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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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If CPR (cardiopulmonary resuscitation) is performed in the first few minutes of cardiac arrest, a person’s chance of survival can double or even triple. Troy Wiedenbeck, MD, cardiologist with the Renown Institute for Heart & Vascular Health, explains how you can be ready to perform it in case of an emergency. According to the American Heart Association, over 350,000 out-of-hospital cardiac arrests occur in the U.S. This highlights the importance of CPR to everyone, not just medical personnel. Most people do not have heart trouble at a hospital or fire station, they have it going about their everyday lives. And when someone has a heart attack outside of a hospital, their survival often depends on receiving help from a bystander. Signs of Heart Trouble First, how do you know when someone is experiencing cardiac arrest? The signs and symptoms of cardiac arrest are immediate and drastic, including: Sudden collapse No pulse Not breathing Loss of consciousness And sometimes, patients can experience symptoms beforehand, such as fatigue, fainting, blackouts, dizziness, chest pain, shortness of breath or vomiting. CPR Change Many of us know CPR as both mouth-to-mouth and pumps to the chest, but the rule now is hands-only. Can you explain the change? Hands-only CPR is exactly what the name says -- it's CPR without mouth-to-mouth. The American Heart Association recommends using only your hands. So if you see someone suddenly collapse, it’s recommended to call 9-1-1 and push hard and fast in the center of their chest. Doing this will get blood flowing back to the brain, lungs and other organs for someone having heart problems. Performing CPR on Adults vs. Children Hands-only CPR is just as effective as mouth-to-mouth and chest compressions for teens and adults who may have gone into cardiac arrest. Remember, it’s important to act fast. First, call 9-1-1 and then start chest compressions right away. If you perform CPR on someone within the first few minutes, it can double or triple their chance of survival. Keep in mind, for infants and children younger than 12 years old, regular CPR with mouth-to-mouth, as well as chest compressions, is still recommended. Two Steps to Save a Life If you see a teen or adult suddenly collapse follow these two steps: Call 911 so care providers can begin to respond. When calling 911, be specific about your location, especially if you are calling from a cell phone. Knowing the street address, building, floor and closest entry point can save precious time for first responders. Answering the dispatcher’s questions will make sure help arrives fast, and at the correct location. Push hard and fast in the center of the chest. The goal during CPR is 100 to 120 compressions per minute, about the same tempo as the song “Stayin’ Alive,” or “Thriller.”  For hand placement, it’s also important to put the heel of your hand on the center of their chest and place the other hand on top. Push down on their chest at least two inches. It may seem severe at the time, but pushing this hard can truly save a life. Continue performing compressions as long as possible. If you tire, have someone take over compressions, if possible, and take turns until medical help arrives. For information on a CPR course in Reno, please contact REMSA at 775-858-5700.

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We’re always in search of cozy comfort foods for crisp winter evenings, but you know what’s even better? When the recipe takes less than an hour, start to finish. Here’s a recipe for healthy vegetarian chili that you can customize with your favorite beans. Remember those Choose Your Own Adventure books you used to read as a child? Well here’s a Choose-Your-Own-Adventure-inspired veggie chili. The adventure: Customizing it with your favorite beans! And once your selections are made and the veggies are chopped, this recipe should take about 40 minutes to prepare, from beginning to satisfying end. Vegetarian Chili Feeds the Crowds Here’s the recipe, which is fully customizable based on bean preferences and can also be adapted to slow cooking.

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There is no shortage of sweet treats during the holiday season, making it hard to keep our health on track. With all of the delicious aromas mixed into holiday cookies -- vanilla, peppermint, molasses, ginger, pecans and chocolate --the dessert table could use a healthy makeover that doesn’t compromise flavor. We challenged Caitlin Bus, Registered Dietitian with Renown Healthy Heart Program, to come up with a healthier cookie recipe to share with your family and friends this holiday season. These vegan thumbprint cookies are soft, slightly chewy, nutty and sweet, made with almond flour, a hint of maple flavor and topped with raspberry jam (or the jam of your choice). Even better, these holiday cookies require just eight simple, healthy ingredients and are gluten-free, dairy-free, egg-free, oil-free and optionally sugar-free too!

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Meet your new go-to healthy chili recipe for fall. Made to share or freeze the leftovers for an easy lunch or dinner. There’s nothing like homemade chili to warm you up on those cold winter nights. With just the right amount of comforting flavors and garden-fresh veggies, this crowd-pleasing favorite could prove to be your go-to healthy comfort meal.

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Pumpkin spice is a wonderful reminder of all things fall and cozy. This tasty pumpkin bread recipe is a favorite of both adults and kids. It incorporates fragrant fall spices – cinnamon, nutmeg and clove into a moist and surprisingly healthy bread. We replace regular flour with ground gluten-free whole grain oats courtesy of a blender. You won’t even notice our healthy substitutions of nonfat Greek yogurt and unsweetened applesauce.  You’ll not only love the taste of this pumpkin bread, but also the wonderful aroma as it bakes filling your house with a mouthwatering scent. This generous recipe makes two loaves, one to keep and another to share with a friend or neighbor.

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Who knew that pumpkin bread can be nutritious and delicious? Caitlin Bus, Registered Dietitian with the Renown Healthy Heart Program shares her expertise on how to make a healthy and hearty pumpkin bread with homemade oat flour and natural substitutes for sugar. Give it a try!

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Bruschetta Chicken Bake is quick, affordable, and super easy to prepare on a busy schedule. The best part is that you don’t even have to pre-cook the chicken! Instead, serve this meal with a bagged salad and a crusty loaf of bread, and you’ll have a healthy, homemade dinner on the table in no time!

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Often, when we think of Italian dishes, we think of pasta. In fact, there are more than 600 different pasta shapes, each holding the task of delivering Italy’s flavors.  While we all crave pasta, according to the U.S. Department of Agriculture (USDA), a cup of pasta shells contains about 166 calories, 6 grams of protein and 32 grams of carbohydrates. When you add all the other comforting ingredients that comes with cooking Italian, it’s nearly impossible to keep it healthy.  Caitlin Bus, Registered Dietitian with the Renown Healthy Heart Program shares a healthier version of an Italian favorite –deconstructed manicotti using zucchini as a substitute for noodles. If you’re looking for a healthier Italian dish and wondering how to use a spiralizer to turn vegetables into noodles, this recipe is for you.

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Looking for the most delicious plant-based, protein-rich salad to add to your recipe repertoire? Look no further. We asked our registered dietitian, Caitlin Bus, with Renown Healthy Heart Program for the one recipe that all her class participants rave about. Caitlin’s popular recipe offers a bounty of fiber and protein. This dish is a showstopper because quinoa is a healthy grain. A cup contains 8 grams of protein and 5 grams of fiber, compared to 4 grams of protein and only 1 gram of fiber in a cup of white rice. With the perfect amount of citrus flavor combined with corn, bell pepper, and beans this dietitian approved quinoa salad will be a staple for all occasions. Enjoy!

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If you’re looking for an easy cake recipe for those last-minute gatherings, give this no-fuss lemon cake a try. By keeping yellow cake mix and lemon jello on-hand, you’ll only need to buy fresh lemons to quickly whip up this tart and tasty treat!

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A warm, comforting bowl of soup is always perfect for a winter meal. The creamy potatoes, tender chicken and vegetables in this recipe will make this a new favorite. Even better - you can make this recipe ahead in your slow cooker and freeze the leftovers.

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