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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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Compassionate Care Palliative and Supportive Care provides specialized medical care for serious illnesses and diseases, including advanced kidney failure or heart disease. Palliative Care helps to: Prevent and relieve suffering to help build the best possible quality of life. Add value to standard therapies by assisting with advanced illness planning and symptom management. Palliative & Supportive Care may be needed if: You've had multiple hospital admissions for severe illness. Severe pain, nausea, fatigue or other symptoms impacting quality of life and you are reconsidering treatment plans. Treatments are no longer working. You're feeling hapless or discouraged about the future due to your serious illness. Talk to your doctor to find out if palliative care is the right choice for you or your family member.   Your Care Team Your palliative care support team comprises doctors, nurses, chaplains, social workers and other specialists who work together with you to provide extra support. Your care team can help: Facilitate close communication between you and your physician team, as well as nurses and specialists. Offer medical assessments and symptom management to help reduce pain, nausea, fatigue, shortness of breath and anxiety. Improve the ability to tolerate medical treatments and fain the strength to live a productive daily life. Explain treatment options and the decision making process regarding care. Navigate the healthcare process. Lend emotional and spiritual support.

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When medical treatments no longer offer a cure, Hospice Care offers a special way to care for you and your family who are faced with a life-limiting illness. Serving Washoe, Lyon, Storey and Carson Counties, our team is available 24 hours a day, seven days a week.   Hospice staff receive special training to care for all types of physical and emotional symptoms that cause pain, discomfort and distress. When considering your options for end-of-life transition, our team is available to answer questions and discuss if Renown Hospice Care will meet your needs.  Your hospice care team includes Medical Director Registered Nurses Certified Nursing Aides Medical Social Workers Chaplains Registered Dietitians Trained Volunteers

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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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Lung cancer is the leading cause of cancer deaths in both men and women in the U.S. The good news is the five-year survival rate increases dramatically if lung cancer is treated before spreading to other parts of the body. Julie Locken, MD, of Renown Health Imaging, explains more. What are the signs and symptoms of lung cancer? As you might expect, most lung cancer symptoms appear in the chest and can affect your breathing. Watch for signs such as: Persistent cough Constant chest pain Shortness of breath Wheezing Bloody or rust-colored phlegm Hoarseness Swelling of the neck Pain or weakness in the shoulder, arm or hand Recurring pneumonia, bronchitis or other lung infections Loss of appetite and loss of weight can also be signs of lung cancer That said, there are usually no symptoms in the early stages of lung cancer, which means getting screened can truly be a lifesaver. If you have a history of smoking, you should get screened as a precaution.  What are the risk factors of lung cancer?  Around 80% of lung cancer cases stem from a history of smoking tobacco. But there are other known causes, such as secondhand smoke, radon, asbestos and diesel exhaust. It’s important to do what you can to eliminate exposure to all of these to reduce your lung cancer risk.  People with an immediate relative – a parent, sibling or child – diagnosed with lung cancer and people between 50 and 80 years old are also at higher risk and may need to consider screening.  People who are at the highest risk are those with a history of smoking tobacco, particularly smokers who averaged one pack of cigarettes per day for 20 years or more, as well as former heavy smokers who quit in the last 15 years.

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Help celebrate the end of tax season by recognizing Renown's Finance team!  The financial health of every organization is integral to their mission delivery. A health system like ours is no different – and it comes with many intricacies that require a top-notch finance team. The work of financial professionals in healthcare goes far beyond just balancing the books and ensuring bills are paid on time; their work is instrumental to the sustainability and growth of every organization.  The Finance department at Renown Health makes a genuine difference by partnering with every team across our health system to safeguard their financial vitality. From accounting and payroll to financial planning and analysis, this team manages our financial resources effectively to assure we can continue providing the highest quality of care to all patients.  Money-Minded  The team members in Renown’s robust Finance department run the gamut of financial expertise:  Accounts Payable pays all our bills to our vendors. Tax and Treasury handles our business licensing and investments. Accounting records our financial transactions, prepares financial statements and reports transactions to the public and the government. Payroll ensures all our employees are paid for their service. Financial Planning and Analysis focuses on long-range planning and evaluates projects for a positive return on investment. As our in-house finance experts, this team’s workdays are anything but ordinary. Every day – and even every month and season – looks different than the last. On top of it all, these team members know exactly what it means to represent Renown’s cultural commitment to collaboration.  “We handle a varied set of tasks daily, weekly, monthly, quarterly and yearly,” said Minty Huynh, Database Administrator for Renown Health. “We could be churning through a planning cycle involving multiple reports and leader meetings, or we could be diving into details about why a specific department has a charge that brings them over budget.”  “Given that my role is tied with a lot of other finance and accounting departments, there is a lot of variability in the role on a day-to-day, week-to-week and monthly basis,” added Michaell Poertner, Financial Systems Administrator for Renown. “Regarding cross-functional collaboration, we meet with team leaders to address any issues or concerns they have with process or data, then work to alleviate those concerns. We all work together to ensure we record and account for our businesses within established rules and regulations.”  Helping lead our leadership team through financial and strategic goals plays a major part in Renown’s success. Our Finance team has nailed this down to a science. That guidance is driven by two key aspects: data and determination.  “Our team performs specific activities around planning and budgeting, financial effectiveness of current operations and planning for the future,” said Deirdre Maurer, Director of Financial Planning and Analysis for Renown. “We analyze data and provide support for our operations teams. Additionally, we manage Axiom, our financial performance management tool used for all our financial activities: capital planning and tracking, budgeting, long-term planning, management reporting and productivity.”  The excitement of solving problems and presenting high-quality analyses drives this team to succeed. However, given the complexities of their everyday work, one may believe that they stay siloed in their own areas.  The reality is the opposite – these team members appreciate each other immensely and attribute many triumphs to their colleagues.  “I get to work on puzzles every day, such as taking capital projects and building a complete package of reports and documentation to support the many assets at Renown,” said Debra Reyes, Accountant for Renown. “I need and appreciate everyone: Accounts Payable for reclassing items, Finance for project funding, leadership for direction and departments across our health system for working with me on serial numbers and in-use information for capital items.”  Our entire Finance team is committed to providing the necessary support and guidance to everyone at Renown, ensuring our financial well-being every step of the way.  “The finance team supports business partners in managing current and future financial well-being,” said Nancy Perryman, Principal Financial Analyst for Renown. “We are here to help and work with every department that needs it.”  Change Agents  As an organization, Renown Health went through a significant change in 2022 that helped set us on a positive financial trajectory. Last year, our senior leadership decided to transition from a July 1 to June 30 fiscal year to a calendar fiscal year from Jan. 1 to Dec. 31 to link up with Hometown Health’s fiscal year and the fiscal years of most health systems nationwide. From July 1 to Dec. 31, Renown navigated through a “stub period,” which was an opportunity for our team to build upon and deeply analyze our financial health in preparation for a strong, year-long fiscal year.  This transition was accomplished with the dedicated, efficient Finance team, who led Renown through this tough time. In addition, their proactive approach to our calendar year planning during the stub period directly impacted Renown’s margin improvements and financial longevity into 2023 and beyond.   “Changing our fiscal year meant that we needed a special audit only a few months after our last audit for the six-month ‘stub’ period between the old and new fiscal years,” said Shanna Entin, CPA, Senior Accountant for Renown. “There are a lot of challenges with a smaller audit, as some are familiar while some are new, but I’m proud to say we knocked that audit out of the water.”  Despite this uniquely busy season, none of the Finance department’s additional duties fell by the wayside. They celebrated an expedited five-year plan completion, planning turnarounds and much more, all while guiding Renown through the stub period.  “I am proud of this team for finishing our rolling forecasting within two weeks and completing the five-year plan within another couple of weeks,” said Michaell Poertner. “We converted our system to a calendar fiscal year and ensured data integrity was maintained the entire time."  “We’ve had many great accomplishments involving expedited planning cycle turnarounds such as our five-year financial plans in two weeks, the calendar year 2022 finances in another two weeks and a fiscal-to-calendar year conversion,” added Minty Huynh. “We are proud of having pulled together to deliver our plans to the board on time.”  Who can forget the ramifications of the pandemic? During this trying time, our Finance team supported COVID-19 initiatives to ensure all our care teams had the resources they needed to provide the highest standard of care for our most critical patients.  “I am proud that our team was able to support the accounting team with data to reinforce the funding we received for COVID-related expenses,” said Deirdre Maurer. “Our team continues to be here to help any Renown employee, which we are happy to do.”  And the successes of our finance change agents keep on coming – full speed ahead.  “Simply put, we rock,” said Debra Reyes. “We have been able to record assets with more details than before, such as adding locations, serial numbers and more. We have had great audits because our reporting and eye for detail have been keen. We understand each other’s strengths and weaknesses, becoming friends in the process."  Falling in L.O.V.E. with Renown   Respect, reputation, relationships – this is the Finance department’s “Renown Why.” Acknowledging Renown’s community impact and giving back to the health system that provided vital support during some of their most daunting times were common themes among this team for why they joined our purple family.  “I wanted to give back to the organization that had given me so much,” said Shanna Entin. “In March 2009, the ICU team went above and beyond trying to keep my late husband alive. He was a professional ski patroller caught in an avalanche while doing snow control work in Lake Tahoe. Even though he succumbed to his injuries, I will always be grateful to them for not giving up on him. Some 21 months later, my current husband landed in the same ICU with a flailed chest and various injuries from a skiing accident. The care he received in those nine days healed him enough to continue his care at home.”  “I chose to work at Renown because we spent much time at this hospital when I was younger,” added Nancy Perryman. “My sister and I interacted with patients and delivered homemade cards to the elderly, and nurses brought us hot chocolate. Renown felt like home as much as possible when we were here with my father. Then, as an adult, when my father was in his final days, our family surrounded my father, and the amazing Renown staff surrounded us.”  “Renown is a well-known name within the Reno area, and I wanted to work with a company with a good reputation and longevity,” added Michaell Poertner.  Now, why do they stay? For this department, the answer is simple: their colleagues. Like many other departments at Renown, the encouraging and uplifting team atmosphere inspires them to continue making a difference. It helps them remain dedicated to Renown’s mission and vision.  “What keeps me at Renown is the awesome team of professionals I get to call my colleagues,” said Shanna Entin. “We take our jobs seriously. And at the same time, dealing with life is always prioritized over work. So many people are willing and able to jump in to cover you when life throws a curve ball.”  The proof “is in the pudding” – many members of this team have a 20+ year-long tenure at Renown, and they remain loyal to this day, excited for the journey ahead of them.  “I applied here in 1999 to be an Accounts Payable Clerk at Renown South Meadows while I was wrapping up my courses at Career College of Northern Nevada; I’m thankful I’m still here,” said Debra Reyes. “I have a very interesting history with Renown and have experienced a wide range of things. That’s why I stay – for what lies ahead.”  “I chose to work at Renown 20 years ago to make a ‘genuine difference,’ and I like that Renown had and still has a focus on the community and quality healthcare,” added Deirdre Maurer. “I am here today because I enjoy the people, our values and our continued commitment to our patients, community and each other. I am grateful for the opportunity to be part of a great organization.”  The gratitude among this team transcends beyond office walls, and they welcome any fellow finance experts to consider joining their department and embracing the future together.  “I’m thankful every day, even on the hard days,” closes Debra Reyes.

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Nov. 12-18 is Health Care Strategy & Market Development Week. Please join us in celebrating the Marketing and Communications team at Renown Health!  When you think of the brand of Renown Health, what comes to mind? Perhaps you think about our Fight the Good Fight motto that you see integrated throughout our commercials and advertisements. Or maybe your mind drifts to our signature purple that you saw on a print design or social media post. You may even think of a local news story that showcases the essence of who we are as an organization. Or you may gravitate toward the look and feel of our patient-friendly website. Managing the brand of our health system is crucial as patients look to Renown to be the voice of not-for-profit healthcare – and it takes a wide range of expertise to solidify that voice.  The masters of our voice can be found within Renown’s Marketing and Communications (“MarComm”) team. From branding and business-to-business to content and community relations, this robust department is the minds behind our reputation within the communities we serve. This team is chock-full of expert writers, speakers, designers and marketers who craft positive and memorable communications that lead to a lifetime of patient and employee loyalty.  The Connoisseurs of Communicating  As the keyholders of Renown’s brand position and promise, our MarComm team are experts at ensuring the community at large remembers precisely who Renown is and what our health system stands for. This all-hands-on-deck department encompasses a wide variety of talents:  Marketing and creative services: Traditional and digital advertising, brand templates and collateral and brand image and awareness Communication and public relations: Employee and provider communications, intranet management, social media, media relations, photography and videography, community relations, crisis communications and strategic planning and advisement Digital specializations: Website and microsites, email marketing, customer journey mapping, blogs and chatbots  Our Marketing and Creative Services team members are the ultimate dreamers, starting diverse campaigns from the ground up.  “In marketing and creative services, we are always dreaming up something new,” said Emily MacMillan, Manager of Marketing & Creative Services. “Between our brand advertising, to service line campaigns to external partnerships, you can always find our team working on a marketing plan and creating ads, content, messaging, videos, graphics, emails, photoshoots and more.”  “From Fight the Good Fight brand work to a service line promotion or a sponsorship creative package, the variety of projects my role allows me to bring to life for Renown is almost endless,” added Chad Norton, Senior Creative Specialist. “That can make every day at my job nothing like the day before – which keeps things interesting and my creativity flowing.”  For all things storytelling and public image management, Renown looks to the Communications team for expert guidance.  “As the Manager of Communications, I get to lead the most talented group of professionals I have ever had the pleasure of working with,” said Caroline Ackerman, Manager of Communications & Public Affairs. “Sometimes there is an urgent matter to tend to, and we drop everything to support larger-scale communications. Other days, we get last-minute requests from our local media partners for TV interviews. On top of that, the communications team supports event planning and employee recognition. It’s so fun to work in this hybrid space where we can get our work done from home while also being present at meaningful Renown events.”  At Renown, we believe our external image is just as vital as our internal culture. Keeping our employees informed and engaged every step of the way is of utmost importance to MarComm.  “While most of our department supports projects that focus on our patients, guests and visitors, our employee communications team supports internal clients (our employees),” said Dani Vogel, Communications Business Partner. “Therefore, I spend a good portion of my time working with internal departments and service lines to deliver important communications across the organization using a variety of channels. In a nutshell, my day starts with the question, ‘what do our employees need to know today?’ We get to work with so many amazing internal teams.”  “I internally project manage some of the marketing campaigns, from open enrollment to our annual report, and each project is different and requires its own approach,” added Colleen McLellan, Senior Production Specialist. “I create the framework for each project, such as establishing a kickoff and ongoing meeting cadence during the project, ensuring we track lessons learned and decisions made for each, create the folder structure in Sharepoint, and opening a project and maintaining the tasks and deadlines in Workfront. I am also often part of a quality circle, proofing ads and other materials created as part of a campaign. As with all of my colleagues in MarComm, we are often resources for where to learn more or find information for other departments.”  “One of my roles is to maintain the Brand HQ site and review approval requests,” added Aurora Boles, Creative Services Specialist. “I enjoy hopping on Teams calls to assist our employees with their questions about the site or templates.”  Maintaining a high standard of digital excellence comes easy for the Marketing Technology team, who manage the complexities of Renown’s digital front door – starting with our website.  “Think about how many health service lines Renown has to offer; now, let's create an organized set of pages for that specific service line on Renown.org – that a lot of pages!” said Sarah LaBarge, Digital Specialist. “It takes time to curate the layout, work with providers and the Communications team to ensure the content is correct and create components and images for the page to give the user the best digital experience while continually updating and maintaining all our pages. We don't just have Renown.org; we have many other microsites that we maintain as well. It is a nice challenge to make both our team and users happy and have a good experience.” "The user experience is always at the forefront of whatever I do," added Tori Bowlin, Digital Content Editor. "When writing health blogs, emails, or health service web content, it's essential to attribute the information to one of our outstanding providers and link the post to a Renown Health Service or reputable source. A thoughtful workflow helps our customers make informed decisions regarding their health and well-being." As a not-for-profit health system, Renown reinvests right back into the community we serve. Our Community Benefit team serves as the overseers of this promise, ensuring our local non-profits that share our mission are able to deliver on their own goals.  “I absolutely love the role of community impact and partnership liaison and the opportunity it provides to work with so many wonderful local nonprofits,” said Melissa Dahir, Community Benefit Liaison. “Our local community is filled with so many organizations designed to help those in need, and it is an honor to be contributing to and supporting the work these amazing groups do. My work with this department involves partnering with nonprofit organizations by providing funding for program support through groups identified in our Community Health Needs Assessment, and providing grants for traditional events such as community walks, golf tournaments, dinners, galas and more.”  The MarComm team’s paramount focus on maintaining a caring and collaborative culture stems from the impact they have on patients' lives and the crucial trust placed in the organization. For this team, no project to benefit the health and well-being of Renown’s patients is too big nor too small.  “As someone holding a core leadership position on this team, I can see firsthand that our team is all about culture and retention,” said Cristal Woodley, Senior Director of Marketing, Communications and Customer Engagement. “At the end of the day, we have an impact on patients’ lives and trust in the organization. I’ve surrounded myself with such smart people.”

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