Vail Health 2014-2015

We’ve

ICD

Welcome to Vail Health Magazine

n independent , nonprofit hospital for 50 years!

From modest beginnings in the old Mill Creek Court Building in 1965, Vail Valley Medical Center (VVMC) has grown into one of the world’s most advanced mountain hospitals, providing Olympic-quality sports medicine, leading evidence-based research, modern cancer care and extensive cardiology services — all high-quality services with exceptional outcomes.

Over the past five decades, our community has successfully built an independent, nonprofit medical center. In line with this vision, VVMC keeps hundreds of jobs and resources local, better serving our region and visitors from around the world. It’s been quite a journey so far, and we are just as excited about the next 50 years, including breaking ground on the Vail "hospital of the future" in 2015.

As a center of health and wellness in one of the healthiest counties in America, we are delighted to provide another edition of the award-winning Vail Health Magazine. Though only the third edition, Colorado Healthcare Communicators awarded this publication Colorado’s “Nonprofit Project of the Year”. This magazine and medical directory is your guide for active, healthy living in Eagle County and beyond.

I invite you to learn about women’s often ignored risk for heart disease from experts at our new Cardiology Institute on page 50. With the addition of renowned cardiologists, VVMC was able to expand our cardiology services to include pacemaker and ICD implants and a cardiac catheterization lab (opening in 2014). With an aging population in Eagle County, these additions will save lives and allow for advanced cardiac treatments close to home.

We’ve also added Internal Medicine, Endocrinology and 3D mammography to our list of capabilities. Dr. Dennis Lipton of VVMC Internal Medicine teaches us how to beat mountain-specific seasonal allergies on page 18 and we follow one paitents journey to dispell the myth that mammograms hurt on page 34.

As a leader in mountain healthcare, VVMC and our partners at The Steadman Clinic were recently named a National Medical Center by the U.S. Olympic Committee – one of only two in the country. Our mission is to provide superior health services with compassion and exceptional outcomes, and we hope this is evident in our expanding services, low infection rate, free community services and top-rated patient satisfaction scores. On behalf of our amazing medical providers, support staff, volunteers and Board of Directors, thank you for your continued confidence in VVMC and your sustained support. I hope you enjoy Vail Health Magazine!

Sincerely,

Doris Kirchner president & ceo vail valley medical center

Vail Valley Medical Center Board of Directors

primary purpose : operations

Art Kelton – Chair

Dick Cleveland

Reg Franciose, MD

Chris Jarnot

Doris Kirchner

Charlie L’Esperance

Jeff Shroll

Susan Suggs

Wayne Wenzel, MD

Vail Health Services Board of Directors

primary purpose : strategy & fiduciary

Michael Shannon – Chair

Andy Arnold

Mel Bergstein

Sam Bronfman II

Ron Davis

Johannes Faessler

Reg Franciose, MD

Peter Frechette

Randi Jaerbyn

Art Kelton

Doris Kirchner

Jay Precourt

Richard Steadman, MD

Sally Veitch

34

FEATURES

What Hurts More

Than a Mammogram?

Every day, women engage in painful beauty routines. Yet those same women sometimes avoid mammograms due to the discomfort and fear they cause. Local veterinary technician Cathy Wetzel braves the world of beauty-induced pain to help spread the word. By Kim Fuller

38

Side by Side

Instead of using personal time off for a relaxing vacation, a team from VVMC headed to Tanzania for a four-week-long volunteer trip that was focused on a new maternity ward in Haydom.

By Shauna Farnell

40

A Glance at Your Gland

If you’re eating healthily, exercising moderately and getting enough sleep, but are still tired and run down, it might be time to look at your thyroid. Hypothyroidism and hyperthyroidism are common, but are dangerous when left untreated. By Shauna Farnell

43

Kamper the Conqueror Emergency Department Doctor Matt Kamper decided to tackle Colorado’s 14ers in 2009. He recently completed his goal, and at 52 became the oldest person to summit all of the state’s official (and a couple unofficial) 14ers. By Kim Nicoletti

50 Happy Heart

It surprises people that more women than men die of cardiovascular disease. Because the symptoms are different and less obvious, it’s important for women to get regular tests and checkups, as well as be well informed as to the risks.

By Kimberly Nicoletti

54

46

Good Eats

Just because it’s healthy doesn’t mean food has to be uninteresting. Terra Bistro’s Kevin Nelson shares some of his lively, inventive recipes that use such nutritional powerhouses as sprouted quinoa, portobello mushrooms and carrots.

By Kim Fuller

Gluten — Good or Bad Idea?

Gluten-free diets are all the rage, but VVMC dieticians Melaine Hendershott and Katie Mazzia bring some clarity to the subject. For those who aren’t sensitive to it, eliminating gluten can mean forgoing some essential nutrients.

By Shauna Farnell

56

Work Hard, Play Harder

When Mike Brumbaugh moved to Vail 23 years ago, he knew he was home. The local business owner has picked up several sports along the way, including skiing, cycling, paddling, ice climbing and rock climbing. He packs in as many adventures as possible. By Shauna Farnell

A surgeon who does beautiful work.

Having practiced in Santa Monica, California for over two decades, Dr. Jeffrey Resnick is a master at face, breast and body contouring. His artistic talents are available full-time right here in the Vail Valley, so you can take your looks to the next level and recover in this serene alpine setting. A very beautiful combination indeed.

(970) 569-7656 | VVMC.COM/PLASTICS | EDWARDS, COLORADO

DEPARTMENTS

the team

publisher

Lindsay Warner Hogan

editor

Wren Bova

photo editor

Dominique Taylor

creative direction

Ali & Aaron Creative

marketing director

Michael Holton

contributors

Brent Bingham

Shauna Farnell

Kim Fuller

Christine Hall

John LaConte

Ross Leonhart

Zach Mahone

Karen Mason

Justin McCarty

Kim Nicoletti

vail valley medical center executive team

Nicholas Brown

Peggy Carey

Charles Crevling

Retiring surgeon Dr. J. Richard Steadman leaves a legacy of innovative procedures and patient care

It takes a lot of prevention to keep Vail's future ski and snowboard stars

It’s time to talk about suicide — the second-leading cause of

New and improved techniques deliver better options and results for patients of Vail-Summit Orthopaedics

What to do when you encounter an injured or incapacitated person and help is still on its way

Today’s kids will be tomorrow’s scientists, so the Steadman Philippon Research Institute is nurturing them now

Expert advice for pregnant moms’ real questions

For those suffering from acid reflux, there is a simple, life-changing procedure available

Brian Foster

Dr. Barry Hammaker

Doris Kirchner

Laura Millard

Luke O’Brien

Sheila Sherman

Rick Smith

printing

Publication Printers, Denver

on the cover Ashley Dentler is a physical therapist and certified strength and conditioning coach at Howard Head Sports Medicine. Responsible for treating patients on the patient care unit as well as all post-operative patients with both medical and orthopaedic diagnoses, she's an avid biker and enjoys playing outside.

photo zach mahone

Big City Surgeons Who Call Vail Home

With some of the most respected Denver Health surgeons in Colorado on our team, Vail Valley Medical Center is fortunate to be the home of Mountain Surgical Associates (MSA). Known for their expertise in emergency and trauma care, they are also experts in:

b General surgery: abdominal, thoracic and endocrine

b Laparoscopic surgery: hernia repair, gall bladder, colon and reflux disease

b Cancer surgery: breast, colon and rectal, endocrine, lung and melanoma

b Trauma/critical care: around-the-clock care for critically ill and injured patients

b Wound and Ostomy: treatment of acute and chronic wounds

BUSINESS B�

Each year, Vail Valley Medical Center honors its top employees in several Peaks of Excellence categories. Nominated by peers or supervisors, winners are reviewed and selected by a special committee and celebrated at an annual reception. Additionally, honors are bestowed upon the top volunteers and the Physician of the Year for their excellence in service and care.

FINANCE PEAK AWARD

Smith

PEOPLE PEAK AWARD

Gober

SERVICE PEAK AWARD

GROWTH PEAK AWARD

QUALITY PEAK AWARD

VOLUNTEER OF THE YEAR

PHYSICIAN OF THE YEAR

SAFETY PEAK AWARD

WELLNESS

squats plank Exercises for Every Age

Preventing injury is a little different at 60 than it is at 20 PHOTOS DOMINIQUE TAYLOR

WELLNESS

oward head sports medicine is known for being the best in helping people recover from an injury. But what you may not know is that they also specialize in injury prevention (not just rehabilitation) through exercise. In fact, some of the world’s best athletes train with Howard Head in hopes of avoiding the wear-and-tear injuries that sports often cause. We worked with Howard Head’s Philip Galloway to learn what general injuries are common among age groups and what exercises can be done to combat those injuries and keep you active and healthy. »

50+

SINGLE LEG BALANCE

Balance begins to deteriorate as you enter your 50s and 60s. The loss of balance can impact your fun — and the likelihood that you’ll stay on your feet when challenged by an icy patch. By practicing balance exercises, you can fight those forces of nature.

WHAT TO DO

Begin by focusing your gaze on a fixed point. Keep your eyes glued to that point and lift one leg.

Increase the difficulty by standing on something soft (like a pillow or towel) or an unstable surface.

Make this exercise more dynamic by balancing on one foot and reaching as far to the front, back left and back right as possible. Repeat on the other leg.

SINGLE LEG BALANCE ON A PILLOW

SINGLE LEG BALANCE ON A BOSU BALL

SINGLE LEG BALANCE REACH FORWARD

SINGLE LEG BALANCE REACH BACK LEFT

SINGLE LEG BALANCE REACH BACK RIGHT

SHOULDER EXTERNAL ROTATION AT SIDE

EXTERNAL ROTATION AT 90 DEGREES

SHOULDER INTERNAL ROTATION AT SIDE

INTERNAL ROTATION AT 90 DEGREES

SHOULDER EXTENSION WITH EXTERNAL ROTATION

In your 40s, your rotator cuffs will tear easier than they would have in your 20s and 30s. But preparing your body to withstand that shoulder stress is as easy as picking up a theraband from a sporting goods store and fastening it to a wall in your house.

WHAT TO DO

With your elbows flexed to 90 degrees, rotate away from your body and then return to the start position. Make this more effective by placing a rolled towel under your armpit to hold the form. For the shoulder internal rotation, turn around and do the reverse of the previous exercise.

For added challenge, take the rotation exercises above and add a 90-degree bend in your elbows.

Next, try shoulder extensions using the theraband. Start with your arms out front, thumbs pointing out and elbows locked. Pull the bands to your pocket area and squeeze shoulders back and down. Keep in mind what your mother always told you — no slouching.

If you made it out of your 20s without any knee problems (or even if you didn’t), it may be time to start thinking about your back. The core strength you had leftover from your college days is likely fading. By keeping yourself strong through your midsection, you’ll also decrease your chances of hurting your lower back.

WHAT TO DO

For a V sit with legs lifted, sit on the ground with your feet elevated, keeping your spine straight and hold the position for 10-15 seconds.

For a flat plank, prop up on your elbows and toes with your back straight. For a side plank, prop up on one elbow and the side of one foot, keeping your body in a straight line. For increased difficulty, add a leg lift or unstable surface such a ball.

For bridge, lie on your back, digging your heels into the ground. Lift your hips until your body is in a straight line. For increased difficulty, only use one leg and rotate legs.

The 20s and younger are about feeling indestructible, but you are still certainly at risk for injury from moving incorrectly during activity. By working on the positioning of your lower body while performing athletic moves, you can reduce the likelihood of many common knee injuries.

WHAT TO DO

While at home or in the gym, practicing correct form in squats — double leg, single leg or plyometric — will improve your form and carry over into your sports. It’s all about alignment: Keep the hips and knees aligned over your feet, and keep your chest and shins parallel deep into the squat.

For single leg squats, keep the same form as double leg squats but you also need to keep your hips level as you lower into the squat.

For plyometric squats, maintain the same form again, but you will have the added challenge of 2.5x the weight, which your muscles will have to control and still keep your body aligned.

MOOD AND CONCENTRATION

A wide variety of physical activity reduces anxiety, depression and stress, while increasing self esteem and the ability to sleep.

EYES

Cataracts are more common at high elevations, so always opt for eyewear that offers UV protection.

HEART

Exercise relieves stress, which is one of the risk factors people can control. So do meditation and restorative yoga.

Howard Head Sports Medicine inpatient therapy manager Ashley Dentler is a physical therapist and certified strength and conditioning coach.

JOINTS

Engage in 30-60 minutes of daily aerobic and anaerobic activity, and avoid injury with warming up as well as stretching.

SKIN

Wear sunscreen and stay moisturized. Eat your fruits (2 cups daily), veggies (3 cups daily) and omega-3 fatty acids (2 grams daily).

SKIN, VISION, BRAIN

Eat antioxidants, which attack the molecules that cause widespread cell damage and are linked to most chronic diseases such as Alzheimer's, heart disease, cancer and diabetes.

Eternal Youth

While aging is inevitable, longevity is accessible. Local experts share the best ways to extend your years from the inside-out

BY KIM FULLER // PHOTO ZACH MAHONE

JOINTS

"Joint health is so important, because mobility and activity are two of the secret ingredients to longevity and quality of life," says Dr. Peter Millett, director of shoulder surgery and a shoulder, knee, elbow and sports medicine specialist at The Steadman Clinic. "Without good joint health, it becomes difficult to remain active and independent."

Millett says a sedentary lifestyle, versus one of movement, can lead to many disease processes, such as arthritis, obesity, diabetes or heart disease.

A healthy lifestyle that promotes both aerobic and anaerobic activity is key, Millet explains. He recommends thirty to sixty minutes of daily activity, with appropriate warmup and stretching to help prevent injury. Activities such as yoga or tai chi can help with

one's balance and may prevent falls later in life, he adds.

"Extra pounds at the waistline translate into extra loads at the hip, knee and ankle joints, which over time can contribute to osteoarthritis and other degenerative conditions."

SKIN

Dr. Karen Nern, board-certified physician and owner of Vail Dermatology, says studies have shown that nutrition really does affect your skin.

"People who increase their intake of fruits and vegetables are proven to have more red and yellow in their skin," Nern says. "This makes their skin look better."

Exposure and tanning beds will increase aging in skin and the risk of skin cancer.

Nern recommends moisturizing skin with a cream while

the skin is still moist, and to use products with antioxidants (Vitamin C, Vitamin E, phloretin, ferrulic acid, idebenone), a broad spectrum sunscreen with zinc, as well as skin products that contain antiaging components, like retinol, which is a form of Vitamin A that helps with fine lines.

tered dietician at Shaw Regional Cancer Center. "If you feel healthy, vital and have a good quality of life you feel young."

Hendershott explains that the earlier you start fueling your body with what keeps you young, the younger your body will remain, and you will reduce the risk of "feeling old."

Just like children are so often told: "eat your fruits and veggies." Hendershott says lots of fruits and vegetables, omega-3 fatty acids and whole grains are the key to eating for longevity.

STRESS

Jennifer Straw, registered nurse at Vail Valley Medical Center, certified yoga instructor and wellness coach, says that stress is one of the modifiable risk factors for heart disease and other diseases.

"You can't do anything about your age or your family history, but you can work to manage stress in healthy ways," says Straw.

Exercise is one great stress reliever, since it releases endorphins that make you feel great, and since the effects stay with you beyond your workout.

"I have always found that finding activities that you truly enjoy is the best way to get regular exercise in your life," Straw shares.

She recommends meditation and restorative yoga as great tools to manage stress while resting your body from exercise, which she says is also necessary. And don’t forget down time.

"It’s important to take rest days to let your muscles recover and rebuild,” she says.

Fruits and vegetables are important for their antioxidant richness, she explains, which means they combat free radicals — molecules that cause widespread cell damage and are linked to most chronic diseases such as Alzheimer's, heart disease, cancer and diabetes.

helps to fight off disease and other health conditions, and helps maintain better sleeping habits and more restful sleep.”

Without good joint health, it becomes difficult to remain active and independent."

And “exercising” doesn’t mean spending hours in a gym. “Exercise can be small activities throughout your day or week that add up in the end,” Dentler says. Studies show that simply walking most days helps reduce risk of dementia by over 30 percent, and that mindful movement activities like yoga are great for reducing stress and prevention falls. Current recommendations are to exercise at least 150 minutes per week.

size enough is the importance of a good, annual eye exam with dilation,” Ehrlich says.

Ehrlich explains how preventative, yearly exams are how people don't miss dangerous and even deadly conditions, like melanoma skin cancer in the back of the eye.

UV protection for the eyes is essential in our sunny and high-altitude environment, and Vitamins A, C, E and zinc have been proven to help detour macular degeneration, a serious condition of vision loss that is associated with aging eyes.

"Fish oil is also great for dry eyes, since they fatty acids help keep tear film healthy and moist," he says.

NUTRITION

"Certainly, staying young is more based on how you feel, rather than your age on paper, or even how you look," says Melaine Hendershott, regis-

"Antioxidants also make you look great from the inside-out," she says. "They help fight skin-damaging free radicals, keep your vision sharp and protect your brain."

The goal should be to have two cups of fruit and three cups of veggies per day, and to incorporate at least two grams of omega-3 fatty acids per day from fatty fish, walnuts and ground flax seeds to reduce chronic inflammation in the body.

Margaret Brammer, social worker and survivorship coordinator at Shaw Regional Cancer Center, says physical activity can have extraordinary long-term benefits — not just for a person's body, but also for their mind and spirit as well.

"Study after study is showing us that incorporating some sort of physical activity is a great way to reduce anxiety, depression and stress,” Brammer says. “Physical activity helps regulate our mood, helps us sleep better and increases our self-esteem."

When we take care of our bodies, we feel more alert, our concentration improves, our mood lifts and we find situations more manageable.

"We only have one life, so we deserve to have it be as happy, healthy and stress-free as possible,” Brammer says.

EXERCISE

Exercise is essential to anti-aging. “It not only helps to maintain the body's normal physiological functions, it also emotionally rejuvenates the mind and soul,” says Ashley Dentler, Howard Head Sports Medicine physical therapist. “Exercise helps to control your weight, boosts your energy and maintains a healthy emotional state and mood. It also

EYES

Dr. Matthew Ehrlich, board-certified ophthalmologist, says he often sees patients in their 30s and 40s who have not seen an eye doctor in five to 10 years.

"But what I cannot empha-

Ehrlich recommends paying close attention to the eye history of your family members, in order to help predict an onset of cataracts, which is a clouding of the lens of aging eyes.

"We see more early cataracts here in the mountains than at sea level," Ehrlich says.

SUPPLEMENTS

Katie Mazzia, nutritionist at Vail Valley Medical Center, says supplements are not a substitute for healthy eating. Supplements provide single nutrients and may not work the same as a combination of nutrients from eating a whole food, Mazzia explains. She says broccoli is considered a "superfood" for all its nutrients (color, flavor, fiber, vitamins, minerals, etc.), not just because it's high in Vitamin C.

"As we age, there may be a place for supplements for those who are deficient in certain vitamins or minerals, such as Vitamin B12, Vitamin D, calcium or iron," says Mazzia.

Overall, she says, work on improving your diet first, and always check with your doctor and pharmacist first before staring any kind of supplement.

Expert Traveler Tips

Navigating Vail’s mountains, Costa Rica’s jungles and Tuscany’s country roads is easier with help from the Traveler’s Clinic

BY KIM FULLER

t doesn ’ t take much to feel off balance when you’re on the road (or in a plane or on a train). When we change our physical environment, slightly or dramatically, we can be more sensitive to physical ailments — without the benefit of our existing healthcare structure. Sometimes you can’t avoid an adventure that’s a little under-the-weather, but you can plan ahead and be prepared for the issues you’re most likely to encounter.

. MOTION SICKNESS .

Lucia London, advanced registered nurse practitioner with Vail Valley Medical Center Traveler’s Clinic, says motion sickness consists of a group of signs and symptoms that develop in response to real or perceived motion.

“These include cold sweats, nausea, hypersalivation, vomiting or sensation of body warmth,” explains London.

At the Travelers' Clinic, registered nurse practitioners such as Lucia London help people prepare for trips with immunizations and other recommended medications.

“Motion sickness can result from exposure to movement or from visual suggestion of movement; traveling through water, on land or in air can trigger motion sickness, although sea sickness is most common.”

Susceptibility to motion sickness varies individually, London says, but is most common in women, especially during pregnancy, as well as in children ages 2 to 12, and those who suffer from migraine headaches.

What to Take

London recommends taking medications for motion sickness before the symptoms set in, so it’s important to pay attention to your physical reactions when traveling — and plan ahead.

Several over-the-counter prescriptions are available for mild to moderate motion sickness, she says, including Bonine or Dramamine. These medications can cause drowsiness, so driving and alcohol consumption should be avoided. London says that for longer journeys, a scopolamine transdermal patch may be necessary; it is placed behind the ear and can provide up to 72 hours of medication.

“There are some non-medicinal therapies that are appealing to travelers, such as acupuncture wristbands,” London says. “Although controlled trials are limited or do not show clear benefits in a number of clinical trials.”

How to Avoid Motion Sickness

London recommends the following ways to help stop motion sickness before it starts: Select a position in the most stable part of a vehicle, such as the mid-point of a ship, or the wing seats on a plane. Ensure a seat with good visibility. Focus on a distant point, or take over driving the vehicle. Create good ventilation. Avoid reading.

Eat small, low-fat meals; avoid alcohol and smoking. Avoid becoming overheated. Take an over-the-counter motion sickness medication before symptoms set in.

. EAR PAIN .

Barotrauma, or ear pain, affects those flying, especially during ascent and descent, as air in the middle ear and sinuses will expand and contract.

London says to facilitate the free flow of air and to prevent pain, it is helpful to chew (something like gum, for example), and to yawn. She recommends offering a drink to young children and a pacifier to infants.

. LEG SWELLING .

During long flights (four hours or more), London says blood flow in the legs is reduced, blood becomes more viscous (thicker), and a blood clot may form, causing a deep vein thrombosis (DVT).

"DVT is related to multiple factors," says London, "such as duration of flight, environmental factors in the cabin, such as a dry cabin atmosphere, and personal risk factors."

Although many episodes of DVT are without symptoms, London says some symptoms of the condition may include the following: swelling in the lower or whole leg; leg becomes warm or discolored. Clots in the leg can become detached and travel via the venous circulation to the lungs, causing a pulmonary embolism (PE). She says symptoms of a PE include breathlessness, chest pain with deep breathing, and occasionally coughing up blood.

COMMON TRAVEL AILMENTS

Prevention

London offers the following advice to prevent leg swelling during travel: Wear comfortable, loose clothing that is not tight at the waist or knees. Get up and walk around the cabin hourly; aisle seats are best for this.

Exercise calf and thigh muscles by extending and flexing ankles and knees. Do not cross knees or ankles. Drink plenty of fluids. Drink alcohol and coffee only in moderation.

If you have personal risk factors, compression stockings are recommended. (Some risk factors include: obesity, age greater than 50, late pregnancy or the first 12 weeks postpartum, varicose veins, recent surgery in the past four to six weeks, limb immobilization with casts, oral contraception or hormone replacement therapy.)

. ACUTE MOUNTAIN .

. SICKNESS .

“Altitude sickness occurs when one ascends more rapidly than the body can adjust to the reduced atmospheric pressure and decreased oxygen delivery to the body’s cells at a higher altitude,” London explains. She says symptoms of acute mountain sickness include headache, loss of appetite and fatigue, and can progress to nausea, vomiting and extreme lassitude (physical weariness).

“Non-steroidal anti-inflammatory drugs such as ibuprofen are effective in treating headaches associated with high altitude,” says London. “And they may also prevent headaches when taken a few hours prior to ascent.”

For some travel itineraries to extremely high altitudes, consider the medication Acetazolamide (Diamox), which improves one’s acclimatization and does not mask symptoms, London adds. She says this needs a prescription, and its use should be discussed with your travel practitioner.

How to Acclimate to Altitude

Prevent altitude sickness with London’s advice: Ascend gradually; spending a day in Denver can be helpful. Avoid alcohol consumption and stay hydrated with lots of water. Participate in mild exercise for the first 48 hours.

Do not ascend directly to altitudes greater than 9,800 feet, if possible, especially if coming from sea level.

TRAVELER’S CLINIC

The VVMC’s Traveler’s Clinic, located in Occupational Health Clinic in Avon, next to Avon Urgent Care, is a great resource for those planning to travel to foreign countries. In addition to supplying information and administering both recommended and required vaccinations, staff members can offer information on diseases that can be contracted through food, water and insects, as well as advice on specific health concerns and/ or risks associated with certain countries.

The clinic is open Monday through Friday, 8 a.m to 4:30 p.m. Visit vvmc.com/travel, or call (970) 569.7715 for more information.

Fix Your Form

by KIM FULLER

FEATURING VAL VASQUEZ, PHYSICAL THERAPIST HOWARD HEAD SPORTS MEDICINE, GYPSUM

1 | SQUAT

Full-body exercise for leg and core strength.

form critique : Don't lean too far forward; this will increase stress on your lower back. Stack your shoulders over your hips. Knees commonly collapse inward due to hip weakness, so keep your knees directly over your ankles. Shifting weight to one side is common, which demonstrates muscle imbalance or lack of motion in the hip, knee or ankle. Keep your heels on the ground and put your weight on them.

2 | PLANK

Full-body strengthening pose for core and abdominal strength.

form critique : Abdominal weakness often causes the lower back to sag. Push through your elbows which will keep shoulder blades against ribcage. Do not allow shoulder blades to squeeze together or lift off back which is known as “scapular winging.” Do create a solid plank, with no sloping in your shoulders, back or hips.

3 | LUNGE

Increases leg and glute strength. form critique : Don't lean forward when you are bending your knees and lowering your body into lunge; keep your chest up over your hips. Often, feet are not separated enough in the lunge, or the back leg is not bent, causing the knee of the front foot go forward (past the toes). This increases stress on the front knee. Don't allow your front knee to collapse inward; keep it in line over your ankle.

4 | BICEP CURLS

For arm strength in the biceps. form critique : Too much weight often leads to swinging weights or using momentum to lift the weight; correct this by decreasing the weight. Core weakness may create rotation in the body during the curl. Focus on keeping your torso straight and your shoulders square. Don't flex forward or extend through the lower back to pull up the weight. Reduce the weight to rely on the strength of the bicep to curl the weight upward.

5 | ROWS

Exercises to increase back and arm strength — specifically the lattissmus "lat" dorsi and the biceps.

form critique : Don't rotate your body or swing the weights when pulling weight back towards your body; this is caused by core weakness, or trying to lift too much weight. Focus on keeping your shoulders parallel to the ground. The weight in your hand should not touch your ribs. Keep your elbow in line with your shoulder, and lift your wrist and the weight up in line with your elbow and shoulder. Do put your hand on a bench to support your upper body; this prevents you from extending through your lower back when pulling the weight upward.

Sniffling and sneezing BEGONE

VVMC’s internal medicine doc explains how to understand and fight seasonal allergies

BY SHAUNA FARNELL

race yourself because the onslaught is coming: sneezing, runny nose; puffy, watery eyes — inexplicable waves of exhaustion. Once the warm weather kicks in and the snow begins to melt, it happens. And anyone under the impression that seasonal allergies don’t strike way up here in the high country of Colorado need only talk to someone — one in five individuals, according to statistics — whose life is overrun by these symptoms every spring. Luckily there are ways to avoid this misery, not to mention save significant dollars on stockpiling Kleenex. What is the most common culprit for seasonal

allergies around Vail? Like most places, it’s pollen. While Eagle County might not have the same profusion of plants and trees as say, Knoxville, Tenn. (rated by WebMD as the worst allergy city in the U.S.), there is no shortage of pollen producers in these parts. Not only do evergreen trees produce a large amount of pollen, but so do trees you don’t commonly think of in Rocky Mountain alpine areas.

“The allergy season in the Vail Valley is mainly in the spring and summer. Pollens from trees such as big sagebrush and willow are most prevalent during this time,” says Dr. Dennis Lipton, internal medicine physician at Vail Valley Medical Center. “Any flower-

ing plant or pollinating grass can also trigger allergies. Fortunately, since the climate here is fairly dry, mold is not that common a culprit. Also, dog and cat hair is a frequent culprit that should not be overlooked.”

The evergreens are abundant at 8,000 feet and above, and aspen groves (which also produce pollen) are absolutely everywhere in Vail and Beaver Creek. In Avon and westward, however, the slopes are coated in sagebrush and the valley floor and Eagle River corridor are teeming with willows. If you’re in doubt of the prevalence of pollen in the Vail Valley, simply park your car next to a pine tree, willow or thatch of sagebrush for an hour in May or June (depending on the snow thaw and ensuing bloom) and it will literally be caked in a yellow dust by the time you get back.

If you are allergic to pollen specifically — even though it’s not that specific because pollen comes from so many different trees and plants — you have what is referred to as hay fever, characterized by sneezing, runny nose, scratchy throat and watery, itchy eyes. For people allergic to pet dander, spring and summer is also when shedding happens and animal hair is floating around in abundance.

the onset

While some individuals develop allergies as children, others take them on suddenly, even in areas where they have lived their entire lives, exposed to pollen that never bothered them before.

Sagebrush Willows

Evergreens

Aspens

COMMON VAIL VALLEY ALLERGENS

POLLEN ALLERGIES, KNOWN AS HAY FEVER

“People with a personal history of allergies are certainly more prone to getting them again and they can run in families,” Dr. Lipton says. “People who have asthma or eczema in childhood can also be more prone to allergies through their lifetime. Otherwise it can be hard to predict where and when allergies develop. Just like people can suddenly develop an allergy to a medication they have been taking for years, people can suddenly develop allergies to dust and pollen in the environment.”

Those who are new to seasonal allergies might mistake them for a spring cold or virus. The telltale difference is that allergies stick around.

“Allergy symptoms and upper respiratory infection symptoms can be very similar – runny/stuffy nose, sore throat, and sneezing. Seasonal allergies, however, tend to me more persistent and last longer. Seasonal allergies do not include fever or severe sore throat, and coughing is much less common.  Antihistamines can help the symptoms either way but are more effective with seasonal allergies.”

When you are allergic to something such as pollen or pet dander, your body produces histamines, a chemical that causes your nasal and eye membranes to swell. Antihistamines shut down this process and prevent symptoms. There are a number of over-the-counter antihistamines available, but finding the one that

Just like people can suddenly develop an allergy to a medication they have been taking for years, people can suddenly develop allergies to dust and pollen in the environment.”

OTHER ENVIRONMENTAL ALLERGIES

Steroid nasal spray Fluticasone

Antihistamine eye drops

NON-SEDATING ANTIHISTAMINES SUCH AS Allegra, Zyrtec or Claritin

SEDATING ANTIHISTAMINES

works best for you can involve a trial and error process. “Second generation antihistamine medications like Allegra, Zyrtec or Claritin — or their generic equivalents — are popular because they work well and are generally non-sedating,” Dr. Lipton says. “Other antihistamines like Diphenhydramine or Chlorpheniramine work very well but are generally very sedating. If symptoms are mainly nasal, a steroid nasal spray like Fluticasone can work wonders. If symptoms are mainly ocular — itchy, watery eyes — antihistamine eye drops can work well. The localized treatments like eye or nose drops are less likely to cause systemic side effects.” Medication affects each individual differently and sometimes a person can try several products and still not be relieved of symptoms. This is when tracking symptoms and history of one’s condition with an internal medicine doctor can be useful.

Diphenhydramine or Chlorpheniramine

MEDICATION OPTIONS

“If symptoms are severe or don’t respond to usual treatments, the next step is testing or referral to an allergist. I can order blood panels that check for antibodies to common allergens. An allergist can do patch testing on the skin to discover the problem,” Dr. Lipton says. Sometimes it takes medication several days to begin fighting symptoms effectively, so it’s important to know when your symptoms are the worst and begin taking medicine beforehand as a preventative measure, then continue it throughout allergy season.

“It can take some experimentation to see which medication works best,” Dr. Lipton says.  “If someone has testing that indicates a specific allergen, a series of allergy shots from a specialist can really help with symptoms.”

INSIDER

Bouncing back after a fall

What

it takes to get Vail’s future ski and snowboard stars back on their feet and stronger than ever

BY SHAUNA FARNELL

On-snow training is only one component of an athlete's strength and conditioning program, as evidenced by athlete Heidi Livran, running zigzags with Jake Wuth.

atching the olympics in February – skiers flying around gates or down a moguls course at high speeds, snowboarders spinning off jumps and out of the halfpipe – you couldn’t help but wonder how they do it and how they get to that level. You marvel at how they don’t get hurt.

The truth is that like any professional sport, especially with the inherently high risk of skiing and snowboarding, becoming a star sometimes does involve getting hurt.

Luckily for our future ski and snowboard stars, this valley offers a finely oiled machine comprised of health care professionals, trainers and therapists that keeps athletes performing at the top level and bouncing back strong from setbacks.

The valley’s next wave of Olympians begins with Ski and Snowboard Club Vail (SSCV) – the club that produced America’s most recognized skier Lindsey Vonn. As a testament to SSCV’s ongoing star power, of the 12 SSCV athletes at the Sochi Games, three came home with medals – golds for SSCV alumni alpiner Mikaela Shiffrin and snowboarder Kaitlyn Farrington and silver for Japanese snowboarder Ayumu Hirano.

The Vail club works with a team of local medical professionals and therapists who are not only ready to spring the moment there is any sort of injury or setback, but also provides specialized training for all of the

club’s disciplines (alpine and Nordic racers, mogul, free skiers and snowboarders), strengthening athletes and reducing injuries.

“What we ask these athletes to do is very risky,” says SSCV Human Performance Director John Cole. “We look at someone like (SSCV Olympic skier) Aaron Blunck who’s flying over 20 feet out of the halfpipe — 40 feet from the apex of his jump to the bottom of the pipe — and we do a very detailed analysis of the movement patterns and injury risk. We have to take a hard look at how we build programs for these young athletes.”

As an example, about seven years ago the club focused new training on female alpine racers — for whom the most common injury is ACL tears — on hip and posterior leg strengthening. This came after a discovery that female skiers were potentially susceptible to knee injuries when a postural valgus stance (in which a part of the leg is bent outward) was found in functional movement screening. This specialized programming reduced the rate of ACL tears among full-time club athletes by 20 percent.

“To be able to have on-site care at the club is gigantic for us,” Cole says. “If we have an injury beyond treatment relief, say a potential ACL injury, we ask the family who their preferred medical provider is – VailSummit Orthopaedics or The Steadman Clinic – and get those athletes in right away. The clinic’s doctors and ATCs understand the time-sensitive nature and how fast we need to get these athletes assessed.”

Specialist Chris Cail of Vail-Summit Orthopaedics is actually on the hill with SSCV. In the event of a significant injury, he expedites the athlete to the necessary medical specialist.

“We tend to not miss

What we ask these athletes to do is very risky."

things this way. We have someone physically there and we get them in right away,” says Dr. Rick Cunningham of Vail-Summit Orthopaedics. “We make sure [any injury] is addressed immediately and that we treat it and get them back on the hill and competing again.”

Often times an athlete’s injury doesn’t require surgery, so instead of seeing Dr. Cunningham or another surgeon, the athlete goes for detailed therapy at Howard Head Sports Medicine, which not only treats injuries for SSCV and the US Ski and Snowboard Team but provides state-of-theart preventative exercise and conditioning programs that mitigate the inherent risk of the sport. They strengthen athletes to avoid injury in the first place.

“We endeavor to minimize injuries and maximize performance, teach proper movement patterns at a young age and perpetuate the dream of becoming at Olympic athlete,” says Howard Head physical therapist Matt Mymern, who points out that top-level skiing and snowboarding requires finetuning of the body’s overall mobility, core stability, mental acuity, lower extremity strength and shoulder stability. Howard Head conducts highly advanced tests using the most current research and technology to ensure that an athlete is 100 percent in all of these areas prior to competition.

Every SSCV athlete

is closely screened by a rotation of medical and physical therapy specialists for any kinds of movement dysfunction — knees folding inward during squats, ankles coming off the floor during lifts — and those movements are corrected.

overloading the injured body part. This streamlined process between the ski and snowboard club, trainer, orthopedist and therapist is a unique privilege for athletes in the Vail Valley.

Competitions are intense for athletes, such as

In the unfortunate case of an injury, a customized plan is made for each athlete that takes them from diagnosis to complete recovery as quickly as possible. The treatment team assesses how much training time the athlete needs before returning to snow, the strength and conditioning work needed to restore safe, normal movement and how to maintain cardiovascular fitness and strength without

“Nothing can halt a budding career in its tracks quite like missing quality development and training time due to injury,” says Howard Head’s Luke O’Brien, physical therapist and vice president of Howard Head Sports Medicine.

“We tailor individualized treatment plans that address all of the athlete’s performance needs and not just their injury. We have them returning to snow fitter and stronger than before the injury.”

The Suicide Taboo

Suicide prevention is rooted in communication, openness and recognition

or about 20 years , Molly Fiore struggled with thoughts of suicide. She floated from careers in marine biology and medicine to business and athletic training, but nothing seemed to fit. Then she reached a crisis, where death seemed to be the only answer. She felt that no one understood her pain. But as it turns out, she’s not alone.

From 2007-2011 in Eagle County, there were 37 suicides and 60 hospitalizations due to attempts.

About 8.3 million adults in the United States — 3.7 percent — reported having suicidal thoughts within the past 12 months in a 2009 study by the Center for Disease Control. About 1 percent of the adult population made suicide plans within that year, and half of those attempted suicide. Residents in the Rocky Mountain region statistically have higher occurrences of suicide, according to the American Association of Suicidology. At the moment of Fiore’s biggest crisis, she surrendered, and a new thought entered her mind: “What if I live my life for myself — give myself permission to live my life how I want?” she asked herself. Now, she’s an author, motivational speaker and the executive director of Eagle Valley’s suicide prevention coalition, Speak Up, Reach Out. While many people fear talking about sui-

by KIMBERLY NICOLETTI

cide, especially to someone who is actively suicidal, the fact is that talking about suicide can not only reduce the stigma it currently carries, but also, it can save lives. Open communication increases the chance that a person at risk for suicide will ask for help.

“If there’s one antidote to suicide, maybe, it’s hope,” Fiore said. “It’s hope, whether it’s sharing a personal story of overcoming suicidal ideation or holding on to the hope for them until they’re able to overcome it themselves.”

The key is to listen to a person’s pain with compassion. Sometimes, people don’t understand the level of despair people who contemplate suicide are experiencing, and they believe a person is just being selfish or seeking attention — especially if the suicidal ideation (the act of putting thoughts into words) is ongoing. But Don Bissett, a licensed professional counselor and social worker at Vail Valley Medical Center, believes “every instance of suicidal ideation is serious, whether it’s the first time or one of many times.” He hopes people will listen to others’ pain, and from there, come up with a safety and treatment plan with the help of a professional.

“When someone voices suicidal thoughts, they are often met with judgment, and that is exactly

SIGNS OF SUICIDE

Talks about wanting to die or to kill himself.

Looks for a way to kill herself, such as searching online or buying a gun.

Talks about feeling trapped or being in unbearable pain.

Talks about being a burden to others.

Increases the use of alcohol or drugs.

Sleeps too little or too much.

Withdraws or becomes isolated.

Shows rage or talks about seeking revenge.

The yellow ribbon is an emblem for suicide awareness. "The Yellow Ribbon Suicide Prevention Program" is a community based program primarily developed to address youth/ teen/young adult suicides (ages 10–25) through public awareness campaigns, education and training and by helping communities build capacity." The program began in September 1994 after the suicide of 17 year old Mike Emme.

A person might be considering suicide if he or she: . WHERE TO GET HELP..

Talks about feeling hopeless or having no reason to live.

Acts anxious or agitated; behaves recklessly.

Displays extreme mood swings.

National Suicide Prevention Lifeline: 1.800.273.TALK (8255)

Denver Metro National Suicide Prevention Lifeline: 888.885.1222

Speak Up, Reach Out: www.speakupreachout.org, 970.748.4410, info@speakupreachout.org (crisis line number is the same as National Suicide Prevention Lifeline) Suicide Prevention Resource Center: www.sprc.org (same number as National Suicide Prevention Lifeline)

what they do not need … It is the psychological level of pain that motivates their suicide attempt. The problem is that they cannot bear the pain,” Bissett said. “When people speak with compassion and appreciation for the pain that leads to the suicidal thoughts, they are doing exactly the right thing.”

Many people consumed with suicidal thoughts don’t say anything because they fear medication or hospitalization. Not all people considering suicide need medication, as sometimes suicidal ideation has more to do with a temporary situation than a biochemical imbalance. And only in extreme cases are people hospitalized; many people with suicidal ideation can stay at home with a solid safety plan, which often includes securing weapons and medications, staying home with a loved one or caregiver and agreeing on a set amount of time to refrain from driving and consuming alcohol. Sobriety is often important in a safety plan because “a significant percentage of people are intoxicated when they complete their suicide plan,” Bissett said.

Speak Up, Reach Out teaches students and people in the community to ACT: Acknowledge, Care and Tell. Last year, trainers taught 1,200 middle- and high-school students to identify symptoms of depression and suicidality and encouraged kids to seek help through the use of ACT.

"When someone voices suicidal thoughts, they are often met with judgment, and that is exactly what they do not need.”

“If you have more eyes out in the community to spot the crises — the verbal and behavior cues … (then) we’re not losing people when they’re in crisis; we’re helping people when they get to that point,” Fiore said. “The (community) need is huge.”

Suicidal thoughts and attempts are significantly higher in young adults, ages 18-29 years, and suicide accounts for 20 percent of deaths for persons ages 15-24. The higher rates in young people involve their impulsivity and the fact that they don’t consider the permanent consequence of suicide, Bissett said.

“I often say that suicide is a permanent solution to a temporary problem,” he said. “They will get through this; they may just not know how — how to navigate the crisis ahead. But with support and the right plan, they can get through it.”

Fiore has found this to be true. Even though thoughts of suicide still pop up, she no longer takes them seriously or beats herself up for having them. She describes her thoughts like a train station: all kinds of trains go through, but that doesn’t mean she has to ride every one.

“I realize, ‘Oh, it’s just a thought,’ and I don’t have to give my thoughts so much weight or meaning — or make (myself) wrong for having them,” she said.

Instead, she continues to walk along and share her story, which, in turn, gives others the freedom to share theirs.

15.8%

Students reported that they had seriously considered attempting suicide during the 12 months preceding the survey.

12.8%

Students reported that they made a plan about how they would attempt suicide during the 12 months preceding the survey.

7.8%

Students reported that they had attempted suicide one or more times during the 12 months preceding the survey.

2.4%

Students reported that they had made a suicide attempt that resulted in an injury, poisoning, or an overdose that required medical attention.

YOUNG PEOPLE AND SUICIDE

In a 2011 nationally-representative sample of youth in grades 9-12

SUICIDE RATES BY AGE AND SEX

AGES 25-34

2 nd leading cause of death AGES 15-24

Suicide rates for FEMALES are highest for ages 45-54.

4 th leading cause of death

3 rd leading cause of death AGES 45-54

8 th leading cause of death

Suicide rates for MALES are highest for ages 75 and older.

The Forefront of Recovery

Vail-Summit Orthopaedics doctors utilize new-and-improved techniques to give patients better options — and better results

it was january of what 38-yearold Brian Kruse calls the “big snow year of 2010” when he hit a patch of solid snow while skiing on Vail Mountain and was thrown violently forward. Since he didn’t come out of his ski, he wasn’t sure what happened, but he knew it was bad.

As soon as he got home, he called Vail-Summit Orthopaedics to make an appointment. “I was not familiar with Dr. John Paul Elton, but I’ve always used Vail-Summit Orthopaedics for ski injuries so that’s why I called,” recalls Brian.

Dr. Elton is a Harvard-trained foot and ankle specialist who joined VailSummit Orthopaedics in 2010 after

by KAREN MASON

completing his Fellowship Training at Brigham and Women's Hospital in Boston. He told Brian he had ruptured his Achilles tendon and discussed operative and non-operative treatment options. Brian elected to have the rupture repaired, which can require a long recovery period.

“Then he started explaining what he was going to do by literally pulling out a pen and drawing on the paper I was sitting on,” recalls Brian.

Dr. Elton is one of the few foot and ankle surgeons in the United States utilizing a new procedure to repair Achilles ruptures using a minimally invasive technique. He published a paper on the topic for the American Ortho-

paedic Foot & Ankle Society in 2010. Dr. Elton says the new technique has been shown to have equivalent outcomes with less risk of wound or infection problems than with older techniques. His preference is to repair all Achilles ruptures with this technique, but says a minority of ruptures are not amenable to this technique for one reason or another.

“At the time, I didn’t know all he did was ankles,” says Brian. “Once I started asking around, I learned he is the 'goto guy' for anything to do with feet and ankles. His humbleness and simplicity in explaining things comforted me.”

The older method of treating Achilles ruptures was to either place the patient’s leg in a cast to immobilize the ruptured tendon, or use a very large incision on the back of the leg.  The cast does not allow motion at the ankle and Brian says that’s exactly the opposite of what Dr. Elton wanted him to do. “He wanted me to get my range of motion back as soon as possible.”

The minimally invasive or limited open approach to repairing the tendon requires a small incision on the back of the leg overlying the rupture that is just large enough to put the tendon ends back together and repair it with strong sutures in the tendon.  The patient is placed in a splint for about 10 days, then

a removable boot so they can start walking on it and moving the ankle. Since it was such a great snow year, Brian was determined to get back on the slopes one more time before the end of the season. Three months after his surgery, his 5-year-old niece came out. Brian skied the bunny slope with her. “My surgery made it possible for me to ski with my niece for her very first time, which was cool.”

Today, Brian is 100 percent. And when he’s on skis or doing anything athletic, he says he can’t tell which Achilles was ruptured.

active person, the decision to go ahead with surgery is fairly simple,” says Dr. Dorf. “But with partial tears, the decision process is more complicated. Do you give it time and let it come all the way to failure? Or do you choose to be aggressive and fix it right away?”

But now a new surgical technique being utilized by some surgeons, including Dr. Dorf, is starting to change that. “I have started using what’s called a ‘trans cuff’ technique,” says Dr. Dorf. “Instead of operating on the rotator cuff from above and completing the tear, I can now look at the part of the

The new technique is making the decision to have surgery that much easier for active people suffering from a partial tear

a better way to repair partially torn rotator cuffs

“The shoulder business is more elective surgery here in ski country,” remarks Dr. Erik Dorf, an upper extremity specialist with VailSummit Orthopaedics. “In the fall and the spring, I typically see two to three rotator cuff tears per week. In the winter, less people want to have shoulder surgery so they often wait until the end of the season to have these injuries evaluated.”

The rotator cuff is a group of four muscles and their tendons that stabilize and rotate the shoulder. Eighty percent of the rotator cuff tears Dr. Dorf sees are degenerative. His typical rotator cuff injury patient is middle aged or older and leads a very active lifestyle.

Dr. Dorf explains that as you get older, the blood supply to these tendons decreases, leaving them more susceptible to degenerative tearing. Rotator cuff tears come in many varieties. “Most often, a rotator cuff tear begins slowly and will continue to tear further with continual use. Sometimes patients come to see me right away with a partial tear; other times they wait and don’t see me until they have a complete tear.”

In the past, surgeons have repaired a partially torn rotator cuff by operating from above the cuff and actually completing the tear during surgery and then repairing it as though it was a complete tear. Because the surgery was for the most part the same whether you had a partial or full thickness tear, deciding whether or not to operate on a partial tear was difficult. “When you have a complete tear in an

cuff that is torn from underneath, put anchors in it from that underneath location, and repair just the tear itself. The technique allows the fibers that are still there to remain attached. We are now repairing just the part of the cuff that was torn.”

Dr. Dorf says the new technique is making the decision to have surgery that much easier for active people suffering from a partial tear. “What it means for patients is a shorter recovery time, an equally good outcome, and an earlier return to sports and activities.” He adds that it also expedites physical therapy.

“We can get them into therapy that much sooner and be that more aggressive with their rehab program,” he says. “The real advantage is that patients can be more aggressive with their decision to have surgery and stop the progression of the tear so that we’re not dealing with a full thickness tear down the road. It’s a nice middle ground.”

the

doctors of vailsummit orthopaedics

The doctors at Vail-Summit Orthopaedics believe that every patient deserves the best possible outcome. That’s why they’ve obtained the highest possible training for their specialty, going over and beyond what is required of a general orthopaedist. The staff also goes the extra mile to make sure patients spend more time with doctors, and less time waiting for them. This allows physicians to customize a treatment plan that fits the way patients want to live, work and play. VSO believes the best medicine is practiced at that place where doctor and patient connect with each other in a meaningful way.

OUR DOCTORS

Your best outcome is ensured by a fully-integrated team approach at Vail-Summit Orthopaedics. Each physician works closely with a licensed Physician Assistant (PA) to provide patients with a seamless continuity of care. The relationship between a physician and PA is built on trust and mutual respect and helps create a culture of patient service that Vail-Summit Orthopaedics is known for. In addition to their sub-specialties, each physician also specializes in orthopaedic trauma.

Dr. Paul Abbott speciality : Shoulder, Sports Medicine

Dr. Rick Cunningham speciality : ACL, Knee & Shoulder, Partial & Total Knee Replacement

Dr. Erik Dorf speciality : Hand & Upper Extremity, Sports Medicine

Dr. John Paul Elton speciality : Foot & Ankle

Dr. Peter Janes speciality : Hand, Wrist & Knee

Dr. Terrell Joseph speciality : Hand & Upper Extremity, Knee Surgery

Dr. Scott Raub speciality : Spine Care, Electrodiagnostic Testing

Dr. William Sterett speciality : Knee & Shoulder, Joint Preservation

First on the Scene

When misfortune strikes, you can make things better

BY SCOTT N. MILLER // PHOTOS DOMINIQUE TAYLOR

it ’ s all fun and games until someone pokes out an eye — or breaks a leg, hits a tree, trips over the cat, falls off a cliff… you get the idea. Accidents happen. When you’re the first person to show up after some mishap or other, you can make a big difference: You can help.

Dr. Gayle Braunholtz is a partner in the Vail Valley Emergency Physician Group, which staffs the emergency department at Vail Valley Medical Center. She's also the medical director of Gypsum Urgent Care. It's safe to say she knows a thing or two about injuries and sudden threats to a person’s well being.

At the top of the list, of course, is "call 911." The sooner an ambulance crew is on the way, the better. Of course, there are times when seconds count and help is minutes away — and that’s where you come in. Here’s Braunholtz’s advice about what to do when you’ve got an injured person on your hands.

bleeding wounds

For a badly bleeding area, apply direct pressure over the wound. That should at least slow the bleeding enough until help arrives. "Don't release pressure to check if the wound has stopped bleeding," she says.

A tourniquet — a tightly wrapped bandage that stops all circulation between the wound and the heart — "should be reserved for a life-over-limb scenario," she says. "A properly applied tourniquet becomes excruciatingly painful within 15 to 20 minutes, and should be left to professionals whenever possible.”

broken bones

With broken bones, the best way to assist is by helping someone stay still and as comfortable as possible.

Braunholtz notes that broken bones have sharp edges that can poke through the skin, or worse — sever an artery or nerve. A makeshift splint can help stabilize a broken bone. While moving a broken-bone patient as little as possible is always advisable, there are exceptions — if someone is head-down in a tree well, or in the middle of a road, moving to safety is a good first step.

burns

With burns, cold water is always a good idea. If a burn has broken the skin, try to find antibiotic ointment, since burns can become infected. Seeking medical help is advisable for any burn that completely circles an area — all the way around an arm, for instance — or any burn bigger than the palm of your hand.

concussions

Concussions are a bit different, because the symptoms aren't always outwardly obvious. Braunholtz says any time someone hits his or her head in a fall or other accident, there's always a risk of concussion. Symptoms may not appear right away, but can include headache, nausea, blurred vision, decreased concentration or memory loss.

If you develop any of these conditions after hitting your head, Braunholtz's advice is to seek medical attention. "Concussions should not be taken lightly," she explains. "These symptoms indicate that your brain was rattled. It needs time to recover."

If you're skiing or biking, that means avoiding the risk of further falls for at least one to two weeks after being symptom-free. The consequences of a second injury can be dire: "A second injury too soon after a first injury can lead to second impact syndrome. Symptoms might include chronic headaches, cognition problems, and, in some instances, even permanent disability or death."

strokes

A stroke — the sudden loss of blood to the brain — can be a bit like a concussion, in that the symptoms aren't immediately apparent. But with strokes, the quicker someone gets help, the better.

There are any number of stroke symptoms, including garbled speech and numbness on one side of the body.

Braunholtz says the "Cincinnati prehospital stroke scale is a quick and easy way to screen someone for signs of stroke."

opposite: When dealing with broken bones, you can improvise a makeshift splint (as with a belt and stick) to immobilize the injured area.

THE RECOVERY POSITION

WHEN A PERSON becomes unconscious, death is not necessarily imminent. Place them in the recovery position to help boost their chances of survival:

1 Place the patient on their side or three quarters prone so that the mouth is down (allowing for secretions to drain out) and chin is up (keeping the airway open).

2 Limbs should be positioned to keep the patient in place. For example, the leg and arm not touching the ground is moved forward to act as a "kickstand" to keep the patient from laying completely face down on the ground.

STROKE TEST INCLUDES:

Ask the person to smile and show his or her teeth.

Have the person close his eyes and hold his hands palms up and outstretched in front of him.

Ask the person to say, "You can't teach an old dog new tricks."

The smile should be symmetric, the arms shouldn't drift down and the patient shouldn't have difficulty with this phrase. If all three signs are abnormal the chance of the person having a stroke is greater than 85 percent.

Again, call 911 immediately, make the person comfortable and get the person to a hospital as quickly as possible. If a person qualifies for the clot busting medicine “tPA” then the sooner they get it the better.

heart attack

Which leads us to the toughest of all emergencies — sudden cardiac arrest. If someone collapses in front of you, check for consciousness and call 911. If there is any chance that they are breathing, place them in the recovery position. This will protect their airway while they are unconscious. Thousands of fatalities occur every year in cases where the cause of the unconsciousness was not fatal but airway obstruction led to suffocation. See box for info on the recovery position.

Many public and private buildings have "automated external defibrillators," or devices that will shock a person's heart back to action. If one of those isn't available, there's the age-old standby — cardiopulmonary resuscitation, or CPR. Classes are available for free through Starting Hearts (www. startinghearts.com). A basic class takes three to four hours and could save a life.

Screen someone who might have had a stroke with the Cincinnati prehospital stroke scale.

The Future of Science

Steadman Philippon Research Institute launches community education initiative

ealizing that the next generation of scientists, teachers and physicians resides in our own communities, the Steadman Philippon Research Institute (SPRI) has created the Education and Public Outreach Committee (EPOC) in partnership with the Eagle County School District, Vail Mountain School and Vail Christian Academy. EPOC’s mission is to inspire and introduce the science, technology, engineering, and mathematics-oriented fields to elementary, middle and

high school students. The curriculum is directed by the scientists and physicians of SPRI, and the centerpiece of activity is the world-class research labs located at Vail Valley Medical Center.

The team of scientists offers laboratory tours, scientific presentations, mentoring of student projects, involvement in school science fairs, and internships. “Having world-class research scientists as a sounding board really gives students a sense of validation and pride,” said Gabe Scherzer, a Vail Mountain School science teacher.

THE THREE-TIERED PROGRAM INCLUDES:

Tours of the SPRI Laboratories by fifth graders.

School visits by SPRI staff scientists while students are in sixth, seventh and eighth grades, including science fairs, classroom or assembly lectures and support for science-related projects such as robotics competitions.

Invitations for high school students to join the SPRI Science Club. Members will have an opportunity to meet physicians and scientists, attend an orthopaedics lecture series and participate in research projects. They will also receive a SPRI Science Club T-shirt as a member gift.

Since 2011, the EPOC program has provided lab tours for fifth through twelfth grade Eagle County School District and Vail Mountain School students, mentored middle school science fairs, lectured at school assemblies and provided two summer high school student internships.

According to Coen A. Wijdicks, Ph.D., director of the Department of BioMedical Engineering, “Our young scientists hold the key to the future. These experiences allow students to exercise the resources they learn in their science classes and apply scientific methods and techniques to various topics and experiments. It is very rewarding mentoring the students and working with them on ways to better understand the dynamics behind producing an authentic experiment.”

Our young scientists hold the key to the future.”

Through the Steadman Philippon Research Institute's program, local students are exposed to technology, mathematics, engineering and science.

opposite: The Education and Public Outreach Committee starts working with kids when they are in elementary school, and continues through high school to inspire and introduce science.

THE STEADMAN CLINIC DOCTORS

Marc J. Philippon, MD speciality : Hip

Randy W. Viola, MD speciality : Hand, Wrist & Elbow

Donald S. Corenman, MD, DC speciality : Spine & Neck

Tom Hackett, MD speciality : Knee, Shoulder & Elbow

Peter J. Millett, MD, MSc speciality : Shoulder & Elbow

David C. Karli, MD speciality : Spine & Neck

Thomas O. Clanton, MD speciality : Foot, Ankle & Knee

Rob LaPrade, MD, PhD speciality : Knee

Thos Evans, MD speciality : Interventional Pain Specialist

Steven Singleton, MD speciality : Knee and Sports Medicine

Gold Standard

Leader, innovator and mentor Dr. J. Richard Steadman retires from surgical practice this year

t ' s one thing to make a name for yourself in the medical field, but it's entirely another to create an unforgettable impact. Such is the case with Dr. J. Richard Steadman, a pioneer in the field of orthopaedic surgery. Steadman retired from his surgical practice this year, leaving behind him an unprecedented number of surgical innovations. Originally from Texas, Steadman began his practice in 1970 in South Lake Tahoe, California. In 1988 he founded the Steadman Sports Medicine Research Foundation. Two years later Steadman moved his practice to Vail and together with Dr. Richard Hawkins created the Steadman Hawkins Clinic. In 2004 Hawkins left the area and the practice was renamed The Steadman Clinic. In 2005 Dr. Marc J. Philippon joined on and the research institute became the Steadman Philippon Research Institute (SPRI). Following Steadman's retirement, both facilities will maintain his name in his honor and he will stay on as chairman emeritus at The Steadman Clinic and remain co-chairman of SPRI. Steadman first gained international recognition through revolutionizing post-surgical rehabilitation. He created techniques that

by ROSANNA TURNER

shortened and strengthened the healing process and he developed a procedure called "microfracture," which repairs damaged cartilage. Later in his career he was still on the forefront of surgical research with his technique known as the "package," which restores normal movement to stiff arthritic knees.

Through his work, Steadman helped many athletes get to the top of the podium. In 1976 Steadman treated women's downhill skier Cindy Nelson, who won bronze in that year's Olympic Games. In 1979 he treated Olympic ski racer Phil Mahre, who went on to win a silver and gold in the slalom. He treated elite athletes for decades and served as U.S. Alpine Chief Physician at the Winter Olympics from 1976-2006. Many athletes say they owe their careers to Steadman, for without his progress in both surgery and rehabilitation, they might not have been able to return to their sport after a serious injury.

Although world-class athletes have been some of his most publicized patients, Steadman also improved the lives of many patients locally. One of Steadman's goals was to help non-athletes stay active longer, and he treated over 12,000 patients during his time in Vail. To him this was just as rewarding as seeing a pro athlete be able to compete again. Through his leadership, Steadman brought international acclaim to not only The Steadman Clinic and SPRI but also helped elevate Vail Valley Medical Center as a destination for high-quality surgical treatment.

LOOKING BACK ON DR. STEADMAN'S CAREER & INFLUENCE REFLECTIONS

As Dr. Steadman retired in 2014, his former patients are encouraged to follow-up with other Steadman Clinic knee experts: Dr. Steve Singleton, Dr. Tom Hackett or Dr. Robert LaPrade.

"For years, he has been a pioneer in the world of sports medicine. He retired from his surgical practice, but his groundbreaking contributions in sports medicine will continue forever," said Dr. Marc J. Philippon, managing partner of The Steadman Clinic.

Steadman's name has become synonymous with knee surgery but he was also a role model in the truest sense. He showed his patients, colleagues, and those he mentored that the best care is a result of compassion and a deep desire to push the limits of what's possible for patients after major surgery.

Dr. Steadman improved the lives of so many during his career and left a legacy of a top-notch clinic that will continue his quest to treat patients from all walks of life.

A generation of professional athletes and grateful patients owe their livelihood and mobility to his successful, pioneering and exceptional delivery of innovative orthopaedic healthcare.

, DIRECTOR FOR THE CENTER FOR OUTCOMESBASED ORTHOPAEDIC RESEARCH AT SPRI

Dr. Steadman has been a mentor and inspiration to me for the last 20 years. An amazing surgeon, his real secret has been the way he listens to and cares for his patients.

PETER J. MILLETT, MD, MSC, DIRECTOR OF SHOULDER SURGERY, THE STEADMAN CLINIC In 1993 Dr. Steadman first told me that how the patient feels is the most important outcome of the surgery. He listens and learns from every patient.

Expecting Mothers

A Q&A with one of Vail's resident experts

fter practicing medicine in Detroit for 20-plus years, Dr. Pamela Bock moved to Vail in 2008. An expert in women’s health, infertility and adolescent gynecology, one of her favorite moments over the course of her job is delivering babies. Below, she answers questions from expecting mothers.

QI was out of shape when I got pregnant, and I spent most of the first trimester feeling miserable. Now that I'm feeling a little bit better, what sort of activities can I engage in to get myself back into shape?

AWe recommend that people start gradually, sometimes just 10 to 15 minutes a day. You want to work up to 30 minutes at least 5 times a week, if not every day. That’s a good thing to aim for, and start slowly. A lot of people ask about the heart rate. If you can talk comfortably while you’re doing your exercise, then that’s good. Walking is underrated. It’s something women can do throughout their pregnancy. Swimming, it’s very soothing because you have the buoyancy. If you’re already a runner, you can run. But pregnancy is not the time to start to learn how to run.

Light weight lifting is fine, but we don’t like you to do anything too strenuous on your back in the second and third trimesters. Pilates and yoga are good, too. There are a lot of benefits for women who stay active: They have shorter labors, and they tend to tolerate the labor better as well as keep up with the demands of the pregnancy. Listen to your body, and make sure you consider hydration and sunblock.

QWhat is the best thing or things I could be doing for myself and my baby while I'm pregnant?

ANutrition is the big one — eat well. Get enough fiber, fruits and vegetables. Also, get enough rest. Exercise. And social support: The dad or partner being involved is always very positive.

Q Are there any challenges specific to Vail's altitude when it comes to being pregnant and giving birth?

AOn the plus side: living at this altitude, most women are pretty healthy and into active sports. We have a healthy population. There are some studies that say babies at a higher altitude are a lower birth rate, but the bottom line for me is patients are active and healthy. They’re very much a part of the pregnancy and are very, very invested in it, more than I’ve seen in other communities. On the down side, we do have to caution people on how active they can be. We counsel people as far as skiing or snowboarding, to avoid that. They might not only hurt themselves, but also hurt the baby.

As for the challenges, because

we are higher, we’re prone to dehydration. And we need more sun protection, too, especially during pregnancy due to the hormones that create a mask of pigmentation.

QIt's hard to navigate all of the information out there and know what's a good source and what isn't. Are there any online or book sources for general pregnancy info that you recommend?

AWe give women "What to Expect When You're Expecting" and I also like the Mayo Clinic's "Guide to a Healthy Pregnancy." Another one is “The Mother of All Pregnancy Books.” And as far as websites, the Mayo Clinic has a good and reliable women’s health section, as does the National Institute of Health. But, if you’re a patient with Colorado Mountain Medical, you can sign up for the Patient Portal. It enables you to message your doctor directly. If you’re my patient and you have a question, you can just send it to me, I pick up the message and respond to it, say perhaps that it’s nothing to worry about, or you should come in. So many times people sit home and wonder, “Should I call or shouldn’t I?” My advice is, when you’re asking that question, the answer is you should. The Patient Portal gives you a way to do that without leaving a message with a nurse.

QI have visions of giving birth without having any pain medications, but I don't know how realistic it is. What do you suggest a woman consider when making this decision?

AGiving birth is like taking a road trip: You know where you’re headed, but you don’t know what’s going to happen along the way. Birthing plans are great and you can investigate what you’re interested in, but it concerns me when someone is very rigid one way or the other. You can have a guideline, but be flexible. You just never know, and the endpoint is a healthy mom and healthy baby.

There are lots of options for pain management. We have IV meds that can be given, which help with the pain. And an epidural, which is administered in the spine, will make it so you don’t feel the contractions.

One of our practitioners does hypnobirths, which is more like guided imagery, and people use that as a management for their pain. Also, there are the Bradley and Lamaze methods, which are more holistic approaches. And sometimes doulas come to the hospital with patients, and help coach them, educate them on the transitions. I love it when a doula is a part of the situation, because they’re experienced and can be very helpful.

Q How well equipped is the VVMC Women and Children’s Center?

A It’s very nice. They are all private rooms, so you can labor, deliver and recover in the private rooms. We have all the modern conveniences to keep you comfortable, plus 5 doctors who work in obstetric care. It used to be, you had to be 37 weeks — what we consider full term — to give birth in Vail. But our neonatal center can handle births from 34 weeks and beyond. That was a big step, to have that kind of backup.

The Acid Reflux Test

A simple procedure can produce big payoffs for those suffering from acid reflux

BY KIMBERLY NICOLETTI // PHOTOS ANTHONY THORNTON

“ we ’ d just finished climbing at the rec center in Gypsum,” Jeff Shroll remembers. “I was beating on my chest, complaining about the acid reflux that I’d had for a decade or more. He looked at me and said, ‘I can fix that.’ I said, ‘I’m listening.’”

“He” was Dr. Barry Hammaker. The fix was an elective surgery called laparoscopic fundoplication and it changed Jeff Shroll’s life.

Jeff is an active, busy guy. Originally from Grand Junction, he made his way to Gypsum from Crested Butte and has been the town manager for 20 years. He has coached track at Eagle Valley High School for 17 seasons, enjoys running, climbing, skiing, lifting weights, fly fishing, hunting and is determined to bag all of Colorado’s 14ers.

However, his gastroesophageal reflux disease (GERD), better known as acid reflux, was hampering his ability to do the things he loved.

“Running, weight lifting — really during any kind of cardio workout, that acid reflux would kick up,” Jeff says. “My stomach gets to going and that stuff comes back up and it would

cause problems. Or if it was a good powder day and I was skiing really hard, I’d get down to the bottom of a great run and I’d feel terrible. “I hated that chest burning. I just hated it.” The “chest burning” is heartburn, which is a symptom of acid reflux. Here’s what happens: at the entrance to the stomach, at the bottom of the esophagus, is a valve. This valve usually closes as soon as food passes through. If it doesn’t, or if it opens too often, acid produced by the stomach can splash up into the esophagu — heartburn. Acid reflux disease is when this painful burning happens more than twice a week.

Acid reflux doesn’t occur just during physical exertion. Stress can aggravate the condition and it can affect sleep, too.

“It’s all tied together,” Jeff explains. “Stress is a part of life, but I also have a stressful job. When you have a stressful job, you need a good night’s sleep, but you can’t get a

good night’s sleep because of acid reflux.”

Another way to release stress is by exercising, but acid reflux can be aggravated by physical exertion, creating a lose-lose cycle for Jeff.

So when Dr. Hammaker said he might be able to fix Jeff’s acid reflux, Jeff was ready to listen.

“Gastroesophageal reflux disease is a common problem and there are ways to address acid reflux with dietary and lifestyle modifications,” says Dr. Hammaker, a surgeon at Mountain Surgical Associates at Vail Valley Medical Center. “Things like losing weight, avoiding an excess of caffeine and alcohol, avoiding large meals and not eating right before bedtime. We often recommend lifestyle modifications either before or in conjunction with medicine to see what kind of improvement you can get.”

Most people with standard acid reflux do not need surgery. For many people who have acid reflux or indigestion, taking a pill like Nexium or Prilosec once or twice a day controls the problem and produces results. However, medication doesn’t work for everyone.

Once all of the tests and studies are completed and the final diagnosis is acid reflux disease, then laparoscopic fundoplication might be the next step. An elective surgery, laparoscopic fundoplication is a procedure that recreates the valve between the esophagus and stomach. It’s generally accompanied with an overnight stay in the hospital, followed by diet limitations for 30 to 90 days after surgery. A relatively new procedure, the end result is a repaired valve that’s not too loose and not too tight, allowing food to travel to the stomach but preventing acid from splashing into the esophagus.

If I had known about this years ago, I would have stood in line.”

“When medicine isn’t working, you need to have a proper evaluation to make sure that there’s not something else going on that’s much more serious, like cancer,” says Dr. Hammaker. “We’ll take a detailed history, find out what treatments have worked and what has failed. We’ll do a lot of diagnostic testing, like an upper endoscopy, a pH study; we’ll have a look around, maybe do a biopsy of the esophagus, all to make sure that it’s acid reflux.”

Jeff underwent laparoscopic fundoplication in December 2009 and is enjoying life in a way that he couldn’t before the surgery. He’s eating what he wants, when he wants and is pursuing his outdoor passions with vigor.

“I had a hard time doing 14ers back then (before the surgery). I’d get my heart rate up and the lack of oxygen would aggravate it,” says Jeff. “It has been way helpful — it’s easier running up and down peaks without acid reflux.”

Jeff has crossed 45 peaks off of his list so far.

“I’ve joked with Dr. Hammaker, ‘why didn’t I climb with you 10 years earlier to find out about this procedure?’” Jeff says. “If I had known about this years ago, I would have stood in line. This procedure really provided relief and was a great help for me; I know it could do the same for others.

“He’s the guy that does the real thing. I’m just a happy patient.”

MOUNTAIN SURGICAL ASSOCIATES

MOUNTAIN SURGICAL Associates (MSA) is home to some of the most respected surgeons in Colorado. Specializing in emergency and trauma case, they are also experts in:

GENERAL SURGERY: abdominal, thoracic and endocrine

LAPAROSCOPIC SURGERY: hernia repair, gall bladder, colon and reflux disease

CANCER SURGERY: breast, colon and rectal, endocrine, lung and melanoma

TRAUMA/CRITICAL CARE: around-the-clock diagnostic and care for critically ill and injured patients

WOUND AND OSTOMY: treatment of acute and chronic wounds

The team at MSA, consists of:

SUE ARFORD, RN

DR. JAMES DOWNEY

DR. REGINALD FRANCIOSE

DR. BARRY HAMMAKER

JASON MOORE, PH.D, PA

DR. JOHN SCHULTZ

Since his surgery, Jeff Shroll works out several times a week without suffering the consequences of acid reflux.

What hurts more than a Mammogram?

When you’re talking beauty and cosmetic regimens, it turns out most things do…

e know there ’ s no substitute for inner beauty. But when it comes to the external variety, women are well schooled in the “no pain, no gain” philosophy. Whether it’s huffing and puffing through a spin class or seeing stars during a bikini wax, beauty takes work. And no small amount of practice, either.

So why do so many women put off or avoid getting potentially life-saving mammograms? Discomfort? Awkwardness?

Last year, breast cancer survivor Geralyn Lucas visited Vail as the featured speaker at the Vail Breast Cancer Awareness Group’s 19th annual Celebration of Life luncheon, and she asked that very question. At 27, Lucas found a lump during a breast self-exam — earlier than most would expect. "I thought I had to be 40 or my mom

by Kim Fuller

had to have breast cancer. I was wrong," Geralyn says. Eighteen years down the road, Lucas is committed to spreading awareness about the importance of early detection. She teamed up with ABC News’ Sara Haines with an inspired idea: On camera, the duo wandered through New York City subjecting themselves to various activities in the name of beauty, and compared them to the pain and discomfort of getting a mammogram.

Such a good story inspired a local version. Local veterinary technician Cathy Wetzel has two sisters-inlaw who have fought breast cancer. Both are survivors, due in part to early detection. Her paternal grandmother had a double mastectomy in the early 1980s, so she has a personal interest in the message. She volunteered to help recreate the story, and photographer Dominique Taylor caught it all with her camera. The upshot? As far as pain goes, mammograms don’t have anything on high heels. »

Wearing High Heels

PAIN LEVEL 5 AFTER 5 HOURS, AND THEN UNBEARABLE

A vet tech at Vail Valley Animal Hospital, Wetzel doesn’t wear heels at work. She has to move quickly and efficiently on a semi-slick floor, so they don’t make sense for her. But in the spirit of taking one for the team, she gave it a go. She chose a pair about three inches high with a thin heel. "It makes everything feel out of line and miserable,” she says. “It hurt during the day, but at night I went home and I ended up getting cramps in my feet." After her lunch break, she couldn’t bear to wear them anymore. “It sucked,” she says. “I won't lie, it wasn't fun. "

Facial with Extractions

Acupuncture

PAIN LEVEL 1-2

At the acupuncturist, Wetzel had needles inserted into her face, her arms and down the right side of her body in hopes of triggering some healing in the neck, elbows and shoulders. "I have had acupuncture before and some of the needles really hurt when they put them in, but usually they only hurt for like 20 or 30 seconds,” she says. “You can still feel them but they don't hurt anymore.” Wetzel loves the relaxed feeling post-acupuncture, so she doesn’t mind the mild sting of the needles.

Chemical Peel

Brow Waxing

PAIN LEVEL 3.5

Though it’s nothing like a bikini wax, eyebrow waxing is still no picnic. "It's so quick,” Wetzel says. “If it was something that you would have to sit and put up with for more than five minutes at a time, then it would be bad.” The procedure might have been fast, but the recovery took a little longer. “I was all red and puffy for the next five hours at work, so it was kind of funny,” she says.

Tattoo

PAIN LEVEL 4

Wetzel trucked down to Glenwood Springs for her first tattoo. She showed up with a picture of what she wanted. It ended up different than what she thought it would be, but she likes it a lot. "It was really quick,” she says. “He got it done in less than an hour…and that would be probably a 4 on the pain scale — not terrible. There are certain parts that hurt more, like when he was doing the coloring in, which hurt more than the outline. It's a sharp hurt, similar to bee stings, but a bunch of them." Wetzel’s grandparents were apple farmers with 1,000 acres of orchard, and her mother, who passed away 2 years ago, had a house filled with apples. They were surrounded by apples, and ate them every day. “So it's an apple at the top and it comes down like a heart,” she says about the tattoo. “I really like it.”

LaserHair Removal

Eye Lift

Mammogram

PAIN LEVEL 3

Wetzel is in her 40s, and she does self-breast exams often and gets mammograms routinely. To date, she’s had five. “I would so much rather hear the bad news earlier, rather than later,” says Cathy. “Hopefully I will never have to hear the bad news, but it’s so common; there are a lot of women who I know in the valley who have or have had breast cancer.” Most mammograms take about 15 minutes to complete, though the uncomfortable part is much faster. "It's a squeezing … they do it very quickly,” she says. “You’re standing there for maybe a minute or two and getting squeezed, but it's not bad." Wetzel likes the atmosphere at the Shaw. “The technicians are great, and will talk about anything to make you not think about having your boob squeezed,” she says.

GAME THE

Lasik

Better Technology

The Shaw Regional Cancer Center’s Sonnenalp Breast Center now offers 3D Mammography

MAMMOGRAPHY takes images of breasts in a way that is similar to a CT (computed tomography) scan. Instead of a static image, the 3D mammo takes images of the breasts in “slices” (think loaf of bread), so radiologists have more information.

“Like the pages of a book, every page has more info on it,” says Colleen Berga, manager of the Sonnenalp Breast Center. “Having this technology reduces our rate of callbacks for additional testing, and increases detectability rates.”

Shaw adheres to the American Cancer Society guidelines for mammography, and recommends that women start mammo screenings at age 40, and every year thereafter.

If you have a strong family history of cancer and/or breast cancer, you should start screening 10 years earlier than the age a family member was diagnosed (if you mother was diagnosed at 40, start your screening at 30).

Also, see your physician if you have breast concerns, or feel a lump, experience nipple discharge, skin appearance or texture change and/or unilateral breast pain.

Right now, mammography is the “gold standard” for breast imaging, Berga says, at about 85 percent detection sensitive. If mammography is combined with breast ultrasounds, the sensitivity increases to 90 to 95 percent.

To schedule an appointment for a mammogram, call the Sonnenalp Breast Center at (970) 569-7690. Berga said to see your primary care physician prior to getting a clinical breast exam, to determine what type of screening to schedule.

For more information, visit www.shawcancercenter.com.

side by side

VAIL MEDICAL TEAM SHARES REWARDS AND CHALLENGES OF THEIR INTENSIVE VOLUNTEER TRIP

BY SHAUNA FARNELL

ome people vacation at the beach; others spend their time engaged in something more goal-oriented and charitable. Last September, six members of the Vail Valley Medical Center staff opted to donate four weeks of their personal time off and traveled to Tanzania to share their expertise. Dr. Kent Petrie, Jaime Paulus, Jane Brandes, Lindsey Bischoff, Rachel Connealy and Sarah Connealy helped the Foundation for African Medicine and Education (FAME), Haydom Lutheran Hospital and Rift Valley Children’s Village. “I have always been interested in other cultures and third world healthcare,” says Brandes. “The disparity that exists in the developing world, especially with health, is of great concern to me.” Brandes, a VVMC nurse and her husband, Peter, a paramedic, have a history in Africa. The couple moved there to work at Haydom Lutheran Hospital for a full year in 2001 with their then 7 and 9-year-old children. The couple has forged many close friendships in the community, so they’ve returned again and again.

The Haydom hospital is largely supported by the Norwegian Lutheran Mission, which is facing the possibility of pulling its funding in 2015.

To donate or find out how to help keep the hospital in operation, visit www.lifewithoutcarelosinghaydomhospital.org

“Premature babies don't do well in Africa. There simply are not the medical resources, equipment or staff available to support their needs.”

The focus of this last trip was primarily Haydom’s hospital and its new maternity ward, where Dr. Petrie assisted with several deliveries, coaching nursing and medical staff and walking them through management of challenges such as post partum hemorrhage and newborn resuscitation.

Nestled in a village of closely packed shanties with holes for windows, the Haydom hospital and its 400 beds is by far the most developed building in the area, but by American standards the facility is extremely basic.

The maternity ward undertakes more than 5,000 deliveries annually. This number is particularly striking because, as Brandes points out, in Tanzania, most births still happen at home. In spite of its relative sophistication, the hospital reflects the ghastly health concerns rampant in this poverty-stricken country, a far cry from the scene of controlled illness and healing one is likely to witness at VVMC or any first world medical facility.

“The patients there are very ill and death is ever present. Infants and children die daily from things you would never see in this country,” Brandes says. “Oftentimes the women who come for delivery are already in trouble. They have labored at another even-more-remote facility and were then brought to Haydom. The same for infants. Some are brought in after a home delivery that didn't go well or they were born at a health dispensary far away and an ambulance — a Land Cruiser with a mattress in the back — brought them to the hospital. Premature births are common due to chronic malaria, poor nutrition, limited prenatal care and all the other problems of poverty. Premature babies don't do well in Africa. There simply are not the medical resources, equipment or staff available to support their needs.”

Given this reality, even after four weeks of nonstop work, the VVMC crew was still left with a biting sense of unfinished business.

Dr. Kent Petrie holds a healthy newborn in Haydom's new maternity ward.

opposite: The team from VVMC donated 4 weeks of personal time to the hospital and community of Haydom, Tanzania. Vero, a midwife, and Rachel Connealy attend a patient at Haydom Lutheran Hospital.

“I’m not sure one could ever accomplish everything they wanted in Haydom,” Paulus says.

One accomplishment Paulus, Bischoff and the Connealys achieved while in Tanzania was to make the acquaintance of a young local girl and sponsor her so she could attend school. The Brandeses plan to return to the country in 2016 — if not sooner — to attend their nursing friend Veronica’s graduation with a degree in midwifery.

Possibly the most rewarding aspect of the trip was the continuous flow of appreciation from the patients and staff at Haydom. The display of gratitude came after each successful delivery, educational presentation, equipment contribution or simply from a helping hand.

“The rewards are continuously present — a smile from a patient or family, a curtsy from an infant’s mother, children running up to us to hold our hands. The people there value western healthcare and treat us with great respect. The hospitality is like no other place I've ever been. The people are extremely kind and welcoming,” Brandes says.

Besides the heart-swelling sense of reward from such focused work in a community like Haydom, Dr. Petrie points out that such experiences lend an incredible perspective upon returning to first world medical care and general way of life.

“I appreciate our system of medical care when I come back from these trips,” Petrie says. “You see how the situation is in Tanzania and think, ‘How much do we really have to complain about?’”

Your gland A GLANCE AT

Vail’s new endocrinology clinic diagnoses and treats thyroid disorders

BY SHAUNA FARNELL

you’re in your 20s and loving life. You ski, hike, bike and get outside to play in the mountains whenever possible. You eat healthily, don’t drink too much and get plenty of sleep. Yet you’re always tired, and you're gaining weight. It just doesn’t make sense.

Does any of this sound familiar? It could be your thyroid.

The thyroid is a gland in the neck that produces a hormone affecting many organs in the body, including the heart, liver and muscles. If your thyroid is under producing — a condition called hypothyroidism — there are indeed symptoms, but they may take a while to present themselves. As Dr. Monique Manganelli puts it, “everything slows down.”

The symptoms may vary depending on the age of onset, the duration and severity of the deficiency. Some of the early symptoms may include general fatigue or cold intolerance. The hair may fall out or become coarse. The skin is often dry and rough. Due to this slowdown in metabolism, patients may gain some weight in spite of no dietary change. The bowels slow down and patients often complain of constipation. From a psychological standpoint, these patients may start to feel a little ‘blue’ or have clinical depression.

Sometimes it’s impossible to know exactly what is causing the thyroid to be underactive. It is not caused by your lifestyle or anything you are — or aren’t — doing. One of the most common causes of hypothyroidism is chronic autoimmune process.

“This is when you develop antibodies against your own thyroid. It’s genetic. It can just turn on … similar to when you develop antibodies when you get sick that work against bacteria, except this is working against your own tissue,” Manganelli says.

A mystery of genetics, women are eight times more likely than men to develop hypothyroidism and may have additional symptoms such as irregular menstruation or fertility difficulties while men may suffer from decreased libido or sexual function.

COMMON CAUSES OF THYROID ISSUES

On the opposite end of the spectrum is hyperthyroidism — five times more likely to develop in women than men, in which there is an excess of thyroid hormone in the body. The most common cause is again an autoimmune process, this one called Graves' Disease. More common in younger women, Graves Disease is when your antibodies, rather than destroying the thyroid and causing it to under produce as in hypothyroidism, actually stimulate the gland. Less common causes for both hypo and hyper thyroid include thyroid inflammation, certain medications and excessive consumption of iodine. Symptoms of hyperthyroid are nearly the opposite of those of hypothyroid.

VVMC Endocrinology staff see a lot of hyperthyroidism and the symptoms are usually more dramatic. Patients are often very uncomfortable. They may feel very anxious, jumpy or jittery and they may be losing weight in spite of an increase in appetite. They may be very heat intolerant and perspiring a lot. They are just so hyper that their heart is racing and they may be very short of breath. They may also have muscle weakness, a decrease in stamina or insomnia as well.

Although thyroid disorders are not caused by lifestyle choices such as what you eat or how much exercise you get, it’s important to note that the active high elevation lifestyle shared by most Vail Valley residents and visitors can exacerbate the symptoms of thyroid disease.

“With hyperthyroid, you’re already working way too hard, so when you add altitude to it and exercise, you’re putting yourself at real risk,” Manganelli says. "We saw a patient the other week — a woman in her 20s — who came in to town to meet a friend. She collapsed while she was having dinner. She was discovered to be hyperthyroid and probably managed it in New York, but skiing and the elevation was too much. Those with hypothyroid are already fatigued and when they come up to this altitude, they may not become toxic like hyperthyroid patients, but they’re going to feel so much more fatigued. They’re going to have a hard time with exercise and stamina. It’s hard to overcome that. It’s hard on the body.”

It’s true that the thyroid needs iodine to function properly and in rare cases, excessive or deficient amounts of iodine can lead to hypo or hyperthyroid disease, but this is not com-

THYROID DISORDER FACTS

HYPER THYROIDISM

There is an excess of thyroid hormone in the body. Women are five times more likely than men to develop it.

HYPOTHYROIDISM

Thyroids under-produce, making bodily systems slow down. Women are eight times more likely than men to develop it.

mon in the United States. The VVMC Endocrinology staff recommend that individuals aim for the Recommended Daily Allowance of iodine, perhaps slightly more for pregnant women.

Another natural substance, a trace mineral called selenium helps with thyroid health, but as far as treatment for thyroid disorders, there are no natural cures.

The only way to treat thyroid hormone deficiency is to replace it with a daily thyroid hormone pill. Hypothyroidism can be diagnosed by a physical exam, which may include an enlarged thyroid gland or goiter, in addition to a simple blood test. It may take a little time to find the right dose for the patient, but patients do start to feel significantly better.

Treating hyperthyroidism can be a little more difficult because the hormones that have already been over-produced cannot be removed. However, there are pills that can block future production of thyroid hormone or a one-time dose of radioactive iodine, which essentially destroys the thyroid gland. Surgery is sometimes used to treat it in rare situations.

If left untreated, hypothyroid patients will progressively feel more fatigued, may continue to gain weight and generally “feel lousy.” It takes a

long time for the thyroid hormone levels to become dangerously low.

Consequences can be much more serious if hyperthyroidism goes untreated. “Untreated hyperthyroidism can progress rapidly to a toxic state with complications that can lead to cardiac arrhythmias, shock or rarely death." Manganelli says.

No doctor is ever going to discourage a healthy diet and an active lifestyle, especially for patients with hypothyroid issues. As far as exercise for hyperthyroid patients, especially in a place like Vail where people have a tendency to be overactive, doctors have specific guidelines to make sure they’re not overdoing it.

For patients with hypothyroidism, the team at VVMC Endocrinology advise a healthy, calorie-controlled diet and exercise to maintain metabolism. With hyperthyroid patients, the body is already working out without them knowing. Once they have their thyroid under control they can work out, preferably with a trainer to establish a safe exercise program, to start to increase the muscle mass that may have been lost during their hyperthyroid state.

Learn more by calling VVMC Endocrinology at (970) 477-5160 or visit vvmc.com/endo

According to the National Endocrine Information Service …

4.6 percent of Americans have hypothyroidism and 1 percent has hyperthyroidism.

Different thyroid diseases occur at different ages.

Women are much more likely than men to develop hypo or hyperthyroidism and women 60 and older are at the most risk.

They are not caused (or cured) by diet or lifestyle.

Causes are often hard to identify but can be genetic, autoimmune-related, caused by surgery, radiation, exposure to iodine, pregnancy or certain types of medication.

Hypothyroidism is cured by a daily dose of thyroid hormone medication while hyperthyroidism is cured by daily thyroid hormone blocking medication, onetime radioactive iodine treatment or surgery.

If untreated, hypothyroidism can cause obesity, joint pain, infertility and hyperthyroidism can cause heart issues, strokes and even death.

If untreated during pregnancy, thyroid disorders increase the risk of miscarriage, pre-term delivery and may affect the baby’s growth and brain development.

KAMPER CONQUEROR

When Dr. Matt Kamper tore his rotator cuff during a ski fall in December 2008, he didn’t just take a surgical approach to fixing it; he also self-prescribed a life-altering route.

BY KIMBERLY NICOLETTI

Dr. Matt Kamper is the eleventh person — and eldest — to ski all of Colorado’s Fourteeners. Pike's Peak, June, 2009.

Mount Harvard, February, 2010.

BEFORE YOU GO…

vail valley Medical Center emergency doc had grown up in Boulder, skiing and hiking Vail and Summit County’s mountains. He loves his work in Vail’s ER for the past 15 years, due to the overall environment both in and outside of work. However, one “minor” frustration nagged at him: Work kept him so busy, he didn’t have enough time to ski. Granted, he managed to squeeze in 40-50 days a season, but those “days” only consisted of an hour or so of precious turns eked in before his shifts began. “Summer would come, and I wasn’t done skiing,” Kamper says. His frustration reached a critical point in January 2009, when he spent eight weeks recovering from shoulder surgery. “I couldn’t do anything,” he says. “It drove me nuts … (but) I had a lot of time to think about things.” By the end of the eight weeks, not only had his shoulder healed, but also his one frustration with work and recreation transformed. “I turned it around to a positive,” he says. “I realized the ski mountaineering season begins when the lifts close, and the snow is more safe and stable, and I have more time. I’d grown up doing high-altitude backcountry skiing, and I realized I should have been doing it all along. I decided to take on 14ers as a project because it had a defined, prescribed list.”

TAKE AN AVALANCHE SAFETY COURSE

Learn to recognize avalanche terrain. Most avalanches travel in paths, on smooth, broad, steep exposed slopes of between 25 and 60 degrees, but there are many exceptions. Remember: If you can ride through it, an avalanche can slide through it. Practice searching for your companions’ avalanche transceivers until everyone feels confident about their ability to locate each beacon quickly. Research your route and snow conditions in the exact location(s) you plan to ski. Call your local avalanche warning center and check the current and forecasted weather before heading into the backcountry. Be prepared to adjust plans and/or routes accordingly. Your attitude and the attitude of your companions can often mean the difference between a safe trip and catastrophe.

ONCE YOU'RE THERE …

Always carry avalanche equipment, including avalanche transceiver, probe and shovel

Stay alert, and constantly be on the lookout for anything that indicates the potential for a slide.

Cross potential avalanche slopes one at a time — each person should be 100+ yards from the next person.

Avoid traveling in the backcountry alone or leaving the group.

Don't assume a slope is safe because there are tracks going across it. Wind, sun and temperature changes are constantly altering snowpack stability.

Never travel in the backcountry on the day after a big storm. Allow the snowpack to settle for at least 24 hours.

Don't hesitate to voice concerns or fears.

Above info from the National Ski Patrol, www.nsp.org Other resources: www.americanavalancheassociation.org Colorado Avalanche Information Center: avalanche.state.co.us/

GETTING READY

And so the work began. Kamper is a strong skier, but he had to hone his mountaineering skills. He studied maps, guidebooks and blogs, and eventually mastered skills like rappelling with his skis on. By April 2009, he skied his first 14er: Quandary Peak. That spring, he bagged 14 peaks.

But not every ascent and descent went as smoothly as that first spring. Several peaks took multiple attempts to ski — bad weather or adverse conditions, including higher-than-expected avalanche danger, impeded progress. Crestone Needle took three attempts: Time ran out on the first attempt; the snow never softened and remained a sheet of glass on the second; and finally, on the third try, “we were not going to be denied,” Kamper says.

A highlight of the journey was skiing with partners, some of whom he met through 14er forums or met on the trails. “One of the best things are the people you meet along the way,” he says. “Anytime you take on a difficult project with somebody, you form a bond.”

One of his partners, Jordan White, was the youngest to ski all of Colorado’s 14ers, at age 23. Kamper still holds the record as the eleventh person to ski all of the 14ers. He is also the oldest, finishing at age 52. “Age didn’t get in the way at all,” he says. “The great thing about doing this, is, it really is a team sport. Everybody you go out with brings a different set of skills and strengths.”

STAYING SAFE

Kamper is a confident skier and navigator — and his partners appreciated him hauling heavy first aid kits up and down the mountain, even though he never had to use them. His partners often brought better mountaineering skills, such as technical roping.

Though Kamper never had to pull out his first aid kit for his partners, his knowledge came in handy on Cameron Point (an unofficial 14er — even official counts of Colorado’s 14ers differ, varying from 53 to 54). Kamper hesitates to call it an avalanche, but he fell and slid with a bunch of snow at 10 a.m. He knew he tore the ligament in his left thumb, so he called into the medical center and scheduled surgery at 6 p.m. Dr. Viola pinned his thumb joint internally and molded a splint so that Kamper was conquering 14ers within a week.

And skier’s thumb wasn’t the only major glitch Kamper ran up against during his four-year journey.

“This kind of endeavor can be really hard on relationships,” he says, adding that his girlfriend was “extremely patient” and even joined him on a couple of trips.

Some peaks, like Capitol, which Kamper describes as the scariest because it required a long traverse on a steep slope above a cliff, also demanded nearly 24 hours of physical exertion; Kamper started climbing Capitol at 11 p.m. and finished the following day at 8 p.m.

Despite the challenges, Kamper wouldn’t trade his self-prescribed “treatment” for anything.

“My passion for skiing, and for being outdoors in general, is a fabulous gift that I received from my parents, and this project brought me to realize just how profound and valuable that gift really is,” Kamper says. “I am working on conveying it to my children and look forward to hearing about their adventures when they're older.”

good eats

NUTRITIOUS, ALL-NATURAL CUISINE DOESN’T HAVE TO BE BORING

BY KIM FULLER // PHOTOS ANTHONY THORNTON

ating “ healthy ” is generally easier said than consumed, yet more and more, restaurants are jumping on board with a greater diversity of well-balanced offerings. Terra Bistro in Vail Village is known for their elite yet mindful cuisine, with a wide range of both delicious and health-conscious menu items. Although decadence still can be enjoyed with sweetbreads and duck dishes, red wine and sweet dessert finales, Terra Bistro gives guests the option to eat a little lighter, with a kitchen that is always willing to cater to personal dietary preferences or restrictions.

"I personally have always believed — and it's become the core of Terra Bistro's directive — that when it comes down to it, you are what you eat," says Terra Bisto managing partner Kevin Nelson. "I know it's simplistic, but we just believe that if you begin with perfect ingredients that are fresh and not manipulated in any way, and begin your creative process from there, you get to an end result that pleases the guest on all levels — beyond just the typical dining experience.": Recipes provided by Kevin Nelson, head chef of Terra Bistro in the Vail Mountain Lodge. »

Mushrooms are terrific immune boosters.

. Nutrition Facts .

PARSNIP PILAF IN GRILLED PORTOBELLO MUSHROOMS

Serving Size 112g

Calories 80

Calories from Fat 30

Total Fat 3.5g 5% DV

Saturated Fat 0.5g 3% DV

Trans Fat 0g

Cholesterol 0mg 0% DV

Sodium 12mg 1% DV

Total Carbohydrate 12g 4% DV

Dietary Fiber 4g 16% DV

Sugars 4g

Protein 3g

Vitamin A 0% DV

Vitamin C 15% DV

Calcium 2% DV

Iron 4 % DV

TAMARI ROASTED CARROT MIX

Serving Size 107g

Calories 90g

Calories from Fat 35

Total Fat 4g 6% DV

Saturated Fat 0g 0% DV

Trans Fat 0g

Cholesterol 0mg 0% DV

Sodium 290mg 12% DV

Total Carbohydrate 11g 4% DV

Dietary Fiber 3g 12% DV

Sugars 4g

Protein 2g

Vitamin A 210% DV

Vitamin C 8% DV

Calcium 2% DV

Iron 4% DV

Parsnip & Pine Nut 'Pilaf' in Portobello

TAMARI ROASTED CARROTS, ARUGULA, CURRIED EGGPLANT SAUCE

Parsnip

Pilaf in Grilled Portobello Mushroom

6 portobello caps, gills and stems removed, seasoned with olive oil, salt & pepper, and grilled

2 cups parsnip rice

FOR THE PARSNIP RICE, COMBINE THE FOLLOWING

2 cups shredded raw parsnips

2 tablespoons toasted pine nuts, chopped fine Squeeze of lime juice

Sea salt to taste

PROCEDURES

(WHEN MUSHROOMS ARE COLD)

1. Trim the grilled portabellos into 2 1/2 inch squares.

2. Fill each square with 2.5 ounces of parsnip rice.

3. Store the filled mushrooms in the cooler until ready to heat and serve.

4. Serve with Tamari Roasted Carrots, Arugula, and Curried Eggplant Sauce.

Tamari Roasted Carrot Mix

4 organic carrots, peeled and cut into bite-sized pieces

1/2 cup chickpeas

2 tablespoons vegetable oil

1 tablespoon tamari soy sauce

1 tablespoon fresh grated ginger

2 teaspoons lime juice

Sea salt and pepper to taste

1. Combine all and roast in convection oven at 375° to 400° for 20 to 30 minutes until tender and partially charred/caramelized.

2. Serve.

SAY WHAT?

recent study showed modest weight loss in those who replaced one cup of mushrooms for red meat in their diet for one year. Mushrooms are also a good source of dietary vitamin D2, and they are the only plant vegetable to be a significant source of vitamin D.

Eggplant Sauce, Curried

1 large eggplant, cut in half

1/2 cup olive oil, plus more to coat raw eggplant

1 small white or yellow onion, rough chopped

2 teaspoons chopped garlic

1 teaspoon grated fresh ginger

1 teaspoon ground cumin

1/2 teaspoon ground coriander

1/4 teaspoon chili powder

2 teaspoons curry powder

1 tablespoon tomato paste

1 can organic coconut milk

Sea salt – to taste

1. Rub eggplant with olive oil and season with salt and pepper. Place on a baking sheet with onions and roast in the oven until soft, about 30 to 40 minutes at 375° to 425°. Let cool and using a spoon, remove the flesh of the eggplant and set aside with the roasted onion.

2. Heat the oil in a pot and sweat the chopped garlic until aromatic.

3. Add the spices, cook for 2 minutes.

4. Add the tomato paste, coconut milk, and the eggplant onion mixture and bring to a simmer.

5. Remove from heat and let cool.

6. Puree in a blender and pass through fine mesh strainer or chinoise.

House Sprouted Quinoa Lettuce Cups

AVOCADO, BALSAMIC-MACERATED TOMATOES AND BASIL AÏOLI

Sprouted Quinoa Lettuce Cups

TO SPROUT QUINOA

1. Cover quinoa with water using at least twice the amount of water to quinoa.

2. Soak quinoa in a bowl for at least 12 hours.

3. Drain the quinoa and allow to dry.

4. Cover the quinoa with a breathable lid such as a coffee filter or cheesecloth.

5. Rinse the sprouting seeds twice a day and allow to dry each time. The seed is soft when finished, and best eaten in 2-3 days. The more days that you repeat the rinsing and drying process, the longer the sprouts will become.

6. Once the quinoa has reached the desired stage, refrigerate and enjoy.

1 avocado

6 tablespoons heaping of balsamic-macerated tomatoes

6 tablespoons heaping of sprouted quinoa

4 tablespoons basil aioli

6 Bibb lettuce leaves

Fill each lettuce leaf with equal parts of the above ingredients

– drizzling the sauce last.

Balsamic-macerated Tomatoes

4 cups fine diced roma tomatoes

1/4 cup fine diced red onion

1 cup fresh basil, chiffonade

1/2 cup extra virgin olive oil

2 tablespoons balsamic vinegar Sea salt and fresh pepper to taste

Combine all and let marinate overnight.

SAY WHAT?

There are multiple benefits to sprouting your seeds, legumes and grains.

hen these foods are sprouted, the seed literally turns inside-out and releases more nutrients to be absorbed as vitamin C, iron, zinc and B-vitamins. Sprouts are also good sources of fiber and protein. Sprouts as a part of a daily diet can help to manage blood sugars and reduce insulin levels, she says, which has been shown to provide benefits for those with Type 2 Diabetes.

Basil Aioli

8 garlic cloves

1 teaspoon salt

1 shallot — rough chopped

2 tablespoons fresh lemon juice

2 tablespoons white balsamic vinegar

2 cups fresh basil leaves

3 fresh egg yolk or 3 tablespoons pasteurized egg yolk

2 1/4 cups Extra Virgin Olive Oil

1. Combine all except oil in food processor until well blended.

2. Slowly add oil in a steady stream while blending …

3. Pass aioli through a medium or fine mesh strainer to remove any unblended fibers and pieces.

. Nutrition Facts . CURRIED EGGPLANT SAUCE (FROM PAGE 47)

Serving Size 47g

Calories 80

Calories from Fat 70

Total Fat 8g 12% DV

Fat 2.5g 13% DV

Trans Fat 0g

0mg 0% DV Sodium

SPROUTED QUINOA LETTUCE CUPS

Serving Size 125g

Calories 260 Calories from Fat 230

If you have problems digesting legumes, try sprouting them before cooking as the starches responsible for gas formation are broken down and become more digestible.

AS THE NUMBER ONE KILLER OF WOMEN, HEART DISEASE HAS A NEW NEMESIS WITH VAIL’S NEW CARDIOLOGY INSTITUTE

Every 60 seconds a woman dies from heart disease. What has traditionally been a men’s issue has now become the leading killer of women, responsible for more deaths annually than the next five causes of women’s death combined.

A SILENT THREAT

Within the past 15 years, the medical establishment has become much more aware of women’s heart disease and has aimed to educate everyone. In the past, most of the emphasis regarding heart disease was aimed at men, because men presented symptoms earlier, says cardiologist Dr. Jerry Greenberg. But as research progressed, the medical community became aware that “women not only catch up, but also surpass men as they age” when it comes to heart disease, Greenberg says. Though estrogen may help protect premenopausal women against heart disease by increasing the production of HDL, or “good” cholesterol, simply giving women estrogen after menopause does not seem to prevent heart disease. “Cardiovascular diseases are the most common cause of death and disability of women in the United States,” Greenberg says. “Between the ages of 45 and 64, one in nine women develop symptoms of some form of cardiovascular disease. After age 65, (the statistics increase) to one in three women.”

TYPES OF CARDIOVASCULAR DISEASE

Cardiovascular disease is a catchall phrase for any disease of the heart. Though patients suffer from many types of heart disease, only three main things can go wrong with the heart: problems with the electrical system, the pumping system and the “plumbing,” or arteries.

THE PUMP AND PLUMBING

As the hardest-working muscle in the body, the heart pumps approximately 5 quarts of blood each minute, through 60,000 miles of blood vessels. It consists of four chambers connected by a valve. The blood flows into the atria, or top chambers, and out of the bottom, or ventricles. Heart failure occurs when the ventricles are not strong enough to pump blood out, and both sides of the heart work against each other, so the “squeezes” are not synchronized. This differs from a heart attack, which usually results from blockage in blood vessels that cut off the blood supply to the heart. Heart failure can develop from a heart attack or from conditions like high blood pressure.

“A repeating theme (in women) is that outcomes are often worse in, and with regard to, all of the modalities that we have available to us,” Greenberg says.

The main concern with women and coronary heart disease is: Women don’t experience the same symptoms as men.

For example, major symptoms of a heart attack in men include pressure, burning, arm or shoulder pain, shortness of breath, cold sweats, nausea and weakness. However, symptoms in women can include pain in the upper back, jaw or neck, flu-like symptoms, feelings of anxiety, loss of appetite, and general discomfort.

Symptoms in women are not always typical. Though the No. 1 symptom in both sexes involves chest pain, women are more likely to experience chest pain induced by rest, sleep or mental stress, as opposed to physical exertion, which usually causes men’s symptoms, Greenberg says. Women may also feel very fatigued; they may just feel like they have a severe flu. Oftentimes, women’s symptoms are less pronounced, so they tend to seek medical attention less frequently than men.

Another complication comes in the form of women’s “plumbing,” the arteries. “Women’s arteries are typically smaller and potentially more susceptible to injury,” Greenberg says, “and this fact tends to make some of our therapeutic modalities like heart cauterizations and angioplasties more difficult, and have worse outcomes than men.”

Autopsies reveal that plaque develops

The Statistics

Heart disease is the No. 1 killer of women, and is more deadly than all forms of cancer combined.

Heart disease causes 1 in 3 women’s deaths each year, killing approximately one woman every minute.

An estimated 43 million women in the U.S. are affected by heart disease.

Ninety percent of women have one or more risk factors for developing heart disease.

Since 1984, more women than men have died each year from heart disease.

The symptoms of heart disease can be different in women and men, and are often misunderstood.

1 in 31 American women dies from breast cancer each year, and 1 in 3 dies of heart disease.

source: american heart association

THE CARDIOLOGY INSTITUTE

(970)476-1110 vvmc.com/heart Clinics in Vail, Eagle and Frisco.

• Interventional and general cardiology

• Anticoagulation clinic

• Cardiac diagnostics

• Cardiac rehabilitation

Managing Heart Disease Risks for Women by Age

20s

• Know your cholesterol and blood pressure numbers

• Check your family history

• Avoid smoking

• Drink in moderation

• Choose contraceptives carefully

30s

• Tame your stress

• Develop heart-healthy habits such as eating healthily, exercising regularly and getting a good night's sleep

• Choose contraceptives carefully

40s

• Balance stress with personal needs

• Exercise regularly

• Get regular checkups

50s

• Monitor changes in your body and discuss with your doctor

• Know your numbers (cholesterol, blood pressure, etc...)

• Exercise regularly

• Eat healthily

60s

• Know your risks

• Keep moving

• Have open communication with your doctor

by the late teens or early 20s in much of the population, due to diet and lifestyle choices, such as smoking. Plaque begins as a fatty streak, irritates vessels and then acts as a speed bump. People can live with a 50 to 60 percent artery blockage and not know it, but then a stressful event — be it as simple as exercise or complex as trauma — causes a rupture. The body responds to the bleeding by forming a clot, which can cause a heart attack.

TREATMENT

Treatment includes blood-clot-reducing medication, acute catheter-based intervention and/or bypass surgery. Also, chewing an aspirin as soon as heart attack symptoms occur helps thin blood and prevents clotting. “In addition to medicine, there are early invasive strategies, which reduce the adverse effects that coronary heart disease can have on the patient, such as diagnostic heart catheterization, percutaneous coronary intervention, and, at times, coronary artery bypass surgery,” Greenberg says. By 2015, Vail Valley Medical Center will open its state-of-the-art catheter lab. The lab will allow patients having heart attacks to receive the current standard of care in Vail, which includes a door to reperfusion time of less than 90 minutes. Each patient will be brought to the heart catheterization laboratory, where the blocked artery is documented and then opened to restore normal blood flow to the heart muscle. “This intervention dramatically limits damage to the heart and the overall complication rate,” Greenberg says.

MOST COMMON ELECTRICAL PROBLEM

Within the heart, movement of electrical signals causes the chamber to contract and relax. The most common electrical problem, especially at high elevation, is atrial fibrillation, in which the upper chamber of the heart doesn’t squeeze, but the bottom does, causing an abnormally fast and chaotic heart rate, or quivering.

Atrial fibrillation affects about 2.7 million Americans, according to the American Heart Association, and that number is expected to increase by at least 200 percent in the next 35-45 years, partially because risk increases with drug use, hypertension and an aging population; chances of suffering atrial fibrillation increase by 2 percent a year after age 50, so that by age 90, almost everyone has it. In addition, the higher people go in elevation, the more prominent it is. Symptoms include heart palpitations, or sudden pounding, fluttering or racing, as well as a lack of energy, dizziness, chest

pain or pressure and shortness of breath. Patients with atrial fibrillation are five times more prone to suffer a stroke because the blood doesn’t move as effectively as it should, so it clots.

Treatment includes medications that thin blood, as well as external cardioversion, which essentially shocks the heart in hopes

The main concern with women and heart failure is: Women don’t experience the same symptoms as men.

of bringing it back into rhythm, and ablation, a surgical procedure. “The cardiology field is very successful in the ability to get the heart back into its normal rhythm,” Greenberg says. “(And) the various treatments are much more effective if identified early, before the problem becomes permanent.”

PREVENTION

Proper diet, exercise, blood pressure control and cholesterol counts are essential to prevent, and control, heart disease. Women shouldn’t consume more than 20 grams of fat per day, limiting calories from saturated fats to less than 7 percent of their total caloric intake. Restricting sodium to less than 2,500 mg a day, avoiding trans fats, and choosing heart-healthy oils are important, too.

Greenberg recommends moderate intensity physical activity for at least 30 minutes most days of the week — and 60-90 minutes for weight management. He suggests a body mass index (BMI) of less than 25 kg per meters squared and a waist measurement of less than 35 inches.

Of course, he tells patients to stop smoking and avoid environmental smoke. If women do smoke, they should avoid all contraceptives, he says.

Optimal blood pressure should be 120/80 or below. Cholesterol total should be less than 200, with the “bad” LDL less than 120-130, and the HDL greater than 50 in women. Women with heart disease or heart disease risk factors should decrease LDL

numbers and increase HDL even more.

Treatment of high cholesterol, hypertension, and diabetes should be actively managed by a physician. Any recent acute coronary syndrome, coronary intervention or cerebral vascular event should warrant consideration for participation in a cardiac rehabilitation program. Women should also consider aspirin therapy — under the advisement of a doctor — if they are over age 65, Greenberg says.

Since symptoms of heart disease in women can be masked as other conditions as benign as the flu, the doctors at the cardiology institute encourage women to be proactive in prevention, screening and seeking treatment. They say that women of all ages are at risk, adding that they just saw a 21-year-old snowboarder in the ER complaining of arm pain; at first, ski patrol thought she had fallen on her arm, but it turned out to be heart disease. “It’s better to be safe than be sorry,” Greenberg says.

Some Stats and Factoids

Cardiovascular disease is the LEADING CAUSE OF DEATH in Colorado, killing on average ONE COLORADAN EVERY HOUR. Despite this, Colorado is one of the HEALTHIEST STATES in terms of percentage of heart disease. And Eagle County is one of the four HEALTHIEST COUNTIES IN COLORADO in terms of heart disease.

Regular activity is a key part of maintaining cardiovascular health.

HEALTHY LEVELS

• Sodium less than 2,500 mg

• Blood pressure at or less than 130/85, though the goal is 120/80

• Total cholesterol less than 200

• LDL less than 120-130 with no risk factors, 100 if there are risk factors (family history, etc.) and 70 if there is known vascular disease

GOOD OR BAD IDEA?

Gluten should only be avoided by those with celiac disease or gluten sensitivity

BY SHAUNA FARNELL

here ’ s no question that gluten-free diets have taken America by storm, but it’s important to keep in mind that gluten itself is not the bad guy. A protein composite derived from wheat and a few other grains, gluten is not an inherently unhealthy component of the diet such as refined sugar or saturated fat. It is simply a substance to which many people have in recent years discovered their digestive tracts and other bodily functions disagree. This lack of harmony might present itself by a series of uncomfortable symptoms or, more seriously, a diagnosis of celiac disease.

“People with gluten intolerance either have celiac disease or gluten sensitivity,” says Katie Mazzia, clinical dietitian at Vail Valley Medical Center. “Celiac disease is an autoimmune condition that affects the lining of the small intestines. If you have celiac disease, your body will not absorb nutrients properly.”

from fad diets.

CELIAC DISEASE

When the body doesn’t absorb nutrients, it can lead to serious health problems such as osteoporosis, anemia and vitamin D deficiency. Celiac disease and gluten intolerance often have the same symptoms. A person with either often knows there is an issue because consuming something containing gluten — bread, pasta, beer, many kinds of sauces and even vitamins, pills and cosmetics — causes one or many of a variety of symptoms: bloating and stomach pain, diarrhea, constipation, fatigue, joint pain or vomiting, to name a few. The cause of celiac disease, which can only be confirmed by blood tests and screening, is unknown, but is believed to be hereditary and more prevalent in females and Caucasians. The treatment is a strict, gluten-free diet. For individuals who are sensitive to gluten but who don’t have Celiac disease, choosing to go without it is more a matter of their own comfort (preventing symptoms) rather than to sidestep or mitigate a major health concern.

“If you have some symptoms of gluten intolerance, seek the advice of your doctor first, then possibly see a gastrointestinal specialist for diagnosis of celiac disease,” says VVMC Dietitian Melaine Hendershott.

“After properly educating yourself on gluten-free eating, you can adopt a gluten-free diet to see if this helps your symptoms. You will need to trial the diet for at least two weeks to see if your symptoms improve, but it’s a good idea to try it for a whole 30 days.”

“Gluten-free packaged foods can be higher in fat and calories and lower in B vitamins and iron.”

LIVING WITHOUT GLUTEN

Rachel Zehms, a 36-year-old Vail local, was never diagnosed with celiac disease but 11 years ago, when she realized that drinking beer and eating pizza, bread and pasta was causing severe joint pain, she cut gluten out of her diet. “Within 24 hours after eating a sandwich or anything with gluten, I’d notice swelling in my finger joints, then it moved to my shoulders and legs. There were times I was in so much pain I could barely walk at night," she says. “I decided to avoid gluten and I felt 80 percent better within two weeks.”

By now, avoiding gluten is second nature to Zehms, but she says it takes a bit of effort and research for anyone newly discovering a gluten intolerance. “The most challenging thing is when you’re looking for something affordable and quick,” she says. “You need to educate yourself on all the things that have gluten. Sometimes it’s in things you wouldn’t expect, like sauces.”

When shopping, it’s comforting for GF (glutenfree) eaters to know that all fresh fruits, vegetables, nuts and meats are naturally gluten free, as are many other foods. As evidenced by the $12.4 billion in annual gluten-free product sales, you can find a GF version of just about anything.

Keep in mind, gluten-free products are not necessarily healthier. In many cases, they may actually be less healthy. “Gluten-free packaged foods can be higher in fat and calories and lower in B vitamins

Fruits, vegetables and nuts are gluten free, as are some whole grains such as quinoa, millet and buckwheat.

Favorite Local Restaurants FOR GF DIETS

AGAVE

JUNIPER

KELLY LIKEN

LARKBURGER

LARKSPUR

LA TOUR

MARKO’S PIZZERIA

OLD FORGE PIZZA

SWEET BASIL

TERRA BISTRO

TIMBER HEARTH GRILL

VIN 48

YAMA SUSHI

YELLOWBELLY

and iron,” Mazzia points out. “When you take out that gluten, you have to add different mixed flours or potato starch. I always recommend reading the nutrition labels and buying gluten-free products with at least three grams of fiber per serving.”

For someone who has no issues with gluten, Mazzia says it’s always healthier to choose whole wheat over white breads and pastas. She cites quinoa, faro, bulgur, brown rice and wild rice as high-fiber grains. Of these, only quinoa and rice are gluten-free. Other healthy GF grains include millet, corn and buckwheat.

“Gluten-free diets are not for everyone,” Hendershott says. “It’s never a bad idea to add more variety to your diet using popular gluten-free grains, so feel free to purchase some GF pastas, cereals or cook with more quinoa or rice as sides rather than breads or wheat products. You’ll always find something GF nearly everywhere, even if it means a burger or chicken sandwich with no bun or a salad. Most important is educating yourself on how sensitive you are — can you handle a little cross-contamination or none at all? What foods contain gluten? And find a good balance of other foods to substitute for the gluten favorites in your life.”

Work Hard

W HARDER play

Venture Sports owner and athlete embodies the popular slogan better than anyone in town

BY SHAUNA FARNELL

hen mike brumbaugh moved to the valley 23 years ago, he was, like many who land here, chasing snow. Having grown up in Florida, the operator of Avon’s Venture Sports was a latecomer to skiing, but once he tasted powder, he was hooked.

“My dad was a teacher and teachers don’t take their kids on ski vacations. So I literally didn’t see snow before my freshman year in college.”

Attending Western State College and living in Crested Butte and Steamboat Springs, it wasn’t until Brumbaugh moved to the Vail Valley that he felt he was in the right place.

“Every mountain town is cool but Vail is special. Our snow is much more consistent than any other place. We have great skiing, climbing, biking, golfing … everything. I feel blessed that I ended up here.”

Brumbaugh’s athletic interests morphed and multiplied along with his years in town. A skier and cyclist, he added paddling to the mix as well as a penchant for vigorous athletic endeavors on very little sleep. It was one such impulse that possessed he and two friends to attempt to break the speed record

for rafting through the Grand Canyon, a feat that typically took recreational paddlers about three weeks. Brumbaugh’s posse set out to do it in five days. They put in at the start of the canyon at 3 a.m. and paddled a whopping 60 miles downriver from the end point, not in five days but just four. As far as he knows, nobody has ever done it faster.

“It was one of those things people said couldn’t be done,” he says. “We said, ‘all right, let’s go do it.’ It wasn’t a sanctioned race. We just put in, put our heads down and paddled. The Grand Canyon is pretty dang easy. It’s just long.”

It is especially long if you are living off of nothing more than a few Snickers bars.

“We kind of forgot our food,” Brumbaugh says. “We got to the beach the first night. I had the stove. I looked at my buddy and said, ‘OK. Who has the food?’ We all looked at each other. We just had our snacks. We ended up poaching food from raft parties.”

It was about that time — after Brumbaugh put his wedding ring up for collateral for a supply of food at the end of the river to get he and his buddies back home — that his wife first tried rock climbing. Already an ice climber, Brumbaugh was curious to try

Braumbaugh often sacrifices sleep to fit play in, while also running local sports shot Venture Sports and being

tackling walls with his hands and feet. So he jumped on the bandwagon … and took off at full speed. He had found his calling.

“I always like to say the reason I climb is my wife. It’s a good hall pass. It’s her fault that I like it so much.”

Brumbaugh gets good use out of the hall pass. He sets off to climb as often as possible, even in the winter. Sometimes he’ll put in a 12 or 14-hour workday at the shop, drive to Utah — usually Moab or Zion — sleep in his car, climb a big wall and then drive home.

“People always say, ‘you’ve got a business. You’re married. How do you fit it in? How do you balance it all?’ Usually I sacrifice sleep. I’m willing to drive through the night, work long days and drink a lot of Red Bull.”

It's problem solving,. that's what climbing is. It's. good meditation time." .

Brumbaugh’s climbing excursions have taken him around the world. He was helicoptered in to climb Canada’s mighty Bugaboos last year. He’s scaled a vertical mile of rock called The Stipend in Norway. He was part of the group to make the first-ever ascent up El Gigante in northern Mexico. He’s climbed in Sweden, Corsica and all over Europe. He’s got a tentative trip to Pakistan planned.

His longest continuous climb (so far) was 14 hours up the infamous piece of rock in Yosemite Park on El Capitan called The Nose. The climb itself, which he and his buddy started at 5 a.m. wearing headlamps, was not that daunting. The sheer exhaustion didn’t set in until they lost their way getting back to the car, adding about three unnecessary hours of walking.

“It was just a paved road and we were about a quarter mile to the car,” Brumbaugh recalls. “I offered to buy all the meals for the rest of the trip if my buddy went to get the car and picked me up.”

When setting off to climb, Brumbaugh’s motto is “the bigger the better.” He has hauled up walls with 100 pounds of gear on his back, slept thousands of feet off the ground in a cot attached to the vertical rock. He always goes with at least one friend — somebody he knows and trusts, because, unlike a ski or biking buddy, when rock climbing, “you are basically putting your life in their hands and vice versa,” he says.

For Brumbaugh, rock climbing is “a microcosm of life,” only delightfully more simple.

“It’s problem solving, that’s what climbing is. It’s good meditation time. No matter what’s going on, you’re focusing on a 4-foot section of rock you have to get past. No matter what’s going on, you’re only thinking about surviving. Getting up there and not seeing another person, seeing a golden eagle flying below you … it’s pretty neat.”

OUR CROWD

FACES 2013 VVMC FAMILY DINNER DANCE

The 33rd Annual Family Dinner Dance, held on December 28, was a night of dinner and dancing with proceeds benefiting the remodel of the Vail Valley Mecical Center ICU.

VVMC 2013 DONORS

FISCAL YEAR 2013 NOV 1, 2012 THROUGH OCT 31, 2013

VVMC PLATINUM SOCIETY

$100,000 AND ABOVE

Carol and Keith Brown

May Family Black Mountain Ranch

Shaw Outreach Team

The Gilbert Reese Family Foundation

VVMC GOLD MEDALLION SOCIETY

$50,000 - $99,999

Eagle Springs Charitable Foundation

Joan Francis

Pat and Peter Frechette

Martha Head and John Feagin, MD

Susu and George Johnson, Jr.

Molly and Jay Precourt

Mary Sue and Michael Shannon

Sonnenalp of Vail Foundation

John Tyler

Vail Breast Cancer Awareness Group

VVMC Volunteer Corps

VVMC SILVER MEDALLION SOCIETY

$25,000 - $49,999

Kathy and Erik Borgen

Peggy Fossett

Donna Giordano

Sheika and Pepi Gramshammer

Keith Wold Johnson

Charitable Trust

Doris and John Kirchner

Sheila Sullivan and Harvey Simpson

The Willard T.C. Johnson Foundation, Inc.

Vail Valley Surgery Center, LLC

GORDON AND THELMA

BRITTAN SOCIETY

FOUNDER'S LEVEL

$15,000 - $24,999

Jean and Paul Corcoran, DDS

Ann and Doc Cornwell

Lucy and Ron Davis

Duane Morris, LLP

Brooke Gray

Ann Becher Smead and Michael Byram

US Bank

Vail Valley Surgery Center

PRESIDENT'S LEVEL

$5,000 - $14,999

Janet and Paul Abbott, MD

Alpine Bank

Apollo MD Anesthesia

Helen S. and Merrill L. Bank Foundation, Inc.

Bertini and Melvyn Bergstein

Marlene and John Boll Foundation

James Cargill, II April and Art Carroll

Colorado Mountain Medical, P.C.

Amy and Steven Coyer

Sandi Dean

Denver Health & Hospital Foundation

Diversified Radiology of Colorado

Suzy and Jim Donohue

Irene and Jared Drescher

Eagle Valley Community Fund

Kathleen and Jack Eck, MD

Encore Electric

FirstBank

Craig Foley

Dawn and Tim Force

Greer and Jack Gardner

Nick Gordon

Marilyn Greenspan

Kim and Thomas Hackett, MD

Georgina Hartland

Nancy and Charlie Hovey, Jr.

Geordy Johnson

Kalkus Foundation, Inc.

Elaine and Art Kelton, Jr.

Margie and Lawrence Kyte, Jr.

Tara and Bob Levine

Deb and Dan Luginbuhl

Cynthia McAdam

Alison and Tim McAdam

Brenda and Joe McHugh

Elise and Victor Micati

Ellen Mitchell

Joyce and Jim Nielsen

Northern Trust

Linda Pancratz

Sara and Eric Resnick

Slifer Smith & Frampton

Real Estate

Steadman Philippon

Research Institute

Carol and Hans Storr

Susan Talucci

Town of Vail

Linda and Stewart Turley

Vail Resorts, Inc.

Vail Summit Emergency

Physicians

Vail Valley Cares

Lucinda and Andy Daly

Debbie and David Darrough

Mary and David Davies

Devon DeCrausaz and Rick Smith

Gail and Carl Dietz

Paulette and Gilbert Digiannantonio

Lisa Dillon and Jay Peterson

Fred Distelhorst, DDS

Vincent Duncan

Dusty Boot

Eagle River Fire Protection District

Vail-Summit Orthopaedics

Sally Veitch

Rachel and David Viele

Barbara and Richard Wenninger

Alice and Andy Weydt

The Wheless Foundation

Eleanor Willock

Marcy and Dick Woodrow

BENEFACTOR'S LEVEL

$1,000 - $4,999

Sara and John Almond

Alpine Party Rentals

Anne and David Altchek

Axel's

Collin Baugh

Barbara and Jack Benson

Barbara and Barry Beracha

Eric Berg

Laura and Len Berlik

Charmayne and Charles Bernhardt

Charmayne Originals

Brett and Winston Berry

Martha and Bill Bevan, Jr.

Anthony Binsfeld

Sue and Sidney Blandford, III

Patti and Edward Blender, DDS

Pamela Bock, MD and Brooks Bock, MD

Suzanne and Fred Boettcher

Denise Delaney and Glenn Bourland

Eleanor and Gus Bramante, DDS

BeaAnn and Jack Braun

Regina Brinkerhoff

Kent Brittan

Noelle Brock

Larry Broderick

Kelly and Sam Bronfman

Dorothy Browning

Bradley Bruce

Lois and Richard Bruce

Ruth and Barry Bucher

Carolyn and Gary Cage, MD

Jeri and Charles Campisi

Peggy Carey

Centennial Bank

Patsy and Pedro Cerisola

Cerner Corporation

Sara and Michael Charles

Cynthia and John Chase

Kay and Thomas Clanton, MD

Club Corp

Robert Cohen

Thomas Conners

David Courtney

Caron and Charlie Crevling

Paige and Chris Cumming

Angela and Peter Dal Pezzo

Jane and Reed Eberly

Catherine and Ulf Edborg

Lainie Edinburg and Joel Kaye

Peggy and Gary Edwards

El Pomar Foundation

Holly and W. Elliott, II

Christine and Tom Engleby

Cynthia Engles

E-Town

Pauls Family Foundation, Inc.

Diane and Larry Feldman

Regina and Kyle Fink, MD

Cookie and Jim Flaum

Noreen and Darryl Flores

Barry Florescue

Ceil and Steve Folz

Michelle and Brian Foster

Lorraine Fry

Grace and Stephen Gamble

Vicky and John Garnsey

Margie and Thomas Gart

Larry Gaul, MD

Amy Gish

Sharon and Herbert Glaser

Georgia Wall and Donald Gogel

The Golden Bear

Carol and Ronnie Goldman

Lyn Goldstein

Carol and Charles Goolsbee

Lynn and John Gottlieb, MD

Ingrid and Dan Graham

Jean Graham and Philip Smith

Becka and Stuart Green

Michael Greene

Neal Groff

Steven Gutman

Valerie and Robert Gwyn

Heidi Ham

Stephanie and John Hanson

Patricia Hardenbergh, MD and Gordon Hardenbergh, MD

Grace Harrigan

Haselden Construction

Healthcare Outsourcing Network, Inc.

Heery Design, Inc.

Jeanne and William Hellegas

Betsy and Mike Henritze

Sally and Wil Hergenrader

Lorraine and H. Higbie, Jr.

High Altitude Spa

Clairlee Hawn-Hirsch and Robert Hirsch

Joanna and Gordon Hoffstein

Dawn and Frank Holmes, III, MD

Pam Holton

Aubyn and Robert Howe

Amy Hunter

Carol and Richard Hunton

Julie and Brice Jackson

Jackson Building Company

Bruce Jarvis

Cheryl and Bill Jensen

Kathryn and Calvin Johnson

Gretchen and John Jordan, II

Alexia and Jerry Jurschak

June and Peter Kalkus

Diana and Jim Kaylor

Barbara and Tim Kelley

Cynthia and Peter Kellogg

Mary and William Kennedy

Amy Klunzinger

Nancy and Richard Knowlton

Judy and Alan Kosloff

The Joyce and Paul Krasnow

Charitable Foundation

Allison Krausen and Kyle Webb

Ron Kruszewski

Dori and Bert Ladd

Kathy Langenwalter and Dick Cleveland

Robert Lentz

Ann and Charlie L'Esperance

Ann and William Loper

Becky Lowe

Nancy and Richard Lubin

Luigi's Pasta House - Eagle

Vanessa and Johnny Lyons

Devinder Mangat, MD

Merrill Mann

Margaret and Peter Mason

Leni and Peter May

Shirley and William McIntyre, IV

Dominique McLerran

Melanie and Tim McMichael

Peg and Ag Meek

Judy and Robert Meuleman

Nancy Mezey-Groff

Lisa and Bill Middlebrook

Sheri and Michael Mintz

Peggy and Vaughn Morgan

Kathy Morrow

Jeanne and Dale Mosier

Kathleen Mundy and Fred Hessler

Vicki and Trygve Myhren

Chupa R.A. Nelson

Rachel Nelson and Jay Rush

Karen Nern, MD and Thomas Nern

The Nickel Foundation

Paula and Prentice O'Leary

OSI Industries

Osprey

Parsons Brinckerhoff Group Administration, Inc.

Rena Paterson

Lisa and David Pease

Pediatrix/MEDNAX Services, Inc.

Diane and David Pennock

Perch

Renee Peterson and Roger Shapiro

Senenne and Marc Philippon, MD

Michele Pirozzi

Fred Pool

Premiere Legal

Advantage, Inc.

Sherry and Alex Preston

Gretchen Price

Carolyn and Hollis

Rademacher

The Raether 1985

Charitable Trust

Rakich Family Charitable Foundation

Gretchen and Robert Ravenscroft

Amy and James Regan

Anne and Ron Riley

Sharon and Vern Ritzman

Laura and Richard Robert

Roberts Family Foundation

Diane Romero

Rose Community Foundation

Margaret Rosenquist

Amy Roth, PhD

Barbara and Howard Rothenberg, MD

Ann and Richard Rothkopf

Thea Jean and Fred Rumford

Suzanne and Bernard Scharf

Elaine and Steven Schwartzreich

Barbara and Don Segal

Sandra and Kenneth Seward

Susanna Johnson and Timothy Shannon

Ronald Simon

Slifer Designs

Pamela and Richard Smith

Patricia and William Smith, Jr.

Debbie Solie

Marilyn and James Steane, II

Jo Stanchina

Anne and Josef Staufer

Gaye Steinke

William Sterett, MD

Susan and Steve Suggs

Tom Swarsen

Keri and Mark Talucci

Tom Talucci

Agnes and Oscar Tang

Nancy and Jon Tellor

The Barry Foundation

Jere Thompson

Patrick Tierney

Corine Trujillo

Rosemary and Robert Tutag

Lissa Tyler and Mike Larson

Jean Urquhart, MD and Alec Urquhart, MD

Vail Radio Partners

Vail Valley Concours, LLC

Vail Valley Foundation

Tracey Van Curan

Lois and John Van Deusen

Leo Vecellio

Vin 48

Elizabeth Vincent

Jackie Hurlbutt and Norman Waite, Jr.

Linda and Phil Waldbaum

Katie and Bill Weaver

Gail Weinnig, TTE

Wells Fargo Private Bank

Carol and Patrick Welsh

Wiegers Family Foundation

Kristin and David Williams

Alinda and Jim Wikert

Jane Wilner

Deborah Wittman and Rik Heid

Andrea and Gary Yetman

Susan and Ronald Zapletal

SUPPORTERS

Sally Ann and Alan Aarons

Jan and Wayne Abbott

Peter Abuisi

Joseph Acac

Rose and Dean Aden

Shirlee Aden

Jennifer and David Adkins

Marilyn and Roger Affa

Sandi and Larry Agneberg

Sally Agnoletto

Maria and Lucas Aguilar

Nadine Ainbinder

Anne Albertson

Christine and Jack Albertson

Julie Albritton

Alerus Financial

Pamela and Richard Alexander

Jill Alfond

Nancy and Brad Allen

Jocelyn and Mark Allen

Mike Allen

Rhonda Allen-Hickman and Michael Hickman

Wallace Allison, Jr.

Dave Alonzo

Jean and Donald Alperti

Lorie Amass

Suzanne Amass and Christina Lacroix

Amgen Foundation

Maria Ammaturo

Carey Anderson

Corey Anderson

Ernest Anderson

Patricia and Joel Anderson

Kim Anderson

Lori Anderson

Shannon Anderson

Christina Andrews

Dee and Warren Androus

Bonnie Angus

Maria Anjier

Molly and Michael Ansfield

Jackie Anthony

Any Occasion, Inc,

Joel Appel

Lisa Levin Appel

Annie and Tom Apple

Christine Apriceno

Michael Arat

Mary P. Armistead

Courtney and Kevin Armitage

Mary Lou and Robert Armour

Donna and Mark Arnold

William Arnold

Margaraet and Charles Arnoult

Laurie Ashley

Virginia and Ronald Askew

Sarah and Glenn Ast

M. Charlotte Atencio

Carolee and Russell Atha, Jr.

JeriLu Atkins, MD and Dale Atkins

Patricia and Chris Aubel

Avon Liquors

AXA Foundation

Toni Axelrod

Judd Babcock

Isha Babel

Denise Babinski

Tess and Thomas Backhus

Patricia and Arnold Bagwell

Patricia and John Bailey

Patty Bailey

Patricia Bain

Dierdre and Ronnie Baker

Shelly and Patrick Baldasare

Mary Baldo

Wiliam Balzano

Nina and Robert Bandoni

Bank of America Foundation

Laura and Jonathan Banks

Pamela and Robert Barker

Jared Barnes

Anne Barnett

Holly and Brent Barnum

Henry Barr

Brian Barrett

Hilary Barrett

Marcella and Robert Barry

Mary and Seth Barsky

Karl Barth

Janine and Matt Bartok

Karen Bartok-Browne

Patti Jo and Robin Bates

Nancy Baumer

Judith McBride and Bruce Baumgartner

Matt Bayley

Lee and Ed Beach

Marcia Beat

Danielle Beaudette

John Beaupre

Beaver Creek Chophouse

Beaver Creek Merchant's Association

Beck Company

Margo and Roger Behler

Kurt Belisle

Sharon Bell

Stephanie Ben

Maria Bender

Patricia Benedict

Ghada Benitez

Jean Bennett

Shana Bennett

Joyce Bennis

Joyce and Mark Benson

David Bentley

Kathryn Benysh

Lin Bercher

Dina Berg

Colleen and Kevin Berga

Alix and Hans Berglund

Scott Bergman

Michael Berland

Janice and Charles Berlik

Frank Bernal

Ann and Hank Bernbaum

Hans Bernhard

Lois and Stan Bernstein

Jen Bettenhausen, MD and Timothy Bettenhausen

Cheryl Beuttas

Lori Beyer

Rajnish Bhuyan

Susan Biddle

Clay Bidwell

Robert Biesemeyer

Joyce and Gerald Biggs

Ella Bindley

Thomas Bischoff

Bill Bishop

Sharon and Britt Bishop

Daisy Bissett

Maxine and Jerry Bizer

Sawyer Blair

Cindy and Bill Blakey

Delroy Blaske

Donna and Jack Blatchford

Margaret Blazek

Bonnie Blecha

Charla and John Blizzard

Laura and Richard Block

Benjamin Blount

Deborah Blount

R.H. Bluestein and Company

Sue Blumberg

Barbara and William Blume

Julia Blumenfeld

FACES

HIKE, WINE & DINE

Hikers trek 4 miles through aspens while enjoying Beaver Creek's finest cuisine. Proceeds benefit Jack's Place and Shaw Regional Cancer Center.

Debbie and Tab Bonidy

Rhea Bonk

The Bookworm

Randi Borgen Jaerbyn and Patrick Jaerbyn

Virginia Borges

Martha Boswell

Kean Boucher

John Boudreau

Tamira Boudreau

Richard Bourret

Jo Dee Bowen

Nancy Boyce

James Boyd

Diane Boyer

Melissa Boyes

Bridget Bradford

Betsy Bradley

Debbie and William Brady

Brady, Martz and Associates, P.C.

Dan Brajtbord, MD

Margaret Brammer

Pamela Brandmeyer

Catherine and Timothy Brandt

Martha Brassel

Gayle Braunholtz, MD and Alan Braunholtz

Jeff Brausch

Patti and Ronald Brave

Nolan Brawley

Susan and Bob Breeden

Paul Breitenwischer

Alice Brekke

Edwin Brekke

Kathleen and John Brendza

Marka and Jimmy Brenner

Kathy and David Brewer

Priscilla Brewster

Cindy and Dave Bright

Thomas Brink

Tim Broas

Dana Brocious

Eric Brocklebank

Linda and George Brodin

Burt Bronk

Karen Bronow

Holly Brooking

Suzanne and Richard Bross

Laura Brown

Libby Brown

Michael Brown

Lilia and Nico Brown

Lori and Robert Brown

Margie and Robert Brown

William Brown

Margaret Wilcox Browning

Werner Bruggemann

Rebecca and Paul Brun

Stephen Brunmeier

Brush Creek Elementary School

Kathleen Buchan

Margaret Buchannan

John Buckingham

Maegan Buckler

David Buell

Brenda Buglione

Avonne and James Bullock

Charles Bumgarner

Jill and Alan Burchill

Angela Burgess

Kelly Burgesser

Frederick Burgum

Debbie Burman

Steve Burmeister

Gretchen and Leonard Busse

Butler Health and Beauty

Nora Butrym

Myra and Marvin Butts

Spencer Butts

Shay and John Cahill

Veronica and Paco Calderon

Frank Calhoun

Mary and Nick Calise

Nancy and Jack Camilleri

David Campbell

Katherine Campbell and Duane Helleloid

Margaret Campbell

Robert Campbell

Becki and Steve Campbell

Charlyn Canada

Candi Johns Salon, Inc.

Nicole Cannella

Andrew Canter

Tanja Canter

Jason Carbone

Kendall Carbone

Charles Carey

Wendy and Michael Carey

Donna Carlberg

Robert Carlson

Ann Carroll

John Carroll

Timothy Carroll

Mary and David Carter

Robert Carter

Steve Carver

Cascade Village Theatre

Amy and Ian Casey

Joanne Casey

Sara and Fernando Castillo

Juan Castillo

Crystal Castruita

Nancy and Leo Catalfano

Joyce and Tracy Caton

Katherine Cattanach

Ellie and David Caulkins

Harry Cebron

Central Wyoming Neorosurgery, LLC

Joann and Louis Cernak

Evelyn Centrone

Joel Cervantes

Judie and John Chain, Jr.

Jose Chairez

Kathy Chandler-Henry and George Henry

Bryan Chapin

William Chapin, III

Susan and Paul Chapman

Chapter IG, PEO Sisterhood

Karen Chase

Sally Chase

Lyon Chavez

Lara Chavis

Norma and Juan

Carlos Checa

Nancy Cheek, RLT II

Charlene Chen

Sandra and Robin Cherp

Teresa Cherry, MD

E.B. Chester

Chippen Nails

Susanna Chlipala

Betsy Chosnek

Meg Christensen

Linda and Beric Christiansen

Pete Chronis

James Cinamon

Joann and John Cirullo

Kevin Claire

Darrell Bogardus

Larry Bohn

Deborah and David Boillot

Adriana Bombard

Alison and Salvatore

Bommarito

Susan and Donald Barnes

Avanelle and Charles Bond

Michael Burney

Janie and Bill Burns

Michael Burns

Stephen Burrill

Frank Burton

Edith Busam

Mary and Robert Bush

Barry Clairmont

Victoria and Terrell Clampitt

Anne Clark

Dana Clark

Phyllis and Michael Clark

Susan Clark

Caryn Clayman

Hagearty, DDS

Mary and James Hagen

Bobbi and Topper Hagerman

Rosemarie and Kurt Hahn

Judson Haims

Kathleen Hall

Ty Hall

Kathleen and George Haller

Bonnie and Jim Hamilton

Megan Hamilton

Robert Hammaker

Beth Hammer

Lisa and David Hammond

Joanna and Anthony Hankins

Bill Hansen

Allison and Chad Hansen

Cheryl and Daniel Hansen

Dustin Hansen

JoAnne Hansen

Lilly and Arthur Hardin

Jean Harmon and Paul Randall

Elizabeth Harris

Lynne and Richard Harris

Yra Harris

Jill and John Harrison

Daneen Harsha

Barbara Hart

Jane and Richard Hart

Judith and Larry Harwick

Ivan Hass

Nancy Hassett

Julia Hastings

Karin Hathaway

Scooter Hathorn

Whitney Hathorn

Jonathan Hauser

Mollie Hay

Anne Hayes

Shannon and Mark Hayman

Shirley Haynes

Daniel Heard

Deborah and Dennis Heaton

William Heavey

Julie Heaydon

Craig Held

Linda Hendricks

Kate and Ned Hentz

Rebecca Herbert

Robert Hernreich

Courtney Herring

Matthew Hesse

Richard Hessek

Susan Hewitt

Hi Cranes, Inc.

Margo and Paul Hields

Bobbie Higer

Barbara Higgins

Jackie Hijmans

Christy Hill

Kathleen Hill

Lori Hill

Maggie and John Hillman, MD

Zachary Hines

Mary Hinojosa

Polly and David Hinshaw

Anne Hintz

Norma and Charles Hirsh

Lita Hitchcock

Cherryl Hobart and Martha Rehm

Vikki Hobbs

Amy Hobgood

Dale Hobson

Christie and Karl Hochtl

Ronald Hoffner

Corey Hoffstein

Joanna and Gordon Hoffstein

Lee Hoffstein

Lindsay and Ben Hogan, PA-C

A. Bart Holaday

Callie Holland

Dennis Holland

Elizabeth Holland

Julie Hollander

Rosemary Holliday

Summer Holm

Cheryl Holman

Diane and Robert Holmes

PMG Mountain Homes, LLC

Eileen Honchock

Rebecca and Christopher Hooper

Laureen Hopkins

Pamela Hopkins

Kristin and Kyle Hoppes

Mary Hopsicker

Bonnie Horbal

Fraser Horn

Mo Horning and Steve Cardinale

Katie Horsman

Holly Horvath

Patrick Horvath

Missy and David Hoster

Louise and Phil Hoversten

Beth and Richard Howard

Frederick Howe

Lucy Howland

Linda and Jay Hoyt

Katie Hoyt

Mary Hoza

Todd Huck

Dale Huff

Todd Huffman

Mark Huggenvik

Kip Hughes

James Hungerford

E Ann Hunter

Ellis Hunter

Tom Hunter

Elizabeth Hurry

Martha Hussain

Don Hutchings

Francis Hussey

Heather and Trygve Hutto

Cat and Gerry Huttrer

Glenn Huwa

Cliff Hyatt

Thomas Hyde

Vina Hyde

Alice Hymel

Nancy Icke

Gary Ingoldsby

Claudia Ingraham

John Ingraham

Rex Ingram

Inmark

Integra Auto Center

Invest in Others Charitable Foundation

Dieter Inzenhofer

Jerome Isaacs

Julie Iskenderian

Rosalie Hill Isom

Sandra Jacaruso

Pia Jacobs

Yvonne Jacobs

Jennifer Jacobsen

Jake Jacobson

Myra Jacobson

Victoria and Steven Jacobson

Victoria and Kenneth Jaffie

Kshama and Eric Jaiswal

Sherri Jaksha

Joe Jamar

Daryl James

Ann Marie Jangro

Robert Jangro

Scott Jangro

Shelly and Christopher Jarnot

Catherine and Robert Jarnot

JBS

Dorothy Jeffrey

Bobbi Jennings

Patricia and M. Jent

Becky Jewell

Michelle Jirenec and John Fee

Cynthia Job

Karen Johansen

Amanda Johnson

Bill Johnson

Dean Johnson

James Johnson

Nick Johnson

Patricia Johnson

Cathy and Richard Johnson

Susanne and Ted Johnson

Wayne Johnson

Evie Johnston

Makenna Johnston

Mary Ann Johnston

Susan and Daniel Jones

Jim Jones

Janet and Stephen Jones

Audrey Jorgensen

Natalie Joseph

JP Morgan Chase Bank

Juniper Restaurant

Karen and Michael Juntunen

Michael Kachmer

Felicia Kalaluhi

Harriet and Harry Kalish

Kary Kaltenbacher

Patty and Stanton Kamens

Catherine and Peter Kane

Gay and George Kapplinger

Mary and Terry Karkela

David Karli, MD

Caroline Karlin

Kerma and John Karoly

Brice Karsh

Beth Kase

Daryl Katauskas

Loretta Katauskas

Jacqueline and Robert Kavanagh

L. William Kay II

Charis Keeler

Richard Keibler

Keil Urogynecology

Byron Keil

Loretta Keller

Sandra and Thomas Kelly, MD

Carol Kemp

Joanne Kemp

Alexander Kennedy

Cheryl Kennedy

Janet Kennedy

Ned Kennedy

Holly and Kevin Kenny

Mary Kenny Moynihan

Terry Kermoade

Karen Keros

Joanna Kerwin

Vanessa Kerzner

Susan Kiely

Donna King and Kurt Lemme

Julie Kinne

Sandi and Skip Kinsley

Lee Kirch

Dale Kistler, MD

Bonnie and Lawrence Kivel

James Kleckner

Stephen Klein

Shane Kleinstein

Julie Klotz

Theresa and Gary Klunzinger

Rosanne and James Klunzinger

Jeffrey Klunzinger

Dana and Andrew Knerl, MD

Lena Knight

William Knox IV

Rebekah Koenigbauer

FACES

KEVIN PEARCE FILM SCREENING

An emotional documentary shows Kevin Pearce, who was expected to podium in the 2010 Olympics, after a halfpipe training accident ended his dreams and left him fighting for his life after a traumatic brain injury.

Former pro snowboarder Kevin Pearce speaks to a sold-out Vilar Center crowd about recovering from a traumatic brain injury; Kevin rides Beaver Creek Mountain with the VVMC team; Kevin and Kim Greene’s selfie.

Coco and Frank Pettee

Ruth Anne Pettinichi

Cynthia Pettit

Ann Phelps

Arley and Jason Philips

Joyce Phillips

Joseph Phoenix

Robert Pickelner

Howard Picking

Kacee Picot

Jackie Pietrzyk

Cathy Pilone

Pinon Real Estate Group

Ebby Pinson

Richard Pipkin

Kay and Thomas Pitcher

Diane Pitt

Loree Pitts

Mary and Garrett Plepel

Drew Plotkin

Robert Plotkin

Claudia Podgorny

Dianne and Emanuel Podgorny, MD

Alan Pogue

Anna Policastri

Joan Polin

Doug Poore

Juliette Pope

Gayle and Terry Pope

Victoria Pope

Monica and Daniel Porter

Brook and David Portman

Herchel Portman

Hattit and Robert Potts, Jr.

Ann and Ralph Poucher

Wayne Pourciau

Jackie and James Power

Mary and Dick Pownall

Mary and Ron Pressman

Jim Preston

Julie Preston

Mike Preston

Anne Prinzhorn

Lisa Proctor

Rosemary Pulick

Helga and Warren Pulis

Diane and Todd Purse

Carol Pyka

Jeanne and Michael Quagliano

Hilda and Aniceto Quinones

Robert Rademacher

Jean and Bruce Rader

Wanda Radetti

Bob Ragonese

Margaret Rahe

Shelly Raichart

Anne and John Rainey

Rebecca Ramert-Richmond

Guillermo Ramis

Angela Ramsey

Mary and Chris Randall

Nelson Rapozo

Cindy Rasmussen and Michael Staughton

Patti Rasmussen

Carolyn Rathjen

Sara and Bill Ratliff

Scott Raub, MD

Madeline Read and Stephen Bandak

Joyce Reece

Anne Reed

Rosalind Reed and Howard Walker

Lisa Reeder

Mary Reese

Janet Refior

Terri Reichert

Carolyn and Robert Reintjes

Lyn and Richard Reis

Tiffany and Matthew Reis

Jane and Michael Reisinger

Milton Reitman, MD

Barbara and Gary Rende

Kathi Renman

Michele and Jeffrey Resnick, MD

Diane Rexrode

William Rey

Annette Reyes

Leobardo Reyes

Francis and Karl Reynolds

RD Richardson

Marcia Richey

David Richhart

Candace Riden

Pat Rieman

Marlene and George Riemer

Carol Riggs

Ira Riklis

Kirstin Riley

C. Lee Rimel

Patrice Ringler

Maureen and Gerald Riordan

Doug Rippeto

Steven Rittvo

DeeAnn Rivera

Kerry and Justin Roach

Catherine and Kevin Roach

Andrea Robbins

Samaara Robbins

Anne Roberts

Jamie Roberts

Sandra Roberts

Susan Roberts

Virginia Roberts

Judy Robins

Kimberly Robinson

Paul Robinson

Charlotte Robson, DVM

Shari and Jeffrey Rodeen

William Rodkey, DVM

Edwin Rodriguez

Margarita Munoz and Noe

Rodriguez-Serna

Bruce Rogers

Mark Rohde

Dan Rohman

Paula Rohr

Cherie and John Rollins

Sarah Roman

Stacy and Christopher Romer

Wes Ronning

Rosalind Reed Associates

Rayma and Kent Rose

Manjiri Rose

Cassidy Rosen

Carol Rosenbaum

Alan Rosenblum

Philip Rosenthal

Catherine and Ford Ross

Terie and Gary Roubos

Patricia Rowe

Ed Rubenstein, CHFC

Kristen Rubis

Robin and Scott Ruff

Teresa Ruiz and Manuel Fierro Parra

Ronda Russ

Lori Russell

Agnes and Dennis Ryan

Gary Ryan

Thomas Ryan

Javier Saade

Jan and Frederick Sackbauer, III

Caroline Sada

Stacy Sadler

Ronald Saliman

Salon Axis

Salon Nouveau

Robert Salovitch

Anna Salvadore

Kristina Sampson

FACES PAD THE BRA

The ladies (and gentlemen) of Cordillera celebrated Pad the Bra this year at the Micati home, raising funds to bring 3D mammography to the valley.

Leesa Samuels

Herman Sanders

Patricia and Leonard Sandoval

Richard Sandoval

Stacey and Jay Sapp

Thomas Saunders, U.S.A. Ret.

Adam Savin

Pam Saxon

Pietrina Saxton

The Sebastian Hotel

Jamie Schauss

Sally Schauss

P.K. Scheerle and Bruce Bolyard

Jeff Schell

Nicole Schelter

Robert Schilling

Ann Schimmel

Carol Schimmer

Julie Schlossinger

Juergen Schmeja

Leslie Schmid

Ellen Schmidt

William Schmidt

Nancy and John Schneider

Foundation

Susie and Brad Schneider

Susan and Eric Schneider

Jean and Leonard Schneiderman

Karlheinz Schoenberger

Lillian and John Schoening

Herbert Schorpp

Tom Schorr

Pamela and Thomas Schouten

Carole Schragen

Jill and Scott Schreiner

Mary Jane and Charles Schultz

Diane and Louis Schultz

John Schumacher

Gina Schwartz

Alan Schwed

Gail Schwinger

Jack Scott

Karen Scott

Dale Seal

Elizabeth Smith and William Seed

Kitty Banner Seemann

Carole Segal

Susan Senter

Linda Sepp

Sue Sewell

Shaun and Bradley Seymour

Judy and Robert Shackouls

Pamela and George Shaeffer

Jeff Shainholtz

Nancy and Stephen Shane, CLU, CHFC

Patricia Shanks

Maureen and Les Shapiro

Carol Sharer

Joyce Sharp

Hobie Sheeder

Marisa and William Sheehan

Cynthia Strauss and Harry Sherr

Charles Sherwood

Scott Sherwood

John Shillington

Carolyn and G.K. Shurb

Jamie Sidle

Muriel and William Sidwell

Leah and Michael Sievers

Bart Sigler

Catherine and Peter Silbernagel

Karen Silverman

Suzanne and Mark Silverthorn

Robert Sim

Michael Simmonds

Shelley and William Simmons

Liz Simonton

Kris Sims

Stephen Sinacore

Jill Sinding

Charles Singer

Elaine Singleton

Ken Singleton

Singletree Property Owners Association

Rita and Scott Skelton

Kindra Skluzacek

Andre Skweir

John Slack, MD

Ronald Slates

Eva and Timothy Slattery

Laurie and Gene Slaughter

Page and Michael Slevin

Beth and Rodney Slifer

Suzanne Sloan

Douglas Slothower

Kay Small

Brittany Smith

Chance Smith

Denis Smith

Eric Smith

Graham Smith

Julie Smith

Kelley Smith

Nancy Smith

Becky and Pete Smith

Randy Smith

Jean and Ben Smusz

Craig Snapp

Elizabeth Snorf

Barbara Snow

Margie and Larry Snow

Kate and Pete Snowden

Brett Snyder

Elizabeth Snyder

Heath Snyder

Debra and Gregory Sokolik

Lauren and Berton Solomon

Joan and Bob Solon

Rochelle Some

Christie and Scott Somes

Kathleen Sommer

Patty Sommerville Cuny

Deborah Sopinsky

South Dakota Trust Company

Lisa Spagnolie

Sue Ann Spahr and Richard Kinsler

Carole Spanel

Elizabeth Spanel

Kathleen Spanel

Lorraine Spargo

Specialty Sports Venture, LLC

Robyn Specthrie

Stephanie Spence

Carol and Roger Sperry

Gina and Steve Spessard

Matt and Michelle Spidell

Susan and Chris Spiegel

Frank Spratlen

Judy Spresney

Scott Spresney

Jason Sproles

Peter Stadler

Kiersten Stais

Jerry Stanley

Kevin Stanley

Ruth Stanley

Starbuck Surveyors

Pam and Jim Starr

Frank Stasiowski

Marissa Stauffer

Molly Stautzenberger

Gay and Richard

Steadman, MD

Lynda and Peter Sampson

Stacy Silverwood

Marilyn and James Steane, II

Steve Evancho

Fargo-Moorhead Area

Foundation

Cindy and Mark Fliginger

Nora Fryklund

Shannon and Mark Hayman

Katherine Campbell and Duane Helleloid

A. Bart Holaday

Mary and Terry Karkela

Susan and Brian Kraft

Madeira on Marco Island Condo

Gary Marsden

Ann and Robert McConn, Jr.

Jennifer and Jay Neppel

Tim O'Keefe

Barbara and Allen Olson

Frederic Oudoul

Cynthia and Gregory Page

Linda Pancratz

Gayle and Terry Pope

Lyn and Richard Reis

Marcia Richey

P.K. Scheerle and Bruce Bolyard

Gina Schwartz

Jack Scott

Shaun and Bradley Seymour

Catherine and Peter Silbernagel

Kate and Pete Snowden

South Dakota

Trust Company

The Barry Foundation

Cathleen Turgeon

Kimberlee and Stephen Tyre

Thomas Wold

Memorial Sandy Pickford

Matt and Michelle Spidell

Memorial Clinton Renney

Margie and Lawrence Kyte, Jr.

Memorial Marjorie Roberts

Luciano (Barney) Lusina

Ann Phelps

Roberts Family Foundation

Memorial William Sargent

Mary and Seth Barsky

Memorial Nancy Secor

Ann and Doc Cornwell

Memorial Joe Smead

Jim Jones

Memorial Frank Smith

Dee and Warren Androus

Jo Dee Bowen

Cindy and Dave Bright

Bill Cohagen

Joel Cox

Suzy and Jim Donohue

Jenny and Wendell Erwin

Ginny and John Forstmann

Linda and John Galvin

Grace Harrigan

Inmark

Cathy and Richard Johnson

Alexia and Jerry Jurschak

Diana and Jim Kaylor

Barbara and Tim Kelley

Holly and Kevin Kenny

Sandi and Skip Kinsley

Cornelia and Donald Kraft

Dr. and Mrs.

Bruce Malone

Leslie and Jack Manes

Carolyn and Rolland

McGinnis

Peggy and Vaughn Morgan

Diane and Eric Neste

Dorothy and Henry Norton

Carol and Michael Osgood

Diane and Roy Parrott

RD Richardson

Pamela and Thomas Schouten

Beth and Rodney Slifer

Temperatsure

VHC Joint Venture

Diane and Jim Viers

William Vogt

Carole and Mike Watters

Karin and Bob Weber

Patti and Ron Weinstein

Robert Wilhelm

Betsy and Bud Wright

Memorial Warren Stanchina

Jo Stanchina

Memorial Michael Stanley

Rita and Kenneth Lewis

Memorial Bonnie Swarsen

Mr. and Mrs. Jean Casou

Deerfield High School

Class of 1964

Amy and James Deuble

Christine and Bob Gould

Leah and Michael Sievers

Barbara and Jeffrey Vender

Bev Linkletter and Paul Weiden, MD

Memorial Sue Zastrow

Lynn and John Gottlieb, MD

IN HONOR OF

Sue Arford

Susan Talucci

Charmayne and Charles Bernhardt

Jean and Paul Corcoran, DDS

Charla Blizzard

Brush Creek Elementary School

B. Goggins

Robert Boykin

Larry Eilts

Gene Branscome

Katherine Whitman

Gayle Braunholtz, MD

Jane and Thomas DeBenedetto

Jessica French

Henrik Brusletto

Ingegard Fehr

Katherine and Jim Clancy

Missy and David Hoster

Ty Collins

Rindy and Barry Townsend

Paula Conwell

Maria Bender

Richard Cunningham, MD

Barbara and Gary Rende

Jean and Ben Smusz

Lucy and Ron Davis

Carol and Ronnie Goldman

Edward Dent, MD

Anna Policastri

G. Dittones

Betty Gerstley, MD

Jack Eck, MD

Fred Distelhorst, DDS

Barbara and Tim Kelley

Sue and Greg Lickus

Mary Reese

Cynthia Strauss and Harry Sherr

Kristin and David Williams

Johanna Farrar

Pinon Real Estate Group

Reginald Franciose, MD

Mary Ann Johnston

Sandra and D.F. Newman

Rena Paterson

Ross Freed

Robert Schilling

Larry Gaul, MD

Patricia and Joel Anderson

John Comer

Clairlee Hawn-Hirsch and Robert Hirsch

Ed Rubenstein, CHFC

James K. Griffeth

Larry Eilts

Jean Hadley, MD

Carol and Hale Moore

Barry Hammaker, MD

Jane and Thomas DeBenedetto

Patricia Hardenbergh, MD

Mark Lenfest

Susan Mirus

Nancy and John Schneider Foundation

Cherina and Kep Heinitz

Pinon Real Estate Group

Amy and Scott Hudgins

Kelly and Michael Gottlieb

Lois and Jerry Jacobs

Trudy and Bob Walsh

Diana Johnson

L. William Kay, II

Ronald Linton

Christiane Gras

Mario Lobo

Sheila Whitman

Brenda and Joe McHugh

Carol Desmond

Elise and Vic Micati

Deb and Dan Luginbuhl

Peter Millett, MD

Jim Malernee, Jr.

Erin Monroe and All Other

Fighters and Survivors

Erin Monroe

Annie Peterson

Karl Barth

Katherine Quinn, RN

Jessica French

Danelle Rivera

Louis DuPree

Becky Ross

Nancy Walrath

Shaw Regional Cancer Center

Bonnie and Jim Hamilton

John Slack, MD

Patricia and Joel Anderson

John Comer

Clairlee Hawn-Hirsch and Robert Hirsch

Barbara and Gary Rende

Richard Steadman, MD

Thomas Saunders, U.S.A. Ret.

Barbara Steele

Kate and Ronald Steele

Mark Stephens, MD

Jackie and James Power

William Sterett, MD

Mark Lenfest

Thomas Saunders, U.S.A. Ret.

Emmie Urquhart

Julie Hollander

FACES

PRETTY IN PINK

Eagle County businesses united to raise awareness and funds for Breast Cancer Awareness Month throughout the month of October. Funds supported “The Gap Fund,” helping women in need cover the gap their insurances don’t pay.

Rebecca and Christopher Hooper

Katie Hoyt

Todd Huck

Rex Ingram

Inmark

Victoria and Steven Jacobson

Sherri Jaksha

JBS

Cheryl and Bill Jensen

Michelle Jirenec and John Fee

Amanda Johnson

Raenette Johnson

Susanne and Ted Johnson

Jim Jones

Alexia and Jerry Jurschak

Gay and George Kapplinger

Brice Karsh

Diana and Jim Kaylor

Barbara and Tim Kelley

Sandra and Thomas Kelly, MD

Elaine and Arthur Kelton, Jr.

Holly and Kevin Kenny

Vanessa Kerzner

Susan Kiely

Sandi and Skip Kinsley

Doris and John Kirchner

Amy Klunzinger

Theresa and Gary Klunzinger

Rosanne and James Klunzinger

Michele Kosiara

Mary Ann Koson

Susan Gordon and Roy Krochmal

Janet and Bill Lee

Tara and Bob Levine

Sue and Greg Lickus

Robin and Steve Litt

Kelly Lloyd

Kelly and David Lyle

Vanessa and Johnny Lyons

Fletcher MacNeill

Margaret and Peter Mason

Christina Mastrogiovanni

Maximum Comfort

Pool & Spa Inc.

Susan and Brandon Mays

Alison and Tim McAdam

Mark McCammon

M. Geneva McGervey

Carolyn and Rolland McGinnis

Brenda and Joe McHugh

Heather and John McInerny

Dani and Vince McNeill

Peg and Ag Meek

Mary Anne Metternick

Liz and Luc Meyer

Lisa and Bill Middlebrook

Susan Mirus

Allison and Russell Molina

Kathy and Robert Moore

Donna Moran

Peggy and Vaughn Morgan

Susan and Joseph Morrill

Robert Morris

Jeanne and Dale Mosier

Gail Nash

Peggy Nicholls

Rhonda Niederhauser

Joyce and Jim Nielsen

Amy Niswanger

Pat and Brian Nolan

Deirdre Nolan

Dorothy and Henry Norton

Vanessa and Rob Nowlin

Sheri O'Donnell

Michael O'Reilly

Carol and Michael Osgood

Lisa and David Pease

Lisa Pelchat

Janet Perdzock

John Peters

Renee Peterson and Roger Shapiro

Pinon Real Estate Group

Claudia Podgorny

Brook and David Portman

Ann and Ralph Poucher

Diane and Todd Purse

Angela Ramsey

Mary and Chris Randall

Patti Rasmussen

Mary Reese

Sara and Eric Resnick

RD Richardson

Maureen and Gerald Riordan

Sharon and Vern Ritzman

Kerry and Justin Roach

Rose Community Foundation

Cassidy Rosen

Amy Roth, PhD

Barbara and Howard Rothenberg, MD

Ann and Richard Rothkopf

Robin and Scott Ruff

Kristina Sampson

Broy Laurel and Harry Sandell

Patricia and Leonard Sandoval

Suzanne and Bernard Scharf

P.K. Scheerle and Bruce Bolyard

Carol Schimmer

Julie Schlossinger

Tom Schorr

Pamela and Thomas Schouten

Carole Schragen

Jill and Scott Schreiner

Kitty Banner Seemann

Marisa and William Sheehan

Cynthia Strauss and Harry Sherr

Karen Silverman

Suzanne and Mark Silverthorn

Page and Michael Slevin

Beth and Rodney Slifer

Nancy Smith

Debra and Gregory Sokolik

Christie and Scott Somes

Matt and Michelle Spidell

Susan and Chris Spiegel

Starbuck Surveyors

Starbucks

Pam and Jim Starr

Gay and Richard Steadman, MD

Stephen Stubbendick

Susan and Steve Suggs

Nancy and Jon Tellor

Temperatsure

Patty Thompson

Peggy Thompson

Rosemary Jo Tongish

Linda and Stewart Turley

Rosemary and Robert Tutag

Greater Twin Cities United Way

Jean Urquhart, MD and Alec Urquhart, MD

US Bank

Vail Jazz Festival

Vail Valley Concours, LLC

Vail Valley Foundation

Vail Valley Surgery Center, LLC

Jen and George Vanderhoof

I give to Pink Vail because it is my favorite ski day of the year and I know how much it means to support the patients and cancer survivors at Shaw. I feel good about helping to make treatment easier and to make survivors stronger and healthier than before they had cancer."

Kathy and James Vosberg

VVMC Volunteer Corps

Susan and Tom Washing

Carole and Mike Watters

Karin and Bob Weber

Deborah Webster and Stephen Blanchard

Patti and Ron Weinstein

Kathryn Weller

Wells Fargo Private Bank

Andrew Wendt

Joseph White

Stanley Whittemore

Vali and Willy Wilcox

Robert Wilhelm

Kristin and David Williams

Colleen and David Wirth

Betty Ann and John Woodland, MD

Betsy and Bud Wright

Barry Zvibleman

SHAW OUTREACH TEAM TRIBUTE GIFTS

IN MEMORY OF

Dale Aden

Rose and Dean Aden

Shirlee Aden

Rhonda Allen-Hickman and Michael Hickman

Anne Clark

Linda Cormack

Mary Ann Derryberry

Suzy and Jim Donohue

Nora Fryklund

Wendy Gilbertson

Bobbi and Gene Hagerman

Diane and Robert Holmes

Glenn Huwa

JBS

Diane Larsen, PC

Karen and Greg Latham

Jean Latham

Virginia Morris

Martin Nash

OSI Industries

Lois and Richard Bruce

Rebecca and Paul Brun

Ruth and Barry Bucher

Steve Burmeister

Veronica and Paco Calderon

Peggy Carey

Judie and John Chain, Jr.

Cynthia and John Chase

Lyon Chavez

Chippen Nails

Victoria and Terrell Clampitt

Aaron Coburn

Kitchen Collage

David Courtney

Paige Cregon

Nancy and Andrew Cruce

Paige and Chris Cumming

Lucy and Ron Davis

Sandi Dean

Denise Delaney and Glenn Bourland

Sheila Dell'Osso

Kathleen and Jack Eck, MD

Lainie Edinburg and Joel Kaye

Peggy and Gary Edwards

Linda and Robert Egan

Joyce and Stephen Evans

Diane and Larry Feldman

Regina and Kyle Fink

Cheryl Foley

Craig Foley

Nancy and Stephen Shane, CLU, CHFC

Becky and Pete Smith

Lynn and Dennis Swanstrom

Kathleen and James Turner

L. Wylene Twombly

Bill Wailes

Michael Hollomon and Eric Wailes

Clarice and Ramon Weiss

Andrew Wendt

Linda and James Young

David Brock

Suzy and Jim Donohue

Susan and Joseph Morrill

Vanessa and Rob Nowlin

Lisa and David Pease

US Bank

IN HONOR OF SHAW OUTREACH TEAM

Greer and Jack Gardner

WOMEN OF CORDILLERA PAD

THE BRA DONORS

Annie and Tom Apple

Axel's

Madeline Read and Stephen Bandak

Collin Baugh

Judith McBride and Bruce Baumgartner

Matt Bayley

Stephanie Ben

Susannah Bene

Barbara and Jack Benson

Barbara and Barry Beracha

Eric Berg

Maxine and Jerry Bizer

Cindy and Bill Blakey

Suzanne and Fred Boettcher

Nancy Boyce

Debbie and William Brady

Patti and Ronald Brave

Marka and Jimmy Brenner

Hazel and Matthew Murray

Linda and Kirk Nelson

Julie and O.B. Nelson

Rachel Nelson and Jay Rush

Karen Nern, MD and Thomas Nern

Joyce and Jim Nielsen

Rosanne and Gary Oatey

Gail and John O'Brien

Jean and Ray Oglethorpe

Kerri Oskouei

Lorraine and Dennis Page, OD

Sue and Dennis Parker

Paula and Jim Paxton

Lisa and David Pease

Diane and David Pennock

Michele Pirozzi

Premiere Legal Advantage, Inc.

Sherry and Alex Preston

Jeanne and Michael Quagliano

Carolyn and Hollis

Rademacher

Anne and John Rainey

Carolyn and Robert Reintjes

Juniper Restaurant

Annette Reyes

Doug Rippeto

Laura and Richard Robert

Anne Roberts

Ceil and Steve Folz

Sally and Crosby Foster

Kathy and Gary Frank

Lorraine Fry

Grace and Stephen Gamble

Rondi Gifts

Terri and Scott Glasser

Nick Gordon

Megan and Tom Green

Ty Hall

Betsy and Mike Henritze

Sally and Wil Hergenrader

Polly and David Hinshaw

Cheryl Holman

Laureen Hopkins

Linda and Jay Hoyt

Carol and Richard Hunton

Sandra Jacaruso

Daryl James

Janet and Stephen Jones

Juniper Restaurant

Patty and Stanton Kamens

Diana and Jim Kaylor

Linda and Mark Kogod

Nancy and Carl Kreitler, Jr.

Margie and Lawrence Kyte, Jr.

Jim Landis

Suzi and Jim Locke

Becky Lowe

Deb and Dan Luginbuhl

Vanessa and Johnny Lyons

Kathryn and Joe Macy

Natalia and Leonard Mandor

Devinder Mangat, MD

Judy and Richard Marks

Debbie Marquez

Katherine Mathias

Donna and Jack McCarthy

Nina McLemore

Dani and Vince McNeill

Pixie and Robert Messey

Nancy Mezey-Groff

Elise and Victor Micati

Robert Miller

Sheri and Michael Mintz

Carolyn and John Moorman

Kathy Morrow

Deborah Zwick, MD and Mort Mulliken

Diane Romero

Ann and Richard Rothkopf

Richard Sandoval

Ann Schimmel

Senta Schleder

Susan and Eric Schneider

Jean and Leonard Schneiderman

Carole Schragen

Mary Jane and Charles Schultz

Diane and Louis Schultz

Shaw Outreach Team

Kris Sims

Julie Smith

Jean Graham and Philip Smith

Pamela and Richard Smith

Joan and Bob Solon

Lorraine Spargo

Stephanie Spence

Peter Stadler

Karen and Gary Steele

Meg and Michael Stepanek

Kathryn and William Stephenson

Nancy Stevens

Susan and Steve Suggs

Carla Summers

Keri and Mark Talucci

Susan Talucci

Linda and David Temin

Kim and Will Tickner

Trudo Letschert Corp.

Deanna Turner and Nicolaas Swanepoel

Rosemary and Robert Tutag

Lissa Tyler and Mike Larson

Tracey Van Curan

Lois and John Van Deusen

David Walford

Judy and Phil Walters

Janis and Roger Ward

Jan and Stephen Watson

Gunnel and Hal Weiser

Katherine Whitman

Lindsey and Patrick Wilhelm

Jane and Thomas Wilner

Barbara and Charles Wolff

Susan and Ronald Zapletal

Sherry Vanskyhawk

Susie Patterson

Tina and Stephen Vardaman

Diana and Joseph Parker

Arley and Jason Philips

Priscilla Brewster

Laura Brown

Kathleen Mundy and Fred Hessler

Zengo Zengo Restaurant

Zino Ristorante

VVMC out in the

COMMUNITY

ail Valley Medical Center is home to nearly 300 physicians. The medical center stretches throughout Eagle County, including urgent care facilities in Gypsum, Avon and Beaver Creek, as well as specialty clinics and centers for cancer diagnosis and treatment, cardiology, physical therapy, plastic surgery and uninsured primary care. The main campus in the heart of Vail is a level III trauma center, level II nursery, 58 bed hospital and home to some of the world’s most celebrated surgeons. 

Shaw Regional Cancer Center specialized in personalized cancer care that focuses on the mind and body.

AESTHETIC & RECONSTRUCTIVE SURGERY

Vail Institute for Aesthetic and Reconstructive Surgery www.vvmc.com/plastics

320 Beard Creek Rd, 2nd Floor Edwards, CO 81632 (970) 569-7656

The latest innovations in plastic surgery, with a special focus in cosmetic and reconstructive surgery of the face, breast and body contouring. Dr. Jeffrey Resnick is a board certified plastic surgeon with over 25 years of experience. Dr. Resnick moved his practice from Santa Monica, California, where he was on the clinical faculty at UCLA and USC for 20 years.

BREAST HEALTH

Sonnenalp Breast Imaging Center See Cancer Diagnostics & Care

CANCER DIAGNOSTICS & CARE

Shaw Regional Cancer Center

www.shawcancercenter.com

322 Beard Creek Road Edwards, CO 81632 (970) 569-7429

Shaw Regional Cancer Center provides high-quality, compassionate cancer care that’s close to home. With Jack’s Place, an intimate lodge that accommodates patients

and their caregivers, Shaw is the premier cancer center for residents and second homeowners from across Colorado. By combining the expertise of highly trained physicians and cancer specialists with advanced technology and the healing powers of nature, compassion, fitness and nutrition, Shaw Regional Cancer Center provides an innovative, holistic approach that empowers cancer patients to become cancer survivors.

Providers: Patricia Hardenbergh, MD, Alexander Urquhart, MD, Mike Glodé, MD, The Mountain Surgical Associates group, Urology, Plastic Surgery, Radiology, Pathology

Sonnenalp Breast Imaging Center

www.vvmc.com/breasthealth

322 Beard Creek Road Edwards, CO 81632 (970) 569-7690

Established in 2002, the Sonnenalp Breast Center provides the most sophisticated technology available for breast imaging and diagnosis of breast cancer in the Rocky Mountains, including 3D mammography. The Breast Center features a relaxing, spa-inspired interior in a private setting. The knowledgeable and compassionate radiologists, patient navigator and mammography technologists provide the best care and expertise to guide patients in pursuit of breast health.

Jack’s Place, A Cancer Caring House

www.vvmc.com/jacksplace

332 Beard Creek Road Edwards, CO 81632 (970) 569-7644

Jack’s Place provides convenient and comfortable day or overnight lodging for patients and a caregiver while receiving treatment at

Shaw Regional Cancer Center. Jack’s Place, with a pay-whatyou-can philosophy, treats the spirit with a yoga studio, tai chi classes, massage, meditation room, gourmet kitchen and library. Jack’s place was built and funded by the Shaw Outreach Team.

Shaw Breast Center & Cancer Clinic – Frisco www.shawcancercenter.com

323 West Main Street, Suite 101 | Frisco, CO 80443 | (970) 668-8970

Open Summer 2014

Shaw Breast Center and Cancer Clinic in Frisco offers the latest in breast screening, including 3D mammography, in our new, convenient location in Frisco, Co. The clinic will also offer infusion treatments and provide the greatest knowledge and compassion for patients.

EAR, NOSE & THROAT

Colorado Mountain Medical

See Primary Care

ENDOCRINOLOGY

Endocrinology Clinic www.vvmc.com/endo (970) 477-5160

320 Beard Creek Road Edwards, CO 81632

377 Sylvan Lake Road Eagle, CO 81631

730 North Summit Boulevard #102 | Frisco, CO 80443

108 South Frontage Road West, Suite 306 Vail, CO 81657

Endocrinology specializes in diabetes, thyroid disorders, metabolic and weight disorders, menopause and hormone therapy, osteoporosis, adrenal gland disorders and pituitary disease.

EYE CARE

Eye Center of the Rockies www.eyecenterrockies.com

232 Broadway Street | Eagle, CO 81631 | (970) 928-0105

Eye Center of the Rockies provides eye care and ophthalmology including medical and surgical care for cataracts, glaucoma, retina and LASIK. Currently, Dr. Ehrlich is the only ophthalmologist who practices full-time in Eagle County and sees patients (including children) for routine eye exams, eyeglass prescriptions and contact lens fittings.

Not owned or operated by Vail Valley Medical Center.

EMERGENCY & URGENT CARE SERVICES

IF

Vail Valley Medical Center

Emergency Department www.vvmc.com/emergency

181 W. Meadow Drive Vail, CO 81657 (970) 479-7225

Open Mon – Sun, 24 hrs

Vail Valley Medical Center

Emergency Department (ED) is a 24-hour facility staffed by Board Certified emergency physicians. A Level III Trauma Center, emergency trauma care is provided to infants, pediatrics, adolescents, adults and geriatrics.

Beaver Creek Medical Center

1280 Village Road | Avon, CO 81620 (970) 949-0800

Open Mon – Sun, 8 AM – 5:30 PM During ski season only Beaver Creek Medical Center is located in Beaver Creek Village. The clinic offers emergency care services with a 12-bed treatment area, two of which are critical care. X-ray, lab services, occupational health services, wound, orthopaedic and respiratory care is available on-site. No appointment is needed. Open during ski season only.

Avon Urgent Care

230 Chapel Place | Avon, CO 81658 (970) 949-6100

Open Mon - Sun, 8 AM – 8 PM

Gypsum Urgent Care

410 McGregor Drive Gypsum, CO 81637 (970) 777-2800

Open Mon - Sun, 11 AM - 8 PM

Avon and Gypsum Urgent Cares are both equipped to manage most emergency medical situations, including wound, orthopaedic and respiratory care. They also feature critical care trained nurses, on-site x-ray and lab services such as urinalysis, quick strep, influenza, pregnancy, occult blood and glucose testing. Appointments are not necessary.

TREATING:

Abrasions, bruises, scrapes and lacerations

Cough, cold, fever and flu symptoms

Respiratory or urinary tract infections

Ear, eye, nose and skin infections

Minor burns

Minor fractures

Sprains and strains

Intestinal illness, including dehydration

GENERAL SURGERY & WOUND CARE

Mountain Surgcal Associates www.vvmc.com/surgeons

181 W. Meadow Drive | Vail, CO 81657 | (970) 479-5036

Located within Vail Valley Medical Center, Mountain Surgical Associates is known for their expertise in emergency and trauma care, the surgeons are experts in:

• General surgery: abdominal, thoracic & endocrine

• Cancer surgery: breast, colon and rectal, endocrine, lung and melanoma

• Laparoscopic surgery: hernia repair, gall bladder, colon and reflux disease

Providers: Barry Hammaker, MD, FACS, Reginald Franciose, MD, FACS, James Downey, MD, FACS, John F. Schultz, MD, and Jason Moore, PhD, PA-C

Wound & Ostomy Clinic www.vvmc.com/woundcare

181 W. Meadow Drive | Vail, CO 81657 | (970) 479-5036

Using advanced wound care treatments designed to accelerate the healing process and maximize patient comfort, the care team specializes in diabetic ulcers, venous stasis ulcers, arterial ulcers, pressure ulcers, burns and trauma and surgical wounds. Physician referral is required.

Provider: Sue Arford, RN, MSN, WOCN

For orthopaedic surgery, see orthopaedics

Vail Valley Surgery Centers www.vvmc.com/surgery

181 W. Meadow Drive Vail, CO 8165

320 Beard Creek Road Edwards, CO 81632 (970) 476-8872

Vail Valley Surgery Centers are world-class, multi-specialty outpatient surgical centers, offering the finest state-ofthe-art technology, treatment and physician expertise. Located in Vail and Edwards.

Partially owned but not operated by Vail Valley Medical Center.

Vail Valley Surgery Center is home to some of the world's most celebrated surgeons.

HEART & LUNG

Cardiology Institute www.vvmc.com/heartlung

108 S. Frontage Rd. W. #206 Vail, CO 81657 (970) 476-1110

337 Sylvan Lake Road | Eagle, CO 81631 | (970) 476-1110

Open Wednesdays

Cardiology is the medical specialty involved with treating and diagnosing conditions of the heart and blood vessels. Cardiologists evaluate the heart, treat defects and diseases of the heart; monitor irregular heartbeat (arrhythmia) and assist in lowering cholesterol and blood pressure.

Anticoagulation Clinic www.vvmc.com/heart

108 S. Frontage Rd. W. #206 Vail, CO 81657 (970) 471-4948

322 Beard Creek | Edwards, CO 81632 | (970) 471-4948

337 Sylvan Lake Road | Eagle, CO 81631 | (970) 471-4948

Vail Valley Medical Center’s Anticoagulation Clinic provides convenient care for patients taking warfarin (Coumadin®), heparin and low molecular weight heparin. These medications, also called blood thinners, control the blood’s ability to clot. Careful monitoring can prevent bleeding and clotting complications. The staff provides assessments, reviews and adjusts medications, checks for possible drug interactions, provides patient education and guides the management of blood thinners for invasive procedures. Call for appointment availability.

Cardiac Rehabilitation www.vvmc.com/cardiac180

322 Beard Creek Road Edwards, CO 81632 (970) 569-7780

Delivering care to individuals who have experienced a significant “heart event” or are involved in maintenance and prevention of further disease, the staff builds and monitors exercise programs and provides clinical support and education.

Cardiopulmonary Services

www.vvmc.com/respiratory

181 W. Meadow Drive | Vail, CO 81657 | (970) 479-7218

Cardiopulmonary medicine deals with the heart and lungs, specializing in respiratory care, cardiology, electroencephalography (EER) and sleep services. Cardiopulmonary Services provides diagnostic and therapeutic interventions to routine and critical care clients.

Dr. Samuel Brescia from Rocky Mountain Pediatric Cardiology offers a pediatric cardiology clinic, assisting patients with suspected or known heart disease from newborn to age 18. The clinic includes: cardiac stress testing, echo testing, cardiac monitoring, pediatric cardiology clinic and sleep disorder center.

Internal Medicine

www.vvmc.com/internalmed (970) 477-3090

320 Beard Creek Road Edwards, CO 81632

377 Sylvan Lake Road Eagle, CO 81631

730 North Summit Boulevard #102 | Frisco, CO 80443

108 South Frontage Road West, Suite 306 Vail, CO 81657

Internal medicine deals with the prevention, diagnosis and treatment of diseases in adults of all ages with no problem being too big or too small. Drs. Lawrence Gaul and Dennis Lipton are board-certified internal medicine physicians, passionate about helping people live healthier lives.

INTERNATIONAL TRAVEL & VACCINES

Traveler’s Clinic

www.vvmc.com/travel

230 Chapel Place, Unit D 101 | Avon, CO 81620 (970) 569-7715

The Travelers Clinic is a full-service provider of

immunizations, travel medication prescriptions, medical advice and documentation for world travelers. Immunizations offered: Hepatitis A & B, Influenza, Yellow Fever, Measles, Mumps, Rubella, Varicella, Rabies, Meningococcal Disease, Tetanus/Diphtheria, Japanese Encephalitis, Polio, Typhoid Fever and Pneumococcal Disease. Laboratory & blood work

Laboratory

www.vvmc.com/lab

181 W. Meadow Drive | Vail, CO 81657 | (970) 479-7280

Walk-ins welcome: Mon – Sun, 7 AM – 8 PM

Vail Valley Medical Center Laboratory, which runs around the clock, conducts tests on specimens, like blood and body fluids, in order to get information about the health of a patient as pertaining to the diagnosis, treatment and prevention of disease. Examples include: Testing blood for ‘markers’ to determine if a patient has certain types of cancer or had a heart attack; Growing and identifying types of bacteria to determine what is causing a patient’s infection; Testing to find ‘compatible’ blood for patients that need blood transfusions.

OCCUPATIONAL HEALTH AND WORKERS COMPENSATION

Occupational Health Clinic www.vvmc.com/occmed

230 Chapel Place, Unit D 101 | Avon, CO 81620 (970) 569-7715

181 West Meadow Drive | Vail, CO 81657 | (970) 479-5085

Occupational medicine offers services specialized to the needs of employees and employers. Common services include physical exams, drug screening, injury prevention programs, vaccination programs as well as custom programs built for organizations.

VVMC's Women and Children's Center boasts one of the best nursing staffs in the region.

MEDICAL LIBRARY & PATIENT RESOURCE CENTER

Kimberly’s Corner

181 Wet Meadow Drive Vail, CO 81657

Located in the atrium of the Vail Valley Medical Center, Kimberly’s Corner is a patient resource center, as well as a place for patients, guests and employees to relax. The resource center features a peaceful décor and provides computers and select books and journals.

Medical Library at Shaw Regional Cancer Center

www.vvmc.com/library

322 Beard Creek Road Edwards, CO 81632 (970) 569-7607

Free to the public: The Medical Library loans books, journals,

magazines, audio books, videos and children’s materials. The wide-ranging, up-todate healthcare collection is open to patients and the community. The library is home to the region’s only certified medical librarian and offers many personalized services, including reference, interlibrary loan and document delivery, material loans, databases and over 320 electronic journals.

ORTHOPAEDICS & SPORTS MEDICINE

Howard Head

Sports Medicine

See Physical Therapy

The Steadman Clinic www.thesteadmanclinic.com

181 West Meadow Drive, Suites 400 & 200 | Vail, CO 816573 | (970) 476-1100

ORTHOPAEDICS & SPORTS MEDICINE (CONT.)

360 Peak One Drive, Suite 340 | Frisco, CO 80443 | (970) 668-6760

322 Beard Creek Road Edwards, CO 81632 (970) 476-1100

The Steadman Clinic is a worldrenowned orthopaedic clinic with facilities in Vail, Edwards and Frisco. Specializing in knee, hip, shoulder, elbow, hand, spine, foot and ankle injuries, The Steadman Clinic’s experience and research have led to significant advances in orthopaedics and sports medicine.

Physicians: Marc J. Philippon, MD, Randy W. Viola, MD, Donald S. Corenman, MD, D.C., David C. Karli, MD, Tom Hackett, MD, Peter J. Millett, MD, M.Sc., Thomas O. Clanton, MD, Robert F. LaPrade, MD, PhD and Thos Evans, MD.

Not owned or operated by Vail Valley Medical Center.

Steadman Philippon Research Institute www.sprivail.org

181 West Meadow Drive | Vail, CO 81657 | (970) 479-9797

Founded in 1988 by orthopaedic surgeon Dr. J. Richard Steadman, the Steadman Philippon Research Institute is an independent, nonprofit organization, known throughout the world for research into the causes, prevention and treatment of orthopaedic disorders.

Not owned or operated by Vail Valley Medical Center.

Vail-Summit Orthopaedics www.vsortho.com

108 S. Frontage Road West (US Bank Building), Suite 300, Vail, CO 81657 | (970) 476.7220

Edwards Pharmacy specailizes in compounding, creating custom medications for taste, doze and form.

1140 Edwards Village II, B-105 | Edwards, CO 81632 | (970) 569.3240

Peak One Drive, Suite 180 Frisco, CO 80443 (970) 668.3633

Vail-Summit Orthopaedics, specializing in knee, shoulder, elbow, hand, spine, foot and ankle injuries, was founded in 1979 and has been an active part of the community since. Vail-Summit Orthopaedics’ physicians are all fellowshiptrained and take an integrated approach to injury repair and healthy recovery by creating customized treatment plans.

Physicians: Paul J. Abbott Jr., MD, Rick Cunningham, MD, Erik Dorf, MD, John Paul Elton, MD, Peter Janes, MD, Terrell Joseph, MD, Scott Raub, DO, William Sterett, MD.

Not owned or operated by Vail Valley Medical Center.

OBSTETRICS/ GYNECOLOGY (OB/GYN)

Colorado Mountain Medical www.colmtmed.com

181 West Meadow Drive, Suite 800 | Vail, CO 81657 (970) 476-5695

322 Beard Creek Road, Suite 200 | Edwards, CO 81632 | (970) 926-6340

377 Sylvan Lake Road, Suite 210 | Eagle, CO 81631 | (970) 328-1650

With locations in Vail, Edwards and Eagle, Colorado Mountain Medical is home to all five Eagle County OB/GYNs, specializing in women’s health, laparoscopy, hysteroscopy, urinary incontinence, infertility and in-office procedures, including Essure.

Physicians: Gale Santa Maria MD, FACOG, Cheryl Kohn, DO, Pamela Bock, MD, FACOG, Rochelle Bernstein, MD, FACOG and Keith Samuels, MD.

Not owned or operated by Vail Valley Medical Center.

Women and Children’s Center www.vvmc.com/childbirth

181 West Meadow Drive | Vail, CO 81657 | (970) 479-7181

The Women and Children’s Center is a labor and delivery unit and a level II nursery, equipped to handle most babies born after 32 weeks or fullterm babies who have health concerns or illnesses. Home to pediatric hospitalists and neonatal nurse practitioners, the center also offers lactation counseling and childbirth classes, including natural birth seminars, breast feeding, “I Love My Sibling,” baby care and more.

PHARMACY

Edwards Pharmacy www.vvmc.com/pharmacy

322 Beard Creek Road Edwards, CO 81632 (970) 569-7676

Located at the Edwards Medical Campus, the fullservice pharmacy specializes in hormone replacement therapy, drug compounding, medicine flavoring and is an official provider of Burts Bees. A wide array of insurances are accepted and over-thecounter medications available.

Eagle Valley Pharmacy (Vail Village)

181 W. Meadow Drive | Vail, CO 81657 | (970) 479-7253

The only pharmacy located in Vail Village, the Eagle Valley Pharmacy is inside of Vail Valley Medical Center. The pharmacy retails over-thecounter medications, has a wide assortment of braces and accepts prescription transfers from other pharmacies in-state or out-of-state, telephone prescriptions from out-of-state doctors and multiple insurance plans (insurance card needed).

PHYSICAL THERAPY

Howard Head Sports Medicine www.howardhead.com

Avon: The Westin, 126 Riverfront Lane | Avon, CO 81620 | (970) 845-9600

Beaver Creek: 1280 Village Road | Avon, CO 81620 | (970) 949-5522

Eagle: 377 Sylvan Lake Road | Eagle, CO 81631 (970) 328-6715

Edwards: 322 Beard Creek Road | Edwards, CO 81632 | (970) 569-7777

Gypsum: 52 Lundgren Boulevard | Gypsum, CO 81637 | (970) 777-2700

Vail (West Clinic): 181 West Meadow Drive | Vail, CO 81657 | (970) 476-1225

Vail (East Clinic): 108 South Frontage Road West | Vail, CO 81657 | (970) 479-7291

Additional locations in Silverthorne and Frisco.

Howard Head Sports Medicine helps athletes rebuild their

body and spirit. Working closely with the planet’s top orthopaedic doctors and researchers, their progressive sports medicine protocols are reshaping physical therapy worldwide.

Services: Aquatic Therapy, Dry Needling, Hand Therapy, Lymphedema Therapy, Occupational Therapy, Orthopaedic Rehabilitation, Pilates, Sports Rehabilitation, Total Joint Therapy, Vestibular Rehabilitation and Women’s Health.

PRIMARY MEDICAL CARE

Colorado Mountain Medical www.colmtmed.com

181 West Meadow Drive, Suite 800 | Vail, CO 81657 (970) 476-7600

322 Beard Creek Road, Suite 200 | Edwards, CO 81632 | (970) 926-6340

377 Sylvan Lake Road, Suite 210 | Eagle, CO 81631 (970) 328-1650

Colorado Mountain Medical is a team of primary care physicians and specialists including Ear, Nose and Throat, OB/GYN, Pediatrics, Internal Medicine and Gastroenterology. The providers offer total family care, emphasizing wellness and preventative medicine, as well as treatment of illness or injury.

Family Medicine Physicians: Jen Bettenhausen, MD, Ed Dent, MD, Jon Feeney, MD, Jean Hadley, MD, Eric Olson, DO, Marc Peck, MD, Diane Voytko, MD, Steve Yarberry, MD, Susan Vickerman, DO, JerriLu Atkins, MD

Internal Medicine Physicians: Mark Stephens, MD, Mindy Cooper, MD, William Foutz, MD

OB/GYN Physicians: Gale Santa Maria, MD, FACOG, Cheryl Kohn, DO, Pamela Bock, MD, FACOG, Rochelle Bernstein, MD, FACOG, Keith Samuels, MD

Pediatric Physicians: Janet Engle, MD, Leslie Fishman, MD

Ear, Nose & Throat Providers: Casey Strahan, MD

Gastroenterology & Hepatology Physician: Stephen Laird, MD, MS

Not owned or operated by Vail Valley Medical Center.

Mountain Family Health Center: Edwards www.mountainfamily.org

320 Beard Creek Road Edwards, CO 81632 (970) 945-2840

UROLOGY

Colorado Mountain Medical www.cmmhealth.com (970) 926-6340

Howard Head Sports Medicine is the region's leading physical therapy provider and has nine locations throughout Eagle and Summit counties.

Mountain Family Health Center provides high-quality, integrated primary, behavioral and dental healthcare with special consideration for the medically underserved, regardless of ability to pay.

SLEEP DISORDERS

See Cardiopulmonary Services under Heart & Lung

The board certified urologists have decades of experience in adult and pediatric urology. In addition to general urology care, the urologists diagnose and treat many conditions of the urinary tract, including enlarged prostate (benign prostatic hyperplasia), kidney stones, prostate cancer, low testosterone, incontinence (including non-surgical options), bladder cancer and more. They also perform many office and surgical procedures, including vasectomy.

Not owned or operated by Vail Valley Medical Center.

Owned and operated by Vail Valley Medical Center.

Cardiac Rehabilitation

Colorado Mountain Medical

Edwards Care Clinic

Edwards Pharmacy

Endocrinology

Howard Head (PT)

Internal Medicine

Mountain Family Health Centers: Edwards

Shaw Regional Cancer Center

Sonnenalp Breast Center

The Steadman Clinic

Urology Services

Vail Institute for Aesthetic & Reconstructive Surgery

Vail Valley Surgery Center — Edwards

MEDICAL CAMPUS

Occupational Health

The Traveler’s Clinic

VAIL MEDICAL CAMPUS

Cardiology Institute

Cardiopulmonary Services

Colorado Mountain Medical

Eagle Valley Pharmacy

Endocrinology

Emergency Department

Howard Head (PT)

Internal Medicine

Mountain Surgical Associates

The Steadman Clinic

Steadman Philippon Research Institute

Vail-Summit Orthopaedics

Vail Valley Surgery Center

Women & Children’s Center

Wound Care Clinic

ACCOMPLISHMENTS

& Community Outreach

Fiscal Year 2013 | AT A GLANCE

Net Patient Service Revenue 211,523,939

Provision for Bad Debt (14,617,996)

Other Operating Revenue 14,839,677

Net Asset Release from Restrictions 355,275 Total Revenue: 212,100,895 EXPENSES

Salaries, wages and benefits

MILESTONES

Shaw Regional Cancer Center saw a 96.9% fiveyear survival rate for Stage I breast cancer patients, nearly 5% greater than the national average.

Think First educated over 12,000 people about brain and spinal cord injuries and gave out 790 bike helmets and 189 ski helmets.

VVMC has an impressively low number of surgical site infections. In 2013, VVMC saw about 1/4 the number of infections predicted using criteria set by CDC. The predicted surgical site infection rate was 1% and VVMC only saw a rate of 0.28% infections.

VVMC’s Cardiac Disease Prevention Screening saw 247 underserved Eagle County residents, resulting in an average of -18 points in total cholesterol, -27 points in LDL and increased physical activity (34.9%) and decrease in high fat foods (22.8%).

VVMC added Internal Medicine, Endocrinology and enhanced The Cardiology Institute in 2013.

Pink Vail raised $350,000 to support cancer survivors and won best healthcare event in Colorado.

Howard Head Sports Medicine staff contributed to publishing 8 research articles in peer-reviewed academic journals — advancing the science of physical therapy and sports medicine.

Dr. Peter Millett was selected as a Top 28 U.S. Shoulder Surgeon by Orthopedics This Week

Number

Number of Surgeries Performed 7,198

VVMC Marketing Department won 8 Colorado Healthcare Communicator Awards — more top honors than any other healthcare organization in the state and included Judges Choice Nonprofit Project of the Year for Vail Health Magazine.

What brings patients to us is our impeccable reputation, Ivy League doctors, and top-of-the-line equipment – including a new Linear Accelerator and 3D mammography. But it’s the rest of the care, courtesy of a dietician, exercise physiologists, nurse navigator and a complimentary 12-room cancer caring lodge in a stunning setting, that keeps everyone’s spirits lifted to their absolute peak.