May 2013 Thrive

THRiVEnc» NORTHERN COLORADO WELLNESS

May 2013

» INSIDE: PROTECT YOUR SKIN THIS SUMMER • TIPS FOR SAFE TEEN DRIVING • MAY HEALTH EVENTS

PLUS...

Free Weld nutrition services for diabetes

Ofelia’s tips for healthy eating and living

Latin persuasionCommunity educator Ofelia Orozco uses her personal experiences to help teach Weld’s Latinos the importance of a healthy lifestyle. Page 6.

THRIVENC n April 24, 20132 n HEALTH

Ask the Expert: Hip Replacement

I need a total hip replacement but I’m concerned about the long healing time. Are there alternatives? There is a relatively new approach to total hip surgery called Anterior Total Hip Arthroplasty, available at North Colorado Medical Center.

Potential Patient benefits include:

Surgery is performed through the front of the hip instead of the side, which requires shorter, less-invasive incisions that don’t cut the muscle. That typically makes it easier for your body to heal.

Patients may benefit from a quicker recovery time and shorter hospital stay so you can get back to doing what you love even sooner.

A smaller incision means patients will have less scarring.

Now is a great time to learn more about your options. If you have any questions, contact Dr. Hale today.

Where Experts

Work Best.

Riley Hale, M.d. orthopedic surgeonBanner Health Clinic specializing in Orthopedics and Orthopedic Surgery5890 W. 13th St. Suite 101, GreeleyAppointments: (970) 348-0020

To find a Banner Health physician in your area, visit www.BannerHealth.com/BMGAccepting Kaiser Permanente Members

/BannerHealth

April 24, 2013 n THRIVENC 3HEALTH n

HEALTH EVENTS FOR MAY«Yoga Flow, 5:30-6:30 p.m.

Mondays through June 10 (no class week of Memorial Day). Explore the strength, cardiovas-cular stamina and freedom of flexibility offered through the practice of Yoga Flow. This class offers traditional yoga poses linked together through move-ments called Vinyasa, which means to move with purpose. The flow style of moving practice puts the body into a fat-burning zone through anaerobic activity. For students of all levels. $48 for six weeks. To register, call (970) 350-6633.

«Yoga Basics, 5:30-6:30 p.m. Wednesdays, May 1-June 12 (no class week of Memorial Day). Yoga Basics is an introduction to the foundational poses in a beginning yoga practice. This class will focus on careful physi-cal alignment for the creation of a safe practice that students can take into their homes or other yoga classes. Yoga basics also will emphasize Yoga as a tool for strength, flexibility and balance. For students of most physical abilities. $48 for six weeks. To register, call (970) 350-6633.

«Yoga Support Group for Cancer Survivors, 5-6 p.m. Thursdays, May 2-June 13 (no class week of Memorial Day). Located in the Union Colony Room. Free. To register, call (970) 350-6633.

«Heartsaver CPR with AED — Windsor, 6-8 p.m. May 2 at the Windsor Recreation Center, 250 11th St., Windsor. Taught by the American Heart Association cer-tified health care professionals. Topics include adult and infant/child CPR, obstructed airway, Heimlich maneuver and the use of a barrier device. Upon comple-

tion, participants will receive a Heartsaver course completion card. The certification is valid for two years. $48. To register, call (970) 674-3500.

«Breast Cancer Support Group, 5:30-7 p.m. May 2 at NCMC Can-cer Institute Conference Room. For more information, call (970) 350-6567.

«CPR for Health Care Providers (Initial), 5-8:30 p.m. May 6 at NCMC, Longs Room, second floor. For licensed and non-licensed health care providers. Topics include cardiopulmonary resuscitation, airway obstruction and rescue breathing for adult, children and infants. The certifi-cation is valid for two years. $55.

To register, call (970) 350-6633.

«Pre-diabetes classes, May 6, 13 & 20 at Banner Health Clinic. $30 for the 3-class series. For more information, call (970) 392-2344.

«Body Check ... What you need to know: Head to Toe, by appointment May 7 and May 21 at Summit View Medical Commons, 2001 70th Ave. Head-to-toe health screening includes: health fair panel (fast-ing blood work, please fast 10-12 hours), sleep questionnaire, lung function test, body composition, weight and body mass index, hip and waist measurements, health education with a wellness specialist, EKG with results read

by a board-certified cardiologist, bone density screening, periph-eral arterial disease, education about peripheral vascular disease, stroke prevention and osteoporosis prevention, ankle brachial index, ultrasound of the carotid vessels and ultrasound of the aorta. Screenings are $175, payment is due at time of ser-vice. To make an appointment, call (970) 350-6070.

«Man to Man Prostate Cancer Support Group, 5:30-7:00 p.m. May 16 at NCMC Cancer Institute Lobby. For more information, call (970) 350-6567.

«Blood tests, 7-8:45 a.m. May 8 and May 22 at NCMC in the Union Colony Room, Area C on the ground floor. Please fast 12 hours prior to blood draw. Pay-ment is due at time of service. To make an appointment, call (970) 350-6633.

«Spirit of Women Hot Flash Havoc, 5:30 and 7:15 p.m. May 14 at The Kress Cinema & Lounge, 817 8th Ave. in Greeley. Hot Flash Havoc is a crash-course in what you need to know about menopause. The film includes stories shared by real women and interviews with women’s health experts. $5 for members and nonmembers. Advanced ticket purchase is required, and tickets can be purchased from the NCMC gift shop.

«Greeley’s Diabetes Informa-tion Group/Support Group, 6:30-7:30 p.m. May 14 at North Colorado Medical Center. For more information, call (970) 392-2344.

«Heartsaver First Aid, 4-6:30 p.m. May 15 at Family FunPlex. Taught by the American Heart

Association certified health care professionals. Topics covered include first aid basics, medical emergencies, injury emergencies and environmental emergencies. Upon completion of the course, participants will receive a Heart-saver first aid course completion card. The certification is valid for two years. This is a contract class with the City of Greeley Leisure Services. For more information, call (970) 350-9401.

«Heartsaver CPR with AED, 7-9 p.m. May 15 at Family FunPlex. Taught by American Heart Association certified health care professionals. Topics covered include adult and infant/child CPR, obstructed airway, the Heimlich maneuver, the use of a barrier device and AED hands-on training. Upon completion of the course, participants will receive a Heartsaver course completion card. The certification is valid for two years. This is a contract class with the City of Greeley Leisure

Services. CPR: $48, First Aid: $45, Combo: $88. For more informa-tion, call (970) 350-9401.

«Walk with a Doc, May 18 at San-born Park, 2031 28th Avenue, on the west side of the park. For more information, go to www.walkwithadoc.org.

«Safe Sitter — Greeley, 9 a.m.-3 p.m. May 30 at Family FunPlex. For ages 11-13. Topics covered include care of the choking infant and child, babysitting as a business, success on the job, child care essentials, safety for the sitter, preventing injuries, injury and behavior management and preventing problem behavior. This is a contract class with the City of Greeley Leisure Services. To register, call (970) 350-9400.

«Summer Salads Cooking Class, 6-7:30 p.m. May 30 at NCMC Cardiac Rehab Kitchen. $10. To register, call (970) 350-6633.

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Teens across the nation are counting the days until summer break. They are ready for more free time with friends, summer jobs and driving. Are they ready, however, for safe summer driving?

According to the National Highway Traf-fic Safety Administration, “Summer is the deadliest time of the year for teen drivers and their passengers. Seven of the top 100 deadliest days of the year occur between Memorial Day and Labor Day. An aver-age of 422 teens die in traffic crashes each month during the summer compared with a monthly average of 363 teen deaths during the non-summer months” in America. This data is correlated by the American Automobile Association. It is also the time of year when most teenagers ask for and receive increased driving privileges.

Parents, the following are tips on how to protect your teen driver during the summer months:

» Set limits on when your teens drive, which includes high-risk times during the night, weekends and inclement weather. Limit how many passengers they can have in the car.

» Be an example for your teen driver through your own actions behind the wheel. Demonstrate respect for road rules, elimi-nate distractions such as checking a text, phone calls, emails, or your GPS. Exercise proper decision-making at all times.

» Write a parent-teen driving agreement or contract. Contracts are available from many insurance companies.

» If you are buying a car for your teen driver, remember it doesn’t have to look great

and can be underpowered but be sure it’s serviceable.

» Stay in control with your teens. If they become impatient or rebellious, suspend the instruction until he or she resumes a better attitude. It is good to remind them that pa-rental supervision doesn’t stop with having a driver’s license; it just shifts into higher gear.

Here are some tips for teens as you pre-pare for the summer driving:

» Request your parents drive with you more than the required 50 hours of super-vised driving for the six months prior to receiving your driver’s license. This is the minimum … aim for more hours.

» Buckle up, keeping you in the “room to live” area.

» Understand and keep control of your distractions. Don’t use mobile devices while driving — put them away where they can’t be seen or heard. Limit number of passengers. These two factors are the most danger-ous risk factors as “they account for more than 80 percent of all crashes,” according to American Automobile Association.

» Don’t tailgate and speed.“Parental involvement in the teen driving

experience can literally mean the difference between life and death for their child,” said Susan Duchak, who leads the Allstate Foun-dation’s teen safe driving program. Lack of parental involvement can be painfully expen-sive, and the pain of loss lasts a long time.

Parents, be more vigilant about enforcing rules, safety and road strategy, and set a good example for your almost-grown children. Make it a safer summer for your teen driver.

Lyn Tauson is a retired school administrator and resides in Greeley with her husband. She

is the marketing/public relations specialist for DRIVE Smart Weld County.

100 deadliest days for teen driving: Memorial Day to Labor Day

Lyn TAUSON

DRIVE Smart

Just in case you missed a day...

1-866-467-5230NextCareColorado.comVisit website for additional locations and hours:

2928 W. 10th St., Greeley, CO 80634

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G R A C E P O I N T E

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G R A C E P O I N T E

It was a typical, busy Monday in the therapy gym when the news came of the explosion

at the Boston Marathon. The therapy team and patients stopped in shock and sadness to watch the unfolding of the devastation following the blasts. These senseless and horrifying events affect all of us, but as therapists we are also keenly aware of what the victims and families may be facing in the coming hours, days and months during their recovery.

Many of us who choose the professions of physical therapy, occupational therapy or speech language pathology have had some kind of personal experience that guided us to pursue our careers. My own story involved watching a close friend go through physical rehabilitation following a spinal cord injury she got from an accident on a trampoline. I was in 8th grade and had no idea what physical therapy was before that time. It seemed interesting, challenging and important. I have been a physical therapist now for 28 years. Most of us who work in the field of rehabilitation feel extremely lucky to be able to go to a job where we are given the opportunity to have a profound impact

on improving someone’s life. As therapists we get to help others regain their functional independence; their ability to walk, to dress, to bath, to eat, to speak. Many times a strong bond is established between the patients, families and therapists because we share in the daily struggles and celebrations of progress made by our patients. It is a truly unbelievable feeling to be part of helping someone walk, who has lost that ability. Maybe they broke a hip or had a stroke, or lost a leg, as unfortunately happened in Boston.

Each therapy discipline plays an important role in a patient’s rehabilitation. Therapists treat patients of all ages, from the baby with a developmental delay to a centenarian with a broken hip. Our overall goal is to help someone with an impairment or disability regain as much functional independence as possible. Physical therapy is primarily focused on the remediation of impairments

and disabilities and the promotion of mobility, functional ability, quality of life and movement potential.

Speech language pathologists specialize in communication disorders as well as swallowing disorders. These disorders include the cognitive aspects of communication, speech, language, voice, sensory awareness and swallowing.

Occupational therapy is centered on treatments to develop, recover or maintain the daily living and working skills of patients with a physical, mental or developmental condition. Occupational therapy places a premium on the patient’s personal goals. Occupational therapy interventions focus on adapting the environment, modifying the task, teaching the skill, and educating the patient and family in order to increase participation in and performance of daily activities. April has been designated as Occupational Therapy Month, a time to recognize and celebrate

those who have dedicated themselves to this important rehabilitation profession.

As I watched the news of the aftermath of the Boston Marathon explosion and the stories started circulating about the heroic acts so many people

performed, I am reminded

of the daily acts of courage

I witness from the patients

participating in rehabilitation

and the heroes, the

therapists, that I work with.

I was right - being a therapist

has been interesting,

challenging…and important.

A Therapist’s Story

Carol is the Director of Rehabilitation at Grace Pointe Continuing Care Senior Campus in Greeley. She has been a physical therapist for 28 years and has a special training and interest in neurological disorders. Additionally, she serves as an accreditation surveyor for CARF, the Rehabilitation Accreditation Commission - an independent, nonprofit organization focused on advancing quality rehabilitation services.

Author’s Bio:Carol Fustos

Director of Rehabilitation, Physical Therapist


Salinas heard about the program through word-of-mouth six months ago and has invited her sister-in-law, her niece and one of her friends to join her when the health educator comes to visit.

“That’s my culture,” Orozco said. “We like to share everything with our families. If I find something good for me, I want to share it with my sister, my friend, my comadre.”

Orozco teaches a monthly diabetes support group, but home visits — “pláticas” in Spanish — are what she likes most about her job. She takes the women’s blood pressure, answers questions

or just listens to their concerns.“We are friends,” she said, and the women

agreed.Orozco uses her own bowls and plates as ex-

amples of healthy portion sizes. Even though many women think the plates are very small, Orozco assures them that those are the sizes she uses in her own home. All the changes Orozco advocates, she has gone through herself.

When she started her job as a health educator in 2005, Orozco weighed almost 190 pounds and had just received a diagnosis for type 2 diabetes herself. The mother of three was not exercising and was eating foods high in fats and carbohy-drates, like beans, tortillas, pasta and beef. Oro-zco took the opportunity to try the healthy life-style she was advocating. She started eating fresh vegetables, went for daily walks and replaced all plates and pans in her house with smaller ones. Today she is 40 pounds lighter and diabetes-free. Her youngest daughter, who still lives at home, has lost weight, too, and started exercising regu-larly.

“My community gave me motivation, being honest with them,” Orozco said.

Orozco has so far educated six “promotoras,” lay health educators who help bridge the differ-ences between Spanish and English speakers in the county. In a 2010 survey by the Colorado Department of Public Health and Environment, about 32 percent of Weld County Latinos said

they were obese and about 46 percent said they were overweight. These numbers were on aver-age 10 percent higher than those reported by white Weld County residents. Yet, Latinos in the county were less likely to have had their choles-terol levels checked in the past five years, accord-ing to the survey.

“It’s lack of education, first and foremost,” said Weld County health education supervisor Kelly Campbell about the high instances of diabetes in the Latino community. “And living in a food des-ert if they don’t have transportation.”

The U.S. Department of Agriculture defines a food desert as an area with low income and low access to stores that sell fresh food. Many neigh-borhoods in northeast or southeast Greeley and Evans are food deserts because a high percent-age of the residents live more than a mile away from a supermarket while earning less than 80 percent of what other Coloradans make in wag-es. As a result, between 3 percent and 12 percent of people living in these areas don’t have access to a vehicle.

LATIN PERSUASION» Ama Tu Vida, Cuida Tu Corazón support group: The Spanish-language support group for people dealing with diabetes, obesity and heart disease meets at 6 p.m. every third Wednesday of the month at Monfort Family Clinic, 2930 11th Ave.» Individual nutrition counseling in English or Spanish: This service is free to Weld County residents who are overweight or pregnant, have diabetes, pre-diabetes, high blood pressure, or elevated cholesterol or triglyceride levels. To make an appointment, call Kelly Campbell at (970) 304-6470, ext. 2325.» Pláticas, walking group: For more information on pláticas, or the walking group, call Cassie Kaufman at (970) 304-6470, ext. 2123.

» Free Weld County nutrition services for diabetes

O felia Orozco teaches Latina mothers they have more power over their community’s health than they know.

“In my classes I say, ‘Who buys the food in the house? The mom,’ ” she said.

Orozco is one of four Spanish-language community health educators at the Weld County Department of Public Health and Environment. She is the only Spanish-speaking educator who focuses on obesity and type 2 diabetes risk. Orozco’s strategy is tailored to her community. She visits women in their homes and encourages them to share with their wider network. When the 50-year-old started her job eight years ago, she knew that in order to encourage others to be good examples, she first had to be a good example herself.

On a recent home visit in Fort Lupton, Orozco pricked Librada Salinas’ finger and scooped up a drop of blood with her glucose meter. The machine showed a blood sugar level of 149 milligrams. Orozco was pleased. It was only a 29 milligram increase from before the group of five women who were meeting in Salinas’ home had their breakfast, a shake Orozco made from frozen blueberries, milk, oatmeal, bananas and peanut butter.

If they would have had a hamburger, this number could be up 200 milligrams, Orozco explained in Spanish and the women gasped.

Unlike in the case of genetically caused type 1 diabe-tes, a person with type 2 diabetes produces insulin, but cannot use it effectively. The reasons for this insulin re-sistance are not fully understood, but there is a strong link to being overweight. About 80 percent of people diagnosed with type 2 diabetes are obese, according to the United States Department of Health and Human Services. Latinos are especially at risk. The American Diabetes Association estimates that almost 12 percent of Latinos and more than 12 percent of blacks in the United States suffer from type 2 diabetes, compared with about 7 percent of whites and 8 percent of Asian Americans.

By KATHARINA [email protected]

Local expert uses her personal experiences to share the importance of healthy living with Weld’s Latino community

OFELIA OROZCO PRACTICES A little skipping April 13 in Bittersweet Park. Orozco is one of four Spanish-language community health educators at the Weld County Department of Public Health and Environment. She uses her own experience and enthusiasm to help teach others about staying healthy.

It’s lack of education, first and foremost. And living in a food

desert if they don’t have transporta-tion.— KELLY CAMPBELL, Weld County health education supervisor on the high instances of diabetes in the Latino community

“


they were obese and about 46 percent said they were overweight. These numbers were on aver-age 10 percent higher than those reported by white Weld County residents. Yet, Latinos in the county were less likely to have had their choles-terol levels checked in the past five years, accord-ing to the survey.

“It’s lack of education, first and foremost,” said Weld County health education supervisor Kelly Campbell about the high instances of diabetes in the Latino community. “And living in a food des-ert if they don’t have transportation.”

The U.S. Department of Agriculture defines a food desert as an area with low income and low access to stores that sell fresh food. Many neigh-borhoods in northeast or southeast Greeley and Evans are food deserts because a high percent-age of the residents live more than a mile away from a supermarket while earning less than 80 percent of what other Coloradans make in wag-es. As a result, between 3 percent and 12 percent of people living in these areas don’t have access to a vehicle.

“If I have to walk, the only place I have to eat is 7-Eleven,” Campbell said.

Campbell and Orozco are planning a new pro-gram encouraging convenience and neighbor-hood stores to label healthy choices and expand

their produce selection. They also organize a community walking group that offers activities on all days of the week. Many Latino families could not afford the $4.50 entry fee for the rec-reation center or even $2 for a drop-in Zumba

class or open gym at the Jesus Rodarte Commu-nity Center, Campbell said.

“Ofelia understands that whole dynamic,” Campbell said. “Cultural competency is some-thing that many of us are lacking.”

Fort Lupton resident Salinas has lost nine pounds since Orozco first came to her house, enough to reduce her diabetes risk significantly. She learned that she was at a high risk for diabe-tes in 2007, but decided to change her life after losing her brother-in-law to diabetes last year. She explained, while Orozco translated, that she didn’t realize the devastating consequences un-til she saw the damage in her own family. Now she eats healthy every day and tries to convince her family to do the same. She said they are go-ing slow and taking small steps, but every step counts.

LATIN PERSUASION

» Include all food groups: Eat vegetables, protein and grains with every meal. » Learn portion control: A standard portion is much smaller than you might think. For example, a serving of lean meat (3 ounces) is about the size of a deck of cards.» Eat five small meals a day: Eating small portions throughout the day will help curb your ap-petite.» Do light exercise: Walk or bike for 30-40 minutes every day. If the weather is bad, home exer-cise videos are an affordable option.» Do it together: Families are most successful if all members change their diet. It’s motivating to know that you are not only losing weight, but also improving the health of your spouse and your children.

» Ofelia’s tips for healthy eating and living

» Ama Tu Vida, Cuida Tu Corazón support group: The Spanish-language support group for people dealing with diabetes, obesity and heart disease meets at 6 p.m. every third Wednesday of the month at Monfort Family Clinic, 2930 11th Ave.» Individual nutrition counseling in English or Spanish: This service is free to Weld County residents who are overweight or pregnant, have diabetes, pre-diabetes, high blood pressure, or elevated cholesterol or triglyceride levels. To make an appointment, call Kelly Campbell at (970) 304-6470, ext. 2325.» Pláticas, walking group: For more information on pláticas, or the walking group, call Cassie Kaufman at (970) 304-6470, ext. 2123.

» Free Weld County nutrition services for diabetes

PHOTOS BY JOSHUA POLSON/[email protected]

OFELIA OROZCO STANDS AT the end of the bridge April 13 in Bittersweet Park. After battling with diabetes and obesity, Orozco now educates the Latino community about the importance of eating healthy and exercise.

Local expert uses her personal experiences to share the importance of healthy living with Weld’s Latino community

It’s lack of education, first and foremost. And living in a food

desert if they don’t have transporta-tion.— KELLY CAMPBELL, Weld County health education supervisor on the high instances of diabetes in the Latino community


With summer on its way, Coloradans will start turning their thoughts to fishing, biking, hiking and barbecuing. However, experts recommend putting skin health before fun summer activities.

The American Cancer Society has des-ignated May as Skin Cancer Detection and Prevention Month. According to a 2010 fact sheet published by the Environmental Protec-tion Agency, melanoma, a deadly form of skin cancer, is the fifth-most commonly diagnosed cancer in Colorado. The state ranked 13th in the nation for new melanoma diagnoses.

“We have so much sunlight, and our alti-tude increases the risk,” said Dr. Jacqueline Bearden, one of Banner Health’s board-certi-fied family medicine physicians.

Skin cancer is a malignant tumor that grows in the skin cells. In the United States, more than 2 million Americans are expected to be diagnosed in 2013 with non-melanoma skin cancer, and more than 76,000 are expected to be diagnosed with melanoma, according to the American Cancer Society.

“Melanomas are often seen on the back and the legs because they tend to be caused by sunburns,” says Bearden. She also notes that fair-skinned people tend to have higher rates of skin cancer, and melanoma does run in the family.

Because skin cancer is linked to sunburns, everyone, especially young children and teen-agers, should properly protect themselves. Protection includes wearing clothing, hats and avoiding the middle of the day’s most intense sunlight. It also means sunscreen.

The Food and Drug Administration recommends using a sunscreen that protects against UVA and UVB radiation, commonly called broad-spectrum sunscreen. Coloradans should use sunscreens with at least SPF 15, but dermatologists, as Bearden notes, may suggest SPF 30 to SPF 50 for higher risk individuals, including fair-skinned or red-headed people or those with previous skin cancers.

With the proper amount of precaution and a sensible amount of protection, you can still get out and enjoy the summer sun and your favorite outdoor activities.

Jason Webb is a public relations specialist for Banner Health

Expert: Protect your skin during summer months

By Jason WebbFor The Tribune

Even when using protection against the sun’s harmful radiation, people should get in the practice of checking their skin for changes. Things to look for include moles or lesions that are new or chang-ing; elevated from the skin surface; itchy or painful; or prone to bleeding if scratched.Get in the habit of checking over your skin regularly because survival rates for melanoma are about 99 percent when the disease is found in its earliest states. As you do this, remember A-B-C-D:A = Asymmetry. Moles should be sym-metrical. If you draw an imaginary line through the center of a mole and the two halves differ in shape and/or color, further evaluation may be necessary.B = Borders. Borders that are jagged, un-even or blurry are considered abnormal.C = Color. Moles are generally brown and consistent in color. Moles that contain different colors or shades of color may signify a problem area.D = Diameter. Normal moles are smaller in diameter than a pencil eraser. Skin spots that are larger should be evalu-ated.

» Don’t forget sunscreenSun protection factor — SPF — is a rating that tells consumers how effective a sunscreen is. The higher the number, the more protection one can expect from the sunscreen.However, according to the National Can-cer Institute, an SPF 15 sunscreen blocks 92 percent of UVB rays and going up to SPF 40 only increases the percentage of blocked UVB rays to 97.5. So, by using a sunscreen above SPF 40, it means your protection only increases by less than 2 percent. There is no sunscreen that blocks 100 percent of UVB rays.The American Academy of Pediat-rics approves the use of sunscreen on infants younger than 6 months old only if adequate clothing and shade are not available. Parents should still try to avoid sun exposure and dress the infant in lightweight clothing that covers most surface areas of skin. However, parents also may apply a minimal amount of sunscreen to the infant’s face and back of the hands.

» Check yourself

GRAPHIC NOVEL TEACHES TEENS ABOUT HIV/AIDSCOLUMBIA, S.C. — Looking for a new and more effective method for deliver-ing important messages about HIV/AIDS to teens, University of South Car-olina researchers turned to the graphic novel format.

Aiming for a story line that would grab those readers, they turned to stu-dents at the Department of Juvenile Justice for ideas. The result is “AIDS in the End Zone,” a graphic novel that re-lays a story of high school sports, teen jealousy and unprotected sex to teach about HIV/AIDS.

Kendra Albright and Karen Gavigan, research professors in USC’s school of library and information science, plan to give the graphic novel format a test drive this spring. They’ll talk with teens during special events at local library branches asking them questions about HIV/AIDS before and after they read the graphic novel.

“AIDS in the End Zone” certainly is a non-traditional way to get across a health safety message. Graphic novels use a comic book-like format to tell a story. At 34 pages, this one takes five to 10 minutes to read.

Albright is a believer in tailoring the message to the audience. During her HIV/AIDS research work in Africa, the most effective way to reach Ugandans was via radio and drama. That makes sense in a country with a strong tradi-tion of oral history, she said.

Some efforts to disperse HIV/AIDS information to African-American adults in South Carolina have focused on barbershops and hair salons, where many topics traditionally have been discussed.

Albright and Gavigan thought graphic novels seemed appropriate for broaching HIV/AIDS talk with teens.

They recruited illustrator Sarah Petru-lis to ink the novel. Tailoring the mes-sage to the teen age group, however, seemed beyond the professors.

“What can two white, middle-aged women say to African-American teens that they will listen to?” Albright said.

For ideas, they went to the Depart-ment of Juvenile Justice’s school in Columbia, where about 900 students in grades 4-12 attend classes while incarcerated or detained. Over eight weeks of discussion, the students came up with characters, a plot and a moral message to go with the health lesson.

A new student moves to a fictional South Carolina town and takes over as the quarterback for the high school football team. The spoiled rich kid he replaces as quarterback plots to punish him. The former quarterback decides to set up the new guy with a young woman who only a few kids at the school know is HIV positive.

The students worked on character development, coming up with fam-ily backgrounds for each of the main characters. They offered suggestions to Petrulis on high school clothes and set-tings.

The messages dropped in along the way involve alcohol consumption, sexu-al abstinence, condom use, HIV testing and living with HIV/AIDS. Those mes-sages can be found in plenty of other places — textbooks, brochures, pam-phlets.

“But the existing items on HIV/AIDS are boring, and that makes a difference on what information they retain,” Gavi-gan said.

Some studies have found the knowl-edge retention from a graphic novel format was better than a textbook for young people. The USC study aims to test that idea on an important health topic.

McClatchy Newspapers


TRiBUNE MEDiCAL DiRECTORY 2013ACUPUNCTURE

PHYLLIS HAMAR, L.A.C.Master of Science, Traditional Chinese MedicineNCCAOM Board Certified710 11th Ave., Ste. 106Greeley, CO 80631970-539-0324

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ALLERGY AND ASTHMA

COLORADO ALERGY & ASTHMA CENTERS, P.C.7251 W. 20th Street, Bldg N, Ste 1Greeley, CO 80634Phone: (970) 356-3907

1136 E. Stuart St, Bldg 3, Ste 3200Ft. Collins, CO 80525Phone: (970) 221-1681

4700 E. Bromley Ln., Ste 207Brighton, CO 80601Phone: (303) 654-1234www.coloradoallergy.comProfessionals: Dr. Daniel LaszloDr. John James

NORTHERN COLORADOALLERGY & ASTHMAGreeley Phone: (970) 330-5391Loveland Phone: (970) 663-0144Ft. Collins Phone: (970) 221-2370www.NCAAC.comProfessionals: Dr. Vel Kailasam, MDKrishna C. Murthy, MDLoran Clement, MDMichael Martucci, MD

ALZHEIMER’S/SKILLED CARE

BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352-6082Fax: (970)356-7970Web Site: www.good-sam.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Web Site: www.meadowviewofgreeley.com

ASSISTED LIVING

BONELL GOOD SAMARITAN708 22nd Street Greeley, CO 80631Phone: (970) 352-6082Fax: (970) 356-7970www.good-sam.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Web Site: www.meadowviewofgreeley.com

THE BRIDGE ASSISTED LIVING4750 25th StreetGreeley, CO 80634Phone: (970)339-0022

AUDIOLOGYALPINE ALL ABOUT HEARING1124 E. Elizabeth Street, #E-101Fort Collins, CO 80524Phone: (970)221-3372Fax: (970)493-92373820 N. Grant AvenueLoveland, CO 80538Phone: (970)461-0225Fax: (970)593-0670Web Site: www.allabouthearing.comProfessionals: Renita Boesiger, M. A., CCC-A Rachel White, M. A., CCC-ACheryl Hadlock, M. S., CCC-A

AUDIOLOGY ASSOCIATES2528 16th Street Greeley, CO Phone: (970)352-2881Professionals: Robert M. Traynor, Ed. D. F-AAA; Karen Swope, M. A. CCC-A

MIRACLE-EAR2404 17th Street Greeley, CO 80634Phone: (970)351-6620

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

UNC AUDIOLOGY CLINICGunter Hall, Room 0330Greeley, CO 80639Phone: (970)351-2012/TTYFax: (970)351-1601Web Site: www.unco.edu/NHS/asls/clinic.htmProfessionals: Diane Erdbruegger, Au.D., CCC-A;Erinn Jimmerson, M.A., CCC-AJennifer Weber, Au.D., CCC-A

BALANCE

LIFE CARE CENTER OF GREELEY- ASCENT4800 25th StreetGreeley, CO 80634Phone: (970)330-6400Professionals: Cozette Seaver, PT;Leslie Vail, PTCARDIAC VASCULAR SURGERY

CARDIAC, THORACIC & VASCULAR SURGERY (NCMC)1800 15th Street, Suite 340Greeley, CO 80631Phone: (970)378-4593Fax: (970)378-4391Professionals: Lyons, Maurice I. Jr. DORichards, Kenneth M. MDTullis, Gene E. MD

CARDIOLOGY

CARDIOVASCULAR INSTITUTE (NCMC)1800 15th Street, #310Greeley, CO 80631Phone: (970) 392-0900Professionals: James H. Beckmann, MD;Harold L. Chapel, MD;John Drury, MD;Lin-Wang Dong, MD;Cynthia L. Gryboski, MD;Cecilia Hirsch, MD;Paul G. Hurst, MD;Brian Lyle, MD;Randall C. Marsh, MD;Arnold Pfahnl, MD; James E. Quillen, MD;Gary A. Rath, MD;Shane Rowan, MD;Ahmad Shihabi, MD;

HEART FAILURE CLINIC (NCMC)(970) 350-6953Missy Jensen, FNP-C

DENTISTRYASCENT FAMILY DENTALScott Williams, DMD3535 W. 12th Street, Suite BGreeley, CO 80634Phone: (970)351-6095www.dentalgreeley.com

GREELEY DENTAL HEALTH1600 23rd Avenue Greeley, CO 80634Phone: (970)353-4329www.greeleydentalhealth.comProfessionals:Randy C. Hatch, DDSCharles W. Johnson, DDS

JULIE KAVANAUGH, D.D.S.3400 W. 16th Street, Suite 8-EGreeley, CO 80634Phone: (970)351-0400www.drjuliekav.com

ENDOCRINOLOGY

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

FAMILY PRACTICE MEDICINEBANNER HEALTH CLINIC1300 Main StreetWindsor, CO 80550Phone: 970-686-5646Fax: 970-686-5118Providers:Jonathan Kary, M.D.Trina Kessinger, M.D.Anthony Doft, M.D.

FAMILY PHYSICIANS OF GREELEY,LLP-CENTRAL2520 W. 16th St.Greeley ,CO Phone: (970) 356-2520Professionals: Joanna H. Branum, M.D.;Ann T. Colgan, M.D.;Jennifer D. Dawson, D.O.; Douglas A. Magnuson, M.D.;Lori A. Ripley, M.D.;Andrew P. Stoddard, M.D.;D. Craig Wilson, M.D.

FAMILY PHYSICIANS OF GREELEY,LLP-COTTONWOOD2420 W. 16th StreetGreeley ,CO 80634 Phone: (970) 353-7668Professionals: Christopher T. Kennedy, M.D.; Daniel P. Pflieger, M.D.; Mark D. Young, M.D.; Stacey L. Garber, M.D.Amy E. Mattox, M.D.

FAMILY PHYSICIANS OF GREELEY,LLP-WEST6801 W. 20th Street, Suite 101Greeley ,CO Phone: (970) 378-8000Professionals: Daniel R. Clang, D.O.; Tamara S. Clang, D.O.;R. Scott Haskins, M.D.;Mathew L. Martinez, M.D.; Chima C. Nwizu, M.D.;Michelle K. Paczosa, D.O.; Jeffery E. Peterson, M.D.;Kyle B. Waugh, M.D.;Charles I. Zucker, M.D.

KENNETH M. OLDS6801 W. 20th Street, Suite 208Greeley ,CO 80634Phone: (970)330-9061

WESTLAKE FAMILY PHYSICIANS, PC5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Richard Budensiek, D.O.; Jacqueline Bearden, MD; Janis McCall, MD;Angela Mills, MD Frank Morgan, MD;David Pols, D.O. www.bannerhealth.com

FUNERAL SERVICES

ALLNUTT & RESTHAVEN FUNERALSERVICES702 13th Street, Greeley, CO Phone: (970) 352-3366650 W. Drake Road, Ft. Collins, CO Phone: (970) 482-3208 8426 S. College Avenue, Ft. Collins, CO Phone: (970) 667-02022100 N. Lincoln, Loveland, CO Phone: (970) 667-11211302 Graves Avenue, Estes Park, CO Phone: (970) 586-3101


TRiBUNE MEDiCAL DiRECTORY 2010TRiBUNE MEDiCAL DiRECTORY 2013GASTROENTEROLOGY

DOWGIN, THOMAS A., MD.CENTERS FOR GASTROENTEROLOGY7251 W. 20th St., Bldg JGreeley, CO Phone: (970)207-97733702 TimberlineFt. Collins, CO Phone: (970)207-97732555 E. 13th Street, Suite 220Loveland, CO Phone: (970)669-5432Website: www.digestive-health.net

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

HEALTH AND FITNESS

STUDIO Z FITNESS3483 W. 10th Street, Unit AGreeley, CO313-6924 or 388-7956

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

HOME HEALTH CARECARING HEARTS HOME HEALTHCARE6801 W. 20th Street, Suite 207Greeley, CO 80634Phone: (970)378-1409

REHABILITATION AND VISITING NURSE ASSOCIATION2105 Clubhouse DriveGreeley, CO 80634Phone: (970) 330-5655Fax: (970) 330-7146Web Site: www.rvna.infoProfessionals: Crystal Day, CEO

HOSPICE

HOSPICE OF NORTHERN COLORADOAdministration Office2726 W. 11th Street RoadGreeley, CO 80634Phone: (970)352-8487Fax: (970)475-0037

PATHWAYS HOSPICE305 Carpenter RoadFt. Collins, CO 80550Phone: (970)663-3500Fax: (970)292-1085 Web Site: www.pathways-care.org

INDEPENDENT ASSISTED LIVINGGRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919Website: www.gracepointegreeley.com

MEADOWVIEW OF GREELEY5300 29th StreetGreeley, CO 80634Phone: (970)353-6800Website: www.meadowviewofgreeley.com

INDEPENDENT ASSISTED LIVING W/SERVICES

BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352-6082Fax: (970)356-7970Web Site: www.good-sam.com

FOX RUN SENIOR LIVING1720 60th AvenueGreeley, CO 80634Phone: (970)353-7773Fax: (970)330-9708Web Site: www.good-sam.com

INFECTIOUS DISEASEBREEN, JOHN F., MD (NCMC)1801 16th StreetGreeley, CO 80631Phone: (970)350-6071Fax: (970)350-6702

INTERNAL MEDICINEBANNER HEALTH CLINIC2010 16th StreetGreeley, CO 80631Phone: (970)350-5660www.bannerhealth.com Professionals: Giovanna Garcia, MDSteven Kalt, MD

MEDICAL EQUIPMENT & SUPPLIESBANNER HOME MEDICAL EQUIPMENT (NCMC)Phone: (970)506-6420

MENTAL HEALTH SERVICES

NCMC - BEHAVIORAL HEALTHDr Patricia Al-Adsani, Child and Adolescent PsychiatryBanner Health Clinic-Internal Medicine2010 16th Street, Suite CGreeley, CO 80631Banner Health Clinic- Windsor1300 Main StreetWindsor, CO 80550

Shawn Crawford, LPCBanner Health Clinic 222 Johnstown Center DriveJohnstown, CO 80534Banner Health Clinic-Internal Medicine2010 16th Street, Suite CGreeley, CO 80631

Stephanie Carroll, LCSW, CACIIIBanner Health Clinic1300 Main StreetWindsor, CO 80550Banner Health Clinic Fossil Creek303 Colland DrFort Collins, CO 80525

Elise Pugh, LPCBanner Health Clinic Westlake 5623 W 19th StGreeley CO 80631Banner Health Clinic1300 Main StreetWindsor, CO 80550

Susan Goodrich, LCSW Banner Health Clinic-Loveland PediatricsLoveland PediatricsLoveland COBanner Health Clinic- Windsor1300 Main Street Windsor CO, 80550

Renee Rogers, LMFTBanner Health Clinic1300 Main StreetWindsor, CO 80550Banner Health Clinic303 Colland Drive, Fossil CreekFort Collins, CO 80525

MIDWIFERY CARECENTER FOR WOMEN’S HEALTH1715 61st AvenueGreeley, CO Phone: (970)336-1500Professionals: Marie Foose, CNM; Krista O’Leary, CNMBrenda Bridges, CNM

NEPHROLOGYGREELEY MEDICAL CLINIC1900 16th StreetGreeley, CO 80631Phone: (970) 350-2438Professionals: Donal Rademacher, MD

NEUROLOGY

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

NCMC NEUROLOGY CLINIC1800 15th Street, Suite 100BGreeley, CO 80631Phone: (970) 350-5612 Fax: (970) 350-5619Professionals: Jeffery Siegel, MDWilliam Shaffer, MD; Todd Hayes, DOChristy Young, MD

NURSING HOME REHABILITATIONCENTENNIAL HEALTH CARE CENTER1637 29th Ave. PlaceGreeley, CO 80634Phone: (970) 356-8181Fax: (970) 356-3278

OBSTETRICS & GYNECOLOGYCENTER FOR WOMEN’S HEALTH1715 61st Ave.Greeley, CO Phone: (970)336-1500Professionals: Stewart Abbot, MD; Michael Plotnick, MD;Marie Foose, CNM;Krista O’Leary, CNM;Karen Vorderberg, CNM;Bea Bachenberg, WHCNP;Kecia Doll, Licensed Esthetician;

WESTLAKE FAMILY PHYSICIANS, PC5623 W. 19th StreetGreeley, CO Phone: (970) 353-9011Fax: (970) 353-9135Professionals: Jacqueline Bearden, MD; Richard Budensiek, D.O.; Janis McCall, MD;Angela Mills, MD Frank Morgan, MD;David Pols, D.O. www.bannerhealth.com

ONCOLOGY & HEMATOLOGY

CANCER INSTITUTE (NCMC)1800 15th Street,Greeley, CO 80631 Phone: (970) 350-6680Toll Free: (866) 357-9276Fax: (970)350-6610Professionals: Elizabeth Ceilley, MDBrian Fuller, MDKerry Williams-Wuch, MDAriel Soriano, MD

OPTOMETRYFOX HILL VISION CLINIC2001 46th AvenueGreeley, CO 80634(970) 330-7070Professionals: Dr. Nancy Smith, ODDr. Tarry Harvey, ODWebsite: www.visionclinic.com

ORTHODONTICS

GREELEY ORTHODONTIC CENTER2021 Clubhouse Dr., Suite 110Greeley, CO 80634Phone: (970) 330-2500Fax: (970) 330-2548E-Mail: [email protected]: www.doctork.comProfessionals: Dr. Gary J. Kloberdanz

ORTHODONTIC ASSOCIATES OF GREELEY, PCProfessionals: Bradford N. Edgren, DDS, MS3400 W. 16thSt., Bldg 4-VGreeley, CO 80634Phone: (970) 356-5900Website: www.drbradsmiles.com


TRiBUNE MEDiCAL DiRECTORY 2013ORTHOPEDICS

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

PEDIATRICSBANNER HEALTH CLINIC6801 W. 20th Street, Suite 201Greeley, CO 80634Phone: (970)350-5828www.bannerhealth.com Professionals: Amanda Harding, MDJames Sando, MD

PEDIATRIC REHABILITATIONBANNER REHABILITATION CENTER1801 16th StreetGreeley, COPhone: (970)350-6160Fax: (970)378-3858

PERSONAL RESPONSE SERVICE

BANNER LIFE LINE (NCMC)2010 16th Street, Suite CGreeley, CO 80631Phone: 1-877-493-8109(970) 378-4743

PHYSICAL THERAPY

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

NORTHERN COLORADOREHABILITATION HOSPITAL 4401 Union StreetJohnstown, CO 80534Phone: (970) 619-3400Website: [email protected]

PODIATRYFOOT & ANKLE CENTER OF NORTHERN COLORADO P.C.1931 65th Ave., Suite AGreeley, CO 80634Phone: (970) 351-0900Fax: (970) 351-0940

4401 Union StreetJohnstown, CO 80534Phone: (970) 443-0925Web Site: www.footandanklecolorado.comProfessionals: Daniel J. Hatch, D.P.M. Mike D. Vaardahl, D.P.M.

PULMONARY/CRITICAL CARENORTH COLORADOPULMONARY (NCMC)1801 16th StreetGreeley, CO 80631Phone: (970)392-2026Professionals: Kelli Janata, DORobert Janata, DODavid Fitzgerlad, DOMichael Shedd, MDDanielle Dial, NP

PROSTHETICS & ORTHOTICS

CERTIFIED PROSTHETICS &ORTHOTICS, LLC (GREELEY LOCATION)1620 25th Avenue, Suite AGreeley, CO 80634Phone: 970-356-2123Fax: 970-352-4943

HANGER PROSTHETICS & ORTHOTICS7251 West 20th Street, Building MGreeley, CO 80634 Phone: (970)330-9449 Fax: (970)330-42172500 Rocky Mountain Avenue, Suite 2100North Medical Office Building Loveland CO 80538 Phone: (970) 619-6585 Fax (970) 619-6591Website: www.hanger.comProfessinal: Ben Struzenberg, CPOMichelle West, Mastectomy Fitter

REHABILITATION

ASCENT AT LIFE CARE CENTER 4800 25th StreetGreeley, CO 80634Phone: (970)330-6400Website: www.lcca.comProfessionals: Annie BennettLeslie Vail

BANNER REHABILITATIONPhone: (970)350-6160


PEAKVIEW MEDICAL CENTER5881 W. 16th St.Greeley, CO 80634Phone: (970)313-2775Fax: (970)313-2777

SKIN CAREKECIAS SKIN CARE @ CENTER FOR WOMEN’S HEALTH1715 61st AvenueGreeley, CO Phone: (970)336-1500 Professinal: Kecia Doll, Licensed Esthetician

SKIN TRANSFORMATIONS LLC1711 61ST Avenue, Unit 102Greeley, CO 80634Phone: (970) 353-3008Professionals: Lorrie Beamer, Licensed EstheticianMelissa Mclean, Licensed EstheticianTerri Crouch, Licensed EstheticianAlissa Siegfried, Licensed Esthetician

SKILLED CARE/REHAB

BONELL GOOD SAMARITAN708 22nd StreetGreeley, CO 80631Phone: (970)352- 6082Fax: (970)356-7970Website: www.good-sam.com

GRACE POINTE1919 68th Avenue Greeley, CO 80634Phone: (970) 304-1919Website: www.gracepointegreeley.com

SPORTS MEDICINE

MOUNTAIN VISTA ORTHOPAEDICS 5890 W. 13th Street, Suite 101Greeley, COPhone: (970)348-0020Fax: (970)348-0044Web Site: www.bannerhealth.comProfessionals: Randy M. Bussey, MDDaniel Heaston, MDThomas Pazik, MDShelly Remley, PA-CKelly R. Sanderford, MDSteven Sides, MDLinda Young, MDNORTH COLORADO SPORTS MEDICINE1801 16th StreetGreeley, COPhone: (970)392-2496

SPEECH LANGUAGE PATHOLOGY

BANNER REHABILITATION CENTER1801 16th StreetGreeley, COPhone: (970)350-6160Fax: (970)378-3858


UNC SPEECH LANGUAGE PATHOLOGY CLINICGunter Hall, Room 0330 Greeley, CO 80639Phone: (970)351-2012/TTYFax: (970)351-1601Web Site: www.unco.edu/NHS/asls/clinic.htmProfessionals: Lynne Jackowiak, M.S., CCC-SLPJulie Hanks, Ed.DPatty Walton, M.A., CCC-SLP

SURGERY GENERAL & TRAUMA

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

SURGERY WESTERN STATES BURN CENTER (NCMC)1801 16th StreetGreeley, CO 80631Phone: (970)350-6607Fax: (970)350-6306Professionals: Gail Cockrell, MD Cleon W. Goodwin, MD BURN

SURGICAL ASSOCIATES OF GREELEY PC (NCMC)1800 15th St. Suite 210 Greeley, CO Phone: (970)352-8216Toll Free: 1-888-842-4141Professionals: Lisa Burton, M.D.;Michael Harkabus, M.D.; Jason Ogren, M.D.;Samuel Saltz, D.O.; Robert Vickerman, M.D.

URGENT CARE

SUMMITVIEW URGENT CARE2001 70th AvenueGreeley, CO 80634Phone: (970)378-4155Fax: (970)378-4151www.bannerhealth.comProfessionals:Thomas Harms, MDAmy E. Shenkenberg, MDLinda Young, MD

UROLOGY

MOUNTAIN VISTA UROLOGY5890 W. 13th Street, Suite 106Greeley, CO 80634Professionals:James Wolach, MDCurtis Crylen, MDwww.bannerhealth.com

VEINS

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


The “Morning After” PillNoise-induced hearing loss

(NIHL) refers to a gradual, cumulative and preventable decline in hearing function that follows repeated exposure to loud noise. Noise is the leading cause of preventable hearing loss. It is estimated that 10% (30 million) of Americans are encountering hazardous levels of noise, that 25% of those working in the construction, mining, agriculture, manufacturing, transportation, that military industries routinely encounter noise levels above 90 dB (A), and that such noise exposure has already generated a sizeable population of workers who meet the Occupational Safety and Health Administration’s (OSHA) definition for “material impairment of hearing” (over 25 dB hearing thresholds at 1000, 2000, and 3000 Hz). Since workers and those with recreational hearing losses can have significant effects on their employment, social interactions, family interactions, protecting hearing health in the workplace and while having fun has become very important. Programs and regulations for occupational exposure (e.g. maximum allowed daily noise doses) have been designed, but no matter where you live there are virtually no standards for recreational noise, an emerging contributor to noise-induced hearing loss. There are numerous sources of non-occupational noise exposure. These include motorcycles, auto racing, and others but music transcends the recreational setting to pose an occupational risk of NIHL for groups such as music venue workers and music performers, even the audiences......

Think back ......Most of us have “been there” at one time or another.........You are a fan! ….A BIG FAN (LL Cool J, Beyonce, Madonna, maybe even the Stones or others).....and your favorite musical artist is in town for a greatest hits concert! You have a baby sitter, a designated driver..... So, look out you are out on the town! As Rick Nelson said, “Sang them all

the old songs, thought that’s why they came”…and that IS why they came…..and a super time was had by all! The Next Day: You wake up with horrible tinnitus (ringing in your ears), probably a hangover as well and wonder why it was so important to get close to the speakers during the rock concert the night before.......As the day goes on you begin to feel better, but the tinnitus lingers on reminding you of a major noise exposure the night before. Over the next day or so, the tinnitus will usually subside and you will end up OK, but there has been some hair cell destruction in the inner ear from the noise exposure. What happens is that the noise exposure causes levels of toxic chemicals called “free radicals” inside the hair cells of the inner ear to rise beyond manageable levels, and the cell dies. So, too many concerts cause too much exposure to intense sound levels, releasing the “free radical” toxic chemicals to these hair cells that, ultimately, lead to a number of hair cell deaths and, subsequently, a permanent hearing impairment. BUT....What if we could reverse the process, make it like we had never been exposed at all....a “Morning After Pill”.....Now it probably will not do too much for the hangover, but there may be a method to minimized or eliminate the effects of the noise exposure due to taking a pill that actually works.

The Morning AfterStudies in this area have been ongoing for a number of years. Based upon their studies, researchers at the University of Michigan’s, Kresge Hearing Research Institute have developed AuraQuell (pill) which is a combination of Vitamins A, C and E, plus magnesium, taken before a person is exposed to loud noises. The funding for the Michigan project was provided by General Motors and the United Auto Workers that led to the 2007 study of the mechanism attributed to induce hearing loss and the pre-clinical research that contributed to the development of a pill that will be marketed under the trade name of

AuraQuell. During clinical studies in Michigan, guinea pigs who had been administered AuraQuell experienced about eighty percent preventative blockage of a noise-induced hearing impairment. “The [AuraQuell] treatment one hour before a five hour exposure to 120 decibel (dB) sound pressure level noise, and continued once daily for five days.”, said Josef M. Lynn, Ph. D., the Lynn and Ruth Townsend Professor of Communication Disorders, Director of the Center for Hearing Disorders at the University of Michigan, Department of Otolaryngology’s Kresge Hearing Research Institute and co-leader of the research. He feels that AuraQuell could effectively block fifty percent of noise induced hearing loss in humans. Clinical human testing of AuraQuell is being evaluated in four multinational trials: “Military trials in Sweden and Spain, an industrial trial in Spain, and trial involving students at the University of Florida who listen to music at high volumes on their iPods and other PDAs.” The human clinical trials for AuraQuell maybe in the form of a tablet or snack bar. These trials studies are funded by National Institute of Health (NIH). “This is the first NIH - funded clinical trial involving the prevention of noise-induced hearing loss.” AuraQuell may prove to limit induced hearing loss of military personal exposed to improvised explosive devices (IEDs) and other noises. It appears that AuraQuell is still in clinical field trials, but if these trials are successful, Dr. Joseph Miller, a co-researcher at Michigan, that the noise-induced hearing loss prevention concoction could be available within two years.In another study funded by the Oklahoma Medical Research Foundation, researchers Dr. Robert Floyd and retired Army surgeon, Dr. Richard Kopke, M.D., discovered a combination of two compounds stopped damage to the inner ear caused by acute acoustic trauma – something like an IED exploding. Although they did not indicate

what the compounds were they felt that,“This is a very exciting finding,” said Dr. Floyd, who holds the Merrick Foundation Chair in Aging Research at OMRF. “The research is still at a pre-clinical stage, but we’re hopeful that we soon can begin testing in humans.More recently, Dr. Kathryn Campbell’s work at Southern Illinois University involves the use of an antioxidant called D-methionine, a component of fermented protein that is found in yogurt and cheese. The antioxidant, in concentrated doses, has been found to improve some forms of hearing loss and even prevent hearing loss before the exposure to noise. “We’ve been able to show in animal studies that if we give it before and after noise exposure, that we can get pretty full protection from noise-induced hearing loss,” Campbell said. According to Campbell and her colleagues will continue their studies by looking at the effects of varying dosages of D-methionine on animal subjects exposed to different noises. They

have already found that the drug can be given up to seven hours after the noise is experienced and still be effective. “It doesn’t mean it’s going to work for long-standing hearing loss, but it does mean that in the early stages, you could intervene and keep it from becoming permanent,” she said. The research will then move into determining if even more time can elapse before the drug is given and the hearing loss becomes permanent. In a discussion in November 2012 Dr. Campbell stated that the human clinical trials with the U.S. Army are in the early planning stages, Campbell said.So, with AuraQuell in field tests to defend against noise-induced hearing loss, the D-methionine possibilities also in clinical trial, and the ongoing stem cell research reported by Hearing International (www.hearinghealthmatters.org) last fall, a “morning after” pill for that tinnitus and noise induced hearing loss created the night before may soon be a simple swallow away.

Miller, a co-researcher at Michigan, that the noise-induced hearing loss prevention concoction could be available within two years.

In another study funded by the Oklahoma Medical Research Foundation,researchers Dr. Robert Floyd and retired Army surgeon, Dr. Richard Kopke, M.D., discovered a combination of two compounds stopped damage to the inner ear caused by acute acoustic trauma – something like an IED exploding. Although they did not indicate what the compounds were they felt that,“This is a very exciting finding,” said Dr. Floyd, who holds the Merrick Foundation Chair in Aging Research at OMRF. “The research is still at a pre-clinical stage, but we’re hopeful that we soon can begin testing in humans.

More recently, Dr. Kathryn Campbell's work at Southern Illinois University involves the use of an antioxidant called D-methionine, a component of fermented protein

that is found in yogurt and cheese. The antioxidant, in concentrated doses, has been found to improve some forms of hearing loss and even prevent hearing loss before the exposure to noise. "We've been able to show in animal studies that if we give it before and after noise exposure, that we can get pretty full protection from noise-induced hearing loss," Campbell said. According to Campbell and her colleagues will continue their studies by looking at the effects of varying dosages of D-methionine on animal subjects exposed to different noises. They have already found that the drug can be given up to seven hours after the noise is experienced and still be effective. "It doesn't mean it's going to work for long-standing hearing loss, but it does mean that in the early stages, you could intervene and keep it from becoming permanent," she said. The research will then move into determining if even more time can elapse before the drug is given and the hearing loss becomes permanent. In a discussion in November 2012 Dr. Campbell stated that the human clinical trials with the U.S. Army are in the early planning stages, Campbell said.

So, with AuraQuell in field tests to defend against noise-induced hearing loss, the D-methionine possibilities also in clinical trial, and the ongoing stem cell research reported by Hearing International (www.hearinghealthmatters.org) last fall, a "morning after" pill for that tinnitus and noise induced hearing loss created the night before may soon be a simple swallow away.

Robert M. Traynor is the CEO and practicing audiologist at Audiology Associates, Inc., Greeley, Colorado with particular emphasis in amplification and operative monitoring. Dr. Traynor holds degrees from the University of Northern Colorado (BA, 1972, MA 1973, Ed.D., 1975), the University of Phoenix (MBA, 2006) as well as Post-Doctoral Study at Northwestern University (1984). He taught Audiology at the University of Northern Colorado (1973-1982), University of Arkansas for Medical Sciences (1976-77) and Colorado State University (1982-1993). Dr. Traynor is a retired Lt. Colonel from the US Army Reserve, Medical Service Corps and currently serves as an Adjunct Professor of Audiology at the University of Florida, the University of Colorado, and the University of Northern Colorado. For 17 years he was an Audiology Consultant to major hearing instrument and equipment manufacturers providing academic and product orientation for their domestic and international distributors. A clinician and practice manager for over 35 years, Dr. Traynor has lectured on most aspects of Audiology in over forty countries.

Author’s Bio:Robert M.

Traynor, Ed.D., MBA, FAAA

May 2013 Thrive

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