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Testosterone, Men and Health: What You Need to Know
You probably know testosterone (T) plays an important role in how boys physically develop into men. But is that all you know? What happens when a man's T levels are off? Are there symptoms men should look for? And what are the treatment options? Dr. Bobby Kahlon, MD, Renown Medical Group provides answers in a Testosterone Q&A. What does testosterone do for men? "Testosterone is known as the 'manly hormone' for a reason," says Dr. Kahlon. "Though women also naturally produce small amounts of it, men produce testosterone at much higher concentration levels. And it affects men in more physical and obvious ways. How much hair a man has on his chest, how deep his voice is, or how muscular he is are all attributable in some way to testosterone. It's also responsible in large part for sex drive and bone strength and affects how men think, learn and experience their surroundings." Testosterone in men: Powers virilization (male physical characteristics) and sexual function Builds muscle mass and strength Supports bone density Improves cognition T Trivia: Discover Magazine reveals that “manly” testosterone and other sex hormones evolved long before we did — 500 million years ago — from the ultimate “female” hormone, estrogen. Can you have too much or too little testosterone? Though high testosterone isn't a concern for most men, low testosterone or low T occurs more frequently and develops for two primary reasons. Dr. Kuhadiya explains, "Subnormal testosterone concentrations occur either due to pituitary or testicular failure and the causes for each need to be discussed with your physician." Pituitary failure: Approximately one-third of men with obesity, type 2 diabetes, or metabolic syndrome (which includes increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels) have low free — or "bioavailable" — testosterone. These health conditions can cause the pituitary gland to "fail" to release follicle stimulating hormone (FSH) and luteinizing hormone (LH) which are essential for triggering testosterone and sperm production. And that can cause low testosterone (hypogonadism). Testicular failure: Though less common than pituitary failure, testicular failure may also be responsible for low T. It's caused by diseases or illnesses affecting the testicles, injury or trauma to the testicles, or certain medicines and treatments such as chemotherapy or opioid pain medication. Providing your complete medical history to your doctor is always the first step toward a proper diagnosis. What are the symptoms of low T? The following indicators could be a sign that you have low T, say the doctors. Lack of motivation and determination, including mild depression Loss of physical endurance and muscle strength Loss of or diminished early morning erections Reduced libido (sex drive) Erectile dysfunction (ED — difficulty achieving or maintaining an erection) Gynecomastia (male breasts) Small testes T and Time: T levels in men naturally begin to decline by about 1% a year starting at age 30. How do you test for low T? "There are different methods for testing testosterone levels," says Dr. Kuhadiya. "Each approach uses a blood sample to evaluate total testosterone, which includes free and attached testosterone that combines with proteins albumin and sex hormone-binding globulin (SHBG). For the most accurate results, testing is based on samples collected in the morning after fasting, and from tests on two different days." What treatment options are available? "Well, your best natural option may be YOU," says Dr. Kahlon. "Men with pituitary failure are often able to treat their low T by losing weight to increase levels of the hormone. And even if you don't lose weight, exercise can help boost your testosterone. Unfortunately, if you have testicular failure, weight loss and exercise may not have the same effect." So, are there other options? "You may want to consider Testosterone Replacement Therapy (TRT)," says Dr. Kuhadiya. "TRT is only available to men who are hypogonadal — with a clinical diagnosis of low T. Injection, gel, skin patch and nasal spray are available TRT options. The best option is the one that works best for the patient. Convenience, insurance coverage and cost are all factors to consider." Dr. Kahlon's TRT preference? Daily gel treatments, which are applied directly to the skin. On the other hand, Dr. Kuhadiya recommends intramuscular injections, which take place once a week or every two weeks. But both doctors agree on this: physicians and their patients need to weigh the benefits and risks of TRT before proceeding with treatment — especially if your low T condition may require lifelong treatment. "In my clinical practice, I have seen some very good long-term results with an improved quality of life," says Dr. Kuhadiya. "However, in certain situations, TRT may increase the risk of heart disease and is not recommended for men with a history of prostate cancer." Dr. Kahlon adds, "Patients receiving any type of hormone therapy need to be closely monitored throughout the treatment process for any changes in their health." How do you feel about steroids and T boosters? "I don't recommend them, certainly not for hypogonadism," advises Dr. Kahlon. "There is no evidence to support anabolic-androgenic steroids or testosterone boosters as a safe or effective treatment for low T in men." "In fact, there continues to be emerging evidence they may lead to side effects that could potentially harm the liver and the pituitary and endocrine functions of the body," warns Dr. Kuhadiya. "And that damage may be irreversible."
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Simply Spectacular Sterling Silver Member Rhogenia
Whether watching a 4th of July celebration from her father’s boat on the Saint Johns River or sneaking a peek at a post-game display over Gator Bowl Stadium from her parents’ bedroom window, the fondest childhood memories of Sterling Silver Club featured member are of fireworks. “I love watching fireworks,” says Rhogenia. “And I get just as excited by them now as I did then.” Well, fireworks are certainly a fitting introduction to this Sterling Silver Club member who shines with a spectacular collection of accomplishments, adventures and interests. A Passion for Teaching Rhogenia remembers herself as a happy, carefree child “who read all the time” while growing up in Jacksonville, Florida with her younger sister, Rosemary, and her father and mother, who was a public school teacher. It’s easy to see how this natural enthusiasm for reading (and learning), along with her mother’s influence, would spark Rhogenia’s calling – and passion – for teaching. After earning her bachelor’s degree in education, Rhogenia spent the first 2 years of her career as a kindergarten teacher in a “one traffic light” town in her home state. She then moved to Oakland, California where she taught kindergarten and first grade classes at various schools for 4 years. The Biggest Little City in the World came next, and her stay there would last much longer. In Reno, Rhogenia added a master’s degree to her credits and found a home for her teaching career at Grace Warner Elementary School – where she taught first and second grade for 20 years! During that time, she also took on the additional role of adjunct professor, teaching graduate students for the University of Phoenix, College of Education. “A great teacher never stops learning,” explains Rhogenia. “I believe the art of teaching is the act of facilitating discovery, for students and also for myself.” In recognition of her efforts, Rhogenia received the Reno Gazette Journal’s Best of Education Award, the Washoe County Teachers Association Distinguished Performance Award, and was also awarded a grant from Learn and Serve America to help her support student programs that gave back to the community. Rhogenia’s favorite quote: “One hundred years from now it will not matter what my bank account was, the sort of house I lived in, or the kind of car I drove. But the world may be a little better, because I was important in the life of a child.” – Adapted from an essay by Forest Witcraft Commissions, Councils & Space Camp Life outside the classroom also kept Rhogenia busy – and inspired – throughout her career. In 1998, she was selected to participate in an educator externship, and in 1999, was chosen to be a teacher consultant to the Alliance Summer Geography Institute. These opportunities allowed Rhogenia to return to her students with exciting lessons to share about different types of industries and the importance of geography, respectively. In 2002, the governor appointed her commissioner for the state of Nevada’s Commission on Professional Standards in Education. And Rhogenia followed that up with an appointment to the National Council for Accreditation of Teacher Education in 2004. She also got to travel. Rhogenia was one of two teachers from Nevada chosen to participate in the Japan Fulbright Memorial Fund Teacher program on its 50th anniversary. Originally established in 1946 to foster mutual understanding between the U.S. and Japan, the trip allowed Rhogenia to represent her state, her country and her race to Japanese dignitaries, business people and students alike. For over three weeks, she toured schools, universities, factories, temples, art galleries and museums, and stayed in the home of a Japanese family for a few days – which she calls the highlight of her trip. Oh, and then there was the time she went to space camp! The Nevada Teacher in Space Program sent Rhogenia to join teachers from across the county at the out-of-this-world camp in Huntsville, Alabama. On “Team Endeavor,” she learned what it would be like to deliver payloads and perform experiments at the International Space Station, and took a seat in flight simulators and an antigravity chair. The goal of the program was to inspire teachers to help their students learn about the infinite possibilities of math and science. Time for What Matters These days, Rhogenia enjoys spending time on the things that matter most to her. Personally, that means diving into hobbies like genealogy, music, reading, writing, cooking and the occasional card or board game. She also continues to learn and broaden herself through Osher Life Long Institute (OLLI) classes and Retired Living Truth Series seminars. But her greatest joy comes from spending time with family – four generations of her own family, her church family, retired teachers from Warner Elementary and the many acquaintances and friends she’s come to know over the years. Other things worthy of Rhogenia’s time: Giving back to the community, rainbows, sunsets and sometimes, just watching the clouds roll by. Membership & Senior-ship What does Rhogenia think about being a Sterling Silver Club member and a senior? She told us. “Before COVID, it was the face-to-face club events that I liked most,” recalls Rhogenia. “At the Silver Stars Gala, I had such a wonderful time chatting with old and new friends… the fashions, decorations and the food were delightful.” Over the past year, she also found things to love about the club’s virtual events and regularly attends lectures, cooking and yoga classes and weekly meditation sessions – from her home! It Starts with Hello offers some of her favorite club events. “It reminds me of the television show, Cheers, where everybody knows your name!” she grins. “We meet at noon on Tuesdays and Thursdays. There are a variety of topics and guest speakers, and with the virtual events, I feel like the presenters are talking directly to me… I have the best seat in the house.” As far as being a senior goes, Rhogenia is living her best life and has some advice to help others do the same. “As a senior, I have the time to explore and take advantage of the many opportunities available out there,” she says. “I live life in the present and to the fullest. I make the most of each day because tomorrow, it will be the past.” Rhogenia feels that the biggest challenges for seniors today are health and isolation, and wants people to know there’s help if they need it. “Sometimes we need a little help to make everyday activities a little easier, or just need a person to talk with,” she explains. “My advice is never be too proud to ask for help with anything! Most people are glad to help or guide you to someone who will.” “Lastly, to seniors, I would like to say this: Love yourself and make peace with who you are and where you are at this moment in time,” Rhogenia continues. “And give yourself a big hug!” The Sterling Silver Club thanks Rhogenia for dazzling us with her story, her friendship and her collaboration – and we send her and all of our members a “BIG hug.”
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Snakes! 3 Safety Tips for Outdoor Adventures
Seeing a snake while exploring northern Nevada’s trails is somewhat rare and the chance of a snakebite is even less common. However, it’s important to make sure you’re ready for snakes and know what to do in case of a snakebite. Hiking the rugged, stunning and varied landscapes of northern Nevada is a huge draw for many who live here. But it’s important to stay alert and be prepared while you’re out exploring the natural habitats of wildlife, especially if you encounter a snake or get a snakebite. As you prep for your next outdoor adventure, remember these three tips to stay safe in Nevada’s wilderness. 1. Leave snakes alone In general, if you don’t mess with snakes, they won’t mess with you. Seeing a snake is fairly uncommon because of their body camouflage and secretive nature, which are their first defenses in evading predators. According to the Nevada Department of Wildlife (NDOW), most snakebites happen when a person tries to capture or kill the snake. Nevada is home to 52 species of snakes and reptiles, according to NDOW. Only six can be dangerous to people and pets: Western Rattlesnake (this is the most common type of venomous snake in northern Nevada, especially around Yerington and Fallon) Sidewinder Mohave Rattlesnake Speckled Rattlesnake Western Diamondback Gila Monster (these live in southern Nevada’s Mojave Desert) Venomous snakes, like the rattlesnakes, have a wide head and thick body. Non-venomous snakes are usually more slender and have a narrow head. If you see a snake on the trail and you aren’t sure if it’s venomous or not, it’s best to be safe and leave it alone by moving away slowly. 2. Wear the right gear and take care where you walk NDOW and the U.S. Department of Agriculture suggest doing the following to decrease your chances of a snakebite: Wear over-the-ankle boots, thick socks and loose-fitting long pants. Stick to trails and stay out of the bushes or tall grass. Don’t step where you can’t see. If going over a fallen tree or large rock, step on it. Don’t jump over it. A snake might be lying on the other side. Always check stumps or logs for snakes if you’re going to sit on it. If you see one or hear a rattle, move away from the area slowly. Don’t run or make any sudden movements. Don’t handle or move a recently-killed snake as it can still inject venom. And for your dog, the best way to prevent a snake bite is to keep it on a leash. 3. Know what to do (and not do) if you get a snakebite Renown Health primary care physician Aaron A. Bertalmio, MD, reminds us the odds of getting a snakebite are very low. Roughly 7,000 to 8,000 people get bitten annually and only 5 percent die according to the U.S. Food and Drug Administration. But in the event of a snakebite, here’s what to do: Get medical help as soon as possible Stay calm to help keep your heart-rate low Remove constrictive clothing or jewelry Clean the wound with soap and water if available Cover the snakebite with dry, sterile cloth or adhesive bandage if available Keep the bite snakebite area level and below your heart if possible WHAT NOT TO DO IF YOU GET A SNAKEBITE: Apply a tourniquet (a tool used to stop arm or leg blood flow) Ice the bitten area Suck out the venom You’re now prepped and ready on what you need to know about Nevada’s slithery friends so you can stay safe and enjoy the outdoors!
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The Art of Being Beth
Beth Macmillan is a work of art in her own right. This Sterling Silver Club featured member is also a one-time professional dancer who now takes center stage as the passionate leader of Artown, northern Nevada’s colorful and wonderfully diverse, month-long celebration of the arts –happening throughout Reno in July! So how might we paint a portrait of someone as unique as Beth? We thought an art-full Q&A was a good place to start. Question: Can you tell us how you came to Reno and to your post as executive director of Artown? “I was born in Johannesburg, South Africa and eventually moved to Reno, Nevada to dance in a show called ‘Hello Hollywood Hello!’ at the MGM Grand Resort (now known as the Grand Sierra Resort). I joined Artown in 2001, became executive director a year later and have thoroughly enjoyed my journey there – and here in Reno – every single day since.” Question: What do you love about the arts? “I love how the arts build creative minds in all of us. The arts spark our imagination and encourage innovation. We are all artists. We dress with creative intention, decorate our homes imaginatively and cook meals for ourselves and others to impress and satisfy through culinary artistry.” Beth’s Favorite Color: Green “I love the way green clothing looks on me and makes my eyes sparkle. Green is a calming color and my home is painted a soft and calming green on the interior.” Question: What is your personal vision and hope for the arts community in Reno/Sparks and northern Nevada? “My vision for the arts in our community is that we continue to build a cultural center in northern Nevada. We are a destination for the arts and should continue to build strength in that draw. Reno has become a place where artists are finding a home and are able to work and create artistry in every genre. My hope is that everything that is happening with the arts here is just the beginning.” Question: Do you think a person’s health can benefit from exposure to the arts? “I believe wholeheartedly that the arts are tied to health. Renown has a healing arts program which helps patients heal through creating art. I also know that Artown brings people together and out of isolation, which is one of the biggest culprits for depression. Artown encourages folks to come out and enjoy the outdoors, gatherings with friends and enjoyment of the arts – all of which build a healthy lifestyle. During COVID-19, Artown also helped heal of our community through our Heart own program, which encouraged creativity and inspiration. In short, I feel the arts are essential to our wellbeing, on many levels.” Question: What do you do to stay vibrant and healthy? “I always have a project going. I love to restore furniture, sew, paint, garden, knit and cook interesting meals for friends. I try to eat a healthy diet with tons of veggies and fruit. I also enjoy hiking, paddle boarding, gardening and yoga, all of which keep my working-out enjoyable and satisfying.” Beth’s Artown Highlight “When we brought Mikhail Baryshnikov to Reno… it made me proud of our community. It was one of the best performances I have ever seen and I didn’t have to go to a major market to see him perform.” Question: What do you appreciate most about your life at 55+ and what advice would you offer to other club members to help them live their best lives? “I lost my husband to cancer when he was young. His passing reminds me to cherish every moment of every day and take time to look around and be grateful for life. I am eternally grateful for my two sons. One is an engineer for a local construction company, the other is completing his studies in type theory in Gothenburg, Sweden. And I am in the arts – what a contrast!” Question: What excites you about partnering with the Sterling Silver Club for Artown? “I am excited for what Artown offers Sterling Silver Club members and our entire community. I want everyone to know that the best time in Reno to enjoy one another and the arts is in July, because we have Artown!” Question: Finally, how would you define the art of life? “The art of life is to create a world you want to read in a book, see in a painting, watch in a ballet, experience in a play and hear in music.” The Sterling Silver Club thanks Beth for being such an inspiring ambassador and for her tireless dedication to celebrating and supporting the arts in our community through Artown! Sterling Silver Club The Sterling Silver Club’s exclusive benefits are designed with you in mind. From social events and lectures to entertainment, special discounts, and health insights and tips. Sign Up for the Club!
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Pandemic Pals and Sterling Silver Club Members
A Friendship Gone Viral When a friendship is strong enough, it can survive just about anything – even a pandemic! Sterling Silver Club members and longtime friends, Marlene and Kim, are living and thriving proof of that. Career & Community Cohorts With successful careers in the Reno area and a common passion for community involvement, it’s no surprise the women knew of each other even before their friendship developed. The first time they actually worked together was in 2001 at TMWA (Truckee Meadows Water Authority), where Marlene’s company was brought on board to steer communications and Kim was heading up the then-new utility’s customer relations department. TMWA was where these colleagues became cohorts who have since become the best of friends. Now retired, Kim’s favorite job these days is being a doting “Noni” to her two granddaughters who live nearby and who she keeps up with by staying active. Kim enjoys practicing yoga and loves to spend time walking and hiking in the great outdoors – with two enthusiastic dogs that are always ready to join her. Marlene is still working and running her nearly 40-year-old public engagement and outreach company, GoodStanding. Her “fun and interesting” projects help to build community engagement for her clients and often focus on water resource management and conservation. The Rotary Club of Reno, known as the “downtown club,” is also an important part of both women’s lives. Marlene was just the third woman to join the historically male organization in 1991 and made it her mission to recruit and sponsor female members – like Kim. Today, women make up nearly half of the membership and Marlene and Kim are both heavily involved in the club and its initiatives, including its scholarship program and community beautification projects along Riverside Drive. A Friendly Q & A To learn more about the friends and maintaining friendships in these socially distanced times, we asked them some questions. What drew you to each other as friends? Kim: Marlene’s honesty, integrity and ethics. Marlene always does what is best for her clients, no matter what. Marlene: Kim and I communicate very well. It’s hard to explain, but sometimes we are both way ahead of our words. How would you describe each other in a single word? Marlene: Focused. Don’t put anything in front of Kim that you don’t want done, and done expertly. Also, helper. She thrives on helping people and working through their problems. Kim: Creative! Marlene came up with many unique ideas to promote and publicize TMWA. And her house the most cozy spaces to sit and visit. Do you have a favorite “That’s so her” moment to share? Kim: Burning Man! Marlene had friends with a camp at Burning Man and she invited me to join them for three days a number of years ago. We rode our bikes, admired the art and did our best to sleep through the techno music that played through the night. It was an amazing time. Marlene: Kim’s involvement in Rotary’s Achievement Beyond Obstacles (a support and scholarship program for deserving local high school students). She has a heart for kids facing challenges, she is a great leader and she loves to help and make a difference. How has COVID-19 affected your friendship, how have things changed and how have things stayed the same? Kim: We don’t see each other in person quite as much. However, Marlene has made sure that many of our girlfriends are able to stay in touch. Marlene: I don’t take for granted we are going to see each other, so we plan it. I am the instigator of walks, socially distanced get-togethers in our green space and Zoom meetings. This new normal has also given me permission to stay home and work. Now, it’s OK to do some gardening or take a walk in the middle of the day. I suppose that’s one pleasant side effect of COVID-19. Why did you become members of the Sterling Silver Club and why would you encourage others to join? Kim: So many friends and family members had nothing but good things to say about Renown that I decided to switch providers. I also really liked what Renown was doing with the Healthy Nevada Project. So, when I saw the Sterling Silver Club, it seemed to me to be just another extension of all the good things Renown has to offer! Marlene: This Club sounded interesting because it would allow me to focus more on my health with like-minded people in my age group. And, I’m with Kim, Healthy Nevada Project is very intriguing for how it could potentially improve health care for all of us. What is the secret to a lasting friendship? Kim: Have patience. Don’t take things personally. Be flexible. And just enjoy one another’s company. Marlene: Respect and grace, equally. We are not perfect and we are all different. So give your friends respect always, grace when they flub up and support when they need help. Thanks to Kim and Marlene for being such generous collaborators and ambassadors of the Sterling Silver Club. Friend Fun Fact: Kim helped Marlene find her new house a few years ago – and more recently, a new dog! Marlene and “Levi” have been inseparable ever since.
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A Tale of Life Done Right
Once upon a time … in Incline This issue’s featured member began writing the latest chapter of her life story by retiring on Lake Tahoe’s north shore in Incline Village, NV. “I had several criteria when selecting a place to retire,” says MaryBeth. “And a healthy lifestyle was number one. The people who have settled in Incline are very active with both their minds and their bodies. It’s not a stagnant population, it is unusually robust. I’ve made wonderful friendships here and we really watch out for each other, which means the world to me.” “I also wanted four seasons a year,” she continues. “And most importantly, I wanted a place that my son, Addison, would love to visit and share with me – and world-class skiing just minutes away scored extra points with both of us!” Zürich and Beyond Skiing was something MaryBeth and Addison took to with a passion while living in Zürich, Switzerland. A business move to the land of the Alps (and Swiss chocolate) provided the perfect opportunity for an international education for her son and a culturally eye-opening experience for the family. “I was unprepared for what it was going to be like living in a foreign place, and I learned a lot about empathy as a non-native and the kindness of strangers, or not. Our seven years there gave us many easily available travel adventures on the other side of the globe, and the friendships I made with people around the world have been lifelong.” “Divas” of the Garden “Tall and showy” is how MaryBeth lovingly describes the “Divas” of her garden, aka the delphiniums. Located in the sunny part of her yard, the plants explode in a variety of colors that accentuate her home’s landscaping and are a well-earned reward for her mountain gardening challenges. “The very first thing you must do when creating a new garden is amend the soil,” explains MaryBeth. “It’s not sexy, but it’s necessary! And that’s when you learn that every shovelful of “mountain” dirt is loaded with rocks of every size – it’s fantastic exercise!” And her neighbors appreciate the hard work. “I’ve made so many friends of all ages in the neighborhood while working outside in my garden,” shares MaryBeth. “They stop, chat, inquire about the plants and take photos all the time.” Then with a smile, she adds, “You could call it my art.” Aging-In to Life with Medicare At 64 and on the cusp of Medicare eligibility, MaryBeth recently tasked herself with learning what she could about the plans and options that would soon be available to her and was overwhelmed. “I made the mistake of entering my phone number on a Medicare website for “wanting more information” and had no less than 15 calls a day from health insurance brokers – from all over the country!” she exclaims. “What one person would tell me would then be questioned by the next. I eventually quit answering the phone.” However, finding a Medicare plan that meets all of her needs is still a priority. “First and foremost, since I am a traveler (at least before the pandemic) I want to have a healthcare plan that will cover me in any state,” MaryBeth explains. “I would also like a policy that allows for alternative treatments, such as acupuncture – which I’ve had great success with in the past. I know that getting a good Rx plan now will save me money down the line, and I also want to be able to see a specialist without seeing a provider first for a referral.”
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Sterling Silver Club Member Masterpiece
A Gallery-Worthy Member Artistry usually refers to a person’s ability to express their unique creativity in powerful and surprising ways. But there is also an art to living your life in ways that celebrate who you are, your limitless potential, the people you love and the community you care about. So imagine our delight to discover a Sterling Silver Club member and artist whose artistry of life reaches far beyond gallery walls. An Early Love of Art Born in Chicago, Illinois, Debbie arrived as the last of her parents’ three children and has two older siblings, Cynthia and Henry (a.k.a. Skip). As is usually the case, school played an important role in their shared childhood and Debbie remembers being drawn to art assignments in class from an early age. “When I was a young girl, I loved working on various art projects at school,” she recalls. “I always found myself learning something new and then teaching it to everyone I knew.” Later, Debbie would play violin in the school orchestra, join the swim team, and to continue to learn about art and its broader influence. “I remember taking a class and learning about color theory,” recounts Debbie. “I was so impressed with how colors relate to one another and also discovered how primary and secondary colors can be used together to make everything from products and advertising to what we wear more pleasing to the eye.” Expression-ism. “Art allows you to express yourself,” says Debbie. “And I’ve always been quite happy being expressive.” Though Debbie’s affinity for art was obvious, it wasn’t destined to be her career… at least initially. After earning degrees in marketing and public relations at North Central College in Naperville, Illinois and George Williams College of Aurora University in Williams Bay, Wisconsin, respectively, Debbie began what turned out to be a career in technology. In the Chicago area, she held positions as a systems analyst and computer programmer and a role in marketing and public relations for a computer software company. Then it was off to Los Angeles, California with her new husband, David, where she worked in sales and education for another software company. The couple returned to Elmhurst, Illinois to start their family but eventually moved to and settled in Minden, Nevada where David had an insurance business for 23 years and their children grew to become the adults their grandparents dreamed of. “My mom and dad would be most proud of our children,” beams Debbie. “They (her parents) always hoped for the best for them and would be over the moon that they are doing what they want to do, two of them in the field of medicine.” Debbie and David now live in Carson City, Nevada and their three children have established lives of their own. Jeffrey, the oldest, is a pastor and holds two master’s degrees. Rachael is an OB/GYN provider in Southern California and a graduate of University of Nevada, Reno School of Medicine (UNR Med). And their youngest, John-Henry, is finishing up his medical training and will soon be a trauma surgeon. Furry Family Members Debbie’s other “kids” are of the four-legged variety. “Mercedes and Bentley are really our luxury pugs,” she admits. “But are named after famous characters from books, not luxury cars.” She also says they are goofy, much-loved and simply melt the hearts of everyone they meet – “always!”
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Sterling Silver Shining Brightly Tami
Shining Brightly We all carry a light inside of us. Some people seem to have a constant glow while others flicker brightly here or there depending on what they’re doing or who they’re with. But for another select group, the light they embody is closer to a sunrise, illuminating and embracing everything and everyone it touches. Do you think that’s a bit heavy-handed or just a writer’s poetic exaggeration? Well, that’s because you haven’t met this issue’s featured Sterling Silver Club member, Tami, yet. But that’s about to change… This Little Light of Mine As an infant, Tami’s adoptive parents were drawn to her light, even though the couple had come to an orphanage in Washington state hoping to find an older child to add to their family. “My parents always said that after seeing and holding me, they had to take me home,” Tami remembers and then smiles. “They also liked to tell the story of how they sold their prize baby bull, Johnny Apollo, to pay my adoption fees!” Tami has fond memories of making mud pies and climbing trees as a child and feels privileged to have been raised by older parents. “They both lived through the Great Depression and my dad proudly served in the U.S. Navy in World War ll,” says Tami. “I certainly attribute learning to love and give unconditionally through their humble ways. I had the honor of taking care of them both for about 10 years before their passing. When asked who my heroes are, though I have several, they are at the top of that list for sure.” Today, Tami is married to her high school sweetheart, Richard. They’ve been together for 43 years and have five children – and 10 grandchildren – of their own. Helping Others Through Darkness Tami started a highway construction business with her family in 2000, but focused 18 years of her career around her love of teaching, with seven years spent as Vice Principal of Academics at Reno Christian Academy. One of her greatest joys during that time was implementing Prime Time, a program that set aside special time for students who had experienced recent traumatic events. “I used puppets, sewing, crafts – any activity the students would respond to,” explains Tami. “But mostly, I listened.” And when one of her students shared, “I just want someone to listen to me for an hour today” – that’s what she did. “We sat on the sidewalk and ate Fudgsicles and giggled at the silliest things,” Tami recalls with some emotion. “And when we both left smiling, I was reminded that the most beautiful moments are when we are simply present with an open heart.”
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Club Member with a Grand Tale
Renown’s Sterling Silver Club is honored to feature one of our more than 9,000 members each season. We thank Judith for sharing her inspirational story and all of our members for leading healthy, happy lives that inspire us all. Mother, grandmother and eventually great-grandmother is the expected title progression as families grow and babies have babies. “Grand” and “great” usually imply roles and responsibilities have shifted from daily child-rearing duties to those of a doting grandparent – that is, unless you decide to do it all over again. At the age of 61, that’s exactly what featured Sterling Silver Club member, Judith, decided to do when she adopted four of her great-grandchildren. At the time, Alicia, Adrianna and Joey were all under five and Giancarlo, the youngest, was just a baby. “At the adoption hearing, the judge was concerned how stressful it would be for me to raise four children in my late 70s and early 80s,” recalls Judith. “But I told him I had raised my own four children and then three grandchildren for a number of years and that it would be far more stressful for me to have my great-grandchildren separated from each other and me, possibly forever. I knew I could handle the stress of raising them no matter my age, but I couldn’t survive the stress of losing them.” “That was when Giancarlo started getting fidgety,” she continues. “So I raised up his little shirt and blew a raspberry on his tummy which made him giggle and settle down. Seeing that, the judge told the recorder to “put that move in the record” and agreed I was capable of caring for my little ones.” Years later, Judith has come to realize that her great-grandchildren also want to be there to care for her. “Giancarlo always makes me smile,” says Judith. “Once during a stay in the hospital, I was awoken at 3 a.m. for blood work and found him sitting next to my bed watching the oxygen count – he was 10 years old at the time.” “The nurse asked him why he was awake and he said he heard her say the count shouldn’t go below 88, so he was watching to save me if it did,” Judith explains. “The nurse reassured him that she was also watching the count at her desk and he didn’t need to worry. Then Giancarlo looked her square in the eye and told her if it went below 88 to wake him up because he loved me and didn’t want to lose me.” “He is still my sunshine,” Judith smiles. “And I have never regretted my decision.” Work & Play For 20 years, Judith worked at Truckee Meadows Community College (TMCC), first as an administrative assistant for the police academy before moving to a position in the president’s office. There she worked with the TMCC Foundation and on TMCC projects to raise capital funds for new buildings, off-site campuses, scholarships, college programs and more. “It felt wonderful to be able to notify a student that they had received a scholarship or tell a department that they had received the funds to purchase needed equipment for their program,” recalls Judith. For fun these days, Judith still enjoys doing something she did as a teenager: playing pool. “My mother taught me to play pool in my dad’s pool room/teen hangout space in my early 20s and I’m just getting back into the game by taking lessons to help remind me what I was taught,” says Judith. “I grew up in a small, country town on the Ohio River and my mother could beat almost all of the boys in the county. I would love to be able to emulate her ability in the game.” Judith also enjoys reading, watching Hallmark movies or Warriors basketball games, walking in nature, playing “competitive” shuffleboard with friends, all genres of music – and dancing! In fact, she’s currently taking dance lessons to learn a few new steps. Always Good for a Laugh “My great-grandchildren and I laugh a lot when I try to teach them the stroll, twist, mashed potato and old-fashioned, rock-‘n’-roll dancing,” admits Judith. “But we laugh even harder when they try to teach me their dance moves!” Faith in What Matters Faith is something Judith celebrates and embraces for herself and others. “I truly believe that we are placed on earth exactly where God feels we are needed and that we are here to help each other through life, not to accumulate material goods for ourselves,” says Judith. “I feel deep satisfaction when I can help others either through just listening to them, advising them, helping them with specific needs or simply giving a smile to a stranger. To me, giving a smile or a helping hand to someone is like skipping a rock across the water – the ripples go on and on.” Then she adds, “And raising my great-grandchildren to be able to have wonderful lives full of love and happiness and closeness to God is the greatest gift I could give them.” Club Talk So what does Judith appreciate most about being a member of the Sterling Silver Club? She says it’s the opportunity to just – talk. “I fully enjoyed my initial interaction with the club and other club members at the Roaring Twenties dinner dance event,” remembers Judith. “I sat at a table with the nicest ladies and had great conversations with adults and danced with one of the instructors. When you are raising four teenagers who sometimes seem to speak an entirely different language, it’s refreshing to meet and speak with others your own age.” Pictures of some of the popular Sterling Silver Club events are featured here. Judith finds club events that bring her joy. “I also like the cooking classes and recently went on a walking tour of Oxbow Park, which was very peaceful.” What advice does Judith have to help other members live their best and fullest lives? “On a wet December morning 50 years ago,” Judith begins, “a truck coming around a curve on a country road slid into me and that split second could have made all the difference in the world to me. But God was with me and I survived, which no one expected.” “You never know when that one second that could change everything might happen, so make the most of all of your seconds,” she advises. “Do what you love with those you love. My family means the world to me and I try to think about how my decisions will reflect on the memory I will leave behind for them.” Then Judith thoughtfully adds, “I want them to remember that I truly loved them and always did my best to let them know that.”
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Community Recognizes 2020 Northern Nevada Nurses of Achievement Winners
Renown Health nurses are being celebrated for going above and beyond for their patients and care team colleagues. Every year, the Northern Nevada Nurses of Achievement Committee recognizes registered nurses (RNs) from across the community to celebrate their accomplishments and further the nursing profession. The committee just announced the 2020 award winners, including seven high-performing nurses from Renown Health. Nurses are at the forefront of the care teams working through the COVID-19 pandemic and 2020 has been fittingly declared the “International Year of the Nurse and Midwife” by the World Health Organization. Celebrating our nurses is more important this year than ever, and Renown is proud to be home to seven of the 2020 Northern Nevada Nurses of Achievement winners in the following categories: Clinical Leadership: Jenny Garcia, RN, BSN, supervisor of nursing in the orthopedics unit at Renown Regional Medical Center; Critical Care: Olivia Cartwright, RN, BSN, bedside nurse in the intensive care unit at Renown Regional Medical Center; Lifetime Achievement: Cheryl Jameson, RN, bedside nurse in the general surgical unit at Renown South Meadows Medical Center; Office & Outpatient: Kathleen Neilan, RN, BCN, OCN, cancer nurse navigator at Renown Institute for Cancer; Oncology and Infusion Services: Paola Espinoza, RN, BSN, supervisor of nursing in the cancer nursing unit at Renown Regional Medical Center; Rookie of the Year: Tamara Slater, RN, BSN, bedside nurse in the general surgical unit at Renown Regional Medical Center;Renown Facility Winner: Chelsea Zielinski, RN, MSN, clinical nurse educator in the neonatal intensive care unit at Renown Regional Medical Center. From a pool of over 400 publicly-nominated nurses who provide care across northern Nevada’s care facilities and hospitals, the Committee announced a total of 14 award winners during a virtual awards celebration on Friday, Aug. 28. Anthony D. Slonim, RN, MD, DrPH, FACHE; President and CEO of Renown, who worked as a registered nurse in an Emergency Department earlier in his career says, “We appreciate the work that every nurse does every day, not only for the patient in the hospital, but in all of the other settings where people come to learn how to live healthier lives. Nurses have direct influence on the outcomes of every patient, and I congratulate all 14 nurses for their exceptional achievements.” He adds, “The real winners are those patients, families, colleagues and community members who are cared for by these exceptional nursing professionals.” “We’re proud to celebrate our community’s nurses and all they do to care for patients and their loved ones,” said Jana Elliott, Associate Chief Nursing Officer, Acute Care Services. “Nursing is a true calling to serve others and there are so many incredible ways nurses go beyond their duty to provide the best care despite the intense nature of the pandemic.” “Nurses are at the core of our care teams; they provide compassionate care and advocate for patients and their loved ones in a time of need,” said Melodie Osborn, Chief Nursing Officer, Health Services. “The Northern Nevada Nurses of Achievement awards are a longstanding way of honoring our community’s most compassionate nurses.” Interview Opportunities A 2020 Nurses of Achievement winner and a representative from Renown’s nursing leadership are happy to speak on this prestigious honor, as well as what it means to be a nurse during these unprecedented times. Please email news@renown.org or call 775-691-7308 to schedule an interview. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About Northern Nevada Nurses of Achievement Shining a spotlight on the nursing profession since 1999, the Northern Nevada Nurses of Achievement Committee works to honor their colleagues and to increase awareness of nursing as a profession. The committee also supports the growth of the profession in awarding scholarships for nursing students.
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Meet Multifaceted Member Don Chang
Renaissance Don The Sterling Silver Club is honored to have thousands of members who’ve led and continue to lead incredibly vibrant and diverse lives. And we’re absolutely thrilled when those members volunteer to share their stories and experiences so we can all appreciate and learn from them. This issue’s featured member is no exception. From his love of cooking, travel and music to his drive to learn new languages, take on new hobbies and keep himself active and fit, Don is an aspiring Renaissance man who may already be deserving of the title. Revolutionary Family Roots Don’s father, who was born in Beijing, China, earned a master’s degree in metallurgical engineering from the University of California, Berkeley and was working on his PhD there on a full scholarship from his home country when the Chinese Communist Revolution occurred. In order to stay in the United States and avoid potentially being thrown into prison by the new communist regime (a fate that befell some of his family members), his father married Don’s mother, who was a U.S. citizen and also a student at Berkeley. Together, they started a family. “My father met my mother in a class and received his green card by marrying her,” says Don. “They proceeded to have six kids in nine years, I was number three. Dad never finished his PhD, but clearly earned what we like to call his “PSK” degree – Papa with Six Kids.” Proud (of) Papa: Don’s father was a professor of metallurgy and a brilliant research scientist who was responsible for virtually every breakthrough in the development of titanium in the 1960s.
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Renown Recognized for Quality Care for Heart Attack & Failure
American Heart Association awards shine national spotlight on care offered in northern Nevada. Renown Regional Medical Center has been honored once again by the American Heart Association (AHA) for high quality heart care. Renown’s focus on quality and applying the most up-to-date, evidenced-based treatment guidelines improves patient outcomes, getting people home sooner and back to doing what they love. “We are pleased to recognize Renown for their commitment to heart failure care,” said Lee H. Schwamm, M.D., national chairperson of the Quality Oversight Committee and Executive Vice Chair of Neurology, Director of Acute Stroke Services, Massachusetts General Hospital, Boston, Massachusetts. “Recognizing the significance of preventing, diagnosing and caring for people with heart and vascular disease, which continues to be on the rise and taking far too many lives, is of critical importance to us at Renown,” says Tony Slonim, M.D., DrPH, FACHE, president and CEO, Renown Health. “We are proud of our incredible team for providing the highest-quality clinical care, and thank the American Heart Association for this national recognition.” Renown Regional was awarded The Get with the Guidelines – Heart Failure Gold Plus Quality Achievement award for continually ensuring heart failure patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, as well as AHA’s Mission: Lifeline Gold Receiving honor for the treatment of patients who suffer severe heart attacks. “Renown offers the most highly-skilled and experienced heart and vascular team and the most advanced heart center in the region. Having national recognition for being the region’s heart care leader is critical to a Destination Health strategy,” said Josiah "Sy" Johnson, MBA, chief of staff for Renown Health. “We at Renown are proud to bring a high level of world-class care providers, leading-edge care and new delivery approaches to meet the needs of people in northern Nevada through our Institute for Heart & Vascular Health.” Why This Recognition Matters to You - Heart Attack Care Every year, more than 250,000 people experience an ST elevation myocardial infarction (STEMI), the deadliest type of heart attack, caused by a blockage of blood flow to the heart that requires timely treatment. Renown earned the award by meeting specific criteria and standards of performance for quick treatment to re-establish blood flow to blocked arteries in heart attack patients. “Our expert staff treat problems that extend from mild to the most critical of emergencies,” said Christopher M. Kozlowski, MD, MHA, vice president and medical director of Renown Institute for Heart & Vascular Health. “Specialized physicians including cardiologists, interventional radiologists, heart and vascular surgeons, emergency medicine and trauma surgeons, primary care providers, nurses and other clinicians work as a team to determine the best treatment plan for each patient. We encourage all patients to discuss with their care team whether they should undergo formal screening for early heart disease.” Why This Recognition Matters to You - Heart Failure Care According to the AHA, more than 6.5 million adults in the United States are living with heart failure. Heart failure patients can lead full, enjoyable lives when their condition is managed with proper medications or devices and with healthy lifestyle changes. “Renown’s reputation as the region’s heart care leader has been built over many years. We performed the area’s first open-heart surgery, angioplasty, stent and valve replacements decades ago. Renown Regional offers incredible advancements like trans-catheter aortic valve replacement (TAVR) and trans-catheter mitral valve repair (TMVr) with MitraClip therapy, lifesaving alternatives to open-heart surgery for patients considered high-risk or inoperable,” said Erik Olson, chief executive officer of Renown Regional Medical Center. “Offering the highest level of comprehensive care for patients experiencing cardiac and vascular disease, Renown developed its first division of cardiothoracic surgery dedicated to heart surgery patients in 2019.” The Renown Institute for Heart & Vascular Health program now offers a Diagnostic Electrophysiology Lab; a Chest Pain Center using the D-SPECT® heart camera; multiple Interventional Labs; Heart Failure Program; several Cardiac Catheterization Labs; Interventional Cardiology and Cardiac Surgery when necessary; and the only Pritikin-certified Healthy Heart Program in the West, creating individualized rehabilitation plans tailored to each patient’s needs, so they can exercise safely, eat healthy, manage stress and cook nourishing, balanced meals, all while gaining a healthy mindset. Renown is among the nation’s top-performing hospitals for heart attack treatment and one of only 105 hospitals nationwide to receive the American College of Cardiology ACTION Registry Silver Performance Achievement Award recognizing success in implementing a higher standard of care for heart attack patients. Renown’s Roseview, Sierra and Cardiac Intensive Care Units (ICUs) are the only ICUs in Nevada to receive the Beacon Award of Excellence from the American Association of Critical Care Nurses. U.S. News and World Report’s Best Hospital rankings recently named Renown hospitals as best in the state of Nevada. Patients in need of advanced heart care can speak with their care provider about Renown Medical Group – Specialty Care, which can be reached at 775-982-6270 or visit renown.org/HeartCare. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About Mission: Lifeline The American Heart Association’s Mission: Lifeline program helps hospitals and emergency medical services develop systems of care that follow proven standards and procedures for STEMI patients. The program works by mobilizing teams across the continuum of care to implement American Heart Association/American College of Cardiology Foundation clinical treatment guidelines. For more information, visit heart.org. About Get With The Guidelines Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with the latest research-based guidelines. Developed with the goal of saving lives and hastening recovery, Get With The Guidelines has touched the lives of more than 9 million patients since 2001. For more information, visit heart.org.
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