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    • Surgery
    • Surgical Services

    How Do I Prepare for Surgery?

    Renown’s team of nurses and respiratory therapists discuss what you need to know before undergoing surgery, including fasting guidelines and how to improve recovery. There are several things to know before you undergo surgery, including steps to prepare at home in advance of your procedure.   Fasting Guidelines: No solid foods eight hours prior to surgery You may have clear liquids three hours before your surgery. Clear liquids include water, apple juice and lemon or lime-flavored soda water (not cola). In addition, do not chew or smoke tobacco (regular or e-cigarettes) after midnight the night before your surgery, unless instructed by your doctor or anesthesiologist.

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    • Surgical Services
    • Weight Loss

    Is Bariatric Surgery Right for You?

    You’ve likely heard about bariatric surgery — and perhaps even have friends who’ve done it. But is it a potential solution for you? Here, Dawn Remme, RN, Metabolic Bariatric Surgery Program Manager, provides insight. You may have been struggling with excess weight for years. You’ve tried high-protein diets, low-carb diets and more. Most patients considering weight loss surgery have tried numerous dieting methods. The truth is, some patients who suffer with obesity are successful dieters. Unfortunately though, excess weigh often returns. This impacts their health and the quality of their life. It can be a disheartening battle. Weight loss surgery is a big decision. In making this decision, keep in mind that surgery is only one step toward your goal of achieving better health. It is neither magic, nor is it the “easy way out.” Weight loss surgery can offer you a TOOL to help you become more successful in controlling the disease of morbid obesity. By combining this tool with a lifelong commitment to important lifestyle changes, medical follow-up and nutritional modifications, you have the potential to become a healthier you. Bariatric Surgery By the Numbers Exploring the facts about obesity, how it impacts your health, and how surgery can resolve or significantly improve your chronic medical conditions is the first step to making a decision. Obesity is medically defined as “excess body fat” and is measured by a mathematical ratio known as the Body Mass Index (BMI). To calculate your BMI, we consider your height, weight, age, gender and body build. Here are the standards: “Normal” BMI: less than 25 Overweight: 25 – 29.9 Obese: BMI of 30 – 39.9 Morbid obesity: BMI of 40 or more Morbid obesity (BMI over 40) is a lifelong, progressive disease, and the prevalence of morbidly obese Americans (100 or more pounds over a healthy weight) is increasing rapidly. According to the CDC, the disease of obesity affects 78 million Americans. Further estimates indicate about 24 million have morbid obesity. Serious medical problems known as co-morbidities often occur when someone is morbidly obese. Studies tell us conditions such as type 2 diabetes, high cholesterol, sleep apnea, high blood pressure and degenerative arthritis increase in severity as the BMI is increasing in patients. When may weight loss surgery be an option? When someone has a BMI greater then 40. If a person’s BMI is 35 – 39.9 and they have significant health problems such as type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, or other diagnosed health conditions related to obesity. Gastric Sleeve, Gastric Bypass Explained To resolve or significantly reduce these health conditions, bariatric surgery can be done when diet and exercise haven’t worked. Weight loss surgery makes changes to your digestive system to help you lose weight. The gastric sleeve limits how much you can eat, whereas gastric bypass limits how much you can eat and reduces the absorption of certain nutrients. Other Benefits of Surgery You can greatly increase life expectancy by resolving or significantly improving conditions like diabetes, high cholesterol, high blood pressure, sleep apnea, and obesity itself. Infertility can also be positively affected. A significant weight loss and relief from serious health conditions and diseases will greatly improve your quality of life. Studies tell us that type 2 diabetes is resolved or significantly improved in 84 percent of patients following bariatric surgery. Cholesterol levels dropped in 95 percent of patients. And hypertension and sleep apnea showed improvement in 68 and 80 percent of patients, respectively, following bariatric surgery. Bariatric Surgery at Renown In making the decision to move forward to better health, it is important to remember: Obesity is a disease, and the desire to have a healthier, longer, more fulfilling life is possible. If you are interested in learning more, please visit the Bariatric Surgery Program page to view more information about Renown Regional Medical Center’s MBSAQIP accredited bariatric program, as well as information about upcoming educational seminars. Or call 775-982-RSVP (7787) to reserve your seat. Learn More

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  • Surgical Services

    Renown Surgical Services is with you every step of the way, providing the support, guidance and information you need throughout the entire surgical process — from preparation to recovery. Whether you need same-day surgery or an advanced procedure, our team helps you find the option that provides the best possible outcome. Need help with your pre-admitting appointment or a price estimate? Call 775-982-3993.   Preparing for Your Procedure Now that you have your surgery scheduled, let’s help get you ready for your pre-admitting appointment. The following checklist provides steps for you to follow from the time it’s determined you need surgery. The checklist covers: How to prepare 1-28 days before your procedure How to prepare the night before your procedure How to prepare the day of your procedure How to take care of yourself after your procedure View the Checklist (English) Ver en Español

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    • Surgical Services
    • Surgery

    Why Can't I Eat Before Surgery?

    If you’re having surgery on your shoulder, why does it matter what’s in your stomach? We asked Dr. Matthew Hoberg to explain more about pre-surgery directives, including fasting. If you have an upcoming surgery, your care team likely gave you instructions to fast before your procedure. But why? We asked Matthew Hoberg, M.D., medical director of Renown Surgical Services, to explain why it’s important to forgo food and drinks before surgery. Why are patients instructed to fast before surgery? Regardless of surgery type or site, we want the stomach to be empty before having anesthesia, because anesthesia can reduce your body’s ability to protect and prevent food or acids from the stomach from entering the lungs. Normally, your body is able to prevent this, but anesthesia medicines make it harder for your body to do so. When food or liquids from the stomach get into the lungs, doctors call it “aspiration.” This is rare, but can be dangerous if it does happen. Solid foods and liquids leave the stomach at different rates too. Solid food takes longer to empty from the stomach than liquids, so the time to stop eating solids (eight hours) is longer than that for clear liquids (two hours). The body has energy reserves to produce needed nutrients and fuel during fasting. Recently, studies have shown it is important to stay hydrated and have some carbohydrates in clear liquids up to two hours before surgery, so clear liquids are allowed until two hours before surgery. There are also special rules for babies and young children who need surgery. For example, you may give breast milk up to four hours before surgery. If your baby drinks formula, you should stop six hours before surgery, and all solid foods you should stop eight hours before. Your child’s doctor or nurse will give you exact instructions. What if you show up for surgery and have broken the no-eating rule? Will surgery be re-scheduled? If patients have not followed the fasting guidelines, surgery will be postponed or rescheduled due to the possible increased risk associated with not having an empty stomach. The exception would be emergency surgery that cannot be delayed in which case special precautions are taken to help prevent anything from getting into the lungs. What other pre-operative rules should be followed to the letter? All instructions given to patients before their surgery or procedure should be followed. There are specific medical reasons behind all the instructions and they are designed for safety — to minimize risks, lower complications like infections and enhance the recovery process to help patients get back to normal as quickly as possible. Also, many patients ask if they should continue taking medications before surgery. The answer is: It depends. Your doctor or nurse will tell you which medicines you should take and when. Some medicines need to be stopped before surgery. But for others, it’s important you keep taking them as usual. You may also get new medicines to take before surgery. You may be asked to take some medications before surgery as part of advanced pain management protocols. If you need to take medicine right before your surgery, you can take it with a sip of water.

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    • Surgical Services
    • Weight Loss
    • Obesity
    • Patient Story

    A Transformative Journey: Mary's Bariatric Surgery Story at Renown Health

    Embarking on the path to bariatric surgery is a unique and deeply personal journey. Individuals like Mary Escobar choose this life-changing route for reasons ranging from improved cardiovascular health to managing diabetes or finding relief from various health complications. In Mary's case, her two-decade-long healthcare journey not only underscores the challenges she faced but also highlights the support and expertise that ultimately led to her successful transformation through bariatric surgery. Mary's Resilience: December 2002 through February 2003 More than two decades ago, Mary experienced unforeseen health complications just days after giving birth via c-section. Septic shock, hemolytic uremic syndrome, thrombocytopenia, renal failure and a blood clot in her lung plunged her into a critical state. Intensive care, plasma exchange and a long recovery followed. After being discharged with compromised kidney function, Mary faced complete renal failure two years later, leading to dialysis and a spot on the donor list. Mary's brother, a perfect match, selflessly donated his kidney on Dec. 14, 2007, marking a turning point in Mary's health. However, the post-transplant period brought new challenges, including diabetes, high blood pressure and a significant weight gain, reaching 230 pounds. Determined to regain control, Mary explored various diets without success until she consulted with a bariatric doctor. Journey to Bariatric Surgery: November 2009 - April 2021 In November 2009, Mary opted for a gastric band, shedding 40 pounds within a year. Despite initial success, issues with the gastric band arose, prompting a consultation with Dr. John Ganser at Renown Health in April 2021. Together, they decided to transition to a gastric sleeve, with comprehensive education provided to ensure long-term success.

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    • Friday, May 01, 2020

    Renown Resumes Medically Necessary Surgeries in Phased Approach

    Health System Follows Governor’s Announcement to Resume Necessary Surgeries on May 11, Remains Ready for Possible COVID-19 Surge. Renown Health announced today that they will align with the Governor’s Office and the state Medical Advisory Team in adopting a phased-in approach to resume limited medical and surgical procedures under strict guidelines and lift temporary restrictions due to the COVID-19 virus. The decision follows yesterday’s release of Governor Sisolak’s “Nevada United: A Roadmap to Recovery,” a plan designed to move forward to safely restart Nevada under a “new normal.” The health system will begin a phased approach to scheduling non-high risk patients as soon as Monday, May 4 for necessary surgeries beginning on Monday, May 11, 2020. “We’re able to resume some surgical services due to the flattening of the COVID-19 surge curve and the low COVID-19 transmission rate within our community due to the implementation of strong social distancing practices,” said Tony Slonim, MD, D.Ph., President and CEO, Renown Health. He added, “Our primary concern will always be the health and safety of our patients, physicians, healthcare employees and community members. We continue to monitor the surge curve and our current situation. Until a vaccine or cure is found, Renown Health remains prepared at all times to handle a surge and continues to care for those across northern Nevada.” “Elective-optional” procedural cases were temporarily postponed at Renown hospitals on March 17, to slow the spread of COVID-19 and to preserve critical resources.  Christopher P. Demers, MD, FAANS, Managing Partner at Sierra Neurosurgery Group and Medical Director of Neurosurgery at Renown, said, “I know how important surgery is to enhancing a patient’s quality of life. I am privileged to have the opportunity to perform surgeries that help people get back to doing the activities they love. We are guided by a simple and important principle: the patient always comes first.” “This is excellent news for so many patients who may have placed their surgeries and care plans on hold due to COVID-19,” said Christos Galanopoulos, MD, chair, department of surgery for Renown Medical Group, and a specialist in oncologic surgery. “Renown’s expert team is ready to deliver safe and effective care to all patients and has earned recognition as the region’s leader in patient safety, technology and specialized care,” said Galanopoulos. “We are proud of the incredibly detailed health and safety measures in place at Renown.” Health and safety protocols in place at Renown facilities include: All individuals entering Renown sites, including team members, are screened for COVID-19 symptoms; Patients scheduled for elective procedures will be tested for COVID-19 up to 5 days prior to scheduled procedure date. Patients will remain in isolation following the test, up to the time of surgery. Positive COVID-19 patients and symptomatic patients will not be scheduled for elective surgery. All individuals entering Renown sites are asked to don a cloth mask. Patients may bring their own mask or may opt to wear one supplied by Renown. All care team members wear surgical masks and protective eye wear, as well as other necessary personal protective equipment (PPE), at all times when caring for patients. Visitor restrictions are still in place. A support person is still encouraged for surgical patients, delivering OB mothers; children under the age of 18; patients with confusion, altered mental status or developmental delays; and end-of-life patients. Six-foot social distances have been established in public areas such as waiting rooms, elevators, cafeterias. Extra cleaning and disinfection is in place for all high-touch, public surface areas. Erik Olson, MHA, Chief Executive Officer of Renown Regional Medical Center adds, “Renown’s mission is to make a genuine difference in the health and well-being of the people and communities we serve. We deliver on this promise by collaborating with expert surgeons to offer general and specialized surgical interventions to alleviate disabilities and reduce the risk of death from traumatic injuries, cancers, cardiovascular disease and other conditions. Together we are dedicated to delivering safe, high-quality, compassionate, personalized health care.” Patients who wish to schedule their elective surgery or outpatient procedure should first contact their appropriate ordering provider. -END- Those interested in supporting Renown’s healthcare heroes are invited to visit www.renown.org/give for more ways on how to help. For up-to-date information on Renown’s approach to keeping our community safe, visit our website at www.renown.org/covid-19/.     About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org.

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    • Monday, Jul 11, 2022

    Nine Additional Anesthesiologists Join New Local Practice Serving Patients at Four Renown Hospitals

    Group improves diagnosis, medical management and quality of life for patients. If you are preparing for a surgical procedure, you have probably given a lot of thought to the education, training and experience of the surgeon performing the procedure. But you may not have thought much about the anesthesiologist or the importance of his or her expertise in your procedure — before, during, and after — to keep you safe and comfortable. “As the region’s only not-for-profit integrated healthcare network and Trauma Center, we are trusted and chosen by patients as the #1 provider of inpatient care, including surgeries, for northern Nevada, Lake Tahoe and northeast California. To continue to serve the needs of hundreds of surgeons and thousands of patients with safe, high quality and effective anesthesia coverage, we now employ sixty anesthesiologists through our Department of Surgery through Renown Medical Group Anesthesiology, a new local practice providing services to patients in northern Nevada,” said Sy Johnson, MBA, President of Renown Health. Patients served include those at Renown Regional Medical Center, the only Level II Trauma Center between Sacramento and Salt Lake City, and #1 Hospital in the State of Nevada in U.S. News and World Report Best Hospital Rankings for 2021. Physician anesthesiologists will also provide services to patients at Renown Children’s Hospital, the only children’s hospital in the region; Renown South Meadows Medical Center, named #1 Best Hospital for 2020 by U.S. News & World Report; and to patients at Renown Rehabilitation Hospital, northern Nevada’s only Commission on Accreditation of Rehabilitation Facilities (CARF)- accredited hospital, specializing in the treatment of brain injury, spinal cord injury and stroke. Renown Health is integrated with the University of Nevada, Reno School of Medicine, Nevada’s first medical school, which serves to enhance the health of the community through increased access to care, innovative health care delivery, expansion of clinical research and training for the next generation of physicians and health care professionals. The nine anesthesiologists who recently joined Renown Health include: Houry Kahwajian-Mock, MD, starting 5/1/2022  Brian Turchioe, MD, starting 6/1/2022  Kristina Coger, MD, starting 6/13/2022 Shannon Martin, MD, starting 7/1/2022  Joshua Moody, DO, starting 7/1/2022  Vu Luu, MD, 7/1/2022 Robert Childs, MD, 8/1/2022 Jörg Dünckelmeyer, MD, starting 8/22/2022  Jonathan Miller, MD, starting 10/31/2022 About Renown Health Renown Health is the region’s largest, locally 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 regions largest, locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®.

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    • Friday, Feb 01, 2019

    Nationally Recognized Heart Surgeons Join Renown Health

    Two Open-Heart Surgeons and Two Advanced Practitioners Bring Nearly 70 Years of Local Experience. As part of a continuing focus on offering comprehensive care for patients experiencing cardiac and vascular disease across northern Nevada, Renown Health Department of Surgery and Renown Institute for Heart & Vascular Health have developed Renown’s first division of cardiothoracic surgery dedicated to heart surgery patients. “Today, I am proud to announce cardiothoracic surgeons, Athan Roumanas, M.D., FACS, and Joseph Brandl, M.D., FACS, who have more than 45 years of combined experience caring for northern Nevadans in need of open-heart surgery, will lead this new practice at Renown,” said Anthony Slonim, M.D., Dr.PH., FACHE, President and CEO of Renown Health. “Advanced practitioners Cindy Powers and Ashley White bring another 23 years of expert care to our community and the new division of cardiothoracic surgery.” Dr. Roumanas has 18 years of experience in northern Nevada. He is a clinical associate professor of surgery at the University of Nevada, Reno School of Medicine (UNR Med) and currently serves as medical director of cardiothoracic surgery for Renown Regional Medical Center. Since 1991, Dr. Brandl has cared for our region and held numerous positions throughout the community including Renown’s director of cardiac surgery and community adjunct faculty for UNR Med. Renown Institute for Heart & Vascular Health offers the most highly-skilled and experienced heart and vascular team and the most advanced heart center in the region. Renown has long been the region’s heart care leader – performing the area’s first open-heart surgery, angioplasty, stent and valve replacements decades ago. In 2015, Renown Regional became the first hospital in the region to offer transcatheter aortic valve replacement (TAVR), a lifesaving alternative to open-heart surgery for patients considered high-risk or inoperable. 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. Additionally, Renown’s Roseview, Sierra and Cardiac Intensive Care Units (ICUs) were the only ICUs in Nevada to receive the Beacon Award of Excellence from the American Association of Critical Care Nurses. This distinction is based on sustained unit performance and patient outcomes that exceed national benchmarks. As Reno’s only locally-owned, charitable, not-for-profit integrated health network, Renown continues to meet customer demand for affordable healthcare and enhanced service and access by keeping the highest levels of clinical quality care right here in our community. 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.

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    • Monday, Mar 16, 2020

    Update on Elective Surgical Procedures and Medical Services

    Today, in accordance with recommendations from the U.S. Surgeon General and the American College of Surgeons, the Renown Health Joint Medical Executive Committee decided that effective Tuesday, March 17, surgical cases scheduled at both Renown Regional Medical Center and Renown South Meadows Medical Center, considered to be ELECTIVE-OPTIONAL will be postponed to a later date.  Patients with scheduled ELECTIVE-OPTIONAL surgeries will be called by Renown Health representatives over the next week. Surgeon’s offices will also be reaching out to assist patients with rescheduling their surgeries for a future date.  Elective surgeries that are REQUIRED and not optional will be evaluated on a case-by-case basis daily with the surgeon, patient and a medical leadership review committee at Renown. Your surgeon’s office will be in contact with you with more information about these REQUIRED surgeries This temporary measure will allow Renown’s physicians and staff to enact the emergency preparedness plans they have been developing for weeks to create additional capacity for inpatients and to continue to deliver high quality care during the anticipated surge in COVID-19 cases in northern Nevada. The new guidelines do NOT apply to EMERGENCY surgeries performed in Renown hospitals. There are different types of surgery, this decision impacts Elective-Optional surgeries only. Elective – Optional surgery – Elective surgeries are not usually necessary for the individual to stay in good health. They are non-emergency and planned in advance. A wide range of surgeries can be elective. Most cosmetic surgeries are elective. Other surgeries such as organ donation, scoliosis surgery, tonsillectomies and other minor surgeries can also be considered elective. Required surgery – Surgery which needs to be done in order to retain quality of life. As opposed to urgent or emergency surgery, required surgeries do not need to be performed immediately. Examples of required surgery are kidney stone or tumor removal. Urgent or emergency surgery – When a patient’s condition is life threatening, surgery is considered emergent. Emergency surgeries must be performed immediately, even when the patient is unconscious and cannot give consent. Examples include trauma and appendicitis. Life-threatening conditions can occur during labor and delivery which may require emergency surgery. Other services making changes include: Pulmonary Services and Procedures Renown Health today will begin rescheduling patients scheduled for Pulmonary Function Testing, Outpatient bronchoscopy and patients at Thomas S. Dolan Pulmonary Rehabilitation. Patients who are affected by this change are being called by Renown to reschedule their appointments for Monday, April20, 2020 or later. Starbucks at Renown and Renown Dining Options As with many of the Starbucks around the U.S., the Starbucks at Renown Regional Medical Center will shift to a “to-go” model, with no seating available. The cafeterias at Renown Regional Medical Center and South Meadows Medical Center remain open, will temporarily eliminate self-service options and will add more ‘grab and go’ options. Other Renown Services Remain Open Renown Medical Group offices remain open. Planned imaging procedures such as ultrasound, computed tomography (CT), magnetic resonance imaging (MRIs), mammograms and non-invasive cardiology testing will continue at Renown hospitals and office locations and will NOT be postponed at this time. Patients confirmed for imaging appointments will be contacted prior to their scheduled visits to identify those who may be at higher risk of COVID-19 infection. Renown has expanded access to Teladoc virtual visits, available to all Hometown Health and Senior Care Plus subscribers. For up-to-date information on Renown’s approach to keeping our community safe, visit our website at https://www.renown.org/covid-19/.     About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org.

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    • Surgical Services
    • Surgery

    Want to Recover from Surgery Faster? Get Moving!

    To be on the move is a scary concept when you’re recovering from surgery. But did you know getting up and at ’em could be the key to a quicker recovery, post-surgery? Here’s some expert insight from Renown Surgical Services. The team at  has some news for you: Rest and movement are important to prevent serious complications. Here are some tips about how to get mobile after your procedure — and why it’s fundamentally important. Tip 1: Start Simple While you’re in bed, move your legs and feet up and down. Be sure to ask the nurses to help you get out of bed and into the chair for all your meals, or walk to the bathroom when needed. If you feel up to it, take a walk in the hallways with the nursing staff. Tip 2: The Sooner, the Better This may be surprising, but too much rest is not necessarily a good thing. The old saying “You use it, or you lose it” rings very true to maintaining the strength needed to get yourself out of bed. Beginning the mobility process early in your hospital stay will not only help you maintain strength and function, it may also help you get home sooner. Though it may seem counter intuitive, lying in bed all day can delay your healing time and cause serious complications to arise, including pneumonia, deep vein thrombosis or blood clots, pressure ulcers and sometimes constipation. Tip 3: Mobilize Your Support System Getting out of bed, sitting in a chair for meals and walking around your room or hospital unit can help reduce your risk of complications. The nursing staff will help you out of bed the same day of your surgery if it’s cleared by your doctor. Tip 4: Safety First The nursing staff is here to keep you safe, so make sure you call them for assistance getting out of bed. Even if you think you can do it yourself, use your call light to notify the nursing staff you are ready to get up and move. In addition, new medications can sometimes impair our judgment, balance and safety, so it’s always better to have help even though you may not need it. This is also why you may have a “bed alarm” on, to remind you to call for help and keep you safe while you are recovering. Tip 5: Move, But Manage Your Pain Many people find that getting up and moving actually helps their pain, rather than making it much worse. Taking the right amount of medication at the right times will minimize your pain and help you to get moving. Your care team will work with you on how much pain medication is right to manage any postoperative pain, with the goal for you to be comfortable enough to be able to move and gradually increase your activity each day. Tip 6: Maintain that Momentum at Home Mobility doesn’t end once you’re discharged from the hospital. It’s key to keep moving to maintain health and function. When you first arrive home, it’s crucial to take frequent movement breaks throughout the day. Increase activity as it becomes more comfortable, and be sure to ease back into an active daily routine. If you have concerns about your mobility once home, be sure to discuss this with your doctor at your follow-up appointment. Renown Surgical Services | 775-982-3993 Ask your doctor if you have any questions about your medical condition or the specific surgical procedure planned, or contact the team at Renown Surgical Services. Learn More

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    • Wednesday, May 04, 2022

    56 Anesthesiologists Join Renown Health to Provide High Quality Services to Area Patients and Surgeons

    Innovative anesthesiology practice improves diagnosis, medical management and quality of life for patient. If you are preparing for a surgical procedure, you have probably given a lot of thought to the education, training and experience of the surgeon performing the procedure. But you may not have thought much about the physician anesthesiologist or the importance of his or her medical expertise in your procedure — before, during and after — to keep you safe and comfortable. "Our leadership team has thought a lot about physician anesthesiologists over the past year,” says Sy Johnson, MBA, President and Chief of Staff for Renown Health. “As the region’s only not-for-profit integrated healthcare network and trauma center, we are trusted and chosen by patients as the top provider of inpatient care, including surgeries, for northern Nevada, Lake Tahoe and northeast California. To serve the needs of hundreds of surgeons and thousands of patients with safe, high quality and effective anesthesia coverage, we now employ fifty-six anesthesiologists through our Department of Surgery and have established Renown Medical Group Anesthesiology, a new local practice for northern Nevada.” “Renown Medical Group anesthesiologists provide 24 hour surgical and procedural coverage based on clinical skill sets, surgeon preference and patient preference. Patients who choose Renown for their care can feel certain that they are receiving anesthesia care from a physician anesthesiologist who has attained board certification. Renown Health hospitals are pleased to provide patient care exclusively by physician anesthesiologists,” says Thomas Graf, MD, FAAFP, CEO, Chief Clinical & Quality Officer of Renown Health and Senior Associate Dean for Clinical Affairs at the University of Nevada, Reno School of Medicine. “We are the doctors trained to administer and manage anesthesia given to a patient during a surgical procedure to ensure anesthesia care is as safe and effective as possible,” says Nariman Rahimzadeh, MD. Dr. Rahimzadeh serves as Medical Director and Chief of Staff for Renown South Meadows Medical Center, is a member of the new group and has practiced in Reno for fifteen years. “We also play a key role in taking care of patients who are having minor surgery or who may not require general anesthesia, such as women in labor who need to be awake and alert but require effective pain management.” “Our innovative anesthesiology practice is now staffed by fifty-six anesthesiologists. We are serving patients and surgeons at Renown Health hospitals with one fully integrated model of care to improve diagnosis, medical management and quality of life,” says Christos Galanopoulos, MD, MBA, MSc, FACS; Chair, Department of Surgery and Vice President at Renown Health. “We strive to advance anesthesia through clinical excellence, education, innovation and people. Our nationally recognized medical staff and dedicated support team perform the majority of anesthesia procedures in our market, and evaluate, monitor, and supervise patient care before, during, and after surgery to deliver effective anesthesia and ensure optimal patient safety.” “Physician anesthesiologists have 12 to 14 years of education, including medical school, and 12,000 to 16,000 hours of clinical training,” adds Scott Parkhill, MD, FASA, who serves as a Medical Director and Vice Chief of Staff at Renown Regional Medical Center and is a member of the new group. “Physician anesthesiologists in the United States complete a four-year undergraduate college degree that includes satisfying pre-med requirements. Like other medical doctors, they must follow undergraduate education with four years of medical school. After medical school, a physician specializing in anesthesiology completes a four-year anesthesiology residency program. Following completion of a residency program, residents are eligible to sit for the American Board of Anesthesiology (ABA) exam. We are pleased that all of our Renown Medical Group anesthesiologists are board certified.” Adds Kelsey Larsen, MBA, Chief Operating Officer for Renown Medical Group, “We are thrilled to welcome and employ forty-two physician anesthesiologists who started with us on April 1. An additional nine physicians joined last week and five other physicians have requested to start over the summer for a total of 56 anesthesiologists that have joined Renown Health to provide services to patients.” Patients served include those at Renown Regional Medical Center, the only Level II Trauma Center between Sacramento and Salt Lake City, and named #1 Hospital in the State of Nevada by U.S. News and World Report Best Hospital Rankings for 2021. Physician anesthesiologists will also provide services to patients at Renown South Meadows Medical Center, named #1 Best Hospital for 2020 by U.S. News & World Report; and to patients at Renown Rehabilitation Hospital, northern Nevada’s only Commission on Accreditation of Rehabilitation Facilities (CARF) accredited hospital, specializing in the treatment of patients with brain injury, spinal cord injury and stroke. Renown Health is integrated with the University of Nevada, Reno School of Medicine, Nevada’s first medical school, which serves to enhance the health of the community through increased access to care, innovative health care delivery, expansion of clinical research and training for the next generation of physicians and health care professionals. 51 ANESTHESIOLOGISTS WHO JOINED RENOWN IN APRIL 2022: Samuel Beck, MD Heber Becker, MD  Peter Billharz, MD  Kara Bjur, MD  Brian Brewer, MD Brian Buehler, MD Carrie Buehler, MD Catherine Burton, MD Joshua Cartinella, MD  Nicholas Cirac, MD  Gordon Curry, MD  Scott Dougan, MD  JoAnn Ellero, MD  Daryl Fenio, MD  Dirk Fletcher, MD  Tobey Gansert, MD  Benjamin Garol, MD  Jeffery Grudzinski, MD  Keith Hanson, MD  Min Hein, MD  Mark Janes, MD  Scott Jeannes, MD  Kevin Lasko, MD  Sarah Lim, MD  Jay Markin, MD John Marshall, MD  Eric Moody, MD  John Mortensen, MD  Jobin Nash, MD Mel Nutter, DO      Scott Parkhill, MD   Nariman Rahimzadeh, MD   Suresh Raman, MD   Shaina Richardson, MD   Alan Sarabia, MD   Heidi Sarabia, MD   Mitch Seman, MD   Daniel Sorensen, MD   Ryan Stites, MD   Aaron Wallace, MD   Duncan Browne, MD   Tyler Hartley, MD   Jie Lan, MD  Pamela Russell, MD  Scott Reineck, MD   Brian Landreth, DO      Kara Sievert, MD   Chiaki Nakanishi, MD  Philip Phu, MD  Matthew Sabatini, MD   Robert Kyper, MD  About Renown Health Renown Health is the region’s largest, locally 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 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

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    Zarah Path from Traveler to OR Nurse

    As many nurses can attest, the journey they have taken to arrive at where they are today is full of twists and turns. For Zarah Jayco, an operating room nurse at Renown Regional Medical Center, her journey is nothing short of a fulfilling and exciting one. Zarah is no stranger to taking detours to find what truly makes her feel the bursts of passion she had been looking for her entire life. She found that passion in the operating room – and travel nursing led her to Renown Health. Today, she is a firm believer that she is exactly where she is supposed to be.  “I Just Want to Help People”  Throughout her life, Zarah knew she was destined for a meaningful career – but didn’t exactly know what. One day, she sat down with her mom, a nurse herself, where she asked the question that would ignite Zarah’s curiosity: What is important to you?  “That’s when I told my mom: ‘honestly, I just want to help people.’”  It was at that moment that she realized nursing could be a fit for her. Everything about venturing into the nursing field started to make sense.  So, that’s precisely what she did. Zarah went to nursing school. When she stepped into the OR during her clinical rotation, she was immediately inspired.  Zarah’s core values as a nurse were rooted from caring for her 90-year-old grandmother while she was in hospice. Her grandmother gave her some powerful lessons and words as she set off on her career: “You are in the right place.”  Upon completion of her perioperative program, Zarah the OR Nurse we know and love started her journey. She began her trek as a travel nurse, going up and down California to do exactly what she was meant to do: care for surgical patients.  “I Traded the Ocean Waves for the Mountains”  As Zarah continued to travel and find different locations for new assignments, her husband received an opportunity for work to transfer to the Biggest Little City. The duo packed up their California lives and moved to northern Nevada, where Zarah signed up for a night shift OR nurse position at Renown Regional Medical Center.  But the traveler’s mindset wouldn’t last long.  Renown embraced Zarah with open arms, and she was immediately drawn into the community-feel that our health system offered. She felt welcomed and surrounded by “loving, hardworking people” across her department and all other teams she encountered.  As Renown cares for patients across 100,000 square miles, Zarah was especially impressed with how rooted Renown is in northern Nevada, noting how it “truly feels like we are caring for the community” with our health system’s wide reach. She was inspired to live up to that mission and more.  “Reno and Renown really reeled me in, and I fell in love with the city and everything it has to offer,” said Zarah. “I traded the ocean waves for the mountains, and the more we got to know Reno, the more we realized that this change of pace and lifestyle was definitely a good fit for us.”  Zarah the OR Travel Nurse became Zarah the Renown OR Core Staff Charge Nurse. And she knew she made the right decision.  Working in the OR, according to Zarah, is challenging in the best way possible. At night, all surgery cases at Renown are emergencies. The team springs into action to answer one vital question: How do we provide the best care for this patient?  “It is essential for us to anticipate potential outcomes,” said Zarah. “When we book a surgical case, we look at everything to make sure we are absolutely prepared and ready.”  Staying at Renown was an easy choice for Zarah. To her, there is nothing like being a part of a core team that inspires her every day and ‘has each others’ back,’” Zarah stated. “During the course of my assignment at Renown, the culture harnessed a kind of environment that felt like a hardworking family. This was the hook that reeled me into considering being part of core staff. I am incredibly grateful for the opportunity to build relationships that I hold in the highest esteem.”

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