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Copyright 2018 NPR. To see more, visit http://www.npr.org/.

If you're in the hospital or a doctor's office with a painful problem, you'll likely be asked to rate your pain on a scale of 0 to 10 – with 0 meaning no pain at all and 10 indicating the worst pain you can imagine. But many doctors and nurses say this rating system isn't working and they're trying a new approach.

There's a cycle that starts when the snow melts and the earth thaws high in Colorado's Rocky Mountains. It's a seasonal cycle based on timing and temperature, two variables that climate change is pushing increasingly out of sync.

To the outsider, it can be hard to see: Plants still grow, flowers bud, bears awake, and marmots breed. Broad-tailed hummingbirds still trill around a landscape that evokes the opening scene of The Sound of Music, with flowery meadows and granite peaks.

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