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Northern Nevada Sierra Medical Center (Reno, NV) closed their inpatient pediatric unit for infants and children on June 1. This follows the 2022 decision by St Mary’s Medical Center (also in Reno) to close their 24-bed Neonatal Intensive Care Unit (NICU) and 18-bed pediatric floor in addition to eliminating maternity and birthing services. Why Are Hospitals Closing Pediatric Units? “Across the nation, pediatric units are being shuttered in favor of more lucrative units for adult care,” writes Brenna Miller, a Health Communications Specialist at the Lown Institute in her blog, Pediatrics and Profits: Why children’s hospital units are closing (Dec. 2022). “Why is pediatrics a drain on hospital finances? One reason is reimbursement. Medicaid, the state-run health insurance program for low-income patients, covers more than one third of children in the US, and Medicaid reimbursement rates are typically lower than those from other insurers.” The New York Times also reported a nationwide wave of hospitals shutting down their pediatric units in favor of more profitable adult units. “Adult beds are more lucrative than children’s beds. So as institutions look to boost profit margins, pediatrics is often among the first services to be cut,” said Emily Baumgaertner, Oct. 11, 2022. “The decline of local access to children’s inpatient care began over a decade ago and accelerated during the pandemic. Between 2008 and 2018 — the most recent national data available — pediatric inpatient units in the United States decreased almost 20 percent, and nearly a quarter of children found themselves farther from their nearest pediatric unit.” Northern Nevada Health System and St. Mary’s Medical Center are owned by for-profit investor companies, Universal Health Services, Inc., and Prime Healthcare. Renown Children’s is Here for You and Your Child “Renown is focused on meeting the community’s need for essential services, offering peace of mind knowing that any time, day or night, kids can get sick, and when they do, we are here to care for them, says Brian Erling, MD, MBA, president & CEO, Renown Health. “Renown is owned by our community, not by stockholders or private investors. We are a charitable, not-for-profit organization supported by grateful patients and donors. We are proud that 100% of our earnings are reinvested in programs, people, and equipment to improve the health of our community. We are investing in high quality health care for children; recruiting and training the next generation of physicians, nurses, and clinicians; and enhancing the quality of life for generations to come.” “At Renown Children’s, we offer a full range of pediatric services- both inpatient and outpatient,” says Kristina Deeter, MD, MBA, FAAP, Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital. “Our hospital services include a Level II Pediatric Trauma Center, Children’s Emergency Room (open 24/7), Pediatric ICU (PICU), children’s imaging center and a Level III neonatal ICU (NICU) within Renown Regional Medical Center. We also have a team of dedicated pediatricians who specialize in caring for children from birth to young adulthood. This includes preventative care such as annual checkups, immunizations, developmental screenings, and nutrition and physical activity counseling. Whether you're a new parent or an experienced caregiver, we're here to support you and your child every step of the way.” In addition to providing comprehensive OB/GYN and birthing services, Renown Health has invested in and expanded their team of dedicated pediatricians and support staff to ensure your child receives the best care possible in the highest quality facilities. New Neonatal Intensive Care Unit The Wilbur D. May Neonatal Intensive Care Unit (NICU) is located on the fifth floor of the Tahoe Tower at Renown Regional Medical Center. This special floor was designed to provide advanced care for 49 premature babies and newborns. As the only level III NICU in the region, Renown’s team of neonatologists, nurses, and specialists provides around-the-clock care for premature and sick infants, ensuring the highest standard of care.   New Pediatric Intensive Care Unit The Pediatric Intensive Care Unit (PICU) at the Children's Hospital provides specialized care for critically ill patients ranging from newborns to young adults, primarily those under eighteen. These team cares for a variety of conditions, including respiratory issues, infections, genetic and metabolic disorders, traumas, accidents, and post-surgical recovery. A dedicated team of pediatric intensivists, nurses, respiratory therapists, pharmacists, dietitians, and other professionals ensure that our most fragile children receive the attention and compassionate care they deserve. Pediatrics Specialties & Services  Over 50 Pediatricians and Pediatric Clinicians provide care in the following areas. Appointments can be scheduled via MyChart or by calling Renown at 775-982-5437.  Adolescent Medicine Child Life Program Children's Fractures Children's Hand Treatments Clubfoot & Foot Disorders Hip Disorders Limb Deformity Neuromuscular Diseases & Syndromes Pediatric Behavioral Health Pediatric Cardiology Pediatric Care Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology Pediatric Hospital Medicine Pediatric Intensive Care Unit (PICU) Pediatric Nephrology Pediatric Neurology Pediatric Ophthalmology Pediatric Orthopedics Pediatric Pulmonology Pediatric Sedation Services Pediatric Sports Medicine Pediatric Surgery Pediatric Urology Safe Kids Washoe County Scoliosis Neonatal Intensive Care Unit (NICU) Renown Children’s Hospital is supported by grateful patients and donors. Secure a brighter future for local children by donating to the Renown Health Foundation at 775-982-5545 or at renown.org/About/Renown-Health-Foundation.     About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 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 locally owned not-for-profit insurance company, Hometown Health.

Read More About As Second Northern NV Hospital Closes Pediatrics Unit, Renown Children’s Hospital Expands to Meet Community Need for Essential Services

Extracorporeal Membrane Oxygenation technology (ECMO) for patients with severe heart or respiratory failure is now available locally thanks to a grant from The Leona M. and Harry B. Helmsley Charitable Trust  Renown Health, the Level II Trauma Center for the region and the leader in offering the most innovative treatments for critically ill adults and children, is now home to northern Nevada’s first and only comprehensive extracorporeal membrane oxygenation (ECMO) program.  The ECMO machines arrived at the Cardiac ICU at Renown Regional Medical Center this week, and the multidisciplinary team of highly specialized physicians, Critical Care intensivists, Cardiovascular surgeons, perfusionists, registered nurses and therapists are ready to provide minute-by-minute support for patients receiving ECMO treatment. The multidisciplinary ECMO team includes pharmacists and respiratory therapists who are ready to receive their first patient. “At Renown Health, we are constantly investing in our clinicians, essential services, and medical innovations to help keep care local. Access to health care—both preventive care and advanced treatment—is critical for a community’s well-being and optimal health,” said Brian Erling, MD, MBA, President & CEO for Renown Health. “We are incredibly grateful for the Helmsley Charitable Trust and their $3.5-million grant to help establish the first ECMO program for the region at Renown. ECMO saves lives. Neighbors in need of ECMO life-support can now stay close to home and loved ones, and no longer need to be transported to facilities outside our area for this type of advanced care.” What is ECMO? “ECMO is a life support technology for patients with the most severe heart and lung illnesses,” explains Richard King, MD, FACEP Division Chief- Critical Care Medicine at Renown Health and Co-Medical Director of the ECMO program. “At Renown, our technology allows a patient's heart and lungs to heal and recover from illnesses, diseases, and injuries the body has sustained. The ECMO machine is a portable life-support system used for severe cases of heart and lungfailure. The ECMO procedure provides minimally invasive heart-lung bypass support outside of the body. The machine then removes carbon dioxide from the patient’s blood and adds oxygen. Basically, ECMO serves as your heart and lungs, supplying blood with oxygen and pumped back into the body, allowing your own organs to rest and to help the impaired function.” Why is ECMO important in saving lives?  “This state-of-the-art procedure can save lives in cases that otherwise would offer little chance of survival and can act as a bridge to those needing heart or lung transplants,” says Dr. Kimball Knackstedt, Cardiovascular surgeon, Renown Institute for Heart & Vascular Health, and Co-Medical Director of the ECMO program. “ECMO can be a game changer and a last resort for patients with severe heart and lung conditions. The procedure isn’t for everyone. ECMO requires anticoagulation, so a common complication is bleeding. This makes the therapy complex for trauma patients who often have life threatening heart and lung failure but due to severe bleeding, cannot utilize ECMO. We look forward to providing care for patients who are too unstable for transport and who could die before receiving needed care.” "Renown Health serves more than one million patients in a 100,000-square mile reach across Nevada, Lake Tahoe and eastern California. The Helmsley Charitable Trust grant to the Renown Health Foundation will help give severe respiratory distress and cardiogenic shock patients a greater chance of survival and lessen the need for risky and lengthy transfers out of the community,” said Taralynn Bassham, BSN, Director of Nursing, Critical Care. “This investment in critical life support technology enables the best chance of survival for our patients suffering severe heart and/or lung failure during their most critical moments. This is truly a gift of life for many.”  ECMO programs growing across the U.S.  ECMO technology was developed in the late 1960s by a team led by Robert H. Bartlett, MD. Its main purpose was to serve as a long-term “bypass machine” to support the lungs or heart, which was not feasible at that time with conventional bypass machines. ECMO was first used successfully in 1971 by a patient with severe lung dysfunction after a motorcycle accident. In 1976, it was also used successfully for a baby who had severe lung injury from meconium aspiration, which led to increased use in the pediatric population. In 2009, ECMO was used worldwide in the treatment of severe lung failure during the H1N1 influenza pandemic. More than 100 new ECMO programs were launched in the U.S. in the last 3-5 years. Today, there are 6,120 hospitals in the U.S. and only 300 to 400 with ECMO programs according to the American Medical Association.  “We are launching our ECMO program with the capability to support up to 2 patients simultaneously for the first 1-2 years and aim to eventually perform 40 cases annually,” said Rob Blamire, Enterprise Project Manager for Renown. “Initially, we will focus on adult patients and later expand to include pediatric care. Depending on a patient’s needs, ECMO support varies from several days to weeks. The entire Renown team takes immense pride in introducing this leading-edge life support technology to our community, benefiting area patients and their families.”  What conditions may ECMO support help treat? There are several conditions extracorporeal life support can aid in treating, such as: Adult respiratory distress syndrome (ARDS); Burns (smoke inhalation); Cardiogenic shock; Heart attack; Respiratory failure; Myocarditis; Pulmonary embolism;Sepsis; and as a “bridge” to transplant. Supported by Innovative ECMO Concepts  “We appreciate the partnership with the team at Innovative ECMO Concepts, a leading provider of ECMO who specialize in providing support for launching and refining ECMO programs,” said Bill Plauth, MD, MMM, CPE, Chief Medical Officer for Renown Health, and Associate Dean for Clinical Affairs at the University of Nevada, Reno School of Medicine. "From initial consultation to working bedside, staff training, and ongoing program evaluation, IEC’s comprehensive approach has ensured seamless integration and optimal outcomes for patients. “We are proud to help set a new standard in patient care and safety in northern Nevada through Renown’s ECMO program,” comments Dr. John Mehall, Chief Medical Officer at IEC. “This achievement is a testament to the team’s unwavering commitment to improving outcomes for patients requiring ECMO therapy.” Thank you to The Leona M. and Harry B. Helmsley Charitable Trust "This life-support procedure would not be possible without the generosity of The Leona M. and Harry B. Helmsley Charitable Trust. The Trust's ongoing support for Renown Health and our community helps us further our healing mission," said Greg Walaitis, Chief Development Officer, Renown Health Foundation. If you are a hospital or referring provider and want more information about our ECMO program, please contact the Renown Operations & Transfer Center.  For media interviews, contact news@renown.org or 775-691-7308. About Renown Health  Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center for adults and children, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.

Read More About Groundbreaking Historic Milestone: ECMO Program for Region's Critically Ill Patients Now Available at Renown Health

Clinical researchers with the Healthy Nevada Project co-author research paper with findings that emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively.  Breast cancer is a leading cause of cancer death among women in the United States. According to the American Cancer Society, about 1 in 8 women will develop breast cancer and about 1 in 39 women will die from breast cancer. Breast cancer is associated with increased age, hereditary factors, obesity, and alcohol use. Since 1990, breast cancer death rates have declined progressively due to advancements in treatment and detection. In Nevada there are an estimated 2,310 new breast cancer cases a year, and genetic mutations such as in the genes BRCA1 or BRCA2 remain a top risk factor for this prevalent disease. Recognizing the urgency for progress in breast cancer research, a collaborative effort between physicians, advanced practice providers and scientists from the Healthy Nevada Project® (HNP) and Helix have unveiled groundbreaking research. This study explores how genetic screenings are a necessary supplement to traditional testing methods, together offering more accurate insights into a patient's likelihood of developing breast cancer in the future. HNP is operated by Renown Genomic Medicine and the Institute for Health Innovation and is one of the largest community-based population health studies in the country. Their team works in collaboration with Helix, a leader in precision health that delivers comprehensive genomic solutions. Together, this dynamic partnership aims to understand breast cancer risk factors and pave the way for more effective preventative measures. The combined research team studied 25,591 female HNP participants to evaluate the performance of different genetic screening approaches to identify women at high risk of breast cancer. The results of this research suggest that a combined monogenic, or single-gene, and polygenic, or multi-gene, approach to breast cancer screenings helped produce more accurate results and more closely identify study participants who have a high genetic risk of developing the disease. "Based on this research, we are advocating a shift in approach which would improve breast cancer risk assessment through a combination of effective family history ascertainment and genetic screening,” said Joseph Grzymski, PhD, principal investigator of the Healthy Nevada Project, research professor at the University of Nevada, Reno School of Medicine and co-author of the breast cancer research paper. “This tailored approach, founded on the assessment of individual genetic risk, not only intends to elevate patient well-being but also will improve efficiency and equity in healthcare." Complementing the team’s research on leveraging genetics to identify women at low genetic risk of breast cancer that could safely defer mammogram screenings by five to 10 years that was released in late 2023 in JAMA Oncology, the study suggests that incorporating genetic information can assist in personalizing breast cancer screenings and optimizing the use of screening resources. "Existing disparities persist across various facets of breast cancer screening and treatment; however, genetic screening is clearly a powerful tool to help facilitate early intervention for those at higher risk,” said Jamie Schnell Blitstein, APRN, a primary care nurse practitioner at Renown Health and co-author of the breast cancer research paper. “By placing a heightened focus on risk, we underscore the pivotal role of preventative breast cancer screening.” Despite the availability of effective methods for early screening, co-authors of this research found that 78 percent of women with a family history of breast cancer had their risk ascertained only after a breast cancer diagnosis. The findings emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively.  “These findings that can profoundly impact how healthcare is delivered were only made possible by all the participants who were willing to consent to research,” said Alex Bolze, PhD from Helix and co-author of the publication. “Broad-scale collaboration projects like these between Renown Health and UNR that engage large populations where participants share both their genetic information as well as electronic health records drive advancements in preventative medicine, as well as fundamental biological research.”   The research paper was officially accepted on Jan. 29, 2024, and will be published by Elsevier, Inc. on behalf of the American College of Medical Genetics and Genomics. The contents of the paper will appear in the international journal Genetics in Medicine Open. Read the full article by visiting sciencedirect.com. The Healthy Nevada Project is currently recruiting new study participants. Free to all Nevadans with a saliva sample or blood draw, participants and their referring providers receive access to whole-exome sequencing and clinical grade results that help provide insight into their unique genetic risks tied to heart disease and certain cancers. If you are interested in enrolling in the study, schedule a Virtual Consent Appointment through MyChart or contact the Renown Institute for Health Innovation at RenownIHI@renown.org or (775) 982-6914 to be connected to a Genomic Representative. About Renown Health Renown Health is the region’s largest, 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 largest community-based genetic population health study, the Healthy Nevada Project®. To join the Renown Health team, visit renown.org/careers. About Helix Helix is the leading population genomics and viral surveillance company operating at the intersection of clinical care, research, and data analytics. Helix enables health systems, life sciences companies, payers, and government partners to accelerate the integration of genomic data into patient care and public health decision-making. Learn more at helix.com.

Read More About Research Shows Genetic Approaches to Breast Cancer Screenings Yield More Accurate Results

Semanas después de que la única farmacia abierta las 24/7 de la semana en Reno-Sparks anunciara que ya no estaría abierta durante la noche, Renown da un paso adelante para satisfacer las necesidades de la comunidad, ofreciendo la tranquilidad de saber que en cualquier momento, de día o de noche, las personas pueden tener acceso a sus medicamentos esenciales en la farmacia del primer piso del hospital Renown.   Reno, Nev. (24 de abril del 2024) – Renown Health se complace en anunciar que a partir del lunes 29 de abril, Renown Pharmacy de la calle Pringle ampliará su horario para servir como la única farmacia abierta las 24 horas, los 7 días de la semana en el área para atender a todos los clientes. La farmacia Renown ubicada dentro del Renown Regional Medical Center llenará el vacío que quedó en la comunidad después de que Walgreens en N. Virginia Street en Reno anunciara que ya no operará en un horario 24/7.   El acceso “a todas horas” a la farmacia de Renown permitirá a los pacientes después del alta de cualquier hospital del área la posibilidad de obtener sus medicamentos recetados en cualquier momento, además de otorgar a todos los miembros de la comunidad la oportunidad de recoger sus recetas cuando sea más conveniente para ellos.   "Estamos orgullosos de poder dar un paso adelante para brindar acceso las 24 horas del día a medicamentos y servicios de atención médica esenciales para nuestra comunidad que esta en crecimiento", dijo Brian Erling, MD, MBA, Presidente y Director Ejecutivo de Renown Health. “Entendemos la importancia de la accesibilidad a los medicamentos y al apoyo en cuanto la atención médica, especialmente en momentos de necesidad urgente. Nuestra decisión de operar nuestra farmacia las 24 horas del día, los 7 días de la semana, refleja nuestro compromiso de atender las necesidades de nuestra comunidad y garantizar que las personas tengan un acceso conveniente a la atención que necesitan, día y noche”.  “Nos sentimos profundamente agradecidos por los años de dedicado servicio farmacéutico que Walgreens ha ofrecido en Reno-Sparks. Hoy, con gran entusiasmo, anunciamos que Renown expandirá este legado, proporcionando a nuestra comunidad acceso a medicamentos recetados todos los días, a cualquier hora", expresóAdam Porath, Pharm.D., BCACP, BCPS, FASHP, Vicepresidente de Servicios de Farmacia de Renown Health. "Con nuestros servicios farmacéuticos disponibles 24/7, aspiramos a ofrecer paz y seguridad a nuestros clientes y a la comunidad en general, asegurándoles que pueden contar con nosotros en cualquier momento, ya sea de día o de noche, para cubrir sus necesidades de medicamentos y recibir asesoramiento experto en la gestión de sus tratamientos. Nuestro equipo de farmacéuticos y técnicos, altamente capacitados, está listo y deseoso de servir a nuestra comunidad desde Renown Pharmacy en el Renown Regional Medical Center, a partir del lunes 29 de Abril”.  “En tiempos de enfermedad, el acceso oportuno a los medicamentos es crucial para un tratamiento eficaz y una recuperación rápida. Ya sea que se trate de controlar enfermedades crónicas o abordar síntomas agudos, cumplir con los cronogramas de medicamentos prescritos puede afectar significativamente los resultados de salud”, dijo Bill Plauth, MD, MMM, CPE, Director Médico de Renown. “Creemos que al ampliar el horario de nuestra farmacia, podemos apoyar mejor la salud y el bienestar de nuestra comunidad, asegurando que reciban la atención que merecen cuando más la necesitan. Invitamos a nuestra gente a aprovechar nuestra farmacia y experimentar la conveniencia y confiabilidad de nuestros servicios 24 horas al día, 7 días a la semana”.  Renown Pharmacy - Pringle está convenientemente ubicada en el primer piso del Renown Regional Medical Center en Reno. Renown Pharmacy está cerca de Starbucks y se especializa en productos farmacéuticos difíciles de encontrar a costos más bajos, como ciertos medicamentos que normalmente no se encuentran en otras tiendas minoristas.  Puede transferir sus recetas a cualquiera de las tres farmacias de Renown llamando a la ubicación más conveniente y permitiendo que nuestro personal farmacéutico experto complete el proceso. Además, puede solicitar resurtidos y verificar el estado de su receta en la aplicación MyChart. Renown Pharmacy-Pringle, 75 Pringle Way: 775-982-7737  Renown Pharmacy-South Meadows, 10101 Double R Blvd.: 775-982-5366  Renown Pharmacy-Locust, 21 Locust St.:  775-982-5280  Para obtener información completa sobre farmacias, visite: renown.org/pharmacy.  Renown Health continúa expandiéndose y contratando puestos clínicos en demanda, incluyendo puestos en Renown Pharmacy. Visite renown.org/careers para obtener más información.  Acerca de Renown Health  Renown Health es la red de atención médica integrada más grande de la región, administrada localmente y sin fines de lucro, que sirve a Nevada, Lake Tahoe y el noreste de California. Con una fuerza laboral diversa de más de 7,400 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación que se ha mantenido a lo largo de los años. La organización está conformada de un centro de trauma, dos hospitales de cuidados intensivos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias, además de una compañía de seguros para la comunidad, sin ánimo de lucro y administrada localmente, Hometown Health. Para más información, visite es.renown.org.

Read More About Ante La Falta De Una Farmacia 24 Horas Al Día, 7 Días A La Semana En Nuestra Comunidad: Renown Pharmacy-Pringle Abrirá 24/7 A Partir Del 29 De Abril

Wearing headphones or earbuds is a daily activity for many of us. Listening to music, podcasts, meetings, phone calls; there are endless reasons to stick them in or on your ears. However, if your ears start to feel plugged, full; or you feel dizzy, lightheaded or hear ringing in your ears; you may be experiencing ear wax build up where your ear canals become blocked and affect your hearing. If you’ve tried to clean your ears (please don’t use Q-Tips®), but still have symptoms, pain, or hearing loss, it’s time to see your physician, nurse practitioner, physician assistant or visit Renown Urgent Care. “Ear wax isn’t dirty. It’s normal,” says Ryan Bristol, APRN, Advanced Practitioner of Nursing at Renown Urgent Care. “Ears are self-cleaning miracles, and naturally clean themselves with the help of jaw movement and skin migration. However, wearing headphones or earbuds for hours blocks earwax from naturally draining from the ear. Additionally, the dirt and bacteria that these headphones often carry can cause an infection on their own, and earwax buildup can trap dirt in the ear and block the canal completely. The snug fit of headphones can create a conducive environment for the accumulation of ear wax. It's crucial for individuals to be mindful of this and take necessary precautions to prevent complications." “Individuals experiencing symptoms such as ear pain, decreased hearing, or a sensation of fullness in the ears are encouraged to seek evaluation and treatment at their nearest urgent care facility,” says Rahul Mediwala, MD, CEO of Renown Medical Group. “By addressing ear wax build-up promptly, individuals can mitigate the risk of complications and maintain optimal ear health. Fortunately, prompt, pain-free and effective treatment is available at Renown Urgent Care. We offer professional ear wax removal procedures performed by trained staff, providing relief to those experiencing discomfort or hearing impairment due to excessive ear wax build-up.” The experts at Renown Health gave us some background. What is ear wax and why is it healthy? Ear wax is a protective substance called sebum made of fat, skin cells and sweat. Ear wax is produced by glands in the ear canal. It helps protect the ear from germs and dirt and prevents the sensitive skin of the ear canal from becoming irritated. It is normal and healthy to have a thin lining of ear wax on the canal. Ear wax will sometimes accumulate and move to the outer ear canal, where it would typically fall out or be wiped away. This is also normal. When should I seek care? An ear canal has too much wax if the ear feels plugged or hearing is affected. The accumulation of wax happens very gradually, so ears do not necessarily feel waxy. The problem is usually noticed because of changes in hearing. Over the counter remedies may offer relief. However, in some cases, the earwax has built up or become impacted, and ears need to be treated. What is the treatment? At Renown Urgent Care, we offer professional ear wax removal procedures performed by trained staff, providing relief to those experiencing discomfort or hearing impairment due to excessive ear wax build-up. Wax is flushed from the ear canal using a syringe filled with warm water and saline or diluted hydrogen peroxide. Most patients find the procedure is fast, pain free and effective. How can I prevent earwax buildup from headphones and ear buds? Most people who wear headphones or use earbuds occasionally or intermittently don’t have difficulties with excessive ear wax. Wax accumulation also depends on the size of the ear canals and the productivity of the oil glands in the ear canal. You can choose to use over the ear headphones. If you prefer to use in-ear headphones, the best modes of excess ear wax prevention are to: Clean headphones and earbuds regularly with a cloth or disinfectant wipes; Avoid sharing headphones or earbuds with other people; Take breaks from headphones and earbuds so ears can breathe and get back to normal; Pay attention to your ear health. Should we talk about Q-tips? Yes! Q-tips (and similar products) are rarely helpful for managing ear wax. The cotton on the end of the Q-tip is usually unable to pull the wax out of the canal. Worse, they can push the wax deep inside the ear canal, and it can end up impacted. Where should I seek care? Individuals experiencing symptoms such as ear pain, decreased hearing, or a sensation of fullness in the ears are encouraged to seek evaluation and treatment at a medical facility. By addressing ear wax build-up promptly, individuals can mitigate the risk of complications and maintain optimal ear health. Renown Urgent Care sees patients 365 days a year for medical concerns that are urgent but not life-threatening at many locations across northern Nevada. Book ahead to reserve a time slot at one of our ten urgent care locations. If you do not see time slots that work for you, you can still go to any location that has "walk-ins available" listed. For more information, or to book an appointment, go to renown.org/Health-Services/Urgent-Care. Renown Health is the region’s locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,200 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 locally owned not-for-profit insurance company, Hometown Health.

Read More About Let Those Ears Breathe! Increased Headphone and Ear Bud Use Leads to Ear Wax Build Up; Renown Urgent Cares Offer Relief

Amy McGaha, MD, MPH, FAAFP has joined the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health as department chair of Family and Community Medicine. Dr. McGaha comes to Nevada from Omaha, Nebraska where she served as the Roland L. Kleeberger, MD professor and chair for the Creighton University School of Medicine, Department of Family Medicine.  Dr. McGaha previously served as the assistant director of medical education for the American Academy of Family Physicians (AAFP), the professional membership association for family physicians, working to develop family medicine workforce and medical education. She has also served on the Board of Trustees for the Society of Teachers of Family Medicine and on the board for CHI Health, the clinical partner of Creighton University School of Medicine. Prior to those appointments, Dr. McGaha provided inpatient and outpatient care for Freeman Health Systems in Missouri. Dr. McGaha completed her education at the University of Missouri School of Medicine in Columbia and completed her residency in family medicine in Tallahassee, Florida. Dr. McGaha also completed a Master of Public Health (MPH) degree at the Milken Institute School of Public Health at George Washington University. She is a fellow of the AAFP. Dr. McGaha will serve as the joint academic and administrative leader defining clinical operations to expand care, enhancing teaching and training programs vital to ambulatory and acute care medicine in northern Nevada and fostering clinical and translational research and diversity missions. “I am delighted to welcome Dr. McGaha,” said Paul J. Hauptman, MD, dean of UNR Med and chief academic officer for Renown Health. “As our new chair for Family and Community Medicine, she brings to us a wealth of experience, dedication and innovation that will continue to elevate the quality of care we provide to patients and the excellence in education we offer to students. Dr. McGaha has a strong background in academic medicine, distinction in clinical care, medical education, and research, and is universally respected as a compassionate physician leader. Dr. McGaha will do much to advance the mission of our Family Medicine Residency program and expand related Graduate Medical Education (GME) opportunities, shaping the future of family medicine in northern Nevada and beyond.” “Dr. McGaha will help bolster our commitment to providing exceptional primary care services to our community. With her guidance, we will advance patient-centered care, train the next generation of health care professionals and foster a culture of innovation within our academic health system,” said Brian Erling, MD, MBA, president and CEO of Renown Health. “This is an exciting time for Dr. McGaha to help craft our vision to offer more efficient and affordable care, elevate the patient experience and advance health equity across northern Nevada. We are fortunate to have her joining our team and our community.” Dr. McGaha will spearhead initiatives to enhance clinical outcomes, promote preventative health measures and foster collaboration among health care providers to optimize patient care delivery. In addition, Dr. McGaha will oversee the Family Medicine Residency, a full-scope, fully accredited program at UNR Med. Graduates practice in various settings, both rural and urban, solo family medicine and in large provider groups, traditional outpatient family medicine and as hospitalists or urgent care physicians. Dr. McGaha’s research has explored maternal health equity. She designed a Medical-Financial Collaborative Care Practice Model to address social determinants of health in patients with Type 2 diabetes. She has also presented nationally on diverse topics, such as “Advancing Inclusion and Belonging in Health Science Education” and “Innovating Interprofessional Collaboration in a Primary Care Setting.” An author of 25 academic papers, she has a long history of community service to schools, hospice organizations and neighborhood health clinics. Dr. McGaha has won many awards for her work in medical education, including the AIHC Interprofessional Practice Award, induction into the Gold Humanism Honor Society at Creighton University, the AAFP Foundation Pfizer Immunization Grant Award, the Physicians Recognition Award from the American Medical Association, and the Ellen Beck Faculty Award for Medical Staff Outstanding Commitment. The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents, and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national, and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu. Renown Health is the region’s largest, locally governed, not-for-profit integrated health care 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 locally owned not-for-profit insurance company, Hometown Health.

Read More About Amy McGaha, MD, MPH, FAAFP Appointed Chair of Family and Community Medicine

PICTURED ABOVE: Members of the Renown Institute for Heart & Vascular Health celebrate the first FARAPULSE™ procedure in Nevada on March 18, 2024. Physicians, nurses and clinicians at the Renown Institute for Heart & Vascular Health have achieved a groundbreaking milestone as they successfully completed the first cardiac ablation procedure done in Nevada, utilizing the FARAPULSE™ Pulsed Field Ablation System this past March. "Atrial fibrillation, commonly known as Afib or AF, is an irregular heartbeat caused by an abnormal heart rhythm that makes the upper heart chambers (the atria) quiver or fibrillate. It’s the most common heart rhythm irregularity—or cardiac arrhythmia—and it’s estimated that by 2030, 12.1 million people in the U.S. may have Afib,” said Rahul Mediwala, MD, MBA, CEO of Renown Medical Group. “While Afib itself generally is not life-threatening, the complications from Afib can be very serious, as it can increase the risk for heart problems such as heart failure and stroke. We are pleased to introduce additional therapies that allow physicians to serve more patients, reduce complications and benefit overall public health.” "Our team takes immense pride in pioneering Nevada's first cardiac ablation procedure with the FARAPULSE™ Pulsed Field Ablation System, an FDA-approved innovation for atrial fibrillation treatment,” said Shining Sun, MD, a board-certified cardiologist trained in the procedure, at the Renown Institute for Heart & Vascular Health. “This milestone represents a significant leap forward in cardiac care and underscores our commitment to advancing innovative treatments for atrial fibrillation, said Matthew Cain, MD, a board-certified cardiac electrophysiologist trained in the procedure. “We anticipate a significant reduction in anesthesia duration and wait times for patients undergoing this FDA-approved procedure due to its efficiency.” What is Atrial Fibrillation? Atrial fibrillation (AF) occurs when the top two chambers of the heart, the atria, beat too fast and with an irregular rhythm (fibrillation). AF, the most common type of arrhythmia, can decrease the heart’s pumping efficiency, which can cause blood cells to pool and stick together, forming clots in the heart, and lead to stroke. People with AF have a higher risk of stroke, heart failure and other heart-related complications than those with normal heart rhythms. AF affects nearly 2% of the general population worldwide, and approximately seven million Americans live with this arrhythmia. An estimated 38 million people globally have AF. About the FARAPULSE Pulsed Field Ablation System The FARAPULSE PFA System is a new alternative to standard-of-care thermal ablation. During a traditional ablation procedure, a catheter is guided to the interior of the heart and generates extreme temperatures – hot or cold – to destroy targeted areas in the heart associated with abnormal heart rhythms. The FARAPULSE PFA System relies on tissue selective, non-thermal electric fields to ablate heart tissue and avoid damage to surrounding structures. Positive 12-month data from the pivotal ADVENT clinical trial – the first randomized clinical trial to directly compare the efficacy and safety of the system against standard-of-care ablation – found that therapy with the device was as safe and effective as conventional thermal ablation, with statistically shorter ablation times and a quicker learning curve for physicians. Additional data from more than 17,000 patients demonstrated continued real-world safety of the system, with no reports of permanent phrenic nerve palsy, pulmonary vein stenosis or esophageal injury. Visit your primary care physician to hear more, or for a referral to the Renown Heart & Vascular Institute. If you would like a primary care physician or practitioner, please visit www.Renown.org or schedule an appointment by calling Renown’s customer service agents available by phone- Mon-Fri: 7 a.m. to 7 p.m., Sat-Sun: 7 a.m. to 6 p.m. at 775-982-5000. Renown Regional Medical Center has been named #1 Hospital in Nevada by US News & World Report for the past three years as the best hospital for patients with complex, life-threatening, or rare conditions for the last two years and rated highest in NV in eight specialty areas including, Cancer; Cardiology & Heart Surgery; Diabetes & Endocrinology; Gastroenterology & GI Surgery; Nephrology; Neurology & Neurosurgery; Orthopedics; Pulmonology & Lung Surgery. Renown South Meadows Medical Center in south Reno has earned an “A” Hospital Safety Grade from The Leapfrog Group, the nation’s premier advocate of transparency in health care. This national distinction recognizes Renown Health’s national accomplishments in ensuring safe, high-quality hospital care for patients. B-roll footage of the cardiac ablation procedure utilizing the FARAPULSE™ Pulsed Field Ablation System is provided by Boston Scientific® and available for media use here. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,400 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 locally owned not-for-profit insurance company, Hometown Health.

Read More About Renown Institute for Heart & Vascular Health Conducts First Farapulse™ Procedure In Nevada to Treat Atrial Fibrillation