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8 Important Health Screenings for Men
Men are generally less likely to visit their doctor for exams, screenings, and consults compared to women. To address this, we've collaborated with Dr. Bonnie Ferrara of Renown Health, to compile a list of eight essential screenings that can help men maintain their health. 1. Blood Pressure Tests Ages 20+ Blood Pressure tests measure the pressure in your arteries as your heart pumps. Biennial (every two years) checks are recommended if you have normal blood pressure or more frequently if you have high blood pressure (hypertension) or low blood pressure (hypotension). The United States Preventative Services Taskforce cites normal blood pressure below 120 systolic (top number) and 80 diastolic (bottom number). 2. Cholesterol Screening Ages 20+ High levels of cholesterol increase your risk of stroke and heart disease. A simple blood test will help your healthcare provider determine your numbers and if you're at risk. If you have a family history of diabetes or heart disease, you may need yearly screenings. But, again, your doctor can provide the best course of action.
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Dr. Carilyn Hoffman's Guide to Menopause Medication & Relief
Women undergo multiple hormonal changes throughout their lives, leading to different physical and emotional experiences. Dr. Carilyn Hoffman, at Renown Women's Health, explains these confusing life stages and helps decode menopause. Perimenopause: Transitioning Towards Menopause Defined as the time "around menopause," perimenopausal symptoms are caused by hormonal fluctuations that occur as the ovarian function declines. Levels of estrogen and progesterone decrease, and follicle stimulating hormone increases. These hormonal fluctuations may cause a range of symptoms including: Irregular or abnormal periods: Initially cycles intervals vary in length by greater than 7 days, then in later stages the interval increases to greater than 60 days between cycles Hot flashes and night sweats: This is the most common symptom and 50-82% of women will have vasomotor symptoms Mood swings and memory problems Anxiety or insomnia Heart palpitations Decreased libido and vaginal dryness Weight gain and thinning hair Increased risk of urinary tract infections Decreased bone density Menopause Menopause is defined as year without a menstrual cycle and marks the timeframe when the ovaries stop making estrogen. This signifies the end of the reproductive years. The average age of menopause is 51; however, the menopausal transition can last about 8 years. This means that women in their late 30’s and 40’s may start to have symptoms of perimenopause. The worst vasomotor symptoms are typically experienced at the one-year mark since the last period. Unfortunately, some women experience symptoms throughout the entire menopausal transition. Postmenopausal After 12 months without a menstrual cycle, a woman is confirmed to be postmenopausal. This is sometimes difficult to define, as women may have had procedures that cause menstrual suppression such as a uterine ablation or hysterectomy or they may still be on contraception. Sometimes, lab work may be recommended to help determine menopausal status. However, due to the broad time period that the menopausal transition occurs and the variations in normal hormone levels throughout a cycle, lab work is not always helpful. Dr. Hoffman explains the importance of thorough counseling for patients seeking to "check their hormone levels." She emphasizes that menopause is diagnosed clinically, focusing more on the individual's symptoms rather than lab values. This approach ensures that patients understand the implications of the test results and the treatment strategy. Menopause Medical Management Medical management of symptoms should be tailored to the individual’s concerns. Abnormal Bleeding: There are a range of medications, IUDs and procedures available if the main concern is irregular or prolonged menstrual bleeding during perimenopause. Hot Flashes and Night Sweats: Hormone Replacement Therapy (HRT): HRT is currently the most effective method for relieving vasomotor symptoms. However, it's important to discuss potential risks with a healthcare provider, as HRT can increase your risk of blood clots and breast cancer. If improperly prescribed, it can also increase the risk of uterine cancer. The American College of Obstetricians and Gynecologists recommends the lowest dose for the shortest duration. Low-dose antidepressants: SSRIs/SSNIs may mitigate hot flashes and mood disorders for those who are not candidates or prefer to avoid HRT. Currently, only Paroxetine is FDA-approved for this use. Fezolinetant: This is a newly FDA-approved non-hormonal medication that works at the brain's level to treat vasomotor symptoms. Gabapentin: This is an anticonvulsant medication that has been shown in several studies to be helpful for vasomotor symptoms, but it is not currently FDA-approved. Genitourinary Symptoms of Menopause: Vaginal estrogen: Vaginal dryness and pain with intercourse due to thinning vaginal tissue is a common symptom of menopause. Vaginal estrogen is highly effective at decreasing these symptoms and has fewer side effects than systemic HRT. Ospemifene: This is a selective estrogen receptor modulator that is a non-hormonal FDA-approved medication for severe vaginal dryness. Natural Symptom Relief Strategies: Nutrition: Incorporate calcium, vitamin D, and high-quality protein to support bone health and muscle maintenance. There are limited studies on phytoestrogens (found in soy and tofu) and vasomotor symptoms. While the data doesn’t necessarily support that these phytoestrogens relieve symptoms, no detrimental effects were found and these tend to be high quality and healthy proteins. Exercise: Regular physical activity can ease menopausal symptoms and support weight management. Data doesn’t support that this reduces vasomotor symptoms, but it can be helpful in weight management and sleep quality. Beverage choices: Limiting alcohol and caffeine can help decrease the frequency of vasomotor symptoms and may also improve sleep quality. Alternative remedies: One study shows that Chinese herbal medicine and acupuncture are effective at relieving vasomotor symptoms. There is not enough evidence to recommend Black Cohosh, and it is associated with liver toxicity in high doses. Studies don’t show that St. John’s Wart or Gingko Balboa are any better than placebo. Always mention your alternative medical therapies to your provider as some do interact with other prescribed medications. By understanding and recognizing that the symptoms of menopause are real and treatable, women are empowered to manage this transition better and can maintain their well-being and quality of life. Please schedule an appointment with Renown Women’s Health if you’d like to discuss your menopause symptoms with a provider.
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Three Emergency Room Options for You and Your Family
Renown Health has three emergency rooms open 24 hours a day, seven days a week, ready to serve our community. We checked in with Amy Hawkins, Manager of Clinical Nursing at Renown South Meadows, to learn more about the emergency room experience and how each can accommodate your emergency care needs. 1. Renown Regional Emergency Room The emergency room at Renown Regional Medical Center is the only Level II Trauma Center between Sacramento and Salt Lake City, treating more than 80,000 ER and trauma patients annually. Services Offered: This location offers immediate emergency care covered by general surgeons and coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care. In addition, tertiary care needs include cardiac surgery, hemodialysis and microvascular surgery. (Patients may be referred to a Level I Trauma Center.) Renown Regional ER Location 2. Renown South Meadows Emergency Room South Reno is expanding, and so is Renown South Meadows ER! Exciting transformations are happening across this campus, including the new 121,000-square-foot specialty care center and upgrades to the existing medical center—expanding care to our patients. Added benefits to the more intimate setting at South Meadows: Smaller ER also means more personal experience. The team traditionally has more time to spend with each patient at the bedside. A smaller campus means convenient parking, as the ER is just outside the front entrance; however, patients are reminded to follow marked road signs when approaching the campus during construction. Most patients arrive by private vehicle versus an ambulance, so we are very accustomed to thinking quickly on our feet. Benefits to new construction: A new Cath lab will allow us to treat patients experiencing a heart attack and needing immediate intervention to open vessels in their hearts. Additional lab and imaging capabilities for our patients Services Offered: This location offers immediate emergency care staffed with board-certified emergency physicians. Patients can expect one-on-one interactions with trusted providers and shorter wait times. All emergency room services are open during construction, and patients are reminded to follow marked road signs when approaching the campus. South Meadows ER Location 3. Renown Children's Hospital Emergency Room This location offers immediate emergency care, with pediatric specialists always on staff. In addition, the Children's ER lobby is ideal for our littlest patients, with a child-friendly atmosphere and vibrant colors to help decrease the anxiety accompanying emergencies. Medical equipment is sized just for kids, and we offer a distraction machine, games and movies to help children cope with what can be a traumatic experience, like getting an IV. In addition, we have Child Life Specialists available to provide emotional support to both children and their families. When to Bring Your Child to the ER: Allergic reactions Asthma attacks Baby under three months old with a temperature higher than 100.4 degrees Fahrenheit Broken bones Burns Choking or poisoning Difficulty breathing Eye injuries Fainting, dizziness and confusion Head injuries Heart attack Rashes Seizures Severe bleeding Severe headache Severe pain Skin infections Stitches Stroke Venomous stings and bites Renown Children's Hospital Location
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Dr. Susan Lee to Lead Renown South Meadows Medical Center
Renown Health is pleased to announce that Susan Lee, DO, MBA will serve as Chief Operating Officer for Renown South Meadows Medical Center. Dr. Lee begins her new role on March 7, and succeeds Chris Nicholas, who resigned last month for a position with a health system in Florida. Tony Slonim, MD, DrPH, President & CEO, Renown Health, announced Dr. Lee’s internal promotion today by writing, “Embracing our vision to improve the health of our community, we are empowering leaders to play a greater role in improving physician, employee and patient experiences; growing services to our community; providing Reliable and Exact Care and meeting rigorous standards for operational excellence and efficiency.” Dr. Slonim noted that he was excited as, “Dr. Lee expands her role, promotes a spirit of unity across the enterprise, and continues to make progress on achieving goals central to Renown’s success.” In her new role as Chief Operating Officer for Renown South Meadows Medical Center, Dr. Lee will work with Jennifer Allen, MSN, director of nursing and the South Meadows leadership medical staff and team to lead South Meadows to achieve its strategic and operational goals. Dr. Lee is an experienced, dynamic physician executive and operational leader with a record of service growth, clinical quality, patient communication and execution. She is experienced in cross-functional collaboration and nationally recognized for organizational change management. Board certified in Internal Medicine and Psychiatry, Dr. Lee has based her clinical practice as a hospitalist on the mind-body connection and a collaborative model with patients and families. Dr. Lee joined Renown Health as the Chair of Medical Specialties in the summer of 2020 to manage hospital-based physician practices. She was promoted to Chief Medical Officer for Renown Regional Medical Center in February 2021 to oversee inpatient clinical operations, including length of stay, hospital capacity, care management functionality, interdisciplinary rounds and Medical Staff services. Since September of 2021, as Chief Medical Officer for Renown Acute Care, she has been responsible for clinical operations, strategic direction, hospital-based physician management, the Medical Staff Office, regulatory standards, and quality and financial outcomes for Renown Regional Medical Center, Renown South Meadows Medical Center and Renown Rehabilitation Hospital. Prior to serving at Renown, Dr. Lee served as Chief of Hospital Medicine at Carilion Clinic, a 7-facility nonprofit, integrated health system headquartered in Roanoke, Virginia. Dr. Lee is a graduate of the University of Massachusetts Amherst (MBA), Nova Southeastern University College of Osteopathic Medicine (DO) and Duke University (BA). She is an active member of the American College of Healthcare Executives and the American Association for Physician Leadership. Renown South Meadows Medical Center, located in south Reno, is a 76-bed acute care community hospital offering exceptional surgical and medical services in a nurturing environment. Renown South Meadows Medical Center is home to south Reno’s only 24/7 Emergency Department and staffed with Board-Certified Emergency physicians. Renown South Meadows Medical Center offers advanced care for patients including comprehensive primary care; x-ray and imaging services; lab services; heart care; OB/GYN; physical rehabilitation and pulmonary rehabilitation services; nuclear medicine and surgical services including orthopedics. As a not-for-profit organization, the Renown South Meadows Medical Center team embraces their role in improving the health and well-being of the people and communities served and provides necessary healthcare services regardless of race, creed, sex, national origin, handicap, age or ability to pay. In addition, Renown South Meadows Medical Center has been nationally recognized for providing the highest quality care and service, including: In U.S. News and World Report Best Hospital rankings, Renown South Meadows was listed #1 in the State of Nevada (tied with Carson Tahoe Medical Center) for 2020. Renown South Meadows was rated High Performing for Hip Replacement and Knee Replacement and COPD. A hospital's score is based on multiple data categories, including patient outcomes, safety and volumes. Hospitals earning a High Performing rating were significantly better than the national average. Renown South Meadows Medical Center received The Joint Commission’s Gold Seal of Approval® accreditation for Total Knee Replacement, Total Hip Replacement and Total Shoulder Replacement and was recognized as Top Performer on Key Quality Measures.® Dr. Lee says she "understands that health care today is as much about social skills and navigating multiple relationships as it is about clinical knowledge." Throughout her career, Dr. Lee has done much to contribute to a culture of innovation and transformation. Dr. Lee believes that, “providers need physicians, nurses and care teams who have high adaptability, flexibility, and, above all, the ability to care and be kind." Dr. Lee coaches teams to be responsive, empathic, have situational awareness and employ their clinical abilities at the highest level. She will often ask questions of her team to understand how they are "wired" to drive innovation and transformation- and to build culture and teamwork. She has hired and coached over 100 hospitalist physicians — many of them women — and promoted and served as a reference for hundreds of nurses, staff leader and advanced care providers. Dr. Lee serves as a peer mentor for other women, and men, who aspire to physician and healthcare leadership. The team at Renown South Meadows Medical Center is seeking great employees for careers in service; apply on line at https://careers.renown.org/.
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