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Know when to visit an ER: Top 5 concerns
When a sudden illness or injury occurs, the emergency room (ER) provides immediate medical attention to those in need. Understanding the top reasons for visiting the ER can help people make informed decisions about seeking emergency care. Here are the five most common reasons people in Nevada visited an ER in 2023. 1. Abdominal pain One of the top reasons people visit the ER is abdominal pain. The abdomen has many organs, including the stomach, liver, small and large intestines, gallbladder and pancreas. Significant pain in this area can be a cause of concern. Warning signs of a serious problem include abdominal pain with fever, vomiting, and not being able to move or perform everyday tasks due to pain. Seeking medical attention when experiencing these symptoms is essential. Emergency physicians can perform abdominal exams, assess the condition and rule out significant threats. 2. Fever High fevers that do not get better with medicine and are accompanied by other symptoms can cause concern. This can indicate that the body is fighting off an infection or illness. Fever with symptoms like vomiting, pain, altered mental status, shortness of breath or inability to perform daily functions are warning signs to watch out for. Adults and children should visit an ER, where the team can assess the causes of the fever. 3. Chest pain and shortness of breath Chest pain and discomfort, or pain in the upper body can suggest warning signs of a heart attack. If a person is experiencing signs of a heart attack, call 911 immediately to ensure timely treatment or assessment by a medical professional. Heart attack symptoms include: Chest pain, including pain that can be described as chest pressure, heaviness or squeezing Discomfort in the chest, arms, back, neck, shoulders and jaw Difficulty breathing Sweating with any of the above symptoms When visiting a Renown ER for chest pain, a trained medical professional will promptly perform an Electrocardiogram (EKG) in an area where preliminary assessments, also known as triage, take place. Individuals experiencing shortness of breath or trouble breathing, whether from a respiratory infection, asthma complications or other pre-existing conditions should not ignore symptoms as these can signify more serious issues. Warning signs of respiratory distress may include: A significant change in breathing rate A significant change in the amount of energy used to inhale or exhale when breathing Changing of the skin color to blue, gray or paleness, which can indicate a lack of oxygen Nasal flaring Chest retractions, which can suggest difficulty bringing air into the lungs What this looks like: the chest sinking in just below the neck, breastbone or rib cage while breathing 4. Neurological symptoms Sudden and severe headaches or seizures may prompt individuals to visit the ER if symptoms are extremely disorientating or debilitating. These symptoms could be indicative of various conditions, including strokes or neurological disorders that require prompt evaluation. If a person is experiencing signs of stroke, call 911 immediately to ensure timely treatment. Stroke symptoms include: Numbness, weakness or loss of movement in the face, leg or arm, especially on one side Confusion, including trouble speaking or understanding Trouble with vision or loss of balance When choosing emergency care for signs and symptoms of stroke, a Comprehensive Stroke Center can provide patients with immediate intervention, including evaluation, treatment and education. 5. Cough/flu-like symptoms Emergency departments are staffed by medical professionals trained to prioritize and treat emergency and trauma situations. Receiving care at an ER should be reserved for severe symptoms and life-threatening conditions. It’s best to schedule a visit with a primary care physician for mild cold and flu symptoms. Most urgent care locations are equipped with rapid testing options, including RSV, COVID-19, influenza, mononucleosis, urinary issues and strep throat. It is critical to distinguish between common respiratory infections and more severe cases, such as pneumonia or complications from the flu. Symptoms that may warrant a visit to the ER include: Rapid decline in the ability to perform regular daily activities Coughing or throwing up blood Severe dehydration and inability to drink fluids High fever not responsive to medication Understanding top ER visits in Nevada While these ER complaints are common reasons for emergency room visits in Nevada, it's important to remember that emergency care is available for all immediate medical needs. Do not hesitate to seek help at an emergency room if someone experiences a sudden or severe health concern. Quick and appropriate action can make a significant difference in keeping you and your loved ones healthy. Renown Health is the largest locally governed, not-for-profit healthcare network in northern Nevada, providing leading emergency and trauma care by board-certified emergency physicians 24/7 at three locations, including the region’s only pediatric emergency department. Renown Health emergency rooms prioritize swift assessments, advanced diagnostic tools and compassionate care, providing leading emergency and trauma care. Trust Renown ER for not just emergency care but exceptional care. Learn more at renown.org/ER.
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Medicare’s Annual Election Period Begins Oct. 15
Annual Election Period for Medicare beneficiaries to enroll or change health insurance Oct. 15 to Dec. 7 It only happens once a year – more than half a million Medicare beneficiaries in Nevada get to decide during the Medicare Annual Election Period (AEP) from Oct. 15 through Dec. 7, if a Medicare Advantage plan is best for their medical needs. Residents of Washoe, Carson City, Clark and Nye counties have the opportunity to enroll in one of the plans offered by Senior Care Plus®, a Medicare Advantage Plan from Renown’s Hometown Health, which offers $0 premium plans with a variety of benefits, including worldwide emergency care, low prescription drug costs and is the only Medicare Advantage plan accepted by Renown Medical Group physicians, and offering full access to the Renown Health hospital network named “Best in Nevada” by US News & World Report for the last two years. “As the only not-for-profit health plan in northern Nevada, Senior Care Plus® is more than just a Medicare Advantage Plan; we are your partner for better health and wellbeing,” says Bethany Sexton, CEO of Hometown Health. “We regularly ask our members how we can help them in their journey to health and wellness, and our team works throughout the year to make continuous improvements to our plans. That’s why we are excited to announce new cost-saving health benefits that will be included in the 2023 Senior Care Plus® Medicare Advantage Plan." For 2023, Senior Care Plus® members will enjoy access to Renown physicians, services, and hospitals as well as new benefits including comprehensive dental services, free telemedicine visits for dermatology needs, free annual hearing exams and low-cost hearing aids and home medical equipment including blood sugar test strips, oxygen equipment and supplies, CPAP sleep apnea machines and home infusion supplies. There’s also a program that rewards Senior Plus® Medicare Advantage members for participating in healthy activities. During a time where inflation is impacting families across the country, reducing out-of-pocket expenses is just one of the ways Senior Care Plus® is encouraging their Medicare members to continue seeking the quality medical care they need and deserve. CJ Bawden, Senior Director of Government Programs at Hometown Health, elaborates on what sets Senior Care Plus apart from other Medicare Advantage Plans on the market, “At Senior Care Plus®, we are member obsessed. Annual Enrollment time can be a stressful time for those navigating the Medicare programs available to them. What makes Senior Care Plus different from other programs is that we are local, just like our members. Customer support and resources are right here in our community,” said Bawden. “We are also pleased to have a Renown Medical Group practice and medical providers devoted exclusively to offering expert care to Senior Care Plus® Medicare Advantage members at Del Monte Lane in Reno, adjacent to the Rancharrah complex,” says Dr. Derek Beenfeldt, Medical Director, Hometown Health. “Senior Care Plus members who choose to make Renown Medical Group - Senior Care - Del Monte their primary care facility enjoy same-day appointment access; longer appointment times; geriatric-focused providers and on-site Personal Assistants." Medicare beneficiaries and Medicare eligible seniors can prepare for the Medicare Annual Enrollment Period by visiting medicare.gov. This website, operated by the Center for Medicare and Medicaid Services (CMS), allows beneficiaries to compare health and drug plans so they can make an informed decision about their coverage. Prospective members can also take advantage of Senior Care Plus specific resources like free educational seminars or a one-on-one in-person meeting with an Enrollment Specialist, who can assist members in completing paperwork and ensuring you have the right medical coverage in place, for calendar year 2023. Questions are answered with live-person telephone hours between 8 a.m.-5 p.m., Monday through Friday at toll free number at 800-336-0123 or local number at 775-982-3232. Informacion en espanol at 775-982-3242, TTY Relay Service 711. For details about Senior Care Plus® benefits or Medicare’s Annual Election Period, visit SeniorCarePlus.com or call 775-982-3158. About Hometown Health Established in 1988, Hometown Health is northern Nevada’s only locally-owned, not-for-profit health insurance company. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. Hometown Health values prevention as a key component of comprehensive care - reducing the risks of illness and helping to treat small problems before they can become more severe. Hometown Health offers a number of insurance products including HMO, PPO, HSA, Dental, Vision, Individual and Family, and Senior Care Plus, northern Nevada’s first Medicare Advantage Plan. For more information, call 775-982-3000 or visit hometownhealth.com. About Renown Health Renown Health is Nevada’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 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®.
Read More About Medicare’s Annual Election Period Begins Oct. 15
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Get to Know Sterling Silver Club Member Hanley Wong
This summer, we’re excited to introduce our featured Sterling Silver Club member, Hanley Wong. You may recognize him from the newest Senior Care Plus television commercial that has been airing locally since last October. Hanley happens to be a former employee of Renown Health and worked in the information technology (IT) department for 13 years. Today, he’s enjoying his retirement here in northern Nevada, with the occasional traveling to visit his family. Looking Back Hanley was born in San Francisco in 1944. He was in the U.S Army Reserve from 1966-1972, having traveled to various places including North Carolina, Salt Lake City, Long Beach, Hong Kong and Taiwan. While he was in the U.S. Army Reserve, he also attended college part-time and graduated from San Francisco State University in 1970 with a degree in business administration, emphasis in accounting. Hanley went into the IT field after he gained computer experience through his accounting background. “I started learning how to program with computers, then became a systems engineer where I did troubleshooting, maintenance and more,” said Hanley. “I’ve always enjoyed the challenging work in the IT field, and I got to meet all kinds of people.” Hanley started his first IT job at a small insurance company in San Francisco. He went on to work for the GAP headquarters and met his late wife there, who also worked for the company. They were married for 40 years and had two sons together. The family moved to Reno 21 years ago when Hanley was recruited by Washoe Medical Center, before it became Renown Regional Medical Center. “My favorite part about working at Renown was the camaraderie in the IT department; it was like a big family,” said Hanley. “I enjoyed making employees happy by solving their computer problems.” In 2005, Hanley was part of the team that helped install Epic, Renown’s electronic medical record system. Through that project, he traveled to a few different conferences and trainings with his team.
Read More About Get to Know Sterling Silver Club Member Hanley Wong
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Virtual Visits
Ways to Schedule Your Virtual Visit Renown providers offer virtual visits for some appointment types, including primary care, specialty care, and urgent care – allowing you to see your provider from the comfort of your home. Urgent Care Login to MyChart to schedule a virtual urgent care visit. Click on the "Talk to a doctor" video icon within the MyChart portal to get started! Providers are available via video chat during the specified times: Monday through Friday: 9 a.m. to 6 p.m. Saturday and Sunday: 10 a.m. to 4 p.m. Log In To MyChart Primary and Specialty Care Please call 775-982-5000 to request a visit with your provider. Call Now Pediatric Care Many pediatric appointments are also available through virtual visits. Please call 775-982-5000 to request a visit with your child’s established provider. You will also need to activate MyChart Proxy to access your child’s health information within MyChart. Sign in to MyChart to request this access using these instructions. Log In To MyChart
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Cardiac Catheterization
Renown Health is recognized by the American College of Cardiology (ACC) as an Accredited Chest Pain Center with Primary PCI distinction. PCI designation means we specialize in percutaneous coronary intervention (PCI) - also known as coronary angioplasty - as the primary treatment for acute heart attacks. We strive to ensure patients experiencing an acute heart attack receive rapid treatment in the cardiac catheterization lab to minimize damage to the heart muscle. In addition, Renown Health received the Chest Pain – MI Registry Platinum Performance Achievement Award in 2022 and 2021.
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Patty Warren A Woman of Strength and Resilience
Meet and get to know Patty Warren, our featured Sterling Silver Club member this fall. You may recognize her from the latest Senior Care Plus commercial on television, where she joins a coffee chat discussing the many benefits of being a Senior Care Plus member. She’s one of the kindest souls you’ll ever meet – and has a positive outlook on life that we should all strive for. Patty's Story Patty was born and raised in a small Kansas town called Baxter Springs, where she grew up with an older brother, an older sister and two younger sisters. She and her siblings all enjoyed playing sports like softball and basketball, in addition to playing instruments. Patty developed a love and passion for music at a young age that carried into her adulthood. “I wanted to be an opera singer,” said Patty. “I decided to go to college at Pittsburg State University in Kansas where I majored in vocal performance.” After college, Patty moved to Manhattan in New York City to audition to be an opera singer, but she soon realized it wasn’t what she wanted to do after all. She eventually decided to work in the brokerage industry. After living and working in New York for three years, Patty moved back to Kansas where she later met the love of her life, Michael. “In 1992, I had put a dating ad in the local newspaper,” said Patty. “I received over 30 responses, and I went out on quite a few dates.” Then she had her first date with Michael, and the two of them quickly realized how much they liked each other. He asked her to marry him on Valentine’s Day in 1993, and they went on to get married in front of the Justice of the Peace on May 3, just a few months later. “We had a small wedding so that we could move into our first home together,” said Patty. A few years later in 1999, Patty and Michael moved to Arizona, where they lived for 22 years. Patty worked at Edward Jones Investments for 18 of those 22 years and loved her job and the people that she worked with. She retired in January 2021 during the pandemic, and three days later she and Michael moved to Sparks, Nevada.
Read More About Patty Warren A Woman of Strength and Resilience
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Preventing Skin Cancer A Doctors Tips
Want to protect yourself from skin damage from the sun’s harmful rays? Dr. Angela Walker, dermatologist with Renown Medical Group, shares what you can do to prevent skin cancer. What can people do to prevent skin cancer while enjoying the outdoors? There are several steps you can take to protect your skin from the sun. “I caution all of my patients to avoid the sun during the hours of 10 a.m. until 2 p.m. when UV rays are strongest. I also encourage people to wear sleeves on cooler days. And don’t forget that we still need to wear sunscreen on cloudy days! UV rays can still cause sun damage on cloudy days. Preventing skin cancer also entails wearing sunscreen of at least SPF 30 everyday. Are hats also a good idea for skin protection? Yes, of course! Choose a wide-brim hat that shades the face as well as the back of the neck for extra protection against UV rays. When it comes to identifying skin cancer, what should people watch for? We use easy-to-remember letters when checking for spots on the skin; it’s called the ABCDEs: A - Asymmetry: One half of the mole or lesion doesn't match the other half. B - Border irregularity: The edges of the mole are irregular, blurred, or notched. C - Color variation: The mole has different shades of color or uneven color distribution. D - Diameter: The diameter of the mole is larger than the size of a pencil eraser (about 6 millimeters) or is increasing in size. E - Evolution: Any changes in the mole over time, such as size, shape, color, itching, bleeding, or crusting. These guidelines can help in identifying potentially suspicious skin lesions, but it's important to consult a dermatologist for proper evaluation and diagnosis. Early detection is crucial for successful treatment of skin cancer.
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Headache Program
Renown Health's Institute for Neurosciences has expert physicians who provide compassionate diagnosis and care for chronic headaches & migraines and elevate the standard of care through clinical research and trials. Our physicians provide a pain-management plan tailored to your symptoms and provide follow-up pain management. If you don't have a primary care physician, we will provide one to help you along the way. To learn more about the Headache Program and Migraine Treatment at Renown Health, please call: 775-982-2970
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A Blood Test: What Valuable Clues It Tells Your Doctor
Blood. It can make you squeamish to think about it, yet every drop is vital to your health. In fact, a tiny vial of it can tell your doctor a wealth of information. We asked Benjamin Hansen, M.D., to explain what providers can learn from a blood test and why it’s important to get one as part of your annual checkup. CBC, the initials, sound innocent enough, right? In fact, when your favorite TV doctor orders a CBC, or complete blood count, it’s often the first step in getting an overall picture of your health. "It primarily measures white blood cells, red blood cells and platelets," explains Hansen. Although a blood test is one test you don’t have to study for, the measurements it takes can point to a host of information. What a Blood Test Says About Your Health White Blood Cell Count "The white blood cell count in your CBC helps us to determine the strength of your immune system," says Hansen. "It also helps us to determine the likelihood of infection because white blood cells fight off infection. Knowing the white blood cell count can also be helpful in patients with compromised immune systems, such as those on certain medicines or with conditions that impair immunity," he adds. White blood cells are made in your bone marrow and are alive only one to three days. Therefore, your body is constantly making them. Red Blood Cell Count "The red blood cells carry oxygen from your lungs throughout your body, while also carrying away waste. The hemoglobin (red blood cell protein) count is important because it helps us determine how well you're able to deliver oxygen from your lungs to the rest of your body," states Hansen. If these counts are low, you may have trouble breathing or experience fatigue. Red blood cells also grow in bone marrow, but they have a long lifespan – generally 100 to 120 days. Why Get a Blood Test? Although the CBC is just one type of blood test, according to the National Institutes of Health (NIH) there are a number of blood tests available that can help check for diseases and conditions such as: Heart disease Cancer Anemia (low iron) Diabetes High cholesterol Alcohol or Drug use disorder HIV/AIDS Additionally some tests show how well your kidneys, liver, heart and other organs are working. If you are taking a medication, a blood test can also let your provider know if it is helping you. What to Expect From a CBC Blood Test When you are not feeling well, it may take some detective work to figure out what is wrong and sometimes a CBC can be helpful. With this in mind, a lab order from your provider is needed to order a CBC blood test. Some blood tests require you to not eat food (fast) eight to 12 hours before the blood draw. Your provider will let you know the type of blood test(s) they are ordering for you. Usually it's important to drink plenty of water before your blood test, to make it easier to locate your veins. Generally a small sample of blood is taken from your arm vein and then sent to a lab for analysis. Discussing Your Results "A CBC can help your provider determine if there is an infection, your level of immunity, if you are anemic or if you are prone to bleeding," says Hansen. When to Get a Blood Test "A CBC is usually ordered for a specified purpose. If you think you might need a CBC, please call your provider. It's also important to see your provider regularly to keep an eye on your health. Many patients should see their provider at lease yearly," Hansen clarifies.
Read More About A Blood Test: What Valuable Clues It Tells Your Doctor
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New Renown Health Scholarship Supports UNR Med Students - The Next Generation of Physicians and Health Care Professionals
Clinical affiliation to create more access to care for Nevadans. View the original press release by the University of Nevada, Reno School of Medicine. Nevada continues to face a physician shortage ranking No. 45 in the United States for active physicians per 100,000 population and No. 48 for primary care physicians per 100,000 population according to the Association of American Medical Colleges (AAMC) 2019 Nevada Physician Workforce Profile. A new clinical affiliation between the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health addresses the provider gap and increases access to care by developing new and innovative ways to train and retain the next generation of Nevada's health care professionals. A cornerstone of the affiliation is the Renown Health Scholarship, which was established by Renown to support UNR Med medical students and physician assistant students in their pursuit of a career in health care. The goal of the scholarship is to award $350,000 annually based on need and merit. In 2021-2022, the scholarship will be awarded to 20 first-year and third-year medical students, each receiving $15,000 for a total of $300,000; and five second-year physician assistant studies program students, each receiving $10,000 for a total of $50,000. "Students are at the core of what we do as a School of Medicine, and this incredibly generous scholarship is the best way possible for Renown Health to celebrate our partnership and support our students," says Melissa Piasecki, acting dean of UNR Med, a role that includes Chief Academic Officer at Renown Health. "We thank Renown Health for this gift that will benefit so many of UNR Med students on their journeys to becoming great doctors and physician assistants. "We are extremely proud to establish the Renown Health Scholarship with UNR Med providing annual support to students pursuing careers in health care," says Anthony D. Slonim, MD, DrPH, President & CEO, Renown Health." As Nevada's first integrated health care system, UNR Med and Renown are advancing health and health care through world-class medical education, clinical research and patient care for our community, our state and our nation, and supporting this first class of scholarship recipients is an important step in ensuring quality access to care for northern Nevada and the state in the future." The inaugural group of scholarship recipients epitomize Renown Health's and UNR Med's combined vision of A Healthy Nevada and mission of improving the health and well-being of the communities they serve. The students chosen for this scholarship further represent UNR Med's commitments to excellence and to a culture of diversity and inclusion in support of their goals of becoming physicians and physician assistants. "This scholarship will contribute greatly to my becoming a physician that can later serve those from lower socioeconomic statuses. I am humbled and honored by the fact that Renown believes that my hard work and determination are worth rewarding, I know it will alleviate some of the mental stress that finances play in my life, and I hope to make these funds count through hard work and dedication to my studies," says Eunice Aiyuk, first-year medical student at UNR Med, who was born in Yaounde, Cameroon, in West Africa, and has lived in Reno since she was three years old. Aiyuk graduated from McQueen High School and from the University of Nevada, Reno with a bachelor of science degree in neuroscience in 2018. Sergio Trejo, Jr., MPH, is a third-year medical student who grew up in Las Vegas and served as a Spanish interpreter at a community health center prior to earning his Master of Public Health degree from the University of Nevada, Reno in 2019, which instilled in him his desire to pursue a career as a primary care physician in pediatrics. "I'm interested in a career in pediatrics since I can combine my knowledge of medicine and public health to not only influence the health of children, but also the entire family, as they are ones that ultimately dictate their child's health outcomes," Trejo says. "This scholarship means the ability to fund my dream of helping alleviate health disparities in underserved communities, especially those who endure language barriers. It will help reduce the stress of funding resources that will help me be successful in my clerkships and beyond." As a second-year Physician Assistant Studies Program student at UNR Med, Benjamin "Benjie" Portillo-Dominguez's path to becoming a physician assistant started at a young age when he attended his parents' doctors' appointments so that he could interpret. He recalls his family's excitement when a health care provider could speak Spanish. "It made a world of difference because it maximized communication and helped them receive the care they needed. This helped develop in me a strong desire to pursue a career in health care, says Portillo-Dominguez, who graduated from the University with a bachelor of science degree in community health sciences in 2018. "In less than a year I will become a Physician Assistant. This has been a long-time goal of mine, but as a first-generation college graduate, this has been the dream of my parents since I was born." "Receiving this scholarship benefits me in my training because it allows me more time to focus on my studies and opens up opportunities to learn from experienced providers. Becoming the best provider I can be, allows me to strengthen this community that I was born and raised in. Having this unique perspective and being in this program allows me to be a solution to the lack of primary care providers in this area, especially with those who speak Spanish." The UNR Med student recipients of the 2021 Renown Health Scholarship were based on merit and need. They include: first-year medical students Eunice Aiyuk, Dakota Johnson, Aisha Masud, Isabella Rodriguez and Raquel Wescott; third-year medical students Davison Beenfeldt, Sara Bertram, Kaileigh Bingham, Curtis Duncan, Brooke Gantman, Alex Harper, Erin Kelley, Regina Kurapova, Ngantu Le, Otto Maurer, Keanu McMurray, Eric Nguyen, Hao To, Sean Torres and Sergio Trejo; and second-year physician assistant studies program students Ali-Marie Lostra, Margaret (Meg) Patterson, Benjamin (Benjie) Portillo-Dominguez, Preston Reugebrink and Ryan Swanson. The UNR Med/Renown Health affiliation is between a 159-year old health care provider, the state's original land grant university and the state's oldest medical school. Over the last five decades, UNR Med has educated more than 4,000 physicians with over 30% percent practicing in Nevada, increasing access to care for Nevadans across the state. Equally rooted in the community, Renown's long legacy of service started in 1862 as a county hospital, Washoe Medical Center. Now, Renown Health, a charitable, not-for-profit organization, serves the community by providing care through hospitals, outpatient medical offices, institutes and a health insurance plan, Hometown Health. Media Contact: Julie Ardito, APR Senior Director, Advancement and Engagement Email: news@med.unr.edu Office: 775-784-6006 About The University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, Nevada's first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Established in 1969, UNR Med is improving 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.
