Search

Obstetrician-gynecologists (OBGYNs) see patients from menses (the monthly menstrual cycle that occurs as a part of the female reproductive system), pregnancy and childbirth through menopause and play a pivotal role in managing reproductive health and overall wellness. Dr. James Alexander with Renown Women's Health explains. "As experts in women's health, we are uniquely positioned to recognize subtle changes or symptoms that might indicate broader health issues. This comprehensive approach allows us to serve as a valuable first touchpoint for various health concerns." Preventive Screenings: A Proactive Approach One key aspect is an OBGYN's ability to recommend preventive screenings based on your symptoms, age, lifestyle and medical history. For instance, lipid screenings are critical for monitoring cholesterol levels, which can be a significant factor in women’s heart disease. An OBGYN keeps up with the current guidelines for routine screening as well as in women with risk factors such as high blood pressure, diabetes, or a family history of heart disease during your visit. By identifying risks and abnormal screening early, they can collaborate with you to implement lifestyle changes or treatments to reduce your risk of heart conditions. Schedule Your Screening Appointment Make an Appointment by Phone: 775-982-5000

Read More About The Expanded Role of OBGYNs in Women's Healthcare

Snowshoeing is an excellent winter workout that can help burn calories, strengthen muscles and boost cardiovascular health. Explore the top 8 snowshoeing spots and experience this ultimate workout adventure! Significant Health Benefits: Exceptional cardiovascular workout – burn up to 1,000 calories per hour! Low-impact muscle building Endurance building Balance strengthening and agility Improves your sense of well-being by connecting to nature Prepping for Your Adventure There are some crucial details to think about when it comes to snowshoeing, especially if you are a beginner. Make sure to pick the right kind of footwear to go on top of your snowshoes; a pair of comfortable waterproof boots are a great choice and remember to wear lots of layers. Several local places rent snowshoes if you aren’t sure about spending money on a pair. Check out Bobos Ski and Board Patio or our local REI Co-Op. Check out REI’s Beginner’s Guide to Snowshoeing for reference. 8 Cool Snowshoeing Spots 1. Galena Creek Park Close to Reno, this beautiful, low-altitude park offers several trails. You’ll find various creeks and streams under cover of pristine ponderosa pines. From beginner to advanced, the differing trail systems provide a challenge for everyone! Head west on State Route 431 (Mt. Rose Highway) for about seven miles until you see the park sign on the right side of the highway. 2. Tahoe Meadows – Chickadee Ridge This local favorite not only gives fantastic views of Lake Tahoe but the best part? – friendly little chickadees will eat seeds right out of your hand! Be sure to pack plenty of sunflower birdseed, as that seems to be their favorite. From the trailhead parking lot, head southeast into the open meadow. Then follow the ridgeline to your right (southwest). Continue southwest up toward the top of the ridgeline to the west, and you’ll get to Chickadee Ridge in just under two miles. 3. Spooner Lake Trail The easy 2.5-mile loop around Spooner Lake is excellent for all skill levels. This alpine lake is surrounded by aspen trees which house varied bird species, so bring your binoculars! Dogs are allowed on a leash, and all-day parking is $10. 4. Kirkwood Ski Resort You’ll need a trail pass, but this South Lake Tahoe resort has various routes from beginner to advanced, with roughly 50 miles of terrain. Nighttime snowshoe treks during the full moon are also available throughout the winter. Kirkwood is located on Highway 88, close to Carson Pass. 5. Camp Richardson Heading north, you can find this well-established and favorite local snowshoeing spot. If you’re up for an adventure, you can trek up to Fallen Leaf Lake. It’s located off Highway 89 and near Fallen Leaf Road. 6. Dry Pond Loop This moderate, 6.5-mile loop near Washoe Valley has impressive views of Carson Valley, Washoe Lake, and the Mt. Rose Wilderness. If you like the sound of rushing water, most of the trail meanders along White’s Creek. This area is dog-friendly and kid-friendly, which makes it a family favorite. 7. Royal Gorge Soda Springs is home to this resort, which is well known for its cross-country skiing trails. Enjoy extensive trails leading deep into the trees with spectacular views. Find Royal Gorge from the Soda Springs exit on West Interstate 80. 8. Ash Canyon Creek Tucked away in the Carson Valley, these trails are filled with mountain bikes in the spring and provide excellent snowshoeing trails in the winter. Find it from Interstate 580 by taking the Highway 395 Business exit to Winnie Lane.

Read More About The Unmatched Health Benefits of Snowshoeing

Abdominal pain is one of the most common reasons for an Emergency Room visit. The abdomen is an area that encompasses multiple organs and functions. So how would you know when the pain you are feeling is an ovarian cyst or something else, and when should you seek medical attention? Dr. Carilyn Hoffman, at Renown Women's Health, explains. Ovarian Function Defined Located on each side of the uterus, the ovaries are part of the female reproductive organs and produce eggs (ova), released during the menstrual cycle, allowing for fertilization and pregnancy. They also produce hormones such as estrogen and progesterone, which play an important role in female traits, bone health, cardiovascular health and pregnancy. Symptoms of an Ovarian Cyst Cysts are solid or fluid-filled masses. Ovarian cysts can be in the ovary or on its surface. When cysts are enlarged or rupture, they can create a dull ache or sharp pain below the belly button. Besides discomfort and pain, other symptoms of ovarian cysts may include bloating, fullness, pressure or heaviness. "Ovarian cysts are common; most are physiologic and will go away on their own. They are frequently found incidentally on ultrasound and are present in the middle of the menstrual cycle," says Dr. Hoffman. "However, if a woman experiences sudden and severe pelvic pain they should seek immediate medical attention. Sometimes ovarian cysts can become large and twist on themselves. This is called ovarian torsion and is a surgical emergency. Other times, cysts can rupture and bleed. This is called a hemorrhagic cyst and can also be a surgical emergency." Diagnosis and Treatment If an ovarian cyst is suspected, your doctor will perform a pelvic exam and order an ultrasound. There are certain ultrasound findings that suggest that the cyst is benign. There are other ultrasound findings that are concerning for cancer. Small simple cysts often resolve on their own, whereas solid or very large cysts may require surgery.

Read More About What is an Ovarian Cyst, and How is it Treated?

It’s important to establish children with a pediatrician so that their health baselines can be monitored regularly throughout each stage of their life, from infancy to young adulthood. Well-child visits are comprehensive, preventative check-ups that are vital to each child and teen’s overall health and wellbeing.  At Renown Children’s Hospital, our Pediatric Primary Care team is dedicated to treating children with personalized medical care – we are focused on each child’s individualized healthcare needs, offering services ranging from well-child visits and immunizations to sports physicals, care for illnesses and minor injuries, mental health support and specialist referrals when needed. Here is an overview of the timeline and importance of well-child visits for you to reference as you care for your children. Well-Child Visit Schedule Renown Children’s Primary Care provides the following well-child visit schedule: Three to five days after birth 2 weeks Two months Four months Six months Nine months One year 15 months 18 months Two years, and yearly after

Read More About Importance of Well Child Visits

You may recognize Debe Fennell from the Senior Care Plus advertising campaign that premiered last October. Debe is a Reno resident who enjoys staying busy with her career, gardening, music and more. We’re excited to introduce her as our featured Sterling Silver Club member for this fall. From Coast to Coast Debe was born in 1949 in the historical city of Elmira, New York. Mark Twain (Samuel Clemens) also lived in Elmira, which is where he got married, had children and wrote a few of his famous novels, including The Adventures of Huckleberry Finn. In fact, Mark Twain was a friend of Debe’s great-grandfather, who migrated from Europe to build what used to be called The Elmira Hotel. Debe and her family moved from Elmira to Kentucky in 1950, where they lived until Debe was 14. Debe grew up with three sisters and two brothers. Her family moved to Arkansas in 1964 and lived there until 1970. Debe graduated from Southside High School in 1964 and was part of the school’s first graduating class. After high school, Debe traveled to London with a group of missionaries to sing at the Lambeth Conference. When she returned, she went to the University of Arkansas - Little Rock for a couple of years before moving to Reno, Nevada in 1970.  Debe spent the next 15 years in Reno, enjoying life as a self-proclaimed ski bum and working at various jobs. Her first job in Reno was at the YMCA of the Sierra on Foster Drive, before Debe completed dealer school through Harrah’s Casino and became a high-limit blackjack dealer. In 1985, Debe moved from Reno to Nashville, where she began an exciting career in the music industry.   Making History in Music City Debe’s first job in Nashville was working as a journalist for a music publication. Her other business ventures included being a talent coordinator for two nationally syndicated radio shows, and a national records promotion executive for Sony/BMG, Curb Records, Magnatone Records and Giant Records. She was one of very few female Vice Presidents in the music industry in Nashville at the time, and worked for many big names in country music, including Tim McGraw and Randy Travis.

Read More About Meet Sterling Silver Club Member Debe Fennell

Order in the (healthcare) court! Being a transparent and accountable healthcare organization is in our roots and is a commitment we at Renown Health take seriously. In order to uphold that promise, a lot of legal work must be done behind-the-scenes. Contracts, subpoenas, trials, depositions, arbitrations and mediations, service and provider agreements, immigration processes, powers of attorney – the list goes on.  So, who brings that order to Renown? Answer: Renown’s Legal department. With a small-but-mighty team of attorneys, contract administrators, immigration specialists, paralegals and assistants, these professionals tackle the intricate balance between the law and the care our teams provide every day. Their dedicated work allows our health system to focus on what matters most – bringing healing to our community. Protecting the Protectors The Legal department at Renown serves as the backbone of our health system, ensuring that both patients and employees are protected within the complex web of regulations, standards and more. This team is immensely talented in guarding the integrity of the community-minded care we provide.  No matter what problem comes across their desk, the Legal team will step in to find a solution. In fact, problem-solving is a fundamental part of their everyday work.  “We are a support department; we support the people who do the important hands-on work with our patients,” said Paul Harris, Chief Legal Officer. “Most on the legal team are skilled problem solvers, so we often get questions that are not quintessentially legal but require us to help someone solve the puzzle. It is very gratifying work when we help the greater Renown team address complicated situations.”  Resolution is at the foundation of their role within our health system, so you, as the reader, can probably imagine how busy their day-to-day lives at work get. But never fear – this team thrives on overseeing many different aspects of the law when it comes to the patients and employees at Renown.  “What I love about my job is that every single day I feel like I solve a problem or help a patient, health plan member or internal ‘client’ at the organization,” said Jamie Winter, Deputy Chief Legal Officer. “I also love that every day is different.  On any given day I can be attending a committee meeting either as a member or as the legal advisor, attending an administrative law hearings,  appearing at a mediation or arbitration,  reviewing and negotiating contracts, overseeing litigation in coordination with outside counsel,  assisting with Hometown Health member appeals, assisting the Medical Staff Services team and medical staff leadership and committee chairs, reviewing  powers of attorney, guardianship orders and records requests . No two days are the same, which keeps my work interesting, fun, and exciting!”  “A day in the life of the Legal department is always different,” added Mary Ann Ellis, Associate General Counsel. “We handle many different areas of law, including issues from across all the departments as they arise. I work on drafting, revising, reviewing, negotiating or analyzing contracts, including non-disclosure agreements; business associate agreements; supply chain agreements, and physician or other professional service agreements. I also advise on employment matters and assist in responding to subpoenas or other government requests. I help draft or review different policies across the organization.”  Before Renown brings on any new physician or vendor, there is one key part of the process they all must take part in: contracts. Contract structure, negotiations and signings are all part of the onboarding process. And the Legal team has contracting down to a science.  “I work primarily on independent (physician) contracts; these contracts include call coverage, professional services agreements, medical director agreements and medical staff officer agreements,” added Adam Harris, Staff Attorney. “It is important to have these agreements in place so that our community physicians can legally and compliantly provide patient care."  “I maintain relationships with our community partners around their service contracts which allow them to treat patients at Renown,” added Jackie Johnston, Contract Administrator. “I also oversee our contract management software, working with multiple departments in maintaining a compliant contract structure for all contracts within Renown. I am proud of how we established a new policy around contract management and are assisting departments with onboarding the new system.”  In alignment with our commitment to employing a diverse workforce, Renown excitedly welcomes providers from across the world. This past year, our Human Resources and Legal teams saw a crucial need for a role that focuses exclusively on facilitating the processes for international hires: the Immigration Specialist.  “The Immigration Specialist position at Renown, which is a new role in the organization, is an excellent fit for my professional background and experience,” said Derrick Lacey, Immigration Specialist. “A day in the life involves interfacing with the Renown Medical Group's Provider Recruitment team, HR Operations and other departments which partner on behalf of physicians and nurses who require immigration sponsorship and support. Since joining Renown, I have been able to contribute the necessary technical skills and knowledge required for the role, while taking on the unique challenges and responsibilities associated with expanding Renown's existing footprint in the realm of employment-based immigration sponsorship.”  No matter the need, the Legal team is proud to support our many departments and has an open-door policy for any employee to come to them with any concern. “I am proud that people feel empowered to come to the Legal department and trust we will partner with them to find solutions to any problems,” said Mary Ann Ellis. “We work closely with various leaders on a regular basis to check in and make sure we meet their needs and keep everyone on track on meeting various contracting deadlines or other needs.”  Even if you don’t physically see the Legal team every day, the work they do is incredibly important to keep our health system running. After all, there is no order without law.  “The work we do in the Legal department may not always be front and center, but it’s critical to ensuring that patient care is provided safely, ethically and efficiently,” said Michelle Gibbons, Paralegal. “By ensuring compliance with laws, protecting patient privacy, mitigating risks and facilitating access to care, we create a legal framework that allows clinical teams to focus on what they do best: providing outstanding patient care.”  The Journey to Healthcare Law  Employment law, civil rights law, family law, criminal law, real estate law, corporate law...there are many fields of law an aspiring legal professional can delve into. So, what inspired our Legal department employees to enter into healthcare law?  Let’s hear from a few of these team members on how and why they ended up in this intense-yet-rewarding career field:  “I was a political science major as an undergraduate student in Washington, DC, and, during that time, I worked on Capitol Hill for a Nevada Senator and Nevada Governor. The natural progression for many political science students is to go to law school and I did just that. After law school, I worked as a litigator for 11 years and then came to Renown. Although I joined Renown after becoming an attorney, I started with Renown as the Hometown Health Compliance Officer to not only learn compliance, a fast-growing area at the time, but to also “get my foot in the door” in hopes of ultimately becoming an in-house attorney for Renown. Years later, I took a position as in-house counsel for the health plan and later moved to the larger Renown Health Legal Department to broaden my healthcare law practice.” - Jamie Winter “My life has always revolved around the legal field. My father was a District Judge in Douglas County for 25 years. He is currently serving as the Chief Justice of the Appellate Court of Nevada. My childhood involved campaigning and spending many hours at the Courthouse with my dad. It was a natural progression for me into the field of law after graduating college.” - Michelle Gibbons “My career background is in the area of global mobility, which involves the management of international employee populations and their movements, including immigration, relocation logistics, and international tax requirements, processes and compliance matters." - Derrick Lacey “I went to school for Retail Merchandising to further my career with a major retailer in Minnesota. After transferring to Reno and working in retail for many years, I wanted to explore new and rewarding challenges. I found the opportunity in the Renown Legal Department where I am now assisting in managing contracts and communicating with multiple providers to assist them with compliance metrics and payments.” - Jackie Johnston “Before attending law school, I worked in healthcare. It was a natural transition for me to apply my education in an industry with which I was already familiar, and Renown was an easy choice as the top hospital in the area.” - Adam Harris Our Legal team enjoys a reputation of being powerful yet personable in the office, the hospital and the courtroom. Many departments across our health system know they can rely on this team to provide the best possible solutions for them.  “I am most proud of growing my team to better assist the organization in multiple areas such as immigration, litigation and contract negotiation management,” said Bekah Riley, Manager of Legal Department & Board Liaison. “We have established a department recognized for its accessibility to other leaders and its role as problem solvers.”  “Our team's biggest accomplishments are generally associated with successful outcomes in litigation, or long-running projects that have, after much effort, been completed,” added Adam Harris.  As the old saying states, “the proof is in the pudding.” Our Legal team members are excited to share a few notable success stories of which they played a large role in.  "One success story that comes to mind is when the lab was being overwhelmed by law enforcement demands for legal blood draws and the resulting subpoenas,” said Mary Ann Ellis. “We worked with the district attorney, law enforcement and city leadership to develop some action plans for reducing that burden. Eventually, many of the law enforcement agencies reached a solution to get legal blood draws done by an outside organization, helping to reduce the burden on our teams. The district attorneys also agreed to various methods to try to make physical appearances in court less onerous.”  “As the newest member of the Legal team, I recently learned that an immigration sponsorship project I was asked to lead on my third day at Renown, which involved consulting on case strategy, as well as authorship of enhanced immigration support letter documentation, had been a resounding success,” added Derrick Lacey.  “We were able to make a big push on managing the many contracts entered into by the organization and help to maintain access and accountability,” added Paul Harris.  All in all, our Legal team’s commitment to legal excellence – from the start of their careers to today – not only safeguards the interests of our health system but also fosters an environment where quality of care can thrive.  “We are a dedicated team working behind the scenes to enhance the organization's overall productivity and support its strategic vision for the future,” said Bekah Riley. It’s All About the People At Renown, all our teams are committed to leaving a positive impact on our patients, fellow team members and community. The Legal department is no different. In a world where the intensities of both the healthcare space and legal space collide, they find support and solidarity in each other.  “I wanted to work somewhere that I felt I could make a difference in the community,” said Mary Ann Ellis. “Instead of working in a field that can traditionally be very adversarial, at Renown, I can use my skills in collaborative and positive ways to help the organization and the people in it. What keeps me here are the amazing people I get to work with every day. We have a small team that genuinely enjoys working together and have become friends over the years.”  Their commitment to giving back to their community aligned with Renown’s same commitment and was a defining reason for why they joined Team Renown. When values align, everything else can fall into the right place.  “I chose to work for Renown because of its reputation in the community and my desire to work as in-house counsel at a respected, local organization,” said Jamie Winter. “My mom worked as a nurse at Renown for many years and it is wonderful to now be working for the same organization where my mom provided patient care. What keeps me here is my amazing team and the people I work with throughout the organization. The individuals on my small legal team are very collaborative and supportive of one another. We work closely with the Risk, Compliance, and Payer Contracting teams, and we all work really well together.”  “I was drawn to Renown Health because of its strong commitment to providing high-quality, compassionate care to the community,” added Michelle Gibbons. “I really resonate with the organization's mission to improve the health and well-being of northern Nevada and beyond. Renown provides a collaborative and supportive work environment where I feel encouraged to grow and continue learning. The leadership and my colleagues are invested in my development, and there's a culture of teamwork that makes coming to work each day a positive experience.”  There is never a dull moment in healthcare – there is always something new to explore and discover. Our Legal team not only finds their work rewarding, but they also find it incredibly exciting.  “I had an opportunity early in my career to work with healthcare clients and professionals, and in my experience, there is not a more exciting job than sorting through the complexities of healthcare and hospital legal work,” said Paul Harris. “It's challenging every day, but I've been able to work with smart, innovative and motivated people. Renown has a great culture and working with dedicated people keeps me excited about my work here and Renown's future.”  Behind-the-scenes and above-the-standard, our Legal department consistently blows expectations out of the water. Anyone who walks through Renown’s doors can rest assured they are in the best of hands with this best-in-class team.  “We are a dedicated team working behind the scenes to enhance the organization's overall productivity and support its strategic vision for the future,” closes Bekah Riley.

Read More About Department Spotlight: Legal

When lifelong trekker and adventurer Dorismae Weber learned her aortic valve was shutting down, she was afraid she was losing something she loved most: her daily walks. But following a trans catheter aortic valve implantation, Weber reclaimed her walking shoes — and her life. This is her story. An avid walker and traveler, Dorismae Weber’s life changed dramatically when she was exploring Mongolia and began having trouble breathing. Weber, 84, learned her aortic valve was shutting down. “It’s scary when you lose what you’ve always done,” Weber says. “I’ve walked all my life, and it’s always been the place I’ve gone to for comfort, for solving problems, for just enjoying. But all of a sudden, I couldn’t do this anymore.” Weber was not a candidate for traditional open heart surgery because she had heart surgery in the past. Then Weber learned about about trans catheter aortic valve implantation, also known as TAVR. She went to see Renown cardiologist Jake Ichino, MD, who put her through a battery of tests before performing the procedure. “Unlike the standard traditional open heart surgery, TAVR is a less invasive approach,” Dr. Ichino says. “We traditionally go up the artery of the leg with a catheter tube device and then we implant a valve without opening the chest.” After the TAVR procedure, Weber was once again able to complete her daily five-mile hikes. “When I woke up, all I can tell you is that I looked around and I thought, ‘I have a whole new life ahead of me — when I was told there was very little left,'” Weber says. She has also planned a trek just below the arctic circle with the environmental group Earthwatch. “I’m here because I had that procedure,” Weber says. “I’m here because they offered that procedure. And I’m very grateful for it, because I wouldn’t be here without it.” To learn more about TAVR, visit Renown’s Institute for Heart and Vascular Health.

Read More About How Dorismae Reclaimed Her Life and Walking Shoes with TAVR

When you’re too sick to go to work but not sick enough for a doctor’s visit, over-the-counter medicines are a welcome relief to help alleviate that fever, runny nose or allergies. But because those medicines aren’t signed off on or managed by your doctor and pharmacist, you must be especially mindful of what you put into your body. Whenever you pop a pill, you want to ensure you’re taking the correct dosage, waiting the right amount of time before taking another dose and not mixing certain medicines. Too Much Tylenol/Acetaminophen Tylenol — or acetaminophen — is a popular pain reliever for many, but too much can be bad for your liver. “Our bodies have a finite ability to metabolize Tylenol,” says Andy Wright, clinical pharmacist at Renown Rehabilitation Hospital. “When too much builds up in the liver, it becomes toxic. In patients with medical conditions like cirrhosis of the liver or hepatitis, this could be disastrous.” Remember, acetaminophen is in more than just Tylenol and generic pain relievers. You may also see acetaminophen in flu, cold and cough medicines, like Nyquil, and some prescription medications including Norco and Percocet. Keep a list of the medications you take, and limit daily acetaminophen use to 3,000 mg per day. When you’re scanning medicine bottle contents, remember acetaminophen is also referred to as APAP, AC, acetam or paracetamol. Mixing Painkillers When you’re dealing with pain and not getting any relief, taking a different medication may seem like the easy solution. Maybe you take some Aleve — a form of naproxen — for a headache, but it isn’t working, so you switch to Motrin, an over-the-counter form of ibuprofen. Not a smart idea. Ibuprofen and naproxen along with aspirin are known as nonsteroidal anti-inflammatory drugs (NSAIDS). Because these medicines work in similar ways, they should never be combined or used in larger doses or more frequently than directed. Otherwise your risk of side effects can increase, which range from mild nausea to severe gastrointestinal bleeding.  It’s also important to consider your family history when taking NSAIDs because, “recent studies have shown NSAIDs may have greater cardiovascular risks for people taking blood thinners or those with hypertension,” explains Andy. “A good example is ibuprofen: It has a relatively low gastrointestinal bleed risk while it has a moderate to high cardiovascular risk. The opposite is true for naproxen.” Rather than experimenting with multiple medicines, figure out which drug works best for you. You may find muscle soreness improves with aspirin, whereas when a headache hits, naproxen is best. Keep in mind that these medications aren’t always best for everyone in the family. “Aspirin in children and teens is not recommended unless under the supervision of a doctor,” Andy says. And pregnant and lactating women should generally avoid NSAIDS due to risk of birth defects and bleeding. “In both of these cases, acetaminophen or Tylenol are preferred but only if approved by an OB/GYN.” Fighting Allergies Over-the-counter antihistamines like Claritin, Zyrtec and Allegra have made fighting itchy eyes and runny noses a little easier. But these daily medicines — when taken inappropriately or in the wrong combinations — can also have an adverse effect. Similar to acetaminophen, you need to watch for antihistamines in other products. Sleep aids — like Tylenol PM and Unisom — commonly use an antihistamine known as diphenhydramine, which may increase your risk of overdose. “Combining antihistamines, or overdosing, can cause many adverse effects including dry mouth, blurred vision — even arrhythmias,” Andy says. “Only take these medications on their own.” If you’re still struggling with symptoms, you can talk to your doctor about adding an over-the-counter nasal steroid.  Andy confirms the importance of closely following the directions listed on antihistamine (and all medicine) bottles. He has seen extended release nasal decongestants cause significant arrhythmias requiring medical care after a patient took the medicine with warm fluids. “The decongestant in question is designed to slowly release, but it can dissolve suddenly in the presence of warm liquids like coffee,” Andy explains. “This can cause the pill to deliver 12 to 24 hours of medication all at once.” Taking an Antidiarrheal with Calcium Calcium supplements and antidiarrheal medicines are another harmful combination. Calcium firms up your stool, but if taken with an antidiarrheal, can cause severe constipation. If you need to take an antidiarrheal, take a break from your calcium for a few days until you’re back to normal. Another consideration when taking calcium supplements or calcium-based antacids is gas. “I’ve had several patients report cases of excessive gas using Tums or calcium carbonate-based supplements.” Andy suggests instead “trying Maalox or Mylanta for indigestion and Citracal as a supplement.” Talk with Your Doctor or Pharmacist About Your Medications If over-the-counter drugs aren’t providing the relief you need, it’s time to see your doctor. And remember, for your safety it is important to keep your doctor and pharmacist up-to-date with any medications — prescribed or over-the-counter — that you are taking.

Read More About Use Caution: Mixing Over-the-Counter Medications Can Be Harmful

Renown Health President and CEO Tony Slonim, MD, DrPH, discusses efforts nationwide to develop a more effective and efficient way to deliver care. explains the benefits of Renown Health’s population health study with the Desert Research Institute and 23andMe.

Read More About CEO Blog: Improving Health Through Genetics and Big Data

Fishing can be great for relaxation, and it’s a great family activity. Here are five suggestions for great local fishing spots, plus a recipe for trout if you wind up catching one! There are many ways to unwind in the great outdoors in our beautiful region, and fishing can be easily added to that list. The benefits of casting a line are many. According to a study by Harvard Medical School, fishing was compared to yoga for its links to stress relief. The study notes that fishing brings out the relaxation response that slows down breathing, reduces blood pressure and relaxes the muscles. So, get out there and find some fish. There are many lakes of many styles to practice this ancient art, but here are the five that keep coming up in local conversation, virtual or otherwise. If you want to explore more options, the Nevada Department of Wildlife’s fishing guide can fill you in (and then some!). One thing to note about two of the areas we’ve chosen, Pyramid Lake and the Truckee River. Winter flooding has led regional officials to make necessary repairs to both areas, and there may be restrictions to access, including roads that lead to some of the fishing areas in both of these large bodies of water. Be sure to check first at the sites below before heading out, and you can also go to the flood advisory page for our region on water.weather.gov to check on flooding advisories throughout the summer as snowmelt continues. Five Great Regional Fishing Spots Boca Reservoir Location: Stampede Dam Road, 2 miles north of the Boca exit on Interstate 80 Two types of fish: rainbow trout, kokanee salmon More details: One of the more reliable year-round spots, Boca Reservoir even hosts ice fishing once (or if) the body of water freezes over. It’s located in the beautiful Tahoe National Forest. Donner Lake Location: Take the Donner Pass Road exit from Interstate 80, turn onto South Shore Drive Two types of fish: brown trout, mackinaw trout More details: A great scenic lake at the edge of Donner Memorial State Park, this fishing spot includes a public pier, while its China Cove on its southeast end is also a good place for mackinaw in the fall. Paradise Park Ponds Location: Take US Highway 395 to the Oddie Boulevard exit, follow it about a mile to the corner of Oddie and Silverada boulevards Two types of fish: rainbow trout, channel catfish More details: The Reno-Tahoe area has several urban lakes ripe for fishing, including this longtime spot for anglers. There are two large and two small ponds for a fun experience no matter your skill level. It’s also open year-round. Pyramid Lake Location: Interstate 80 to the Fernley exit, then take the Wadsworth/Pyramid Lake ramp to State Highway 447 Two types of fish: cutthroat trout, Sacramento perch More details: This is one place everyone talks about for fall fishing, as the season, which opens on Oct. 1, is very popular. The lake is run by the government of the Paiute Tribes and has distinctive rules for those who choose to fish here. Truckee River Location: Along Highway 89 and Interstate 80, between Tahoe City limits and Reno city limits Two types of fish: rainbow trout, mountain whitefish More details: This portion of the Truckee is where most of the fishing takes place, although the Reno-Sparks Recreation and Visitors Bureau notes that “this is not a river to fish to death in one spot. There is plenty of room and one should keep moving until one finds some agreeable fish.”

Read More About Get Reel: Top 5 Fishing Spots in the Truckee Meadows

University of Nevada, Reno student Khoa Le was paralyzed in 2010 after a longboarding accident. Through physical therapy, a positive attitude and sheer will, Le is walking again. This weekend, Le will walk across the commencement stage to accept his college diploma. “Walking around on my own power is just the greatest feeling,” says Khoa Le, a senior at the University of Nevada, Reno. Just after finishing summer school at the university in July 2010, his whole life changed within seconds after stepping on a longboard skateboard for the first time. He lost control of the board and hit the curb, causing paralysis on the left side of his body. His journey to recovery began at Renown Health Physical Therapy & Rehab. His physical therapist, Dina Barry, says he never complained once in four years. “I started seeing Khoa in April 2011, and we worked for four years together,” says Barry, a lead physical therapist at Renown. “Everything I’ve ever asked him to do, he does. Le is a hard worker, is continuously optimistic and smiling, and I think that is why he’s accomplished what he has.” Le plans to pursue a career as an information systems manager.

Read More About Perseverance and Physical Therapy Help UNR Student Walk Again

Did you know that 80 percent of all strokes are preventable? Learn which foods should be eaten in moderation to reduce your family's risk of stroke. Stroke is the fifth leading cause of death in the nation and a major cause for disability, killing 130,000 people each year. But did you know that 80 percent of all strokes are preventable, according to the American Stroke Association? Several stroke risk factors -- high blood pressure, smoking, diabetes, physical activity level, obesity, high cholesterol and heart and artery disease -- can be controlled, treated and improved, right down to the foods we choose to consume each day. Diets high in sodium can increase blood pressure, putting you at greater risk for stroke. A high-calorie diet can lead to obesity -- another risk factor. And foods high in saturated fats, trans fat and cholesterol will raise your blood cholesterol levels causing blood clots, which -- you guessed it -- can lead to a stroke. The “not-so-fab” five foods listed below play a large role in damaging your body and causing vascular disease, stroke and heart disease and should be avoided on a regular basis. However: Moderation is the key to life, in my opinion. Sure, everyone is going to have a soda here and there or a steak off the grill, but keep it off the main menu.  1. Packaged and Fried Food Have you noticed foods like hot dog buns and bottled salad dressings rarely go bad? Ever asked yourself why? This is due to the use of hydrogenated oils, which are trans fats. Hydrogenated oils stay solid at room temperature and do not require refrigeration. Convenient? Yes. Healthy? No. Unfortunately, many frozen foods and meals also fall into this category, except for frozen fruits and veggies. So here’s the lowdown on trans fats: They’re considered by many experts as the worst type of fat you can consume, raising your LDL (“bad”) cholesterol and lowering your HDL (“good”) cholesterol. While some meat and dairy products contain small amounts of naturally occurring trans fat, most dietary sources are formed through an industrial process adding hydrogen to vegetable oil, causing the oil to solidify at room temperature.  The FDA is in the process of restricting or possibly banning trans-fats from food in the U.S. A study published in JAMA Cardiology compared data from counties with and without trans-fat restrictions and the findings were substantial: There was a 6 percent decline in hospitalizations for heart attack and stroke in counties with trans-fat restrictions.  Bottom line: Ideally no processed food should pass your lips, but realistically, aim for less than 2 grams of trans fat per day. Skip the store-bought treats at the office and fries at lunch. Also avoid crackers, regardless of what you are dipping them in. Choose to eat fruits to satisfy your sweet cravings and veggies and hummus to satisfy the savory.  2. Lunch meat Processed meats, including bacon, smoked meats and hot dogs, are all on the DNE (Do Not Eat) list, unless you want to play with fire. Processed meats are a no-go if you want to keep your arteries clear of plaque buildup. So what is the alternative to your salami sandwich?  Try a healthy alternative like a tuna sandwich with avocado (a great alternative to mayo) or a veggie sandwich. 3. Diet soft drinks First of all, when a drink is sweeter than a candy bar but it contains zero sugar and zero calories, buyer beware. Many consumers think because a soda is labeled “diet” it’s a better choice, but studies have linked diet soft drink consumption with an increased risk of stroke and vascular disease. In a nine-year study of more than 2,500 people, those who drank diet soda daily were 48 percent more likely to have a heart attack or stroke or die from those events, compared with those who rarely or never drank soda. What else are you supposed to drink? If you must drink soda, break the everyday habit and drink it on special occasions; otherwise water rules. And if you don’t like water, try flavoring your water with fruit slices. 4. Good-old red meat So is there ANY good meat out there you ask? The answer is yes, but it’s not red. In the journal Stroke, an article showed women who consumed large servings of red meat regularly had a 42 percent higher incidence of stroke. Red meat is high in saturated fat, which clogs arteries with plaque. The alternative to red meat is a heart-healthy protein like poultry or fish, or even non-animal products like beans, nuts and tofu.  5. Canned foods Steer clear of factory processed soups, beans and sauces. Canned items all have incredible amounts of sodium or MSG or baking soda/powder to maintain their freshness and shelf life. One study showed if you consume more than 4,000 mg of salt per day, you more than double the risk of stroke compared to diets with less than 2,000 mg. Another tip: When possible, plan and make meals from scratch. Making the wrong meal or snack choices is one of the biggest contributing risk factors for stroke and heart disease. Most people know what good food choices are, but they don’t realize the serious impact the bad choices have on overall health. Learn what is most beneficial to your body to consume. It will be a life changer – literally.

Read More About The Not-So-Fab-Five: Foods That Increase Stroke and Heart Disease Risk