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Pulmonary Medicine Our expert pulmonary medicine team diagnoses and cares for patients with lung and breathing challenges. Serious breathing problems and long-term conditions, such as COPD and emphysema, are treated by our extensively trained providers. Our board-certified care team has the experience and clinical judgment to ensure the strongest possible patient outcomes. If you have a chronic lung condition diagnosis, you may also benefit from Renown Pulmonary Rehab. Conditions We Treat Asthma Bronchitis (acute and chronic) Chest infections Chronic obstructive pulmonary disease (COPD) Cystic fibrosis Emphysema Lung cancer Lung transplant Pulmonary fibrosis Pulmonary hypertension Pulmonary tuberculosis (TB) Other chronic lung diseases Pulmonary Services

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The emergency department is a central part of Renown Health’s hospitals. Serving patients in need of emergent attention, this team has an incredible level of dedication to not only tending to emergencies big and small, but also saving lives 24 hours a day and seven days a week. This critical work happens daily at Renown Regional, Renown South Meadows and Renown Children’s Hospital. Patients in Renown’s emergency rooms (ER) are in the best hands, and it is all thanks to the devoted, hard-working teams who run the show. Saving Lives Around the Clock  As the only Level 2 trauma center between Sacramento and Salt Lake City, taking care of a constant stream of patients in the Renown Regional, Renown South Meadows and Renown Children’s ERs come naturally for these teams. Whether it be 3 a.m. or the lunch hour, this team is always ready to spring into action to attend to virtually any health emergency under the sun. According to Gabby, an RN in the Renown Regional ER, everyone in the ER must be ready for anything. “We are the first line of care that the patient receives before they are admitted or discharged,” which means the team sees a wide variety of emergency situations each day.  Patients rely on the ER to protect them and help them heal from severe conditions. From head injuries and broken bones to heart attacks and strokes, this team has seen it all at every time of the day and night. “The ER is an uncontrolled, unpredictable environment,” said Miriam, an RN in the Renown Regional ER. “It’s essential that we all are ready to jump in and help at any time.”  Beyond the general ER at Renown Regional, Renown Children’s Hospital is the only accredited Children’s Hospital Emergency Room in all northern Nevada. The first and only facility of its kind in the Reno-Tahoe region, this robust emergency department is equipped with pediatric specialists and child-sized equipment to give children the highest level of support. “We are proud to keep a fun atmosphere with vibrant colors to help our young patients ease their anxieties, making them as comfortable as possible while providing excellent care,” said Ginger, Manager of Nursing for Renown Children’s ER.  While the majority of patients are treated onsite and discharged that same day, several ER patients get admitted to the hospital, when that happens, the emergency department works quickly with the Renown Transfer and Operations Center (RTOC) to get patients in a bed as soon as possible.   All day and all night, ambulances and helicopters deliver members of our community in need of care. But never fear – our incredibly capable emergency department is here. Kicking off into immediate action is a core requirement for the emergency department, and it is a task the entire team has nailed down to a science.   Team Tenacious  When asked about their team, members of the emergency department echoed the same notion: “I am not alone.” The emergency department never leaves their colleagues out to dry, and in an emergency environment, always being able to lend a hand whenever needed is vital. For Ashley, an RN at Renown Regional, one of the main reasons why she continues to work at Renown is because of her colleagues, along with a myriad of resources and state-of-the-art technology that are at their disposal. She adds, “It is such a joy to come in to work alongside my team.”  Amy, Supervisor of Nursing for the Renown South Meadows ER, feels the exact same way. “Being an emergency department, we sometimes see things you don’t always see every day,” said Amy. “It’s a relief for our patients to know that they are in the best place in the region for their care. I credit all of that to my team.”  As our emergency room capabilities continue to grow, this also includes our Children’s Hospital ER. Last year, the William N. Pennington Foundation provided a $7.5 million gift to the Renown Health Foundation to keep pediatric care – including pediatric emergency care – closer to home and expand our availability to our youngest patients. As reported last year, Dr. Joseph Gassen, a pediatric emergency doctor with Children’s Hospital, was the only pediatric emergency physician in the region as of 2021. Thanks to this gift, he was able to move to Reno to provide care in the Children’s Hospital ER.  “The hospital is dedicated to improving the care of children in northern Nevada, and I wanted to be a part of this amazing vision," said Dr. Gassen. “I would not have been able to relocate to Reno without the support from the hospital and the William N. Pennington gift.”  Besides achieving optimal outcomes for their patients, their efforts also paid off in the form of awards and recognition. Internally, the emergency department recognizes Employees of the Month for their outstanding work. Recently, Renown Regional Emergency Physician Dr. Patrick Russell and Claire, an RN, were recognized with this honor. Outside organizations have also noticed these exceptional team members. The Reno Gazette Journal’s recognized the Renown Regional ER as the Best Emergency Room in the 2022 Best of Reno Awards, complimenting Renown Regional’s wins as the Best Hospital and Best Place to Have a Baby.   The tenacity of the emergency department continues to surpass expectations, and their published achievements only scratch the surface of what is sure to come.  A Growing Team of Heroes  To continue meeting the growing need for emergency care regionally, especially when it comes to trauma and children’s services, the emergency department is looking forward to welcoming new team members. For those looking for a fast-paced, team-oriented atmosphere and the opportunity to be on the healthcare frontlines, the emergency department is a perfect fit.   As teamwork is clearly essential, the emergency department is an ideal environment for someone who is “not afraid to ask questions and always eager to learn new things,” according to Miriam. While one staff member’s patients may be settled, staff one assignment over could be overwhelmed with patient volume, so it is an imperative skill for a colleague to be a self-starter and take the initiative to help wherever needed.  Bryan, an emergency trauma technician at Renown Regional, emphasizes this point, adding, “A good colleague is one that knows you well and can infer your body language. They know how to read a situation and pre-plan for the next step. Being attentive, a valuable resource and knowledgeable about patient populations – that's the works!”  Career growth and lifelong learning are important to this group, so career-minded individuals will be in good company in the emergency department. “I choose Renown so I can jumpstart my career as a nurse in the top ER in the region,” said Gabby. This team is always learning and always on top of the latest research – which only further solidifies Renown’s place as the preeminent ER in northern Nevada and northeastern California.  If you take one thing from this article, let it be these parting words from Amy: “These are some of the smartest, most devoted individuals you will ever meet, and we are so lucky to have them serving our emergency department. You will only regret not working with this team.”

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Even when fires burn outside our area, the air quality in the region can reach dangerous levels. Our expert explains how to maintain your lung health when fire season strikes. It’s a sight we know all too well as northern Nevadans — a hazy or thick layer on the horizon when smoke rolls in from nearby fires. Sometimes the smoke is more evident than others, but it’s important to remember, even when the smoke may not be as visible across the valley, it still impacts our air quality. The last week or so, our air quality has been in the “unhealthy for sensitive groups” range, which can be dangerous for people who are sensitive to air pollution. Air Quality Changes: Who’s at Risk? Renown Pediatric Pulmonologist Sonia Budhecha, M.D., explains certain people are especially at risk when smoke moves in: Older people, whose lungs are not as healthy as they used to be Young children, whose lungs are still developing People with heart and lung disease including asthma, COPD and emphysema “Smoke and haze from fires carry particulates that can get into your respiratory system and eyes, which can be a danger for all ages,” Dr. Budhecha says. How You Can Protect Yourself Until the smoke clears and the air returns to the “good” range, it is best to follow these tips to protect yourself and your family: Stay indoors and keep windows closed Turn on the air conditioning to recirculate clean air Drink plenty of fluids to help your body flush out any toxins you inhale Additionally, all community members should reduce their physical activity and try to prevent heavy exertion outside. If you or a loved one has a heart or lung disease, avoid physical exertion altogether because smoke can aggravate these conditions. “People with heart disease may experience shortness of breath, chest pain, palpitations or fatigue,” Dr. Budhecha says. “People with lung disease may also have shortness of breath, chest discomfort, wheezing, phlegm or a cough.” Smoky Signs and Symptoms Smoke can also impact healthy people — irritating your eyes, nose or throat. And in some cases, inhaling smoke can lead to bronchitis. When haze moves into our area, keep an eye out for these symptoms: Burning or stinging eyes Runny nose Cough or scratchy throat Headaches Wheezing Shortness of breath Difficult taking a full breath Chest heaviness Lightheadedness Dizziness If experiencing any of the above symptoms, seek medical attention or call your doctor for advice. Sometimes, these symptoms do not appear for as long as 24 to 48 hours after smoke inhalation. For those that have pre-existing lung or heart conditions, consult with a health care provider on action or management plans. To schedule an appointment Visit Renown Pulmonary Medicine, or call 775-982-5000. Understanding Our Air Quality The Air Quality Index (AQI) is broken down by large (PM10) and small (PM2.5) particulates. According to Dr. Budhecha, large particulates are usually ones that can be seen and smelled. They can damage your eyes and nose but don’t often get deep in the lungs or blood vessels.   “The more dangerous ones are PM2.5, which can’t always be seen or smelled,” Dr. Budhecha says. “Any time the AQI is above 51, children with lung or heart disease should not be outdoors.” For the latest air quality update in your area, visit AirNow.gov or call (775) 785-4110.

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June offers an official welcome to summer and the height of outdoor activities in northern Nevada such as hiking, camping, days spent at the lake and embracing long days and warm evenings with friends and family. Enjoying all that the summer season has to offer may not be as easy for those living with chronic obstructive pulmonary disease, or COPD, which effects more than 15 million Americans. What is COPD? COPD is a group of lung diseases including emphysema and chronic bronchitis that result in airflow blockages from the lungs. People may experience frequent coughing and shortness of breath among other symptoms. COPD typically impacts adults ages 65 and older and is becoming increasingly more common among women. Although smoking plays a key role in the development of COPD, air pollution and indoor air quality, and respiratory infection also contribute to disease development. While there is no cure for COPD, limiting progression of disease and managing symptoms can be achieved through lifestyle changes, therapy, and medications. Tips for Living with COPD This Summer, and Always Stay Hydrated: Staying hydrated is extremely important for people with COPD, especially during the summer. Not drinking enough water can make breathing more difficult because it increases respiratory symptoms. Make sure to always keep a water bottle with you and aim to drink 8-10 glasses of water daily. Be Mindful of Temperature: COPD symptoms can be exacerbated by hot weather. It is best to participate in outdoor activities during the cooler times of day, like the morning or evening. Check Air Quality Before You Go: Before engaging in outdoor activities, be sure to check the air quality index and plan your activities accordingly. Pace Yourself: Exercising can be difficult for people who have COPD. To make the most of your summer, try not to push yourself too hard and take breaks when you need them. If you start to feel out of breath or tired, take a break in a cool, shaded area until you feel better. Take Matters Into Your Own Hands To address the needs of community members living with COPD, the Renown Health Research Office has teamed up with Pulmonary Medicine to provide patients who are former or current smokers and have a history of frequent exacerbations with an option to participate in the ARNASA study. "COPD exacerbations have a huge negative impact on patient’s lung function” states Dr. Farah Madhani-Lovely, Chief of Pulmonary Medicine at Renown Health and Assistant Dean of Clinical Research at the University of Nevada, Reno School of Medicine. “We have had inhalers and prednisone for decades but patients are still having exacerbations. Now we have a new pathway we think will prevent exacerbations which is what this clinical trial is designed to prove.” This study will evaluate the efficacy and safety of astegolimab compared with placebo in participants 40-80 years of age with COPD. “This study in particular is so exciting because of the enthusiasm from the sponsor’s end” says Katie Buckley, Lead Clinical Research Coordinator working on pulmonology studies at Renown’s Clinical Research Office. “Often times sites aren’t assigned particularly passionate or engaged personnel who aid in carrying out these studies, but you can tell Roche Genentech’s team truly cares about the success of the study, the safety of their participants, and proving the efficacy of the investigational agent. Working on a study like this takes a village, and when the individuals on all ends share similar mindsets and work towards success as a collective unit instead of as individual moving parts, it’s amazing to see everything we’re able to accomplish.” Renown’s team of expert pulmonologists and researchers are available to join patients with COPD in support of their healthcare journey. If you are interested in learning more about this clinical trial option at Renown Health, talk to your pulmonologist at your next appointment or contact us at 775-982-3646. At Renown Health, our goal is to make it easy for patients to access clinical research as a care opportunity where patients can access a variety of standard care treatment options for their health condition or choose to participate in a clinical trial. For more information about clinical trial opportunities available to you or to ask any questions, contact the Renown Research Office at Renown-CRD@renown.org or 775-982-3646.

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