aging population whointend to remain active and

    mobile. But some problemsin the knee are isolated to a

    single part, so why replace the entire

    knee if only part of it is damaged?

    Bryan Bomberg, board certifiedorthopaedic surgeon, says that oneof the more exciting areas of kneeprocedures is partial replacement,also known as unicompartmentalknee arthroplasty.

    In a total knee replacement all car-tilage is removed from the knee joint

    and an implant is substituted. In apartial knee replacement,only the most

    damaged areas of cartilage is removedand those surfaces are replaced. While

    the total knee replacement requires anincision about 8 inches over the front of

    the knee, the incision is only 3 inches forthe partial knee replacement. Recovery timeis shorter in the partial knee replacement,about one day as opposed to three or four.Another benefit of partial replacement is thatit is more bone-preserving and it retains moreligament structure.

    Bomberg says partial knee replacement isn't

    for everyone with knee pain. It is estimated that cent of those who have knee arthritis are candidatnot appropriate if the arthritis is wide-spread throthe knee.

    It is a possible option for many who are not benfrom conservative methods such as cortisone injbracing, strengthening exercises, weight loss or tions such as Advil among others.

    If the pain is persistent and those methods arening a positive effect, it's time to see what's going o

    It's great to see how many of my patients wanback to their active life style, said Bomberg. Pehere for a reason to be active. Partial knee replmight be the solution that gets some people back t

    the activities they enjoy.

    Dr. Bomberg is board certified orthopaedic ssub specialty training in sports medicine. He Steamboat Orthopaedic Associates and has maintaclinics in Granby (Timberline Family PractiKremmling Memorial Hospital for since 1996. Hsurgical days per month at Kremmling Memorial.

    page 14 2010 Grand County Health & Fitness

    Middle Park Medical Foundation

    Annual Dinner & MeetingAnnual Dinner & Meeting

    Dedicated to the advancement of medical care,Dedicated to the advancement of medical care,healthcare education and relief of the poor in need ofhealthcare education and relief of the poor in need of

    medical care in Grand County ...medical care in Grand County ...

    You are invited to attend the 2010 Middle ParkMedical Foundation Annual Dinner & Meeting at The

    Rocky Mountain Bar & Grill(Kremmling) on Tuesday,March 16th @ 6:00 p.m.

    Dinner, Entertainment &lively Auction provided.

    Its a hoot! Jan Gross

    RSVP: Eric Murray,Foundation Director at (970) 409-9017 or [email protected]

    *Seeking musical, theatric or*Seeking musical, theatric or comedic entertainment for the event.comedic entertainment for the event.

    To send tax-deductible donations or to donateTo send tax-deductible donations or to donatea ticket to someone:a ticket to someone:

    PO Box 252 Kremmling, CO 80459PO Box 252 Kremmling, CO 80459

    A.C.H.E.S. Program Advocacy for C hildrens

    H ealth & E ducation Services

    Working in Partnership toImprove and Direct the Futureof Grand Countys Healthcare

    Provides medical, dental & mentalhealth vouchers for acute,

    non-emergent healthcare needsto uninsured children under the

    age of 18 who qualify nancially.

    Vouchers accepted by14 local providers!

    For Eligibility, Please Contact:Rural Health Network: 725.3477

    EG School Nurse: 887.3312WG School Nurse: 724.3656

    Grand County Public Health: 725.32 88Peak Pediatrics: 726.1135

    River View Counseling: 531.1996

    The A.C.H.E.S. Program.C.H.E.S.Programalsoprovides Mobile Medical & Dentalvans for Grand Countys uninsured

    and under-insured children.

    Mobile Dental & Medical VansWill Return in Spring 2009!

    The Network & its partnersserved 258 children in 2009!

    And provided over $40,000worth of services!

    P.A.I.N.S. Program

    P artners for Adults I nN ed of Services

    Provides medical vouchers for acute,non-emergent medical care touninsured adults who qualify

    nancially.

    We served 93 adults in 2009!

    For Eligibility, Please Contact:Rural Health Network: 725.3477

    GC Public Health: 725.3288Byers Peak Family Medicine:

    722.0300

    Grand County Rural Health Network . 416 Byers Ave . P.O. Box 95 . Hot Sulphur Springs, CO 80451 . (970) 725-3477 . www.gcruralhealt

    A.C.H.E.S. &P.A.I.N.S..A.I.N.S.Most Innovative Project in 2008

    by Public Health Nurse Assoc. of CO

    NEW LOCATION! NEW CONTACT INFORMATION!

    Eric Murray Dr. Bryan Bomberg

    w w w

    . s k y h

    i d a i

    l y n e w s . c o m

    Y o u r s o u r c e

    f o r n e w s 7

    d a y s a w e e

    k

    Partial knee replaceme

    the way to go for some p

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    By Brandy Mitchell, RN, MN

    G ardasil was first licensed in 2006by Merck and Co. for vaccinationof girls ages 9 to 26. Now that the Foodand Drug Administration (FDA) hasapproved it's use in boys, parents haveeven more questions about whether theirchildren should be vaccinated.

    There are more than 40 types of human papillomavirus (HPV) that caninfect the genital areas of males andfemales, making it the most commonsexually transmitted infection. Gardasilhas been proven to be 100 percent effec-tive against four types of genital HPV.

    Two of these types are known to causeover 70 percent of cervical cancers in

    women. The other two are responsiblefor over 90 percent of genital warts.

    Vaccinating males decreases their risk for genital warts and helps decreasetransmission of the cancer-relatedstrains to females.

    It is not possible to be infected withHPV by receiving the vaccine, which isadministered in a series of three injec-tions. The first dose is given as early asage 9. The second dose is given twomonths after the first dose, and the thirddose four months later.

    Parents typically have two main ques-tions regarding this vaccine. They wantto know if it's safe, and whether or notthey should wait to vaccinate their child

    when he or she is older.

    The safety of the HPV vaccine wasstudied in 5 clinical trials in over 21,000girls and women ages 9 through 26before it was licensed. The most com-mon side effects reported include painand redness at the injection site,

    headache, fever, nausea, dizziness andfainting. The FDA and Centers for Disease

    Control (CDC) co-sponsor a national vaccine safety surveillance programcalled the Vaccine Adverse EventReporting System (VAERS). This pro-gram collects information about possibleside effects that occur after the adminis-tration of all vaccines licensed for use inthe U.S. Common side effects reportedto VAERS after Gardasil injections aresimilar to those found in the initial clin-ical trials.

    Although parents often report hearingthat there have been deaths associated

    with this vaccine, no such cor-relation has been established.Given the large number of vac-cine doses given, it is expectedthat, by chance alone, seriousadverse events and some deaths

    will be reported during the timeperiod following vaccinations.Based on the review of availableinformation, the FDA and CDCmaintain that Gardasil continues tobe safe and effective, and its benefitsoutweigh its risks.

    Whether to vaccinate your child is apersonal decision. Vaccination prior tothe onset of sex offers the best protec-tion against HPV. Research studiesconsistently find that most males andfemales become sexually active duringtheir teenage years, and there is no evi-dence that vaccinating a child oradolescent for HPV will encourageearlier onset of sexual activity. For allof these reasons, it is recommendedthat Gardasil be administered earlier vs.later.

    Many men and women ask whetherthey should be vaccinated against HPV themselves. The recommended age of 9-26 was established based on the age of study participants and to encourageearly vaccination of those most at risk for contracting HPV. However, all sexu-ally active men and women have thepotential to contract HPV, especially if they are in a new or non-monogamous

    relationship. Men and women witpast diagnosis of HPV should not excluded from receiving the vaccithey are still at risk for contractinanother strain prevented by the vaSome healthcare providers offer H

    vaccine to men and women of any Talk with your provider about wh

    or not the vaccine makes sense you.

    Brandy Mitchell, RN, MBoard Certified Adult and

    Women's Health Nurse Practitioner. She practic

    Planned Parenthood inGranby, and manages Mountain Valley M

    Center in KremmliTimberline FamilyPractice in Granb

    2010 Grand County Health & Fitness

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    Brandy Mitchell, RN, MN

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    were here when you cant be

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    By Eric Murray

    Because she was conscientiousabout colon cancer screening,Annette's cancer was detected at anearly stage. Now that she has beensuccessfully treated, she knows shemust be equally conscientious aboutkeeping colon cancer from comingback with regular screenings.

    Colon cancer is the third most com-mon cancer diagnosed among bothmen and women in the United States,and it's never to be taken lightly. It killsabout 50,000 Americans every year.

    Survival is highly related to thestage at which cancer is detected;that's why screening is recommendedfor persons age 50 and over. Themost common screening is thecolonoscopy.

    Mark McCaulley, internal medicine

    physician, performs several colono-scopies each week at the surgery cen-ter at Kremmling Memorial Hospital.He says the procedure, which takesonly 30-60 minutes, looks for early signs of colorectal cancer. During theprocedure, polyps, which are usually harmless growths, can be removed and

    tested for signs of cancer. Since mostcancer begins as a polyp, removingthem early is an effective way to pre- vent cancer.

    Staging of colon cancer is based onthe extent to which cancer has invad-ed the intestinal wall and whether ornot the cancer has spread to nearby lymph nodes and/or other parts of thebody.

    Stage 0 cancer is present only in theinner layer, or mucosa, of the colon orrectum. Stage I is cancer that hasgrown through this inner layer but nofarther. Stage II cancer has grown intoor through the wall of the colon.Stage III has spread to nearby lymphnodes. And Stage IV has spread toother parts of the body such as theliver or lungs.

    Although advanced cancers can belife-threatening, most stage I and II

    colon cancers can be removed withsurgery and do not require follow-upchemotherapy or radiation. Many of these patients seem to be cured, butabout 10 percent of stage I and morethan 20 percent of stage II patientshave recurrent cancer, and it is some-times serious. Recurrences are even

    more common and life threatening forstage III and IV cancers.

    At least two studies found thatpatients who exercised regularly had a50 percent lower risk than those whodidn't workout.

    A study of 1,009 patients treated for

    stage III colon cancer confirmed thestrong influence of eating habits on

    future risk. Subjects who ate a tyWestern diet with relatively hiintake of red meat, processed msweets, fatty foods and refined g were 3.3 times more likely havecancer return or to die comparedthose eating a prudent diet (fru vegetables, beans, fish, poultry, wgrains). While a high-fiber diet by itse

    not been found protective againcolon cancer, whole grains such wheat, oats, barley and rye haveents that may work together to ptect against cancer.

    Most persons recovering fromcancer treatment realize that thehave to make changes in their bior and lifestyle to stay healthy.most important protection againrecurrence, however, is the samethat helped them detect cancer i

    first place-regular screening anditoring.

    page 16 2010 Grand County Health & Fitness

    DONT YOU DAREGive My Child Alcohol!

    As a parent, I make the rules for my family. And my rule is -my family. And my rule is -

    NO ALCOHOL UNTIL YOURE 21

    My daughter works hard at My daughter works hard at

    making good decisions. Shes amaking good decisions. Shes a

    great photographer, loves animals,

    and plans to become a teacherand plans to become a teacher

    when she grows up. She is awhen she grows up. She is a

    great kid. Please dont put hergreat kid. Please dont put her

    health and future at risk by giving her alcohol.health and future at risk by giving her alcohol.

    Its not just my rule. ItsIts not just my rule. ItsTHE LAW

    970-887-9655 www.grandfutures.org

    The Underage Drinking Task Force is funded by a grant from the EUDL

    3 Health Fair Opportunitiesin Grand County for 2010

    a Healthy Tradition

    Volunteers are always appreciated at all sites. Please contact Sherri Solawetz at (970) 724-3442 if you

    would like to volunteer as either a medical professional or as a non-medical volunteer.

    F - u . N u

    , p u , , h h, h , , f k

    u , p h h / h / y m m u m , k h

    p , k- -ph m , y , h h h .

    Please note that not all screening areoffered at each site.

    in addition to ree screenings, low-cost screenings are also available.

    B Ch m y A y $30B C u T $15P Sp f AS $25C C S $20

    H h F p p u h p - p p y h h - u V

    M C . T p - -, .9h h. m.

    DATES & LOCATIONS:(all times are 7:30 a.m. 11:30 a.m.)

    KREMMLING

    Saturday, April 10thWest Grand High School

    208 12th StreetOn-site registration from 7 a.m. 5 p.m.

    Wednesday, April 7th at the Kremmling Me-morial Hospital conference room.

    GRANBY

    Saturday, April 17thGranby Elementary

    202 East Topaz

    FRASER

    Saturday, April 24thFraser Elementary School

    125 Eastom Ave.

    Keeping colon cancer at bay

    Eric Murray

    Colon cancer is the third most commoncancer diagnosed among both men and

    women in the United States.