guide to healthy living
in Grand County
page 2 • 2010 Grand County Health & Fitness
Couples, Family and
Individual Counseling
Substance Abuse • Depression • Anxiety
Parenting • ADHD • Self-Esteem
Life Transitions
atekansi k@gmai l . com
Amy Tekansik, MA, LPC, NCC
Licensed Professional Counselor
What would you attempt
to do if you knew you
could not fail?
HOME PRACTICE: Wheatridge & Frisco (21 years)
Sinuses | Larynx | Oral Cavity
Upper Pharynx and Structures of the Neck and
Face, including Plastic Surgery
Call the Specialty Clinic at
Kremmling Memorial Hospital
Dr. Michael A. Tralla, M.D. F.A.C.S.
Ear, Nose and Throat Specialist
424 E. Agage Ave. ■ P.O. Box 409
Granby, CO 80446 ■ p: 970.887.3334
Publisher ■ Kim Burner
Editor ■ Drew Munro
Advertising Representative ■
Laurie Findley,
Page Design ■ Reid Armstrong
Printing ■ Colorado Mountain News
Media, Gypsum Colorado
By Gretchen Bergen
Grand County
A lot happens in the small office behind
the Hot Sulphur Springs Library on
Moffat Avenue. Parents bring babies for
immunizations, adults arrive for flu shots,
and new mothers sign up for federal WIC
(Women, Infants and Children) assistance.
Grand County Public Health promotes
the health and well-being of Grand
County in many ways. The department
helps prevent communicable diseases like
pertussis (whooping cough), and prepares
for emergencies like pandemic flu out-
breaks and wildfires. It’s also ground zero
for Grand County’s H1N1 flu vaccine.
Public Health has three registered nurs-
es (RNs), a WIC coordinator, two admin-
istrative assistants, and an interpreter/com-
munity education person for the Spanish-
speaking population. Last year, Grand
County Nursing Services became Home
Health (medical) and Home Care (non-
medical). Public Health Director Brene
Belew-LaDue, RN, also oversees Home
Health and Home Care, plus Senior
Nutrition Services.
H1N1 and Immunizations
Since October, Public Health nurses
have given 3,700 H1N1 and seasonal flu
vaccinations. Last year, Jan Carrasco, RN,
established a county-wide immunization
coalition with local doctors and healthcare
providers, which paved the way for a
smooth rollout of H1N1 vaccine. Public
Health’s Carrasco also immunizes adults
for tetanus, pertussis and hepatitis B;
organizes the annual flu shot program; and
follows up on individuals with communi-
cable diseases to prevent outbreaks.
Helping the Uninsured
During economic hard times, the
demand on public health grows. And
Grand County is no exception. The coun-
ty has a high rate of uninsured — 25 per-
cent compared to the state’s average of 17
“When people lose jobs, they often lose
their health insurance,” explains Belew.
“The most recent Grand County Health
Assessment showed that the No. 1 issue
that the public is concerned about is access
to care.”
Like many rural areas, Grand County
has no community clinic for the uninsured.
To fill the gap, Grand County’s Rural
Health Network created the award-win-
ning ACHES & PAINS programs, which
Public Health helps administer. ACHES
(Advocacy for Children’s Health &
Education Services) and PAINS (Partners
for Adults In Need of Services) provide
medical vouchers to uninsured children
and adults with financial need. The pro-
grams are funded by county agencies, pri-
vate donations and state grants. All partic-
ipating healthcare providers donate their
time, or write off a portion of the bill.
Since beginning in 2005, ACHES has
issued 289 vouchers to children, with
demand for the program increasing 30 per-
cent from 2008 to 2009. Mobile medical
and dental vans served 165 children in
2009; 163 children in 2008; and 279 chil-
dren in 2007. In 2009, the PAINS program
served 79 adults, increasing almost 40 per-
cent from 2008.
WIC, Prenatal Services and
Children’s Health Outreach
Currently, Public Health handles a case-
load of 140 children and mothers with a
Tuesday WIC clinic administered by Ellen
Tinkum, plus once-a-month clinics in
Fraser and Kremmling. When children
and parents apply for WIC, the RNs check
their immunization records and assist with
housing and nutritional problems. Karen
HadleyDike, RN, handles prenatal care for
pregnant women, and helps mothers get
the care they need through Medicaid.
Heading up Children’s Outreach, Gail
VanBockern, RN, visits daycare centers
around the county, educating directors and
staff about health issues like nutrition,
immunizations and CPR.
Home Health
Home Health provides care for adults
and children requiring home medical care
ranging from physical therapy to post-
operative rehabilitation. In 2008, the State
of Colorado passed a law requiring all
home health agencies to be licensed. Today
Grand County Home Health and Grand
County Home Care are the only two
licensed home agencies in Grand County,
according to Tina Strang, Home Health
Administrator. Home Health’s new clinical
coordinator and clinical staff help patients
and families make a smooth transition
from hospital to home. A physical thera-
pist assists with both pediatric and geri-
atric patients. “Previously, our concentra-
tion was on Medicare patients, but we have
expanded our focus to try to serve a larger
community,” says Strang.
Home Care
Home Care provides non-medical assis-
tance with personal care and homemaking
services to help keep people out of long-
term care facilities. Home Care is available
to those on Medicaid and private-pay.
These services are for a wide range of cases
from elderly homebound patients to indi-
viduals who need a little help with chores.
Bathing, dressing, light housekeeping,
changing bed linens and vacuuming are
just some of the services Home Care pro-
Senior Nutrition Services
Senior Nutrition Services provides
healthy, affordable meals to anyone over
age 60 three days a week in Granby and
Kremmling. The program is funded partly
by the Older Americans Act and State
Funds for Senior Services. “Seniors do not
have to qualify financially,” Strang empha-
sizes. “The meals are fantastic with fresh
homemade bread, and this is a great way to
build a sense of community.” Home deliv-
ered meals are also available to homebound
For more information, call 970-725-3288,
or see
Getting to Know GC Public Health & Nursing Services
2010 Grand County Health & Fitness • page 3
The Surgical Team at Kremmling Memorial Hospital pictured left to right:
David Solawetz, Ken Callihan, Deb Menhennett, Robin Renfroe,
Debbi Pope & Irm Mannix (not pictured).
Call the Kremmling Memorial Hospital Specialty
Clinic at 724-3115 for more information.
Visiting Specialty Physicians
Frequent Grand County for You!
Dr. Baker
-treadmill Stress Testing Referrals,
Cardiac Rehabilitation Referrals, Echo
Dr. McCaulley
-Colonoscopy & EGD
Dr. Sulentich
-Medical & Cosmetic plastics
-Botox - Skin Lesions
(Ear, Nose & Throat)
Dr. Tralla
-Sinus Surgery, Nose & Throat Surgery,
Tonsilectomy, Ear Tube placement
Dr. Medina
-Hernia Repair, Gall Bladder removal,
Biopsy, Vasectomy
Dr. Lindquist
-Breathing issues
Dr. VanOveren
Dr. Childs
-Prostate issues, Cystoscopy,
Bladder issues, Male Infertility
& Sexual Dysfunction
Dr. Bomberg
-Shoulders, Knees, Hands
and Feet
Also available in Granby at
Timberline Family Practice
Dr. Shaw
(970) 724-9002
Most all procedures performed in the
Department of Surgery at Kremmling Memorial Hospital.
Physical, Occupational, Cardio & Pulmonary
Rehabilitation also available.
By Reid Armstrong
Sky-Hi Daily News
ith all the talk these days of get-
ting kids up off the couch, away
from the TV and video games, one Grand
County group is doing something to
introduce children to a way of enjoying
the outdoors in winter.
Grand Nordic Ski Club offers free les-
sons to the public and, particularly, to
young children at the area’s three largest
Nordic centers. The lessons promote
Nordic skiing as an family-oriented activ-
ity that children can enjoy for the rest of
their lives.
“If you can walk, you can cross-country
ski,” Diana Lynn Rau, president of Grand
Nordic skiing burns calories and works
off energy and anxiety. It’s easy on the
joints. It develops and tones muscles and
provides a cardiovascular activity at any
level, whether walking or sprinting.
“It gets the kids off their duffs,” Rau
said “It gets them outside, learning how to
deal with cold and teaching them how to
feel comfortable in the out-of-doors.”
The program is offered to children ages
1-15, but the majority of students are
between the ages of 3 and 10. Grand
Nordic provides the children with trail
passes, equipment and instruction as part
of the deal.
“Our programs teach children how to
control their environment, how to dress
properly and how to deal with cold,” Rau
It must be working. So popular has
Nordic skiing become among Grand
County’s youth that nearly one-third of
East Grand Middle School — nearly 70
students — signed up for the Nordic
team this year.
The Fraser Valley Metropolitan
Recreation District also runs an educa-
tional Nordic ski program through Fraser
elementary school. The program outfits
kids in grades K-5 and shuttles them to
Morning Star Ranch for lessons twice a
week. It’s one of the rec district’s most
popular programs, said parks and recre-
ation director Scott Ledin.
Once the kids have a solid foundation
in Nordic skiing, there is a world to
explore out their back door. Grand
County has some of the best cross-coun-
try skiing in the nation, even in a dry year.
With two competition-level Nordic cen-
ters and some 70 percent public lands,
there more than 300 kilometers of
groomed trails between the county’s five
major Nordic ski areas: Devils Thumb
Ranch, Snow Mountain Ranch, Grand
Lake Nordic Center, SolVista and Latigo
Volunteers also groomtrack along the
Granby to Fraser Trail and Grand Park
maintains trails for public use in Fraser.
Plus, there are countless trails and
unmaintained roads, offering hundreds of
miles of wilderness to explore in Rocky
Mountain National Park and the Arapaho
National Forest.
Nordic skiing provides some of the best,
low-impact exercise available. It is family-
friendly — even the dog can participate
— and relatively inexpensive compared to
downhill skiing.
“It encourages families to be outside
and to be active, together.” Raus added.
“And, it builds pride and enjoyment of
what we have here in the county.”
— Reid Armstrong can be reached at 970-
887-3334 ext. 19610 or rarmstrong@sky-
Nordic skiing gets kids outside, into a healthy habit
Friday ski school at Devil’s Thumb. For more information go to
145 Parsenn Rd., Winter Park
Family Practice
Emergency Services
Level V Trauma Center
Ski-related injuries
Open year-round
Hours may vary
Walk-ins Welcome
480 E. Agate Avenue, Granby
Emergency Services
Level IV Trauma Center
Open 24hr/day, 7 days a week
Family Practice
Open Mon, Wed, Fri 8am-5pm
Tues, Thurs 7am-5pm
Sat 8am-12pm
You can depend on us for
all your health and wellness needs.
strength compassion hope innovation expertise
Chronic Pain Management
CT Scanning Services
Internal Medicine
Laboratory and X-Ray Services
Prenatal/Postpartum Care
Physical Therapy
Located at the
base of Winter
Park Ski Resort
Back Row (L. to R.): Marylou Humble, David Lurye, Alice Myerly, Mary Saines, Katerina Tybus, Lucinda Barry,
Liliya Taktamysheva, and Motor Coulson. Front Row (L. to R.): Mark Chua, Rasa Jucdagalviene, Keva Lee,
and Kathy Jamison. Not Pictured: Glenda Spooner.
February 23, 2010 - 4:30pm to 6:00pm
Come meet our staff, enjoy some wine and cheese, and possibly win a prize!
21 King’s Crossing, Suite 107
PO Box 1266
Winter Park, CO
Street Level, Pine Tree Plaza
From a patient centered approach, our goal is to provide high quality, gentle dental
care and to improve oral health through prevention, restoration, and education.
page 4 • 2010 Grand County Health & Fitness
By Tonya Bina
Sky-Hi Daily News
hen people think of exercise and staying healthy, they mostly
think of the body from the neck down.
But what about the condition of your brain?
Top experts in the realm of brain health say keeping your brain
healthy can lead to defenses against neurological illnesses, such as
Every 70 seconds, someone is diagnosed with Alzheimer’s disease, the
most prevalent form of dementia that targets one out of eight people
older than age 65 and half of the population older than age 85.
In fact, with Alzheimer’s the sixth leading cause of death in the United
States, there are more people diagnosed with that disease than prostate
and breast cancer combined, according to the national Alzheimer’s
There are currently about 72,000 people in Colorado living with the
disease, and with a rising baby boomer population becoming elderly, the
state is bracing for the second highest percentage increase of Alzheimer’s
diagnosis in the U.S.: To 140,000 people in the next 20 years.
With currently 5.3 million people in the U.S. with Alzheimer’s, it’s
projected 10 million baby boomers will have Alzheimer’s in their life-
“Research is ongoing, but at this point, there isn’t anything that looks
like a cure,” said Emmalie Conner, the Northern Colorado Regional
Director of the Colorado Alzheimer’s Association.
But ongoing research is bringing about a better understanding of the
disease, she said, and there are new drugs coming about that address
symptoms of the disease and may even slow its progression.
continued on page 5
Byron Hetzler/Sky-Hi Daily News File Photo
With all its steps —do-si-dos, promenades, chasses and cast offs — the social, mental and physical act of
square dancing is one good example of an activity that is healthy for the brain as well as the heart.
Dive head-first into brain health
2010 Grand County Health & Fitness • page 5
Northwest Colorado has the highest incidence of Melanoma?
The Dermatology Center of Steamboat Springs
Dr. Sandi Eivins, M.D.
is here to help you with your skin care needs.
Serving the community for 10 years.
940 Central Park Drive, Suite 210
Steamboat Springs
Specializing In:
• Mohs Micrographic Surgery for Skin Cancer • Disease of Skin, Hair and Nails • Photodynamic Therapy for
Acne, Pre-cancer and Photoaging • Phototherapy for Psoriasis & Other Skin Conditions • Vascular Laser for
Rosacea, Warts, Hemangiomas • Extensive Therapies for Photo-rejuvenation • Botox, IPL, Dermal Fillers,
Thermage, Fractional Resurfacing, Microdermabrasion
continued from page 4
Maintaining Your Brain
“It can be an exciting thing, starting the New Year being
proactive about your health,” Conner said. “Not just your
physical health, but your brain health too. It’s a great time to
look at things you can do to lower your risk.”
As part of her job, Conner travels around the state pro-
moting brain health through the Association’s program
“Maintain Your Brain.”
There are two factors people cannot change about them-
selves to reduce risk, she said, and those are age and genetic
But compelling research is pointing to a link between
brain health and heart health — and those are factors one
can influence.
Scientists believe there may be a link between type 2 dia-
betes and Alzheimer’s, going so far as to contemplate calling
Alzheimer’s “type 3 diabetes,” Conner said.
“Individual’s with type 2 diabetes have an increased risk of
later developing dementia,” reads a 2006 Alzheimer’s
Association report on the subject.
Scientists have found evidence that links insulin resistance
and high blood sugar to an increased risk of dementia. But it
is not yet proven as to whether treating insulin resistance
can prevent or slow Alzheimer’s or other dementias.
Yet the research does point to the probability that lifestyle
changes can help reduce risk.
“A healthy brain diet is a healthy heart diet,” Conner said.
A 2009 report published by the American Medical
Association states “mid-life obesity, diabetes and hyperten-
sion are all vascular risk factors for late-life dementia and are
strongly influenced by diet.”
To help stave off cognitive impairment, experts recom-
mend foods based on a Mediterranean-type diet that is low
in sugar and fat and high in fruits, nuts, legumes and cereals,
fish, low to moderate intake of wine, and low intake of red
meat and poultry.
And just as physical exercise is good for the heart, it also is
for the brain.
Any exercise is positive, but exercises that are both physi-
cally beneficial and mentally challenging are even better.
Conner recommends activities such as dancing lessons,
which can provoke thought as well as an increased heart
“We know it’s important to challenge one’s self cognitive-
ly,” she said.
Years ago, the belief was that individuals are born with all
the brain cells they can get.
“But now we know that when we learn, we create new
pathways and connections,” — no matter one’s age —
Conner said.
Take a walk while memorizing a poem, go square-danc-
ing, learn to Tango, learn t’ai chi or yoga.
The key is to stay active — both mentally and physically.
Studies are also showing that one’s lack of social connec-
tions may be a variable that leads to developing Alzheimer’s
or related dementia, Conner said.
The Alzheimer’s Association endorses activities that can
combine physical, mental and social elements.
Be a volunteer, take a class — interact and stay connected.
“When we retire, we don’t want to just sit in front of the
television, we want to engage in other people,” Conner said.
And she practices what she preaches.
Even though she travels around the region delivering tips
on brain health, Conner still finds time to take Spanish les-
sons and is learning how to tap dance.
10 ways to Maintain Your Brain
• Head first — Good health starts with your brain. It needs care and
•Take brain health to heart — What’s good for the heart is good for the
brain. Do something every day to prevent heart disease, high blood pres-
sure, diabetes and stroke, all of which can increase your risk for
• Your numbers count — Keep your body weight, blood pressure, choles-
terol and blood sugar levels within recommended ranges.
• Feed your brain — Eat less fat and more antioxidant-rich foods
• Work your body — Physical exercise keeps the blood flowing and may
encourage new brain cells. Do what you can, like walking 30 minutes a
day, to keep both body and mind active.
• Jog your mind — Keeping your brain active and engaged increases its
vitality and builds reserves of brain cells and connections. Read, write, play
games, learn new things, do crossword puzzles.
• Connect with others — Leisure activities that combine physical, mental
and social elements may be most likely to prevent dementia.
• Heads Up! Protect your brain — Take precautions against head injuries.
Use your care seatbelts, unclutter your house to avoid falls and wear a hel-
met when cycling and skiing.
• Use your head — Avoid unhealthy habits. Don’t smoke, drink excessive
alcohol or use street drugs.
• Think ahead: Start today! — You can do something today to protect
your tomorrow.
Source: Maintain Your Brain program, the Colorado chapter of the
Alzheimer’s Association
2010 brain health seminars in Grand County
• “Maintain Your Brain,” 6 to 7:30 p.m., Tuesday, May 18, at the
Kremmling Public Library.
• “Caregiving tips: Activities for people with memory loss” — 2-
3:30 p.m., Tuesday, May 18, at Kremmling Memorial Hospital.
• “Memory Loss and Diabetes: Is there a link?” — 6:30 to 8 p.m.,
Wednesday, May 19, at the Juniper Library, Grand Lake.
page 6 • 2010 Grand County Health & Fitness
Public Health
• Medicaid/CHP+ for low income pregnant women
• Referrals to affordable health care
• Pregnancy tests/Prenatal education
• Health promotion material
• Immunization
• Referrals to affordable health care
• A.C.H.E.S. vouchers program
(medical, dental & mental health)
• Childcare Center RN consultation
• Health Care Program for Children with Special Needs
• Cavity Free at Three
• Reach Out and Read
• FREE newborn home visits/breastfeeding support
by a Grand County Public Health Nurse
• Medicaid/CHP+ for low income children
• Parenting Resources & Referrals
• Mobile Health and Dental Vans
• Health promotion material
• FREE blood pressure checks
• P.A.I.N.S. voucher program (acute medical health)
• Immunizations
• Health promotion material
150 Moffat Avenue - P.O.Box 264
Hot Sulphur Springs, CO - Mon-Fri 8:30 a.m. to 5 p.m.
Public Health Emergency
Preparedness &
Pandemic Influenza
Communicable Disease
Community Outreach
and Education
NACO Prescription
Discount Card
f you are seeking a better quality of
life in 2010 and beyond, you need to
look no further than integrating a con-
sistent exercise program into your daily
life. The concept of “forever fitness”
means that you make yourself a priority
in your life.
We all have demands placed on us
throughout our lives and fitness is one
of the coping mecha-
nisms that we have
right at our finger-
tips. No matter
where you are on
your life's journey, if
you have not inte-
grated physical fitness
into your life, or have
been on a hiatus, now
is the time. Follow the steps described
below and experience the most impor-
tant benefit that “forever fitness” has to
offer-a better quality of life for a life-
time. As always, prior to beginning any
exercise program, please consult your
Step 1 - Set written, specific, measur-
able, attainable, realistic and timely fit-
ness goals (S.M.A.R.T.).
An example is as follows: My long
term goal is to lose 20 pounds within
the next six months, and keep it off,
which is approximately three-four
pounds per month. I will begin this
process with the following weekly for
the next eight weeks:
• I will attend two boot camp/cycling
classes per week at the fitness studio on
Mondays and Wednesdays from 8-9:15
• I will walk/run for
45 minutes on
Tuesdays at 6:30 a.m.
at an RPE of 4-6 fol-
lowed by a 30-minute
weight training pro-
gram provided to me
by my certified trainer
which includes
abdominal/core conditioning and flexi-
• On Fridays, I will work with my cer-
tified trainer for a one-hour in-studio
training session.
• Saturday or Sunday, depending on
the week, I commit to either playing
tennis or sailing during the warm
weather months or snowshoeing or
snowmobiling for a minimum of one-
two hours followed by the stretching
continued on page 7
Jackie Wright: Ten Steps to Forever Fitness
‘Step 2 maintain a daily
exercise journal.’
Jackie Wright
Owner, Never Summer Fitness
2010 Grand County Health & Fitness • page 7
Lunch served to Seniors over
60 years old
12:00 Noon
Monday, Tuesday, & Tursday
$3.00 Suggested Donation
Please Call for a Reservation
Grand County
Senior Nutrition Program
(970) 887-9903
Community Center
and Jasper
(970) 724-9730
Silver Spruce
Hwy 40 & Hwy 9
Te nutrition program
is funded in part through
the Older Americans Act
and State Funds
for Senior Services.
Continued from page 6
program that my certified trainer
has provided to me.
• I will expend a minimum of
400-500 kcal per workout.
Step 2 - Maintain a daily exer-
cise log.
Step 3 - Maintain a daily food
journal. Most of my new personal train-
ing clients are unaware of how many calo-
ries they are inputting daily. One of the
first conditions of their training program
is to begin a daily food journal so that we
can calculate their caloric input. It is usu-
ally a real eye opener and helps the client
to be more aware of portion sizes, caloric
values of food and what it takes to “burn”
off those inputted calories.
Step 4 - Purchase a good quality heart
rate monitor. Make certain to purchase a
model which will display your calories as
well as your heart rate.
Step 5 - Periodically, modify your exer-
cise program. Change is important to
ensure progress and results. The body
adapts fairly quickly to exercise. Once it
adapts, plateaus may occur which can sab-
otage your fitness level and long term
progress. Consequently, every few weeks,
modify the frequency, intensity, time or
type of exercise you are performing.
Step 6 - Hire a qualified, certified, and
experienced instructor/trainer to
design an individual exercise pro-
gram for you. If money is a little
tight, ask a friend or co-worker
to go in with you.
Step 7 - Location, location,
location. Be honest with yourself
and choose a workout location
that you know will work for you.
Step 8 - Have a plan B, a plan C and a
plan D because life will happen and you
may have to miss a workout session. This
should include an in-home supplemental
workout plan.
Step 9 - Create a support/accountability
system. Whether this means finding a
workout buddy or just asking your family
and friends to encourage you to stay com-
mitted to your exercise program for life,
just find that support.
Step 10 - Be active daily. Active does
not mean “busy,” it means actually moving
your body through space and time by tak-
ing a brisk walk, taking the stairs rather
than the elevator, carrying your groceries,
walking around the office while you are
talking on the phone and sitting as rarely
as possible.
— Jackie Wright is the owner/manager of
Never Summer Fitness, LLC located in
Grand Lake, Colorado. She can be reached at
her website at www.neversummer
f or her email at NSFGL@com-
10 steps to lifelong fitness
All three 9HealthFairs in Grand County will
run between the hours of 7:30 a.m. to 11:30
a.m. this year. Coordinating the times was an
effort to, “eliminate confusion”, says John
Erwin, Fraser 9HealthFair organizer
Free and low-cost screenings will continue to
be offered. No-cost screenings include vision,
blood pressure, oral cancer, foot health, hearing
and breast, as well as height/weight/body mass
measurements, talk with a professional, “ask-a-
pharmacist” site, body in balance tests, and a
heart health corner. Please note that not all
screening are offered at each site.
In addition to free screenings, low-cost
screenings are also available:
• Blood Chemistry Analysis - $30
• Blood Count Tests - $15
• Prostate Specific Antigen Screening - $25
• Colon Cancer Screening - $20
Health Fair participants can use the internet to pre-register online and pre-
pay the cost of the low-cost screenings using a Visa or MasterCard. To pre-
register on-line, visit The Kremmling site also offers on-
site registration from 7 a.m.-5 p.m. Wednesday, April 7, at the Kremmling
Memorial Hospital conference room.
Volunteers are always appreciated at all sites. Contact Sherri Solawetz at
(970) 724-3442 if you would like to volunteer as either a medical professional
or as a non-medical volunteer.
Perhaps the most common question is whether to fast. According to the
9HealthFair website, participants who opt for the low-cost blood chemistry
screening should fast for 12 hours in advance. Diabetics should never fast
because their blood sugar level may get dangerously low. It is important to
continue to drink water while fasting. Lastly, they recommend that those on
prescription medications continue to take as advised by their doctor.
“It is hoped that people will take these results to their doctors and follow
up with a healthy life style plan,” says Kremmling site coordinator, Sherri
Solawetz. She said that health fairs are not meant to replace a person's regu-
lar check-ups, just enhance it, possibly discover something early and keep
people on track for healthy habits.
9HealthFairs: A Healthy Tradition
Dates and
(all times are 7:30–11:30
Saturday, April 10th
West Grand High School
208 12th Street
Saturday, April 17th
Granby Elementary
202 East Topaz
Saturday, April 24th
Fraser Elementary School
125 Eastom Ave.
page 8 • 2010 Grand County Health & Fitness
“Providing quality one-on-one physical therapy
care for residents of Grand County.”
We offer same day appointments, flexible hours,
8 a.m. to 7 p.m. 5 days a week and weekends by appointment.
Our clinic is centrally located. It is the only fully-equipped physical
therapy clinic in the county with a full line of equipment.
Providers for most major insurance plans including Medicare, BCBS, RMHCP, UHC
and Pinnacol. Arrangements available for uninsured and self pay.
• Workers’ Comp
• Orthopedic &
Sports Rehab
• Back & Neck
• Massage Therapy
• Auto Accidents
• Balance
• Strength
• Headaches &
Sinus Pain
• Post Surgery
62801 U. S. Hwy 40
(located in Grand Elk building, lower level parking lot, north side of building)
Granby, CO 80446
(970) 887-2733 • FAX: (970) 887-0133
Dave Siegfried, P.T.
By Reid Armstrong
Sky-Hi Daily News
f you’ve never heard of a pump track,
you might be surprised to learn that
there are at least seven of them on public
lands, parks and open spaces in Grand
A pump track is small, looping bike
trail system involving a series of dirt
rollers and berms — nothing over a cou-
ple of feet in height — that are spaced to
keep momentum going so that riders can
move around the track continuously with-
out pedaling.
Riders maintain speed along the track
by pulling up and pushing down with
their legs and arms, creating a ‘pumping’
motion. Proficient riders can hit speeds of
more than 20 mph without using a single
pedal stroke.
Developed to help mountain bikers
learn to generate speed, carry speed
through corners, and improve handling,
pump tracks have gained popularity
among the general public as great form of
“It’s a full body workout,” said Wade
Wilderman, a local bike shop owner and
former pro who has been helping to
develop pump tracks around the county in
recent years. “It helps strengthen the legs,
shoulders and upper body.”
It’s the ideal 20-minute workout. “After
only three laps on a pump track, a rider is
anaerobic,” Wilderman said.
Relatively safe, and easy enough for a 3-
year-old or a 63-year-old, “A pump track
is something that anybody that rides bikes
can use to better their skills,” Wilderman
said. “It teaches you to accelerate for free
and get more speed out of the trail in
Any type of bike with dirt tires can be
used on a pump track, including BMX
bikes, dirt jumpers and mountain bikes,
Wilderman said.
Safer than skate parks, pump tracks are
a particularly good way to get kids out-
side, exercising, especially those who pre-
fer a little thrill in their activities.
“I’ve seen tiny kids out there, just 3 or 4
years old with 12 inch tires, and they love
it,” he said. “I’ve seen 8-year-olds who just
blow me away. There are also a lot of peo-
ple out there riding pump tracks that I’d
never think would dig it.”
Inexpensive and easy to build and main-
tain, pump tracks can fit into the smallest
backyards or corner of a public park. A
loop or figure-8 track can be built on a
continued on page 10
Get pumped
2010 Grand County Health & Fitness • page 9
• Youth & Adult Sports Leagues
• Adult Fitness Classes
• Parks & Playgrounds
• Special Events
• Youth Sports Camps
• Indoor Soccer Dome
• Adult Enrichment Classes
• Day Camp & After School Programs
• Skateboard Park
• Teen Activities
• Tennis Courts
• Youth Enrichment Classes
• Preschool Programs
• Softball & Baseball Fields
• Room Rentals
CALL US AT 887-3961
You have
Free Pregnancy Test
Caring. Confidential.
Confidential, non-
judgmental atmosphere
Maternity & baby clothing
Literature & educational
materials to help in making
an informed decision
Support for the post-
abortive man or woman
Free pregnancy testing &
option advising
Ultrasounds available
244 East Agate Ave. Suite B - PO Box 187 - Granby, CO
80446-0187 (970) 887-3617
Pregnancy Resource Connection, Inc.
Serving the Men and Women of
Grand County for 25 Years
continued from page 8
10-by-30-foot, level plot of
land, using nothing more
than shovels, Wilderman said.
Once built, pump tracks
require very little mainte-
nance and, unlike a grassy
lawn, need virtually no water-
ing or fertilizing.
“It’s xeriscape with a pur-
pose,” writes Lee
McCormick, author of
Welcome to Pump Track
Nation, a guide to building
pump tracks.
In Grand County, there are
summer pump tracks at
Winter Park Resort,
Hideaway Park, Fraser Valley
Sports Complex, SolVista,
Snow Mountain Ranch, on
public land along CR 8 and
in several neighborhoods.
— Reid Armstrong can be reached
at 970-887-3334 ext. 19610 or
Fun Fact
The first pump track on
American soil was built in 2004
at The Fix Bike Shop in Boulder
by Steve Wentz.
Bonfils Blood Center offers many opportu-
nities to donate blood in Grand County this
year. Lori Freerksen, community donor rep-
resentative says that they are “impressed with
Grand County
donors but due to
budget restraints,
fewer blood drives
will be offered in
According to
Freerksen, 60 per-
cent of the popula-
tion of Colorado is
eligible to donate
while only 4 per-
cent actually do.
With a weekly
demand of 4,000
donations per week,
supply is a chal-
lenge to meet and every pint is appreciated.
Bonfils reminds potential donors of how
easy it is to participate and that it is particu-
larly important to give this year as there are
fewer local drives than last year. With two
blood drive locations in Granby and
Kremmling, both with several dates, partici-
pants can donate on a regular basis. Every
56 days is the rule.
Bonfils encourages donating blood by stat-
ing that it takes less than one hour and that
it can save up to
three lives.
The biggest users
of the donated
blood are cancer
patients followed by
accident and sur-
gery patients.
Blood must also be
stored in case of
larger scale emer-
gencies. Nearly 200
Colorado hospitals
and other health
care facilities benefit
from the efforts of
Bonfils and from
the kindness of participants.
Registration is simple and can be done by
phone or the web. For those who have
donated in the past, Bonfils will call two
weeks in advance to make the appointment.
All registered donors are given a courtesy
reminder call one week in advance.
2010 Blood Drives
Kremmling Memorial Hospital Conference
214 S. 4th Street
1:30 p.m. - 5:30 p.m.
Thursday, March 25
Tuesday, June 1
Thursday, July 29
Wednesday, Nov. 3
Granby Community Center
3rd & Jasper
10:00 a.m. - 2:30 p.m.
Monday, March 1
Monday, May 24
Monday, July 26
Monday, October (TBA)
Monday, Dec. 20
Middle Park High School
795 N. 2nd Street
11:30 a.m. - 3:30 p.m.
Thursday, May 6
Thursday, Dec. 9
Register for the Kremmling and Granby
blood drives in advance by calling the
Bonfils appointment center: 800-365-
0006 extension 2 or on line at
2010 Bonfils blood drives scheduled
Only 4 percent of Coloradans give blood
page 10 • 2010 Grand County Health & Fitness
Assisted Living Residence
A Great Place to Live in Grand County
For more information contact:
Jeff Pexton, Administrator
970-724-3530 PO Box 1119
710 Eagle Avenue, Kremmling, CO 80459
Medicaid accepted, short term stays welcome
By Tami Griffith, CFNP-BC
Granby Medical Center
very time you read a magazine or
watch TV, there is an add for a par-
ticular vitamin or mineral that is sup-
posed to cure all of your ailments.
How do you determine the truth?
Vitamins are compounds that are
needed for normal metabolism and for
the body to function properly.
Vitamin D can be received by exposure
to sunlight but the other vitamins need
to be received through our diet. Our diet
in the Western world today is sometimes
lacking in the essential vitamins and
minerals. During pregnancy, excess alco-
hol consumption, and stress, our bodies
need an increase in some of these ele-
Folic Acid, one of the B vitamins, can
be found in green leafy vegetables,
legumes, nuts, fruits such as lemons and
bananas, and grains.
Over the years, we have learned that a
deficiency in Folic acid can lead to ane-
mia, neural tube defects in neonates, car-
diovascular issues, dementia, and osteo-
Folic Acid is needed for cell division.
The neural tube is formed approximate-
ly 15-28 days after conception.
Therefore it is important that any female
considering conception receive an ade-
quate amount of folic acid before con-
ception occurs. One study showed that
females that took 400 mcg of folic acid
daily around the time of conception had
1:1000 chance of delivering an infant
with a neural tube defect. The women
who did not take any folic acid during
that time period had a 4.8:1000 chance
of delivering a newborn with a neural
tube defect. The current recommenda-
tions are 400 mcg/day for women of
childbearing years and 400-800 mcg/day
for women trying to conceive.
Other studies indicate that adequate
folic acid levels can prevent pre-eclamp-
sia in pregnant females as well.
Individuals diagnosed with cardiovas-
cular disease, dementia, and osteoporosis
show an increased level of homocysteine
in their system. Folic Acid along with
B6 and B 12 vitamins have been shown
to decrease those levels.
The current recommendations for
folic acid are 400 mcg/day for women of
childbearing years and 400-800 mcg/day
if trying to conceive.
Vitamin D is needed to help absorb
Calcium and make strong healthy bones.
This vitamin has shown to decrease the
incidence of falls in the elderly as well.
This may be due to an increase in muscle
strength from the vitamin as well.
Some studies have shown calcium to
be effective in decreasing breast, prostate,
and colon cancer, as well as depression,
heart disease, diabetes, and weight gain.
Vitamin D can be obtained through
exposure to sunlight however foods can
offer this vitamin as well. Salmon,
Mackerel, sardines, tuna, orange juice,
milk, and Vit. D fortified cereals all con-
tain good amounts of Vitamin D.
The current recommendation is
approximately 600 IU of Vitamin D
daily along with 1.2 g. of Calcium.
A blood test can be performed to test
your level of Vitamin D. If it is too low,
your provider may recommend a
Vitamin D and Calcium supplement.
Antioxidant vitamins include: A
(retinol and beta carotene),C, and E.
Some research shows that there are free
radicals in our body.. Free radicals are
unstable molecules that can break down
the cell structures in our body.
Antioxidants have been found to fight
these radicals by preventing them from
being effective in their destruction.
Vitamin A can be found in milk, liver,
egg yolks, and butter.
Beta-carotene converts to Vitamin A
in the body. Foods high in Beta-carotene
include: apricots, carrots, pumpkin, broc-
coli, and spinach.
Vitamin C helps with Red blood cell
formation, wound healing, and boosts
levels of noradrenaline. Noradrenaline
is a mood enhancer.
Foods high in Vitamin C include:
broccoli, tomatoes, orange juice, and
continued on page 11
Are supplements necessary?
2010 Grand County Health & Fitness • page 11
Grand Park Community Recreation Center
owned and operated by the Fraser Valley Recreation District
1 Main St. Fraser, CO 80442 (970)726-8968
• Natatorium with 20ft loop slide, spray & play feature,
lazy river, zero-depth entry pool & 25 yrd 4 lane lap pool
• Whirlpool, Sauna & Steam Room
• Locker rooms & family changing rooms
• Climbing wall • Multi-sport gymnasium
• Gymnastic studio including a foam & tramp pit
• Running / walking track
• Cardio, circuit training & free weights
• Fitness /dance studio room
• Drop-in childcare
• Pool party room • Multi-purpose classroom
• Beautiful lobby area with fireplace, TV and game tables
*some features are only available for scheduled programs
Facility Hours of Operation
Monday – Friday 6am – 9pm
Saturday 7:30am – 9pm I Sunday 10am – 6pm
*aquatics area closes thirty minutes before facility close*
Please bring your own towels and locks!
For programming information, please visit our
website download
our Activity Guide, and register online.
Dr. Andrew Burns
Dentistry with a
Gentle Touch
Office Hours by Appointment
290 East Agate Ave., Granby
Comprehensive Dentistry for the Entire Family
Nancy Short Is Back
at A La Mode Salon & Day Spa,
Downtown Granby
Specializing in Deep Tissue, Neuromuscular,
Sports and Corrective Massage.
11 Years Experience Addressing Chronic Pain including:
Sciatica, Rotor Cuff, Headaches, Neck and Shoulders, Numb
or Painful Hands and Arms, Hip Issues & Low Back Pain.
$65 per Hour
$90 for Hour & 1/2
Come in between in between NOW and
Feb 28th and recieve a 1/2 off coupon
for your 2nd visit!
Nancy’s cell: 970-531-2635
A La Mode Salon: 970-887-0174
Vitamin E slows the aging process
and helps with formation of Red
blood cells as well.
Vitamin E can be found in corn
oil, peanut butter, and hazelnuts.
Overall vitamin and mineral rec-
ommendations may need to be tai-
lored to each individual. A diet with
5-9 servings of colorful fruits and
vegetables everyday usually provide
enough nutrients for an individual so
that additional supplementation is
not needed. A healthy diet with a
variety of foods provide a good
source of vitamins and minerals as
well as fiber that is needed.
Some vitamins can be toxic if
taken in excess therefore you should
discuss vitamin supplements with
your provider.
Vitamins A and E taken in excess
have been shown in some studies to
be detrimental to a person's health.
Research has shown the possibility
of fracture increase in some people.
This appears to be true especially in
post-menopausal women with an
increased risk of osteopenia.
Individuals taking Coumadin should
avoid high doses of Vitamin E due to
the possibility of increased bleeding.
Pregnant females, individuals with
alcoholism, a history of gastric bypass
surgery, vegetarian diet, malabsorption
disease, and those on hemodialysis or
parental nutrition may need to receive
additional supplements.
Eat healthy, baked or grilled chicken,
fish, or turkey, eat several colored foods
daily in the vegetable and fruit group,
drink plenty of water, have a little expo-
sure to sunlight, and exercise. These are
the tools needed for a healthy life.
continued from Page 10
Supplements Help Achieve Overall Health
Omega-3 supplements help improve heart health.
page 12 • 2010 Grand County Health & Fitness
Serving the Grand County area and beyond!
Dr. Daniel S.Tenney (Palmer graduate)
• Neck & Back Pain
and Discomfort
• Headaches &
• Sports Injuries
• Numbness & Tingling
• Shoulder, Elbow &
Wrist Pain
• Hip, Knee & Ankle/
Foot Pain
• Indigestion
• Menstrual Difficulty
• Recurring Infections
• Fatigue
• Hypoglycemia
• Allergies & Asthma
• Carpal Tunnel
Overuse Syndrome
62801 US HWY 40, GRANBY
Located in the Grand Elk (former Timberline) building, lower level parking lot, north side of the building
• Applied Kinesiology
• Spinal Care
• Sports Injury
• Nutritional Counseling
• Cranial/Sacral Therapy
• Difficult/Chronic/
Painful Conditions
• Advanced Lab
Analysis Available
Call for an appointment
Relief for:
Dr. Patrick Barry MD • Dr. Astrid Lampey MD
Well Woman and Pre-Natal Care
Adult and Pediatric Medicine
Preventative Services
Acute Illnesses and Minor Emergencies
Same Day and Walk in Appointments Welcome
In the Fraser Market Place Building (Next to Safeway)
Monday-Friday 9am-5pm
By Beth Sands
Fraser Curves
n today’s uncertain economy, families
are looking to cut any expenses that
seem like a luxury or even the slight-
est bit frivolous. One of the items receiv-
ing scrutiny in many households is gym
memberships. Yet a growing body of evi-
dence suggests that cutting that gym
membership may be exactly the wrong
move for even the most cash-strapped
According to the Centers for Disease
Control and Prevention, inactive adults
have significantly higher direct medical
costs than active adults, and the costs
associated with physical inactivity
increase with age.
"To put it in perspective," said Beth
Sands, owner of the Curves women’s fit-
ness center in Fraser, "for every dollar you
spend on wellness, you save as much as
five dollars on illness."
Curves has partnered with major health
insurance and third party providers —
including Healthways SilverSneakers,
AARP, and Blue Cross Blue Shield —
who see financial benefits in wellness pro-
grams and offer reimbursements and
incentives on gym memberships to their
plan members.
For example, Blue Cross Blue Shield of
Minnesota recently completed a land-
mark study that found that people who
went to the gym at least eight times a
month had significantly lower healthcare
costs than those who did not. These fre-
quent gym attendees had:
• 39 percent fewer visits to the
Emergency Room
• 41 percent fewer hospital admissions
• 18 percent lower overall claims costs
In an era where many have no health
insurance at all and those who do have
higher copays, a gym membership may be
the most affordable way to keep health-
care dollars in consumers’ pockets.
Everyone knows the human body
thrives on regular exercise and that stay-
ing fit and maintaining a healthy weight
can contribute to significantly reduced
risks for various cancers (by as much as 60
percent!), diabetes, heart disease, hyper-
tension and many other debilitating con-
ditions. Here are some other great reasons
to head to the gym:
• Exercising with others can "greatly
improve your exercise adherence". It’s
much easier to stick to an exercise pro-
gram when you have accountability —
from trainers and coaches, friends, or
both. (University of Georgia Department
of Kinesiology and Health)
• Exercise is like Miracle-Gro for your
brain and can make you smarter by releas-
ing chemicals that cause neurons to
branch and connect in new ways. New
junctions between neurons are the basis of
learning. (Kristin R. Wehner Keffeler,
• Exercise may make you a better work-
er — by as much as 15 percent according
to a study presented to the American
College of Sports Medicine — and
enhances time-management skills, mental
performance, ability to meet deadlines,
mood, and interactions with co-workers.
• Exercise directly reduces stress by
decreasing the production of stress hor-
mones and increasing the production of
endorphins — your brain’s "feel good"
neurotransmitters. (
• Exercise pays you back double: Each
hour of exercise adds two to your life.
(Harvard Alumni Study)
"The research is clear: Exercising regu-
larly and maintaining a healthy weight
can save not only your life but your money
as well," said Sands. "Your health is your
most precious asset, and not taking care of
it is going to cost you more in the long
— For more information, contact Beth at
970-726-8155 or
Research shows exercise saves money
‘The research is clear. Exercising regularly and main-
taining a healthy weight can save not only your life but
your money as well.’
Beth Sands
Fraser Curves
2010 Grand County Health & Fitness • page 13
Grand County Home Care
A Certified and Licensed Non-
Medical Home Care Agency!
Serving all of
Grand County
Let us help you remain in your home
Grand County Home Care
Provides non-medical services
Bathing ∙ Dressing/grooming
Mopping ∙ Vacuuming/dusting
Changing of bed linens
Cleaning of rooms and kitchen
“An incredible hospital.
Wonderful people.
Very competent people.
Beautiful location.
They took incredible
care of mother.”
~Jim Cartwright, son of Jean Cartwright ~
Jean Fontius Cartwright
October 24, 1915 - September 27, 2009
Extended Care
at Kremmling
Memorial Hospital
Ask to speak with
Dawn Mathews, Case Manager
Bryan Bomberg, MD
• Board Certified Orthopaedic Surgeon
• Sub Specialty Training In Sports
• Former Assistant Team Physician for
the Boston Bruins and New England
• Former Chief of Sports Medicine at
the Air Force Academy and Team
Physician for the Air Force Falcon
• Member Us Olympic Team Physicians
Services Ofered in Grand County
Joint Replacement Surgery, Foot and Ankle, Knee, Hip,
Elbow, Hand, Wrist and Shoulder Surgery.
Minimally Invasive Hip, Knee, Shoulder Replacement and
Partial Joint Replacement Surgery.
Clinics in Granby and Kremmling.
Surguries performed locally at Kremmling Memorial Hospital.
Rehabilitation services available at Timberline Family
Practice and Kremmling Memorial Hospital.
Call 877-404-4612 or
By Dr. Glancey & Dr. Kennedy
here have been multiple news stories lately regarding
changes in screening guidelines for women. Changes
have come in both breast cancer screening and cervical
cancer screening, some controversial and some not so con-
Most recently the United States Preventative Services
Task Force (USPSTF), an independent panel of doctors,
nurses and prevention experts, issued new guidelines for
breast cancer screening. These guidelines differ from
guidelines issued by the American Cancer Society as well
as the American College of Obstetrics and Gynecology
The new guidelines recommend mammograms for
women starting at age 50 and continuing every other year.
They recommend against routine screening for women
ages 40-49 and against breast self-exam for any age group.
While formulating these recommendations the USPSTF
does not consider cost or cost-effectiveness as part of their
guidelines — they specifically look at the benefits of the
screening versus the harms.
There are several important things to understand about
these recommendations. The first is that the guidelines
use the word “routine” for women age 40-49 and do go on
to say that women should discuss the risks versus the ben-
efits with their doctor individually. While there are equal
benefits to getting a mammogram for women in their 40s
and women in their 50s, women in their 40s experience
more harm secondary to screening. Increased screening
leads to more radiation exposure, false positive and false
negative testing and anxiety while waiting for results.
Given this information some women may choose to con-
tinue screening while other may choose not to.
While not as controversial and not as publicized there
have also been changes to cervical cancer screening guide-
lines issued by ACOG. These new recommendations
change the initiation of screening with a pap smear to the
age of 21 regardless of initiation of sexual activity or
whether women have had HPV vaccine. Women under
the age of 21 have a very low risk of developing cervical
cancer and harm done by overtreatment of abnormal pap
smears is highly likely.
Once cervical cancer screening has been initiated pap
smears should be done every two years for women age 21-
29 and every two to three years for women age 30-65.
Women over 30 may also opt for HPV testing along with
their pap smear. If they are HPV negative they do not
need to have pap smears more than every 3 years as HPV
is the main cause of cervical cancer. Women over the age
of 65 can stop cervical cancer screening all together.
Guidelines are always being revisited and revised to
meet the needs of the general population. It is important
to remember that you should always discuss what is best
for your specific situation with your family doctor.
Updates on screening for breast and cervical cancer
A nurse assists with a mammogram screening.
By Eric Murray
otal knee replacements are project-
ed to increase by 245,000 annual
procedures to 450,000 by 2030, accord-
ing to the American Academy of
Orthopaedic Surgeons. This
anticipated increase is reflective
of the aging population who
intend to remain active and
mobile. But some problems
in the knee are isolated to a
single part, so why
replace the entire
knee if only part of
it is damaged?
Bryan Bomberg, board certified
orthopaedic surgeon, says that one
of the more exciting areas of knee
procedures is partial replacement,
also known as unicompartmental
knee arthroplasty.
In a total knee replacement all car-
tilage is removed from the knee joint
and an implant is substituted. In a
partial knee replacement, only the most
damaged areas of cartilage is removed
and those surfaces are replaced. While
the total knee replacement requires an
incision about 8 inches over the front of
the knee, the incision is only 3 inches for
the partial knee replacement. Recovery time
is shorter in the partial knee replacement,
about one day as opposed to three or four.
Another benefit of partial replacement is that
it is more bone-preserving and it retains more
ligament structure.
Bomberg says partial knee replacement isn't
for everyone with knee pain. It is estimated that 10 per-
cent of those who have knee arthritis are candidates. It is
not appropriate if the arthritis is wide-spread throughout
the knee.
It is a possible option for many who are not benefiting
from conservative methods such as cortisone injections,
bracing, strengthening exercises, weight loss or medica-
tions such as Advil among others.
“If the pain is persistent and those methods aren't hav-
ing a positive effect, it's time to see what's going on.”
“It's great to see how many of my patients want to get
back to their active life style,” said Bomberg. “People live
here for a reason — to be active.” Partial knee replacement
might be the solution that gets some people back to doing
the activities they enjoy.
— Dr. Bomberg is board certif ied orthopaedic surgeon with
sub specialty training in sports medicine. He practices at
Steamboat Orthopaedic Associates and has maintained regular
clinics in Granby (Timberline Family Practice) & at
Kremmling Memorial Hospital for since 1996. He has 2-3
surgical days per month at Kremmling Memorial.
page 14 • 2010 Grand County Health & Fitness
Middle Park
Medical Foundation
Annual Dinner & Meeting
“Dedicated to the advancement of medical care,
healthcare education and relief of the poor in need of
medical care in Grand County ...”
You are invited to attend the 2010 Middle Park
Medical Foundation Annual Dinner & Meeting at The
Rocky Mountain Bar & Grill
(Kremmling) on Tuesday,
March 16th @ 6:00 p.m.
Dinner, Entertainment &
lively Auction provided.
“It’s a hoot!” Jan Gross
RSVP: Eric Murray,
Foundation Director
at (970) 409-9017 or
*Seeking musical, theatric or
comedic entertainment for the event.
To send tax-deductible donations or to donate
a ticket to someone:
PO Box 252 • Kremmling, CO 80459
A.C.H.E.S. Program
Advocacy for Children’s h
Health & Education EEd Services
Working in Partnership to
Improve and Direct the Future
of Grand County’s Healthcare
Provides medical, dental & mental
health vouchers for acute,
non-emergent healthcare needs
to uninsured children under the
age of 18 who qualify financially.
Vouchers accepted by
14 local providers!
For Eligibility, Please Contact:
Rural Health Network: 725.3477
EG School Nurse: 887.3312
WG School Nurse: 724.3656
Grand County Public Health: 725.3288
Peak Pediatrics: 726.1135
River View Counseling: 531.1996
The A.C.H.E.S. Program also
provides Mobile Medical & Dental
vans for Grand County’s uninsured
and under-insured children.
Mobile Dental & Medical Vans
Will Return in Spring 2009!
The Network & its partners
served 258 children in 2009!
And provided over $40,000
worth of services!
P.A.I.N.S. Program
Partners for Pa Adults In n
Need of e Services
Provides medical vouchers for acute,
non-emergent medical care to
uninsured adults who qualify
We served 93 adults in 2009!
For Eligibility, Please Contact:
Rural Health Network: 725.3477
GC Public Health: 725.3288
Byers Peak Family Medicine:
Grand County Rural Health Network . 416 Byers Ave . P.O. Box 95 . Hot Sulphur Springs, CO 80451 . (970) 725-3477 .
A.C.H.E.S. & P.A.I.N.S.
Most Innovative Project in 2008
by Public Health Nurse Assoc. of CO
Eric Murray Dr. Bryan Bomberg







Partial knee replacements are
the way to go for some patients
By Brandy Mitchell, RN, MN
ardasil was first licensed in 2006
by Merck and Co. for vaccination
of girls ages 9 to 26. Now that the Food
and Drug Administration (FDA) has
approved it's use in boys, parents have
even more questions about whether their
children should be vaccinated.
There are more than 40 types of
human papillomavirus (HPV) that can
infect the genital areas of males and
females, making it the most common
sexually transmitted infection. Gardasil
has been proven to be 100 percent effec-
tive against four types of genital HPV.
Two of these types are known to cause
over 70 percent of cervical cancers in
women. The other two are responsible
for over 90 percent of genital warts.
Vaccinating males decreases their risk
for genital warts and helps decrease
transmission of the cancer-related
strains to females.
It is not possible to be infected with
HPV by receiving the vaccine, which is
administered in a series of three injec-
tions. The first dose is given as early as
age 9. The second dose is given two
months after the first dose, and the third
dose four months later.
Parents typically have two main ques-
tions regarding this vaccine. They want
to know if it's safe, and whether or not
they should wait to vaccinate their child
when he or she is older.
The safety of the HPV vaccine was
studied in 5 clinical trials in over 21,000
girls and women ages 9 through 26
before it was licensed. The most com-
mon side effects reported include pain
and redness at the injection site,
headache, fever, nausea, dizziness and
The FDA and Centers for Disease
Control (CDC) co-sponsor a national
vaccine safety surveillance program
called the Vaccine Adverse Event
Reporting System (VAERS). This pro-
gram collects information about possible
side effects that occur after the adminis-
tration of all vaccines licensed for use in
the U.S. Common side effects reported
to VAERS after Gardasil injections are
similar to those found in the initial clin-
ical trials.
Although parents often report hearing
that there have been deaths associated
with this vaccine, no such cor-
relation has been established.
Given the large number of vac-
cine doses given, it is expected
that, by chance alone, serious
adverse events and some deaths
will be reported during the time
period following vaccinations.
Based on the review of available
information, the FDA and CDC
maintain that Gardasil continues to
be safe and effective, and its benefits
outweigh its risks.
Whether to vaccinate your child is a
personal decision. Vaccination prior to
the onset of sex offers the best protec-
tion against HPV. Research studies
consistently find that most males and
females become sexually active during
their teenage years, and there is no evi-
dence that vaccinating a child or
adolescent for HPV will encourage
earlier onset of sexual activity. For all
of these reasons, it is recommended
that Gardasil be administered earlier vs.
Many men and women ask whether
they should be vaccinated against HPV
themselves. The recommended age of
9-26 was established based on the age of
study participants and to encourage
early vaccination of those most at risk
for contracting HPV. However, all sexu-
ally active men and women have the
potential to contract HPV, especially if
they are in a new or non-monogamous
relationship. Men and women with a
past diagnosis of HPV should not be
excluded from receiving the vaccine, as
they are still at risk for contracting
another strain prevented by the vaccine.
Some healthcare providers offer HPV
vaccine to men and women of any age.
Talk with your provider about whether
or not the vaccine makes sense for
— Brandy Mitchell, RN, MN is a
Board Certif ied Adult and
Women's Health Nurse
Practitioner. She practices at
Planned Parenthood in
Granby, and manages
Mountain Valley Medical
Center in Kremmling and
Timberline Family
Practice in Granby.
2010 Grand County Health & Fitness • page 15
[ ] Local Address
Local Address Local Address
Local Address
Local Address Local Address
Local Address
Curves works to add
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Regular exercise is proven to have long-lasting benefits for your
health. Try our 30-minute circuit three times a week. You’ll work
every major muscle group, strengthen your heart and burn up to
500 calories each workout.
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2 Convenient Locations:
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Located in Suite 211
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HPV: Should my child be vaccinated?
Brandy Mitchell, RN, MN
we’re here when you can’t be
By Eric Murray
ecause she was conscientious
about colon cancer screening,
Annette's cancer was detected at an
early stage. Now that she has been
successfully treated, she knows she
must be equally conscientious about
keeping colon cancer from coming
back with regular screenings.
Colon cancer is the third most com-
mon cancer diagnosed among both
men and women in the United States,
and it's never to be taken lightly. It kills
about 50,000 Americans every year.
Survival is highly related to the
stage at which cancer is detected;
that's why screening is recommended
for persons age 50 and over. The
most common screening is the
Mark McCaulley, internal medicine
physician, performs several colono-
scopies each week at the surgery cen-
ter at Kremmling Memorial Hospital.
He says the procedure, which takes
only 30-60 minutes, looks for early
signs of colorectal cancer. During the
procedure, polyps, which are usually
harmless growths, can be removed and
tested for signs of cancer. Since most
cancer begins as a polyp, removing
them early is an effective way to pre-
vent cancer.
Staging of colon cancer is based on
the extent to which cancer has invad-
ed the intestinal wall and whether or
not the cancer has spread to nearby
lymph nodes and/or other parts of the
Stage 0 cancer is present only in the
inner layer, or mucosa, of the colon or
rectum. Stage I is cancer that has
grown through this inner layer but no
farther. Stage II cancer has grown into
or through the wall of the colon.
Stage III has spread to nearby lymph
nodes. And Stage IV has spread to
other parts of the body such as the
liver or lungs.
Although advanced cancers can be
life-threatening, most stage I and II
colon cancers can be removed with
surgery and do not require follow-up
chemotherapy or radiation. Many of
these patients seem to be cured, but
about 10 percent of stage I and more
than 20 percent of stage II patients
have recurrent cancer, and it is some-
times serious. Recurrences are even
more common and life threatening for
stage III and IV cancers.
At least two studies found that
patients who exercised regularly had a
50 percent lower risk than those who
didn't workout.
A study of 1,009 patients treated for
stage III colon cancer confirmed the
strong influence of eating habits on
future risk. Subjects who ate a typical
“Western” diet with relatively high
intake of red meat, processed meat,
sweets, fatty foods and refined grains
were 3.3 times more likely have their
cancer return or to die compared to
those eating a “prudent” diet (fruits,
vegetables, beans, fish, poultry, whole
While a high-fiber diet by itself has
not been found protective against
colon cancer, whole grains such as
wheat, oats, barley and rye have nutri-
ents that may work together to pro-
tect against cancer.
Most persons recovering from colon
cancer treatment realize that they
have to make changes in their behav-
ior and lifestyle to stay healthy. The
most important protection against
recurrence, however, is the same tool
that helped them detect cancer in the
first place-regular screening and mon-
page 16 • 2010 Grand County Health & Fitness
Give My Child Alcohol!
As a parent, I make the rules for
my family. And my rule is -
My daughter works hard at
making good decisions. She’s a
great photographer, loves animals,
and plans to become a teacher
when she grows up. She is a
great kid. Please don’t put her
health and future at risk by giving her alcohol.
It’s not just my rule. It’s THE LAW
The Underage Drinking Task Force is funded by a grant from the EUDL
3 Health Fair Opportunities
in Grand County for 2010
a Healthy Tradition
Volunteers are always appreciated at all sites.
Please contact Sherri Solawetz at (970) 724-3442 if you
would like to volunteer as either a medical professional or
as a non-medical volunteer.
Free and low-cost screenings will continue
to be offered. No cost screenings include
vision, blood pressure, oral cancer, foot
health, hearing, breast, fnger stick instant
glucose, osteoporosis as well as height/
weight/body mass measurements, talk with
a professional, “ask-a-pharmacist” site, body
in balance tests, and a heart health corner.
Please note that not all screening are
offered at each site.
in addition to free screenings, low-
cost screenings are also available.
Blood Chemistry Analysis $30
Blood Count Tests $15
Prostate Specifc Antigen
Screening $25
Colon Cancer Screening $20
Health Fair participants can use the internet
to pre-register on line and prepay the cost
of the low-cost screenings using a Visa or
MasterCard credit card. To pre-register on-
line, visit
(all times are 7:30 a.m. – 11:30 a.m.)
Saturday, April 10th
West Grand High School
208 12th Street
On-site registration from 7 a.m. – 5 p.m.
Wednesday, April 7th at the Kremmling Me-
morial Hospital conference room.
Saturday, April 17th
Granby Elementary
202 East Topaz
Saturday, April 24th
Fraser Elementary School
125 Eastom Ave.
Keeping colon cancer at bay
Eric Murray
Colon cancer is the third most common
cancer diagnosed among both men and
women in the United States.

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