RENOWN NEWSROOM

Treatment offers patients safe, non-drug and non-invasive repetitive transcranial magnetic stimulation (rTMS) therapy to treat symptoms of major depression. Renown Health is committed to improving access to vital mental health services in northern Nevada. Today, clinical leaders at the Stacie Mathewson Behavioral Health & Addiction Institute at Renown announced they will offer repetitive transcranial magnetic stimulation (rTMS) therapy for people experiencing Major Depressive Disorder (MDD) under the guidance of a Renown psychiatrist.  According to the National Institute of Mental Health, major depression is one of the most common mental disorders in the U.S. The disease causes people to experience sadness and helplessness, and in some cases, may prevent people from carrying out their daily routines.  “We at Renown are proud of our national reputation as an innovator in implementing new models, technology and systems of care for our community,” said Tony Slonim, MD, DrPH, President and CEO. “We are working to transform care and demonstrate value in a way that appeals to patients and helps clinicians improve outcomes and reduce costs. There is now a sufficient body of evidence to accept the analgesic and antidepressant effect of high-frequency rTMS, and we are pleased to offer this promising therapy.” rTMS is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. It is typically used when other depression treatments haven't been effective. This treatment for depression involves delivering repetitive magnetic pulses, so it's called repetitive TMS or rTMS. “Depression can be treated; however, for some people, medications and talking with a behavioral health expert may not be enough,” said Renown’s Division Chief of Behavioral Health, Richard A. Charlat, M.D., M.P.H. “We are pleased to offer rTMS therapy for people looking for a new way to fight depression and for whom other treatments may not have given them relief. We are committed to working closely with our patients to find the treatment that works best for them, so they can live their best lives.” “Nevada has the highest prevalence of mental illness and substance use in the nation,” said Steve Shell, vice president of the Stacie Mathewson Behavioral Health & Addiction Institute. “Combine that with the added stress and isolation many are feeling with the COVID-19 pandemic, and we know that offering patients safe, non-drug and non-invasive treatments- as well as essential mental health and addiction services are more important than ever.”   How rTMS Works During an rTMS session, an electromagnetic coil is placed against the person’s scalp near their forehead. The electromagnet painlessly delivers a magnetic pulse that stimulates nerve cells in the region of the person’s brain involved in mood control and depression. It's thought to activate regions of the brain that have decreased activity in depression. Though the biology of why rTMS works isn't completely understood, the stimulation appears to impact how the brain is working, which in turn seems to ease depression symptoms and improve mood. There are different ways to perform the procedure, and techniques may change as experts learn more about the most effective ways to perform treatments. On average, patients undergo rTMS treatments for four to six weeks, five days a week for about 40 minutes a day. In all cases, a patient’s doctor will determine a treatment plan that’s best for the patient. This video shows what patients can expect during rTMS therapy.    What Does rTMS Feel Like? rTMS therapy is an easy, in-office experience designed to be positive for patients. During treatment, people are awake, alert, and comfortably reclined in a spa-like chair. The first few treatments may cause discomfort at or near the treatment site, however, this is unlikely to last beyond the first week of treatment.1, 2  “The effects of depression can be devastating for the people battling it, as well as for those who love them,” said Stacie Mathewson. “No matter how dark life may seem, always know, there are incredible behavioral health experts at Renown ready to support and empower you as you seek the help you deserve.”  Charles N. and Stacie L. Mathewson established the Stacie Mathewson Behavioral Health & Addiction Institute at Renown in 2018 to expand community access to prevention and intervention services for mental health disorders and alcohol and drug addiction. Renown is working to expand intensive outpatient treatment, partial hospitalization and medication-assisted treatment programs to better serve those struggling with mental illness and addiction. The Renown team is also passionate about prevention, mental wellness and is actively working to decrease stigma and encourage more people to seek the help they need. TMS therapy is cleared by the FDA and available by prescription only. It is commonly covered by most insurance plans. Patients must be referred by a behavioral expert to seek rTMS treatment. For more information and to make a patient referral, please call the Stacie Mathewson Behavioral Health & Addiction Institute at 775-982-5318.   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 Health, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®.   Sources Trivedi MH, et al. (2006). Evaluation of Outcomes with Citalopram for Depression Using Measurement-Based Care in STAR*D Implications for Clinical Practice. Am J Psychiatry, 163(1):28-40 Rush AJ, et. al. (2006) Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR*D report. Am J Psychiatry, 163(11):1905-1917.

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Expanded test processing capabilities is resulting in faster test results, lessening the load on the state lab, and helping keep patients, care providers and the community safe. Renown Health announced today that its in-house laboratory is now able to process up to 500 COVID-19 tests for hospital patients and care providers each day. The organization has invested in expanded test processing capabilities to better serve the community amid the coronavirus pandemic, and to increase testing available across the state. Next month, Renown anticipates continuing to further expand testing capacity and doubling its capacity to be able to provide 1,000 tests per day in preparation for the continued response to the pandemic. “The COVID-19 pandemic is not going away- it is still with us. I am concerned by the number of new cases and hospitalizations we are seeing across northern Nevada. We must do more testing. We need broader capabilities around making sure we have broad-scale surge testing available, so we can help people identify if they have COVID-19 or not,” said Tony Slonim, MD, DrPH, Renown’s President & CEO. “If I could test 60,000 people in northern Nevada for COVID-19, like we did for the Healthy Nevada Project, we could better understand with data and facts the proportion of people who actually have COVID-19 versus those that just have the sniffles and a cold.” Launched in 2016, the Healthy Nevada Project https://healthynv.org/ is a community-based population study where free genetic testing is provided to thousands of Nevadans to learn about the health of the community and each person’s genetic risks. As of Tuesday, 2,286 people in northern Nevada have been tested, and positive cases were nearing 700. Seventy four people in northern Nevada have died; 1,526 have recovered. https://www.washoecounty.us/ Dr. Slonim says it would help him and others make important decisions and plans for coronavirus with evidence. He wants to be able to test many more individuals across northern Nevada. “Testing is pivotal upstream, so you can prevent consequences downstream,” said Dawn D. Ahner, DSc, FACHE, Chief Operating Officer – Renown Acute Services. “By processing our own tests, we’ve reduced the turnaround to receive results to just 12-24 hours, which will have a profoundly positive impact on our community, and lightens the load on the State lab. “Testing is an incredibly important tool in our fight against coronavirus,” said Tim Stephens, vice president of ancillary services. “There's no 100% perfect test, however, the PCR tests are so incredibly sensitive, that when done perfectly, have a very low false-positive rate. Certified labs like Renown’s use a number of procedures to reduce the risk of false test results.” “The expansion of our lab’s new testing capabilities during this time is a testament to the innovative and important work being done here at Renown,” said Erik Olson, CEO of Renown Regional Medical Center. “Throughout the pandemic, our ancillary team, which includes services like laboratory, radiology and pharmacy, has been quick to adapt to the needs of our patients and our community. I am pleased that we are able to generate critical test results for patients and providers as we continue the fight against COVID-19 and go the extra mile for safety.”   Going the extra mile for safety As an added safety measure, acute hospital patients; patients preparing for surgery, and care providers who may have come into contact with those positive for COVID-19, are among those that receive mandatory PCR testing from Renown at this time. For patients receiving hospital care, these tests help determine if patients should be placed in a designated area of the hospital to mitigate the risk of transmission to those not infected. Furthermore, all surgery patients are tested ahead of their surgery and self-quarantine prior to their surgical procedure at Renown Regional Medical Center and Renown South Meadows Medical Center. How do PCR tests work? PCR tests use a sample of mucus typically taken from a person's nose or throat. The test looks for the genetic material of the coronavirus, using a technology called PCR to detect if the viral genetic material is present. Those actively infected with the virus will show the existence of that material. Individuals who think they should be tested for COVID-19 are encouraged to call their medical provider or contact the Washoe County Health District at 775-328-2427 for a risk assessment. For up-to-date information on Renown’s approach to keeping our community safe, visit our website at renown.org/covid-19/.   Please see b-roll for this story here.     About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, Renown Children’s Hospital, Renown Rehabilitation Hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org.

Read More About Renown Health In-House Lab Now Processing COVID-19 Tests for Patients and Care Providers