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by Dan Hehir, MD

Here in Telluride the arrival of autumn is heralded by many events. We all recognize the cool mornings and changing of the aspens as signs of fall, but here at theTelluride Medical Center the first sign is the arrival of this years’ influenza vaccine. While many of us may respond to these seasonal cues by taking winter clothes out of the closet, making sure the ski gear is in order, or stacking firewood, I would like all of us to add getting a flu shot to that regimen.

Influenza is a viral illness that affects hundreds of thousands of US citizens a year. When calculating the suffering, death, lost work and productivity, the impact is quite severe. While there has been a lot of attention paid to pandemic flu in the media in the past few years it is important to note that the seasonal flu has great impacts to us all. Indeed it is estimated that it is involved with the deaths of about 36,000 US citizens a year. Fortunately, we have yearly flu shots that can protect us from this insidious virus.

11 September, 2011 /

Eating in Portland, Oregon can make even minor league foodies panicky. There is so much good food in that city and only so much time. If you took all of New York, simmered off the grade B Thai restaurants and bagel shops, and condensed it into a square footage the size of Brooklyn, you might come close to approaching the density of yummy spots in Portland. Good food, good coffee, and good beer are everywhere.

Yummies at Little T Here’s the problem. I’m sure you can relate. I still want to fit into my ski pants this winter. So I somehow have to counterbalance calories in with calories out. Great trails for biking and running climb out of the city in every direction, but getting to those can take some time. Especially when you’ve got young kids in tow. So my visits to Portland are always fun but never relaxed. I eat, I run, I catch up with old friends, I sometimes play with my kids, and I sometimes sleep. Then I do the same thing all over again the next day. Here’s the other problem. I lived in Portland for a few years about a decade ago. So I have my old favorite food spots that I want to visit. But those are “so yesterday” according to our Portland friends. They insist on also dragging us to better places. By the time we return the next year and mention those same places, our friends have already found newer, better spots than the ones they took us to last year. And so on. The city’s like a forest after it rains-- new restaurants are mushrooming up all the time.
09 September, 2011 /

[click "Play", Kristin talks hats with Susan]

 

Hats What's good for the goose… If men can shop in women's stores, go metrosexual, then why shouldn't wear turn the tables too? Kristin Holbrook of Telluride's Two Skirts suggests our hat's in the ring.

In the 1960s, women burned bras and started wearing the pants in the family too. By the 1970s, pants were ho-hum. (So were most fashions.) In the 1980s, women wanting to break the glass ceiling, decided to look more like men: shoulder pads to create the illusion of broad shoulders (all the better to lean on during bad days at the office) came in to fashion, along with button-down shirts, even bow ties. (I bought mine at Paul Stuart.) Power suits for powerful women.

02 September, 2011 /

 

Late Summer in the mountains. After weeks of rain any time of the day, we've got a forecast of brilliant sunny weather for a few days. What to do?

The answer for my friend Todd Hoffman and me: a motorcycle guy trip. First we thought we'd head for the Utah desert, but it looked like it might be a bit warm, so we elected to stay in the high country. Mostly familiar, but always changing and the roads were made for riding bikes.

The destinations were easy, and the ways to get there, endless. We spent three nights on the road in Aspen, Denver and Gunnison. But the rides- not the shortest way to get to any of them. I met Todd at his place 3 miles up a gravel road outside of Ridgway. A gravel road is just a warm-up for my BMW F650GS. Todd was riding his recently rebuilt 1972 Norton Commando, a beautiful bike (I offered to be the baggage car with my new Caribou hard cases), especially if you're riding light.

30 August, 2011 /
[click "Play" to listen to Sasha Cucciniello's conversation with Dr. Peter Hackett]

 

(ed. note: Dr. Hackett's discussion about altitude sickness is part of an ongoing series, "To Your Health" brought to you by the Telluride Medical Center. See this link for an introduction to the series.)

by Dr. Peter Hackett

PH Durnan The symptoms of altitude sickness are much like those of a hangover: headache predominates, and there may be queasiness, fatigue, irritability, dizziness, and trouble sleeping. These symptoms typically come on within 24 hours of arrival to over 8000 ft from low altitude (less than 3000 ft). They usually resolve in 24 hours without treatment, and sooner with ibuprofen or oxygen or descent to a lower altitude.

Ginkgo successfully prevented mountain sickness in some studies, but not in others. It seems that the exact ingredients vary in different preparations, so effectiveness varies. It is safe and non-prescription, and the dose is 100 mg twice a day starting a few days before travel to altitude.

28 August, 2011 /

By J James McTigue

There are sports fans and there are cycling fans.

To watch their coveted team, the former drive to games, wear their team’s colors and tailgate in the parking lot.

To watch their beloved cycling heroes, the latter bike 10 miles up a closed mountain pass, (or camp out the night before), wear costumes, (or at times just their skivies), and also tailgate, but at 12,000 feet.

At least this was the case Wednesday on Cottonwood and Independence Passes during the US Pro Cycling Challenge.

Fans The US Pro Cycling Tour has come to Colorado, bringing the state’s cycling fanatics to the streets—literally. The group is usually relegated to watching professional cycling in the privacy of their own homes, or a nearby bar, (probably owned by a Swiss), that has Versus, the only station stateside that seems to broadcast the sport.

This week, it has all changed. The international cycling community is watching the world’s best cyclists compete throughout the Rocky Mountains via television, while American fans are camped on mountain passes, drinking mimosas and running beside the racers.

The inaugural stage race began Monday in Colorado Springs and will end Sunday in Denver. It consists of a Prologue and six stages, for a total of seven days of competition. The seven days include two individual time trials, and a total of 509 miles with 29,036 vertical feet of climbing.

25 August, 2011 /

by Lisa Barlow

Chez P With the luster of Chez Panisse still casting its warm glow, San Franscisco has been a culinary beacon for the farm-to-table movement ever since Alice Waters opened the doors to her iconic restaurant exactly 40 years ago.

There is seriously delicious food to be eaten in this city. Much of it is influenced by Waters’ early recognition that good meals can only come from good ingredients. It is now more common to see the provenance of the string beans on your plate than it is to know the name of the chef cooking your food. But there is also another ingredient in ample supply here that is paramount to a good meal: technique.

23 August, 2011 /

Colorado Springs is often thought of as Denver’s ugly twin sister. But as any Pikes Peak loving fan will tell you, there’s much more to the place than its sprawl and its conservative bookends. It is not only Focus on the Family. Nor is it only the military. It is a vibrant, surprisingly fun city that feels as warm and as close-knit as a small town.

Admittedly, Andy and I met in that city, at Colorado College, so we may have that extra special spot in our heart for it. But the reason we return annually is not just because we want to walk down memory lane. We genuinely love the city. Here are a few reasons why. Garden of the Gods Number 1. The Garden of the Gods. Yes, the park may get crowded at times. Yet, with its great sandstone rocks tipped up like giant whale fins, you can’t help but fall in love with the place. We love to run and rock climb there, and our kids love to scramble on the rocks. To me, Garden of the Gods is one of the few places in the world where you can know, without a doubt that the world is and always has been about change. Once, great seas flooded that basin. When the waters receded, massive tectonic forces shoved the stone up sideways with the same urgency that pushed the Rockies up. Sitting in that park, staring up at the patches of blue sky framed by red rock, watching ravens drift in slow circles is a sacred experience.
21 August, 2011 /

by Jon Lovekin

Moonrise The Red Sox won the world series in 2004. This was an historic event and especially significant for long suffering Boston baseball fans. Meanwhile, within the southwest plains of Colorado other significant events were about to occur as well. Tonight was a full lunar eclipse, a spectacular sight anywhere but this night was going to be special. The excitement was building while driving to the Commanche National Grasslands south of La Junta, Colorado. The view port from there was going to be wonderful and all the camera gear was stashed in the truck.  The light haze of front range cities is visible to the north but is greatly diminished under the vast, clear portal that exists on these high plains.

The gap gate off the county road was barely discernible within the fence line. No road was visible beyond it. Careful study of maps indicated that an access road into the national grasslands existed along the other fence perpendicular to the gate. The early summer winds had buried that fence and whatever road lay beside it under four feet of tumble weeds. There was no other access through the cactus and rock outcrops at this point. Taking a deep breath, and gearing down, the truck munched its way through the debris. There wasn't going to be a crowd out here!

 

20 August, 2011 /