2012 Guide to Southeast Colorado Medical Resources

Special supplement to

Providing quality, professional care one patient at a time.

Care
Back In Healthcare.

Putting the

Weisbrod Memorial Hospital and Nursing Home

MICHAEL MANLEY, PA-C WILEY MEDICAL CLINIC 301 1/2 MAIN STREET WILEY, COLORADO 719-829-4627

JEFFREY WAGGONER, M.D. WILEY MEDICAL CLINIC TUESDAY AND THURSDAY EADS MEDICAL CLINIC MONDAY/WEDNESDAY/ FRIDAY

ERIN HIEB, FNP EADS MEDICAL CLINIC 1211 LUTHER STREET EADS, COLORADO 719-438-2251

Weisbrod Nursing Home Our family caring for your family

ALL Of OuR fACILITIES ACCEPT MEDICARE, MEDICAID AND INSuRANCE fOR fuRTHER INfORMATION AbOuT AvAILAbLE SERvICES PLEASE CALL 719-438-5401

Good health to you

More than ever, families are looking for ways to improve their health through lifestyle changes and preventive health care. Fortunately, southeast Colorado has a wide variety of valuable resources to help families in their pursuit of good health. It is our hope that the information contained in the 2012 Medical Resource Guide will be a practical tool for those looking for the right services at the right time and place. Sometimes, despite our best efforts, illness or an accident can strike. This guide can serve as a handy reference all year, putting the needed contact information at your fingertips when you need it most. We hope you will take the time to read about the services provided close to home. Perhaps you will learn about a service nearby that you had not been aware of before. Our best wishes to you and your family for a healthy and prosperous New Year. Mary Breslin Publisher

Contents
Radon: A silent killer .................................................... 5 Get your health BACK on track ...................................... 6 A patient-centered medical home? ................................. 7 Hospice: Not a last resort, but another type of therapy .... 8 Immunizations Protect those around you ................... 10 5-2-1-0 to keep families healthy .................................. 14 Occupational health Focus on Preventive care ............ 16 When someone you love is drinking too much ............... 17 Tips on saving on smoking cessation products ............. 19 Dont forget to care for your eyes as you age ................ 21 How food safety knowledge can affect your health ........ 22

Medical Directory 2012, The Lamar Ledger Page 3.

In life there is so much to see so take good care of your eyes!

Advertiser Index

Certied by the American Board of Ophthalmology Diplomat of the American Academy of Ophthalmolgy. Specializing in: Diabetic Eye Exams Cataract Surgery Treatment of Glaucoma and Macular Disease Treatment of Lid Abnormalities

H. Randolph Frank, M.D. Eye Physician and Surgeon

6197 Lehman Drive Suite 101 Colorado Springs, Colorado 80918 719-594-9800 or 800-530-8953 Seeing patients weekly at: Arkansas Valley Regional Medical Center 1100 Carson La Junta, Colorado 81050 719-383-6378 for appointments Most insurance accepted.

An Assisted Living Community

We are proud to offer: Compassionate Individualized care Safe, comfortable homey environment A practical choice when a nursing home is not necessary

Amazing You ........................................... 20 Arkansas Valley Hearing ................... 12 &13 Arkansas Valley Regional Medical Center .. 16 Back in Action ........................................... 7 Gerald A. Branes, DDS .............................. 8 Lloyd Brown Insurance ............................. 20 Colorado Eye Associates ............................ 7 H. Randolph Frank, MD .............................. 4 Giadone Insurance .................................. 22 Juniper Village ......................................... 22 High Plains Community Health Center ....... 10 Kiowa Healthmart ...................................... 8 The Legacy Assisted Living ......................... 4 Lincare ................................................... 18 Marples County Market ............................ 18 My Wholesale Products ............................ 15 Oquist Chiropractic .................................. 14 Physical Therapy Plus .............................. 21 Prairie Pines Assisted Living ..................... 11 Prowers County Public Health ................... 24 Prowers Medical Group Clinics ................. 11 Prowers Medical Center Services ................ 6 Prowers Medical Center Specialty Clinics .. 15 Prowers Medical Center Convenient Care .. 17 Prowers Medical Center Home Health ....... 19 Prowers Medical Center Veterans Clinic .... 21 Racines Security Alarms .......................... 19 Roth Medical Supplies ............................. 17 St. Catherine Hospital ............................... 9 Southeast Colorado Hospital ...................... 5 Weisbrod Hospital and Nursing Home ......... 2

650 Kendall Drive, Lamar, CO 81052

(719) 336-7004

www.legacyatlamar.com
Page 4 Medical Directory 2012, The Lamar Ledger

legacyatlamar@thelegacies.com

Radon

Radon: A silent killer

By Keith Siemsen The Lamar Ledger

Citizens Urged to Test Homes for Radon, the Second Leading Cause of Lung Cancer in U.S. Prowers County Public Health and Environment (PCPHE) is working with the U.S. Environmental Protection Agency (EPA) and the Colorado Department of Public Health and Environment (CDPHE) in a nationwide campaign to educate Americans about the dangers of radon exposure and to encourage them to take action to protect their homes and families. In our community, PCPHE has free in home test kits available,

Because you cant see or smell radon, people tend to downplay the health effects and ignore the possibility that there might be a silent killer in their homes.
Keith Siemsen

throughout the year. Radon is a naturally occurring, invisible, odorless, tasteless gas that is dispersed in outdoor air, but which can reach harmful levels when trapped in buildings. Scientists have long been concerned about the health risk of radon, but never before has there been such overwhelming proof that expo-

among non-smokers. However, says Keith Siemsen from PCPHE because you cant see or smell people Keith Siemsen radon, Prowers County Environmental Health Manager tend to downplay the health effects and ignore the possibility that sure to elevated levels of ra- there might be a silent killer don causes lung cancer in in their homes. humans. Testing homes for elevatThe U.S. Environmental ed levels of radon is simple Protection Agency estimates and inexpensive. Radon that radon is responsible for problems can be fixed by more than 20,000 lung canqualified contractors for a cer deaths per year. Radon is cost similar to that of many the leading second leading common home repairs and cause of lung cancer in the minor remodeling projects. U.S. after smoking and the See RADON, pg. 20 leading cause of lung cancer

Medical Directory 2012, The Lamar Ledger Page 5.

Chiropractic

Get your health BACK on track

By Sean Oquist D.C. The Lamar Ledger

Get your health BACK on track A frequently quoted Lancet article estimates that 70 percent to 85 percent of adults will have back pain at some point in their lifetime. Chiropractic care is a very popular choice intreatment of back and neck pain. Although treatment is extremely proficient in alleviating pain, there are many other benefits to keeping your spine healthy. The first question that should be answered is; what is chiropractic? Doctors of chiropractic Chiropractic healthcare is a branch of the healing arts promote the healing process based on the scientific fact by minimizing nerve interfer-

that our nervous system controls or influences the function of every cell in our body. InterferSean Oquist ence to the nervous system will affect how it relates to the cells to which it travels. The chiropractic model of health is centered on the philosophy that the human body, being knit together in an amazing way, will heal itself given the right opportunity and circumstances.

He who has health, has hope; and he who has hope, has everything.
Proverb

ence. This is done by empirical observations and testing to diagnose where and how the nervous system is being compromised. Once the problem is found, chiropractors use manual adjusting treatments to your spine and joints, exercise therapy, trigger point therapy, physiotherapy modalities, and lifeFor example, our brain is style changes to allow the our computer system and bodys natural state of health See CHIROPRACTIC, pg. 7 to fully express itself.

Our nervous system is the master system of the body. It controls all of the bodys other systems. It regulates heart rate and rhythm; it allows for lung function to coordinate breathing so that our cells and tissues can get the oxygen they need; it controls our gut function and digestion; it senses and regulates chemical and hormonal changes to allow for our bodys biochemical balance or homeostasis. This is the reason why everyone should have their spine and nervous system checked by their chiropractor.

PROWERS MEDICAL CENTER 401 KENDALL DRIVE LAMAR CO

Acute Hospital Care Skilled Nursing Care Family Medicine Pediatrics Surgery Center New Beginnings Birth Center Obstetrics/ Gynecology Internal Medicine Rehabilitation Services: Physical Therapy Occupational Therapy Speech Therapy Sports Medicine Wound Care Adaptive Equipment Training Hand Therapy Orthopedic Rehab Stroke/ Neurological Rehabilitation

Your Choice for Healthcare!

Clinical Laboratory Respiratory Theropy Sleep Study Laboratory Outpatient Specialty Clinic Outpatient Cancer Center Emergency Services Prowers Medical Group- Clinics in Lamar, Holly, and Las Animas Home, Health Agency Imaging Services: Radiology and Fluoroscopy CT Scanning- 32 Slice MRI Ultrasound with 3D-4D imaging Digital Mammography Echocardiography Nuclear Medicine Radiology / X-Ray Bone Density (axial DXA)

www.prowersmedical.com
Page 6 Medical Directory 2012, The Lamar Ledger
.

Patient Centered Care

A patient-centered medical home?

By Jay Brooke The Lamar Ledger

A patient-centered medical home is a model of health care that focuses on your family medical provider being one-stop shopping for all of your health care needs. While not an actual place that people would stay as home would suggest, it is a place where one can go and receive much more than seeing your medical provider and getting a prescription. A team approach ensures that all health needs are identified and that staff such as care coordinators are available to identify any health needs and get the patient connected with the right resources. This may be arranging a referral to a specialist,

A patient-centered medical home is a practice that will result in better patient experiences, quality outcomes and will lower health care costs.
Jay Brooke
Jay Brooke Executive Director High Plains Community Health Center

assistance with getting glass- the practice, scheduled with es or seeing an in-house be- a health coach to develop havioral health specialist. goals for herself that would improve her diabetes and A patient who recently had had an initial session with an an appointment to have her in-house behavioral health diabetes evaluated at a rec- clinician to assist her with ognized patient-centered the depression associated medical home not only had with her diabetes. This oneher insulin adjusted, but also stop shopping approach is inwas scheduled to attend free tended to improve the padiabetes education classes at tient experience and in-

crease the likelihood of patients living a healthier life. A recent study at the Group Health system in Seattle, Washington showed scientific evidence that a medical home demonstration was associated with 29% fewer emergency visits, 6% fewer hospitalizations, and total saving of $10.30 per patient per month over a twenty-one month period. A peer review study done in 2008 determined that when patients identify with a primary care medical home the results are improved quality, reduced errors and increased satisfaction A patient-centered medical home is a practice that will result in better patient experiences, quality outcomes and will lower health care costs.

CHIROPRACTIC from page 6

our nerves are the wires that transmit messages to and from the brain. If those nerves get irritated where they exit between the vertebrae we can have a disruption of these messages sent. Lets say you have a desk job and sit in front of a computer all day every day. With this type of stagnant posture, this commonly leads to mid back strain or that burning sensation felt towards the end of the day. this area are also irritated you can have symptoms of pain and also numbness or tingling. These same nerve roots also have a visceral or organ innervation to the upper GI tract including the If the spinal nerve roots in stomach. So it is not uncommon to see this person also have acid reflux or indigestion. Same is true for the lower back in coordination with bowel and bladder function. These examples are reasons to have yourself and your familys spines checked today.

Colorado Eye Associates, P.C.

J. GREGORY BARON, M.D. MARTA L. WALZ, O.D.
Optometry
2920 N. Cascade Colorado Springs, CO 80907 (719) 636-3937 1-800-873-8009 1500 S. Main Lamar, CO 81052 (719)336-0417 1-800-873-8009

See the Difference

Back in Action Chiropractic Meredith S. Cordova D.C. 1206 Slater Street Eads, CO 81036 719-438-2119 Call for an appointment!!
Medical Directory 2012, The Lamar Ledger Page 7.

Hospice

Hospice: Not a last resort, but another type of therapy

By Deb Pelley The Lamar Ledger

When a patient comes to the point in their disease process where curative/ aggressive treatments are no longer an option, comfort is. We are the experts in comfort care. Comfort care is choosing quality of life as the priority; providing needed support so a person can do the things they want to do in the time remaining. When I first meet with a patient and their family regarding hospice care, often times their first reaction is were not ready to give up! Hospice is not about giving up or losing hope and Hospice is not a last resort. A matter of fact, theres a whole lot more you can do when you choose hospice care. Hospice provides benefits that arent possible in a traditional health-care setting. Its a mode of therapy that concentrates on care not a cure and is very specific to that patient and that family. Of course, special attention is given to pain control and managing uncomfortable symptoms, however; Hospice is much more than pain control.

We understand that the pain is not just physical; it is emotional and spiritual as well. Hospice comes Deb Pelley prepared with staff and resources rooted in a holistic approach that cares for not only the patient, but also the entire family. Through hospice, the family comes together and is directly involved in making decisions. Our program also provides much needed relief to the caregivers of the patient, who have often neglected their own needs. Sometimes the important thing is just being there; to validate their pain and to simply understand. Hospice helps patients get to a place physically and emotionally where they can concentrate on living. We urge patients to stay active for as long as theyre able. For example; we had a patient on hospice for two years that would get his hunting license and make the outing every season. We not only cheered the idea, we prepared and helped facilitate it. The patient

was able to fill one deer and two antelope tags while on Hospice. Wonderful! We have a patient currently on services who is working on the completion of a quilt and another who is planning a trip back east to see a grandchild. We encourage every patient to choose their focus and we follow their lead. Hospice specializes in caring for those in the last six months of life, however; there is no set time limit to receiving hospice services once admitted for care. We have had patients on service for almost three years and that patient continued to meet the appropriate criteria to receive hospice care. We help patients and families live with a terminal diagnosis. When the focus becomes more about living not about treatments that arent helping and medical interventions that cause distress but provide no lasting benefit we see a more comfortable patient and a process that is less stressful and easier on both patient and family. It is not unusual for a patient to initially improve on hospice/palliative care. A recent study found that terminally ill hospice patients with

certain diseases lived a significantly longer period of time than their non-hospice counterparts (Quality/ Life Matters, vol. 9 is. 2). Research is certainly dispelling the myth that Hospice hastens death and supports the fact that hospice is related with the longer length of survival. For almost thirty years, Lamar Area Hospice has brought caring and compassion to Southeastern Colorado when it was needed most. We have worked hard to educate the community about quality end of life care. We are convinced that the time to learn about hospice is before a lifethreatening illness occurs. Far too many people wait until they are in the midst of a health care crisis before thinking about what options are available and when hospice care is appropriate. Hospice works best when there are months rather than days to establish relationships and support. Moreover, the earlier hospice is involved, the more it can make the patients remaining time as comfortable and satisfying as possible. Late referrals are unfortunately far more common than premature ones.

GERALD A. BRANES, D.D.S.

FAMILY DENTIST 109 W. Lee, Suite 5 Lamar, CO 81052 (719) 336-7323
Page 8 Medical Directory 2012, The Lamar Ledger
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620-272-2222 401 E. Spruce St., Garden City, KS 67846

Cardiology Services
John Ferrell, M.D. Arif Rohilla, M.D.

St. Catherine Hospital

Ph: 620-272-2431 Ph: 620-271-3139 Ph: 620-272-2290 Occupational Medicine Oncology-Medical
Southwind Oncology Everard Hughes, M.D.

Mid-America Occupational Health Services Terry R. Hunsberger, D.O.

Ph: 620-275-3777

Critical Care
Girish Mour, M.D.

Ph: 620-272-2579 Ph: 620-272-2102

Emergency

Harold L. Perkins, M.D. Stephen Grillot, D.O. David Hellman, M.D. Tanya J. Pittman, M.D. Theodore W. Collins, D.O.

Oncology-Radiation Ophthalmology

The Cancer Center at St. Catherine Hospital Surendra Verma, M.D.

Family Practice

Michael D. Jackson, M.D. Terry Hunsberger, D.O.

Ph: 620-275-3700 Ph: 620-275-3777 Ph: 620-276-8201

Plaza Medical Center

Thomas L. Koksal, M.D. Scott D. Booker, D.O. Pamela E. Stewart, M.D. Nathan Strandmark, D.O. Jeremy Roderick, D.O. Chuong D. Le, M.D.

Fry Eye Associates, P.A. Luther L. Fry, M.D. William S. Clifford, M.D. Eric Fry, M.D.

Ph: 620-275-7248

Orthopaedic Surgery

Siena Medical Clinic. Guillermo Garcia, M.D. James Britton, M.D. Titus Plomaritis, MD

Ph: 620-275-3700

Ph: 620-275-4486 Ph: 620-275-3740

General Surgery

Sandhill Orthopaedic/Sports Medicine Michael J. Baughman, M.D. Ph: 620-275-8400 Otolaryngology Ph: 620-275-3070
Jorge de Cardenas, M.D.

Garden Surgical Associates Zeferino J. Arroyo, M.D Joanne Rink, M.D. Kurt Kessler, M.D.

Ph: 620-271-3100 Ph: 620-272-2265

Pathology

Hospitalist

Kiran Gajurel, M.D. Rishi Sharma, M.D.

Western Pathology Services, PA Bruce D. Melin, M.D Eva J. Vachal, M.D.

Ph: 620-272-2258

Infectious Disease
Siena Medical Clinic Kiran Gajurel, M.D.

Ph: 620-275-3710

James T. Zauche, M.D Michael W. Shull, D.O. Elizabeth Doyle, M.D. Leo Altamirano, M.D.

Pediatrics

Ph: 620-275-3700

Psychiatry Ph: 620-275-3700

Internal Medicine

Edward L. Mangosing, M.D. Frank W. Hansen, M.D. Rashi Agarwal, M.D. Jack Jaeger, M.D. Geetha Somashekar, M.D.

Area Mental Health Center Edgar M. Vizcaino, M.D.

Ph: 620-276-7689

Pulmonology

Frank W. Hansen, M.D.

Ph: 620-275-3710

Nephrology

Girish Mour, M.D.

Ph: 620-275-3139

Radiology

Obstetrics & Gynecology Ph: 620-275-9752

The Womens Clinic at St. Catherine Hospital Bret E. Heskett, M.D. Richard R. Hall, M.D. Kimberly D. West, M.D

Campus Garden Imaging Soen B. Liong, M.D. Agustinus Suhardja, M.D.

Ph: 620-272-2271

Urology

High Plains Urology Ronald P. Catanese, M.D.

Ph: 620-275-3760

Medical Directory 2012, The Lamar Ledger Page 9.

Immunization

Protect those around you

By Jackie Brown The Lamar Ledger

Disease prevention is the key to public health. It is always better to prevent a disease than to treat it. Vaccines prevent disease in the people who receive them and protect those who come into contact with unvaccinated individuals. Vaccines help prevent infectious diseases and save lives. Vaccines are responsible for the control of many infectious diseases that were once common in this country, including polio, measles, diphtheria, pertussis (whooping cough), rubella (German measles), mumps, tetanus, and Haemophilus influenzae type b (Hib).

Vaccines are responsible for the control of many infectious diseases that were once common in this country.
Jackie Brown
Jackie Brown Director, Prowers County Public Health and Environment

Parents are constantly concerned about the health and safety of their children and take many steps to protect them. These steps range from childproof door latches to child safety seats. In the same way vaccines work to protect infants, children, and adults from illnesses and death caused by infectious diseases. While the U.S. currently

has record, or near record, low cases of vaccine-preventable diseases, the viruses and bacteria that cause them still exist. Even diseases that have been eliminated in this country, such as polio, are only a plane ride away. Polio, and other infectious diseases, can be passed on to people who are not protected by vaccines. Vaccine-preventable diseases have a

costly impact, resulting in doctor visits, hospitalizations, and premature deaths. Sick children can also cause parents to lose time from work. Why are Childhood Vaccines So Important? It is true that newborn babies are immune to many diseases because they have antibodies they got from their mothers. However, the duration of this immunity may last only a month to about a year. Further, young children do not have maternal immunity against some vaccine-preventable diseases, such as whooping cough. If a child is not vaccinated and is exposed to a disease See IMMUNIZATION, pg. 11

Page 10 Medical Directory 2012, The Lamar Ledger

IMMUNIZATION from page 10

germ, the childs body may not be strong enough to fight the disease. Before vaccines, many children died from diseases that vaccines now prevent, such as whooping cough, measles, and polio. Those same germs exist today, but babies are now protected by vaccines, so we do not see these diseases as often. Immunizing individual children also helps to protect the health of our community, especially those people who are not immunized. People who are not immunized include those who are too young to be vaccinated (e.g., children less than a year old cannot receive the measles vaccine but can be infected by the measles virus), those who cannot be vaccinated for medical reasons (e.g., children with leukemia), and those who cannot make an adequate response to vaccination. Also protected, therefore, are people who received a vaccine, but who have not developed immunity. In addition, people who are sick will be less likely to be exposed to disease germs that can be passed around by unvaccinated children. Immunization also slows down or stops disease outbreaks. Some examples of what differences vaccines have made: Before the polio vaccine, 13,000 to 20,000 cases of paralytic polio were reported each year in the U.S. These annual epidemics of polio often left thousands of victims mostly children in braces, crutches, wheelchairs, and iron lungs for life. Before measles immunization was available, nearly everyone in the U.S. got measles. An average of 450 measles-associated deaths was reported each year between 1953 and1963. According to the World Health Organization, nearly 900,000 measles-related deaths occurred among persons in developing countries in 1999. If vaccinations were stopped, each year about 2.7 million measles deaths worldwide could be expected. Another example of the impact of vaccinations is the Harmopliilus Influenza (Hib) vaccine. Before Hib vaccine became available, Hib was the most common cause of bacterial meningitis in infants/and children in the U.S. Hib meningitis once killed 600 children each year and left many survivors with deafness, seizures or mental retardation. Since introduction of conjugate Hib vaccine in December 1987, the incidence of Hib meningitis has declined by 98 percent. For children who lack insurance to cover vaccination costs, a stable Federal entitlement program Vaccine for Children (VFC) ensures vaccination. Almost all insurance covers the cost of vaccines. For individuals who are uninsured, underinsured, American Indian or Alaskan natives, vaccinations can be obtained for free or reduced pricing (administration fees may be charged) through various Medical providers who participate in the VFC program, as well as the health department. It is important to remain vigilant about vaccine coverage and protecting children from vaccine-preventable disease. Talk to your health care provider to see if you are receiving all the protection available.

Youll Find a home with us

For those who want to live independently and affordably and need a little help we offer: Nutritious meals Laundry and Housekeeping Services Medication Management Assistance A safe and secure neighborhood right at home We invite you to experience our neighborhood with a private tour and complimentary lunch

PROWERS MEDICAL GROUP www.prowersmedical.com LAMAR MEDICAL CLINIC 403 Kendall Drive Lamar CO (719)336-6767 HOLLY MEDICAL CLINIC 410 West Colorado Holly CO (719) 537-6642 LAS ANIMAS FAMILY PRACTICE 304 Carson Avenue Las Animas CO (719) 456-6000 MEDICAL CARE FOR THE ENTIRE FAMILY Family Practice Obstetrics / Gynecology Internal Medicine COMMITTED TO MAKING A DIFFERENCE IN YOUR COMMUNITY!
Medical Directory 2012, The Lamar Ledger Page 11.

Assisted Living
101 East Lowell Avenue Eads, Colorado 719-438-2141

Page 12 Medical Directory 2012, The Lamar Ledger

FREE HEARING AID MONEY.

We have grant money as well as trust funds available to assist you in the purchase of new or refurbished hearing aids. Some qualications apply. Please call us for details. If you have a untreated hearing loss or ringing or buzzing in your ears, we can help you or your family member. Should you or a loved one need hearing assistance but have found it too costly, then please talk to us. We believe in everyone being able to have the hearing assistance they need. We feel so strongly about this here at Arkansas Valley Hearing Center, LLC. we will actually contribute the rst $500 toward your purchase of new digital hearing aids. The call is FREE. The Hearing Evaluation is FREE. Come see us in La Junta or in our Lamar location, where you are always treated like family.

After hours and Saturday appointments also available.

Gary L. Daughtrey B.A. H.I.S Arkansas Valley Hearing Center LLC 408 W. 3rd St. La Junta, Co. 81050 719-384-ears (3277) 719-468-1013 Cell
Medical Directory 2012, The Lamar Ledger Page 13.

Live Well

5-2-1-0 to keep families healthy

By Emily Nieschburg MS RD CDE The Lamar Ledger

Life gets crazy! Dealing with work, family, activities, and everything else can push your familys health to the bottom of the to-do list. Focusing on 5-2-1-0 is a simple way to get back on track. The 5-2-1-0 campaign is designed to keep kids and families healthy through healthy eating and active living. The formula is easy and the payoff is big: 5 or more fruits and vegetables every day, 2 hours or less of recreational screen time, 1 hour or more of physical activity, and 0 sugary drinks (more water and low-fat milk). 5 or More Fruits and Veg-

and vegetables visiblethe more you see it, the more you eat it. Always choose whole fruits over Emily Nieschburg juice Registered Dietitian/ 2 Hours or Less of Certified Diabetes Educator Recreational Screen Emily Time. American chilNieschburg dren and adolesetables: Most fruits and veg- cents spend 22-28 hours per etables are low in calories week in front of the screen and fat, making them a more than any other activity healthy choice any time. except sleeping! Too much Many also contain phyto- screen time is associated chemical (fight-o-chemicals) with more snacking and inthat work to benefit your creased obesity: To tame TV health in many ways. Some and other screen time: Have tips to make your way to 5 a the TV in a common room day: Try new fruits and vege- and do your best to keep tables multiple times. It often TVs, computers, DVD playtakes 5 to 10 tries before you ers, and video games out of like a new food. Make fruits your childs room. Turn the

The formula is easy and the payoff is big.

TV off during meal time. Set basic rules around screen time like no TV or computer before homework or chores are done 1 Hour or More of Physical Activity, Physical activity has a long list of benefits like making you feel good, helping you get to or stay at a healthy weight, and keeping your heart strong. One hour or more a day can feel impossible to fit in when schedules are so full, but keep in mind it can be broken down into smaller increments throughout the day. Tips for moving more: Make family time fitness time$and keep it fun! Try tracking your physical activity with a pedometer. Work toward 10,000 steps See 5-2-1-0, pg. 15

OQUIST FAMILY CHIROPRACTIC PC,

DR. SEAN OQUIST, CHIROPRACTOR

Sports Injuries and Wellness Guidance

109 W Lee Ave, Suite 1 Lamar, CO 81052 Tel: (719)336-6800 Fax: (719)336-6805
Page 14 Medical Directory 2012, The Lamar Ledger
.

5-2-1-0 from page 14

per day. Make gradual changes to increase your level of physical activity 0 Sugary Drinks. Soda has no nutritional value and is high in sugarone 12-oz can of soda contains ten teaspoons of sugar! Other high sugar drinks include sports drinks, energy drinks and juice. Sugary drinks damage teeth and can add up to unwanted weight. Water is the winner when it comes to choosing a beverage. Tips for drinking less sugar: Reach for water when you are thirsty. Cut back slowly on sugar sweetened beverages. Be a role model, follow the same guidelines you are giving your children Prowers County has committed to the 5-2-1-0 campaign to help prevent childhood obesity. The 5-2-1-0 campaign is happening in healthcare,

schools, early childhood centers and home daycares. By following the guidelines, you can bring the 5-2-1-0 movement into your home and en-

sure a lifetime of health for you and your family. For more information and tips on 5-2-1-0, visit www.letsgo.org. To learn more about local

5-2-1-0 efforts, please contact LiveWell Prowers County at Prowers County Public Health and Environment: 719-336-8721

PROWERS MEDICAL CENTER OUTPATIENT SPECIALTY CLINIC

303 Kendall Drive Lamar CO (719)

336-6790

Call Us First!
Hospital Grade Germicidal Supplies for Medical Facilities and Institutions

Audioology/ Hearing Aids Cardiology Ear/ Nose/ Throat- Adults and Pediatrics Oncology Ophthalmology Dermatology Nephrology Neurology Orthopedics Podiatry Prosthetics Urology Vein Clinic
Offering Convenience- Choice -and the Comfort of Home!

Prowers Medical Center 301 Kendall Drive Lamar CO Call 719.336.6790 FOR MORE INFORMATION

Medical Directory 2012, The Lamar Ledger Page 15.

Occupational Health

Focus on preventive care

By William Alexander M.D. PMC The Lamar Ledger

Often people think specialists in Occupational & Environmental Medicine (OEM) are just Workers Compensation Docs. While most Occupational & Environmental Medicine specialists do see workers who have injuries or illnesses related to their work, these specialists are actually educated and trained to evaluate, monitor and manage the risks of persons in any environment. The primary focus of these specialists is the prevention of diseases and illnesses, especially in workers.

OEM specialists have education in William William Alexander statistics, Alexander M.D. Prowers Medical Center epidemiology (the OEM providers have spe- study of disease origins and cial training in the diseases frequency), toxicology, inand injuries that arise during dustrial hygiene, safety prothe course of working. This tection, public health, envitraining involves the evalua- ronmental health, tion of the likelihood for organizational psychology these diseases and injuries and business operations. to occur in a given worker or OEM providers often work a group of workers; how to with other specialists in monitor for these diseases these areas to develop proand injuries; and how to pre- grams to minimize the po-

The primary focus of these specialists is the prevention of diseases and illnesses, especially in workers.

vent these diseases and injuries.

tential ill effects of working or being in special environments like mines, air, underwater and space. When these efforts fail, OEM providers do care for injured or ill workers in the workers compensation systems. They usually have special expertise in how these systems work not only in their state but most state systems. For example, in Colorado, a physician can be certified (Level II) in the use of the Workers Compensation Treatment Guidelines and the evaluation of impairments related to injured workers.

Page 16 Medical Directory 2012, The Lamar Ledger

When someone you love is drinking too much

By Nancy Harris King The Lamar Ledger

Southeast Mental Health Service

Most people agree that alcohol, when enjoyed in moderation, can help a person to relax, unwind and socialize. Medical experts even say the nutrients in red wine may be good for your heart. But, how do you know when you or someone you love is overindulging? Where is the line when it becomes too much?

Alcohol abuse and dependence are serious conditions that warrant attention from medical professionals or addiction specialists.
Nancy Harris King
Nancy Harris King Development Director Southeast Behavioral Health Group

serious conditions that warrant attention from medical professionals or addiction specialists.

knowing what happened while you were drinking, drinking more than you There are differences be- thought you would, and tween drinking moderately, drinking more than your drinking too much, alcohol friends. abuse and alcohol addiction. Alcohol abuse is a self-dePeople who drink moderatestructive and dangerous patly typically remember what tern of drinking. People who they did and said while they abuse alcohol drink to avoid were drinking, set an interfeelings, such as sadness or nal limit for how many anger. They go on alcohol drinks they intend to conbinges with the intention sume, and dont let alcohol of getting drunk. As a result, impact their finances, relathey put themselves and othtionships or responsibilities. ers in dangerous situations, The red flags that indicate neglect responsibilities, exwhen someone is drinking perience legal problems betoo much are signs like cause of drinking, and damrelationships with hangovers, missing or being age late for work or school, not friends and family members.

Alcoholism, also called alcohol dependence, is a disease caused by chemical changes in the brain resulting in both physical and psychological addiction. The brain and body becomes accustomed to the presence of alcohol in the system. There are two tell-tale signs of addiction: Tolerance and withdrawal. If a person has to drink more and more alcohol to reach a buzz , he or she is developing a tolerance. When a person has to have a drink to relieve a headache, shakes, irritability, nausea or sweating, they are experiencing withdrawal. Alcohol abuse and dependence are

When someone you love is drinking too much, there are helpful things you can say and do. First of all, let the person know that the reason for your concern comes from a place of love and support. Punishing, threatening, bribing or preaching will only intensify feelings of anger and guilt. Second, let the person experience the consequences of his or her own behaviordont cover up, lie, make excuses, shelter, or protect a person from the reality he or she has created. Third, seek support for yourself in a friend, clergy, or AlAnon group, and try to maintain a healthy, normal environment. Avoid drinking with the person, and encourage them to socialize with you and enjoy leisure activities in non-drinking environments. Remember that reSee ALCOHOL, pg. 18

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Medical Directory 2012, The Lamar Ledger Page 17.

ALCOHOL from page 17

covery is a journey, and there will likely be setbacks that will require your patience and understanding. Abstinence is not the answer for everyone. Sometimes, its helpful to just cut back and find ways to keep your blood alcohol low while you are socializing. There are many strategies a person can use to cut back: Write down your reasons for wanting to drink less, choose a limit for yourself, keep a diary to track your success, and practice how to say no when unwanted drinks are offered. To keep your blood alcohol low when socializing, sip rather than gulp, munch on high-fat or high-protein snacks, alternate a non-alcoholic look-alike drink such as tomato juice or iced tea and keep them from spiraling out of control, it saves a lot of heartache and pain for family members, friends, coworkers and communities. Oftentimes, it just takes a little coaching and encouragement to set limits and become more aware. Our counselors are trained to look for the underlying causes of the over-indulgence and help individuals and families realize whats at stake. If we can keep even one member of our community from going down the road of dependence and addiction, it makes all of our lives better. To access confidential, professional substance abuse counseling, contact Partnership for Progress at (719) 336-0478.

between alcoholic drinks, and watch the clockdrink no more than one alcoholic beverage per hour.

control, says Ron Hawf, Clinical Supervisor for Partnership for Progress. If we can intervene with a person Its important to stay in who is drinking too much

Page 18 Medical Directory 2012, The Lamar Ledger

Tips for saving on smoking cessation products

The Lamar Ledger

Resolved to quit smoking?

Although smoking is often touted as an expensive habit, nicotine replacement therapy (NRT) to aid in quitting smoking can seem like an expensive purchase as well. The reluctance to spend money on smoking cessation products leads many smokers to try to do it cold turkey, the most popular method for quitting smoking, but also one that frequently leads to relapse. However, the use of NRT products to quit smoking can almost triple a smokers chances of success. Two of the more common over-thecounter medications are nicotine gum and nicotine lozenges. These treatments are oral dosage forms of nicotine and work as temporary aids to help reduce nicotine withdrawal symptoms. Other effective smoking cessation products are available both over-the-counter and by prescription, including patches, nasal sprays and other medications. Your best chances for

success in quitting smoking are using a medication and counseling. There are a number of options consumers have to save money on quitting smoking therapies, says Dr. Tom Peterson, smoking cessation expert and chair of Tobacco Free

Partners. They dont need to go at it alone just because money is tight. The first option is to consider purchasing store-brand NRT products, which can be found in most retailers across the nation under their own brands. Store-brand NRT products

are significantly less expensive but are equivalent to the national brands, in terms of both FDA regulation and efficacy. To find even more savings, individuals can regularSee SMOKING, pg. 20

Medical Directory 2012, The Lamar Ledger Page 19.

SMOKING from page 19

ly monitor retailers circular flyers and Web sites, and retailers will often discount NRT products, especially around popular quit dates such as after New Years (January) and the Great American Smokeout (November), which is sponsored by the American Cancer Society. In addition to the savings over-the-counter store-brand NRT products provide, consumers can also find potential bottom-line benefits by asking a health-care provider to write a prescription for these products. By going the prescription route, many insurance providers will offer the same

NRT product for the cost of your lowest-tier co-pay, which may be less than the shelf price, says Peterson. It certainly depends on the insurance company, but it is worth looking into. In many states, Medicaid covers the costs of both over-the-counter NRT products and prescriptions for quitting smoking. Other available avenues for savings include: Many employers offer free medication or assistance for employees looking to quit. It is always worth checking with your human resources department to find out if these resources are available to you. In some states, quit

lines may offer free or discounted smoking cessation medication. Learn more by calling 1-800-QUIT-NOW. The decision to stop smoking is an important one. Below are some tips to get started: Follow a support plan. Personalized plans are available at smokefreehabits.com. Throw away all cigarettes, lighters and ashtrays. When the desire to smoke strikes, do something else. The urge usually passes within two or three minutes. Carry things to put in your mouth, like gum or hard candy. Be active: Take a walk with a friend, go for a bike ride, walk the dog or play tennis. Go to places where you are not allowed to

smoke. Ask friends and/or family for support. There are a number of free resources and support programs available for individuals who are quitting smoking, including the American Cancer Society (www.cancer.org), the Centers for Disease Control and Prevention (www.cdc.gov/ tobacco/osh), the National Cancer Institute (www.smokefree.gov), and the American Lung Associations Freedom from Smoking program (www.ffsonline.org). Storebrand smoking cessation products also offer an online support program (www.smokefreehabits.com) to help consumers track their progress.

RADON from page 5

Prowers County Public Health and Environment urges residents to take action by testing their homes for radon. Radon poses a serious threat to our communitys health but there is a straightforward solution. As part of this initiative, PCPHE will be hosting public information and training sessions on radon and radon test kit use. There will be two separate opportunities to attend each night on March 26, April 3, and April 5, 2012. There will be one session from 5:15-5:45 p.m. and a repeat session from 7 to 7:30 p.m. in the Mezzanine of the Prowers County Annex Building located at 1001 South Main in Lamar. For more information on radon, radon testing and mitigation, and radon-resistant new construction, call Prowers County Public Health and Environment at (719) 336-8721 or visit our Web site on the Prowers County Home Page at www.proowerscounty.net or visit EPAs Radon web site at www.epa.gov/radon.

Lloyd M. Brown Career Agent

719.336.7431 719.336.8133 fax 719.336.4271 res 719.691.5065 cell 313 S. 5th St. Lamar, CO 81052

201 S. 4th Street Ste 1 Lamar, CO 81052

EMAIL: amazingyou2012 yahoo.com Friend us on Facebook

Page 20 Medical Directory 2012, The Lamar Ledger

Baby boomers: Eye Care

Dont forget to care for your eyes as you age

The Lamar Ledger

The baby boomer generation makes up an estimated 76 million people, roughly one-fourth of the U.S. population. This means that either you or someone you love is part of this aging group. According to Eye on the Boomer, a recent survey by the Ocular Nutrition Society, almost as many baby boomers say they worry about losing their vision as those that say they worry about having heart disease or cancer. Whats more, 78 percent of those surveyed ranked vision as the most important of the five senses. Yet, more than half of the survey respondents ages 45-65 said they dont typically have a recommended annual eye exam, and even fewer are aware of important nutrients that can play a key role in eye health. Experts recommend that disease prevention, including lifestyle modification, attention to dietary intake and vitamin supplementation must become a greater focus of primary vision care. Studies indicate that proper nutrition

Courtesy Photo

promotes healthy eyes, however many American diets are found to be deficient of the critical nutrients that help protect eye health. If people are at risk for heart disease they typically make lifestyle modifications, says Dr. Jeffrey Anshel, president of the Ocular Nutrition Society. This survey found that people are as concerned about their eyes but do not know the simple steps they can incorporate into their daily lives to take care of them.

Vitamin supplements can be used for your eyes, too. While people take a variety of different supplements to support their health, vitamins specifically formulated to help protect the eyes are often not in the mix and for many people, they should be. While more than half of those surveyed are taking supplements to protect their joints, bones or heart health only 18 percent say they take supplements to support their eye health. As we grow older, the

need for certain vitamins and nutrients to support the eye increases the survey revealed low awareness of these essential nutrients, says Anshel of nutrients like omega-3 fatty acids, lutein and zeaxanthin. He adds that there is a need for greater education on the lifestyle modifications that baby boomers can incorporate into their daily lives, including proper nutrition, to help safeguard eye health as they age. To help protect eye health as they age, Anshel recommends people aged 45-65 take the following steps: Stop smoking, exercise regularly and wear sunglasses with UV protection. Make an annual appointment with an eye doctor. Eat foods rich in eye healthy nutrients, such as tuna or salmon for omega-3s and spinach, kale and broccoli containing lutein and zeaxanthin. To help overcome shortfalls in the diet consider a vitamin supplement specifically-formulated for eye health. To learn more about the Eye on the Boomer survey as well as eye health, please visit ocularnutritionsociety.org.

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Medical Directory 2012, The Lamar Ledger Page 21.

Food Safety

How food safety knowledge can affect your health

The Lamar Ledger

Whether youre feeding yourself or feeding your family, its important to know that the food youre eating is safe and nutritious. But perceptions about finding a balance between those two essential factors have become muddled in recent years. While there is an increased effort to promote the consumption of healthy foods, particularly fruits and vegetables, there are also conflicting messages about their safety. Concerns about food safety ranges widely, from the use of pesticides to medications given to livestock to outbreaks of diseases. Unfortunately, those concerns can affect the amount of healthful foods in Americans diets. Feedback from consumers and practicing nutritionists is beginning to show that concern about pesticide residues is having a negative impact on consumption of fresh fruits and vegetables, says registered dietitian Dave Grotto. What we need to do

While there is an increased effort to promote the consumption of healthy foods, particularly fruits and vegetables, there are also conflicting messages about their safety.
is encourage - not discour- mat. For instance, scientific age - greater consumption of research available to conhealthful produce. sumers about the amount of pesticide residue on foods It might seem that the can be filled with confusing most logical solution would be to research whether numbers and terminology. foods are safe. A lot of information about this subject is available on the Internet, but thats not always a practical option. Busy families that have schedules filled from morning to night dont often have time to add an extensive research project into the mix. Luckily, there are some new resources available, often on mobile platforms, to help you make sense of the food safety headlines. One resource, the Web site www.safefruitsandveggies.com, developed and operated by the nonprofit Alliance for Food and Farming provides consumers with scientific data thats been translated to a user-friendly forBut this sites pesticide residue calculator gives you information about how much of a particular food item you could eat without any effects at all from any small amounts of pesticide residues that may be present. This can be based on either gender (for adults) or age (teens and children). For example, according to the calculator, a child could consume 154 servings of apples even with the highest pesticide residue recorded by the USDA - in a day without any effect, or an adult woman could eat 2,332 servings of kale. The calculator is also available for download as a smartphone app.

Of course we know a child couldnt consume 154 servings of apples in a day, but by providing more science and perspective on the safety of produce, we are hoping to give consumers more information to help them when making purchasing decisions in the produce aisle, says Marilyn Dolan, executive director of the Alliance for Food and Farming. And, we are also hoping to halt the trend toward continuing decline in consumption of fruits and vegetables in America by reassuring consumers about the safety of both organic and conventionally grown fresh produce. If consumers are still concerned, they can simply wash their produce before eating. The benefits of nutritious foods like vegetables and fruits are so far reaching that excluding them from your diet can adversely affect your health. With new resources that aim to help consumers understand the facts about food safety, its easier than ever to ensure that the meals you serve your family are full of healthy, delicious ingredients.

Page 22 Medical Directory 2012, The Lamar Ledger

is proud to present the 2012 Southeast Colorado Medical Resource Guide, with our best wishes for your good health.

 Immunizations Environmental Health Services Healthcare Program for Kids with Special Needs (HCP) vital statistics veteran services WIC

Your resource for information on

Prowers County Public Health & Environment

School Health Services Options for Long Term Care SE Colorado Nurse-Family Partnership Communicable Disease Control Healthy Communities Live Well Emergency Preparedness

1001 South Main Street, Lamar, Colorado 81052

w w w . p r ow e r s co u n t y. n et

719-336-8721