All posts tagged medical

Regional One Medical Center Emergency Room has re-opened after temporary flooding – FOX13 Memphis

Updated: Aug 31, 2017 – 10:21 PM

MEMPHIS, Tenn. – Regional One officialstold FOX13 Regional One Medical Emergency Room was flooded.

The roof at Regional One was leaking on the first floor in the Trauma Center. The incident happened around 7:45 p.m.

As of 8:40 p.m., hospital officials told FOX13 they are using a shop vac to deal with the water. They said the roof has been patched and there is no more flooding.

Regional One officials told Shelby County, the Trauma Center will be back in full operation by 9:45 p.m., at the latest.

The hospital is calling it a minor incident.

While the Trauma Center has been closed, patients have been diverted to Methodist, according toDale Lane, Director of Shelby CountyOffice of Preparedness.

The Regional One Medical Center is now open.


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Regional One Medical Center Emergency Room has re-opened after temporary flooding – FOX13 Memphis


When do you go to urgent care vs. an emergency room? – KSNT News

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TOPEKA, Kan. (KSNT) Thousands of people use emergency rooms and urgent care centers in Northeast Kansas every year. But do you know the difference between the two, and when to use each? Health professionals in Topeka are saying many people get confused on where to go when immediate medical ailments arise.

Korri Phillips, the Medical Director at Cotton ONeil Express Care Clinics said the biggest difference is the emergency room is there for life or limb threatening illnesses or injuries.

The express care is more for immediate care needs; fevers, sore throats, ear aches, sprains, strains, fractures. We always joke that its fractures without the bone sticking out of the skin.

Between primary care offices, urgent and express care, and emergency rooms, many may not know where the best place to go is, when a critical medical situation arises.

Phillips said the following are emergencies appropriate for the ER, I tell people to think of it as a threat to life, limb, or to their eye sight.

Urgent cares are opportune for more immediate medical concerns, when your primary care doctor is unavailable.

I come here because its something the doctor can take care of and its not an emergency situation, said Jackie Creek, a patient at Cotton ONeil Express Care.

When using Express or Urgent Cares instead of Emergency Rooms, wait times are significantly less, and co-pays are easier on your wallet.

So the express cares still charge the co-pays, but the co-pays are much less than the emergency room and the cost of care is much less than the emergency room. There are national studies that now show there are immediate cost benefits for the patient. Most of it is the convenience and not having to make an appointment. You can walk in. You can be seen at your own convenience. Right now we have six clinics across Topeka and 5 of the six clinics are open on the weekend. The other clinics are open throughout the day and into the evening, and then also the weekend hours, said Phillips.

If you are still unsure on what is the best facility to go to, you can always call to get advice from a medical professional before arriving in person.

Recently, three Cotton ONeil Express Care facilities received accreditation from the Urgent Care Association of America.

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When do you go to urgent care vs. an emergency room? – KSNT News


A View of the Epidemic: At the ER, New Complexities – Valley News

Lebanon Its hard to imagine someone more directly involved in the opioid epidemic through his work than Thomas Trimarco. Hes an emergency medicine physician at Dartmouth-Hitchcock Medical Center, where hes worked since 2012.

Emergency rooms, of course, in some ways serve as one of the front lines in dealing with fallout from the epidemic. Its where opioid users are taken when theyve overdosed. Its also a place where users might go to feign a condition in the hope of securing narcotics.

Dartmouth-Hitchcock officials couldnt readily produce statistics on the number of opioid-related cases it handles in the emergency room, but Trimarco, 37, has no doubt it has increased substantially in the number of people he sees with serious, chronic conditions resulting from intravenous drug use, such as infections of the spine, heart and brain.

Those can lead to significant problems that cant necessarily be taken care of at the smaller, community hospitals, said Trimarco, who also serves as medical director for 27 local emergency medical service agencies. So, weve seen a significant increase in the amount of patients who are being transferred from (other) hospitals that are ending up in our emergency department and in our facility with these more serious, long-term complications.

Such cases were once relatively uncommon, but the amount that were seeing now is very significant. Instead of kind of an interesting, once-in-a-while case, its a pretty common case these days.

While some patients come to the emergency room seeking drugs to feed their habit, Trimarco said DHMC has not seen an increase in such patients recently.

I dont think were known as a candy shop, he said.

Because drug seekers often come in complaining of pain-related conditions, such as those that are commonly treated with opioids, it can sometimes be difficult for providers to determine whether a patient is seeking drugs to feed a habit or is in need of medication to treat an acute medical need, he said.

We like to think the best of patients and surely we will give them the benefit of the doubt, Trimarco said.

His job though is to evaluate a patient to determine what their medical need might be.

Once weve eliminated the acute medical issue that might be going on other than the substance abuse … We try to be upfront and honest about our ability to prescribe (opioids) for chronic pain issues out of the emergency department, he said.

There are times when Trimarco has to speak firmly and bluntly with patients who just want to feed their habit.

Most of the time the overall interaction is reasonable and goes well, he said. But, patients can get upset and angry when they are looking for what they think they need or deserve in coming into the emergency room.

In some cases, patients may become violent, Trimarco said.

Trimarco was assaulted twice while working in an emergency room in Cincinnati, prior to coming to DHMC. In one instance, he was punched in the face, in the other he suffered a broken rib. Though both assaults predated the opioid epidemic, they did involve substance use, he said.

Violence against health-care providers is a problem throughout this system and the nation, he said. Its certainly complicated and, perhaps, increased by the opioid epidemic that were seeing. We are seeing more instances of risk to providers both in the ED as well as in the hospital over the last couple of years.

Health care providers face another danger as a result of the epidemic: toxic substances. Even a trace amount of fentanyl or carfentinal narcotics frequently used by addicts could cause a fatal overdose. Such substances may lurk on patients clothing or belongings when they arrive in the emergency room or when emergency medical personnel arrive on a scene, Trimarco said.

No longer can we just kind of dive in and start treating that patient, he said.

If providers suspect patients may have toxic substances on them, they may need to remove and bag their clothing, or take a shower, Trimarco said.

He and the emergency room staff have to deal with overdoses and medical conditions related to intravenous drug use, but the epidemic has also forced him to question whether the standard emergency-room approach is adequate to the task.

As emergency physicians, were really trained to diagnose and to stabilize the acute medical problem thats in front of us, and once that stabilization is achieved were able to hopefully pass that patient along to another provider that would specialize in the longer term care of whatever the ailment, injury or illness is, Trimarco said.

What weve recognized, though, is the exposure that we have to a patient in the emergency department is sometimes the only chance that the health care system has to access these patients and to offer them this support that they may be in need of.

Aiming to break the cycle of addiction, emergency-room staff have started a peer-recovery coaching program.

We will identify patients who may benefit from this program and well call in a recovery coach to spend some time with that patient and offer some support to that patient, both for their current emergency department visit as well as, hopefully, going forward as they try to deal with the long-term addiction that theyre struggling with, he said.

Shifting to addressing patients longer-term needs, however, has come at a cost. What might previously have been a one- or two-hour visit can sometimes last much longer, which can mean longer waits for other patients, he said.

It does have significant downstream effects for all of the other patients in the community who are coming in for emergency care, but these patients are as important as all of our other patients and we still prioritize them and all of our patients according to severity, said Trimarco.

Providers approach those struggling with substance abuse differently than they did in the past, Trimarco said.

I think we all do a little bit of a better job of recognizing the significant struggle that our patients are having dealing with substance abuse these days, he said. I think the patients are less stigmatized than they have been in the past, perhaps.

In some cases, health-care providers also struggle with substance abuse.

Before coming to D-H, I worked at a hospital and we had a young, tremendously talented nurse in our emergency department that died of an overdose, and so I dont think anybody is immune to this epidemic, he said. You see it in many different ways, both when youre working clinically and … it certainly spills over to our personal side as well.

Its a privilege to be able to see and treat patients in some of the worst times of their (lives), but at the same time that can take a toll on you and you certainly need to find a way to appropriately and positively deal with those stresses to be able to continue to do your job and serve the patients that we try to serve, Trimarco said.

Sometimes you just need a little bit of a breather, he said. A lot of times the issues that we see just constantly remind us of the blessings and the amazing things in our own lives.

Staff Writer Nora Doyle-Burr can be reached at or 603-727-3213.

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A View of the Epidemic: At the ER, New Complexities – Valley News


Prejudice in the emergency room – Medical Xpress

Esther Choo, M.D. ’01, wrote a Twitter thread that has brought national attention to racism in medicine.

Every so oftena few times a yeara patient at Oregon Health and Science University (OHSU) hospital in Portland refuses treatment in the emergency department from Esther Choo, M.D. ’01, M.P.H. It’s not because they consider her 15 years’ medical practice too paltry, or her School of Medicine degree insufficientbut because she is not white.

“It’s one of those things that you’re never prepared for,” said Choo, whose parents emigrated from Korea in the 1960s. “Nobody, at any point, has said, ‘Oh, by the way: you’re a woman and you’re a physician of color; you probably will have experiences like this.'” So Choo began that conversation with a Twitter thread the Sunday after the white supremacist rally on August 12 in Charlottesville, Va., that ended in violence and with the death of Heather Heyer when a car allegedly driven by a neo-Nazi plowed into a crowd of counter-protesters. In a matter of days, the thread had been retweeted more than 25,000 times (including by Chelsea Clinton and the physician-writer Atul Gawande, M.D.) and garnered more than 2,000 comments. The attention led to Choo’s appearance on CNN, where she discussed the issue of racism when it comes to patient care. Those patients who refused her capable care, Choo said, either chose to be treated by a white intern over the experienced doctor or walked, untreated, out of the emergency room.

“Breathtaking, isn’t it?” Choo tweeted, “To be so wedded to your theory of white superiority, that you will bet your life on it, even in the face of clear evidence to the contrary?” That evidence could hardly be clearer: in addition to her 12 years of post-residency practice, Choo has her degree from the School of Medicine, her residency at Boston Medical Center, and work as an associate professor and attending physician at Brown University under her belt. She’s now an associate professor at OHSU, where, in addition to her clinical duties, she studies health disparities, substance abuse disorders, and gender bias. She also writes and serves on the advisory board for FeminEM, a resource for women working in emergency medicine.

Her family’s story is a classic immigrant tale. Her parents came to the United States so her father could study engineering at Michigan State University. After receiving his doctorate, he went to work as an aerospace engineer for NASA in Cleveland, while her mother owned a home cleaning service. They became citizens and raised three childrenEsther’s two brothers are a biology teacher and a management consultant. Before coming to the school of medicine, Choo graduated from Yale College with a degree in English language and literature.

“It took me a long time to get to where I am now, where I don’t internalize it at all,” Choo said of her efforts to deal with racism at work. “But when you’re a younger physician and you’re still developing your knowledge base, there are so many doubts that you have. So when you encounter someone who looks at you and finds something wrong that’s so personal to youthat cannot be separated from youit just creeps into any available areas of insecurity. And somehow you walk away feeling less confident as a physician, because this person is questioning your legitimacy to be there.”

Choo’s experience is not unique. Many of the thousands of replies to her thread related similar experiences, an outpouring that raises concerns. An article last year in the New England Journal of Medicine discussed how physicians might deal with racist patients, and in December OHSU released what Choo called a prescient statement advising patients that hate speech and bigotry will not be toleratedand that requests for a specific physician based solely on race will not be honored.

“How do we improve the multiculturalism and the diversity of our physician workforce?” Choo said. “It’s really hard if you’re presenting some subsets of the physician work force with a harder road to travel.”

Nancy R. Angoff, M.P.H. ’81 M.D. ’90, HS ’93, associate dean for student affairs, who recalled seeing the qualities of compassionate care and calm leadership in Choo as a medical student, noted that the issue is a pressing one. “More and more, we’re looking at that as a form of mistreatment that our medical students face, that our trainees face, that we as an institution need to take seriously,” she said. “We need to foster an environment in which we respect each other.”

“Hospitals are not selective institutionswe treat everybody who walks in the door,” Choo said. “We are really thrown togetherpretty intimatelywith our patients, so we’re going to encounter a wide variety of opinions, and some of them will be extreme intolerance. It’s one thing to view it from across the country or on TV, and it’s another thing to have it in your workplace and up in your face.”

Some refuse to believe that Choo’s experience is genuine. To the doubters, Choo is gracious: “It’s a hard reality to acceptit shows the darker side of human nature,” she said. Injecting a positive note into that darker reality, Choo revealed in her Twitter thread what gives her hope: “A few get uncomfortable and apologize in the same breath they refuse to let me treat them,” she wrote. “You see, it’s a hell of a hard thing to maintain that level of hate face to face.”

Explore further: RI Hospital physician: Legalizing medical marijuana doesn’t increase use among adolescents

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Prejudice in the emergency room – Medical Xpress


New Emergency Room is Ready for Patients at Florida Hospital Zephyrhills – Benzinga

Florida Hospital Zephyrhills has recently completed a $5 million state-of-the-art renovation for its Emergency Room (ER) that is now open to the public.

ZEPHYRHILLS, FL (PRWEB) August 17, 2017

Florida Hospital Zephyrhills showcased its newly renovated $5 million Emergency Room (ER) on Wednesday, August 16, to community partners. The newly renovated ER was designed with patients in mind and offers: 24 private rooms, a designated “Fast Track” area for minor emergencies, eight semi-private rooms to deliver patient results, improve efficiencies and reduce length of stay, two pirate-themed pediatric rooms and an expanded Clinical Decision Unit (CDU) close to the ER. The CDU has 20 private beds for patients who require an extended period of testing, evaluation, treatment and observation.

“Following 18 months of construction, our ER has been completely redesigned to ensure greater patient comfort, privacy, and timely attention to our patients’ emergency medical needs,” said Alexander Garcia, MD, Florida Hospital Zephyrhills ER Medical Director. “We’ve streamlined the registration process, improved the flow for better efficiency and upgraded our Fast Track area. In addition, we created a pediatric-friendly environment to support our younger patients, as we’ve experienced an increase in pediatric visits over the past several years.”

Last year, Florida Hospital and Johns Hopkins All Children’s Hospital announced an exclusive affiliation to deliver high quality pediatric care, where parents and caregivers can access care closer to home for pediatric patients in Hillsborough, Pinellas and Pasco counties. That includes access points in Florida Hospital emergency rooms throughout the Greater Tampa Bay area, as well as Johns Hopkins All Children’s Hospital in St. Petersburg. The ER at Florida Hospital Zephyrhills is staffed with board certified emergency room (ER) physicians who have adopted clinical protocols from Johns Hopkins All Children’s Hospital’s evidencebased standards of care for pediatric emergency medicine. If children need a higher level of care beyond the ER, they will be transferred to be seen by a Johns Hopkins All Children’s Hospital physician, either in Hillsborough or Pinellas county, depending on geography and level of acuity.

During Phase I of construction at Florida Hospital Zephyrhills, a new lobby was created that includes a separate, pirate-themed pediatric area. Here, children have access to three interactive game kiosks offering a variety of games to help keep them entertained during their ER visit. Distracting children can be very helpful in reducing pain and anxiety for children who are sick, and it helps keep siblings entertained so pediatric patients can receive medical care.

The new ER design is enhanced by spa-like colors, an airy environment, coffee bar, snack machines, and restrooms for family members and guests. It also includes a security station in the main lobby of the ER to help keep all ER visitors safe and secure.

“Last year we had more than 35,000 emergency room visits,” said Seta Ruiz, RN, Emergency Department and Clinical Decision Unit Director for Florida Hospital Zephyrhills. “Our community is constantly growing and this renovation will help us stay at the forefront of servicing our county’s emergency care needs.”

About Florida Hospital Zephyrhills Florida Hospital Zephyrhills is an award winning 149-bed regional medical center located in East Pasco County. It is a proud member of the Adventist Health System, providing a legacy of health and healing for more than 150 years. The hospital offers the only comprehensive cardiovascular program in East and Central Pasco County, including open heart surgery and valve repair. Equipped with eight technologically advanced surgical suites, the hospital provides a full range of inpatient and outpatient surgical services including, but not limited to general, orthopedic, endoscopic, gynecology, urology, cardiovascular and robotic procedures. The Women’s Health Center at Florida Hospital Zephyrhills provides gynecology, urology, pelvic floor health, obstetrics and breast care through the Simpson Breast Health Center. And, the hospital’s newly renovated ER delivers emergency medical care 24/7 with a fast track suite for minor emergencies. Other programs and services include a Wellness Center, Wellness Spa, Center for Wound Healing, Bone and Joint Center, Outpatient Rehabilitation and Diagnostic Imaging. To learn more visit

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New Emergency Room is Ready for Patients at Florida Hospital Zephyrhills – Benzinga


Decatur Memorial Hospital to expand emergency room care – Herald & Review

DECATUR Decatur Memorial Hospital is taking strides to improve the services provided in the emergency room through a new partnership.

The Mid-America Emergency Physicians group has begun providing emergency medical care at DMH, said Tim Stone, president and CEO of DMH. The team will include emergency medicine physicians, specially trained ER nurses and care staff.

Since February, DMH is a qualified Level II trauma care center.

While we provided good services, we just wanted to take it up to a higher level, Stone said during a news conference at the hospital. Not everyone can do that.

Different levels refer to the kinds of resources available in a trauma center and the number of patients admitted yearly, according to the American Trauma Society.

HSHS St. Marys Hospital partners with the regional trauma center at HSHS St. Johns Hospital in Springfield, a certified Level I trauma center and a certified Level II pediatric trauma center, according to its website.

The Mid-America Emergency Physicians group, led by Dr. Ted Clark, will help build a relationship between the DMH emergency room and the community doctors patients see every day, Clark said. This will improve the overall quality of care for patients whose doctors are knowledgeable of their conditions before they arrive at the emergency room.

If patients come into the emergency department, I want them to know who I am, and I want a community doctor to know who I am when I call, said Clark, the medical director at Memorial Medical Center in Springfield.

The new partnership also will provide telehealth services, which work to improve rural patients’ access to health care, as well as emergency room doctors’ access to other doctors. The Illinois Heart Specialists, DMH Express Care and DMH Family Medicine use these services.

Doctors will now have resources available to them when they need a second opinion or have questions.

Another aspect of the partnership is to establish an emergency room residency training program like the Mid-America Emergency Physicians group has at Memorial Medical Center.

Another important factor for community relationships, Clark said, is recruiting and retaining people to stay (in Decatur) so there are more local doctors.

These announcements will contribute to an initiative to assign every patient to a primary doctor, Stone said, which decreases emergency room business but improves the quality of health care for patients.

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Valley Baptist-Harlingen Pediatric ER set to open – Valley morning Star

HARLINGEN Demonstrating its commitment to providing quality and comprehensive healthcare to the community, Valley Baptist Medical Center-Harlingens new Pediatric Emergency Room will open to receive patients on Monday, August 7.

The new, specialized unit within Valley Baptist-Harlingens existing Emergency Room will feature 12 dedicated pediatric beds in a pediatric-friendly environment designed to provide a more comfortable and secure setting for pediatric patients.

This Pediatric Emergency Room will include features designed for maximum safety and security specifically for children. Valley Baptist-Harlingen has been a leader in pediatric care in Cameron County. We have the only Pediatric ICU in the county, as well as the only Neonatal Intensive Care Unit and only Pediatrics Department in Harlingen, said Valley Baptist Health System CEO Manny Vela.

Work on the Pediatric Emergency Room began in March and was celebrated with a groundbreaking ceremony on March 13. During the event, hospital leadership joined Valley Baptist Board of Trustees members in rolling a variety of pastel paints chosen as part of the dcor for the new unit on a wall in hospitals Emergency Room.

Vela said the new Pediatric Emergency Room will help Valley Baptist-Harlingen achieve its goal of making sure local residents do not have to leave their community to receive quality healthcare.

One of our goals at Valley Baptist-Harlingen and Valley Baptist-Brownsville is to be differentiators in regard to the service lines that we offer. Even so, it goes deeper than that. Our goal is to offer services so that members of our community do not have to go north to receive any treatment whatsoever, he said. Were chipping away at that in a very deliberate and progressive way, and this is just one more example of how we continue in Cameron County to offer an outstanding level of care to our pediatric community. The Pediatric Emergency Room is a continuation of our commitment to our youngest residents.

Dr. David Sauceda, Chief of Pediatrics at Valley Baptist-Harlingen, said that providing a safe and separate area for children to receive emergency care demonstrates the hospitals commitment to area children.

Our children deserve their own space for emergency care, and we look forward to serving the community, he said.

Dr. Betzaida Gonzalez, Valley Baptist Emergency Room Medical Director, said upgrades like the Pediatric Emergency Room show a continued focus on expanding services at Valley Baptist-Harlingen.

This Pediatric Emergency Room is specific to the needs and concerns of children and their caretakers. Children will receive specialized attention during emergent situations that will allow parents to find comfort in the quality of the care their children are receiving, she said. Being able to provide these specialized services to the residents of our community shows commitment to the peace of mind and advancement of emergency care for our children.

According to U.S. Census Bureau reports from 2016, more than 31 percent of the population in Cameron County was younger than 18 years old. Caring for such a large portion of the community is what makes the Pediatric Emergency Room project so critical to providing quality healthcare, said Alan Johnson, Valley Baptist Board of Trustees Chairman.

This is something that has been needed for a long, long time, he said. We all know that we have a very young population here in the Valley, and thats all the more reason to open this unit. This is something that we need to take care of the young people in our community.

Once open, the Pediatric Emergency Room will add to the comprehensive pediatric care offered at Valley Baptist-Harlingen.

In addition to offering the only Neonatal Intensive Care Unit in Harlingen, Valley Baptist-Harlingen also offers high-quality healthcare at the Matt & Patty Gorges Childrens Center.

The center, which is filled with colorful artwork and bright dcor to help raise childrens spirits during their stay, also includes a 14-bed Pediatric Intensive Care Unit.

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Valley Baptist-Harlingen Pediatric ER set to open – Valley morning Star


Greeley’s newest emergency room will close next week – Greeley Tribune

Not even a year old, the Neighbors ER center near Westlake will close permanently next week, amid the company’s struggles to get reimbursed from insurance companies.

Neighbors ER and Next Door Urgent Care, 2015 35th Ave., will close Aug. 4, according to company officials.

“Colorado is a challenging market,” said Tensie Axton, Neighbors Chief Financial Officer in a news release. “Unfortunately, the freestanding emergency center industry is feeling a compression as a whole, and we cannot control the reimbursement rates of insurance companies.”

This center will remain open and seeing patients throughout the week until the closure at 6 a.m. Aug. 4, said Denise Hahn, public relations specialist with Neighbors Health Systems in Houston. Roughly 30 employees will be affected by the closure.

The Texas-based free-standing emergency room clinic was testing the waters in Greeley with a hybrid model that involved an urgent care and emergency services. The company had planned to open two other centers in Colorado, but it didn’t. The center cost a little more than $3.6 million to build and spruced up the long vacant corner at 20th Street and 35th Avenue. At one point, that corner was slated for a drive-through coffee stop.

Hahn said she did not know what would happen to the property once it closes.

Neighbors is an independent, free-standing emergency room which is not affiliated with any Colorado hospital system. In fact, the one in Greeley may be the only one in Colorado. Most emergency centers in Colorado are affiliated with hospital systems, such as the one on 71st Avenue and 10t Street, which is affiliated with UCHealth, and the emergency department at North Colorado Medical Center under Banner Health.

Because there has been an influx of emergency centers in recent years, the Colorado Hospital Association wrote a summary on free-standing emergency rooms in January 2016. Public concern about expense and confusion associated with seeking treatment at the centers vs. traditional emergency departments prompted the summary.

According to the CHA summary, independent free-standing emergency departments “do not meet the federal statutory definition of a hospital, and cannot bill Medicare or Medicaid for emergency services rendered or facility fees.”

Hahn explained that in Texas, laws are different in that independent emergency departments are considered out of network but still reimbursed by insurance companies. She said that Colorado insurance providers were creating obstacles with reimbursement.

“In Texas, we’re not in network, but we are recognized in networked rates,” she said. “That’s not the case in Colorado.”

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Greeley’s newest emergency room will close next week – Greeley Tribune