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Gratitude Takes Flight at Renown Health in Celebration of Nurses & Hospital Week
Renown’s general surgical unit debuts a set of angel wings crafted by staff and their families in Renown’s general surgical unit debuts a set of angel wings crafted by staff and their families in commemoration of Nurses & Hospital Week, May 4–10. A special piece of artwork in Renown Health’s general surgical unit is bringing color and joy to everyone who walks by. The unit’s new angel wings backdrop is made up of individually-decorated feathers – created by Renown nurses, certified nursing assistants, unit clerks, supervisors, staff’s family members and anyone else who wanted to contribute their creativity. Assembled in celebration of Renown’s Nurses & Hospital Week, observed May 4–10, this angelic backdrop sheds light on some of the things our nurses are most grateful for. “This art project was a month in the making,” said nurse manager of Renown’s general surgical unit, Deanna Olson. “A true collaborative effort, our staff, and even some of their children, would use their breaks and downtime to cut out and decorate feathers. Some focused on using bright, vibrant colors, while others wrote about what they are grateful for and the things that make them happy.” Doodles of pets, names of family members and inspirational quotes are just a few of the things featured on the feathers. The names of the 110 employees working in the unit can also be found throughout the angel wings. The idea behind the backdrop theme was inspired by nurse Melissa Vierra, who spent her last night as part of the general surgical unit working with a few team members to build the angel wings. Vierra now serves as a nursing administrative manager for Renown. “It takes an angel to be selfless enough to devote oneself to the care of others,” said Vierra. All our angels are as unique as the feathers in the wings, but together, we are united as a team to provide the best care possible for our patients. I am extremely grateful for my nursing family and all the lives they touch, including mine, every day.” A few Renown nurses joined Vierra in expressing their gratitude: “I am grateful that I have a job and for everything I have in my life.” – Elizabeth Rios, CNA “I am grateful for my family.” – Jena Smith, RN “I am grateful for my health.” – Mary Gutierrez, UC “I am grateful that I am not sick.” – Barby Workman, CNA “I am grateful for my life.” – Sierra Genz, RN “I am grateful for my health.” – Alyssa Daly, RN “I am grateful to be working.” – Skye Sauls, RN “I am grateful for my pets and my family.” – Colette Chapman, RN “I am grateful for the Bob Ross-esque landscapes.” – Tahni Murphy, RN “I am grateful for my family, my health and having a job that I love.” – Deanna Olson, RN During times of uncertainty, it’s these things, coupled with our amazing patients and teammates that keep us going,” added Olson. “I’m lucky to have the angel wings right outside my office. Seeing our angels from all departments take photos in front of the wings and hearing the love and happiness in their voices gives me hope to look towards the future – our community is in amazing hands.” ### 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 there region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a 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. Media Contact: Public Relations M: 775-691-7308 E: news@renown.org
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Community Recognizes 2020 Northern Nevada Nurses of Achievement Winners
Renown Health nurses are being celebrated for going above and beyond for their patients and care team colleagues. Every year, the Northern Nevada Nurses of Achievement Committee recognizes registered nurses (RNs) from across the community to celebrate their accomplishments and further the nursing profession. The committee just announced the 2020 award winners, including seven high-performing nurses from Renown Health. Nurses are at the forefront of the care teams working through the COVID-19 pandemic and 2020 has been fittingly declared the “International Year of the Nurse and Midwife” by the World Health Organization. Celebrating our nurses is more important this year than ever, and Renown is proud to be home to seven of the 2020 Northern Nevada Nurses of Achievement winners in the following categories: Clinical Leadership: Jenny Garcia, RN, BSN, supervisor of nursing in the orthopedics unit at Renown Regional Medical Center; Critical Care: Olivia Cartwright, RN, BSN, bedside nurse in the intensive care unit at Renown Regional Medical Center; Lifetime Achievement: Cheryl Jameson, RN, bedside nurse in the general surgical unit at Renown South Meadows Medical Center; Office & Outpatient: Kathleen Neilan, RN, BCN, OCN, cancer nurse navigator at Renown Institute for Cancer; Oncology and Infusion Services: Paola Espinoza, RN, BSN, supervisor of nursing in the cancer nursing unit at Renown Regional Medical Center; Rookie of the Year: Tamara Slater, RN, BSN, bedside nurse in the general surgical unit at Renown Regional Medical Center;Renown Facility Winner: Chelsea Zielinski, RN, MSN, clinical nurse educator in the neonatal intensive care unit at Renown Regional Medical Center. From a pool of over 400 publicly-nominated nurses who provide care across northern Nevada’s care facilities and hospitals, the Committee announced a total of 14 award winners during a virtual awards celebration on Friday, Aug. 28. Anthony D. Slonim, RN, MD, DrPH, FACHE; President and CEO of Renown, who worked as a registered nurse in an Emergency Department earlier in his career says, “We appreciate the work that every nurse does every day, not only for the patient in the hospital, but in all of the other settings where people come to learn how to live healthier lives. Nurses have direct influence on the outcomes of every patient, and I congratulate all 14 nurses for their exceptional achievements.” He adds, “The real winners are those patients, families, colleagues and community members who are cared for by these exceptional nursing professionals.” “We’re proud to celebrate our community’s nurses and all they do to care for patients and their loved ones,” said Jana Elliott, Associate Chief Nursing Officer, Acute Care Services. “Nursing is a true calling to serve others and there are so many incredible ways nurses go beyond their duty to provide the best care despite the intense nature of the pandemic.” “Nurses are at the core of our care teams; they provide compassionate care and advocate for patients and their loved ones in a time of need,” said Melodie Osborn, Chief Nursing Officer, Health Services. “The Northern Nevada Nurses of Achievement awards are a longstanding way of honoring our community’s most compassionate nurses.” Interview Opportunities A 2020 Nurses of Achievement winner and a representative from Renown’s nursing leadership are happy to speak on this prestigious honor, as well as what it means to be a nurse during these unprecedented times. Please email news@renown.org or call 775-691-7308 to schedule an interview. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 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 region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About Northern Nevada Nurses of Achievement Shining a spotlight on the nursing profession since 1999, the Northern Nevada Nurses of Achievement Committee works to honor their colleagues and to increase awareness of nursing as a profession. The committee also supports the growth of the profession in awarding scholarships for nursing students.
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8 Financial & Wellness Benefits for Employees
Listening to what employees need most now and for the future; ensuring families are healthy, financially secure The Federal Reserve raised its benchmark interest rate last week for the first time since March 2020. This will mean a higher cost of borrowing on credit cards, student and home loans, car financing and more. It could also mean more returns from savings accounts, depending on the institution. This news, coupled with concerns about mental health and physical well-being as caregivers come through the pandemic has presented leaders at Renown with a unique opportunity to reframe approaches to how to help their employees grow, feel financially supported and engage as part of a healthy and thriving team. After listening to concerns of employees and their leaders, Renown Health’s Human Resources department and leading industry partners have announced a number of additional benefits to promote ways to increase work/life balance; support rest-and-recuperation strategies, and new financial resources essential to sustaining happy, high-performing teams. Renown Health is hiring key roles to support the health and well-being of our community, and encouraging those with a passion for service to join the Renown family to Fight the Good Fight, by applying on line at careers.renown.org. Expanded and new employee benefits for 2022 include: 1. Expanded Physical Health, Medical and Dental Plan Benefits. The MOBE program, offered at no charge, offers each employee a personal Health Guide to support four core elements of health; diet, sleep, physical movement and emotional well-being to help build healthy habits, fuel a better life, provide energy and promote healing. This year, Renown expanded its Medical Plan coverage, adding new benefits, without increasing rates paid by employees. Renown offers health insurance benefits through Hometown Health, northern Nevada’s largest and only locally owned not-for-profit insurance company with wide-ranging medical coverage. Hometown Health offers access to the largest network and highest quality clinical services provided by 1,200 medical doctors and specialists in 150 sites of care, including those with Renown Medical Group; urgent care centers; lab and imaging services; and the state’s #1 Us News & World Report hospitals, Renown Regional Medical Center (2022) and Renown South Meadows Medical Center (2021). New medical benefits added this year include telehealth visits with a $0 copay; Renown Pharmacy prescriptions with no deductible; and if employees and their families need to travel out of the area for essential care, there is now a travel stipend offered for University Medical Center in Las Vegas or to University of Utah Health. The organization also reduced the cost for health insurance premiums paid by part-time employees (20-30 hours). In addition to improved health benefits, the dental network was expanded through MetLife Dental, with no increases in dental rate premiums paid by employees in 2022. As a non-profit organization, Renown is able to offer employees the ability to establish Flexible Spending Accounts as way to use tax-free dollars to pay medical expenses not covered by other health plans. 2. Enhanced Wellness and Mental Health support programs. Renown Health is home to the Stacie Mathewson Behavioral Health & Addictions Institute. As leaders, they are working to remove the stigma and barriers to using mental health services when needed; reinforcing that seeking help indicates strength, not weakness. This includes encouraging team members to take a day off to refresh and recharge or take advantage of confidential, mental health counseling visits at no charge. Renown updated their policy to include mental and emotional well-being as eligible for use of sick leave. Through the pandemic, to be sure employees had the time should needed, leadership added 80 hours of sick time to employee’s sick banks as well as $0 copay for Teladoc behavioral health sessions and nutrition services (virtual). Renown encourages physical fitness and inspires the health and well-being of employees by supporting participation in races (on foot or via bike) in their communities. Employee who race, run, walk, triathlon or bike may submit for reimbursement for an individual entry fee up to $100. 3. Appreciating and Engaging Employees. Many teams may now be working on-site, hybrid and remotely, which means getting together to make new memories is more complicated. Renown Health leaders continue to bring camaraderie and bonding into the workplace by investing in holding monthly Pride events for staff, hosting everything from online socials to game nights to help re-establish bonds. At Renown, employee engagement also takes the form of employee recognition programs. The Everyday Amazing program encourages employees to thank each other for outstanding service via an online platform, and earn certificates and points towards gift cards and prizes. Employee and organization-led leadership and career education programs are encouraged, as well as paid volunteer opportunities (four hours each quarter), and matches of up to $1000 for non-profit organization boards on which Renown Health employees serve. Renown offers events and yearbooks to help employees celebrate their history and accomplishments, as well as Celebrate Amazing, a special event to honor Service Milestones, Top Talent and Women of Achievement award winners. Renown supports the community and engages medical providers and employees to attend events with the Reno Aces, UNR football and basketball games, the Great Reno Balloon Race and hundreds of community events each year. 4. Living Debt Free with Financial Wellness Programs. A free financial wellbeing program from Salary Finance is available at no cost to employees, with a salary-linked loan product. This benefit enables employees to borrow or save money directly through their paycheck. Salary-linked loans allow employees to access affordable credit that they can easily repay through their salary, helping them pay down existing debt or avoid high-interest credit cards, overdraft fees, or payday loans. Salary Finance provides affordable borrowing options in times of need, as well as a financial education component, which helps employees understand their current level of financial content specific to their needs. Since launching, over 40% of employees have engaged with the Salary Finance offering, and over 500 have accessed affordable credit through Renown's custom-branded Salary Finance Financial Wellbeing Hub. “It has made a wonderful impact and has lessened my frequent stress regarding my debt," said a Renown employee enrolled in the program. In total, it is estimated that employees have saved nearly $275,000 on interest, and that number continues to grow as more employees take advantage of the benefit. The Greater Perks program from Greater Nevada Credit Union, the official credit union for Renown employees, offers a number of benefits including a $100 bonus for opening a new checking account, $25 when opening a new “I Can Save” account, $500 credit towards an appraisal for a home loan, low-cost rates on short-term personal loans and auto loans, and regular online financial wellness seminars. Membership with the credit union is not required to take advantage of Greater Nevada Mortgage’s offerings. In addition, donors have supported, through the Renown Health Foundation, funds for help employees who have suffered a personal financial catastrophe, and are in need for emergency funding to pay bills, with no repayment required. 5. Educational Assistance Reimbursement, Student Loan Repayment, Continuing Education for Learners. Renown values and encourages employees to continue their education and supports career aspirations and goals. The education assistance program offers loan reimbursement and repayment opportunities as well as educational and financial guidance from experts. College tuition, certification and certificate reimbursement is provided for employees who are currently enrolled in college/university or taking the extra steps to receive a professional certification or certificate. In addition, the organization supports employees who have previously completed their education and are now managing the burden of student loans. Employees also have the option to invest in a 529 college savings plan, an investment program designed to help people save for future education expenses for children/dependents at almost any private or public college or accredited higher education institution. 6. Onsite Childcare & Adult Care Assistance. Figuring out the childcare puzzle has been a hurdle for working parents through the pandemic. Renown is one of a select number of health systems that offer onsite childcare. Renown Health Child Care Center welcomes employees' children ages six weeks to six years (and not yet in kindergarten). The center is licensed for 176 children and features 11 classrooms: three infant classrooms, four toddler and four preschool classrooms. Staff help parents with resources to find care for their children onsite, or with licensed daycare providers in the community. Employees increasingly are caring for older adults in their families. As a non-profit organization, employees are able to contribute to tax-free savings FSA accounts that cover dependent care for children and older adults. 7. Flexible Schedules and Locations. Renown now provides the ability for medical providers and employees to work on-site, hybrid and remotely. This year as many employees working remotely moved out of state to be closer to friends or family, Renown kept pace, employing a Professional Employment Organization called Tri Net, in a co-employment model to assist with national benefits and tax administration. Renown is now able to recruit and retain remote employees from Maine to Minnesota and offer, for a wide range of positions in IT, finance and other support services, remote and flexible schedules that are attractive to many across the country. For clinicians, there are a large variety of positions now available at over 100 locations across the state. On March 7, Renown increased the cap of shift differential to 10% up to $6 an hour and added a weekend differential for staff for up to 5%. At Renown’s hospitals, there are employment positions available 24 hours a day, 7 days a week to serve the community. Other providers and employees take advantage of a compressed workweek, 12-hour shifts and other options, which allow them the flexibility to live their best life at work and at home. 8. Renown’s Retirement Savings Plan. Retirement savings plans including a full 401(k) plan through Vanguard are available for employees to save for retirement. Employees can contribute from1-75% of pre-tax pay (up to annual IRS limit) and receive a matching contribution from Renown of 4% when you contribute 4% or more to a 401(k) plan. Rollovers of a former employer's 401(k), 403(b), 457 or other qualified plan can be made into a Vanguard plan at any time. In addition, in-service withdrawals are allowed at age 59 1/2 from 401(k), and a new Roth 401(k) option was added. Join the Renown team: Renown Health is now hiring key roles in our organization to support the health and well-being of our community. To join the Renown family to Fight the Good Fight, apply on line at careers.renown.org. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 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 region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.
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Teens and Social Media: When Is it Too Much?
Dr. Max J. Coppes, Physician-in-Chief Renown Children’s Hospital, and Nell J. Redfield Chair of Pediatrics, UNR Med, talks about how much is too much when it comes to teens and social media. Social apps (Facebook, Instagram, Twitter, WhatsApp, Snapchat, TikTok, etc.) have become an integral part of most people’s lives. In contrast to traditional media — where one source goes to many receivers — social media operates in a dialogic transmission system. Many sources interact, sometimes simultaneously, with many receivers and provide for superior interactivity between its users. Not surprisingly, it also plays a significant role in our children’s lives once they are old enough to understand how to access and use these apps. On average, children start exploring social media at around ages 10 to 12. They rapidly discover that electronic communication allows for unique and personalized ways to make and keep friendships. They also use it to develop and expand family ties, get help with homework, share music, art, and experiences, and learn and discover the world. Social Media and Teens Surveys suggest that more than 90 percent of teenagers use social media. Additionally, approximately 75 percent have at least one active profile by age 17. Access to social media is greatly facilitated because more than two-thirds of teens have their own mobile devices with internet capabilities, a substantial change relative to previous generations. The use of social apps can have many positive aspects. But we now also recognize that it can also have negative impacts. The use of hazardous sites or the inherent risks of using social media (identity theft, being hacked, cyber-bullying, etc.) are indeed damaging to children. Any use of hazardous social apps is too much and carries serious hazards. But what about the use of “normal” and/or “safe” social media? Well, data suggest that too much use of “non-hazardous” apps can indeed affect health. How Much Do Teens Use Social Media? First, some basic data. For example, how much do normal teenagers use social media? A study from Pew Research found that more than 50 percent of 13- to 17 year-olds go online several times a day. This quickly increases during the teenage years to more than 70 minutes per day. Teenage girls have the highest usage at just over 140 minutes per day. It is important to recognize that non-school related use of the internet and social media is often beheld by teenagers as important for developing their self-esteem, their acceptance among peers, and their mental health in general. As parents, we recognize that the use of social media can indeed contribute, in many positive ways, to our children’s growth. At the same time, we also worry about them spending too much time online. We worry about their ability to communicate effectively in face-to-face settings or in writing. Many of us also feel and/or worry that our children are addicted. Social Media and Addiction Recent studies suggests that the overuse of social media indeed mirrors addiction. Reports now show that teenagers and college kids experience anxiety when deprived from their connected devices and consequently feel a compulsion to access their social applications. The emotional symptoms they experience are very similar to those seen in substance abuse. In fact, the American Psychiatric Association is considering making internet addition a bonafide diagnosis. Pediatricians therefore encourage limits on the use of social media, a recommendation more easily suggested than accomplished. So when should a parent consider seeking help? Aside from unhealthy use of these apps (cyber-bullying, sexting, online users asking for sexual relations, etc.), which should always trigger concern, the use of social media for more than 120 minutes per day should trigger parental concern. If you feel unable to address the overuse of social media, contact your pediatrician for help and guidance. Renown Children’s Hospital Whether it’s seeing a pediatrician, getting a sports physical or looking for advice, our care is centered around supporting and nurturing patients and families at our many locations. We have pediatricians dedicated to children who have experience recognizing children’s illnesses. They also have knowledge about tests and treatments for young ones to ensure your child gets the best care possible. Explore Children’s Services
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Is Bariatric Surgery Right for You?
You’ve likely heard about bariatric surgery — and perhaps even have friends who’ve done it. But is it a potential solution for you? Here, Dawn Remme, RN, Metabolic Bariatric Surgery Program Manager, provides insight. You may have been struggling with excess weight for years. You’ve tried high-protein diets, low-carb diets and more. Most patients considering weight loss surgery have tried numerous dieting methods. The truth is, some patients who suffer with obesity are successful dieters. Unfortunately though, excess weigh often returns. This impacts their health and the quality of their life. It can be a disheartening battle. Weight loss surgery is a big decision. In making this decision, keep in mind that surgery is only one step toward your goal of achieving better health. It is neither magic, nor is it the “easy way out.” Weight loss surgery can offer you a TOOL to help you become more successful in controlling the disease of morbid obesity. By combining this tool with a lifelong commitment to important lifestyle changes, medical follow-up and nutritional modifications, you have the potential to become a healthier you. Bariatric Surgery By the Numbers Exploring the facts about obesity, how it impacts your health, and how surgery can resolve or significantly improve your chronic medical conditions is the first step to making a decision. Obesity is medically defined as “excess body fat” and is measured by a mathematical ratio known as the Body Mass Index (BMI). To calculate your BMI, we consider your height, weight, age, gender and body build. Here are the standards: “Normal” BMI: less than 25 Overweight: 25 – 29.9 Obese: BMI of 30 – 39.9 Morbid obesity: BMI of 40 or more Morbid obesity (BMI over 40) is a lifelong, progressive disease, and the prevalence of morbidly obese Americans (100 or more pounds over a healthy weight) is increasing rapidly. According to the CDC, the disease of obesity affects 78 million Americans. Further estimates indicate about 24 million have morbid obesity. Serious medical problems known as co-morbidities often occur when someone is morbidly obese. Studies tell us conditions such as type 2 diabetes, high cholesterol, sleep apnea, high blood pressure and degenerative arthritis increase in severity as the BMI is increasing in patients. When may weight loss surgery be an option? When someone has a BMI greater then 40. If a person’s BMI is 35 – 39.9 and they have significant health problems such as type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, or other diagnosed health conditions related to obesity. Gastric Sleeve, Gastric Bypass Explained To resolve or significantly reduce these health conditions, bariatric surgery can be done when diet and exercise haven’t worked. Weight loss surgery makes changes to your digestive system to help you lose weight. The gastric sleeve limits how much you can eat, whereas gastric bypass limits how much you can eat and reduces the absorption of certain nutrients. Other Benefits of Surgery You can greatly increase life expectancy by resolving or significantly improving conditions like diabetes, high cholesterol, high blood pressure, sleep apnea, and obesity itself. Infertility can also be positively affected. A significant weight loss and relief from serious health conditions and diseases will greatly improve your quality of life. Studies tell us that type 2 diabetes is resolved or significantly improved in 84 percent of patients following bariatric surgery. Cholesterol levels dropped in 95 percent of patients. And hypertension and sleep apnea showed improvement in 68 and 80 percent of patients, respectively, following bariatric surgery. Bariatric Surgery at Renown In making the decision to move forward to better health, it is important to remember: Obesity is a disease, and the desire to have a healthier, longer, more fulfilling life is possible. If you are interested in learning more, please visit the Bariatric Surgery Program page to view more information about Renown Regional Medical Center’s MBSAQIP accredited bariatric program, as well as information about upcoming educational seminars. Or call 775-982-RSVP (7787) to reserve your seat. Learn More
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How to Get Your Kids to Sleep, Screen-Free
If you’re a parent, you’ve probably been there — the sometimes-nightly struggle to get your little ones off to bed. Elaina Lantrip, an APRN with Renown Pediatrics, offers some tips and explains how your child’s electronics may be getting in the way of a good night’s sleep. These days, kids are consuming media from a very early age on all types of devices — from tablets and phones to TVs. While they can benefit from some media use, it can have a negative impact on bedtime. We asked Elaina Lantrip, an advanced nurse practitioner with Renown Pediatrics, for some advice on downloading a better bedtime routine. What are the most important practices for parents to establish for their children’s bedtime routines? I often have parents tell me that their child won’t go to bed — or to sleep. Parents frequently ask for tips on bedtime routines that work. My first question is whether their regular bedtime routine involves television, iPad, tablet, phone or anything with a screen. It’s very important that bedtime includes a bath, reading a story, talking, singing and bonding with young ones, rather than using any devices. Why shouldn’t children have a device at bedtime? A growing body of research supports that screen time at bedtime contributes to delays in a child’s falling to sleep; overall inability to reach the important REM, or deep sleep; waking up during the night; nightmares and night terrors. For older youth, engaging with social media before bedtime can bring up stresses, emotions and relationship issues with peers that don’t exactly create peaceful bedtime thoughts. Bedtime should be a screen-free, stress-free, peaceful time of day. It’s a great time for parents to promote self-esteem, talk through things going on in the child’s life, to encourage and build them up. Children grow up fast — bedtime is a great the opportunity with younger children to cuddle up and read a story or sing a lullaby. What are other major considerations in making bedtime smooth and relaxing for kids and their parents? Another factor that contributes to positive sleep habits includes children getting enough activity during the the day so they’re genuinely tired at night. Also helpful are ambient noise makers, peaceful music, avoiding sugar two hours prior to bedtime, consistency in bedtime routine, comfortable pajamas and comfortable temperature in the home. Is it important to keep the child’s bedroom dark? Dimming the lights is important, regardless of the time of year. This is another reason to ban screens, as they emit light that stimulates wakefulness.
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A Renown Anesthesiologist's Unique Journey
Dr. Nariman Rahimzadeh’s career path has been anything but typical. From humble beginnings as a shuttle bus driver for Renown Regional Medical Center, then named Washoe Medical Center, to his service as Chief of Staff for Renown South Meadows Medical Center, the steps and detours he took along the way – and the strong support from his colleagues and family members – make up a tale of perseverance, conviction, compassion and inspiration. However, his healthcare career journey began several years before he even joined Washoe Medical Center in the 1990s. It all began 7,446 miles away in Iran. This is Dr. Rahimzadeh’s story. Defining Moments The moment Dr. Rahimzadeh knew he wanted to dedicate his career to the healthcare field started during his childhood. Growing up in Iran during the midst of the Iranian Revolution, a thought that often came to mind was, “Who is helping all the people injured in the war?” The answer? The doctors. “In Iranian society, doctors are extremely valued, as they are the first to help people in need,” said Dr. Rahimzadeh. “I knew I wanted to give back to society in some way, and I see my time in Iran as very formative in my future career. I just didn’t know it yet.” After immigrating to the U.S. with his family during his preteen years, he only had one mission: to support his family. “My desires were to help my family not fall behind,” he said. “I didn’t have career aspirations at the time. All I knew is that I wanted to help my family and my community, which immediately opened its arms up to us, as well as be a good student and a good ambassador for Iran.” Dr. Rahimzadeh remembers several influential people that helped solidify his aspiration from “helping people” to “helping people as a healthcare professional.” Their family physician and other medical professionals in the family’s lives were monumental in helping him make this decision. Coupled with his natural love for the sciences, the decision to become a doctor became clear. But the question remained, “How do I get started in the healthcare field?” No Links to Healthcare? No Problem With no physicians in his immediate family and no direct connections to healthcare, Dr. Rahimzadeh set off to follow the advice he received from the influential people in his life: get a job at a healthcare facility, regardless of what the job title is. Some of his friends had recently joined Washoe Medical Center as patient transporters and mentioned job openings that were available. He sprang into action and headed to Washoe Medical Center to apply. Just one problem – he didn’t have the EMT certification requirement. Enter Barry O’Sullivan, who would be Dr. Rahimzadeh’s first supervisor at Washoe Medical Center (and a friend he still speaks with to this day). Barry saw promise in Dr. Rahimzadeh immediately. As a result, Barry made a suggestion to him that would ultimately set him on the course towards medicine. “Barry told me that he had an open position that I could work while completing the senior year of my undergraduate degree and studying for my EMT certification and eventually becoming a patient transporter. He told me Washoe Medical Center would support me in this endeavor. So, I asked what the job was and learned it was driving a shuttle bus.” Without hesitation, Dr. Rahimzadeh responded, “I’ll take it.” And so, his fulfilling journey with Washoe Medical Center, and eventually Renown Health, began. While he finished up the last few months of his degree at the University of Nevada, Reno, (UNR) Dr. Rahimzadeh proudly drove the shuttle bus a few days a week. The job not only helped him pay for his degree and put food on the table, but it also allowed him to begin living out his passion for helping people in the healthcare field. Dr. Rahimzadeh graduated with his bachelor's degree in Pre-Medicine from UNR and finished his EMT certification program. Sure enough, Barry and Washoe Medical Center lived up to their promises and helped him secure his first direct healthcare job as an EMT and Patient Transporter with REMSA. But he didn’t stop there – after several years as a ground transporter, his career literally took flight. He joined REMSA Ground Ambulance and eventually Care Flight as a Flight EMT II, caring for patients that were flying to Washoe Medical Center from nearby communities that needed lifesaving medical care. Helping save lives every day as a member of the emergency medical team is an ultimate feat, especially when it comes to Dr. Rahimzadeh. And he didn’t stop there. Valuing One-on-One Connections In the 1990s, as it is today, the U.S. experienced a significant primary care provider shortage which resulted in many medical schools encouraging students to complete their residencies in a primary care specialty, like internal medicine – which is precisely what Dr. Rahimzadeh set out to do at the University of Connecticut. However, his mind would soon change about the course of his career. “I had a deep, introspective conversation with my residency program director, openly and honestly chatting about my future,” Dr. Rahimzadeh said. “I ended up taking a week off of my residency and wrote a long pros and cons list about what I wanted to do with my life in the medical field.” Eventually he decided on anesthesiology because of the opportunity to have a one-on-one relationship with every surgery patient, regardless of their procedure. “Even though it’s for a short duration of time, it is a very impactful relationship,” he said. “I feel I am making a difference in the outcomes and lives of patients every day.” Dr. Rahimzadeh finished his internal medicine residency in three years and passed his board exam, and he went on to do the same thing for anesthesiology. He then ventured back home to Reno. Career Progression at Its Finest Dr. Rahimzadeh knows that people don’t always get to settle down in a place that influenced their upbringing, care and dream, yet he was able to make that vision a reality for himself. “I feel like Renown Health and myself have this intertwined relationship that led to my growth as a person and as a physician,” he said. “For that, I feel very blessed." Upon his arrival back to Reno with two residencies under his belt, Dr. Rahimzadeh was quickly hired at one of the two anesthesiology groups in town at the time. He started his career with Sierra Anesthesia and after working for the group for several years, he joined Associated Anesthesiologists of Reno in 2014, which went on to become one of the largest anesthesiology groups in northern Nevada. The group continuously worked very closely with Renown, taking care of all of its surgical patient needs and eventually becoming Renown Medical Group employees as of April 1, 2022, with Dr. Rahimzadeh setting up his home base at the Renown South Meadows campus. Today, Dr. Rahimzadeh wears three “hats” at Renown. As a medical professional first and foremost, his largest “hat” is his general anesthesiologist role, where he cares for patients in the operating room. Another significant “hat” is his role as the Medical Director for Surgical Services, where he reviews surgical patient charges alongside his dedicated team of nurses and ensures optimal patient outcomes by verifying they have had the appropriate workup to proceed with surgery in a safe manner. To round out his immense responsibilities with Renown, he serves as Chief of Staff for Renown South Meadows, where he makes connections with colleagues and collaborates with leaders to review protocols, policies and address concerns that arise. Outside of Renown, Dr. Rahimzadeh is still a contributor within his own anesthesiology practice. He also is the current President of the Nevada State Society of Anesthesiologists and the Director to the Board of Directors of the American Society of Anesthesiologists, helping bridge the gap in anesthesia concerns between his northern and southern Nevada colleagues. He reflects on the opportunities Renown and our local community have extended to him by saying, “If you can dream big enough and continue to chase your dreams, you can make it happen right here.” On the COVID-19 Frontlines Nothing could prepare us for the dire situation hospitals on the east coast – especially those in Livingston, New Jersey – were experiencing at the beginning of the pandemic. Livingston was known as the “second hardest hit area” by COVID-19 in April of 2020. Hospitals were overwhelmed with patients in the ICU fighting for their lives. They needed help, and they needed help now. Unable and unwilling to sit idly by, Dr. Rahimzadeh and six of his colleagues from his practice traveled to Livingston to help. They jumped in on the frontlines alongside other anesthesiologists and intensivists to offset the sudden influx of COVID-19 patients. Many lives were saved, and Dr. Rahimzadeh was a direct part of that. “When you care and work with people that also care, you can move the needle a lot – it doesn’t matter where you're from,” he said. Home Means Nevada – and Renown Renown Health is deeply rooted in the northern Nevada community. Dr. Rahimzadeh is proud to be among a diverse team who have taken responsibility for its community for generations. "We live in a very passionate and caring community, which is often underestimated,” he said. “It’s clear to me that Renown refuses to settle. Renown is incredibly progressive in providing the best for the community. We never remain stagnant, we keep moving forward and we take care of your loved ones. This health system has never been able to sit still and settle for the status quo. That stands out to me.” One story especially sticks out to Dr. Rahimzadeh as the moment when he knew that Renown was home. In 1997 while working as a patient transporter, his grandmother passed away on the sixth floor of the Sierra Tower at what is now Renown Regional Medical Center. At the funeral, a huge bouquet of flowers arrived. Not being especially close to anyone in Reno yet, Dr. Rahimzadeh's family had no idea who sent the beautiful arrangement. Turns out, it was Rod Callahan, the Chief Operating Officer (COO) of Washoe Medical Center at the time. “At that point, I knew I wasn’t just a part of a workforce with thousands of employees,” said Dr. Rahimzadeh. “The COO cared so much about me that he felt compelled to send such a wonderful gift during a tragic time. That’s the value of a local, community-focused hospital; the people here know you and care about you. There’s a reason why people stay at Renown for so long – we feel that connection.” Dr. Rahimzadeh also reflected on how far Renown South Meadows has come, from the time he immigrated to the U.S. to today. “Growing up, Renown South Meadows was kind of a ‘mom and pop shop’ primarily serving senior citizens in one wing and surgical patients in the other,” he said. “Now, I am so proud to see how far it has come. It really made its niche in the community in a great way. The future is bright!” It’s clear that Dr. Rahimzadeh is leaving a lasting legacy with his family, from the local community to global medicine. His son is a senior at Baylor University in Texas with a strong desire to go into medicine, just like his dad. His daughter is a junior at Bishop Manogue Catholic High School in Reno and enjoys being involved in her community. His loving wife is a speech therapist in the area. The Rahimzadeh family is thriving together, and they all share the same conviction about northern Nevada and Renown: “This is home.”
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3,000 Miles Away But Close to Home
Overcoming poverty is not a task of charity, it is an act of justice. Like slavery and apartheid, poverty is not natural. It is man-made and can overcome by the actions of human beings. Sometimes it falls on a generation to be great. You can be that great generation. Let your greatness bloom. – Nelson Mandela, February 2005, Make Poverty History Campaign in London Lifting away the curtain that symbolized the front door, I entered a dark, cinderblock room and instantly became overwhelmed by an unpleasant odor. Working with oncology patients as a Child Life Specialist and an Occupational Therapist for over ten years, I recognized that smell. I had arrived in Guatemala – more than 3,000 miles from Reno – and it was my first day of a week-long trip where I would be serving alongside physicians in low-income communities providing free medical care for residents. My name is Brittany Jemmoua, I am an occupational therapist at Renown, and I recently volunteered with Kalan Kuxtal, a non-profit Guatemalan organization. I served alongside physicians by providing free primary care mobile clinics and home visits. The care we provided focused on prevention, intervention, education and lifestyle/medication management as we partnered with local entities, such as fire stations, community centers and schools to transform hundreds of lives. Speaking in both English and Spanish, I collected patient intake information, performed exams, tested for diabetes, and collaborated on a diabetes research project focused on daily risk assessment. Beyond these tasks, I immersed myself in the culture and learned more from the Guatemalan people than I could have ever imagined. Similar to Renown, Kalan Kuxtal Operates with Community at its Core Kalan Kuxtal, a Mayan expression meaning “life guardian,” is different from other volunteer medical trip organizations, and I took home valuable insights and lessons from their way of life that I now consider daily in my practice at Renown. I expanded my knowledge about diabetes, hypertension, pharmacology, infectious diseases, pregnancy complication, vector-borne illness and tuberculosis. We conducted home visits for socially neglected populations rather than expecting everyone to come to our clinics. I found that being welcomed into people’s homes gives you a different lens in which to view how their medical diagnoses interact with living conditions, occupations, and quality of life. This is when I met Mercedes and her mom. Her mom, Ms. Valencia, had jaundice skin and a substantial Basal Cell Carcinoma aggressively protruding from her face that impacted eating, hearing, seeing, sleep and social interactions. This opportunity to serve within their home led to an important palliative care conversation that would have been missed had we stayed in the clinic. We combed the rural neighborhoods assessing people’s risk for diabetes, taking glucose tests and educating families about their next steps. Many individuals had uncontrolled diabetes and misunderstandings regarding basic health management strategies. At the end of the day, many people demonstrated feelings of empowerment by actively offering solutions regarding how they will manage their day-to-day glucose with diet and exercise. Small actions can lead to big changes, and in the long-term, these health actions can help them avoid medication costs and focus on affording basic life necessities, such as water and electricity. Kalan Kuxtal organized a cultural day that included going to local businesses and community leaders to learn more about how they support the people of Guatemala. For example, Valhalla Macadamia Farm’s main goal is to help communities gain access to income, employment, and improved wellbeing by donating macadamia trees to families to grow and then sell macadamia products. A Weeklong Trip with Lifelong Impacts Each patient made a lasting impact on me, both personally and professionally. One specific family I saw in the clinic had a unique situation in that their two-year-old daughter, Margareth Elizabeth Cifuentes Bautista, was laboriously diagnosed with irregular corneal syndrome associated with glaucoma of congenital origin. Due to Guatemala’s limited prenatal screens and interventions, Elizabeth is nearly blind. While highly spirited and happy, she trips, bumps and feels her way through life. One barrier to her healthcare access is that her hard-working parents remain well below the poverty line, making less than $900/month. I am working to connect them with generous US Ophthalmologists and pediatric eye specialists to explore how we might save her sight and help her family. Their biggest dream is that she could recover her eyesight. “I know that this is not a life-threatening situation, but it is still something that never stops hurting me,” Jorge Cifuentes, Elizabeth’s father, said. “Unfortunately, our situation here is very hard. This country [Guatemala], although beautiful, it is very difficult to get ahead. We are people living in underprivileged conditions which complicates our situation even more. However, we are still trying to thrive by being kind and hardworking people. Thank you for helping us.” I have had the privilege of an opportunity for education, access to healthcare, employment and am aware that inequity and injustice prevail. This experience reinforced my understanding that medicine is a physically and mentally demanding profession that requires a commitment to service, continuous learning and adaptation both on local and global scales. I encourage everyone to please join me in serving the underserved by volunteering. Brittany is an experienced Occupational Therapist at Renown and volunteers with Kalan Kuxtal and other entities, such as The Robert Unsworth Foundation and Rock Steady Boxing to elevate communities. She loves being an Occupational Therapist; however, her life experiences confirm that her true calling is to become a physician. She is currently applying to medical school. Brittany is eager to earn the responsibility to improve lives and communities as their engaged physician. Brittany is tentatively scheduled to return to Guatemala at the end of this year to continue partnering with the people for a better future. You are welcome to join!
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Renown & The National Guard: How These Employees Serve with Maximum Impact
Jason Farnsworth, Evan Fox and Jennifer Jenni are three of Renown’s more than 500 employees who currently serve, or who have served, in our miliary. Their deep-rooted passion for helping our community extends to the Nevada National Guard (NANG), an organization that shares many values with Renown. We sat down with Jason, Evan and Jenni to ask their perspective on what propels them to serve people in our home state and learn more about how Renown's partnership with the Nevada National Guard has supported their personal and professional growth. Meet Jason Farnsworth, the Face Behind Renown’s Partnership with the National Guard Jason Farnsworth is the Director of Respiratory Care Services at Renown and the Chief Master Sergeant, Medical Superintendent of the Nevada National Guard. He has been with the Guard and Renown for 23 years. Jason joined the Guard over 20 years ago to help pay for his college education. After using up his paid vacation time from Renown for Guard events like deployments or training in his initial years as a Guard member, Jason approached Renown senior leadership with the idea of paid military leave. “In full support of employees who choose to serve, Renown stepped up to give a resounding, ‘yes,’ as they have time and time again for our military community,” Jason said. From that day forward, policies were implemented at Renown to further support individuals who serve our country with paid military leave. As a result, Jason submitted an Employer Support of the Guard and Reserve (ESGR) Secretary of Defense Freedom Award nomination and Renown Health won the highest-level department of defense employer recognition in the nation. Since then, Jason has received four associate degrees, one bachelor’s degree and a master’s degree with the government’s support and has been promoted several times to his current roles at Renown and the Guard. “As I progressed at Renown, I was able to progress in the National Guard. They've complimented one another on leadership skills and clinical competencies.” How Evan Fox Finds Synergy in His Roles at Renown and the National Guard After five years as a cardiac intensive care unit (ICU) nurse at Renown Regional Medical Center and two years as a First Lieutenant Critical Care Nurse in the Guard, Evan Fox has implemented care plans for many community members and put his expertise to good use. The countless trauma hours he has completed at Renown have directly translated to the field as a Guard member. He states that “his roles are synergistic, and his innumerable hours of critical care are worth their weight in gold because of the transferability between the two positions.” Evan’s Roles Provide Service to Our Community, and Beyond Evan feels passionately that his experience with the Guard is unique because you live in the area that you serve, whereas with other military branches you are often stationed elsewhere. Recently, he’s cared for many people involved in firefighting missions in our surrounding areas. As a member of the medical group of the Nevada National Guard, Evan is prepared to provide critical care at any given moment in the event of deployment due to a natural or man-made disaster. He can provide critical care in our region and across the nation. How Jennifer’s Leadership Journey Continues to Grow Jennifer Jenni is the nurse manager of the cardiac ICU and intermediate care unit at Renown Regional Medical Center. She has been with Renown for 13 years and initially started at Renown South Meadows Medical Center in the general surgical unit. She felt compelled to take advantage of Renown’s development programs as she worked her way up to supervisor and now as a manager. She is also a registered nurse and captain in the Nevada National Guard as well as a member of an enhanced resource force team, equipped to provide aid anywhere in the nation in the event of a disaster. With Jennifer, People Always Come First Her dedication to serving people has always been a part of who she is, even before she became a leader. From an early age, Jennifer felt strongly that she wanted to be involved in the military in some way stating that “the Guard is very much a service to the people, whether it's our community or nationwide.” While her clinical leadership qualities and skills have translated well to her role as a captain, holding two leadership titles is no easy feat – especially when it comes to the continued training her roles require. However, because of the support Renown provides its military community, Jennifer was able to confidently attend officer training in Alabama last year. Jennifer was fully supported by her Renown team when she was away and took advantage of her paid military leave benefit. More Than Just a Partnership, but a Family Jason, Evan and Jennifer are among the many employees who choose to serve both here at Renown and in the Guard. You might see National Guard members who are also Renown employees in areas like the cardiac ICU, trauma ICU, emergency department or medics who work on hospital floors. “Not only is my family out at the National Guard, but they are also here at Renown. It’s amazing to see how many people spend their lives giving back,” Jason said.
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Zarah Path from Traveler to OR Nurse
As many nurses can attest, the journey they have taken to arrive at where they are today is full of twists and turns. For Zarah Jayco, an operating room nurse at Renown Regional Medical Center, her journey is nothing short of a fulfilling and exciting one. Zarah is no stranger to taking detours to find what truly makes her feel the bursts of passion she had been looking for her entire life. She found that passion in the operating room – and travel nursing led her to Renown Health. Today, she is a firm believer that she is exactly where she is supposed to be. “I Just Want to Help People” Throughout her life, Zarah knew she was destined for a meaningful career – but didn’t exactly know what. One day, she sat down with her mom, a nurse herself, where she asked the question that would ignite Zarah’s curiosity: What is important to you? “That’s when I told my mom: ‘honestly, I just want to help people.’” It was at that moment that she realized nursing could be a fit for her. Everything about venturing into the nursing field started to make sense. So, that’s precisely what she did. Zarah went to nursing school. When she stepped into the OR during her clinical rotation, she was immediately inspired. Zarah’s core values as a nurse were rooted from caring for her 90-year-old grandmother while she was in hospice. Her grandmother gave her some powerful lessons and words as she set off on her career: “You are in the right place.” Upon completion of her perioperative program, Zarah the OR Nurse we know and love started her journey. She began her trek as a travel nurse, going up and down California to do exactly what she was meant to do: care for surgical patients. “I Traded the Ocean Waves for the Mountains” As Zarah continued to travel and find different locations for new assignments, her husband received an opportunity for work to transfer to the Biggest Little City. The duo packed up their California lives and moved to northern Nevada, where Zarah signed up for a night shift OR nurse position at Renown Regional Medical Center. But the traveler’s mindset wouldn’t last long. Renown embraced Zarah with open arms, and she was immediately drawn into the community-feel that our health system offered. She felt welcomed and surrounded by “loving, hardworking people” across her department and all other teams she encountered. As Renown cares for patients across 100,000 square miles, Zarah was especially impressed with how rooted Renown is in northern Nevada, noting how it “truly feels like we are caring for the community” with our health system’s wide reach. She was inspired to live up to that mission and more. “Reno and Renown really reeled me in, and I fell in love with the city and everything it has to offer,” said Zarah. “I traded the ocean waves for the mountains, and the more we got to know Reno, the more we realized that this change of pace and lifestyle was definitely a good fit for us.” Zarah the OR Travel Nurse became Zarah the Renown OR Core Staff Charge Nurse. And she knew she made the right decision. Working in the OR, according to Zarah, is challenging in the best way possible. At night, all surgery cases at Renown are emergencies. The team springs into action to answer one vital question: How do we provide the best care for this patient? “It is essential for us to anticipate potential outcomes,” said Zarah. “When we book a surgical case, we look at everything to make sure we are absolutely prepared and ready.” Staying at Renown was an easy choice for Zarah. To her, there is nothing like being a part of a core team that inspires her every day and ‘has each others’ back,’” Zarah stated. “During the course of my assignment at Renown, the culture harnessed a kind of environment that felt like a hardworking family. This was the hook that reeled me into considering being part of core staff. I am incredibly grateful for the opportunity to build relationships that I hold in the highest esteem.”
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Employee Blog: Team Renown at Northern Nevada Pride
It’s July 23, 2022, and I am arriving in Downtown Reno to walk in my first-ever Pride Parade. Even more amazing, I am going to be walking with a group of my coworkers, announcing to our entire community that our employer supports us being our full and truest selves. I arrived alone, but in the staging area I met new people who worked in other departments of Renown, coworkers I might never have met if not for Pride. I even took a selfie with one of these new friends. Someone passed around flags for us to hand out to the audience as we marched by. I took a rainbow-striped temporary tattoo in the shape of the Renown “R” and used my water bottle to apply it. There was an overwhelming atmosphere of excitement and joy that can only come from gathering with other human beings who are overflowing with love. We started the Parade waving handfuls of Pride flags high and gave those flags out to the audience as we passed. By the time we were done walking, our hands were empty, but our hearts were full. I couldn’t have stopped smiling if I’d tried. I’d joined the parade as a single person, but as we walked, I became part of a community. Not only the Renown community, but a community of Proud queer people across northern Nevada. And by extension, the LGBTQIA+ community all around the world – past, present and future. With the multiple recent state laws proposing to strip away the rights of LGBTQIA+ people, many of us have felt a noticeable decline in our mental health and feelings of personal safety. As a member of the queer community, I have felt these mental health effects too. I am fortunate and privileged enough to not have experienced workplace discrimination in my current position. But before Renown, I – like so many others in the LGBTQIA+ community – had a negative experience at a previous job, and afterwards I was hesitant to share my full self while at work. To be able to walk in a Pride Parade with my current employer, healed a little bit of that past pain inflicted by my former employer. When our liberties are under attack, Pride is more important than ever. We must remind ourselves, especially when others cannot seem to remember, that we are loved and worthy of love. I am grateful to work for an organization that is willing and able to fight this good fight with us. I will certainly be back to walk in this year’s Pride Parade, and I sincerely hope to see you there too! Be sure to wear comfortable walking shoes, sunglasses and of course keep your skin safe with sunscreen. Whether you’re part of the LGBTQIA+ community, or just an ally, you are welcome.
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Strategies for Lasting Weight Loss
Managing weight is a complicated and often difficult journey for many individuals, and obesity stands as a common and serious chronic health condition. In fact, the Center for Disease Control and Prevention reports that the prevalence of obesity in the US is greater than 40% in adults and 20% in children, and those numbers are continuing to climb. In Nevada, according to the 2020 Behavioral Risk Factor Surveillance System, 28.7% of adults reported being obese. By 2030, almost 80% of American adults may be overweight and half of them will be obese. But obesity isn't just about the numbers on the scale; it's a multifaceted, lifelong, neurobehavioral disease triggered by a combination of factors. These include abnormal eating patterns, reduced physical activity levels, environmental stressors, genetics and various other contributors. Obesity extends far beyond appearance, often leading to the development of numerous medical conditions such as diabetes, heart disease, elevated blood pressure, stroke, sleep apnea, liver disease, various cancers and infertility. Join us as we delve into the complexities of obesity and explore strategies for effective weight management available right here in northern Nevada. Why Can Losing Weight be so Difficult? The challenge behind weight loss finds its roots in the Set-Point Theory of Obesity, a concept that says our bodies have a predetermined weight, or fat mass, within a defined set-point range. In other words, when an individual's weight deviates from this set point, the body initiates mechanisms to bring it back to the established range. So, if someone loses weight below their set point, the body may respond by increasing hunger and reducing metabolism, making it challenging to sustain weight loss. There Isn’t One Right Answer, But Renown is Here to Help Various weight management strategies can be utilized by patients struggling with obesity, which may lead to substantial weight loss, resolution of associated medical conditions and improved psychosocial health. In fact, the most successful strategy involves a multidisciplinary approach under the guidance of trained specialists that includes a combination of tactics, including: Behavioral adaptations Dietary modifications Physical exercise Anti-obesity medications Weight loss surgery