We are well into 2017. The glitz and glamour of the New Year has worn off and along with it, many New Year’s resolutions have been forgotten. Spring is now upon us! A new season means new beginnings. It’s the universe telling us to not give up. So stand up, brush off the crumbs from your winter comfort food and set some new goals!
Today, ask yourself two questions:
- What did you learn in 2016?
- What are your dreams for 2017?
In honor of the new hospital’s one year anniversary, I asked a few people those questions.
Karl Stephens, Food Services Director for The Flying Pig
2016: Patience is a virtue. The hospital has accomplished so much and it has been a great opportunity for all of us. The Flying Pig has come a long way in the past year, thanks to the Food Services team.
2017: Now that we have our feet firmly planted…time to start moving forward. Each day we strive to improve quality and performance. We will be making some great changes to the patient menu, so come join us!
Karen Martsolf, Marketing and Communications Director for Community Hospital
2016: We are often much stronger than we give ourselves credit for. Bringing a new hospital online while managing daily tasks of the current hospital was challenging at times. The staff at Community Hospital is incredibly dedicated to its continued growth and success and I am truly honored to be part of such an amazing organization!
2017: My goal is to continue to increase awareness for Community Hospital through proactive marketing strategies. Volumes at Community Hospital have increased 40% since moving into the new hospital and our inpatient market share is now 20%. The staff has worked tirelessly to impact these numbers and 2017 is the year to keep moving the needle to ensure patients have a choice as to where to receive health care locally.
Dr. Danny Mistry, Sports Medicine Physician and Community Hospital Board Member
2016: We can be better human beings if we learn to forgive AND forget mistakes, love unconditionally, and give without expectation. Love, patience and kindness are intangibles to the practice of life and good medicine.
2017: In the next year, I hope to…
–Find a way to give and share the endless ‘gift of time’ with family and patients.
–Continue to strive to be a better person and physician each day.
What did you learn in 2016 and where are you headed in 2017?!
~ Jana, MA, CHWC
Community Hospital Blog Contributor
On Thursday, March 17, 2016, Community Hospital opened a brand new hospital which boasts over 140,000 square feet and features 44 private patient rooms, a new labor and delivery unit and a more robust emergency department. It is hard to believe how quickly this past year has flown by.
As we look forward to celebrating the one-year anniversary of our new hospital, we also take pause to reflect on the many other accomplishments Community Hospital has worked tirelessly to achieve over the years.
Community Hospital’s roots date back to July 1, 1946. Over the years Community Hospital has grown from a small 12-bed hospital to a state-of-the-art facility that offers high quality health care in a comfortable environment for a great value in the market.
In the last three years, nearly 50 new providers have joined Community Hospital. Physician confidence in Community Hospital continues to strengthen and we could not be more proud of the continued growth and success of our organization. In September 2016, we partnered with two fellowship trained ear nose and throat (ENT) physicians to form Grand Valley ENT and Facial Plastic Surgeons. The newest members of the Community Hospital family offer full spectrum ENT services as well as specialty services in facial plastic surgery and reconstruction and pediatric otolaryngology. We also continue to expand our primary care network and now offer primary care services spanning from Clifton to Fruita, with over 20 employed primary care providers.
Additionally, we continue to see growth in our medical and radiation oncology department, we have expanded services at the Colorado Mesa University Student Health Center to include behavioral health services for college students, we have expanded our Community Health Partnership (CHP) network and continue to help local businesses realize significant health care savings, and have already delivered over 550 babies since March 2016, including three sets of twins, at The Birth Place at Community Hospital.
We are undoubtedly excited about what the future holds. Your support and patronage over the years has helped make us who we are today. Rest assured we will continue to champion accessible, high quality and cost effective care for patients in the Grand Valley.
Chris Thomas, President and CEO
February was cancer prevention month. There are several risk factors for cancer that are usually addressed when talking about ways to prevent cancer from happening. Stop smoking. Drink less alcohol. Eat less red meat and more vegetables. Exercise more. These are risk factors that we can control through changing our actions and behaviors. One risk factor, your genes, cannot be changed through your actions. Even though you can’t change your genes, this doesn’t mean there is nothing you can do about increased cancer risks.
Many different genes have been identified that cause increased lifetime risks for several types of cancer. These genes don’t just cause increased risks for breast and ovarian cancer. Some genes may cause increased risks for colon, endometrial (lining of the uterus), thyroid, urothelial and other cancers. Knowing that you have an increased risk for cancer can be stressful and scary, but it can also be empowering. If you are identified as having a genetic change that causes increased cancer risks you can complete cancer screenings and risk reducing procedures to greatly reduce your risk of developing advanced cancer. For example, if you have an increased risk for colon cancer you can complete a colonoscopy every year to detect and remove colon polyps that may lead to cancer. You can’t change the genetic mistake that causes the increased risk for cancer, but you can change the way you manage the risk. By completing genetic counseling and testing you can identify your risks and take actions to reduce these risks.
No one wants to have an increased risk for cancer due to genetic changes in themselves or their family. However, if a genetic mistake is present there is nothing you can do to “cure” this or make it go away. What you can do is use the knowledge of this genetic change to take proactive steps to protect the health of yourself and your family. In talking about prevention, one of the best ways to prevent cancer is to talk to your doctor or genetic counselor about your risk to have a hereditary cancer condition, and learn if genetic testing can help to prevent cancer in you and your family.
For more information on genetic counseling and testing, please contact Grand Valley Oncology at 970-254-3180 or visit www.grandvalleyoncology.com.
Katie Lemas, MS, CGC
Our old dog woke me up in the middle of the night…again. Grumbling, I dealt with her and then stumbled back to bed. Eyes wide open I stared at the ceiling, every unfinished project fighting for priority in my head. There’s wrapping yet to do, cards to be sent, the holidays fast approaching in addition to all the other commitments on my to-do list that have yet to be checked off.
Slipping back out of bed, I stepped outside in the crisp air to look at the full moon peaking out from the clouds. I took a deep breath and tried to quiet my mind by reflecting on the stillness of cold nights and bright skies.
If it’s true that the simple things mean the most then I challenge you to take the time for the simple things this season. Find beauty in the night sky. Be grateful for that tail-wagging dog who is happy to see you (even if it’s 3:00 a.m.). There’s a reason you can’t fall asleep. Maybe you haven’t spent enough time saying thank you today and realizing just how blessed you are.
When you get caught up in everything on your to-do list and your mind won’t stop swirling, I think that could possibly be the universe or God or your guardian angels telling you to count your blessings. Take a deep breath, exhale, and whisper “thank you”.
Your life may feel like a mess at times, but it’s a beautiful mess. And out of the mess of ribbons and bows and pretty paper you wrap a gift. Isn’t that the perfect analogy for life? It’s a jumbled mess, but at the end of the struggle of taping the corners just right, there is a gift. Be grateful for the gifts you’ve been given.
Wishing you a blessed Christmas and a new year filled with long walks, fairy tale endings and millions of kisses!
~ Jana, MA, CHWC
Community Hospital Blog Contributor
I had the honor of interviewing the physicians at Grand Valley Oncology this summer to write their bios for their website. Of course, education and experience made the cut, but I wanted anyone who read about them to see their softer side. Who they are outside of the cancer center. I quickly found out: who they are outside of the cancer center is exactly who they are at work.
It was universal: they love their job. There may have been different reasons they have chosen their profession and many different avenues got them to their current positions, but there was a collective, “I am exactly where I am supposed to be” theme.
They work hard. They continue to study and to learn in a field that changes daily. They see their patients on this life-altering journey and they walk beside them, helping them find hope. It was Dr. Virgilio who said, “I truly believe that cancer has its bad side but it changes people for the good. The living presence of God: That’s the good.”
What caught my attention was the resounding positive attitude they all have and the need to share that positivity with their patients. Dr. Miller said, “Cancer gives you a different philosophy on life. You can choose to live every day or die every day.”
And then an interesting point came up more than once.
Ovarian & Breast Cancer: Why your family history is important
Get out your teal and pink colored ribbons everyone because September is ovarian cancer awareness month, and October is focused on breast cancer awareness. There are many different topics that can be spotlighted for cancer awareness. One that I believe is very important, and can potentially stop a cancer before it begins, is being aware of your family history of cancer.
The presence of breast or ovarian cancer in your family history does not automatically mean that cancer is hereditary. Being aware of your family history and discussing this with a genetic counselor can help to determine whether you may also have an increased risk for the disease. Research has shown that about 10% of breast cancers diagnosed are hereditary, and up to 20% of ovarian cancers are hereditary. By determining if your family falls into the hereditary category you can become proactive in screening and reducing the risk for these cancers.
There are features, or red flags, to be aware of in your family history that may indicate a hereditary cause for breast and/or ovarian cancer. Some features that are more concerning for hereditary breast and/or ovarian cancer include breast cancer diagnosed under the age of 50, 3 or more individuals diagnosed with breast cancer on the same side of the family, individual with 2 or more primary breast cancer diagnoses, male breast cancer, and ovarian cancer diagnosed at any age. This is not an extensive list of concerning features. If you have questions about your family history and risk of cancer speak with a genetic counselor or physician.
If you are interested in discussing your family history of cancer and how it may affect your cancer risks please speak with your doctor about genetic counseling. If you or a family member are identified as having hereditary cancer risks there are specific actions you can take to reduce your cancer risks or increase surveillance to detect cancer at earlier, more treatable stages. One of the great benefits of genetic counseling and testing is the ability to change the pattern of cancer in a family going forward. The cancer that may have affected past generations is not doomed to repeat itself when families become empowered to take action with genetic information!
Katie Lemas, MS, CGC
Genetic Counselor – Grand Valley Oncology
Shame spirals are real. They happen when you feel you have failed. When you’ve done something and you find yourself saying, “I’m not good enough.” It then spirals into something like this:
I am not talented enough.
I am not smart enough.
I am not organized enough.
I am not thin enough.
I am not enough.
Stop the shame spiral!
I was visiting with an old friend who is both a successful writer and landscaper. (I share he’s a landscaper because I think his analogy fits him perfectly. Keep reading. You’ll figure it out.)
I was in a shame spiral – feeling unworthy. And he shared this gem:
“I picture roses and thorns. For every thorny thought, I force myself to find the positive thought, to find the rose.”
Wow. Pretty simple but very poignant.
Often times, when we are spiraling down, we just keep pricking ourselves with the thorns. I can feel I have failed at something one day and then I manage to remember every failure I have encountered since I was ten years old. It goes something like this:
“Darn it, I missed my dentist appointment. I am a loser. There is a Lego tsunami in the living room and the breakfast dishes aren’t done. I didn’t exercise this morning…”
The spiral continues until I end here:
“Remember when I spelled the word ‘envelope’ wrong in the 5th grade spelling bee and lost the competition to Bennett, the annoying boy who sat behind me?
Today, I do roses & thorns.
“The breakfast dishes aren’t done because I was busy building the Lego zoo to house our new dinosaur (that retails at $1.99 but we spent $40 at Chuck E. Cheese to win). Rose!
Chris made breakfast and I didn’t have to do it. Rose!
I can get my exercise by cleaning up the Legos. Rose?”
(Okay, sometimes you have to stretch to see the rose but you get my point.)
Stop focusing on the thorns that hurt you today and find the rose. Then stop and really see it. Embrace it. Enjoy it.
Wishing you a bouquet of roses!
~ Jana, MA, CHWC
Community Hospital Blog Contributor
There’s a lot of information out there from people and organizations telling you what you should and shouldn’t eat if you want to lose weight, gain weight, or get healthy. All of that contradictory information makes it difficult to know what you should actually do. Maybe all you need to do is get back to basics.
When it comes to weight loss nutrition is key and calories are king! If you are trying to lose weight it is as important to make sure you are getting enough calories as it is to make sure you aren’t getting too many. People like to throw around 1200 like it is a magic one size fits all number, but that’s not the case. Every body is unique and an ACSM certified personal trainer or exercise physiologist can help you figure out how many calories you should be eating every day.
What is a calorie anyway? A calorie is a unit used to measure energy, specifically a calorie is the amount of energy needed to raise the temperature of 1 kilogram of water 1 degree celsius. A calorie can be thought of as fuel that comes from macronutrients: carbohydrates, proteins, and fats.
According to the 2010 Dietary Guidelines put out by the federal government: between 45 and 65 % of your daily calories should come from carbohydrates, 10 to 35 % from protein, and 20 to 35 % from fat.
As an example: if an individual consumes 2000 Calories per day their daily macronutrient allowance may look something like this –
2000 calories X 60% carbohydrate = 1200 calories of carbohydrate per day
1200 calories / 4 calories per gram = 300 grams of carbohydrate per day
2000 calories X 20% protein = 400 calories of protein per day
400 calories / 4 calories per gram = 100 grams of protein per day
2000 calories X 20% fat = 400 calories of fat per day
400 calories / 9 calories per gram = 44 grams of fat per day
Following these basic rules should help get you to the healthiest weight for you. These guidelines will fuel your workouts and fuel your life. There is no reason to change your diet to compensate for your exercise routine unless you are an athlete training at high intensity for several hours per week – in which case your coach and athletic trainer will provide you with all of the nutritional guidance necessary.
- Always contact your primary care provider for guidance before making any significant changes to your diet. For more information: Health.gov and Heart.org
Anne, B.S. Exercise Physiology
Community Hospital Blog Contributor
Probably every person has a story about how cardiovascular disease has affected their lives. Heart disease is the leading cause of death in the United States even though many of the known risk factors for developing cardiovascular disease are modifiable. Prevention is key, and that includes prevention of further damage once you’ve been diagnosed. It is never too late to live heart healthy!
Physical activity is arguably the most important modifiable risk factor to developing cardiovascular disease. The American Heart Association is a great resource for physical activity recommendations for adults and children http://www.heart.org/HEARTORG/. Recommendations for physical activity specifically to prevent cardiovascular disease include 150 minutes of moderate intensity physical activity (50-70% of maximum heart rate) or 75 minutes of vigorous intensity physical activity (70-85% of maximum heart rate) per week.
To calculate your maximum heart rate simply subtract your age from 220. For example, a 45 year old individual will take 220 – 45 to get a maximum heart rate of 175 beats per minute.
To find your target heart rate, simply multiply your maximum heart rate by the maximum heart rate percentage you’re aiming for. For example, if the 45 year old individual is wanting to exercise at a moderate intensity, or 50 – 70% of their maximum heart rate, they would simply multiply 175×0.5=88 for the lower range and 175×0.7=123 for the upper limit. Then monitor your heart rate during exercise to try to keep it in that target range.
These recommendations are a great place to start. If you’re looking for a more personalized approach to fitness and heart disease prevention, visit any gym with ACSM certified personal trainers or contact your primary care provider for resources.
In addition to healthy amounts of physical activity, a sensible diet and maintaining a healthy weight are both very important components to living heart healthy.
As always, check with your primary care provider before beginning any exercise program. More on living a heart healthy lifestyle can be found at:
~ Anne, B.S., Exercise Physiology
Picture this. You are at a friendly get together mingling with new people. You are engaged in polite small talk and a familiar question comes up, “So, what do you do?” For me the answer is, “I am a genetic counselor.” 95% of the time the response I receive is a polite smile followed by a bit of a blank stare and then, “What is that?” So what exactly is a genetic counselor? You are about to find out.
Let’s start by breaking down the title genetic counselor. Genetic is something to do with genes or heredity, and counselor is a person trained to give guidance. Therefore, a genetic counselor gives guidance relating to genes or heredity. This sounds pretty straight forward, but being a genetic counselor is much more than guiding a person’s genes. The National Society of Genetic Counselors, an organization that promotes and supports genetic counselors, describes genetic counselors as healthcare providers who help “…understand and adapt to the medical, psychological and familial implications of genetic contributions to disease.” This is a great description, one definitely well-crafted from a reputable organization. I like to provide a more basic description of genetic counselors as genetics nerds who really like puzzles and helping people. So why would a puzzle loving nerd who likes human interaction become involved in your medical care? There are several reasons, and the list continues to grow.
Genetic counselors appeared about 20 years after the discovery of the structure of DNA in the 1950’s. With this discovery genes, (a unit of heredity transferred from parent to offspring that determines some characteristic of the offspring), were identified and their effects on health began to be recognized. Genetics was and continues to be a complex field that only becomes more complicated with new discoveries and technology. Currently there are thousands of genetic tests offered by hundreds of genetic testing laboratories. Determining what these tests are and how the results can affect health and patients’ lives is where genetic counselors become a crucial part of the care team. Genetic counselors guide patients, their families and other healthcare providers through the complex world of genetic testing providing education, advocacy, and support so that patients can make difficult decisions and live the best life for themselves. Whether this means learning about risks to an unborn child, increased personal risks for cancer or heart disease, or obtaining a difficult diagnosis for a family member genetic counselors help patients to be supported and empowered throughout the process. Genetic counselors do not make designer babies or have the ability to tell the future. We do try to make a complex field less intimidating and support people and families along the way.
If you are interested in learning more about genetic counselors please check out this YouTube video for more details of what a genetic counselor is and how they can become involved in your care.
~ Katie Lemas, MS, CGC
Grand Valley Oncology