# Not Just Luck: How Experts Win at Bingo

At first glance, Bingo seems like a purely luck-based game. However, there are several strategies that advanced players often use to improve their chances of winning.  Bingo is widely popular, and players can enjoy online bingo through many reputable sites. Players looking for the best bingo site should read bingo reviews beforehand, especially if they’re looking for fair sites to test their luck. To help players who want to enjoy online Bingo, here are a few tricks to enhance your chances of winning.

## The Most Popular Bingo Strategies

Bingo results depend on the drawn numbers, and there’s no way for players to manipulate or guess the outcome. None of these methods can guarantee a win, but they can help players make quicker decisions.

### Tippett’s Method

Tippet was a British statistician who came up with a theory stating that with

75-ball Bingo, the longer the game goes on, the more likely it becomes that the numbers drawn will be around the middle of the numerical range, so around 38. Conversely, a shorter 75-ball Bingo game is more likely to draw numbers 1 or 75.

### The Granville Method

This method came from Joseph E. Granville, a financial analyst and writer. Granville’s strategy requires players to select their cards based on the balance of the numbers and their long-run probability of being drawn. Based on Granville’s strategy, players must assume that operators will call an equal amount of low, high, even, and odd numbers.

When applying Granville’s method to a 75-ball Bingo game, players should expect to see equal appearances of numbers between 1 to 37 and 38 to 75. Therefore, when selecting their Bingo cards, players should choose cards that have an even balance of low and high numbers.

According to this method, players should also assume that even and odd numbers will appear an equal number of times. Therefore, they should select cards with a balance of odd and even numbers.

Using Granville’s method, players can easily guess the next number’s ending. For example, if 12 appears, they should assume the following number would be an odd one

### Play Using More Cards

Playing with more cards can also be an effective strategy for Bingo. It’s one of the best-known strategies used by players to increase their chances of winning.

This may seem much more straightforward than the other two, but it can be challenging for players to manage multiple cards simultaneously. They’ll have to track across cards and watch the pattern in detail. Beginners can find this method overwhelming, but those accustomed to making quick decisions in Bingo often find playing multiple cards highly effective.

However, online Bingo often has an auto-daub feature to help players play with multiple cards. It’ll mark the called number with no action required by the player. If a player finds it stressful to manage multiple cards, this could be a great tool.

When playing multiple cards, it’s important to remember that Bingo should be fun and not stressful. Playing more cards will require players to be adept at managing their funds, so being responsible is essential.

## Winning Bingo

Online Bingo now makes it easier for players to access and enjoy the game anytime and anywhere. It’s extremely important to only use Bingo sites with a reliable operator, secure transactions, and a fair chance of winning. Make sure breaks are also taken so as to avoid getting bored or frustrated with playing.

Some players play to win, while others play Bingo for fun. However, like other real money games, it’s vital to remember that, ultimately, it’s entertainment.

As we mentioned, these methods don’t guarantee a win every time, but they can be a wonderful way to increase concentration and focus!

# Vail iV Wellness & Recovery – Bringing Vitamin Infusions to Your Door

Whether you overdo it while visiting Vail for a ski or outdoor adventure trip, or are a local who is under the weather, Vail iV Wellness & Recovery can help you feel your best in under an hour.  Offering intravenous vitamin infusions for altitude sickness, hangovers, fatigue, migraines, illness, food poisoning recovery, and more, the health benefits of iV vitamin infusions are numerous and include boosting mental clarity, immunity, and improving general health.

Knowing the clinical benefits of iV treatments and its supplemental use becoming more well known, husband and wife team Andrew and Kristin Pilecki opened Vail iV Wellness & Recovery in December of 2020. The couple use their extensive knowledge of medical processes to ensure that they’re providing the best service and care to their clients.  Andrew is a former Naval Officer and current firefighter, and Kristin is a practicing RN. “Living and working full time in Eagle County, we saw the need for this type of service and know the benefits and effectiveness from our own clinical experiences,” Andrew explained.  “If you live here and you get a cold or flu, or you overdo it with a celebration or outdoor adventuring, this is a way to get back on your feet quickly. Or if you’re visiting, you might be affected by the dry climate and high altitude, since it’s easy to get dehydrated.  We saw a need and sought a way to fill it, and with our backgrounds and abilities, we were able to bring this clinical practice into homes.”

The business hires only clinically practicing RNs to administer the iV treatments. Kristin is the lead nurse, screens all the nurses to ensure not only clinical ability, but also great bedside manner.  Those hired have done thousands of iV starts and are really good at what they do.  In fact, many customers have remarked that it was the best they’ve ever had, and that the nurse got a hard-to-get vein on the first try.  “I get iVs often when I travel and this is by far the most professional service,” said client James M.

Whether you’re at a party or you’re just arriving in town, people find the iV vitamin infusion experience a pleasant one.  For your convenience, the team at Vail iV Wellness & Recovery comes to you wherever you are.  Whether you are traveling solo or part of a group, the service provided is friendly, professional, and high-end. The iVs started by a qualified RN take about 30-45 minutes to complete.  But it doesn’t take that long to feel the effects.  “People will perk up halfway through the treatment, so you can see them get better almost immediately,” Andrew explained.  “I bumped into someone at the golf course after they had a treatment who said that that they felt ‘too good’ now.”

The nurses use a large one-liter bag of fluid filled with the maximum recommended dose of vitamins and minerals sourced from an FDA-approved pharmacy and medical supplier, so you can trust that it is the best quality and safe to use.  “All of the nurses have a great bedside manner, and client comfort and satisfaction are paramount.  We are in people’s homes, so our goal is to provide the clinical experience with comfort and professionalism,” Kristin explained.  “If people are on vacation, we give them information about the area and offer ideas to make their trip even better.  We are adaptive and make sure it’s a great experience for them.”

The nurses are so good at what they do that they can put even the most needle phobic client at ease.  You get poked quickly, then a catheter is put into the vein, so the needle doesn’t stay in.  Clients report that they barely feel a thing because of the experience of the RNs who are administering the treatments.  “I love your amazing staff!” exclaimed customer Lisa R.

If you’re wanting some relief after a night on the town, feeling under the weather, or just getting to your hotel room or AirBnB and feeling the effects of the flight and high altitude, doing an infusion gives you and your group time to relax; to get a moment to catch your breath, do some vacation planning, and organize your trip.  It is a relaxing process and can be enhanced with the optional add-on oxygen bar in a variety of flavors.  Or you can rent a continuous flow oxygen system for your stay, which lasts all day and is easily portable.

Both the oxygen bar, which can be rented for parties, events, or just because, or the continuous flow oxygen help to mitigate the effects of altitude sickness.  “People like using the oxygen bar or continuous oxygen to enhance the relaxing atmosphere,” Andrew said.  “The air is less dense in our area.  At or near sea level, most healthy adults have an oxygen saturation of 95-100%.  Here at our altitude, it’s common for oxygen saturation to decrease, causing headaches, fatigue, nausea, and decreased energy levels.  The oxygen systems we rent help to perk people back up by getting them to the optimal oxygen saturation level.”

In addition to the quality products and qualified nurses, Andrew and Kristin believe in delivering the best customer service to their clients, as well.  “We pride ourselves on our communication and process.  You call people nowadays and no one answers.  When you call, we answer, and do our best to walk you through our services,” Andrew emphasized. “We are real professionals serving real people.”

# Explore Iconic Colorado Golf Courses with the Rocky Mountain Golf Card

Golfing allows you to enjoy the best of Colorado’s natural beauty, all while playing a challenging game with friends and family.

The Rocky Mountain Golf Card helps you make the most of mountain summers. It gives you two-for-one access to the best mountain golf courses in Colorado.

The Rocky Mountain Golf Card returns this season with iconic golf courses in the Colorado High Country. For just \$79, you and your partner play for the price of one or receive a hefty discount at all participating golf courses.

This Rocky Mountain golf card lets you experience the variety of challenges, scenery and restaurants that the best mountain golf courses in Colorado offer.

With the Rocky Mountain golf card, golfing in the Colorado mountains has never been easier — or less expensive. Each card can save you up to \$864.

Simply reserve a tee time at any of the participating courses, pay one greens fee and bring a companion, who plays free. Each Rocky Mountain Golf Card entitles you to one BOGO-free round of golf at every one of the participating Colorado mountain golf courses. If you plan on golfing a few resorts more than once, simply purchase a Rocky Mountain Golf Card for the best deal.

## What is the Rocky Mountain Golf Card?

The Rocky Mountain Golf Card is the ultimate golf accessory for avid golfers looking to experience the best courses in Colorado’s High Country. As a print punch card, this exclusive pass provides golf enthusiasts with the unique opportunity to enhance their skills, spend unforgettable moments with friends, and explore breathtaking landscapes across the state.

Designed for golf lovers seeking new challenges and memorable experiences, the Rocky Mountain Golf Card offers potential savings at various golf courses, subject to each facility’s policy on availability and rates. While golf carts are not included unless specified, the card grants you access to a diverse range of courses, allowing you to perfect your swing and enjoy the great outdoors. Simply present your punch card at each facility for validation and adhere to the rules and etiquette of each location.

The Rocky Mountain Golf Card sets itself apart from competitors by offering a convenient, cost-effective way to explore Colorado’s golfing scene. This pass is valid until October 31 every year, giving you ample time to make the most of your golfing adventures.

## Who should buy a Rocky Mountain Golf Card?

The Rocky Mountain Golf Card is an excellent investment for a wide range of golf enthusiasts, making it an ideal purchase for various types of golfers. Here’s who should consider buying a Rocky Mountain Golf Card:

• New Golfers: If you’re just starting out in the world of golf, the Rocky Mountain Golf Card offers an affordable way to explore different courses and gain valuable experience without breaking the bank.
• Avid Golfers: For those who live and breathe the sport, the card provides an opportunity to challenge yourself on a diverse range of courses across Colorado, helping you hone your skills and expand your golfing horizons.
• Visitors to Colorado: Tourists and travelers looking to experience the stunning landscapes and world-class golf courses of Colorado can take advantage of the Rocky Mountain Golf Card to access multiple courses during their stay, making for a memorable golfing vacation. Remember: Your pass pays for itself by playing as few as two cheaper rounds or one expensive round.
• Colorado Residents: Locals who love golf can also benefit from the card, as it offers a cost-effective way to enjoy their favorite pastime while discovering new courses and facilities throughout the state.
• Social Golfers: Golfers who enjoy spending quality time outdoors with friends and family will find the Rocky Mountain Golf Card a perfect way to organize group outings and foster camaraderie on the greens.

In summary, the Rocky Mountain Golf Card is a valuable purchase for golfers of all levels, backgrounds, and interests. Whether you’re a newcomer to the sport, a seasoned pro, a visitor to Colorado, or a proud resident, the card offers an exceptional opportunity to enjoy the best golf courses the state has to offer.

## What golf courses are included on the Rocky Mountain Golf Card?

The 2023 Rocky Mountain Golf Card provides BOGO and discounted rounds at 9 phenomenal golf courses in Colorado’s High Country. So, don’t wait, elevate your summer — and golf game — with free rounds at the following Colorado mountain golf courses:

## 1. Rollingstone Ranch Golf Club

• Location: Steamboat Springs
• Elevation: 7,056′
• Holes: 18
• Yardage: 6730
• Designer(s): Robert Trent Jones II
• Season: May to October

With a sporty Robert Trent Jones II layout, plenty of wildlife, gorgeous mountain scenery and superb greens, it’s no wonder Golf Digest named Rollingstone Ranch Golf Club at the Sheraton Steamboat Resort one of the best places in Colorado.

“The course has a great mix of holes where precision is key, but at the same time you can pull driver and let it rip,” said Andrew Donner, director of golf. “Elevation changes are abundant but not extreme. The aspens frame up the golf course perfectly, and with Fish Creek meandering in and out, eye-popping golf shots are plenty.”

In addition, the sound of the roaring creek, the crackling of wood as a deer wanders by, the whistle of a marmot in the distance or a moose swimming across the pond are just standard “distractions” while golfing at the club, he said. “It doesn’t hurt that it is 80 degrees and sunny almost every day.”

## 2. Raven Golf Club at Three Peaks

• Location: Silverthorne
• Elevation: 9,035′
• Holes: 18
• Yardage: 7,413
• Designer(s): Tom Lehman and Hurzdan and Fry
• Season: May to September

Considered one of the top courses in the nation by Golf Magazine, golfing at Raven Golf Club at Three Peaks is truly memorable. It features lush, rolling fairways and immaculate greens surrounded by pines, aspens and snow-capped, 13,000-foot mountain peaks. Crystal-clear creeks and lakes punctuate the award-winning course.

“The Raven Golf Club sits at 9,000 feet in elevation and boasts a 225-foot drop from tee to green at the par-4 ninth hole,” said general manager Ryan Parr.

While the course is open to the public, it also has the fastest growing golf membership in Summit County, increasing by 115% in the last three years.

With a full bunker renovation of all 88 bunkers, high-end, white sand in traps contrasts the blue sky and emerald greens.

## 3. Haymaker Golf Course

• Location: Steamboat Springs
• Elevation: 6,837′
• Holes: 18
• Yardage: 7,308
• Designer(s): Keith Foster
• Season: May to October

What makes Haymaker Golf Course unique is the fact that it’s a traditional, links-style course, located in the middle of the Rocky Mountains. Mount Werner’s snow-capped peak frames many of the holes, while the picturesque Flat Top Mountain Range surrounds the course. Native grasses and wetlands enhance wide-open fairways, and the golf course has earned Audubon International’s Highest Distinction for maintaining the utmost environmental standards. This extraordinary preservation makes the area a great place to spot elk, eagles, blue herons and other wildlife.

Thoughtfully designed by Keith Foster, seven sets of tee boxes allow for play ranging from 7,300 yards to about 5,000.

“It’s a really great layout for every type of golfer,” said head golf professional Cody Hasten.

## 4. Granby Ranch Golf Course

• Location: Granby
• Elevation: 8,100′
• Holes: 18
• Yardage: 7,123
• Designer(s): Nicklaus Design, Gage Davis
• Season: May to October

Nestled in the heart of the majestic Rocky Mountains, Granby Ranch Golf Course offers a truly unforgettable golfing experience. This picturesque 18-hole, par-72 championship course promises a challenging yet rewarding round for golfers of all skill levels. With its unique layout, the course takes full advantage of the stunning natural landscape, providing golfers with awe-inspiring panoramic views of the surrounding mountains, valleys, and meandering Fraser River.

The front nine at Granby Ranch Golf Course features a more traditional mountain golf layout, with gently rolling fairways, strategically placed bunkers, and well-manicured greens. As you progress to the back nine, the course’s character shifts, offering golfers a more challenging test of their skills. The elevated tees, dramatic elevation changes, and tight fairways demand precision and careful shot selection, while the undulating greens require a deft touch with the putter.

Granby Ranch Golf Course is renowned for its exceptional course maintenance and friendly, knowledgeable staff, ensuring that every golfer enjoys a memorable round. The welcoming atmosphere extends to the clubhouse, where you can relax and unwind after your round, savoring delicious food and beverages while soaking in the breathtaking views from the patio.

## 5. Rifle Creek Golf Course

• Location: Rifle
• Elevation: 5,776′
• Holes: 18
• Yardage: 6,267
• Designer(s): Dick Phelps
• Season: March to November

Nestled along the Grand Hogback Ridge, Rifle Creek Golf Course provides a unique golfing experience with two distinct 9-hole tracks. Its friendly and expert staff aim to make your golf day a memorable experience — and the views themselves are unforgettable!

This year, golfers voted Rifle Creek #8 in Golfers’ Choice courses in Colorado, as well as one of the top 25 courses in the nation.

“This is one of the best values in the area and the course and all the surrounding views are fantastic — especially the back nine,” commented Golfers’ Choice golfer Captain badger.

The open front nine holes weave across the sparkling Rifle Creek, offering a fairly easy walk. The back nine winds through rolling hills with elevated tee boxes. It’s challenging, and provides spectacular mountain views. In addition, its large pro shop has one of the largest selections of clubs, clothing and accessories on the Western Slope.

## 6. Glenwood Springs Golf Club

• Location: Glenwood Springs
• Elevation: 5,922′
• Holes: 9
• Yardage: 5,830
• Designer(s): Henry Hughes
• Season: March to October

Voted best 9-hole public course in Colorado by the Denver Post, Glenwood Springs Golf Club is set against a breathtaking backdrop of surrounding mountains and valleys.

The par-35 course features tree-lined fairways and meticulously manicured greens. Bends and turns on green #5 make it the most challenging to navigate, while #8 makes a hole-in-one the most exciting because you can see the ball soar the entire way.

“The other greens on our par threes are elevated and intriguing,” said general manager Jerry Butler. “Having won the award of Colorado’s number one 9-hole golf course (in 2018), you will be pleasantly surprised by its challenging greens. What you will like most about this club is the people. They are small-town friendly, and everyone will make you feel like you are at home.”

## 7. Yampa Valley Golf Course

• Location: Craig
• Elevation: 6,186′
• Holes: 18
• Yardage: 6,583
• Designer(s): William Howard Neff, John Cochran, Jeff Potts
• Season: April to October

Lined by the lazy Yampa River, Yampa Valley Golf Course weaves through more than 240 acres of cottonwood trees, wetlands, native grasses and sages.

Located in the heart of northwest Colorado, rolling hills create a gorgeous backdrop at this 18-hole course.

As the oldest and most affordable facility in the Yampa Valley, the team’s mission is to provide a quality golfing experience wrapped in a friendly and welcoming atmosphere. The experienced, well-trained staff treats everyone like family and delivers outstanding service on its meticulously maintained course.

“(It has a) wonderful staff, beautiful course and some of the best views in the valley,” golfer Andrea Lyn Green posted on Facebook.

Golfer Tom Atkinson, who plays the course annually, aptly describes it as “a fun and unique golf experience.”

## 8. Steamboat Golf Club

• Location: Steamboat Springs
• Elevation: 6,610′
• Holes: 9
• Yardage: 2,913
• Designer(s): Andy Johnson
• Season: April to October

Steamboat Golf Club, nestled in the picturesque Yampa Valley, is a family-oriented and affordable 9-hole golf course that offers a delightful golfing experience for players of all skill levels. Established in 1965 by a group of passionate golf enthusiasts, the course has since become a cherished gem in the local community. Boasting beautiful views of the valley and Steamboat ski mountain, the Steamboat Golf Club provides a serene and scenic backdrop for a relaxing round of golf.

The course layout presents a unique challenge, with only one par 4 measuring just over 400 yards. Although it may not be the longest course, it is well-defended by lush rough, a winding creek, small and tricky greens, and groves of mature cottonwoods that eagerly await any wayward shots. The Steamboat Golf Club is also one of the most enjoyable walking courses in the Rockies, allowing players to fully immerse themselves in the stunning natural surroundings.

What sets Steamboat Golf Club apart is its welcoming atmosphere, making it a fun and enjoyable 9-hole course for golfers of all ages and abilities. With a practice green available on-site and a scenic creekside deck perfect for a leisurely lunch or cold beverage after your round, the club offers a complete golfing experience. Open to the public and hosting a lively social calendar, Steamboat Golf Club continues to play an integral role in the local community, providing a delightful and memorable golfing experience in the heart of Steamboat Springs, Colorado.

## 9. Cedar Ridges Golf Course

• Location: Rangely
• Elevation: 5,297′
• Holes: 9
• Yardage: 3,433
• Designer(s): Frank Hummel
• Season: April to October

Escape the hustle and bustle of it all at Cedar Ridges Golf Course. Located on the outskirts of Rangely, this course sits atop sweeping mesas. The 9-hole, par-36 course leads golfers through large rolling hills and greens, water and sand traps and evergreens.

Frank Hummel, who has created over 200 courses throughout the United States, designed the course. It offers a minimum of three tee boxes on each hole, making the course challenging enough for any experienced golfer, yet thoroughly enjoyable for novices, as well.

Don’t miss this hidden gem on the Western Slope. The course is always in immaculate condition and provides a nice pro shop and restaurant.

“I was extremely impressed with this beautiful course in such a small, remote rural town,” Margaret, a golfer, said. “It’s worth the drive.”

## Play More, Save More: The Rocky Mountain Golf Card

The Rocky Mountain Golf Card provides free access for golf partners at some of the best mountain golf courses in Colorado.

This summer, escape the ordinary and breathe in the fresh mountain air as you golf in Colorado’s stunning Rocky Mountains. Every one of the iconic courses on the Rocky Mountain Golf Card offers a different and invigorating experience to shake up your outdoor recreation routine and add more adventure to your season.

# Vail iV Wellness & Recovery – Bringing Vitamin Infusions to Your Door

Whether you overdo it while visiting Vail for a ski or outdoor adventure trip, or are a local who is under the weather, Vail iV Wellness & Recovery can help you feel your best in under an hour.  Offering intravenous vitamin infusions for altitude sickness, hangovers, fatigue, migraines, illness, food poisoning recovery, and more, the health benefits of iV vitamin infusions are numerous and include boosting mental clarity, immunity, and improving general health.

Knowing the clinical benefits of iV treatments and its supplemental use becoming more well known, husband and wife team Andrew and Kristin Pilecki opened Vail iV Wellness & Recovery in December of 2020. The couple use their extensive knowledge of medical processes to ensure that they’re providing the best service and care to their clients.  Andrew is a former Naval Officer and current firefighter, and Kristin is a practicing RN. “Living and working full time in Eagle County, we saw the need for this type of service and know the benefits and effectiveness from our own clinical experiences,” Andrew explained.  “If you live here and you get a cold or flu, or you overdo it with a celebration or outdoor adventuring, this is a way to get back on your feet quickly. Or if you’re visiting, you might be affected by the dry climate and high altitude, since it’s easy to get dehydrated.  We saw a need and sought a way to fill it, and with our backgrounds and abilities, we were able to bring this clinical practice into homes.”

The business hires only clinically practicing RNs to administer the iV treatments. Kristin is the lead nurse, screens all the nurses to ensure not only clinical ability, but also great bedside manner.  Those hired have done thousands of iV starts and are really good at what they do.  In fact, many customers have remarked that it was the best they’ve ever had, and that the nurse got a hard-to-get vein on the first try.  “I get iVs often when I travel and this is by far the most professional service,” said client James M.

Whether you’re at a party or you’re just arriving in town, people find the iV vitamin infusion experience a pleasant one.  For your convenience, the team at Vail iV Wellness & Recovery comes to you wherever you are.  Whether you are traveling solo or part of a group, the service provided is friendly, professional, and high-end. The iVs started by a qualified RN take about 30-45 minutes to complete.  But it doesn’t take that long to feel the effects.  “People will perk up halfway through the treatment, so you can see them get better almost immediately,” Andrew explained.  “I bumped into someone at the golf course after they had a treatment who said that that they felt ‘too good’ now.”

The nurses use a large one-liter bag of fluid filled with the maximum recommended dose of vitamins and minerals sourced from an FDA-approved pharmacy and medical supplier, so you can trust that it is the best quality and safe to use.  “All of the nurses have a great bedside manner, and client comfort and satisfaction are paramount.  We are in people’s homes, so our goal is to provide the clinical experience with comfort and professionalism,” Kristin explained.  “If people are on vacation, we give them information about the area and offer ideas to make their trip even better.  We are adaptive and make sure it’s a great experience for them.”

The nurses are so good at what they do that they can put even the most needle phobic client at ease.  You get poked quickly, then a catheter is put into the vein, so the needle doesn’t stay in.  Clients report that they barely feel a thing because of the experience of the RNs who are administering the treatments.  “I love your amazing staff!” exclaimed customer Lisa R.

If you’re wanting some relief after a night on the town, feeling under the weather, or just getting to your hotel room or AirBnB and feeling the effects of the flight and high altitude, doing an infusion gives you and your group time to relax; to get a moment to catch your breath, do some vacation planning, and organize your trip.  It is a relaxing process and can be enhanced with the optional add-on oxygen bar in a variety of flavors.  Or you can rent a continuous flow oxygen system for your stay, which lasts all day and is easily portable.

Both the oxygen bar, which can be rented for parties, events, or just because, or the continuous flow oxygen help to mitigate the effects of altitude sickness.  “People like using the oxygen bar or continuous oxygen to enhance the relaxing atmosphere,” Andrew said.  “The air is less dense in our area.  At or near sea level, most healthy adults have an oxygen saturation of 95-100%.  Here at our altitude, it’s common for oxygen saturation to decrease, causing headaches, fatigue, nausea, and decreased energy levels.  The oxygen systems we rent help to perk people back up by getting them to the optimal oxygen saturation level.”

In addition to the quality products and qualified nurses, Andrew and Kristin believe in delivering the best customer service to their clients, as well.  “We pride ourselves on our communication and process.  You call people nowadays and no one answers.  When you call, we answer, and do our best to walk you through our services,” Andrew emphasized. “We are real professionals serving real people.”

# A Specialized Approach to Neck and Back Pain – Dr. Scott Raub Takes a Holistic Approach to Optimizing Patients’ Lives

Severe and prolonged neck or back pain can be a scary experience, but Dr. Scott Raub focuses on ways to optimize people’s lives by treating pain sources, working with limitations and maximizing potentials.

As a physiatrist at Vail-Summit Orthopaedics & Neurosurgery, he specializes in accurately diagnosing musculoskeletal conditions through a range of clinical exams, images and other diagnostic tests. Then, he treats them through nonsurgical interventions, which includes multiple modalities, ranging from injections to physical therapy.

Many times, the cause of spinal pain is difficult to pinpoint given the density of nerves, particularly because pain can originate from more than one area. Dr. Raub specializes in determining the sources of pain, partially by discovering what provokes and improves symptoms through physical exams and diagnostic tools, such as x-rays, MRIs, live fluoroscopic imagery and electrodiagnostic testing, when appropriate.

“An MRI frequently doesn’t tell exactly where the pain is coming from — it doesn’t have a red arrow saying, ‘this is what hurts.’ We use it in conjunction with physical and history exams,” he said. “Then, from there, we come up with a plausible diagnosis for the pain generator.”

Dr. Raub sees a lot of patients after they’ve already tried physical therapy, chiropractic adjustments and multiple medications. He’s quick to point out that the vast majority of spinal conditions do not require surgery. Rather, he takes a collaborative approach, often incorporating spinal injections and a community of back pain experts (physical therapists, massage therapists, chiropractors, personal trainers, etc.).

“My philosophy is really trying to improve symptoms,” he said, describing his multimodal approach. “I always emphasize that injection results are never a permanent solution because they are not changing or improving the anatomy. It’s important to educate people that once you get into a treatment algorithum for spine pain to set realistic expectations.”

Through this holistic (and realistic) approach, Dr. Raub works with patients to optimize their activities while incorporating reasonable compromises, such as taking time to regularly exercise, and lowering risks, like avoiding crowded ski runs or reducing speed when biking or skiing.

“One of the important things that you have to tell people is, ‘You don’t have a sinister problem that you’re going to die of.’ The vast, vast majority of people will improve. It involves demystifying the pain and validating that there’s a reason for your back pain, but reminding them that this is not something that’s going to put you in a wheelchair,” he said. “There are things we can do to improve the situation.”

He encourages patients to be part of the solution, both behaviorally and mentally.

“There needs to be buy in from the patient in addition to the prescribed treatment,” he said.

That means not only doing exercises to strengthen core muscles and practice proper body mechanics, but also modifying lifestyle risks (such as smoking, overweightness or a sedentary lifestyle) and setting realistic expectations. For example, a 65-year-old can’t demand to return to a 20-year-old body capable of bouncing around in the terrain park with back pain.

That said, Dr. Raub does support a youthful attitude; he calls it a “powerful tool for achieving positive outcomes for spinal patients.”

In fact, the mountain region’s active community is what drew him to join VSON as the first physiatrist in Eagle County in 1999, after completing his residency training in physical medicine and rehabilitation and pain management, and then completing his fellowship in sports medicine in 1994.

“It really has been the best part of my life — living and working here,” he said. “The people I interact with are excellent — they’re sophisticated and educated people who age well and are very active. The patients I get to take care of are fascinating people. They’re here because they want to be here.”

As a skier and outdoor enthusiast himself, Dr. Raub understands the high priority his patients place on maintaining an active lifestyle, so he, and the entire team at VSON, focus on getting people back to doing what they love.

“At VSON, we have top-notch, sub-specialty trained doctors that have the ability, intellect and technological skill to work in the big city if we wanted to but value the mountain lifestyle,” he said. “Our patients get big-city care in a small-town environment.”

# Warming Up Before Hitting the Running Trails can Help Prevent a Huge Range of Foot and Ankle Issues

With mud season just around the corner, the minds of outdoor athletes begin to shift to warmer weather activities and the joy of getting out on hiking or running trails.

But the rapid transition from ski boots to athletic shoes – and the various strains and stresses that running-related activities can put on feet and ankles – often brings up orthopaedic issues that can be exacerbated by summertime running.

Dr. John Paul Elton is a foot and ankle surgeon with Vail-Summit Orthopaedics & Neurosurgery and expert on diagnosing and treating ankle and foot injuries. As runners make their first outings, Elton begins seeing patients with a wide range of ankle and foot problems. He says many of those can be prevented with some warm-ups as well as more attention to proper footwear.

“As people ramp up their activity with more running, they’re often causing stresses on their feet that are completely different than what they’ve done over the winter,” he says. “I end up with a lot of patients with stress fractures and stress injuries in their feet and ankles, as well as tendonitis from over-use. We get a range of fractures and damage to tendons and ligaments.”

One of the major issues is the variety of surfaces runners encounter while out on the trail, with uneven surfaces making it easier to roll an ankle. Other ailments Elton sees commonly include heel pain from plantar fasciitis, an inflammation of the tissue that connects the heel to the toes.

“Generally, people in mountain towns are pretty tough folks, and a lot of people think they can just ‘push through’ the initial pain, that it’s related to breaking in shoes or getting used to a new adventure,” he says. “Unfortunately, that pain could be a pinched nerve or even a neuroma growth. And as the pain starts, people can end up with stress fractures if they push themselves too hard. If it’s something that comes on during a run and resolves itself, that may be fine, but if you have lingering symptoms, even when you stop running, or you’re on day two of limping around, you should give us a call.”

Elton says the safest preventative strategy is to start off slow and to get back into running or hiking gradually, not 10 miles on the very first outing. “Ideally, you’ve been doing some cross-training during the winter, either running on a treadmill, Nordic skiing or something with the right kind of impact. But a lot of people haven’t, and they can get into trouble. I suggest starting gradually, and increasing the miles as you go. Then you can ramp it up and have fun.”

Doing a range of warm-up stretches before you head out is also important, Elton explains, as that’s good for your tendons, especially, as well as reducing the risk of injury to muscles. He also recommends a vitamin D supplement as a way of helping your body to build and maintain bones and reduce inflammation.  “In mountain towns, everyone has been bundled up all winter without much sunlight, and that can cause a vitamin D deficiency, which can lead to stress fractures. I’d suggest talking to your primary care doctor about which supplements can help.”

And while you may still be in love with last season’s running shoes, Elton suggests that runners consider investing in updated footwear, as well as taking the time to properly break in a new pair of trail or athletic shoes. He’s become a fan of performance brands including Topo and Hoka. “I encourage patients to try a couple of different pairs of shoes, in person, and see what feels best, as they all fit differently. Look for shoes that offer more support, as that can help prevent injuries.”

When injuries do strike, Elton says it’s critical for patients to recognize their symptoms early and get into see him or another member of the VSON team, as they can diagnose and provide systemic treatment that specialists like podiatrists may not be able to offer. “Overt signs like swelling indicate that something might be going on. My benefit as an orthopaedic specialist is that I’ve been trained on the whole musculoskeletal system, from head to toe, especially joints and bones. I focus on feet and the care of ankles, and we’re well-equipped to treat what’s indicated. Sometimes foot problems are connected to knee, hip and back issues – we can look at that and address the whole system.”

Elton’s treatments range from discussions of footwear modifications and custom footbeds to physical therapy to address instability and tightness in feet and ankles. He can also order x-ray or MRI imaging to evaluate stress fractures, or provide injections when needed.

# For ACL patients, VSON’s innovative “BEAR” technique can help promote natural healing and reduce recovery times

### Sponsored by Vail-Summit Orthopaedic & Neurosurgery

While ACL surgeries are something of a rite of passage for mountain town skiers and cyclists, they’re still an invasive procedure that leaves folks sidelined for a period that’s often uncomfortably long for an active, outdoorsy population.

At Vail-Summit Orthopaedics & Neurosurgery, a new technique has been introduced that promises to shorten recovery time and leave patients with better post-surgical biomechanics.

Recently, Dr. Richard Cunningham, an orthopaedic knee and shoulder specialist at VSON, performed the first Bridge-Enhanced ACL Restoration, also known as the BEAR technique, in the Vail Valley. This new procedure helps save the patient’s ACL tissue and uses a biologic collagen implant that acts as a virtual scaffold to promote the body’s healing process. The technique may also make it possible to repair ACL damage that was previously difficult to treat with more standard approaches.

“In our communities, we see so many ACL injuries during ski season, and we’ve long been successful in repairing the torn ACL with tendon grafts,” Cunningham says.

The traditional procedure, he explains, can be problematic as they require tissue to be taken from a different tendon in the body. Additionally, the knee joint is bathed in fluid, making it difficult for blood to flow into the donated ACL tissue. This is needed for the healing process. With a poor blood supply and limited material to help heal and rebuild the natural ACL, the recovery time can often stretch as long as eight to nine months. The new BEAR technique was pioneered by pediatric surgeon Dr. Martha Murray, a professor of orthopaedic surgery at Harvard Medical School and a sports medicine surgeon at Boston Children’s Hospital, and promises recovery times as short as five months for some patients.

Cunningham says the FDA-approved technique uses a bovine collagen implant that acts as a tether to augment the traditional ACL procedure, with great potential success for proximal tears – ACL injuries that are “high up” on the tendon – by creating a scaffolding for cells to glom onto, and promote more natural growth.

“This procedure is all about saving your own anatomy,” he says. “In many ways, that’s better, since you retain your own nerve and blood supply, and it leads to more natural healing. In our active community, that’s quite exciting.”

Cunningham first recommended the BEAR technique to an active patient who tore her ACL on the slopes and whose MRI results showed a proximal tear. By integrating the new procedure into the patient’s ACL Restoration, Cunningham was able to use the BEAR implant in the surgical gap to help promote healing.

“The data that’s out there on this procedure shows fairly impressive results,” he says. “So far, it’s largely been used so far in kids, whose bodies are already prone to faster recoveries, and that’s been helpful for them. It’s hard to hold back a 10-year-old kid from sports and activities for long. The BEAR technique has been a way to fix their injury earlier and get them back to an active life.”

The next step, Cunningham says, is introducing the procedure to the adult population, who can also reap the same benefits.

“For patients with the right kinds of tears, it can mean half the recovery time, maybe five months. There’s also not as much atrophy, meaning patients don’t lose as much muscle during recovery. And it helps increase the overall chances of success in a full recovery.”

Cunningham’s team is nationally renowned for its traditional ACL surgical work. The new BEAR procedure may be more frequently used to help augment those procedures, especially when it shows promise of speeding up recovery times.

“We still treat proximal tears traditionally. Now, if it’s right for the patient, we’ll be able to use the BEAR implant between the ligament and the bone to assist with healing. We hope to eventually expand to other indications and be able to tackle tears or ruptures in other parts of the ACL.”

Cunningham notes that the BEAR technique can be more costly, but the improved outcomes and considerably shorter recovery time will appeal to many patients. Incorporating this innovative surgical technique into Cunningham’s practice fits into VSON’s mission of advancing the care of patients with orthopaedic injuries and working alongside their patients to develop a treatment plan that gets them back to the activities they love.

# The new VSON Buena Vista clinic offers convenient orthopaedic services  for patients in Chaffee County

We primarily think of Vail-Summit Orthopaedics & Neurosurgery as a lifeline for patients in the I-70 resort corridor, but the pioneering healthcare organization has always worked to provide outreach to mountain communities far from Metro Denver.

This month, VSON established a more permanent arrangement in Buena Vista to offer patients in Chaffee County the orthopaedic services enjoyed in more northern locations, including Summit, Grand and Eagle counties.

As VSON total joint surgeon Dr. Nathan Cafferky explains, he and his predecessors have had a long history of providing in-person outreach in the Buena Vista area. He says the new clinic space will mean improved diagnostic opportunities for local patients and their outdoor-oriented lifestyle, without the challenges of a long winter drive to access clinics in Edwards, Vail or Summit County.

“Living in the mountains, we know that travel is difficult at times, and access to healthcare can be limited in our communities. Our Buena Vista clinic is part of our commitment to providing world-class orthopaedic care to residents in that area,” Cafferky says.

“I’ve been going down there once a month for the past five years, and I know patients are very excited for a permanent VSON presence.”

The new VSON satellite clinic, located at 139 Crossman Avenue in Buena Vista, will allow a more frequent schedule of visits by Cafferky, as well as his counterparts Dr. Max Seiter – a specialist in fracture care and orthopaedic trauma – and Dr. Henry Yu, who has expertise in total joint replacement and joint revision for younger patients.

Cafferky says the expanded facility will mean more appointments and chances for patients to conveniently experience his and his team’s expertise for diagnosing and treating seasonal sports injuries and other orthopaedic issues.

“We now have several exam rooms to talk to patients, provide clinic-based procedures and eventually offer diagnostics with a portable x-ray machine,” he says. “That will allow a lot of pre-and post-operative care, right in their hometown.”

The Buena Vista space will be shared with Body Mechanics, a well-established and well-known independent physical therapy practice run by Tammy White.

Cafferky says VSON’s long-standing connection in Buena Vista helped incentivize ongoing efforts for the healthcare organization to expand its presence throughout the Colorado mountain region. Presently, that includes partnerships with service providers in northern communities including Granby, Winter Park and Kremmling, as well as further afield through the VSON Alpine Gunnison, Crested Butte, and Telluride clinics.

“Dr. Richard Cunningham spent the first 10 years of his local career coming down here for consultations,” he says. “And Dr. Peter Janes had a long history of visiting with Buena Vista and Salida-area patients, so much so that it was just a part of our extended practice for a long time.”

Cafferky adds, “Their work was our first expansion into other communities outside Eagle and Summit Counties. We had such tremendous success that it allowed us to grow and nurture new relationships, ensuring we can build on VSON’s heritage and culture of giving back to our communities.”

Amanda Leyrer, Director of Clinical Operations, says the new Buena Vista clinic officially welcomed its first patients on January 17 and that VSON is now scheduling evaluations and consultations on a regular basis.

“We’re excited to be able to kick off this expanded service. All people need to do is call our main office line at (970) 668-3633, and we will get them scheduled for their Buena Vista appointment,” Leyrer says.

“Our end goal is to establish a full-time provider, and for now, the outreach-style effort to visit means more opportunities for Chaffee County patients,” she says.

# Have you decided to become more active in 2023? Let us help!

After every new year, all kinds of sports centers have a peak in the number of clients. This is because many people have made their New Year’s resolutions to become more active. These numbers often drop fast because many people need help to keep up with the resolution.

However, nowadays, there are so many different ways to have fun at home that many people start skipping their exercises fast. Even the internet already has plenty of options like games and other media. Playing online casino real money games can be a lot of fun, but sometimes you need to take a break. This article will give you some tips to become more active in 2023, so you can make this resolution last.

## Going to a gym has become a very popular sport

Going to a gym has become incredibly popular throughout the years. This can be seen in the number of people at gyms and how many new gyms are opened each year. If you are interested in starting to exercise at a gym, you certainly have a lot of options.

The trick for making your gym routine last is to make it most fitting for you. Consider what you want to do, how often you can go to the gym, and whether you prefer classes or individual workouts. This way, you can create a perfect plan for your needs.

## You don’t have to sweat a lot to be active

If you just want to become more active but haven’t exercised in a long time, it’s best to start with a more relaxed option. This means you don’t have to start off with the hardest sport in the world. Sports like walking, swimming, and yoga are great ways to be more active and can be started very easily.

## Focus on what you find fun to do

The biggest mistake most people make when looking for a new sport is blindly following others. This can be seen in how many people go to the gym, even though they might not like it.

The best way to become more active in a sustainable way is by trying different sports and finding one that you actually enjoy doing. This way, you don’t have to force yourself to keep on doing this sport, and joining a class will actually be much more enjoyable.

# Essential Tips for Identifying Legitimate Online Casinos

When gambling online, the very first thing you must do is to ensure you play at the best online casinos that are reputable, safe, and offer an excellent gambling experience. Here are some things to watch out for so you don’t put your money and data in danger when gambling online.

## Top 5 Warning Signs of an Unreliable Online Casino

1. Poor customer service: Poor customer service is a huge red flag at an online casino. You should be able to contact the casino’s support service easily, and they should be able to respond to your inquiries quickly.

2. Uncertain Terms and Conditions: Before signing up for any online casino, carefully read their terms and conditions. Before proceeding, contact the customer service staff for clarification on any areas that are unclear or perplexing.

3. No licensing information: All respectable online casinos will clearly display licensing information on their website or app. If you can’t find this information anywhere, it might mean that you shouldn’t trust the casino.

4. Slow payouts: If you win money at an online casino, you should expect to receive your earnings as soon as possible with no delays or excuses from the casino. If payouts are always late or delayed, it could be a sign that the online casino is not reliable.

5. Unusual bonus offers: Online casinos frequently offer bonuses to entice players to join them, but if these offers appear too good to be true, they most likely are. Be wary of strange bonus offers that seem to be too good to be true. They may have hidden rules that make it impossible for you to get your money later.

## Are the game outcomes random and fair based on an independent third-party audit?

All games listed on the platform must be independently audited by a third party to ensure they are completely random and fair. The audit process includes testing the game’s algorithms, verifying the fairness of the results, and ensuring all players have an equal chance of winning.

The casino must also employ Random Number Generators (RNGs) to generate random numbers for each game outcome, which ensures that no one can predict or manipulate the results.

## Are there any customer reviews or testimonials about the online casino?

Another crucial aspect you must examine is customer reviews and testimonials about the online casino. You can go through the reviews on various platforms and read the customer’s experiences. These reviews can help you get an idea of the quality of service being provided by the casino as well as any potential issues that may arise when playing at the casino.

Some online casinos also feature customer testimonials on their own website, which can provide further insight into what it’s like to play at a particular casino.

To ensure you play at a legitimate online casino, look for signs such as secure payment methods, fair gaming policies, and good customer support. Do your research and ensure the casino is licensed and regulated before you make any deposits.