<?xml version="1.0" encoding="UTF-8"?>
<rss version="2.0"
    xmlns:content="http://purl.org/rss/1.0/modules/content/"
    xmlns:atom="http://www.w3.org/2005/Atom"
    xmlns:media="http://search.yahoo.com/mrss/">
<channel>
    <title>Southwest health notes</title>
    <category>Southwest health notes</category>
    <link>https://tj.durangoherald.com/section/columnists-southwest-health-notes/feed/</link>
    <atom:link href="https://tj.durangoherald.com/section/columnists-southwest-health-notes/feed/" rel="self" type="application/rss+xml" />
    <description>Latest local news from The Durango Herald.</description>
    <lastBuildDate>Fri, 14 Aug 2026 21:08:28 -0600</lastBuildDate>
    <language>en-us</language>
    <ttl>30</ttl>
    <item>
        <link>https://tj.durangoherald.com/back-to-school-health-and-safety-tips/</link>
        <title>Back to school health and safety tips</title>
        <description>Now that our community’s children are back in school, here are some tips to ensure that they stay healthy both in and out of the classroom throughout the year. First, two tips for everyone, whether you are a parent or...</description>
        <pubDate>Thu, 04 Sep 2014 19:36:02 -0600</pubDate>
        <guid isPermaLink="false">EF084EE0-F17C-41AA-AE15-D2B576FD1BA4</guid>
        <content:encoded><![CDATA[Now that our community’s children are back in school, here are some tips to ensure that they stay healthy both in and out of the classroom throughout the year. First, two tips for everyone, whether you are a parent or not. First, pay close attention when driving and observe speed limit signs in school zones. It may feel as though 15 MPH is a crawl on city streets where you’re accustomed to driving 25-30 or more, but children can be unpredictable and if a little one steps into the street as you’re driving by you’ll be glad you were going slowly. Second, watch for school busses on county roads and heed the warning lights on the vehicles. Never try to “ease around” a stopped school bus. Remember that traffic in both directions must stop for a school bus loading or unloading children. Wait until the red lights are off, the swing-out stop sign is no longer visible, and the bus is back in motion before moving your own vehicle. Now, for parents: Create a consistent routine for children. Get them into the habit of waking up early enough to dress and have breakfast without being rushed. They’ll be less stressed and so will you. Be sure to schedule enough time each day and week for homework, extracurricular activities, and unstructured blocks of time for play and relaxation. Be sure your children get the rest and sleep they need. According to the National Sleep Foundation, children between the ages of five and 12 need 10 to 11 hours of sleep each night. Teenagers should get at least 8½ hours of sleep each night, and some need nine or more to function optimally. Lack of sleep can negatively impact a child’s ability to concentrate, listen and learn. Food is fuel for the body and the brain, so make sure that your children head off to school with a full tank. According to the National Education Association, children who eat breakfast perform better in school, have better attendance and exhibit fewer behavioral problems. HealthyChildren.org, the website sponsored by the American Academy of Pediatrics, says students who eat breakfast have better memory, test scores, attention span and healthier body weights. Backpacks are an efficient way for children of all ages to transport books and other school supplies, but care must be taken to prevent injuries. The American Academy of Pediatrics recommends that backpacks weigh no more than 10-20% of a child’s weight. Load up your child’s backpack with what they routinely carry, put your child on the bathroom scale with and without the pack, then do the math. Choose a pack with padded straps and instruct children to use both shoulder straps at all times. Preventing the spread of colds and flu is especially important this time of year. It’s a judgment call on the part of parents, but as a rule if a child doesn’t feel well enough to go to school they should stay home. A child with a fever or suspected flu should always be kept at home until they are without a fever for 24 hours without the use of acetaminophen or ibuprofen. Bullying and cyberbullying is real, and it’s not acceptable – on or off campus. If you feel that your child is being bullied communicate openly to get the full story and, when warranted, alert school officials about the situation. If your child is being a bully, take the matter seriously. Talk to your children about drug and alcohol use. Believe it or not, studies show that children and teens really do pay attention when their parents discuss this subject with them. For information about how to have these conversations, visit HealthyChildren.org and type “drugs” in the search box in the upper right of the home page. Are you familiar with the emergency procedures that are in place at your child’s school? If not, find out what to expect and what to do in the event of a natural disaster, severe weather alert, threat or violence on the campus, or other situations that might result in an evacuation. In addition, make sure the school has a quick and easy way to get in touch with you should your child need to be picked up for any reason. Establish a relationship with a primary health-care provider for your children for well-child check-ups, immunizations, and so that you’ll have a place to take them should they become ill or injured. Southwest Health Notes is a public service feature provided by Southwest Memorial Hospital in Cortez, Colorado. The information provided herein is not intended as patient-specific medical advice or as a substitute for consultation with your personal health-care provider.]]></content:encoded>
    </item>
    <item>
        <link>https://tj.durangoherald.com/how-to-get-started-on-choosing-a-health-care-provider/</link>
        <title>How to get started on choosing a health-care provider</title>
        <description>There are many options from which to choose when it comes to medical care – primary care physicians, specialists, and nurse practitioners and physician assistants who work in conjunction with doctors. To make the best choices for you and your...</description>
        <pubDate>Thu, 10 Jul 2014 21:41:32 -0600</pubDate>
        <guid isPermaLink="false">CEF36D19-A9F5-4C64-AD58-0A9A09E1F654</guid>
        <content:encoded><![CDATA[There are many options from which to choose when it comes to medical care – primary care physicians, specialists, and nurse practitioners and physician assistants who work in conjunction with doctors. To make the best choices for you and your family, it’s helpful to understand how health care practitioners are educated, trained, certified, and licensed to practice. Becoming a physician generally requires four years of college and four years of medical school followed by residency training for three or more years in the doctor’s chosen specialty. Some physicians then also do what’s called a “fellowship” to receive even more training in a specific discipline. Physicians may be either MDs or DOs. An MD is an allopathic physician and a DO is an osteopathic physician. Both attend four years of medical school where the training is very similar, except that osteopathic medical schools emphasize the structural integrity of the body. MDs and DOs attend the same residency training programs, so you may have a family physician, orthopedic surgeon, emergency physician, or most any other specialty doctor who is a DO. Podiatrists (DPMs) are physicians who treat lower extremity problems, most often those affecting the foot and ankle. Podiatrists attend podiatric medical school and complete a three-year residency program to become licensed to practice. They treat patients in their offices and perform surgery at the hospital. Frequently you’ll see the term “board certified” next to a physician’s name. Board certification is not required to practice medicine, but it means that a doctor has taken extra steps to demonstrate proficiency in his or her specialty. In order to be eligible to take a specialty board exam, a physician must have completed an approved residency and/or fellowship training program. Doctors are required to be either board certified or board eligible (meaning they are qualified to take the exams but have to practice for a certain period of time before doing so) to be on the staff at Southwest Memorial Hospital. Nurse practitioners (NPs) and physician assistants (PAs) are an integral part of the health care delivery system in most communities, including here in Montezuma County. Nurse practitioners have either masters or doctoral degrees as well as advanced clinical training in their field. Physician assistants are graduates of accredited training programs and, like NPs, are licensed by the state to provide medical care to patients. NPs and PAs who work for Southwest Health System do so in coordination with licensed physicians. This team approach allows area clinics to accept more patients and provide the highest quality of care. All providers whether MD, DO, DPM, NP, or PA must be licensed to practice medicine by the state. Additionally, they must engage in continuing medical education (CME) activities in order to maintain their medical license. This CME requirement helps ensure that provides stay up to date as science and technology changes and as new medical studies are released that might impact patient care decisions. Just as important as knowing that your health-care provider is well-trained is being comfortable with their philosophy. Ask your doctor, nurse practitioner or physician assistant about his or her approach when it comes to preventive care, recommending screening and diagnostic tests, prescribing medications, and the use of alternative and complementary medicine, for example. These are practice style issues, and it’s up to you – the patient – to partner with your provider when making important decisions about your health. Communication is key, so always be honest with your health-care provider and expect the same in return. (This article originally appeared in “Your Health, Your Hospital,” a publication of Southwest Health System.) Educational opportunities CPR: $25 (Kiva room at Southwest Memorial Hospital) July 17, 8 a.m. to noon July 29, 6 to10 p.m. First Aid: $25 (Kiva room at Southwest Memorial Hospital) Aug. 21, 6 to 9 p.m. Life support: Pediatric Advanced Life Support, $150 (SWHM Annex building on Market Street) Aug. 7-8, 8 a.m. to 5 p.m. both days Life support: Advanced Cardiac Life Support, $150 (SWHM Annex building on Market Street) Sept. 10-11, 2 to 10 p.m. both days Information: For more information or to register for any of these classes, contact Meghan Higman at 564-2160 or e-mail her at mhigman@swhealth.org. Southwest Health Notes is a public service feature provided by Southwest Memorial Hospital in Cortez, Colo. The information provided herein is not intended as patient-specific medical advice or as a substitute for consultation with your personal health-care provider.]]></content:encoded>
    </item>
    <item>
        <link>https://tj.durangoherald.com/preventing-recognizing-and-treating-skin-cancer/</link>
        <title>Preventing, recognizing and treating skin cancer</title>
        <description>We’re fortunate to live in an area that has many more clear days than cloudy ones. The bright, beautiful weather is one thing that draws people to live in the Four Corners, and anyone who has ever endured month after...</description>
        <pubDate>Thu, 01 May 2014 23:54:24 -0600</pubDate>
        <guid isPermaLink="false">B5EB205E-088B-4DCB-A140-9D7EAA99BCA5</guid>
        <content:encoded><![CDATA[We’re fortunate to live in an area that has many more clear days than cloudy ones. The bright, beautiful weather is one thing that draws people to live in the Four Corners, and anyone who has ever endured month after month of gray skies knows that living where it’s sunny can result in a sunny disposition. But all of that sun has a downside. Exposure to the UV radiation the sun produces is the primary cause of skin cancer. As summer approaches and longer days give us even more reasons to enjoy the outdoors, Cortez family physician Jill Schenk, MD, has a piece of advice we should all heed: protect your skin. There are three main types of skin cancer: squamous cell, basal cell, and melanoma. These three cancers show up in different ways on the body. Schenk says anyone who has a sore or abnormal spot on their skin that does not clear up within a month, a mole or other lesion that appears very suddenly, or any type of irregularly shaped or colored mole should have it checked out by their primary care provider. Squamous cell cancer starts out as a pre-cancerous lesion called actinic keratosis. “These are little crusty spots on the skin that just don’t heal up. If you do nothing, in 5-10 years they can become a squamous cell skin cancer,” said Schenk. Caught early, these lesions can be “frozen” off in the doctor’s office. If they’re not treated until a little later, they might have to be cut out instead. Pre-cancerous spots may also be treated with a chemical peel which is sometimes necessary to treat a large area. “When I see patients with these types of lesions I recommend that they get checked every 6-12 months. The original spots might not come back, but very often new ones appear,” said Schenk. Basal cell cancers tend to first appear on the skin as a small ulceration that may or may not bleed. “The problem with basal cell skin cancer is that it’s challenging to remove the entire lesion, especially on places like the nose,” said Schenk. This is why it’s important to have suspicious spots on the skin evaluated sooner rather than later. “When a lesion gets large, like eraser sized, we have to take a large chunk of skin out.” Basal cell cancer tends not to migrate throughout the body. Instead, basal cell invades and destroys local issue which can result in disfigurement, even when it’s removed. Melanoma is the third type of skin cancer and by far is the most serious. “Melanoma has a variety of presentations. The classic appearance is a dark, multi-colored, irregularly shaped mole, but that’s not always the case, which makes it challenging to diagnose,” said Schenk. “If a lesion shows up suddenly or is larger than an eraser, or starts to grow, that’s a big concern.” At this point it’s possible that the cancer has spread to local tissue, to the lymphatic system, or to a variety of organs in the body. “It can go anywhere, and it can show up again years after the original lesion has been removed,” said Schenk. The good news is the skin cancer is highly preventable. You simply need to protect your skin from the dangerous UV rays of the sun. “If you’re going to be outside between 10 a.m. and 4 p.m. for more than five minutes, then wear broad-spectrum sunscreen,” said Schenk. She recommends, at minimum, an SPF of 15 (30 is better). In addition, wearing a large-brimmed hat and long sleeves is a smart move when gardening, irrigating, hiking, horseback riding, or engaging any other activity that will keep you outside for an extended period of time. If you’re tempted to venture outside without protecting your skin, consider these statistics. One in five adults will have some type of skin cancer during their lifetime. It’s the most common type of cancer, outranking breast, prostate, lung, and colon cancer. Eighty-six percent of melanomas and 90 percent of squamous cell and basal cell cancers are caused by sun exposure. It’s estimated that the annual cost to treat melanoma in the U.S. in 2010 was $2.63 billion. “We could reduce these costs dramatically if everyone would just use sunscreen,” said Schenk, noting that taxpayers pick up a large portion of the health-care tab. “Daily use of SPF 15 or higher sunscreen will reduce squamous cell cancer by 40 percent and melanoma by 50 percent,” said Schenk. The risk for melanoma (the most common form of cancer in people aged 25-29) doubles in individual who have had more than five sunburns over the course of their lives life or if they experience a single blistering sunburn during childhood. “It is especially important to protect children and babies when they are outdoors because their skin is so sensitive to the damaging effects of UV radiation,” said Schenk. As with all cancers, early detection is essential. In the case of melanoma, the five-year survival rate is 98% if it’s detected early. That figure goes down to 60% if the cancer gets into the lymphatic system and drops to 15% if it spreads to another organ in the body. Tell you health-care provider about any unusual moles or growths and ask for an “all over” skin check when you have your annual physical. For anyone concerned about what’s in sunscreen and the myths that chemicals in the products are causing an increase in skin cancer diagnosis, Schenk says to put that worry aside. “There is no evidence that I’m aware of that sunscreens are carcinogenic. But the UV rays from the sun definitely cause skin cancer,” she said. In addition, Schenk says tanning beds should never be used. “One tanning bed session increases the risk of squamous cell skin cancer by 67%, and the vast majority of melanoma in people under 30 is attributed to tanning beds,” said Schenk. If the risk of getting skin cancer isn’t motivation enough to make you cover up and protect your skin when going outdoors, perhaps the desire to remain younger looking will be. “Ninety percent of visible changes of aging such as wrinkles and dark spots are caused by sun damage,” said Schenk. “People who use sunscreen daily have 25% less skin aging than those who don’t.” You can’t turn back the clock, but it’s never too late to start protecting your skin and maintaining a youthful appearance for as long as possible. Southwest Health Notes is a public service feature provided by Southwest Memorial Hospital in Cortez, Colorado. The information provided herein is not intended as patient-specific medical advice or as a substitute for consultation with your personal health-care provider.]]></content:encoded>
    </item>
</channel>
</rss>
