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Renown Health Launches Free Childbirth Classes for Expectant Parents
Renown Health is excited to announce the launch of free pregnancy, childbirth and early parenthood and grandparent classes. Beginning this month, Renown’s comprehensive selection of childbirth education and support for expecting and new parents is now available to all in the community as a free resource, and as part of Renown’s community benefit mission. “As Reno’s only not-for-profit, integrated academic health care organization we are constantly investing in essential community benefits and services. Our goal is to enhance access to prenatal care and childbirth education to help improve health outcomes for mothers and children in Washoe County,” said Brian Erling, MD, MBA, President & CEO for Renown Health. “By offering these free classes, we look to provide parents with the knowledge and support they need to confidently welcome their babies into the world, and to raise healthy children.” "We are thrilled to offer childbirth classes to our community at no cost. We recognize the profound health benefits these classes provide, not only to expectant mothers, but to their families and the broader public,” says Jennifer Timmons, RN, Nursing Manager for Postpartum and the Newborn Nursery at Renown. “We want to promote healthier pregnancies and foster stronger, more resilient families. By removing financial barriers, we hope to reach and support every expecting parent in Washoe County.” All Classes are now FREE including: Pregnancy & Birth Class. An all-in-one day childbirth education course offered virtually or in-person, or a 7 Week in-person Thursday series childbirth preparation class, prepares mom and her partner for the many aspects of childbirth, postpartum, infant care and breastfeeding education. Certified instructors offer support and guidance to meet individual needs. Comfort Measures for Birth Class. In this two-hour session, expecting parents learn labor coping skills including relaxation/meditation practice, breathing techniques, massage and acupressure. Spinning Babies Parent Class. A four-hour class designed for expecting moms after the 20th week of pregnancy. This class highlights rotating the baby down and out of the pelvis. Preparing for Postpartum Virtual Class. This 2-hour class helps prepare mom and partner on what to expect after birth and the weeks that follow, the difference between postpartum blues and postpartum depression, mother’s warning signs and adjustments once you return home. Breastfeeding Basics and Beyond Class. In this class taught by an International Board-Certified Lactation Consultant, mothers get off to a better start with breastfeeding. Breastfeeding Circle Gathering encourages breastfeeding moms to find support, exchange experiences, and discuss any concerns. Popular topics include milk supply, pumping, returning to work, sleeping, or lack of sleep, weight and more. Nurturing Your Newborn. This 2 in 1 class includes the Newborn Care Class and Breastfeeding Basics and Beyond. The morning portion of this class includes breastfeeding benefits and techniques. The afternoon segment covers newborn appearances and behavior, daily care, signs of illness, and when to call the doctor. Tummy time, comfort and soothing techniques, how to keep your baby safe, newborn screenings are discussed. Partners are encouraged to attend. Baby Safe Class. This class helps prepare parents for emergencies that may occur in baby’s first year. Along with car seat safety and basic baby proofing, discussion will include basic first aid, prevention and treatment of common injuries. Grandparents and other caregivers are welcome to attend. Infant & Child CPR Class; This course is ideal for schools and students, new parents, grandparents, babysitters, and others interested in learning how to save a life. Baby and Family Suites Tour; and Tours for Siblings (ages 2-8). Join a childbirth educator to learn more about our Baby and Family Suites, labor and delivery rooms housed in the new Labor Assessment Area, and the William N. Pennington Nursery. Virtual Grandparents Workshop. Grandparenting has changed a great deal over the last generation. Grandparents will learn about newborn care, safe sleep environments, breastfeeding, car seats, product safety and how to help support new parents. For more information and to register online for any class free of charge, visit www.renown.org/events. Free Childbirth Classes Are One More Way That Renown Gives Back to Create a Healthier Community for All Renown Health is the only locally owned, not-for-profit, charitable healthcare network in Reno. Being not-for-profit, or a 501 © 3 organization means that all Renown’s income stays locally- and is reinvested in people, programs and technology to improve the health of the community. In fact, Renown’s name - besides being the aspiration for care, means "Reno's Own.” With community is at the center of the organization’s mission, and through the affiliation with the University of Nevada, Reno School of Medicine, Renown Health embraces a commitment to make a genuine difference in creating a healthier Nevada for all. Maternal and Child Health: A Community Benefit Focus Area, 2025-2027 Renown Health’s Community Benefit Health Focus Areas are based on primary and secondary research collected as part of the 2023 Community Health Needs Assessment (CHNA). The CHNA includes input from community stakeholders representing the broad interests of the diverse communities served by Renown Regional Medical Center and Renown South Meadows Medical Center, including those stakeholders with expertise in community and public health. Health needs were identified in the CHNA and subsequently prioritized by community stakeholders. From the prioritized health needs, Health Focus Areas were chosen based on criteria that consider the Renown Health’s team capacity to impact community needs, the strength of community partnerships and the alignment with Renown’s organizational strategic planning efforts. Through this Implementation Strategy, Renown Health is committed to identifying and closing health equity gaps in communities that are historically marginalized and vulnerable. Health Focus Areas for 2025-2027 are Mental Health; Access to Health Care and Community Services and Maternal and Child Health. “Renown’s Community Benefit mission is to reduce health disparities, promote community wellness and improve access to care for vulnerable populations,” says Kerry Kelly, MPH, Manager of Community Health for Renown. “This includes offering free and discounted care to those unable to afford healthcare, and partnerships to address health and well-being. Our CHNA process showed Maternal and Child Health as a priority for the community. Improvements in healthcare services, better access to prenatal care, and free education on maternal and child health may help to decrease the infant mortality rate and improve the health outcomes for mothers and children in Washoe County. By working together, and offering free childbirth classes, we can help have a positive impact on the health and well- being of our community.” Secure a brighter future for local mothers and children by donating to the Renown Health Foundation at 775-982-5545 or at renown.org/About/Renown-Health-Foundation. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center for adults and children, 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. For more information, visit renown.org.
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Rheumatology
The board-certified rheumatologists at Renown Rheumatology provide state-of-the art care for a wide range of autoimmune rheumatic diseases such as rheumatoid arthritis, psoriatic arthritis, lupus, Sjogren syndrome, vasculitis, gout, and many more. We use the most advanced evidence-based diagnostic and therapeutic measures to restore health and enhance well-being.
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Labor & Delivery
Having Your Baby at Renown Renown Health’s Labor & Delivery Center, located at Renown Regional is nationally ranked for our maternity care. We proudly deliver more babies annually than any other hospital in the region. As your trusted care partner, we work to provide a personalized birthing experience that begins long before your first contraction and continues well after delivery. With state-of-the-art amenities and a compassionate team of care providers, we deliver advanced maternity care while making your birth experience as joyous and comfortable as possible.
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Hospice Care
Compassionate Care in the Comfort of Your Home Welcome to Renown Hospice, where compassion meets comfort in life’s most tender moments. Renown Hospice is a not-for-profit hospice, founded solely on a mission to care for and support those in our community. With a dedicated team of professionals and comprehensive services provided in the comfort of your home, our hospice program is one of the highest-rated quality care and experience agencies in northern Nevada.
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Free Virtual Event! Saving Money on Medications
According to a National Center for Health Statistics survey, about 8% of U.S. adults are not taking their medications because they can’t afford them. This means millions of adults aren’t taking their medication due to the high cost. Virtual Event with pharmacist, Adam Porath Thursday, July 23, 11 a.m. to Noon Attend Virtual Lecture 5 Ways to Cut Medication Costs Safely Cost might not be affecting your medication plan, but the following ways to save money on medication can help: 1. Questions to ask your prescribing provider Do I have to take this medication? This is particularly a good question when you’ve been taking a pill for some time and not sure if you should continue. Is there a way to combine my medications? A good example of this is for those who are taking blood pressure medications. Do I have to take this particular pill? Often there are generic choices in the same medication class. Can I get a larger supply? Basically, knowing the cost of a 30- vs 90-day supply is always a good idea. In other words, it could save you time and money. This generally works for medications you take long-term. Remember, asking questions can help you save money on medication, so communicate your concerns. 2. Research online Find the website for the medication and look to see if there are savings and support available through the drug company. 3. Consider a co-pay card Co–pay card programs offered by drug manufacturing companies are a direct way to lower out-of-pocket costs for prescription drugs for eligible patients. The cards can patients pay for the medications they, or their doctors, prefer. If you don’t qualify for a co-pay card, then you can look into patient assistance programs. 4. Consider patient assistance programs Drug companies sponsor these programs by income and they are often hard to find. The best way to find a patient assistance program is by asking your pharmacist. 5. If you’re on Medicare, consider updating your plan Medicare plans can change from year to year, which often times includes the medication they cover and the co-payments or deductible amounts. Annual Enrollment takes place October 15 – December 7, 2020. Most important, review the options and shop around for the best plan. Visit Senior Care Plus for information on Medicare Advantage Plans available to you. Want to ask a pharmacist more questions on how to save on medication? Join us for a Sterling Silver Club virtual event on Saving Money on Medication. To learn more about the Sterling Silver Club, visit our club website.
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Get Moving: How to Exercise with Arthritis
An arthritis diagnosis doesn’t mean your exercise routine has to end. In fact, a consistent routine can actually improve mobility. Although stiff and painful joints can make it difficult to keep moving, staying active is essential for easing pain. October 11 is World Arthritis Day, so we asked Michelle Higgins, MPT at Renown Physical Therapy & Rehab some advice about exercising with arthritis. According to the Arthritis Foundation, arthritis affects one in five adults and 300,000 children. As a matter of fact arthritis is the nation’s leading cause of disability. Your joints certainly don’t need to suffer when you exercise. In general exercise is actually necessary for those with arthritis. Not only does it reduce joint pain, but it also increases strength and flexibility. Furthermore those adopting a regular exercise routine also have more energy, deeper sleep and find it easier to maintain a healthy weight. “Exercise is a necessary component to managing your arthritis,” says Higgins. “Consistent participation in an exercise program has been shown to promote long-term pain relief, increased body function and an improved quality of life. Alternatively, a lack of exercise can actually increase joint pain or stiffness and eventually lead to long term disability and suffering.” Exercising With Arthritis Exercise truly is the most effective non-drug arthritis treatment available for reducing pain and improving movement. And it can even include daily activities like gardening, dancing or walking your dog. Of course talk to your doctor or physical therapist about what exercises fit into your specific treatment plan. With this is mind, the four specific components below are important to an effective arthritis exercise program: Range of motion Moving joints through their full available range of movement is important. This frequently increases function and decreases joint stiffness and pain. For this reason, aim to complete these exercises daily. Examples include bending, straightening, and rotating specific joints, or static and dynamic stretching. Strengthening These exercises target muscles supporting and protecting our joints and bones. Strengthening is also necessary for weight control, so two-to-three sessions per week are recommended. In order to allow your body to adapt, begin with light resistance and start slow. Strength exercises include weightlifting and using resistance bands. Low-impact aerobic exercise Aerobic exercise is certainly necessary for overall well-being, weight management and heart health. Aim for two-to-three sessions a week. Low-impact exercises include walking, swimming, cycling, elliptical machine exercises and water aerobics. Balance Good balance is also vital for an effective arthritis program. On the positive side, solid balance prevents falls by increasing your ability to stay upright whether you are moving or sitting still. Likewise, it improves your confidence with walking and daily activities. In order to keep excellent balance, incorporate daily balance exercises. Examples of balance exercises include the use of an exercise ball, Tai Chi and exercises such as standing on one foot. Start Slow, Finish Strong As you begin your exercise program, remember to listen to your body. Start slowly – it can take several weeks for your body to adjust to exercise. Consult your doctor, or physical therapist, if you experience increasing pain or swelling which doesn’t go away with rest. Above all, incorporate fun and motivating activities so you’ll stick to them long term and improve your results. Renown Physical Therapy & Rehab 775-982-5001 Through outpatient physical, occupational and speech therapy, Renown Physical Therapy & Rehab gives you hands-on, individualized treatment in convenient Reno/Sparks locations. We have the latest, most advanced physical therapy and rehab equipment, specialty services and treatments. Renown Physical Therapy & Rehab is now open on Robb Drive in addition to three additional locations in Reno and Sparks. Call 775-982-5001 or visit us online.
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How to Safely Store Breast Milk
Breast milk. It's often referred to as liquid gold. And fortunately, it can be safely refrigerated or frozen for later use, which can allow you to be a bit more flexible in your new routine with baby. Whether you're getting ready to return to work, planning for the chance date night out or just exclusively pumping, it's crucial to understand the guidelines for proper breast milk storage. Storing Breast Milk Use clean bottles with screw caps, hard plastic cups that have tight caps or nursing bags (pre-sterilized bags meant for breast milk). Be sure to label each container with the date the milk was pumped and your baby's name if the milk is going to childcare providers. You can add fresh, cooled milk to milk that is already frozen, but add no more than is already in the container. For example, if you have two ounces of frozen milk, then you can add up to two more ounces of cooled milk. For healthy full-term infants, milk can be stored as follows: Room temperature - six to eight hours (no warmer than 77°F, or 25°C). Refrigerator - up to five days at 32°-39°F (0°-3.9°C). Freezer– Varies depending on freezer type. Up to two weeks in a freezer compartment located within the refrigerator. Three to six months in a freezer that is self-contained (standard kitchen fridge/freezer combination) and kept at 0°F (-18°C). Breast milk should be stored in the back of the freezer and not in the door. Six to 12 months in a deep freezer that is kept at -4°F (-20°C). Be sure to leave about an inch of space at the top of the container or bottle to allow for expansion of the milk when it freezes. Thawing Breast Milk Place frozen breast milk in the refrigerator to thaw (about 24 hours) then warm by running warm water over the bag or bottle of milk and use it within the next 24 hours. If you need it immediately, remove it from the freezer and run warm water over it until it's at room temperature. Never microwave breast milk and do not refreeze it. Once your baby has started to drink from the bottle, you should use it within one hour. You may find that different resources provide different recommendations about the amount of time you can store breast milk at room temperature, in the refrigerator and in the freezer. Talk to your doctor or lactation consultant if you have any concerns or questions.
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Testosterone, Men and Health: What You Need to Know
You probably know testosterone (T) plays an important role in how boys physically develop into men. But is that all you know? What happens when a man's T levels are off? Are there symptoms men should look for? And what are the treatment options? Dr. Bobby Kahlon, MD, Renown Medical Group provides answers in a Testosterone Q&A. What does testosterone do for men? "Testosterone is known as the 'manly hormone' for a reason," says Dr. Kahlon. "Though women also naturally produce small amounts of it, men produce testosterone at much higher concentration levels. And it affects men in more physical and obvious ways. How much hair a man has on his chest, how deep his voice is, or how muscular he is are all attributable in some way to testosterone. It's also responsible in large part for sex drive and bone strength and affects how men think, learn and experience their surroundings." Testosterone in men: Powers virilization (male physical characteristics) and sexual function Builds muscle mass and strength Supports bone density Improves cognition T Trivia: Discover Magazine reveals that “manly” testosterone and other sex hormones evolved long before we did — 500 million years ago — from the ultimate “female” hormone, estrogen. Can you have too much or too little testosterone? Though high testosterone isn't a concern for most men, low testosterone or low T occurs more frequently and develops for two primary reasons. Dr. Kuhadiya explains, "Subnormal testosterone concentrations occur either due to pituitary or testicular failure and the causes for each need to be discussed with your physician." Pituitary failure: Approximately one-third of men with obesity, type 2 diabetes, or metabolic syndrome (which includes increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels) have low free — or "bioavailable" — testosterone. These health conditions can cause the pituitary gland to "fail" to release follicle stimulating hormone (FSH) and luteinizing hormone (LH) which are essential for triggering testosterone and sperm production. And that can cause low testosterone (hypogonadism). Testicular failure: Though less common than pituitary failure, testicular failure may also be responsible for low T. It's caused by diseases or illnesses affecting the testicles, injury or trauma to the testicles, or certain medicines and treatments such as chemotherapy or opioid pain medication. Providing your complete medical history to your doctor is always the first step toward a proper diagnosis. What are the symptoms of low T? The following indicators could be a sign that you have low T, say the doctors. Lack of motivation and determination, including mild depression Loss of physical endurance and muscle strength Loss of or diminished early morning erections Reduced libido (sex drive) Erectile dysfunction (ED — difficulty achieving or maintaining an erection) Gynecomastia (male breasts) Small testes T and Time: T levels in men naturally begin to decline by about 1% a year starting at age 30. How do you test for low T? "There are different methods for testing testosterone levels," says Dr. Kuhadiya. "Each approach uses a blood sample to evaluate total testosterone, which includes free and attached testosterone that combines with proteins albumin and sex hormone-binding globulin (SHBG). For the most accurate results, testing is based on samples collected in the morning after fasting, and from tests on two different days." What treatment options are available? "Well, your best natural option may be YOU," says Dr. Kahlon. "Men with pituitary failure are often able to treat their low T by losing weight to increase levels of the hormone. And even if you don't lose weight, exercise can help boost your testosterone. Unfortunately, if you have testicular failure, weight loss and exercise may not have the same effect." So, are there other options? "You may want to consider Testosterone Replacement Therapy (TRT)," says Dr. Kuhadiya. "TRT is only available to men who are hypogonadal — with a clinical diagnosis of low T. Injection, gel, skin patch and nasal spray are available TRT options. The best option is the one that works best for the patient. Convenience, insurance coverage and cost are all factors to consider." Dr. Kahlon's TRT preference? Daily gel treatments, which are applied directly to the skin. On the other hand, Dr. Kuhadiya recommends intramuscular injections, which take place once a week or every two weeks. But both doctors agree on this: physicians and their patients need to weigh the benefits and risks of TRT before proceeding with treatment — especially if your low T condition may require lifelong treatment. "In my clinical practice, I have seen some very good long-term results with an improved quality of life," says Dr. Kuhadiya. "However, in certain situations, TRT may increase the risk of heart disease and is not recommended for men with a history of prostate cancer." Dr. Kahlon adds, "Patients receiving any type of hormone therapy need to be closely monitored throughout the treatment process for any changes in their health." How do you feel about steroids and T boosters? "I don't recommend them, certainly not for hypogonadism," advises Dr. Kahlon. "There is no evidence to support anabolic-androgenic steroids or testosterone boosters as a safe or effective treatment for low T in men." "In fact, there continues to be emerging evidence they may lead to side effects that could potentially harm the liver and the pituitary and endocrine functions of the body," warns Dr. Kuhadiya. "And that damage may be irreversible."
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