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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

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

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

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Pain is a top reason that Americans seek access to healthcare. In fact, according to the U.S. Pain Foundation, chronic pain affects nearly 50 million people across the country.  More than likely, you know someone who has been impacted by chronic or acute pain. Fortunately, there is a talented team of healthcare professionals committed to rehabilitating and enhancing the life of any patient living with pain.  At Renown Health, these team members represent the Physiatry department, who are charged with a goal of maximizing physical function, managing pain and nurturing independence. Headquartered at Renown South Meadows Medical Center, patients suffering with a disability, chronic pain and physical impairments can rest assured that they have the most caring and compassionate physiatry experts on their side throughout the entire physical rehabilitation process.  What is Physiatry? Physiatry (also known as physical medicine and rehabilitation, or PM&R), is a medical specialty that helps diagnose and treat conditions related to the musculoskeletal and nervous systems. Unlike other medical fields that often use surgery or medication, physiatry emphasizes non-invasive techniques, therapies and interventional procedures to help with pain and improve physical function.  Renown’s physiatry team has a holistic approach to care, combining medical expertise with personalized rehabilitation strategies to support long-term health and independence. Physiatry is hyper-focused on diagnosing, managing and treating conditions that affect physical function and quality of life.  The Physiatry Philosophy Our Physiatry team’s treatment philosophy centers around a multidisciplinary approach that combines medical care with rehabilitation and healthy lifestyle changes. They offer a variety of programs and services, including: Home Exercise Programs: Customized exercises designed to strengthen muscles, improve flexibility and support recovery. Physical Therapy: Hands-on care from skilled therapists who guide patients through techniques to restore function and reduce pain. Well-Being and Lifestyle Support: Emphasizing overall health and encouraging lifestyle changes that support physical and mental well-being.  At Renown, the Physiatry department is full of friendly faces, including: PM&R and pain medicine physicians (also known as physiatrists) Medical assistants Physician scheduling coordinators Patient access representatives Practice site leaders Physiatrists set each patient up for success with education, treatment planning and management. They take advantage of cutting-edge technologies and interventions for pain, such as:  Epidural Steroid Injections (ESIs) Facet Joint Injections Radiofrequency Ablation (RFA) Trigger Point Injections Joint Injections (Knee, Shoulder, Hip)  Physiatrists are also masters of multidisciplinary care, coordinating with members of a patient’s healthcare team (including physical therapists) to ensure they have the best treatment plan possible.  Playing a crucial supportive role, physiatry medical assistants (MAs) assist our physiatrists in caring for patients on both a clinical and administrative level. From helping during procedures to providing education and guidance, these medical professionals are key in ensuring each patient’s visit – and as a result, their rehabilitation journey – is successful. “My normal day in Physiatry is very smooth,” said Rosita Gans, Medical Assistant. “I make sure my schedule is at 100% to prioritize patient needs. It helps that everyone is so respectful and friendly.”  Our patient access representatives (PARs) and physician scheduling coordinators are the front faces of physiatry. They serve as a patient’s first line of communication when checking in, making an appointment, handling insurance verifications and several aspects of follow-up – all with a smile on their faces.  “My job as a PAR involves checking patients in and out, verifying their insurance and demographic information, scheduling and following up on appointments, referrals to Special Procedures and more,” said Andrea Ruiz, Patient Access Representative. “I am in contact with patients on a daily basis.”  “It’s all about making sure every patient is taken care of in a timely manner,” added Kasey Sinfellow, Physician Scheduling Coordinator.  At the core of keeping things running, you’ll find Antonio Quintana, Practice Site Leader. Thanks to his expert leadership skills and can-do attitude, his department has been able to reach new heights. A large part of this team’s success lies in their approach to the practice of physiatry. For them, there is no such thing as a “cookie cutter” treatment plan.  Dr. Casey Keating, a pain management physician working with the Physiatry team states, “We understand that there is no ‘one size fits all’ when it comes recovery. We come up with a plan of action customized to meet your needs.”

Read More About Department Spotlight: Physiatry

With a can-do attitude and optimistic spirit, Heather Townsend has dedicated over 15 years to Renown. Climbing her way up from intern to her current role as a Clinical Pharmacist Supervisor, Heather has earned multiple awards for her dedication and achievements in healthcare. Well before her journey started at Renown, Heather’s fascination with pharmaceuticals started at a young age when she was living in rural Nevada and realized healthcare was hard to come by. “My brother was diagnosed with Type 1 Diabetes when he was only 11 months old,” Heather said. “My mom would frequently consult the local pharmacist for medical advice. He was always accessible, knowledgeable and so helpful in my brother’s care. I remember thinking I wanted to be just like him. So, I did.” Inspired by this retail pharmacist, Heather went to school to become a pharmacist in hopes of finding a cure for diabetes and helping people, just like he did. Her son also has Type 1 diabetes, and although she has not yet found a cure, she remains hopeful every day when helping others with their medications and providing guidance. Success and Challenges From Intern to Supervisor Heather started as an intern at Renown during her fourth year of pharmacy school. While working swing shifts and weekends, she was committed to learning from the on-the-job experience. Her love for acute care was sparked by her mentor, Mike Stander, who was the Student Coordinator and Infectious Diseases Clinical Pharmacist at Renown. As she grew her skillset, Heather was promoted to Pharmacy Clinical Specialist and later transitioned into the emergency medicine clinical pharmacy program. Despite the challenges she faced along the way, Heather reflected on the first 10 years of her career as a time of growth and learning. “I had a medication error early in my career that rocked me to my core. As with everyone in healthcare, I started this journey with the intent of helping people and never wanted to cause harm. So, when this happened I needed to re-evaluate my core beliefs, my systems for managing stress, and how I was going to be more safe. These life lessons have contributed to the person I am now, my level of empathy for others and how I manage hiccups in life.” When Heather’s reached the 10-year milestone in her career, she found herself soul-searching and wanted to fuel her love of healthcare again. “There was a 6-month period where I found myself doing less than I would have normally at work and in life. During this time, I relied heavily on my personal support systems and started to find other things I loved to do outside of work. I gave myself grace about not achieving and striving for more and allowed myself time to figure things out. When I did, I had found a new passion for the work I wanted to do.” This passion was found again with teaching, mentoring and supporting others on their healthcare journey. She helped to start a PGY2 Emergency Medicine Pharmacy Residency program, and served as the Residency Director. This helped her prepare for her current role as Clinical Pharmacy Supervisor at Renown. “The resident team keeps me learning and young. They teach me things all the time! The pharmacists are underrecognized and incredible. They have an eye for detail that keeps people safe. They are the unsung heroes.” Heather also has a lot of respect for her medication reconciliation pharmacy technician team. “I love the passion they show for patient care and quality work. They have great ideas, speak up, are funny and care for each other and those around them.” In her current role as a supervisor, she is dedicated to helping her team grow in their own healthcare journeys and continues to refine her skills to become the best leader possible. Heather’s Words of Wisdom In the last 15 years, Renown has continued to grow into the health system it is today. Heather reflected on the growth she’s witnessed in that evolution from Washoe Medical Center to Renown Health. “When I started, I thought of Renown as a hospital to receive care. Today I view Renown as giving back to the community, providing essential care needs to Northern Nevada and the surrounding rural areas. I am amazed by the growth and advancement in care I have seen in the last 15 years and am excited to continue to be a part of it.” Heather has been awarded both personally and professionally. She just celebrated her 17 year wedding anniversary with her husband, Odin, and loves watching her three children grow up and explore their own passions. Heather was awarded the honor of an American Red Cross recognition for helping identify an infection that would have otherwise left a patient paralyzed. She was also named Pharmacist of the Year by the Nevada Society of Health System Pharmacists in 2016, Preceptor of the Year for Idaho State University in 2014 and 2023, top talent of the quarter in 2010 and 2019 and nominated for Nevada Woman of Achievement in 2021 and 2024. Through her life experience, Heather has also learned to keep a positive outlook: “I am known as a Griswald! Like Clark in National Lampoon’s Christmas Vacation, I have an uncanny number of things that happen in my life that go wrong,” Heather Townsend continued. “I have learned that sometimes there is nothing to do but laugh at things (or you’ll spend your whole life crying or mad).” Renown is grateful for Heather’s continued dedication to our health system and how she’s paved the way for the next generation of our talented team members. Inspired by incredible mentors and advisors during her journey at Renown, Heather leaves this advice for those who are growing in their roles in healthcare: “Identify the why behind what you do. Keep that close to your heart. There will be times when you lose track of your vision and motivation, and as long as you have identified this, it will be easy to re-engage and find your path. Once you know what you want, go for it! Find someone to look up to, that will help guide you and that will support you.”

Read More About From Renown Intern to Supervisor: Meet Heather Townsend

Lifetimes of Service in Medicine Margo and Jim Veazey are no strangers to hospitals and medicine. They are impressive duo with notable professional achievements and seem to always have service to their communities and country as their true north.   Margo was a nurse and nurse administrator for her entire career, which spanned just under 50 years, including 25 years in nursing leadership at the Connecticut VA Healthcare System. Her predecessors at the VA had only stayed a year or two prior to her, but Margo found a place where she could make a positive impact and stayed for a quarter-century.  During her time at the VA, she helped secure a much sought after $40 million grant to establish a VA Nursing Academy including funding for five new faculty members. The groundbreaking program to educate and train more nurses shares some strong similarities with Renown’s recently established Gerald “Jerry” Smith Academic Practice Partnership. Jim has had his own esteemed medical career of over four decades as an infectious disease doctor, serving in academic, clinical and research roles on the east coast. He retired from the U.S. Army as a Colonel after 29 years of combined Federal Service in 2012. Among his self-stated greatest achievements was working on the eradication of Smallpox in India (coincidentally, Renown was founded in 1862 during a Smallpox outbreak).  A Near Death Experience Rarely had the Veazeys been on the receiving end of trauma care, but that all changed in 2017 after their move to Reno, when Margo was admitted to the Renown Regional Emergency Room with a volvulus, an obstruction caused by twisting of the intestine and a very serious medical emergency. The symptoms that led her to the ER were severe and extremely uncomfortable: fever, severe abdominal pain, overly active bowel sounds, and vomiting blood.   Margo recalls: “the last thing I remember was hearing someone say my pulse was down to 20. I thought I was dying and then I blacked out. I woke up two days later in the ICU [Intensive Care Unit] as they told me to breathe out when they were removing my ventilator tube.” Jim, on the other hand, remembers it all, including the long hours waiting for Margo to wake up.  Margo’s near-death experience left quite an impression on both of them and, while traumatic, it also created deep feelings of gratitude for the care Margo received from her doctors and nurses at Renown during that time.  Reno Becomes Home Margo and Jim spent most of their lives on the east coast. They met at Dartmouth when Jim was a wide-eyed intern in the ICU, and Margo was working in the ICU as a nurse. They were married a year later and recently celebrated their 52nd wedding anniversary! You don’t have to spend much time with them to see their adoration for each other, even after all these years. In the midst of their busy careers, the Veazey’s raised a son and daughter, who now each have children of their own. Being closer to those grandchildren became a priority after Jim and Margo retired, which prompted their move to Reno in 2016.  Having access to good healthcare was on their radar when deciding where to move, and they were not sure what they would find when they arrived in Reno. Fortunately, a neighbor they met early on introduced them to Renown and the Renown South Meadows Medical Center emergency room as an option for emergency care. It was not long after that, when Margo made a visit to the Renown South Meadows ER for diverticulitis. They’ve been coming to Renown ever since for her care. Expressing Their Gratitude Margo’s visit to the South Meadows ER in 2016 and her near-death experience in 2017 were among the first in a series of unfortunate and mostly unrelated health incidents she has faced since moving to Reno. Over the past eight years she has come to Renown for eleven major health issues including six surgeries.  Her medical conditions have ranged from breast cancer to the need for a knee replacement to atrial fibrillation, and Renown has been a one-stop shop to meet her these urgent health care needs. Based on the trust she has in Renown providers, Margo counts on Renown for her preventative care too. Thanks to his long federal service, Jim receives his care at the VA.   The consistency in the high-quality, compassionate care she receives—Margo and Jim will both tell you repeatedly how much they love Renown physicians and how great the nurses are—is why they keep coming back. When asked if they recall any specific doctors or nurses, Margo responded, “we’ve been to the emergency room so many times and I’ve had so many procedures that it would take a long time to list all their names, and I received wonderful care from all of them. My brother, who was a Rhode Scholar, emergency room doctor in Florida, and a lawyer was incredibly complimentary of the care I received when he was here during one of my ER visits.”    The exceptional care is also what prompted them to include a gift to Renown Health Foundation in their estate plan. Although the Veazeys have always been charitable and support many organizations near and dear to them with annual gifts (including Renown Children’s Hospital), their legacy gift to Renown was the first time they included a charity in their estate plan.

Read More About Why I Give: Margo and Jim’s Story

Reviewed by Dr. Colleen O'Kelly-Priddy, MD, FACS, breast surgical oncologist at Renown Women's Health.  In the United States, breast cancer is the most common cancer among women, with approximately 1 in 8 women developing breast cancer during their lives, reports the American Cancer Society.   These statistics can be a little startling; however, when it comes to taking charge of your health, early detection is key. The National Breast Cancer Foundation, Inc. reports that when breast cancer is caught in its earliest, localized stages, the 5-year relative survival rate is 99%. The earlier breast cancer is found, the more treatment options are available and better survival rates are seen.  New technology and evolving screening guidelines are crucial for women to understand and choose the right screening method for their specific needs. The most common types of screenings available today are:  2-D Mammography  3-D Mammography  Whole Breast Ultrasound    What is the Difference Between 2-D Mammography and 3-D Mammography?  2-D Mammography: In a standard 2-D mammogram, the tech takes X-rays of the breast, compressing it top-to-bottom and side-to-side, providing a 2-dimensional view in each direction. These pictures can show the radiologist if there are abnormalities you might not be able to feel.   3-D Mammography: In 3-D mammography, or “tomosynthesis,” the process is largely the same, but more images are taken, and it takes a few seconds longer. This kind of exam provides a more detailed view because it reduces the overlap of tissues that can take place in a standard 2-D mammogram. Using 3-D mammography, radiologists can detect 41 percent more cancers and reduce the number of callbacks for additional imaging. This improvement in technology is great for both patients and their care providers. Renown uses 3-D mammography because it produces better images of the breast, enabling doctors to more accurately diagnose and reduce false positives, especially in women with dense breast tissue.

Read More About Which Type of Breast Health Screening is Right for You?

As the weather cools and the days grow shorter, many people find themselves battling seasonal illnesses. Two of the most common culprits are the flu and the common cold. We asked Marie McCormack, MD, Primary Care Division Chief at Renown, about flu prevention and how to know the difference between the flu virus and the common cold. How do you prevent the seasonal flu? The annual flu vaccine is truly the best form of protection to help prevent the spread of the flu. Even if you do get the flu after being vaccinated, your symptoms will be lessened. Flu vaccines are available to the community. You can schedule a flu shot with your Primary Care provider through MyChart or through the Renown Pharmacy. Visit renown.org/flu for more information.  Who should get the flu shot? Almost everyone. The Centers for Disease Control and Prevention recommends a yearly flu vaccine for everyone 6 months of age and older as the first and most important step in protecting against influenza. Different flu shots are approved for people of different ages, but there are flu shots that are approved for use in people as young as 6 months of age and up. Flu shots are approved for use in pregnant women and people with chronic health conditions.

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Renown patients share how early mammogram screenings transformed their lives. From detecting cancer in its earliest stages to celebrating successful recoveries, these stories emphasize the importance of regular screenings and taking charge of breast health. Early detection is key! Book your mammogram with Renown Women's Health and prioritize your breast health. Book Your Mammogram   Angie T. "I'm so grateful that the cancer was caught early. Those screening exams are so important and actually saved my life. I encourage women to make time to get their mammograms like their lives depend on it; because in some cases, it does." Amber S. “I was diagnosed with breast cancer at the age of 40 with what would have been my first annual screening exam. This was caught in the earliest stage possible with many of my findings being only pre-cancerous. Because of early detection, I did not have to have chemotherapy or radiation as part of my treatment plan.” Monica T. “I truly believe the yearly 20-minute diagnostic mammogram screening and findings saved me from allowing cancer to take control of my future.” Jes H. “It is because of breast cancer risk assessment testing that I was able to identify my risk for breast cancer early. I am so very thankful that I am going to be able to watch my children grow up.” Melissa P. “A yearly mammogram can save your life! A routine mammogram found my cancer at stage 1 when it was easily treated! “ Sharon C. “Despite having minimal family history, I was diagnosed at 47. Renown provided exceptional care for both my double mastectomy and reconstruction. For me, knowing my body was the key, when I felt like something was not right, I followed up with my physician and made sure I was doing everything to minimize my risk.” Jamie V. “My annual mammograms have detected 3 lumps in the last 10 years. Two were benign and one was cancer. My annual mammogram and then my ultrasound saved my life by detecting my cancer in its earlier stages.”

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What is a Breast Self-Exam? A breast self-examination is a technique used to check for early signs of potential breast health complications. This physical and visual examination typically only takes a few minutes. Performing monthly self-exams helps you become more familiar with the normal appearance and texture of your breasts, making it easier to recognize any changes during future exams. While monthly self-exams are helpful, it’s important to get an annual mammogram even if you don’t notice anything. Mammograms help provide a 3D scan of the breast tissues, detecting changes that may not be felt during a self-exam. Dr. Cristin Newkirk-Thompson, an MD with Renown Health, discusses the protocols and importance of self-breast awareness.  How to Perform a Self-Breast Exam Use the pads of your fingers and move them in a circular motion.  Cover the entire breast area from top to bottom, side to side—from your collarbone to the top of your abdomen, and from your armpit to your cleavage.  Follow a pattern: circular, wedge, or vertical line, ensuring you cover all tissue.  Use varying pressure: light pressure for tissue just beneath the skin, medium pressure for the middle of the breasts, and firm pressure for deep tissue.  There are multiple ways to perform a self-breast exam including: Visual Inspection: Stand in front of a mirror with your shoulders straight and your hands on your hips or to your side. This is when you look for any abnormalities or changes.  Lying Down: Lying down spreads the breast tissue evenly over the chest wall, making it easier to feel all areas. In the Shower: Many women find it easiest to feel their breasts when their skin is wet and slippery, so you might want to perform this step in the shower. What to Look For Changes in density, size, shape, or symmetry.  Dimpling, puckering, or bulging of the skin.  Nipple changes such as inversion or discharge.  Redness, soreness, rash, or swelling.  When to Perform a Self-Breast Exam It’s recommended to perform self-breast exams monthly, a few days after the end of your period. For women in menopause or those who have irregular periods, the specific day isn’t as important, if it is consistent. What to do if You Find a Lump If you notice any new changes with your breasts, don’t panic; there can be several reasons why breasts have changed. It’s best to follow up with your provider to be as proactive as possible. Additional recommended screenings for further examination can be scheduled to have a clearer answer.

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Cancer changes everything; it takes, it challenges, and it reshapes lives forever. For Yvonne Murphy, a cancer survivor and development officer at Renown Health, the experience has been profoundly transformative. Recently, Yvonne and her husband, Murray Mackenzie, made a heartfelt donation of $10,000 to support the Conrad Breast Center at the William N. Pennington Cancer Institute—a gift inspired by her own battle and in honor of those who have faced this disease. A Family’s Battle with Cancer Yvonne’s journey with cancer began with the death of her grandmother when she was a teenager, a shock that left a permanent mark on her family. "She was my friend, confidant, and angel," Yvonne recalls. "Losing her changed everything." In the years that followed, nine more of her family members passed away from cancer. These experiences highlighted the harsh reality that cancer invades every aspect of life, bringing grief and uncertainty to so many. For Yvonne, that reality grew even more personal when she was diagnosed with cervical cancer, marking a pivotal moment in her life. A Fight for Her Life During the height of COVID-19, Yvonne noticed blood in her urine, a discovery that sent her rushing to the ER at Renown South Meadows. She received the devastating news: stage one cervical cancer. "When I received my diagnosis, it felt like the world stopped," Yvonne said. "But I knew I couldn't let this define me. I had to fight, not just for myself, but for all the people I've lost." Yvonne faced a grueling course of treatment, undergoing two major surgeries within just 60 days. The first was a hysterectomy, followed by the removal of 32 lymph nodes. Her treatment also included radiation therapy and a challenging recovery, all within a single year. Throughout this intense period, Yvonne drew strength from her faith. "I prayed every day," she said. "And I promised that if I survived, I would dedicate my life to serving others." This promise became her guiding force. It inspired her to make a profound impact through her work at Renown. A Gift of Hope True to her word, Yvonne reached out to the former CEO of Renown in 2021, exactly one year after celebrating her cancer-free milestone. She was determined to contribute in any way possible. This marked the beginning of her career at Renown Health Foundation.  Today, she works as a development officer, partnering with philanthropists, corporations, and fellow employees to raise funds for vital programs and services at Renown, a not-for-profit health system. Yvonne recently had her 18th scan and remains cancer-free, a testament to her strength and perseverance.

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Breast cancer affects 1 in 8 women in the U.S. each year, making early detection crucial in improving the chances of successful treatment.  Early Detection for Treatment and Peace of Mind Mammograms are noninvasive X-rays used to detect cancer and other abnormalities in the breast. They are the most effective screening tool for detecting breast cancer early, allowing for timely treatment before the disease can spread and helping to improve treatment outcomes. To help guide you through the mammogram process, we spoke with Elizabeth Kang, PA-C, at Renown Breast Surgery Care to equip you with expert knowledge on what to expect and why screening is so important. How Accurate are Mammograms? 3-D mammography technology at Renown Breast Health Center can detect 41% more cancers and reduce the number of false-positive results compared to plain film mammography.  Benefits of 3-D mammography include:  Providing better, clearer images, with higher diagnostic accuracy  Allowing radiologists to see more abnormalities in the breast  Helping doctors spot more cancers and avoid false positives, especially if you have dense breast tissue  Reduced callback rates for findings on screening Mammogram Screening and Breast Exam Recommendations Renown Women's Health recommends the following breast exam guidelines: Age 18-39: Consult your primary care provider for a Risk Assessment and start breast exams at age 25. Age 40+: Get your annual mammograms. Family history: Begin screening 10 years before your youngest family member's age at diagnosis. For example, start at age 35 if a family member was diagnosed at 45. Self-awareness: Be familiar with the look and feel of your breasts and report any changes to your care provider. Age 75+: Continue annual mammograms if life expectancy exceeds five to seven years.  What screenings are available for women with breast implants?  Women with breast implants can and should still receive mammograms, and it’s essential to have these screenings done by an experienced team. Be sure to inform your healthcare provider and mammogram technicians about your implants, as they may recommend special techniques or steps to detect abnormalities and ensure accurate results.

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