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With skin cancer affecting one in five Americans and 3.5 million new skin cancer cases diagnosed yearly, being proactive about prevention is vital to your health. Dr. Angela Walker, a dermatologist with Renown Dermatology, Laser and Skin Care, explains. The 5 stages of melanoma How should someone examine their skin for moles? I recommend practicing monthly head-to-toe self-examination of your skin, so you can find any new or changing moles or marks that might be cancerous or precancerous. Skin cancer is the most common of all cancers. It is also the easiest to cure if diagnosed and treated early. Therefore, self-examination can alert you to changes in your skin and aid in early skin cancer detection. Self-examination tips: Make sure you have a bright light, full-length mirror, hand mirror and a blow-dryer. Examine your face, especially your nose, lips, mouth and ears, both front and back. Thoroughly inspect your scalp, using a blow-dryer and mirror to expose each section. You might need to get a friend or family member to help. Check your hands carefully: palms and backs, between the fingers and under the fingernails. Continue up the wrists to examine your forearms' front and back. Standing in front of the full-length mirror, begin at the elbows and scan all sides of your upper arms. Don't forget the underarms. Next, focus on the neck, chest and torso. Women should lift their breasts to view the undersides. With your back to the full-length mirror, use the hand mirror to inspect the back of your neck, shoulders, upper back and any part of the back of your upper arms you didn't already check. Scan your lower back, buttocks and backs of both legs. Check the front and sides of both legs, thigh to shin, ankles, tops of feet, between toes and under toenails. Examine the soles of feet and heels.

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Participating in a clinical trial is voluntary and a personal choice. Clinical trials are research studies that involve people and are an important part of patient care. What is a clinical trial?  Clinical trials are research studies that involve people, and they are an important part of patient care. There are several different types of clinical trials; some are designed to understand trends in a disease or identify better ways to diagnose a condition, while others determine if a new treatment is safe and works when treating, improving or preventing a health condition. There are over 400,000 clinical trials currently being conducted in the United States, and even more across the world. This includes health conditions such as heart failure, cancer, Parkinson’s Disease, respiratory conditions like COPD, common infections, cystic fibrosis, and many more. Clinical trials lead the healthcare industry to new discoveries that contribute to reliable and exact care, improving healthcare quality and saving lives. Clinical trials are conducted by a team of researchers, including doctors, pharmacists and clinical research coordinators. These research teams are highly skilled in their specialty areas, often providing traditional patient care and seeing research patients in the same day. These teams are responsible for making sure the clinical trial is completed correctly, and their patients are their top priority. Why should I consider participating in a clinical trial? Participating in a clinical trial is voluntary and a personal choice. There are many reasons why patients decide to get involved in clinical research. While many clinical trials are designed for patients who have a certain health condition, many studies also ask healthy volunteers to contribute in order to compare health outcomes. Clinical trials are also for patients at all different stages of their diagnosis. Depending on the specific study, the patient may receive access to a new cutting-edge treatment before it is widely available. When patients join a clinical trial, the research team becomes a health partner dedicated to their health and well-being. When patients join a clinical trial, they make an informed decision in their healthcare by weighing all available options in addition to routine treatments. Research participants know that they are contributing meaningfully and helping other patients like them. Where can I find more information about clinical trials at Renown Health? Renown Health’s mission is to make a genuine difference in the health and well-being of the communities we serve. Renown’s clinical trial portfolio offers leading care options to patients in northern Nevada, close to home, in a variety of specialties. Contact the Renown Clinical Research Office for more information on clinical trials available to you!

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Michael Millman was all set to move to Reno from the Bay Area when he noticed a pimple-like growth on his forehead, and he decided to get biopsied "just in case." It was July 2020, less than six months into the COVID-19 pandemic, when Michael got the call that the biopsy came back cancerous. He was in shock. Still living in the Bay Area at the time, he immediately scheduled to have the basal cell carcinoma removed in August. After the removal, he thought he was in the clear, but a few months later, Michael noticed that his lymph nodes felt weird, and he even cut himself shaving because of some persistent swelling in the area. Given his recent history of skin cancer, Michael immediately scheduled an appointment with a specialist in the Bay Area. "I met with an ear, nose and throat doctor who suggested a fine needle biopsy of my lymph nodes, tongue and an MRI, both with and without contrast," Michael said. "I remember feeling dreadful and that I couldn't believe this was happening yet again." A Hard Decision Michael's squamous cell carcinoma, determined by the pathology report to be significantly influenced by the HPV virus, had metastasized to his lymph nodes on both sides of his neck, and his doctor said it could be stage four cancer. He remembers feeling like he was in quicksand, unsure if he should follow through with his move to Reno, or stay in the Bay Area for treatment. By now, it was early December 2020, and hospitals in the Bay Area and across the world were at limited capacity due to COVID-19. But, in what Michael describes as a positive twist of fate, the San Francisco ear, nose and throat provider he had seen about his biopsy results mentioned that he knew many providers in the oncology department at Renown, including Abhinand Peddada, MD. The San Francisco provider called Dr. Peddada's office with a referral, and Michael even remembers that Renown called him to hear more about his diagnosis before he even got the chance to call them "To be honest, I was feeling shut out in the Bay Area, and Dr. Peddada said he could help me expedite the treatment process," Michael said. "I finally felt a sense of relief." And so began Michael's 7-week chemoradiation cancer treatment program at Renown.

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As the temperatures skyrocket and we return to more outdoor activity, one thing is certain: you must hydrate to stay cool, healthy, and functional. But how much water do you need, and what are some easy ways to ensure you are getting enough? Aurosis Reddy, DO a family medicine provider with Renown Medical Group, shares what you need to know.  How Much Water Is Enough?  Experts agree that recommended daily water intake can vary depending on different factors such as your weight, metabolism, location, diet, physical activity, and health. As a rule of thumb, women should aim for a daily fluid intake of 91 ounces, and men should aim for 125 ounces. It is important to listen to your body and recognize when you might need to increase your water intake. For example, if you’re partaking in strenuous exercise, or spending time outside in the heat, you’ll want to give your body more water and electrolytes to function properly.  How Can I Tell If I Am Dehydrated? Decreased coordination Fatigue Less urination Dizziness Dry, sticky lips and mouth Increased thirst Headache

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Renown Health recently announced that it has contracted with the Centers for Medicare and Medicaid Services (CMS) on a new program that offers enhanced Medicare benefits for Medicare beneficiaries. This new direct contracting Medicare program is designed specifically for patients with Original Medicare. Here are three things to know about Renown’s new program: The goal of the program is to help care providers work together to improve patients’ health by better coordinating patient care and reducing costs. Medicare beneficiaries who choose to sign up will have peace of mind knowing that they are in a program that ensures coordinated care along with potential cost-sharing assistance for chronic care management. Signing up for this program is easy – and it does not affect your existing Medicare benefits in any way. Simply click the button below, select either your current Renown Health or Geriatric Specialty Care provider from the drop down menu, complete the form and click “Submit Form.” It only takes a minute or two to fill out the form. You will be asked to provide the name of your primary care provider and be sure have your red, white, and blue Medicare card handy. Sign Up for Renown’s Enhanced Medicare Benefit Program Voluntary Alignment Sign Up Note: Participation in this program is voluntary. If you choose to sign up, your benefits will NOT change, and you can visit any doctor, other health care professional, or hospital. Learn more about Renown’s Direct Contracting Entity for Medicare Beneficiaries here. The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.

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Bacterial meningitis is probably the last thing on your mind as you help your child prepare for college. Buying books and stocking up on necessities may top your list, but it’s a good idea to ensure your student is up-to-date on their meningitis vaccine. How Bacterial Meningitis Spreads According to the Centers for Disease Control and Prevention, people living in close quarters are more likely to spread this illness to one another. For example, you may have heard about the higher risk of meningococcal (or bacterial) meningitis for new college students. The risk is so serious that many colleges and universities require proof of a vaccine for new students moving into campus housing. This includes the University of Nevada, Reno. To clarify, all incoming freshmen under 23 years of age must show proof of their up-to-date meningitis shot. “Bacterial meningitis is considered a medical emergency, and anyone with the signs and symptoms should be evaluated in the emergency room immediately,” says Vanessa Slots, MD, Renown pediatrician. Symptoms of Bacterial Meningitis Fever Nausea Vomiting Irritability Headache Confusion Back pain Stiff or painful neck Leg pain Light sensitivity Rash on the torso or lower extremities It’s important to know many of these symptoms for both bacterial and viral meningitis are the same. However, the viral type is more common, often clearing up in seven to 10 days without complications. Nonetheless, you should go to the emergency room to be looked at, as the signs are similar for both illnesses. Why is Bacterial Meningitis Dangerous? This illness moves quickly, and in some cases, it can seem like the flu or severe strep throat and take a few days to develop. Or, it can hit in just hours. “Bacterial meningitis has an overall death rate of 10 to 15 percent despite treatment with antibiotics,” Dr. Slots warns. Another critical point is problems after recovery can also be severe. Frequently these include brain damage, amputations, infections around the heart, seizures and shock.

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Meet Dave Pierson and his Wife Kathy Dave Pierson, 73, and his wife Kathy were just ten days away from a celebratory retirement trip to Africa in May 2021 when severe leg pain and discomfort landed Dave in the Veterans Administration (VA) Hospital. Unbeknownst to the couple, they would not be making the trek to Africa, and it would be several weeks before Dave would be back home with his wife in Carson City, their life drastically different than before.   It all happened so fast. After a prompt referral from the VA Hospital to Renown Regional Medical Center, Dave received treatment for a bacteremia infection and underwent emergency spine surgery due to an epidural abscess. However, once his surgeon Edward Perry, MD completed the emergency procedure at Renown Health, Dave learned there was still a long road ahead. He had extremely limited body function and would need to learn to walk again.  A Husband, Baseball Fan and Veteran  Until this emergency spinal cord surgery, Dave had lived an especially healthy life in his retirement, traveling the world with Kathy, taking photographs along the way and attending ball games for their beloved team, the Reno Aces. Dave, a Vietnam veteran, and Kathy planted their roots in Carson City surrounded by countless friends and family, eagerly awaiting Kathy’s retirement.   The Long Road Ahead  It was those same friends and family who remained by Dave’s side throughout his recovery process.   At the advice of the Renown team, Dave began a personalized physical rehabilitation plan at Renown Rehabilitation Hospital just days after his initial surgery. It was with the help of Charles Krasner, MD, an Infectious Disease Specialist that Dave made a smooth transition to be cared for at the Rehabilitation Hospital. Dave spent six weeks of inpatient treatment relearning fundamental occupational skills and motor functions such as eating and drinking, getting dressed, using a wheelchair and eventually taking his first steps, aided by a walker.   The couple proudly remembers a day at the Rehabilitation Hospital when Dave successfully buttoned up his shirt using a small apparatus designed to aid in the task. "It was a little thing, but it was a monumental thing," Kathy shared.  Dave achieved physical and cognitive victories, both on a small and large scale, over the next six weeks. Kathy visited every day she could, always prepared with a photo of the couple's past travels to encourage Dave.   The Rehabilitation Hospital staff grew close with the Piersons, sharing stories and photos of their dogs, travels and life. The nurses kept Kathy updated about her husband’s condition and prepared her for the journey to come, this included extensive education related to Dave’s future at-home care.   Benjamin Pence, MD, Dave’s lead rehabilitation doctor and the Director of the Institute for Neurosciences, always seemed to know just how to motivate Dave on his most challenging days. As a ranger in Vietnam, the phrase, “drive on ranger” meant a lot to the veteran when it came to determination and perseverance. So, the phrase was used as encouragement by Dr. Pence and the Rehabilitation Hospital team throughout Dave’s journey, becoming a fond memory about hope and determination during recovery.

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Renown Health is proud to embrace the Reno-Sparks culture that makes our community stand out, which is why we sponsor the Reno Rodeo, an early summer staple with roots in the community as deep as our own. One of our many ties with the Reno Rodeo includes Renown Regional’s own emergency room nurse and Miss Rodeo Nevada 2022, Gabby Szachara. A Reno native, Gabby developed a love for the Reno Rodeo at a very young age. “I loved watching the girls on the Reno Rodeo Flag Team when I was little and knew I wanted to be part of the Reno Rodeo someday,” said Gabby. “As I got older, I started to make connections and build relationships with some people in the rodeo scene, and they generously lent me their horses so I could participate in the Reno Rodeo Flag Team.” Gabby was on the flag team for three years before being crowned Miss Rodeo Nevada 2022 last year.  Before joining the Reno Rodeo Flag Team, Gabby was a student at the University of Nevada, Reno, and a member of the women’s volleyball team. In December 2017, she graduated with a bachelor’s degree in public health. At first, Gabby was interested in a career in sports medicine – it made sense with her background in athletics. But, after working in the medical field as a certified nurse assistant and an emergency medical technician, she grew passionate about patient care and decided she wanted to become a nurse. “I’ve always loved teamwork and helping others,” said Gabby. “It’s important to me to be there for others, especially when it might be their worst day.”  In December 2021, Gabby graduated from Truckee Meadows Community College with a nursing degree and joined Renown Health this February. “I love Renown for various reasons. Everyone here is so nice and welcoming, and there is a great team dynamic,” said Gabby. “And I love that Renown’s main color is purple because that is my favorite!” When Gabby isn’t in her scrubs and caring for patients, she is in western wear and carrying out her duties as Miss Rodeo Nevada. “I do a lot of traveling across the country to attend other rodeos,” said Gabby. “I enjoy meeting so many wonderful people and experiencing the culture of different states.” Gabby’s main goals as Miss Rodeo Nevada are to promote the western way of life, agriculture, rodeo and community benefit. In addition, she visits local schools to talk with kids about how they can get involved in these areas and inspires them to turn their dreams into reality.  Gabby has a special place in her heart for the Reno Rodeo. “Reno is my home, and the Reno Rodeo is the heart and soul of summer in northern Nevada. Everyone comes together and dusts off their boots to have fun and also contribute money to important causes in our community,” said Gabby. “I love the comradery, the friendly and healthy competition and the great people.”  If you’re going to the Reno Rodeo this weekend, watch for Gabby and her horse, “Torque.”  And if you see Gabby in the halls at Renown Regional, give her a high-five for all her hard work as a nurse and Miss Rodeo Nevada!

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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.

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Are you settling in to watch the big game? Prep this easy-to-make vegetarian chili with a handful of wholesome ingredients hours before game time, and you’ll be ready to enjoy some healthy and flavorful chili by kickoff.

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Whether it’s cross-country or downhill skiing, snowboarding or snowshoeing, your off-season preparation is vital to an injury-free and healthy experience once the snow starts to fall. We’ve got you covered with expert tips that will make you the king or queen of the hill. Millions of skiers and snowboarders hit the slopes annually. So whether you’re a weekend warrior or stay active year-round, you need to prepare your body for the demands of your favorite winter sport to avoid minor aches, pains or even severe injury. Count on two to three weeks for your body to adapt to the physical challenges ahead if you’re active. Otherwise, give yourself a minimum of six weeks to gear up for the snow. Ready to shred? Here are some conditioning tips to help put you on the path to a fun, successful winter season. 1. Start With Cardio Cardiovascular exercise increases endurance as it conditions the heart, lungs and muscles and provides a solid foundation for other forms of exercise. And when you live and play at altitude, you need even more endurance. “Research shows that our maximum heart rate, cardiac output and ability to exercise are suppressed at altitudes over 5,000 feet,” explains Daniel Staffa, PT, DPT, OCS, of Renown Rehabilitation Hospital. “In the Reno-Tahoe area, altitudes can quickly rise over 8,000 feet when we exercise in the Sierras, so it’s critical to have cardiovascular fitness to avoid associated fatigue and decreased mental alertness on the slopes.” Try this: Pick an aerobic activity you enjoy — speed walking, running, hiking, biking or a cardio machine like the elliptical trainer. Build up to a minimum of 30 minutes, three days a week. 2. Increase Your Strength Your core works overtime to stabilize the body and absorb the shock of pivots and turns and variable snow conditions. Strengthen your core, lower back, hamstrings and calves and you’ll go a long way toward guarding against ligament tears and damage to other joint structures. Stronger muscles will also allow you to relax while maintaining control and making those quick adjustments that uneven terrain demands. Try this: Squats, wall sits and lunges. Work your core and lower and upper extremities with a variation of sit-ups, crunches, back extensions and planks. 3. Integrate Plyometrics Staffa explains that if your legs aren’t used to absorbing the impact of landing, severe injuries can occur. Preempt such trauma with plyometric exercises, or “explosive movements,” that simulate the movements of your favorite sport. You’ll develop greater power in your legs when you combine plyometrics with your strength training. Try this: Incorporate multi-directional drills — such as lateral jumps and forward and backward jumps — on variable surfaces like a trampoline, solid ground, or a box or step. Here’s a challenge for the more advanced: Stand in front of a bench or box (12 inches or so). Jump up and then immediately back down. Do this 10 to 30 seconds at a time, rest and repeat. Or get old school and bust out the jump rope. 4. Improve Your flexibility Flexibility is the ability to move joints through their entire range of motion, from a flexed to an extended position. Being flexible will allow you to pivot, twist and turn and navigate varying snow conditions with ease. You can increase your flexibility while maintaining bone alignment with stretching. Don’t forget to warm up and cool down. Try taking it easy the first 15 minutes of your day on the hill; try starting with a beginner’s run or walk to warm up and prepare your body. Do the same at the end of the day or go for a brisk walk to cool down. Stretching will help return muscles to their normal length. Try this: Dynamic stretches such as leg swings, arm swings and torso twists. Target your quads, hamstrings, calves, and lower back. 5. Fuel for the Hill Staffa suggests loading up on healthy complex carbohydrates the day before you go out and bring along your favorite protein snacks. Assess the slopes before making that first run — is the snow heavy, fresh or wet — and stay mindful of your fatigue level throughout the day. Don’t forget to hydrate and re-hydrate before, during and after exercise. And most important, have fun! Visit Renown Physical Therapy and Rehab for more information. Or call 775-982-5001 to consult with our sports and orthopedic experts who can help you develop an individualized training program in preparation for the winter season, including methods for overcoming previous injuries and limitations.

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