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Five Reasons to Switch to Renown’s Modern-Day Pharmacy
Renown Health has two retail pharmacy locations – one at Renown Regional on Pringle Way and another on Locust Street. And while many people think of a pharmacy as where we get prescriptions and pick up refills, it’s so much more. Adam Porath, vice president of pharmacy services at Renown, discusses five benefits of switching to a Renown Pharmacy. 1. Hospital Integration With the Meds-to-Beds Program, the Renown Health Pharmacy delivers prescriptions to patients on the floor when they leave the hospital. Another thing that is interesting about the pharmacy is its integration with providers. So, if there is a problem with your prescription, the Renown Pharmacy can get hold of your provider right away. We also can see your lab results and make sure that the dose you are prescribed is the right one. 2. On-Site Vaccinations The Renown Health Pharmacy has a private consultation area to administer vaccines on-site. Their team routinely stocks more than a dozen vaccines, and you can call either location (Regional: 775-982-7737 and Locust Street: 775-982-5280) to see if what you're looking for is in stock. Appointments are available in MyChart. 3. Compounding Services Only a fraction of pharmacies in the United States provides compounding services. In the Reno/Sparks area, there are just a few and Renown Pharmacy is one of them. Traditional retail pharmacies take drugs received from a drug manufacturer and put them into a smaller container in the individual amount that the doctor prescribed for a patient. A compounding pharmacy provides medications that are not available commercially. For example, a doctor has prescribed a dose that is smaller than what is commercially available. Compounding the medication will provide the dosage as prescribed. Another example could be a child who can’t take a tablet. The pharmacy may be able to use compounding to convert medications into something that is the child can take.
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Pharmacists Answer Questions about the COVID-19 Vaccines
Vaccines that provide protection against the COVID-19 virus are bringing us closer to the end of this deadly pandemic. Two different COVID-19 vaccines are currently available in the U.S. today: one from Pfizer and the other from Moderna. Kate Ward, PharmD, BCPS, Director of Clinical Pharmacy at Renown Health and Adam Porath, PharmD, Vice President of Pharmacy at Renown, share what you need to know about these vaccines. When two COVID-19 vaccines were approved by the U.S. Food & Drug Administration (FDA) in December 2020, it was cause for celebration. Why? Because according to the CDC, the vaccines are 94 percent or more effective in providing protection against the COVID-19 virus! Many people are seeking information about the new Moderna and Pfizer vaccines. Below, our pharmacy leaders provide answers to some commonly asked questions. How do the COVID-19 Vaccines Work? The Pfizer and Moderna vaccines are both mRNA vaccines that help your immune system develop antibodies against the COVID-19 virus. The vaccines use messenger RNA, or mRNA, to show our bodies’ protein-making cells how to make the spike proteins of the COVID-19 virus. Our immune system reacts to these spike proteins by creating antibodies that can recognize and destroy them. So when a person is exposed to the virus in the future, they will be less likely to get sick. What are the Differences between the Pfizer and Moderna Vaccines? The Pfizer and Moderna COVID-19 vaccines are very similar, with just a few small differences worth noting. The main difference between the two vaccines is when you should receive your follow-up dose. Patients who receive a first dose of Pfizer should receive their second dose about three weeks later. Those who receive a first dose of Moderna should receive their follow-up vaccination roughly four weeks after their first dose. People 18 years and older can receive the Moderna vaccine while people 16 years and older can receive the Pfizer vaccine. Dosage for the Moderna vaccine is 0.5 ml (100 mcg). Dosage for the Pfizer vaccine is 0.3 ml (30 mcg).
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Reno Widow Inspires New Patient Supporter Visitor Policy
Renown hospitals are among the first in the country to lift visitor restrictions for patients with COVID-19 and encourage family to be at the patient's bedside. True treasure hunters, Dr. Dave and Darlene found joy in exploring antique shops and garage sales to find damaged or discarded vintage pieces. After hauling the item home, Dave would spend many hours scraping it clean, sanding and refinishing it, until it gleamed and became a polished, functional and beautiful piece of furniture. Every piece in their home rekindles a memory and has a story to tell. On Thanksgiving, when Dave was too ill to gather around their antique dining room table, Darlene called the ambulance. Dave had been ill with COVID-19 for two weeks and had not been improving. When the EMTs reached her home and asked Darlene what underlying conditions he had, she said, “all of them.” David was seriously ill. Hospitalized for COVID-19, their communications options were limited. The only way Darlene could communicate with Dave was on a video call, or by telephone. Dave spent 17 days hospitalized at Renown Regional Medical Center in Reno. Darlene spent 17 days waiting by the phone for more information. Darlene said he had “up days and down days,” but thought he might be home, sitting at their antique dinner table for Christmas. David Ivan Randolph was born in Boston, MA on August 29, 1936. He grew up in Roxbury and graduated from the prestigious Boston Latin Boys School. He obtained a Bachelor of Arts in General Psychology, an MA in Experimental Psychology from Northeastern University and a PhD in Sensory Psychology & Physiology from the University of Massachusetts, Amherst. While in university he joined ROTC and upon graduation was commissioned as a First Lieutenant in the Army Medical Specialist Corp. After basic training at the Fort Sam Houston Medical Training School he was assigned as a Captain, Research Psychologist to the US Army at the Pioneering Research Division in Natick, MA. Over the next 30 years, he conducted vision research at Fort Knox, KY; Philadelphia, PA and then with the newly constructed Letterman Army Institute of Research (LAIR), Division of Ocular Hazards at the Presidio of San Francisco, CA. David continued his vision research at LAIR until his retirement in 1992 when the Presidio was decommissioned. Dr. Randolph’s research findings in flash blindness and night vision made him a sought-after presenter at research conferences in the US and abroad. In a PBS documentary he was interviewed as part of the team that developed goggles that protect soldiers from laser eye damage. Dr. David Randolph lost his battle with COVID-19 on December 13, 2020, and died as he slept in a hospital bed. When Darlene wrote his obituary for the newspaper, she gave thanks to the “tremendous nurses and doctors at Renown Regional Medical Center, for providing his care during a time when family could not be with him.” Darlene wished she could have been there. Over their 45-year marriage, she had always been there. Darlene said, “I had always been at his bedside, as his advocate, to help communicate and straighten things out.” As a registered dietician, she worked in hospitals and knew the protocol. She knew, like hospitals across the globe, Renown had restricted family members from visiting in order to stop the spread of the virus- to other patients, staff and their family members. Still, she wished she could have spent more time with him. On Christmas Eve, she sat down and wrote to Dr. Anthony Slonim, president and chief executive officer of Renown Health in Reno, NV. “Dear Doctor Slonim, as the wife of a COVID patient who recently passed away in your hospital, I want to express my thanks to you and your staff for the care he was given in the last days of his life. I am aware that the nurses and staff are working under dangerous conditions and risking their health and lives by caring for multiple COVID patients. The staff was gracious, concerned and did everything they could for my husband and myself.” She continued, “I know procedures are changing every hour to try to stay ahead of this dangerous virus and I am sharing my experiences hoping they will be helpful when establishing policies that impact families.” Darlene explained that despite receiving assurances that Dave’s nurse or even a doctor would call daily, sometimes they would forget. She explained in her letter, “how important it was, in these times when family cannot visit, and has only infrequent communication and is anxiously waiting at home for word of their loved one, how much it means to get a call from someone caring for him at the hospital.” Darlene asked, “If there is any way you can help to assure that nurses have time to make calls or assist patients to make calls, because it is an important part of patient care.” After receiving her letter, Dr. Slonim called Mrs. David Randolph, to thank her, to offer his sympathies and to ask if Renown could help in any way. Darlene asked if he might reconsider allowing families to visit hospital patients being treated for COVID-19. Dr. Slonim, who had also lost his father to COVID-19 back in April at a hospital in New Jersey, asked his leadership team to review Mrs. Randolph’s request and make a recommendation. The hospital leadership team made a recommendation to Dr. Slonim that was immediately approved. As the COVID-19 situation has evolved, the policy has as well. With a high percentage of Renown hospital staff now vaccinated against COVID-19, declining hospitalizations of patients with COVID-19, and understanding that the best communications are in-person, as of Wednesday morning, Jan. 27, 2021, Renown hospitals and medical practices now encourage limited visitors for all patients, including those diagnosed with COVID-19. Renown continues to have extra safety measures in place to protect the health of patients, visitors and healthcare employees, and as the situation changes with COVID-19, these guidelines are subject to change. “As of today, one healthy adult Patient Supporter may now accompany every patient to their Renown medical visit or hospital stay,” Tony Slonim, MD, DrPH, President & CEO of Renown said, “We live by our values of caring, integrity, collaboration and excellence. We thank Darlene for reminding us that the best care is ‘person-centered care,’ an approach that embraces the perspective of the patient and their loved ones, while promoting a healthy, encouraging environment for caregivers and addressing the health needs of our community.” “At Renown, the definition of "family" is defined by the patient,” says Debra Adornetto-Garcia, DNP, RN, NEA-BC, AOCN, Chief Nursing Officer, Acute Services. “Our patients may designate anyone they choose as their Patient Supporter. The Patient Supporter is incredibly important and part of the care team. The Patient Supporter will be asked to partner with the patient’s health care team to assist in communicating to other family members and friends, participating in training and education activities and assisting the patient with complying with care and medication instructions.” “When it comes to healing and recovery, everyone's role is important,” emphasizes Paul Sierzenski, MD, MSHQS, CPE, FACEP, Chief Medical Officer, Acute Services. “What we can do together to support patient care and excellent outcomes is greater than what any of us can do alone. This belief shapes our work, our services and the care we provide to patients, their families and friends at Renown.” “I am pleased that Renown Health has modified the visitation policies so that each patient can have a designated visitor. As a former ICU patient and current ICU physician, I know the importance of having a loved one’s support in the hospital and I am thrilled we are able to accommodate this incredibly important aspect of patient care,” says Jacob B Keeperman, MD, FACEP, FAAEM, FAEMS, FCCM, Medical Director, Renown Regional Transfer and Operations Center, Intensivist. When Darlene was told that her letter inspired this shift in visitor policies for patients with COVID-19, she was very pleased and said, “I have always tried to think of ways I could help other families, especially those senior couples where one has been hospitalized and the other is home. My wish is to help others.” In alignment with the national guidelines, as of 1/27/2021, one Patient Supporter per patient will be able to access Renown Regional Medical Center and Renown South Meadows Medical Center as noted: Visiting hours for all patients, including those diagnosed with COVID-19 will be extended to 8 am - 8 pm (previously 3-8 pm). All patients are now encouraged to designate up to two Patient Supports. Due to space constraints, we ask that Patient Supports visit one at a time. Patients will provide Names of up to two Patient Supporters during patient admission/registration. Patient Supporter names will be entered into the patient's electronic medical record for patient privacy and security. Renown Children’s Hospital: Open access. (Two parents and/or guardians may be designated as Patient Supporters, however, due to current space constraints, we ask that you visit one at a time). For more detailed information on the Patient Supporter program visit https://www.renown.org/interact/. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath and Neurosciences. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project® . For more information, visit renown.org.
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Zarah Path from Traveler to OR Nurse
As many nurses can attest, the journey they have taken to arrive at where they are today is full of twists and turns. For Zarah Jayco, an operating room nurse at Renown Regional Medical Center, her journey is nothing short of a fulfilling and exciting one. Zarah is no stranger to taking detours to find what truly makes her feel the bursts of passion she had been looking for her entire life. She found that passion in the operating room – and travel nursing led her to Renown Health. Today, she is a firm believer that she is exactly where she is supposed to be. “I Just Want to Help People” Throughout her life, Zarah knew she was destined for a meaningful career – but didn’t exactly know what. One day, she sat down with her mom, a nurse herself, where she asked the question that would ignite Zarah’s curiosity: What is important to you? “That’s when I told my mom: ‘honestly, I just want to help people.’” It was at that moment that she realized nursing could be a fit for her. Everything about venturing into the nursing field started to make sense. So, that’s precisely what she did. Zarah went to nursing school. When she stepped into the OR during her clinical rotation, she was immediately inspired. Zarah’s core values as a nurse were rooted from caring for her 90-year-old grandmother while she was in hospice. Her grandmother gave her some powerful lessons and words as she set off on her career: “You are in the right place.” Upon completion of her perioperative program, Zarah the OR Nurse we know and love started her journey. She began her trek as a travel nurse, going up and down California to do exactly what she was meant to do: care for surgical patients. “I Traded the Ocean Waves for the Mountains” As Zarah continued to travel and find different locations for new assignments, her husband received an opportunity for work to transfer to the Biggest Little City. The duo packed up their California lives and moved to northern Nevada, where Zarah signed up for a night shift OR nurse position at Renown Regional Medical Center. But the traveler’s mindset wouldn’t last long. Renown embraced Zarah with open arms, and she was immediately drawn into the community-feel that our health system offered. She felt welcomed and surrounded by “loving, hardworking people” across her department and all other teams she encountered. As Renown cares for patients across 100,000 square miles, Zarah was especially impressed with how rooted Renown is in northern Nevada, noting how it “truly feels like we are caring for the community” with our health system’s wide reach. She was inspired to live up to that mission and more. “Reno and Renown really reeled me in, and I fell in love with the city and everything it has to offer,” said Zarah. “I traded the ocean waves for the mountains, and the more we got to know Reno, the more we realized that this change of pace and lifestyle was definitely a good fit for us.” Zarah the OR Travel Nurse became Zarah the Renown OR Core Staff Charge Nurse. And she knew she made the right decision. Working in the OR, according to Zarah, is challenging in the best way possible. At night, all surgery cases at Renown are emergencies. The team springs into action to answer one vital question: How do we provide the best care for this patient? “It is essential for us to anticipate potential outcomes,” said Zarah. “When we book a surgical case, we look at everything to make sure we are absolutely prepared and ready.” Staying at Renown was an easy choice for Zarah. To her, there is nothing like being a part of a core team that inspires her every day and ‘has each others’ back,’” Zarah stated. “During the course of my assignment at Renown, the culture harnessed a kind of environment that felt like a hardworking family. This was the hook that reeled me into considering being part of core staff. I am incredibly grateful for the opportunity to build relationships that I hold in the highest esteem.”
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Pandemic Pals and Sterling Silver Club Members
A Friendship Gone Viral When a friendship is strong enough, it can survive just about anything – even a pandemic! Sterling Silver Club members and longtime friends, Marlene and Kim, are living and thriving proof of that. Career & Community Cohorts With successful careers in the Reno area and a common passion for community involvement, it’s no surprise the women knew of each other even before their friendship developed. The first time they actually worked together was in 2001 at TMWA (Truckee Meadows Water Authority), where Marlene’s company was brought on board to steer communications and Kim was heading up the then-new utility’s customer relations department. TMWA was where these colleagues became cohorts who have since become the best of friends. Now retired, Kim’s favorite job these days is being a doting “Noni” to her two granddaughters who live nearby and who she keeps up with by staying active. Kim enjoys practicing yoga and loves to spend time walking and hiking in the great outdoors – with two enthusiastic dogs that are always ready to join her. Marlene is still working and running her nearly 40-year-old public engagement and outreach company, GoodStanding. Her “fun and interesting” projects help to build community engagement for her clients and often focus on water resource management and conservation. The Rotary Club of Reno, known as the “downtown club,” is also an important part of both women’s lives. Marlene was just the third woman to join the historically male organization in 1991 and made it her mission to recruit and sponsor female members – like Kim. Today, women make up nearly half of the membership and Marlene and Kim are both heavily involved in the club and its initiatives, including its scholarship program and community beautification projects along Riverside Drive. A Friendly Q & A To learn more about the friends and maintaining friendships in these socially distanced times, we asked them some questions. What drew you to each other as friends? Kim: Marlene’s honesty, integrity and ethics. Marlene always does what is best for her clients, no matter what. Marlene: Kim and I communicate very well. It’s hard to explain, but sometimes we are both way ahead of our words. How would you describe each other in a single word? Marlene: Focused. Don’t put anything in front of Kim that you don’t want done, and done expertly. Also, helper. She thrives on helping people and working through their problems. Kim: Creative! Marlene came up with many unique ideas to promote and publicize TMWA. And her house the most cozy spaces to sit and visit. Do you have a favorite “That’s so her” moment to share? Kim: Burning Man! Marlene had friends with a camp at Burning Man and she invited me to join them for three days a number of years ago. We rode our bikes, admired the art and did our best to sleep through the techno music that played through the night. It was an amazing time. Marlene: Kim’s involvement in Rotary’s Achievement Beyond Obstacles (a support and scholarship program for deserving local high school students). She has a heart for kids facing challenges, she is a great leader and she loves to help and make a difference. How has COVID-19 affected your friendship, how have things changed and how have things stayed the same? Kim: We don’t see each other in person quite as much. However, Marlene has made sure that many of our girlfriends are able to stay in touch. Marlene: I don’t take for granted we are going to see each other, so we plan it. I am the instigator of walks, socially distanced get-togethers in our green space and Zoom meetings. This new normal has also given me permission to stay home and work. Now, it’s OK to do some gardening or take a walk in the middle of the day. I suppose that’s one pleasant side effect of COVID-19. Why did you become members of the Sterling Silver Club and why would you encourage others to join? Kim: So many friends and family members had nothing but good things to say about Renown that I decided to switch providers. I also really liked what Renown was doing with the Healthy Nevada Project. So, when I saw the Sterling Silver Club, it seemed to me to be just another extension of all the good things Renown has to offer! Marlene: This Club sounded interesting because it would allow me to focus more on my health with like-minded people in my age group. And, I’m with Kim, Healthy Nevada Project is very intriguing for how it could potentially improve health care for all of us. What is the secret to a lasting friendship? Kim: Have patience. Don’t take things personally. Be flexible. And just enjoy one another’s company. Marlene: Respect and grace, equally. We are not perfect and we are all different. So give your friends respect always, grace when they flub up and support when they need help. Thanks to Kim and Marlene for being such generous collaborators and ambassadors of the Sterling Silver Club. Friend Fun Fact: Kim helped Marlene find her new house a few years ago – and more recently, a new dog! Marlene and “Levi” have been inseparable ever since.
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If You're a Soon-To-Be-Dad, We've Got Tips for You
“You’re gonna be a dad!” Whether you’ve been waiting years to hear those words or still think you’re too much of a kid to have a kid, the reality of impending fatherhood can be terrifying for any first-time, soon-to-be-dad. But not to worry, Best Medicine has some timely tips to help calm those bundle-of-joy fears and help you rock your new role as a brand-new, baby daddy. Winter is Where Babies Come From Fact: More babies are born in September than any other month, with spill over (and spit-up) into October. Subtract ten months for the typical 40-week, bun-in-the-oven baking time and early winter stands out as the top baby-making part of the year. Is it the cozy nights before a fire as people avoid the snowman-friendly temperatures outside? Possibly. There could be any number of reasons, both seasonal and otherwise, for what will eventually arrive in the fall and immediately steal your heart — and untold hours of your sleep. Though moms carry most of the baby burden traditionally (and literally for three trimesters), that’s no excuse for the soon-to-be-dad not to step up to the plate and take a swing at being the best partner and father on the planet. Below is a list of tips and resources to help you do just that. So read on, daddy-o. Tip #1: Don’t Freak Out Ok, you’re probably going to freak out even if we tell you not to. But once you calm down, consider this: human beings have been having babies for millions of years, and many of those soon-to-be-dads had it much tougher than we do today. And guess what? The human race is still going strong. Those first moms and dads did a good job — and you will too, with a little help. Tip #2: Take a Class Knowledge is power. In this case, it's diaper-changing, swaddle-wrapping, 2 a.m.-feeding power. And for you and your partner, taking a parenting class or two should be a no-brainer. You'll both learn what to expect and prepare for as you support each other and bond with your baby even before he or she arrives. Tip #3: Learn From Other Dads If the thought of sitting in a room full of full-bellied women and their partners makes you uncomfortable, you may opt to stick with bros for your lesson plan. Dad-only classes and soon-to-be-dad support groups — taught and led by seasoned fathers with tales to tell and words of wisdom to share — are available online and in cities and communities around the country. Dad-focused sites also offer advice for new and still-learning proud papas. Here are a few options to check out: Boot Camp for New Dads City Dads Group Wilderdad.com Fatherly.com Fathers.com Tip #4: Babies are Required Reading Haven't read a good book lately? Well, if you're expecting a baby, now is the time to flip through a few pages that could make your life a whole lot easier in a few months. There's no such thing as being too-well-read when it comes to your fast-approaching, adorable little poop machine. The least you can do is read a book or two, or seven. We're Pregnant! The First Time Dad's Pregnancy Handbook From Dude to Dad: The Diaper Dude Guide to Pregnancy We're Pregnant! The First Time Dad's Pregnancy Handbook What to Expect When Your Wife Is Expanding Be Prepared: A Practical Handbook for New Dads The New Dad's Survival Guide: Man-to-Man Advice for First-Time Fathers What to Expect When You're Expecting Tip #5: Be a Prepared Soon-To-Be-Dad Tips 1 through 4 are meant to help alleviate some of your jittery, new-dad anxiety. And we hope they do just that. But if you really want to hold that "Best Dad Ever" coffee mug starting on day one, there are also some practical things you can do to prepare. Check these items off your list now to make life with baby more baby-, mommy- and daddy-friendly from the get-go. Buy a baby/child car seat. Three out of four car seats are installed incorrectly. Protect your children by ensuring they are riding in a properly secured and age-appropriate car seat. Renown Children’s Hospital Car Seat Station is staffed by certified technicians who provide child vehicle safety restraint education, inspection and installation. Set up the baby's nursery early, including furniture Stock up on diapers and baby supplies Cook and freeze 2 weeks of food for nights when no one wants to cook Research family healthcare Agree upon a shared diaper-changing/feeding schedule Ask about paternity leave from work Get bills and finances up-to-date or pre-pay to avoid late charges Give the home a thorough cleaning before the baby arrives
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The Not-So-Fab-Five: Foods That Increase Stroke and Heart Disease Risk
Did you know that 80 percent of all strokes are preventable? Learn which foods should be eaten in moderation to reduce your family's risk of stroke. Stroke is the fifth leading cause of death in the nation and a major cause for disability, killing 130,000 people each year. But did you know that 80 percent of all strokes are preventable, according to the American Stroke Association? Several stroke risk factors -- high blood pressure, smoking, diabetes, physical activity level, obesity, high cholesterol and heart and artery disease -- can be controlled, treated and improved, right down to the foods we choose to consume each day. Diets high in sodium can increase blood pressure, putting you at greater risk for stroke. A high-calorie diet can lead to obesity -- another risk factor. And foods high in saturated fats, trans fat and cholesterol will raise your blood cholesterol levels causing blood clots, which -- you guessed it -- can lead to a stroke. The “not-so-fab” five foods listed below play a large role in damaging your body and causing vascular disease, stroke and heart disease and should be avoided on a regular basis. However: Moderation is the key to life, in my opinion. Sure, everyone is going to have a soda here and there or a steak off the grill, but keep it off the main menu. 1. Packaged and Fried Food Have you noticed foods like hot dog buns and bottled salad dressings rarely go bad? Ever asked yourself why? This is due to the use of hydrogenated oils, which are trans fats. Hydrogenated oils stay solid at room temperature and do not require refrigeration. Convenient? Yes. Healthy? No. Unfortunately, many frozen foods and meals also fall into this category, except for frozen fruits and veggies. So here’s the lowdown on trans fats: They’re considered by many experts as the worst type of fat you can consume, raising your LDL (“bad”) cholesterol and lowering your HDL (“good”) cholesterol. While some meat and dairy products contain small amounts of naturally occurring trans fat, most dietary sources are formed through an industrial process adding hydrogen to vegetable oil, causing the oil to solidify at room temperature. The FDA is in the process of restricting or possibly banning trans-fats from food in the U.S. A study published in JAMA Cardiology compared data from counties with and without trans-fat restrictions and the findings were substantial: There was a 6 percent decline in hospitalizations for heart attack and stroke in counties with trans-fat restrictions. Bottom line: Ideally no processed food should pass your lips, but realistically, aim for less than 2 grams of trans fat per day. Skip the store-bought treats at the office and fries at lunch. Also avoid crackers, regardless of what you are dipping them in. Choose to eat fruits to satisfy your sweet cravings and veggies and hummus to satisfy the savory. 2. Lunch meat Processed meats, including bacon, smoked meats and hot dogs, are all on the DNE (Do Not Eat) list, unless you want to play with fire. Processed meats are a no-go if you want to keep your arteries clear of plaque buildup. So what is the alternative to your salami sandwich? Try a healthy alternative like a tuna sandwich with avocado (a great alternative to mayo) or a veggie sandwich. 3. Diet soft drinks First of all, when a drink is sweeter than a candy bar but it contains zero sugar and zero calories, buyer beware. Many consumers think because a soda is labeled “diet” it’s a better choice, but studies have linked diet soft drink consumption with an increased risk of stroke and vascular disease. In a nine-year study of more than 2,500 people, those who drank diet soda daily were 48 percent more likely to have a heart attack or stroke or die from those events, compared with those who rarely or never drank soda. What else are you supposed to drink? If you must drink soda, break the everyday habit and drink it on special occasions; otherwise water rules. And if you don’t like water, try flavoring your water with fruit slices. 4. Good-old red meat So is there ANY good meat out there you ask? The answer is yes, but it’s not red. In the journal Stroke, an article showed women who consumed large servings of red meat regularly had a 42 percent higher incidence of stroke. Red meat is high in saturated fat, which clogs arteries with plaque. The alternative to red meat is a heart-healthy protein like poultry or fish, or even non-animal products like beans, nuts and tofu. 5. Canned foods Steer clear of factory processed soups, beans and sauces. Canned items all have incredible amounts of sodium or MSG or baking soda/powder to maintain their freshness and shelf life. One study showed if you consume more than 4,000 mg of salt per day, you more than double the risk of stroke compared to diets with less than 2,000 mg. Another tip: When possible, plan and make meals from scratch. Making the wrong meal or snack choices is one of the biggest contributing risk factors for stroke and heart disease. Most people know what good food choices are, but they don’t realize the serious impact the bad choices have on overall health. Learn what is most beneficial to your body to consume. It will be a life changer – literally.
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Fitch Ratings Affirms a 'A+' Long-Term Rating for Renown Health
Fitch Ratings has affirmed the 'A+' long-term rating on the series 2020A, 2020B, 2015A and 2016A bonds issued on behalf of Renown Health by Public Finance Authority for Renown’s $469 million Master Facilities Construction Project which includes hospital campus improvements and new health care facilities across northern Nevada to meet the growing community need over the next three years. Given significant consumer demand for Renown providers and services, a master facilities planning process was undertaken to ensure that Renown has adequate bed and procedure capacity, spaces to accommodate new technology and services to meet the needs of a growing patient base and community. Fitch listed the following reasons for the A+ rating: Renown remains the single largest provider of high-end acute care services and is maintaining a leading market position, with approximately two thirds of all patients in northern Nevada seeking care at Renown. Renown has strong balance sheet metrics, which have seen a decline in 2022 partly due to operations, but also due to an equities market contraction. Fitch believes that Renown has detailed operational improvement plans, with quick hit expensive savings items along with a medium-term focus to recruit and retain staff (and reduce agency/traveler expenses) and also longer-term goals to accept more risk to stabilize their revenue stream, such that Renown will return to operating EBITDA margins in approximately the 7% range. Last week, Fitch Ratings adjusted its outlook for nonprofit hospitals from "neutral" to "deteriorating" halfway through what has proven to be a rough year for the industry. Likewise, Fitch's Rating Outlook for Renown Health has been Revised to Negative from Stable. The macro headwinds of labor pressures and high inflation were known heading into 2022 but “have been more pronounced than expected,” the ratings agency wrote in a midyear outlook report released Tuesday. “While severe volume disruption to operations appears to be waning, elevated expense pressure remains pronounced,” Kevin Holloran, senior director at Fitch Ratings, said in a release accompanying the outlook report. “Even if macro inflation cools, labor expenses may be reset at a permanently higher level for the rest of 2022 and likely well beyond.” Fitch said it’s expecting “a more manageable endemic period” for hospitals balancing COVID inpatient and welcoming the return of surgical and specialty care volumes that “have returned to near pre-COVID-19 levels in many markets.” On the other hand, uncertainty abounds during a pandemic that has shown its ability to resurge time and again, the agency wrote. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.
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Why Mammograms Are Vital for Early Breast Cancer Detection | Renown Health
Breast cancer affects 1 in 8 women in the U.S. each year, making early detection crucial in improving the chances of successful treatment. Early Detection for Treatment and Peace of Mind Mammograms are noninvasive X-rays used to detect cancer and other abnormalities in the breast. They are the most effective screening tool for detecting breast cancer early, allowing for timely treatment before the disease can spread and helping to improve treatment outcomes. To help guide you through the mammogram process, we spoke with Elizabeth Kang, PA-C, at Renown Breast Surgery Care to equip you with expert knowledge on what to expect and why screening is so important. How Accurate are Mammograms? 3-D mammography technology at Renown Breast Health Center can detect 41% more cancers and reduce the number of false-positive results compared to plain film mammography. Benefits of 3-D mammography include: Providing better, clearer images, with higher diagnostic accuracy Allowing radiologists to see more abnormalities in the breast Helping doctors spot more cancers and avoid false positives, especially if you have dense breast tissue Reduced callback rates for findings on screening Mammogram Screening and Breast Exam Recommendations Renown Women's Health recommends the following breast exam guidelines: Age 18-39: Consult your primary care provider for a Risk Assessment and start breast exams at age 25. Age 40+: Get your annual mammograms. Family history: Begin screening 10 years before your youngest family member's age at diagnosis. For example, start at age 35 if a family member was diagnosed at 45. Self-awareness: Be familiar with the look and feel of your breasts and report any changes to your care provider. Age 75+: Continue annual mammograms if life expectancy exceeds five to seven years. What screenings are available for women with breast implants? Women with breast implants can and should still receive mammograms, and it’s essential to have these screenings done by an experienced team. Be sure to inform your healthcare provider and mammogram technicians about your implants, as they may recommend special techniques or steps to detect abnormalities and ensure accurate results.
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Understanding the Reasons Behind Heavy Menstrual Cycles
While menstrual cycles can be an annoying inconvenience for many women, heavy bleeding (menorrhagia) is not normal and can disrupt your life. A few days of heavy flow at the start of your period is usually nothing to worry about. However, if you’re frequently experiencing very heavy periods, you should discuss it with your gynecologist or primary care provider. Dr. Megan Fish, an OB-GYN with Renown Women’s Health, discusses various reasons, evaluation and treatment methods when it comes to heavy menstrual cycles. What is classified as heavy menstrual bleeding? The American College of Obstetricians and Gynecologists considers heavy bleeding to be any of the following signs: Bleeding that lasts more than 7 days. Bleeding that soaks through one or more tampons or pads every hour for several hours in a row. Needing to wear more than one pad at a time to control menstrual flow. Needing to change pads or tampons during the night. Menstrual flow with blood clots that are as big as a quarter or larger. What are the most common reasons for heavier periods? A variety of reasons why someone might have heavy periods. Fortunately, most of these problems are treatable. Because each woman's period is unique, only a doctor can definitively determine the cause of your heavy periods. Some of the most common issues that cause heavy periods include: Hormone imbalances such as anovulation, thyroid disease and Polycystic Ovary Syndrome (PCOS). Structural abnormalities in your uterus such as polyps or fibroids. Precancer and cancer such as uterine, cervical, vaginal, ovarian or endometrial hyperplasia. Infections such as chlamydia, gonorrhea, endometritis or vaginitis. Other medical conditions such as liver disease, kidney disease or Pelvic Inflammatory Disease. Medications such as blood thinners and aspirin, hormone replacement therapy, Intrauterine devices (IUDs), birth control pills and injectables. Pregnancy-related problems such as a miscarriage or ectopic pregnancy.
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How the HPV Vaccine Protects Your Health
As the back-to-school season approaches, ensuring your child is ready for a successful academic year goes beyond school supplies and new clothes. It's also the perfect time to prioritize their health by ensuring they're up-to-date on essential vaccinations, including the HPV vaccine. We talked to Renown Pediatrician Dr. Kristin Wilson, to learn more about HPV and the importance of getting your child fully vaccinated. What is HPV? Human papillomavirus (HPV) is a common sexually transmitted disease. It can lead to the risk of several cancer diagnoses, with about 13 million Americans, including teens, becoming infected each year. Fortunately, a vaccine can prevent more than 90% of HPV cancers when given at the recommended ages. Talking about sexually transmitted infections can be uncomfortable, but learning how HPV is spread is important for prevention. Here's what you need to know about HPV: Transmission: HPV is spread via skin-to-skin contact. Types of HPV: Low/Medium-risk HPVs: Can cause warts and cervical dysplasia (abnormal cells on the cervix). High-risk HPVs: Can cause various cancers. HPV-related Cancers: Cervical cancer Anal cancer Vaginal cancer Vulvar cancer Penile cancer Oropharyngeal (mouth and throat) cancer Statistics: Men are four times more likely than women to suffer from HPV-associated oropharyngeal cancer. HPV is so common that nearly all sexually active people will be exposed at some point in their lifetime. Around half of HPV infections are of the high-risk variety.
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Renown South Meadows Medical Center Named #1 Hospital in NV
U.S. News & World Report provides rankings. U.S. News & World Report recently released their 2020-21 Best Hospitals rankings naming Renown South Meadows Medical Center as the number one hospital in Nevada. U.S. News looked at 4,554 hospitals, which represent nearly all U.S. facilities providing inpatient care. Hospitals are evaluated across a wide range of conditions and procedures, including 16 medical specialty areas of care. “We are committed to be among the best in the nation for quality, safety and patient experience,” said Tony Slonim, MD, DrPH, FACHE, president and CEO of Renown. “This ranking confirms what Renown has always been dedicated to — providing the best patient care possible. Quality and safety are the responsibility of every employee and physician at Renown, and we are proud that Renown South Meadows has been chosen as the best in the state and among the best in the nation.” “We thank the incredible physicians, nurses and employees at Renown South Meadows Medical Center and across Renown for their dedication to excellent patient care – our employees, patients and our community are the true award winners,” said Chris Nicholas, Vice President & Administrator, Renown South Meadows & Renown Rehabilitation Hospital. “We applaud them as being not only the best in the state, but among the best in the nation.” “We are proud that Renown South Meadows is one of Nevada’s highest rated hospitals, and it’s exciting to have that recognition. Over the last year both our acute care hospitals – South Meadows and Renown Regional Medical Center, have made substantial improvements. We are working every day to ensure we are delivering the highest quality, safest care to our patients and our community,” said Dawn D. Ahner, DSc, FACHE, Chief Operating Officer — Acute Services for Renown. Renown South Meadows has been recognized by several national organizations for excellence and quality, including the Joint Commission, Leapfrog and Health Insight. Renown South Meadows Medical Center is an Accredited Chest Pain Center, and a Pathway Designated hospital for nursing excellence. Renown South Meadows provides an emergency department staffed 24/7 with board-certified emergency physicians, a wide range of services including primary and urgent care medical offices, a lab and health improvement programs. Renown is currently recruiting outstanding employees at https://careers.renown.org/. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About U.S. News & World Report U.S. News & World Report is the global leader in quality rankings that empower people to make better, more informed decisions about important issues affecting their lives. A digital news and information company focused on Education, Health, Money, Travel, Cars and News, USNews.com provides consumer advice, rankings and analysis to serve people making complex decisions throughout all stages of life. More than 40 million people visit USNews.com each month for research and guidance. Founded in 1933, U.S. News is headquartered in Washington, D.C.
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