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    • Wednesday, May 01, 2024

    Renown Health Celebrates Grand Reopening of Expanded Wound Clinic

    Renown Health is thrilled to announce the successful grand reopening event of the remodeled and expanded outpatient Advanced Wound Clinic at 1500 East 2nd Street in Reno. The event, which took place on April 30, 2024, welcomed patients and guests to commemorate this significant milestone. Attendees were treated to a series of activities, including a ribbon-cutting ceremony, keynote speaker and a tour of the newly refurbished facilities. “The expansion of the Advanced Wound Clinic at Renown signifies a tremendous leap forward for our community and is a testament to the dedication of our patients. The purpose of wound care is to help you heal faster so you can get back to your life. A chronic wound can detract from your quality of life and prevent you from doing things you enjoy,” said Dr. Derek Freiheit, Medical Director, Renown Advanced Wound Care. “I am proud to witness the collective impact of our efforts as clinicians in partnership with patients, to enhance access to essential healthcare services, heal their wounds and improve their lives." “This event reaffirms our commitment to advancing access to healthcare,” said Rahul Mediwala, MD, MBA, Chief Executive Officer, Renown Medical Group. “With the expansion of our state-of-the-art Advanced Wound Clinic, we’re not just healing wounds; we’re pioneering innovative solutions, transforming lives and reaffirming our dedication to exceptional patient care. Together, we are working to improve access to advanced wound care for all in need, including providing training and resources to rural home health agencies and clinics so that all patients can receive care they need, close to home.” A highlight of the event was the inspiring words delivered by Richard Peraldo, whose remarkable journey has touched the lives of many in the northern Nevada community. Richard was diagnosed with cancer in 2018 and his story served as a powerful reminder of the importance of resilience and community support in overcoming adversity. His presence lent a profound sense of purpose to the occasion, reinforcing Renown Health's commitment to providing compassionate care to all those we serve. “The people in this clinic saved my life and I wouldn’t be here today if it wasn't for them,” Richard said. “When I first came to the Wound Clinic, this was a team of doctors and nurses, but when I left, they were family and friends.” The successful reopening and expansion of the Renown Advanced Wound Clinic marks a significant milestone in our ongoing mission to provide best-in-class healthcare services to the community. About Renown Advanced Wound Care: Renown Advanced Wound Care is the largest provider of outpatient wound care in northern Nevada. With a highly trained team of certified professionals, the team at Renown Advanced Wound Care provides treatment of acute and chronic wounds and ostomy education and care. They specialize in the treatment of complex wound care, collaboration with other specialties and coordination of community resources. While access to wound care in rural areas has been a challenge for patients, the team at Renown Advanced Wound Care has been instrumental in providing training and resources to rural home health agencies and clinics so that patients can receive care closer to home. Renown Advanced Wound Care Also Specializes In: Care of acute and chronic wounds Pressure, vascular and diabetic ulcers Negative pressure wound therapy Selection of appropriate wound dressings and treatments Interdisciplinary limb preservation service rounds Diabetic Foot Care: We specialize in diabetic foot care and education to help patients and their families adjust to a healthy and active lifestyle. Services include: Diabetic foot wound care Comprehensive foot assessment to identify risks for skin breakdown Assistance with shoe inserts Education and tips to care for feet Ostomy Care: We are the only location in the region to offer complete ostomy services, including education for patients with ostomies and fistulas. To improve quality of life for ostomy patients, our team helps with the following: Pre-surgical markings Selection and fitting of medical bags for fecal containment Prevention and treatment of skin problems related to having an ostomy Purchase of medical supplies Supportive care coordination Post-surgery ostomy care Wound Care Treatments Include: Negative pressure therapy, where controlled pressure is applied to draw out fluid Biological skin substitutes, where cell therapy is used to “jumpstart” a stalled wound Offloading techniques, such as padding or dressing to take pressure off a wounded area Surgical debridement, where dead or damaged tissue is medically removed Speak with your primary care physician or advanced practice clinician to obtain a referral to Renown Advanced Wound Care. ### About Renown Health Renown Health is Nevada’s largest, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 6,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, 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. Renown is currently enrolling participants in a community-based genetic population health study, the Healthy Nevada Project®.

    Read More About Renown Health Celebrates Grand Reopening of Expanded Wound Clinic

    • Wednesday, Jun 24, 2020

    Renown Health In-House Lab Now Processing COVID-19 Tests for Patients and Care Providers

    Expanded test processing capabilities is resulting in faster test results, lessening the load on the state lab, and helping keep patients, care providers and the community safe. Renown Health announced today that its in-house laboratory is now able to process up to 500 COVID-19 tests for hospital patients and care providers each day. The organization has invested in expanded test processing capabilities to better serve the community amid the coronavirus pandemic, and to increase testing available across the state. Next month, Renown anticipates continuing to further expand testing capacity and doubling its capacity to be able to provide 1,000 tests per day in preparation for the continued response to the pandemic. “The COVID-19 pandemic is not going away- it is still with us. I am concerned by the number of new cases and hospitalizations we are seeing across northern Nevada. We must do more testing. We need broader capabilities around making sure we have broad-scale surge testing available, so we can help people identify if they have COVID-19 or not,” said Tony Slonim, MD, DrPH, Renown’s President & CEO. “If I could test 60,000 people in northern Nevada for COVID-19, like we did for the Healthy Nevada Project, we could better understand with data and facts the proportion of people who actually have COVID-19 versus those that just have the sniffles and a cold.” Launched in 2016, the Healthy Nevada Project https://healthynv.org/ is a community-based population study where free genetic testing is provided to thousands of Nevadans to learn about the health of the community and each person’s genetic risks. As of Tuesday, 2,286 people in northern Nevada have been tested, and positive cases were nearing 700. Seventy four people in northern Nevada have died; 1,526 have recovered. https://www.washoecounty.us/ Dr. Slonim says it would help him and others make important decisions and plans for coronavirus with evidence. He wants to be able to test many more individuals across northern Nevada. “Testing is pivotal upstream, so you can prevent consequences downstream,” said Dawn D. Ahner, DSc, FACHE, Chief Operating Officer – Renown Acute Services. “By processing our own tests, we’ve reduced the turnaround to receive results to just 12-24 hours, which will have a profoundly positive impact on our community, and lightens the load on the State lab. “Testing is an incredibly important tool in our fight against coronavirus,” said Tim Stephens, vice president of ancillary services. “There's no 100% perfect test, however, the PCR tests are so incredibly sensitive, that when done perfectly, have a very low false-positive rate. Certified labs like Renown’s use a number of procedures to reduce the risk of false test results.” “The expansion of our lab’s new testing capabilities during this time is a testament to the innovative and important work being done here at Renown,” said Erik Olson, CEO of Renown Regional Medical Center. “Throughout the pandemic, our ancillary team, which includes services like laboratory, radiology and pharmacy, has been quick to adapt to the needs of our patients and our community. I am pleased that we are able to generate critical test results for patients and providers as we continue the fight against COVID-19 and go the extra mile for safety.”   Going the extra mile for safety As an added safety measure, acute hospital patients; patients preparing for surgery, and care providers who may have come into contact with those positive for COVID-19, are among those that receive mandatory PCR testing from Renown at this time. For patients receiving hospital care, these tests help determine if patients should be placed in a designated area of the hospital to mitigate the risk of transmission to those not infected. Furthermore, all surgery patients are tested ahead of their surgery and self-quarantine prior to their surgical procedure at Renown Regional Medical Center and Renown South Meadows Medical Center. How do PCR tests work? PCR tests use a sample of mucus typically taken from a person's nose or throat. The test looks for the genetic material of the coronavirus, using a technology called PCR to detect if the viral genetic material is present. Those actively infected with the virus will show the existence of that material. Individuals who think they should be tested for COVID-19 are encouraged to call their medical provider or contact the Washoe County Health District at 775-328-2427 for a risk assessment. For up-to-date information on Renown’s approach to keeping our community safe, visit our website at renown.org/covid-19/.   Please see b-roll for this story here.     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, Renown Children’s Hospital, Renown 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.

    Read More About Renown Health In-House Lab Now Processing COVID-19 Tests for Patients and Care Providers

  • Renown Lab Services - USA Parkway
    Renown Lab Services - USA Parkway
    440 USA Pkwy Ste 101
    Sparks, NV 89434
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  • Advanced Wound Care

    Renown Advanced Wound Care provides specialized treatment for wound healing, ostomy care and foot and nail care. Our team of certified nurses and physicians is uniquely qualified, experienced and dedicated to providing care for severe and chronic wounds.

    Read More About Advanced Wound Care

  • Renown Dermatology

    At Renown Dermatology, Laser & Skin Care, our experienced providers offer a wide range of services, coupled with advanced medical technology.   Skincare services include dermatology and competitively-priced treatments and procedures. Our professional and compassionate staff focuses on promoting lifelong health and wellness in a relaxing, modern atmosphere.

    Read More About Renown Dermatology

  • Skin Care Specials

    Seasonal Specials to Help You Stay on Point Revamp your glow without breaking the bank at Renown Health Dermatology! Explore our array of skin care products and services designed to make you look and feel sensational. Swing by our South Reno office to check out our latest product lines. Our skincare experts are on hand to help you navigate your beauty routine and answer all your questions. Dive into our summer specials, available until July 31, 2024. Why not indulge yourself or surprise a friend? Gift certificates are ready and waiting—perfect for any occasion!

    Read More About Skin Care Specials

    • Dermatology Services
    • Skin Care

    Winterize Your Skin with These 5 Easy Expert Tips

    Winter skin alert – cold temperatures can put your skin into chaos. We asked for skin tips from Heidi Nicol, an esthetician with Renown Dermatology, Laser & Skin Care. She shares how to keep your skin glowing through the frosty months ahead. With the change from warm to cold weather, your skin can get stressed out. In fact, issues like flaky skin, irritation and chapped lips can be an everyday struggle. 5 Easy Winter Skincare Tips 1. Re-think your shower Few things feel better on a cold day than a long, hot shower. But hot showers can lead to dry skin because they strip your skin of its natural protective oils. Avoiding them altogether is best – choose a lukewarm, or warm, shower instead. If you have an occasional hot shower, the American Academy of Dermatology (AAD) suggests keeping it at five to ten minutes. Nicol recommends using a gentle cleanser and avoid using too much. Moisturizing after a shower or bath while your skin is still damp is also a must. Slathering on your favorite lotion helps your skin hold on to precious moisture. 2. Stay away from smoke and fire Although sitting close to a roaring fireplace can feel good, it is drying to your skin. Smoking and exposure to smoke also harms your skin. Smoking reduces healthy blood flow to the skin. This also causes your skin to wrinkle faster, making you looker older. Additionally your skin heals much slower if you smoke. 3. Consider a humidifier Cranking up the thermostat dries out indoor air. Skin is our largest organ, and in general, heat is very drying to your skin. To clarify, over time dry air degrades your skin’s natural moisture (lipid) barrier leading to flaking, peeling and cracking. Your skin can overcompensate for the dryness by producing even more oil. In other words it is possible for your skin to be both oily and dehydrated at the same time. Even oily skin needs a daily lightweight, non-pore clogging moisturizer. 4. Use SPF daily The sun’s rays damage your skin even on cloudy days. Sunlight contains UVB (burning) and UVA (aging) rays. Although UVB rays are less strong in the winter, the UVA rays are same strength all year. And snow can reflect almost 90% of UV radiation. With this in mind make sure you have suitable skin and eye protection when going outdoors. 5. Take care of your hands and feet Don’t forget your fingers and toes when moisturizing. These areas tend to be drier than other parts of the body. Gloves help to protect hands from winter weather and lock in moisture. Similarly, putting lotion on your feet before your socks will keep them your skin from flaking and cracking. Follow the tips above to make sure your skin is at its best, despite the winter weather. Renown Dermatology, Laser & Skin Care | 775-982-8255 Renown Dermatology, Laser & Skin Care offers a comprehensive range of treatments and products to address any skin care need. Visit our beautiful office in south Reno and browse our product lines. Experts are available to answer any questions concerning your skin care and health and wellness needs.

    Read More About Winterize Your Skin with These 5 Easy Expert Tips

    • Primary Care
    • Prevention and Wellness

    Dry Weather and Your Health – What to Know

    Dry weather – as northern Nevadans we know it well. Of course this doesn’t mean we’re not affected by its health impact whether you’re new to the area or are a native. Stephanie Stutz, DO, a Renown Medical Group doctor specializing in family medicine, explains how to live comfortably in the high desert. Have you noticed dry skin, itchy eyes or more bloody noses? If you call northern Nevada home, you’re probably no stranger to these problems. “We get a lot of questions from people wanting to know, ‘what can I do to prevent things from happening from the dry weather?’” says Dr. Stutz. “We do have a dry climate, and obviously in the summertime you notice it more than in the winter, so we look at things like dry skin, dry eyes and dry nose.” It generally takes about two weeks to become used to the change in climate. Dry Weather Health Tips Fortunately, there are some easy things you can do to reduce your discomfort in dry weather. Dry skin. “If you have dry skin, use a lotion without perfumes so it won’t increase the potential for drying your skin out,” recommends Dr. Stutz. For example, one home remedy for extremely dry skin (or for those with thinner skin) is cocoa butter. “It’s thicker so it goes under the skin and takes more time to absorb. As a result, you get a much more long-lasting effect.” Dr. Stutz adds. “You can also add lavender essential oil to your cocoa butter to help you sleep at night.” Dry and itchy eyes. “Use eye drops on a regular basis and keep them with you. I recommend people have a couple of bottles – one at home and one in their bag,” Dr. Stutz suggests. Dry nose. “Overall one of the best things to use is a simple nasal wash,” she says. “You can get it over the counter; it’s a saline nasal wash. Use it a couple of times each day and it can be extremely helpful. In particular, gets up into the sinuses and clears them of any pollen or residue in there.” Dry Weather Nosebleed Advice In our dry climate, you may also notice more allergies and nosebleeds. Dr. Stutz cautions, “Surely the dry air can make your allergies much worse. It can create much more irritation, pain and pressure, particularly in the nose and sinuses.” Again, Dr. Stutz recommends using a nasal wash to remove discomfort. Using a nasal wash two to three times a day can also help prevent nosebleeds. “And if you’re someone who has severe or chronic nosebleeds, you can put a little bit of Vaseline along the inside of your nose to create a moisture barrier”. Dry Weather Medication Advice In addition to allergy and nosebleed sufferers, people on certain medications may be at greater risk for symptoms in our dry climate. “The medications you are on can make you much more susceptible to drying out and becoming slightly dehydrated,” Dr. Stutz warns. For this reason discuss all of your medications with your doctor. Specifically, see if you can time them throughout the day or look at changing the dosage. Should I Get a Humidifier? Given our year-round dry weather, you may want to purchase a humidifier to help ease your symptoms. But there are some things you should know first. “You have to be careful with humidifiers as there are pros and cons,” states Dr. Stutz. “The small tabletop humidifiers are not beneficial. You need to get one covering a huge amount of square footage and holding approximately 10 to 30 gallons of water to help your home. On the negative side, if you’re not maintaining it on a regular basis, it will hold on to mold and other allergens. So the next time you turn it on, you’re actually putting that back into the air.” Do I Need to Go to the Doctor? To be sure, it’s important to know yourself and your family. If this is something you experience each year, you can try over-the-counter medications. “But remember, there’s always the caution if you’re on prescription medications,” Dr. Stutz explains. “If you are on chronic prescriptions, come in to get evaluated just to make sure you’re not using anything which interferes with your medications.” Not Just a Summer Problem As the temperatures drop, remember this isn’t just a seasonal issue here in the Reno-Tahoe area. During the winter months, our dry climate combined with cold temperatures and heaters can still cause dry skin, aggravated sinuses and even itchy eyes. So use these helpful dry weather tips all year. Comprehensive Primary Care Renown Medical Group primary care physicians provide comprehensive primary care by appointment. Doctors coordinate each patient’s medical care including checkups, immunizations, referrals to specialists, lab work, X-ray & imaging and hospital admissions. Find a Doctor

    Read More About Dry Weather and Your Health – What to Know

    • Dermatology Services
    • Prevention and Wellness

    5 Easy Winter Skincare Tips

    Winter skin alert – cold temperatures can put your skin into chaos. We asked for skin tips from Heidi Nicol, an esthetician with Renown Dermatology, Laser & Skin Care. She shares how to keep your skin glowing through the frosty months ahead. 1. Re-think your shower Few things feel better on a cold day than a long, hot shower. But hot showers can lead to dry skin because they strip your skin of its natural protective oils. Avoiding them altogether is best – choose a lukewarm, or warm, shower instead. If you have an occasional hot shower, the American Academy of Dermatology (AAD) suggests keeping it at five to ten minutes. Nicol recommends using a gentle cleanser and avoid using too much. Moisturizing after a shower or bath while your skin is still damp is also a must. Slathering on your favorite lotion helps your skin hold on to precious moisture. 2. Stay away from smoke and fire Although sitting close to a roaring fireplace can feel good, it is drying to your skin. Smoking and exposure to smoke also harms your skin. Smoking reduces healthy blood flow to the skin. This also causes your skin to wrinkle faster, making you looker older. Additionally your skin heals much slower if you smoke. 3. Consider a humidifier Cranking up the thermostat dries out indoor air. Skin is our largest organ, and in general, heat is very drying to your skin. To clarify, over time dry air degrades your skin’s natural moisture (lipid) barrier leading to flaking, peeling and cracking. Your skin can overcompensate for the dryness by producing even more oil. In other words it is possible for your skin to be both oily and dehydrated at the same time. Even oily skin needs a daily lightweight, non-pore clogging moisturizer. 4. Use SPF daily The sun’s rays damage your skin even on cloudy days. Sunlight contains UVB (burning) and UVA (aging) rays. Although UVB rays are less strong in the winter, the UVA rays are same strength all year. And snow can reflect almost 90% of UV radiation. With this in mind make sure you have suitable skin and eye protection when going outdoors. 5. Take care of your hands and feet Don't forget your fingers and toes when moisturizing. These areas tend to be drier than other parts of the body. Gloves help to protect hands from winter weather and lock in moisture. Similarly, putting lotion on your feet before your socks will keep them your skin from flaking and cracking. Follow the tips above to make sure your skin is at its best, despite the winter weather.

    Read More About 5 Easy Winter Skincare Tips

    • Primary Care
    • Diversity
    • Public Health

    Supporting LGBTQ+ Community Health – Why it Matters

    Renown Health has long supported northern Nevada’s LGBTQ+ community Pride events with sponsorship, and we’ve collaborated with local and regional LGBTQ+ organizations as an ally. Renown’s Pride Committee works to deepen and broaden our external and internal efforts around LGBTQ+ community engagement, advocacy, and healthcare issues related to sexual and gender minorities, which is part of the greater Diversity, Equity and Inclusion efforts Renown is undertaking. According to Harvard Chan School, data shows that nearly a sixth of LGBTQ+ adults feel they were discriminated against based on their sexual orientation and gender identity. As a result, this brings to light the important need for education within the healthcare setting. Renown Health is bridging the gap for our LGBTQ+ population, and we know more work needs to take place in order to become an inclusive organization. Below are a few ways we’re working on improving our response to LGBTQ+ needs, and celebrate, respect and honor our diversity by being inclusive. Diversity, Equity and Inclusion The Diversity, Equity and Inclusion subcommittee was formed to heighten the awareness and develop a plan on how to better serve all of our diverse populations, including our LGBTQ+ patients. As the largest healthcare provider in northern Nevada, we knew that we could do a better job. The subcommittee provides us a forum to discuss ideas and develop plans to provide better care to these populations. Updated Medical Records with Preferred Name and Pronouns Of course healthcare is personal. We meet patients at their most vulnerable states. And relating to every person by the correct pronoun shows we respect their gender identity. A new medical records update supports our doctors, nurses and care team in capturing this vital information. We are now able to capture every person’s preferred name, sex and sexual orientation to better care for them. Kathleen Zaski BSN, RN, Manager of Clinical Informatics and IT Applications at Renown explains why this is so important. “Your name and identity are core to who you are as a person, and here at Renown, we aim to take care of you as a whole person and to provide the highest level of quality care to our community – all while ensuring the experience is exceptional and tailored to the individual. In other words, having the patient’s preferred name and pronoun in the medical record is important to validate their identity, and show we care, in an already high stress environment. Specifically, giving our providers easy access to the patients preferred name and pronoun in the medical record, allows them to properly address their health concerns. This also helps the health care provider foster a closer relationship with the patient. Studies have found this actually increases the quality of care by creating a more open and comfortable environment.” Gender Neutral Restrooms Mitch Harper, Senior Program Development Manager at Renown, recognizes there’s still so much more to improve upon in becoming an inclusive organization. “At the end of the day, it’s about creating a safe and welcoming environment for our community and our employees. Access to basic human services shouldn’t be contingent on an individual’s skin color, ethnicity, sex, gender identity, sexual orientation, age, disability, or beliefs. Ensuring that private restrooms are equally available to everyone on our campus is just one way we can provide a more inclusive, caring space for the people we serve.” Updated restroom locations: Roseview Tower: 10 Sierra Tower: 14 Tahoe Tower: 14 Helping to Lead and Influence Change Sean Savoy, Manager of Spiritual Care at Renown "The foundation of spiritual care is compassion – being with people in need by caring, supporting, and showing empathy, and promoting a sense of well-being. Being a member of the LGBTQ+ community informs that deep sense of compassion and empathy in a very special and unique way. Our human value, social validity, the very reality of who and what we are, even our right to exist, love and just be, are often called into question. This, in turn, can cause many of us to question ourselves and wonder about our self-worth. This experience should engender compassion and empathy so that we can better recognize, listen to and meet others’ needs to help them achieve inner peace, explore coping strategies to overcome obstacles during illness or crisis, and even find new balance by re-conceptualizing themselves in the context of health and illness. I have found that the intersectionality of my gay and spiritual selves has been a blessing in my life." Matthew Maloy, Team Lead Applications Specialist at Renown “I am a Team Lead Epic analyst in the IT department that is responsible for clinical based workflows for ED, Trauma, and Critical Care and have worked at Renown for 15 years. Being a part of the LGBTQ+ community influences my daily work by ensuring the Electronic Health Record reflects best practices such as giving clinicians the ability to document a preferred name, and displaying that throughout the medical record for consistency. Having the ability to influence decisions that move our community toward human value for all of us is a priority in my daily work.” Our Mission Renown Health’s mission is to make a genuine difference in the health and well-being of the people and communities we serve, including the LGBTQ+ community. We continue to build relationships to improve care, fostering better health outcomes for ALL of our patients by creating a more inclusive health system.

    Read More About Supporting LGBTQ+ Community Health – Why it Matters

    • Dermatology Services
    • Skin Care

    Prevent Breakouts by Keeping Your Makeup Tools Clean

    Did you know that your makeup brushes are likely full of built-up dirt and bacteria? Using dirty makeup tools can lead to irritation, breakouts and even infections. The good news? It's completely preventable. An expert explains For anyone who regularly wears makeup, brushes are great tools for powdering, contouring and finishing touches. Unfortunately, these same brushes also harbor harmful bacteria that can clog pores and cause unwanted breakouts. “Brush hairs and sponges are porous, and hold on to oils, debris and bacteria,” says Heidi Nicole, medical esthetician with Renown Dermatology, Laser & Skin Care. “Also, if they are dirty, the application of makeup can be spotty and make blending more difficult." Most dermatologists suggest that you clean your makeup brushes at least once a week. Because they are used on your face, it makes sense to keep them as a clean as possible. In addition, your brushes will last longer if you stay on top of cleaning them. Six simple steps to integrate makeup brush care into your beauty routine: Wet your brush with lukewarm water. (Don’t soak your brushes, as water in the brush barrel can cause the hairs to fall out.) Place a drop of gentle cleanser or specialized brush cleaner in the palm of your hand. Gently massage the tips of the bristles on your palm. Rinse the bristles well. Blot with a clean towel and reshape the head. Let the bristles dry over the edge of a counter. Do not allow the bristles to dry on the towel, which could cause the brush to mildew. Store your brushes in a clean, dry place in between uses.

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Number of results found: 46
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