Healthy Healing Quick Tips

By Deanna McLain, Infection Control & Employee Health

February 2012

Give your body what it needs without spending a lot of time

• Get going on the “Essential Fatty acid” intake. 2 tbsp. of flax seed oil over your salad or add to morning oatmeal after cooking will help you metabolize fat!
• Eat ORGANIC- The prices of organic fruits and vegetables have come down as the market has become competitive. Support organic growers. Pesticides found on conventionally grown food gets stored in the adipose tissues of our body. Researchers have found that women that consume foods high in pesticides may be at a higher risk for breast cancer as well as uterine fibroids and ovarian cysts.
• Brain facts: It uses 25% of the oxygen our body processes. Exercise increases mental capacity by sending nutrients via better circulation to the “computer” that have over 100 billion cells.
• Brain health eating plan to improve memory EFA’s that you can get from spinach, arugula, and kale. Eat avocado, nuts and seeds to get healthy fats that feed the brain.
• Brain health includes staying away from tobacco, and alcohol that inhibit the release of vasopressin, thus impairing memory.
• Help slow aging by taking Ginkgo balboa. Ginkgo has been used worldwide by indigenous peoples to improve health. It fights free-radicals that attack our cells, thus causing increased ageing. Ginkgo has been shown to reduce the amount of cortisol linked to immune suppression, atherosclerosis and brain cell toxicity (brain fog).
• DHEA (dehydro-epiandosterone) has become a popular supplement in American households. It helps the body to produce testosterone and progesterone as well as estrogen and corticosterone. We may need a DHEA supplement as we age, it help lower serum cholesterol and promotes energy. Take as directed because too much is not necessarily a good thing-if you take increase doses it may inhibit your body to produce its own DHEA and cause unwanted side effects like loss of hair, increased facial hair and long-term used may increase chances of prostate cancer.
• Vitamin C boosts collagen production; your skin will look much more radiant with 1000mg, or more a day of ascorbic acid (Vit C). Make sure to drink plenty of pure water, reverse osmosis is the best. It is available at the water machine found in most grocery stores.
• Soy foods do more than increase the amount of estrogen, thus helping decrease hot flashes for menopausal women; it also lowers total cholesterol and the Low-density lipids (LDL’s).  Men to will benefit from tofu, tempeh, soy milk, and miso (it makes a great salad dressing or soup).
• What’s in you cup of Java? Caffeine. Although caffeine can have a short-term energy boosting effect it may be best to stay away from it for the following reasons: Bone health- Calcium depletion caused by caffeine increases the risk for osteoporosis; Prenancy-Cafeine crosses the placenta, doses higher than 300mg (about 3 mugs of coffee or caffeinated tea) can cause miscarriage or low-birth weight; Sleep- Stay away from this substance at dinner time and later. It disrupts brain wave patterns, causing restless sleep or disturbing dreams.

Benefits of Cardiac Rehab

A letter from Jack Williams - MPMC Healthy Heart and Lung Center patient...

I'd had stents placed after a heart attack.  I was an active seventy six year old, living in Colorado at the time and had a fitness routine that I had followed many years previous.  The stent procedure was only mildly debilitating so when cardiac rehab was suggested I didn't feel it was necessary and I recovered with my own routines. I continued my active lifestyle and got back into skiing, hiking and biking.Benefits of Cardiac Rehab

Two years later, after a skiing accident a routine scan for concussion found two aortic aneurysms, one of which was getting serious.  We decided to have the one repaired and in the process they also placed a new aortic valve.  I came out of these procedures flat on my back and knocked for a loop, struggling to get back to living again.  They told me recovery would take six months to a year.  I stubbornly thought that since I was in pretty good shape before, I could get back in quicker time than that.  They were right but I didn't know it.  I had a lot to learn.

The first indication that a rehab program might be helpful cam from a home care physical therapist who came to our house three times a week.  I could sit and feel sorry for myself for four days but for three of the, when "Mary" showed up I was back to my old adage of "move it or loose it".  You see Mary, the PT had lost a leg as a young woman and wore a prosthesis to walk.  We'd go out for a walk, I'd start whining and then I'd look down at her limping along beside me, a gutsy, cheerful little woman smiling up at me, and I just couldn't whine any more.  Mary showed me it was time to regain my life so I applied for cardiac rehab at a nearby hospital.

David, the cardiac rehab manager at the hospital laid out the rules for me.  Firstly, I was to only workout every other day.  Now I knew from my own routine that muscle recovery time was important and grew longer with age, but this seemed strange to me as the major muscle groups of my body were doing only minimal exercise as I began.  It took me some time to realize that it wasn't the muscles of my legs, arms or back that needed rest, it was the most important muscle of all - my heart.  My body kept saying "you can do anything" and my heart kept saying "not so fast".  It took a long time for this to sink in.

David was particularly helpful in catching the little things going on in my body as I worked out with monitors connected to me.  One day I'm trooping along when David told me my heart rate was way up.  He took my blood pressure and it was way low.  What the heck was going on?  "You're dehydrated, go drink some water."  I'm thinking, how does he know that?  Now, we've all been lectured on hydration over and over throughout the years but nobody had every explained what happens to the body when you're dehydrated; blood volume, blood pressure and heart rate.  As David explained all this I'm thinking -- jeez, I'm 78 years old and I'm now learning this?

The low blood pressure had another effect upon me.  I was on blood pressure meds but was having difficulty getting the proper dosage right.  When my blood pressure was too low I would get dizzy.  I'd stand up and the room would spin.  So coupled with dehydration which lowered the BP were the meds also throwing me off.  David was so helpful in explaining all this and getting me aware of what was happening   He was also instrumental in having me see that there was a light at the end of the tunnel.  That light was my active life style.

Returning to Minnesota for the summer months I enrolled in another cardiac rehab program to complete the regimen.  Here, a couple of PT's, Nancy and Laura, took over and continued my education.  As we sat discussing the program Nancy took my BP which was right where it belonged.  Then she had me stand up and she took it again as the room spun around me.  By standing up my BP systolic was dropping 20 points!  Now what?  With the help of the two PT's I was getting to understand the "what".

David's head back in Colorado must have been spinning the day I didn't take my day of rest and over did it, putting me on my back for three days.  I'm sure he wondered how a college educated engineer could be so dense.  As I got stronger my body wanted to do more but i was still getting heart messaged that said, "not so fast" and i wasn't listening.  Nancy and Laura got me back on track, again and again as each time I overdid it and crashed.  I was also getting depressed.  Their cheerful attention and humor would break my depression and get me back on my feet.

But I was still getting dizzy when i stood up.  At least now I now had a number of reasons why this was occurring.  One day my wife happened to be with us as we discussed the vertigo and Nancy asked her how much salt I was getting.  Ginger had been such a trooper throughout the heart attack, the aortic surgery and the recovery process, the management of meds, encouragement and cheerfulness as I dealt with depression.  On the wall over her head as she sat there was a cardiac rehab sign that said, "NO SALT, NO SALT" and Ginger was my head chef.  "Why he doesn't get any," she said.  Imagine the look on her face when Nancy said, "maybe he needs a little".  So now as the room would spin I could wet my finger and dip it in a little salt while Ginger frowned.

So I went through the 36 recommended sessions and after nine months I'm well on my way to recovery.  While I appreciate the MD's that have helped me through all this my heart is with the nurses and PT's that have been in the trenches with me during the process.  They're closer to you; they spend more time with you; they're the ones with more answers to your immediate questions; and they're the ones that are indispensable to the healing process.  God bless em!

Jack Williams

Middle Park Medical Center physical therapist helps with injury prevention at West Grand High School athletic program

(Kremmling, Colorado.  September 29, 2012):  Middle Park Medical Center physical therapist helps with injury prevention at West Grand High School athletic program

By Eric Murray, Public Relations Director, Middle Park Medical Center Kremmling/Granby & North Park Medical Center, Walden

Jacob Bauer, PT, DPT

You might know Jacob Bauer from the physical therapy departments at Middle Park Medical Center, Kremmling & Granby.  You might have seen him at West Grand High School home games [this is the second season] but did you know that Bauer is contributing his knowledge of sports injury prevention through a program funded by a grant and sponsored by Middle Park Medical Center? 

Athletic training education and concussion management services are part of the arrangement, including a computer software test called ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing), free of charge to West Grand High School athletes.  Learn more about this program including the grant funder and other hospital employees involved by visiting the physical therapy page at www.MPMC.org.

Bauer has a significant education in sports injury including a doctorate of physical therapy degree from Concordia University, Wisconsin.  His clinical experience is extensive in outpatient orthopedics, acute and sub-acute rehabilitation.  What inspires Bauer most is to help athletes. 

Bauer is currently active in wide array of outdoor sports and activities of the area; hiking, biking, running, fishing, hunting and snowboarding.  He is also a former high school and collegiate football player.  It is during his football experiences where he incurred his share of injuries including two sprained ankles, a concussion, one shoulder injury in high school and another shoulder injury in college. 

I caught up with Jacob Bauer, PT, DPT, [Physical Therapist, Doctor of Physical Therapy] between patients at the physical therapy department in Kremmling recently and asked him about his involvement with local high school sports and being ready for cold weather activities.

MPMC:  You seem to enjoy getting involved with sports here in Kremmling.  What drives you?

BAUER:  From a personal experience I played football so being involved with the program here is one of the ways I can still be involved with the sport.  It’s about giving back and helping athletes, getting them to their full potential.

 Jacob Bauer during his college football days

 with Concordia University, Seward, Nebraska.

MPMC:  You have been an accomplished athlete and you had some sports injuries in the past.  Was your experience with football trainers and physical therapists in high school and college football part of your reason for getting a doctorate in physical therapy?

BAUER:  Yes, that and I have a passion for biology, a fascination with the human body and of course my love for sports, exercise and just being active.  I wanted to share that with others and get others to be active.

MPMC:  What do you like most about practicing physical therapy and living here in Grand County?

BAUER:  I like that people are very active and fit here in the county.  It’s fun to see and it’s also rewarding to help them get back to hobbies and activities that they like after an injury.  Plus, I enjoy the outdoors as well.  I think people need to get out there and utilize what this area has to offer.

MPMC:  Do you have any injury prevention advice for people who are getting out there now and enjoying the outdoors?

BAUER:  I’d recommend that people have a warm-up before participating in intense activities.  It is deceptively warm still and people tend to not hydrate as much.  During the homecoming game, for example, there were several athletes who were cramping up.  One thing to prevent cramping is to replace your fluid level with electrolytes, eat a banana and regular stretching after activities.

MPMC:  Fall has settled in now and winter is just around the corner.  Do you have any advice for those preparing for winter activities?

BAUER:  Yes, wear layers.  I think many people already know this.  To increase body temperature with exercise you want to regulate by shedding layers so that overheating doesn’t occur.  Again, drink lots of water.

MPMC:  Hydration is often emphasized, especially during activities in the mountains.

BAUER:  Even when its winter and cold outside, people should drink as much water as they do in the summer.

MPMC:  Any other advice?

BAUER:  The body was meant to move.  If you aren’t participating in some sort of exercise, you should be.  There are plenty of resources available to learn about the fitness and recreation opportunities here in the county.  If someone needs guidance, I encourage them to contact us at the physical therapy department.

# #  #

Visiting Specialty Clinic Physicians/Surgeons Grand County October 2012 Schedule

Orthopaedics                                                                            October 2^nd/October 16^th/October 30^th

Bryan Bomberg, M.D.                                                                                               Granby

For Appointment Call:                                                                                     970.879.4612

Or for Toll Free Call:                                                                                         1.877.404.4612

Cardiology                                                                                   October 23^rd                                           October 9^th

William Baker, M.D.                                                              Granby                                                       Kremmling

For Appointment Call:                                                         970.870.1035                                       970.870.1035

October 16^th in Walden

Internal Medicine                                                                  Oct 2nd, 10^th, 17^th, 24^th, 31^st         Oct 1^st

Mark McCaulley, M.D., FACP                                           Granby                                                       Kremmling

For Appointment Call:                                                         970.724.3115                                       970.887.5886

OB-GYN                                                                                           October 25th

Diane Petersen, M.D., FACOG                                        Granby

For Appointment Call:                                                         970.879.3738

General Surgery                                                                                         Oct 4^th & Oct 18^th

Edward Medina, M.D.                                                          Granby-PM/Kremmling-AM

For Appointment Call:                                                         970.724.3115/970.887.5886

Ear, Nose & Throat                                                                 October 11^th

Michael Tralla, M.D., FACS                                                Granby

For Appointment Call:                                                         970.724.3115  

Urology                                                                                                            October 29^th

Stacy Childs, M.D.                                                                   Granby-AM          Kremmling-PM

For Appointment Call:                                                         970.871.9710   970.871.9710

Urology                                                                                                            October 29^th

H. Pat Hezmall, M.D.                                                             Granby-AM          Kremmling_PM

For Appointment Call:                                                         970.871.9710   970.871.9710

Pain Management                                                                 October 18^th

Jeffrey Kesten, M.D.                                                              Granby

For Appointment Call:                                                         303.277.0700

Hand Surgery                                                                             October 12^th

Thomas Mordick, M.D.                                                        Granby

For Appointment Call:                                                         970.887.5886

                                                                                                            970.724.3115

Dermatology                                                                              October 12^th & 26^th

Dr. Sandra Eivins                                                                     Granby

For Appointment Call:                                                         970.871.4811

OB/GYN                                                                                          October 8^th

Dr. Andrew Catron                                                                 Kremmling

For Appointment Call:                                                         970.423.8840

Locations:

Granby                                                                                           Kremmling

1000 Granby Park Drive South                                       214 S. 4^th Street

970.887.5886                                                                           970.724.3115

Specialty Doctor's that will be in Grand County September 24 to September 28

Monday, Sept 24

Dr. Hezmall-Urology- Granby-AM and Kremmling-PM

970-871-9710

Tuesday, Sept 25

Dr. Baker-Cardiology-Granby

970-870-1035

Wednesday, Sept 26

Dr. McCaulley-GI-Granby

970-724-3115 / 970-887-5886

Thursday, Sept 27

Dr. Petersen- OB/GYN- Granby

970-879-3738

MRI- available every Monday in Granby

U/S-Available M-W-F in Granby and T-Th in Kremmling

Mammograms are available only in Granby.

Specialty Doctor's Coming to Grand Country

Below is a list of the Specialty Doctor's that will be in Grand County the week of September 10-14.

Monday, Sept 10
Dr. Catron- OB/GYN- Kremmling
970-423-8840

Tuesday, Sept 11
Dr. Baker- Cardiology- Kremmling
970-870-1035

Wednesday, Sept 12
Dr. McCaulley- GI- Granby
970-724-3115 / 970-887-5886

Thursday, Sept 13
Dr. Tralla- ENT- Kremmling
970-724-3115 / 970-887-5886

Friday, Sept 14
Dr. Mordick- Hand Surgery- Granby
303-321-1333


MRI is available in Granby every Monday.
Ultrasound is available in Granby M-W-F and Kremmling on T-Th.

CENTURA HEALTH LEADING HEALTH CARE’S SECOND CURVE WITH THE LAUNCH OF COLORADO HEALTH NEIGHBORHOODS

CENTURA HEALTH LEADING HEALTH CARE’S SECOND CURVE WITH THE LAUNCH OF COLORADO HEALTH NEIGHBORHOODS

As part of its integrated delivery network, Centura Health’s innovative approach will improve care coordination, reduce costs and provide better outcomes to optimize value

ENGLEWOOD (July 10, 2012) – Against the national backdrop of political stalemates, grand standing and intense emotional debate regarding health care reform, Centura Health has taken its next step to transform health care. These are steps not written in legal briefings or political ads, but are meaningful actions designed to provide a “total solution” to health care that produces better outcomes, greater cost effectiveness and ultimately true and tangible health care reform for Colorado communities.

At the foundation of Centura Health’s approach are its Colorado Health Neighborhoods — a key component of their integrated delivery network. Founded on a customized vision of the patient-centered medical home, Colorado Health Neighborhoods are comprised of a close-knit team of health care professionals whose purpose is to maximize health outcomes of a defined population through coordinated, evidence-based medicine and best practices, increased convenience through multiple localized access points, and a customer-focused service model – all delivered at an affordable cost.

Centura Health’s first defined population consists exclusively of Centura Health associates and their dependents. Beginning July 1, this select group of individuals began experiencing certain elements of Colorado Health Neighborhoods in which health care teams –doctors, nurses, physician assistants, health coaches and navigators - converge to provide primary care, specialty services, urgent care, diagnostic services and occupational health. While currently evolving to serve its 22,000 members, the long-term goal is to provide individualized, well-coordinated care across the continuum resulting in significantly greater health outcomes and optimized health care value for this select population.

By transforming how they deliver care to its own associates, sharing lessons learned, and demonstrating outcomes that lower the overall cost of care, Centura Health believes that Colorado Health Neighborhoods will prove to be a value-driven product they can take to market. Currently, Centura Health plans to have ten health neighborhoods in place by the end of the year, and ultimately dozens across Colorado in the near future to begin serving consumers in spring 2013.

CENTURA HEALTH’S INTEGRATED DELIVERY NETWORK:

· An integrated delivery network is a health care delivery model consisting of facilities and providers working together to offer coordinated care to a specific market or geographic area.

· The overarching goal of Centura Health’s integrated delivery network is to increase the value of health care by promoting quality care, utilizing evidenced-based medicine and best practices, while increasing convenience to the patient through multiple access points within a service-friendly environment at an affordable cost.

· Colorado Health Neighborhoods creates a physician-led, clinically integrated delivery network comprised of primary care and specialty physicians practicing a whole-person, team-approach to medicine. Together, with Centura Health entities including acute, ambulatory, home care, senior services and hospice, and affiliated physicians and hospitals, the integrated delivery network seeks to provide excellent communication between the health care system, health care providers and the patient, all in the pursuit of providing well-coordinated care across the continuum.

COLORADO HEALTH NEIGHBORHOODS:

· Designed to advance health care delivery by focusing beyond hospital walls to meet the population health needs of communities across the state, Colorado Health Neighborhoods, a critical piece of Centura Health’s integrated delivery network, have been in operational development since March 2011.

· Through Colorado Health Neighborhoods, patients are assigned a health care coordinator that will guide them and help them navigate the network when their health care calls for more than a single doctor visit. In addition, coordinators will work to ensure patients understand and follow physician recommendations – and physicians will be monitoring patients for some basic health care metrics that will help detect and diagnose conditions before they become chronic concerns. In the end, consumers will find more value in their health care and will learn how to play a greater role in their overall health.

· Physicians participating in Colorado Health Neighborhoods agree to report meaningful use clinical quality measures such as hypertension, tobacco use and BMI screening in order to help ensure better outcomes. As the Colorado Health Neighborhoods program grows, quality metrics will be expanded to include diabetes hemoglobin A1C, diabetes blood pressure management, breast cancer screening, cervical cancer screening, and colorectal screening.

QUOTE:

· “The health care industry is in the midst of a transformation unlike anything we have seen before,” said Gary Campbell, president and CEO, Centura Health. “While we believe the enactment of the Patient Protection and Affordable Care Act (PPACA) in 2010 helped hasten this evolution, Centura Health also recognized early on that it was inevitable and for the greater good. In fact, we committed to the fundamental transformation in 2009 when we rolled out our strategic plan for the future, Centura Health 2020, nearly one year prior to the enactment of PPACA. But of course, a plan is only that if it is not acted upon, and today’s announcement that we have begun the roll-out of Colorado Health Neighborhoods to our associate population is demonstrable and tangible action against our plan. Colorado Health Neighborhoods is our commitment to achieving optimal health care value for all Coloradans based on outcome effectiveness, service, convenience, and cost. We recognize that the only viable pathway to optimal health care value is for providers to work in partnership toward this common goal, creating integration among a broad spectrum of health care providers dedicated to working together as a team, with the patient at the center.”

About Centura Health

Centura Health, Colorado’s health care leader, is focused on connecting Coloradans to affordable, world-class care in every corner of the state. Centura Health’s integrated statewide network includes 13 hospitals, seven senior living communities, medical clinics, affiliated partner hospitals, Flight For Life® Colorado, and home care and hospice services. Approximately 15,100 of the best hearts and minds in medicine, along with 6,000 physician partners, have access to the most technologically advanced tools available. For Coloradans, this means the top expertise and technology is right where you need it – close to where you are. We reach beyond hospital walls to connect with people at every stage of life to bring them life-enriching compassion and life-affirming hope. Connections that only Centura Health can make. For information on Centura Health or any of the facilities in our network, please visit www.centura.org.