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When your child has a fever, worrying about their discomfort and illness is natural. However, fevers are part of the body's defense against infections, aiding your child's recovery. While rest and home remedies often help, it's important to know when to seek medical attention to keep your little ones safe and healthy. Symptoms of a Fever Fevers can be caused by infections, teething, vaccinations, hot environments, and autoimmune diseases. During a fever, your child may experience visible symptoms such as: Chills Disinterest in food Fussiness Headache Sore throat Cough/Congestion Feeling warm to touch Vomiting/Diarrhea Providing Comfort to Your Child Use these recommendations to make your child feel more comfortable as they recover. Use lightweight clothing and blankets to help regulate their body temperature. Encourage hydration by providing clear fluids and offer soft, easy-to-digest foods. Sponge bath with lukewarm water (do not use cold water as it can worsen symptoms.) Offer restful and quiet activities. Check with your child’s pediatrician to see if you can give them acetaminophen or ibuprofen. Continue to monitor symptoms and temperature. When to Seek Medical Attention Trust your instincts and always lean on the side of caution. In certain situations, a fever may need medical attention and treatment.

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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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Our skin’s needs change with the seasons. Feed your face for fall with these three DIY face masks. Cold-weather fruits have more than one purpose: In addition to being delicious, when applied topically, many of these crops do amazing things for your skin. Below, find three fruit-flavored face masks that will make your skin glow and tips on how to make your own version in the comfort of your home. Amazing Apples Did you know that autumn’s most famous crop, apples, do amazing things for your skin? The fruit is full of vitamin C and vitamin B — which will make your skin soft, dewy and reduce inflammation. How to DIY it: Puree the apple in a food processor, blender, or any other appliance used to puree food. (Leaving the peel on the apple is optional.) Blend with a few tablespoons of honey, oatmeal or egg yolk. Smooth the mixture over your face, avoiding the eye area. Let sit for 10 to 15 minutes, then rinse thoroughly with warm water. Pomegranate Power Play Pomegranate seeds are chock full of antioxidants, meaning they have the ability to rejuvenate aging skin and provide other anti-aging benefits. How to DIY it: To make a mask, blend a few pomegranate seeds and apply all over your neck and face. Or mix a tablespoon of pure pomegranate juice with bentonite clay from your local health food store to make a clay mask. Stir together to mix well, let it sit on your face for an hour or so, and wash off gently. Also, if you can’t find a good exfoliator, grind some seeds and apply to your face. They’ll release their nutrients onto your skin, enriching it from the outside in. Be sure to wash your face thoroughly after exfoliating. Pumpkin Perfection Pumpkin contains wrinkle-fighting vitamins A, C and E, and it gets its orange hue from beta-carotene — which can help eliminate redness and enhance your complexion as well. How to DIY it: Like the other recipes offered here, this face mask almost sounds like the beginning of a baked dessert. Mixed with honey, yogurt and olive oil this is a refreshing mask that will nourish your skin. Mix 2 cups of pureed, cooked fresh or canned pumpkin with 4 tablespoons unflavored yogurt, 4 tablespoons honey, 1/3 cup ground almonds, 1/4 teaspoon olive oil. Apply to clean, moist skin. For a personalized skin care assessment, visit Renown Health’s Dermatology, Laser & Skin Care or call 775-982-8255. Appointments may also be scheduled online.

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We’re always in search of cozy comfort foods for crisp winter evenings, but you know what’s even better? When the recipe takes less than an hour, start to finish. Here’s a recipe for healthy vegetarian chili that you can customize with your favorite beans. Remember those Choose Your Own Adventure books you used to read as a child? Well here’s a Choose-Your-Own-Adventure-inspired veggie chili. The adventure: Customizing it with your favorite beans! And once your selections are made and the veggies are chopped, this recipe should take about 40 minutes to prepare, from beginning to satisfying end. Vegetarian Chili Feeds the Crowds Here’s the recipe, which is fully customizable based on bean preferences and can also be adapted to slow cooking.

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Vitamin D, often hailed as the sunshine vitamin, plays a crucial role in our health by helping the body absorb calcium and promoting bone and teeth strength. However, despite its importance, Vitamin D deficiency is widespread, contributing to various health issues ranging from osteoporosis to type 2 diabetes. We asked Alexandra Westover, APRN for Renown Health, for more information. Understanding Vitamin D and Sun Exposure How Vitamin D is Synthesized Vitamin D functions like a pro-hormone produced when our skin is exposed to sunlight. It's vital for bone health and immune function and can even reduce the risk of type 2 diabetes by 15%. Challenges in Vitamin D Synthesis Achieving adequate Vitamin D levels is more complex than basking in the sun. The vitamin breaks down quickly; during winter in northern latitudes, UVB rays are often too weak to contribute to its production. Expert Insight Alexandra shares, "Vitamin D deficiency is linked to multiple health concerns, including cancer and depression. Unfortunately, deficiency rates are high in the U.S., partly due to limited dietary sources and the increasing prevalence of obesity." Dietary Sources of Vitamin D Foods High in Vitamin D: Fatty fish like salmon and tuna Fortified milk and orange juices Mushrooms Eggs Cod Liver Oil Alexandra's Advice on Supplements "While foods and over-the-counter supplements can help, they often fail to correct deficiencies. Many individuals need prescription-strength doses of Vitamin D."

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Do you find yourself struggling to stay awake during the day or having no energy? You’re not alone. Whether you’re a full-time employee, a student or retiree, that “I’m tired” feeling comes in all shapes and sizes. What’s even more frustrating is not knowing the source of your exhaustion.  Dr. Brandon Flores, a sleep medicine physician with Renown Medical Group, breaks down nine key reasons why you may be feeling so fatigued.  You did not get enough sleep, or your quality of sleep is poor. This may seem obvious, but in today’s “rise and grind” culture, sleep can be considered a luxury rather than what it really is: a necessity. Ensuring you get adequate hours of sleep between 6-9 hours and quality sleep is essential. You may not be breathing well during sleep. Interruptions to your breathing, such as snoring, can decrease airflow at night causing your sleep to be less restorative. This is often due to Obstructive Sleep Apnea (OSA). OSA can lead to daytime fatigue and sleepiness and can also impact other chronic health conditions, such as hypertension, diabetes, acid reflux, migraines and heart rhythm. You are not getting enough regular exercise, or you are exercising too much. Incorporating at least 30 minutes a day of physical activity can help keep you energized throughout the day. It has also been shown to increase deep slow wave sleep, which is often associated with feeling rested. On the other hand, getting too much exercise can tire you out more easily and heighten stress levels. You drink too much caffeine. This one may seem counterintuitive – caffeine is supposed to keep you awake, right? Well, overdoing it with your favorite coffee or soda could affect your sleep quality. Pay attention to your caffeine limits and have a cut-off time, as most caffeine should not be consumed past noon. You have a food allergy or intolerance. If you find yourself feeling especially tired after eating a lot of a certain food, you could have an allergy or intolerance to it – and vice versa. Consider speaking with your primary care provider (PCP) about a food allergy test or being referred to an allergist. You’re drinking too many alcoholic beverages. Alcohol is a depressant, which as the word implies, can make you feel especially tired during the day. It can also affect your breathing at night and disrupt your sleep cycle. Cutting back on alcoholic drinks may be beneficial to your overall health. You are anemic. This is the leading cause of fatigue in women but can affect people of all genders. It can be associated with low iron. Eating foods high in iron, including leafy greens and many different meats, can help your iron levels. A blood test ordered by your PCP can help you understand if you are iron deficient. You are experiencing depression or anxiety. Emotional exhaustion can be just as taxing as physical exhaustion. Prolonged feelings of sadness, hopelessness, nervousness or panic can be signs and symptoms of depression or anxiety. Speak with your provider about the many resources available to help you. You have an underactive thyroid. Feeling fatigued can also be a symptom of hypothyroidism, which affects your metabolism and energy levels. Medication can help get your thyroid back to normal. Your PCP can order a blood test to determine your thyroid levels.  If you experience severe exhaustion that lasts six months or longer, worsens after physical or mental exertion and does not get better after resting, it could be a sign of myalgic encephalomyelitis, otherwise known as chronic fatigue syndrome (CFS). This is a diagnosis of exclusion, and other causes must be ruled out. While there are no tests that detect CFS, your provider can order blood and urine tests to rule out other causes of your fatigue and help develop a care plan. © Africa Images via Canva.com

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Maintaining a healthy weight has many benefits: among those is improved heart health. If you’re trying to eat right as well as become healthier, nutrition experts say you might want to consider a plant-based diet. Plants provide air to breathe, beauty in our surroundings — and just may be a viable solution to your weight-loss goals. According to the Centers for Disease Control and Prevention, more Americans than ever are overweight: Today, 7 in 10 Americans are classified as “obese” or “overweight,” and childhood obesity rates are growing rapidly. So experts encourage would-be dieters to look to plants as a source of daily inspiration. “When you slowly and consistently expand your daily food choices to include more plant-based options, you will feel fuller, have more energy and lose weight,” says Lynice Anderson, director of Renown’s Healthy Heart Program. But according to a recent study from the U.S. Centers for Disease Control and Prevention, just 1 in 10 adults eats enough vegetables and only 12 percent get the recommended amount of fruit daily. The same study notes that eating a diet rich in fruits and vegetables daily can help reduce the risk of many leading causes of illness and death, including heart disease, type 2 diabetes, some cancers and obesity. Plant Foods = Foods with Fiber One of the overwhelming health benefits of plant-based foods: fiber. A study published in a recent issue of the Annals of Internal Medicine suggests that something as simple as aiming to eat 30 grams of fiber each day can help you lose weight, lower your blood pressure and improve your body’s response to insulin just as effectively as a more complicated diet. Fiber contains no calories and comes in two forms: soluble, which dissolves in water, and insoluble, which doesn’t dissolve. Both are important for different reasons. The soluble fiber found in oats, fruits and beans forms a gel-like substance and helps to lower blood cholesterol and blood sugar levels. Insoluble fiber found in fruit skins, green beans and cauliflower goes through your intestines relatively intact providing “bulk” and improving bowel-related health problems. “My fiber champion is chickpeas, also known as garbanzo beans,” says Renown Chef Chris Wyatt. “They are high in fiber, low in fat, low sodium and have zero cholesterol. Not only do they not contain any cholesterol, chickpeas work to remove cholesterol from your body. It’s a win-win.” Snacks That Are Part of a Plant-Based Diet Looking for the best sources of fiber from the plants and trees in your life? Here are the best options, according to this CDC fact sheet: Fruits Raspberries, 1 cup: 8.0 grams of fiber Pear, with skin, 1 medium: 5.5 grams of fiber Apple, with skin, 1 medium: 4.4 grams of fiber Strawberries (halved), 1 1⁄4 cup: 3.8 grams of fiber Banana, 1 medium: 3.1 grams of fiber Orange, 1 medium: 3.1 grams of fiber Veggies Artichoke, cooked, 1 medium: 10.3 grams of fiber Peas, cooked, 1 cup: 8.8 grams of fiber Broccoli, boiled, 1 cup: 5.1 grams of fiber Turnip greens, boiled, 1 cup: 5.0 grams of fiber Sweet corn, cooked, 1 cup: 4.2 grams of fiber Brussels sprouts, cooked, 1 cup: 4.1 grams of fiber Potato; with skin, baked, 1 medium: 2.9 grams of fiber Carrot, raw, 1 medium: 1.7 grams of fiber Renown Health Improvement Programs | Appointments: 775-982-5073  Renown Health offers a number of educational and support programs to help people overcome the challenges presented through various health conditions and to aid in creating and adopting a healthy lifestyle. To get an assessment of your dietary needs, schedule a consultation with one of Renown’s registered dietitians, who can help with: Diabetes Programs Medical Weight Management Nutrition Programs Make an Appointment

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After having a heart attack, a Mammoth resident travels to Reno to complete rehab. He’s already lost 15 pounds and gained a healthier outlook on life.  Eric Smith travels from his home in Mammoth Lakes, Calif., to Reno twice a week to participate in Renown Health’s Healthy Heart Program.   “Living in Mammoth, it’s a three hour drive for me up here. Well, it’s my life or it’s a drive,” says Healthy Heart Program participant Eric Smith. The Mammoth Lakes, Calif., resident travels to Reno twice a week to participate in the 72-session program. which includes heart-healthy classes, exercise sessions and cooking demonstrations. “The cardiac rehab program here is excellent,” Smith says. “It is the only program that I am aware of that combines nutrition and exercise together. What’s the point of exercising to get your heart strong if you are still eating poorly and not educating yourself on that?” Smith’s heart issues began when he was 46-years-old. He received an angioplasty, which is a stent to hold a coronary artery open. Two years later, Smith had a heart attack and was flown to Renown Regional Medical Center for emergency bypass surgery on four arteries to allow blood to flow to his heart more freely. An avid skier, ski racing coach and tile setter, Smith admits that it is sometimes difficult to eat right when you’re on the go in a tourist town. Since starting the cardiac rehab program, Smith says he is feeling more optimistic on making lasting lifestyle changes after meeting other people who are going through the same challenges, like food cravings and trying to get stronger. “The big thing is getting educated on food,” says Smith, who has swapped out heavy breakfasts for whole grains and fruit, and steak dinners for baked fish. In just a few months of starting the program, Smith lost 15 pounds. He looks forward to passing along what he’s learned to his friends.  “Everybody benefits from this program, especially if you have experienced a heart attack,” Smith says. “But if you don’t have those issues, you can still get the benefits from eating healthier.”

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November is National Diabetes Month, and with cases of the disease at an all-time high in the U.S., individuals must do everything they can to stay healthy. Learn more about diabetes prevention and also how to stop prediabetes in its tracks with these five helpful tips. Diabetes is a disease that is increasingly making its way into the public consciousness, and not in a good way. In fact, according to USA Today, diabetes has a greater health impact on Americans than heart disease, substance use disorder or COPD, with 30.3 million Americans diagnosed with the illness — and many more who are at risk for developing it. And those with prediabetes are at risk for developing type 2 diabetes in 10 years or less, according to the Mayo Clinic. The American Medical Association notes that 4 million U.S. adults have prediabetes. Check out the American Diabetes Association’s prediabetes risk test. The good news: There are ways to manage — and even reverse — prediabetes. Renown’s Certified Diabetes Educator Stephen Compston, RD, LD, CDE, shares five steps for managing blood sugar and also avoiding an eventual diagnosis. How to Prevent Diabetes Eat healthy foods. Plan meals that limit (not eliminate) foods that contain carbohydrates, which raise your blood sugar. Carbohydrates include starches, fruits, milk, yogurt, starchy vegetables (corn, peas, potatoes) and sweets. “Substitute more non-starchy vegetables into your meals to stay satisfied for fewer carbohydrates and calories,” Compston says. Exercise. Blood sugar is the body’s basic energy source. When you exercise, you are lowering your blood sugar. “People with prediabetes usually want to stay off of medication, so they must add something to their normal regimen that lowers blood sugar,” Compston says. “In this case, exercise is medicine.” Lose weight. A small decrease in your weight can drastically decrease your risk of developing diabetes in the future. The Diabetes Prevention Program study showed that a 7 percent decrease in body weight (14 pounds for a 200 pound person) can reduce a person’s risk of developing the disease by 58 percent. Get more rest. Studies link sleep issues to an increased risk of insulin resistance. It can also make it harder to lose weight. Thus, people that don’t get adequate sleep are at an increased risk for developing type 2 diabetes. See your doctor regularly. Schedule an appointment with your primary care provider at least once a year so you can track your health together. “A regular check-up and lab work can help identify what your blood sugars are doing so you and your doctor can develop a good plan for delaying the onset of diabetes,” Compston says.

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