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Update on Elective Surgical Procedures and Medical Services
Today, in accordance with recommendations from the U.S. Surgeon General and the American College of Surgeons, the Renown Health Joint Medical Executive Committee decided that effective Tuesday, March 17, surgical cases scheduled at both Renown Regional Medical Center and Renown South Meadows Medical Center, considered to be ELECTIVE-OPTIONAL will be postponed to a later date. Patients with scheduled ELECTIVE-OPTIONAL surgeries will be called by Renown Health representatives over the next week. Surgeon’s offices will also be reaching out to assist patients with rescheduling their surgeries for a future date. Elective surgeries that are REQUIRED and not optional will be evaluated on a case-by-case basis daily with the surgeon, patient and a medical leadership review committee at Renown. Your surgeon’s office will be in contact with you with more information about these REQUIRED surgeries This temporary measure will allow Renown’s physicians and staff to enact the emergency preparedness plans they have been developing for weeks to create additional capacity for inpatients and to continue to deliver high quality care during the anticipated surge in COVID-19 cases in northern Nevada. The new guidelines do NOT apply to EMERGENCY surgeries performed in Renown hospitals. There are different types of surgery, this decision impacts Elective-Optional surgeries only. Elective – Optional surgery – Elective surgeries are not usually necessary for the individual to stay in good health. They are non-emergency and planned in advance. A wide range of surgeries can be elective. Most cosmetic surgeries are elective. Other surgeries such as organ donation, scoliosis surgery, tonsillectomies and other minor surgeries can also be considered elective. Required surgery – Surgery which needs to be done in order to retain quality of life. As opposed to urgent or emergency surgery, required surgeries do not need to be performed immediately. Examples of required surgery are kidney stone or tumor removal. Urgent or emergency surgery – When a patient’s condition is life threatening, surgery is considered emergent. Emergency surgeries must be performed immediately, even when the patient is unconscious and cannot give consent. Examples include trauma and appendicitis. Life-threatening conditions can occur during labor and delivery which may require emergency surgery. Other services making changes include: Pulmonary Services and Procedures Renown Health today will begin rescheduling patients scheduled for Pulmonary Function Testing, Outpatient bronchoscopy and patients at Thomas S. Dolan Pulmonary Rehabilitation. Patients who are affected by this change are being called by Renown to reschedule their appointments for Monday, April20, 2020 or later. Starbucks at Renown and Renown Dining Options As with many of the Starbucks around the U.S., the Starbucks at Renown Regional Medical Center will shift to a “to-go” model, with no seating available. The cafeterias at Renown Regional Medical Center and South Meadows Medical Center remain open, will temporarily eliminate self-service options and will add more ‘grab and go’ options. Other Renown Services Remain Open Renown Medical Group offices remain open. Planned imaging procedures such as ultrasound, computed tomography (CT), magnetic resonance imaging (MRIs), mammograms and non-invasive cardiology testing will continue at Renown hospitals and office locations and will NOT be postponed at this time. Patients confirmed for imaging appointments will be contacted prior to their scheduled visits to identify those who may be at higher risk of COVID-19 infection. Renown has expanded access to Teladoc virtual visits, available to all Hometown Health and Senior Care Plus subscribers. For up-to-date information on Renown’s approach to keeping our community safe, visit our website at https://www.renown.org/covid-19/. 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, a 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.
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Why Is My Hair Falling Out? Alopecia Explained
© MikeSaran via Canva.com Hair is often considered a symbol of identity and self-expression, from scalps and eyebrows to beards and bodies. But what happens when this symbol starts to fall out? The 6.7 million people across the country living with alopecia know this feeling all too well. Alopecia, or hair loss, is a medical condition with variable causes, presentations and treatments. Experts at Renown Health dive into the world of alopecia, its causes and how to address it – especially as we embrace National Alopecia Awareness Month this September. Types of Alopecia The term “alopecia” is a broad umbrella term that encompasses many different forms of hair loss that can present itself at any age, no matter your gender or ethnicity. The most common types include: Alopecia Areata: An autoimmune disorder where the immune system targets hair follicles, typically resulting in patches of hair loss on the scalp and/or other body parts. More severe forms of alopecia areata also exist, such as alopecia totalis and alopecia universalis. Androgenetic (or Androgenic) Alopecia: A disorder also known as male or female pattern baldness that causes gradual hair thinning and loss often around the temples and crown. Unlike alopecia areata, this form of alopecia is usually hereditary. Telogen Effluvium: A condition resulting in hair shedding, typically after high-stress or infectious events, such as after giving birth or after a COVID-19 infection. This usually resolves itself within a few months to a year. Traction Alopecia: Hair loss resulting from the effects of tight braiding or styling of the hair, which can cause permanent loss over time. Scarring and Inflammation-Mediated Hair Loss: Patterns of hair loss related to lupus, lichen planus or other autoimmune conditions that can unfortunately be permanent and progressive. Options to Treat Alopecia While there isn’t a cure for most types of alopecia, some treatments are available to help minimize the effects of the condition and promote hair growth. Treatment varies depending on the type of alopecia. Potential options can include: Topical Minoxidil: An FDA-approved over-the-counter medication available in foam or liquid form and applied directly to the scalp, which helps stimulate hair growth by increasing blood flow to hair follicles. Hormone Therapies: A hormone regimen that can help minimize the resulting hair thinning and balding. Corticosteroids: A topical cream or ointment – or an injection for severe cases – that help reduce inflammation and re-grow hair. Low-Level Laser Therapy: A therapeutic, non-invasive intervention involving wearing special caps or combs that release painless, low-level lasers to stimulate hair follicles. Healthy Diets and Nutritional Supplements: A diet rich in vitamins and minerals essential for hair health, such as biotin and collagen, can aid in recovery. Vitamin D and iron are also important hair growth nutrients. Stress Management: Stress can impact the speed and frequency of hair loss. Managing your stress can help mitigate the effects of alopecia. Treatment for alopecia is not a one-size-fits-all approach. A scalp skin biopsy may help determine a cause for hair loss and help guide the best management strategies with your provider. Addressing the Emotional Impacts Even though alopecia isn’t life-threatening, the impacts of the condition can affect your self-esteem and self-image. The most powerful tool to help you manage alopecia is knowledge. Keeping yourself educated about your condition, and encouraging your loved ones to do the same, can help arm yourself with the acceptance and self-compassion you need and help combat misconceptions. With the rise in awareness in the mainstream media for alopecia and other hair conditions, beauty standards and fashion are shifting to become more inclusive for those experiencing hair loss. Celebrating the many diverse hairstyles and fashion statements can help you regain your confidence. There are many options you can advantage of to help style your hair and protect your scalp: Hairpieces: Wigs, extensions and other hairpieces can help cover up balding or thinning patches and add volume to your hair. Hairpieces have come a long way in the past few decades, and many use real human hair. Hats: Hats serve a dual purpose – a fun fashion accessory to help boost your confidence and a method of protecting your scalp from the sun. As someone with alopecia, your scalp is more exposed, and hats can provide that extra layer of protection you need. Scalp Sunscreens: While regular body sunscreens can provide good scalp sun protection, they can result in oily scalp and hair appearance. Sunscreens that are specifically designed for the scalp are available at most beauty stores or online. Remember, patience is fundamental, as many treatments require consistent use over time to see noticeable results. Stay resilient, and don’t give up – you are not alone in your alopecia journey.
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Neurosurgery
Renown Neurosurgery Using a collaborative approach, our experts use leading-edge diagnostic tools to identify neurological conditions and treat them with the most effective surgical and non-surgical treatment techniques available. What is a Neurosurgeon? A neurosurgeon is a doctor that specializes in surgical treatment and management of conditions for the nervous system, including the brain, spinal cord and nerves. In addition to the nervous system, neurosurgeons can also treat conditions that impact the surrounding supporting structures, including your skull, spinal vertebrae, spinal disks, and blood vessels. If your care team determines surgery is the best plan of treatment, you will be referred to a neurosurgeon for consult. Conditions We Treat