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Department Spotlight: Renown Transfer and Operations Center
Stepping into the Renown Transfer and Operations Center (RTOC) means stepping into a transformative hub of excellence where lives are saved and healthcare is reimagined. As a cornerstone of Renown Health's commitment to exceptional patient care, the RTOC serves as a dynamic nerve center that seamlessly coordinates medical resources, ambulance rides, hospital bed space, remote home systems, hospital transfers and emergency preparedness. In this best-in-class facility, the boundaries of what is possible in healthcare are constantly pushed, and new horizons of patient care are discovered.  Staffed with a dedicated team of skilled professionals, the RTOC harnesses the power of advanced technology and compassionate expertise to ensure that patients receive the highest level of care and support, no matter where they are. Through a synchronized network of communication, coordination, and compassionate care, the RTOC team ensures that patients receive the critical support they need when it matters most, working tirelessly to redefine what it means to deliver world-class healthcare.  A National Standard Charged with the goal of overseeing the placement and transportation for every patient, the RTOC officially launched in 2021 as northern Nevadaâs first and only transfer center of its kind and a nationally celebrated facility. As Renownâs highly coordinated care logistics system, this team uses the cutting-edge technology at their fingertips to customize healthcare to the needs of every patient, manage patient flow and drive healthcare innovation. âCompared to where weâve started to where we are now, itâs a 180-degree difference,â said Kelli McDonnell, Manager of RTOC. âWhen we first started building our facility right before the pandemic happened, we took what was six conference rooms and classrooms and turned it into a command center that organizations across the country admire and come to Reno to see what we do. Mel Morris, the Director of RTOC, was recruited exclusively to build our facility with her history of building successful hospital command centers. Many people didnât realize what a transfer center was or that Renown was the only center in the region â and we only continue to grow.â This best-in-class facility, and the masterful team behind it, handles: Coordinating all incoming patients transferred from neighboring hospitals and 27 counties across northern Nevada, Lake Tahoe, northeast California and neighboring states. Matching patients to the most appropriate bed placement using diagnostic, triage and Epic electronic medical record clinical information in conjunction with medical staff expertise to outline a plan of care that determines the best bed assignment given the patientâs needs. Coordinating video-enabled Telehealth monitoring capabilities for Renownâs four Intensive Care Units (ICUs), as well as Renown patient Telehealth and virtual visits. Monitoring Remote Home systems with Masimo during the COVID-19 pandemic, where some patients received hospital-level care in the comfort of their own homes while Renown clinicians monitored and evaluated their data and plan of care. Serving emergency and disaster management for area hospitals, first-responders and the community with local, regional and statewide emergency and disaster management for sudden-onset emergencies. The RTOC is home to many different critical roles for our health system, including Transfer Center Nurses, Ride Line Coordinators, RTOC Coordinators and more, many duties of which each team member cross-trains on to be able to fill in whenever needed. While their roles may differ, their commitment to their patients remains the same â and they all work together to achieve the same outcome: delivering the right care, at the right time and place. âAs an RTOC Coordinator, we do a variety of different things,â said Anna Schaffer, RTOC Coordinator. âWe do triage coordination to help our nurses and hospitalists get patients in the emergency department admitted, and we also do bed control to find patients appropriate bed placement. Communication is important, so we always make sure to stay closely connected with the charge nurses on those floors.â âWe start with a basic âneed to knowâ and place patients accordingly,â added Karly Brown, RTOC Coordinator. âWe get surgery numbers, ICU capacity and discharges and find beds for all patients as quickly as possible. We have the advantage of being able to see the entire hospital.â âI primarily schedule transportation for patients at the hospital who are either going home or going to a skilled nursing facility,â said Sarah Clark, Ride Line Coordinator. âI get requests from case managers to schedule rides, and I work with REMSA and other ambulance services to schedule them. It relies a lot on appropriate and efficient communication and critical thinking.â Patients in facilities across northern Nevada and northeastern California, especially the rural communities, look to the RTOC to help guide ambulances, bed coordinators and hospital staff in finding care for our rural patients. âAs a transfer center nurse, I facilitate incoming patients from rural facilities in Nevada and surrounding areas in California,â added Meg Myles, Transfer Center Nurse Specialist. âThere are days we may take up to 30 direct admissions from these areas.â âWe are the point of contact for inter-facility transfers, whether we are sending patients out or bringing them into Renown,â said Lisa Lac, Transfer Center Nurse Specialist. âWe take phone calls from those rural areas, identify what services are needed, connect them to the appropriate provider and coordinate any transfers.â âSimply put, we are the bed wizards,â said Addison Rittenhouse, RTOC Coordinator. The RTOC team continues to break barriers and push the boundaries of medical excellence through leveraging the technology at their fingertips and their unwavering dedication to the health of our community. Inspiring a new era of medical possibilities, these team members have achieved a multitude of accomplishments for both their department and their patients since the birth of the center. âWe have significantly reduced the time it takes to get patient admit orders in, thanks in part to the new Triage Coordinator role, and we provide easier access for patients to transfer to us from other facilities,â said Beth Rios, RTOC Coordinator. âWe have taken a bigger role in helping the smaller hospitals in our area in caring for patients and improve patient throughput.â âAs a team, weâve done a lot of work in creating an engaging and positive environment, and our internal morale committee has been a huge help with that,â said Kelli McDonnell. âWeâve been working tremendously over the last year and taking all the feedback that we received from the Employee Engagement Survey to make improvements. We had 100 percent survey participation within five days, which is incredible.â âI am so proud of our escalation and problem-solving skills,â said Becca Dietrich, RTOC Coordinator. âWhen an issue is raised to us, we will always find a timely solution on our end so our care teams can focus on the issue in front of them. We are the eyes in the sky, seeing movement everywhere.â Each day in the life of our RTOC team members is a testament to their commitment, resilience and timework, making a profound impact on countless lives.
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Meditation: Give Yourself the Gift of Inner Peace
As we enter the holiday season, many of us are beginning to plan and partake in festivities such as shopping, cooking, baking, holiday parties and family gatherings. While the holidays often bring joy and cheer, the hustle and bustle can also lead to fatigue, stress, anxiety and sometimes depression. To avoid holiday burnout, itâs important to find ways to care for yourself mentally and physically. Galen Gorelangton, Renown's Spiritual Center Volunteer, discusses how yoga and meditation can benefit you. What is yoga and meditation? Yoga is defined as performing a series of postures and controlled breathing exercises to promote a more flexible body and a calm mind. As you move through poses that require balance and concentration, you're encouraged to focus less on your busy day and more on the moment. Meditation involves focusing or clearing your mind using a combination of mental and physical techniques. While there are many different types of meditation and yoga practices, they both share similar benefits including: Reduced stress Lower blood pressure Decreased anxiety and depression Increased energy Better sleep Lower inflammation and pain levels Improved strength, balance and flexibility Better focus and concentration And much more!
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Department Spotlight: Clinical Engineering
Renown Health strongly supports and advocates for innovative medical technology. Our diverse lineup of medical equipment enables our care leaders to provide quality care to every patient. But what if a piece of technology breaks down? What happens when our care teams are ready for technological upgrades? Where do employees go when they have a question about a complicated piece of equipment? Enter the Clinical Engineering department. This sophisticated team is staffed with intelligent, science-minded individuals who are ready to jump in and help at any given second. From newborn incubators to robots that clean the hospital floors, these team members are the med-tech masters that keep our health system running. Equipment Experts Upon entering the Clinical Engineering departmentâs workshop, you are welcomed with an abundance of high-tech equipment undergoing repairs and upgrades. The department takes care of more than 26,000 pieces of equipment throughout the entire healthcare network, including the technologies at the University of Nevada, Reno School of Medicine, which they just took over this past year. To the average person, this may seem overwhelming; however, for this team, this is the exact environment they thrive in to make the technology magic happen. âI am motivated and engaged every day at work,â said Tony Martinez, Supervisor of Clinical Engineering for Renown. âOur department is fast-paced and rewarding, and thatâs a big plus.â While some team members enter the department as equipment generalists, this team offers training to develop their skills on certain pieces of equipment, eventually becoming specialists.  âEvery month, we encourage our colleagues to undergo specific training on more delicate equipment,â said Tony. âOnce we get to that point in their training, we assign different equipment to our team members every month. They pick up the experience very quickly.â As a Clinical Engineering Technician for Renown, Rylie Nickerson took advantage of the training and educational opportunities offered to her and is now a ventilator specialist especially for Renownâs neonatal intensive care unit (NICU). âRegardless of whether Iâm working on ventilators or on another piece of equipment Iâm assigned to, Iâm always thinking about how I can help the patients, nurses and doctors,â said Rylie. Raul Hernandez, a Clinical Engineering Specialist for Renown, is the go-to person for anesthesia, heart-lung bypass, red cell saver and life support equipment. He embraces the fact that, regardless of whether you are a specialist or a generalist, there is no typical day working in this department. âEvery day brings different challenges,â said Raul. âI really enjoy the mental exercises I do every day. They keep me grounded and focused.â On top of their day-to-day work and any special projects or emergencies that come up, the team is on an ongoing preventative maintenance schedule. Think of this work like your carâs oil change â routine maintenance to prevent something from breaking down in the future. âAt any point, we might have 100-200 extra pieces of equipment to handle during preventative maintenance,â said Taylor Gray, a Clinical Engineering Technician for Renown. âWe are always helping each other through any issues.â Our Clinical Engineering team shows exactly what it means to be collaborative. Even though their to-do lists are ever-growing, this team never feels alone. They know they can always lean on each other for support, regardless of the workload. âWe always have each otherâs backs,â said Taylor. âI feel so happy and satisfied in my job, and my coworkers are a large part of that.â Celebrating the Genuine Difference The Clinical Engineering department is driven by their desire to help and take care of the entire health system, and in turn, make a genuine difference for the communities we serve, from the medical staff to the patients.  âThe satisfaction you get in our field when we impact patientsâ lives and their healing process is so motivating and engaging,â said Tony Martinez. âItâs a great feeling.â The team knows the common saying âWalk a mile in someoneâs shoesâ very well; so well, in fact, that they take it to the next level, doing everything they can to prevent frustrations and extended down times. âWe try to walk a mile in someoneâs shoes before they get angry,â said Reagan Jordan, Director of Clinical Engineering for Renown. âYour satisfaction is our mission, and our team continually works to improve their outcomes every day.â This department is where the entrepreneurial spirit and science-focused mind meet. For people like Raul Hernandez, who came from a business background as well as decades of medical technology experience, Renown helps him bring both his personal and business skills into focus. âThis environment is very beneficial for Renown, me, and of course, the patients,â added Raul. Being members of a team that is committed to excellence and purpose inspires them to reach new heights in patient care. âI am constantly reminded of the positive impact we have by witnessing the individual experiences we have and hearing the enthusiasm and thankfulness in their voices,â said Raul. âIt gives me a great sense of pride to work at Renown.â "There is a strong feeling of mutual respect here,â added Ed Trejo, a Clinical Engineering Technician at Renown. âWe are always here to help.â The proof is in the data. The Clinical Engineering team scored as one of the top departments in the recent Renown employee engagement survey, with their results sitting at more than 94 percent.  âThis speaks to not only our department leadership but also the team as a whole,â said Reagan. âI am extremely proud of them. Despite the pandemic, they are knocking it out of the park.â For this department, coming to Renown is easy; staying at Renown is even easier. âStaying at Renown is the easy choice,â said Raul. âAnd this team is only going to grow.â Workflow Whizzes and Kindness Champions âRolling with the punches,â as Tony Martinez says, comes naturally to the Clinical Engineering team. With the constant workflow of equipment coming into the shop, every team member has learned how to be experts at prioritizing, especially based on the needs of our organization. Even though their jobs can bring a lot of intensity, this departmentâs positive attitude radiates throughout the hospital. Upon entering the workshop, everyone is greeted with a smile from every team member, along with an immediate willingness to dive into the complex world of engineering. âThe experience of helping other people with their unique needs is invaluable,â said Taylor Gray. If this work environment sounds enticing, great news â the Clinical Engineering team is growing. Motivated, aspiring engineers with a passion for healthcare and an associateâs degree in a related field are welcome.  Military experience is also valued very highly in this team. As many of our military servicemen and servicewomen gain specialized engineering experience while enlisted, the military-to-engineer career ladder at Renown is especially strong. In fact, according to Paul Joseph, a Clinical Engineering Technician at Renown, the majority of their teammates come from a military background.  Above all, being capable of prioritizing on the fly, thinking critically, having an open-mined outlook and being self-driven are the top skills that this department values. As Ed Trejo states, âIf youâre willing to wear different hats, you will do very well here." âGo with the flow, and expect the unexpected,â added Rylie Nickerson. Those who join this team feel at home. The warm embrace of the teamâs kind nature and the supportive environment they all foster inspires an efficient workflow that helps our entire hospital system function at the top of its game. At the end of the day, everyone who joins the team, or anyone who even interacts with the team in any capacity, will be in good hands. Mandy Noriega, a Clinical Engineering Technician for Renown, closes these thoughts with a great reminder to each and every one of us: âAfter all, teamwork makes the dream work.â
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Have a (Healthy) Heart: Maintain Your Blood Pressure
Do you know your blood pressure numbers? Dr. Michael Bloch explains how maintaining healthy numbers are important for good quality of life and increasing longevity. High blood pressure, or hypertension, affects 85 million Americans â thatâs one in three people. Left untreated, it can lead to serious and sometimes life-threatening health concerns such as vision loss, kidney disease, heart failure, heart attack and stroke. But what is it, exactly, what makes it go up and why is that increase in pressure so dangerous? All About Blood Pressure In order to function properly, your body requires a continual supply of oxygen rich blood, which is goes to organs and tissues via blood vessels called arteries. Your beating heart produces the force (or pressure) your vessels require to move blood. This is your blood pressure. Your blood pressure numbers reflect two forces at work â the pressure created as blood is pumped throughout the body (systolic) and the pressure when your heart is at rest in between beats (diastolic). A normal, healthy reading shows a systolic level at 120 or below over a diastolic level of 80 or less: 120/80. An increase in pressure occurs slowly over time, straining the circulatory system and forcing the heart, blood vessels and tissues to work harder. This friction damages blood vessel walls and lets plaque buildup from LDL cholesterol, setting the stage for hardening of the arteries. As more and more plaque builds up, your blood vessels narrow, further raising blood pressure, damaging the circulatory system and increasing your risk of serious health conditions. The Silent Killer High blood pressure is known as a âsilent killer,â as most people with it have no symptoms. In fact, one in six of those affected donât even know they have the condition. Thatâs why itâs so important to know your numbers. The only way to find out if you have high blood pressure is to have it measured, either by a health professional or using a home monitor. If your numbers are high, there are things you can do to help lower it â it is treatable, but not curable. You can manage it with medications and lifestyle changes including: Adhering to the Mediterranean diet Decreasing sodium intake Avoiding excessive alcohol consumption Increasing exercise and activity levels Losing weight Prevention and Genetics Even better? High blood pressure doesnât just happen. You can prevent the condition altogether. How? Know your numbers and know your risk. Look at your family medical history. Genetics certainly increases the risk of it, but those same lifestyle choices that can improve poor blood pressure can also prevent you from developing it. So if your numbers are good, keep them that way â eat well, move your body, maintain a healthy weight and drink alcohol in moderation.
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Healthy Summer Salads
As the temperatures continue to rise around northern Nevada, our farmerâs markets and home gardens are bursting with produce â making this the perfect time to prepare a fresh summer salad for you and your family. American salads have come a long way. No longer must we settle for iceberg lettuce topped with pale tomatoes and store-bought salad dressing. Fresh fruits, exotic vegetables and aromatic herbs are proudly taking up residence as entrees on menus around the globe. These refreshing Pritikin salad recipes are chocked full of phytonutrients â plant compounds that provide a host of anti-bacterial and anti-inflammatory benefits while supporting the bodyâs natural detoxification process. When it comes to ingredients, freshness counts! Try to use local and unsprayed produce in your salads whenever possible for added nutritional value. Already thinking of ways you can put your own personal touch on these recipes? Andria Herron, dietary educator with Renownâs Healthy Heart Program, encourages you to experiment. âSalads are the perfect recipes to substitute, omit and add in additional ingredients based on your personal preferencesâ said Andria. Grab the salad bowl, whip out your apron and follow along with Andria as she provides pro tips for creating these delicious recipes. Join our free, monthly in-person or virtual classes today!
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Meet Multifaceted Member Don Chang
Renaissance Don  The Sterling Silver Club is honored to have thousands of members whoâve led and continue to lead incredibly vibrant and diverse lives. And weâre absolutely thrilled when those members volunteer to share their stories and experiences so we can all appreciate and learn from them.  This issueâs featured member is no exception. From his love of cooking, travel and music to his drive to learn new languages, take on new hobbies and keep himself active and fit, Don is an aspiring Renaissance man who may already be deserving of the title.  Revolutionary Family Roots  Donâs father, who was born in Beijing, China, earned a masterâs degree in metallurgical engineering from the University of California, Berkeley and was working on his PhD there on a full scholarship from his home country when the Chinese Communist Revolution occurred. In order to stay in the United States and avoid potentially being thrown into prison by the new communist regime (a fate that befell some of his family members), his father married Donâs mother, who was a U.S. citizen and also a student at Berkeley. Together, they started a family.  âMy father met my mother in a class and received his green card by marrying her,â says Don. âThey proceeded to have six kids in nine years, I was number three. Dad never finished his PhD, but clearly earned what we like to call his âPSKâ degree â Papa with Six Kids.â Proud (of) Papa: Donâs father was a professor of metallurgy and a brilliant research scientist who was responsible for virtually every breakthrough in the development of titanium in the 1960s.
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Are You at Risk for Stroke?
Did you know an estimated 1.9 million neurons and 14 billion synapses are lost per minute during a stroke? Thatâs why every second counts. Anyone can have a stroke, but your chances increase if you have certain risk factors. Thatâs why the best way to protect yourself or your loved ones from a stroke is to know the risks and how to manage them. You can make changes to your lifestyle to lower your risk of stroke by asking yourself the following questions: 1. Is my blood pressure normal? High blood pressure is the leading cause of stroke and the most important controllable risk factor. If youâve had a stroke, lowering your blood pressure can help prevent future strokes. 2. Can I quit smoking? Smoking damages blood vessels, clogs arteries and raises blood pressure â doubling your risk of stroke. If you want to reduce your risk of stroke and heart attack, quitting smoking is the first step â and Renown can help you with this. Learn more: Renown Health Quit Tobacco Program. 3. Do I make time to exercise 30 minutes a day? Many studies link consistent exercise habits with lower stroke risk. Also, being overweight contributes to high cholesterol, high blood pressure, heart disease and diabetes, all increasing your stroke risk. You donât need to run a marathon â just commit to making time to move each day. 4. Do I regularly eat processed food and sugar? Eating less cholesterol and fat, especially saturated and trans fats, may reduce the fatty deposits (plaque) in your arteries. Also, eating five or more servings of fruits and vegetables per day may reduce your stroke risk. If you are diabetic, follow recommendations to get your diabetes under control.
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Healthy Zucchini Manicotti
Often, when we think of Italian dishes, we think of pasta. In fact, there are more than 600 different pasta shapes, each holding the task of delivering Italyâs flavors. While we all crave pasta, according to the U.S. Department of Agriculture (USDA), a cup of pasta shells contains about 166 calories, 6 grams of protein and 32 grams of carbohydrates. When you add all the other comforting ingredients that comes with cooking Italian, itâs nearly impossible to keep it healthy. Caitlin Bus, Registered Dietitian with the Renown Healthy Heart Program shares a healthier version of an Italian favorite âdeconstructed manicotti using zucchini as a substitute for noodles. If youâre looking for a healthier Italian dish and wondering how to use a spiralizer to turn vegetables into noodles, this recipe is for you.
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Women and Stroke Surprising Signs to Know
Stroke is unfortunately common, with 1 in 5 American women experiencing it each year. When it comes to a stroke the phrase âtime is brainâ speaks to the urgency of getting rapid care. In fact, a woman may lose nearly 2 million neurons per minute of oxygen loss to the brain. The Renown Health Comprehensive Stroke Center experts share the importance of timely treatment and how stroke symptoms can differ in women. Women and Stroke â Surprising Symptoms Each year stroke affects more women than men. Even more concerning, women are less likely to recover from a stroke. The following non-traditional, less common, warning signs can be common in women: Hiccups with chest pain Sudden disorientation, drowsiness, confusion or a general altered mental status Nausea or vomiting A sudden headache that feels like the âworst headache of your lifeâ Unusual chest pain (especially with hiccups) Body numbness or weakness, such as an arm or leg suddenly âfalling asleepâ Fainting or loss of consciousness Stroke Diagnosis The first step is neuroimaging by CT scan. This allows for rapid identification of any bleed, and also assists in determining candidacy for the early clot busting medication. MRI brain imaging is much higher resolution, and can better determine the core stroke size, assisting in prognosis and recovery. Since strokes have several different origins, an inpatient workup is essential to determine the underlying cause. Whether the stroke is secondary to plaque in the large vessels, clots being thrown in the setting of atrial fibrillation (an abnormal heart rhythm), or small vessel disease from years of uncontrolled vascular risk factors (high blood pressure, smoking, high cholesterol, diabetes), determining the cause is essential to implementing a management plan to reduce risk for further strokes. Quick Treatment for Stroke is Key Early recognition of stroke symptoms and seeking prompt attention is paramount. There are interventions that can be instituted to minimize the stroke and increase likelihood of recovery, but only if a patient presents to the hospital early. A clot busting medication, called tPA, can be given to patients with stroke if given within 4-5 hours from time of onset. Renown Regional Health Center is designated as a Comprehensive Stroke Center, the highest level of stroke certification available. To earn the designation of comprehensive stroke center, a hospital has to meet stringent requirements, including biannual on-site evaluations. This includes care for ischemic stroke patients (lack of blood flow), hemorrhagic stroke patients (bleeds), and determining the underlying cause to guide secondary stroke management prevention. Stroke Symptoms Remember âB.E.F.A.S.T.â to recognize the symptoms of a stroke below: B â Balance Being off balance or dizzy, is common. E â Eyes An eyesight change such as blurring or double vision may occur. F â Face droop One side of the face, or lip, droops A â Arm weakness Does one arm drift down? S â Speech Talking may slur or sound strange. T â Time Time to call 911. Call an ambulance immediately if you or anyone else, experiences any of these symptoms.
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Simply Spectacular Sterling Silver Member Rhogenia
Whether watching a 4th of July celebration from her fatherâs boat on the Saint Johns River or sneaking a peek at a post-game display over Gator Bowl Stadium from her parentsâ bedroom window, the fondest childhood memories of Sterling Silver Club featured member are of fireworks. âI love watching fireworks,â says Rhogenia. âAnd I get just as excited by them now as I did then.â Well, fireworks are certainly a fitting introduction to this Sterling Silver Club member who shines with a spectacular collection of accomplishments, adventures and interests. A Passion for Teaching Rhogenia remembers herself as a happy, carefree child âwho read all the timeâ while growing up in Jacksonville, Florida with her younger sister, Rosemary, and her father and mother, who was a public school teacher. Itâs easy to see how this natural enthusiasm for reading (and learning), along with her motherâs influence, would spark Rhogeniaâs calling â and passion â for teaching. After earning her bachelorâs degree in education, Rhogenia spent the first 2 years of her career as a kindergarten teacher in a âone traffic lightâ town in her home state. She then moved to Oakland, California where she taught kindergarten and first grade classes at various schools for 4 years. The Biggest Little City in the World came next, and her stay there would last much longer. In Reno, Rhogenia added a masterâs degree to her credits and found a home for her teaching career at Grace Warner Elementary School â where she taught first and second grade for 20 years! During that time, she also took on the additional role of adjunct professor, teaching graduate students for the University of Phoenix, College of Education.  âA great teacher never stops learning,â explains Rhogenia. âI believe the art of teaching is the act of facilitating discovery, for students and also for myself.â In recognition of her efforts, Rhogenia received the Reno Gazette Journalâs Best of Education Award, the Washoe County Teachers Association Distinguished Performance Award, and was also awarded a grant from Learn and Serve America to help her support student programs that gave back to the community. Rhogeniaâs favorite quote: âOne hundred years from now it will not matter what my bank account was, the sort of house I lived in, or the kind of car I drove. But the world may be a little better, because I was important in the life of a child.â â Adapted from an essay by Forest Witcraft Commissions, Councils & Space Camp Life outside the classroom also kept Rhogenia busy â and inspired â throughout her career. In 1998, she was selected to participate in an educator externship, and in 1999, was chosen to be a teacher consultant to the Alliance Summer Geography Institute. These opportunities allowed Rhogenia to return to her students with exciting lessons to share about different types of industries and the importance of geography, respectively. In 2002, the governor appointed her commissioner for the state of Nevadaâs Commission on Professional Standards in Education. And Rhogenia followed that up with an appointment to the National Council for Accreditation of Teacher Education in 2004. She also got to travel. Rhogenia was one of two teachers from Nevada chosen to participate in the Japan Fulbright Memorial Fund Teacher program on its 50th anniversary. Originally established in 1946 to foster mutual understanding between the U.S. and Japan, the trip allowed Rhogenia to represent her state, her country and her race to Japanese dignitaries, business people and students alike. For over three weeks, she toured schools, universities, factories, temples, art galleries and museums, and stayed in the home of a Japanese family for a few days â which she calls the highlight of her trip. Oh, and then there was the time she went to space camp! The Nevada Teacher in Space Program sent Rhogenia to join teachers from across the county at the out-of-this-world camp in Huntsville, Alabama. On âTeam Endeavor,â she learned what it would be like to deliver payloads and perform experiments at the International Space Station, and took a seat in flight simulators and an antigravity chair. The goal of the program was to inspire teachers to help their students learn about the infinite possibilities of math and science. Time for What Matters These days, Rhogenia enjoys spending time on the things that matter most to her. Personally, that means diving into hobbies like genealogy, music, reading, writing, cooking and the occasional card or board game. She also continues to learn and broaden herself through Osher Life Long Institute (OLLI) classes and Retired Living Truth Series seminars. But her greatest joy comes from spending time with family â four generations of her own family, her church family, retired teachers from Warner Elementary and the many acquaintances and friends sheâs come to know over the years. Other things worthy of Rhogeniaâs time: Giving back to the community, rainbows, sunsets and sometimes, just watching the clouds roll by. Membership & Senior-ship What does Rhogenia think about being a Sterling Silver Club member and a senior? She told us. âBefore COVID, it was the face-to-face club events that I liked most,â recalls Rhogenia. âAt the Silver Stars Gala, I had such a wonderful time chatting with old and new friends⊠the fashions, decorations and the food were delightful.â Over the past year, she also found things to love about the clubâs virtual events and regularly attends lectures, cooking and yoga classes and weekly meditation sessions â from her home! It Starts with Hello offers some of her favorite club events. âIt reminds me of the television show, Cheers, where everybody knows your name!â she grins. âWe meet at noon on Tuesdays and Thursdays. There are a variety of topics and guest speakers, and with the virtual events, I feel like the presenters are talking directly to me⊠I have the best seat in the house.â As far as being a senior goes, Rhogenia is living her best life and has some advice to help others do the same. âAs a senior, I have the time to explore and take advantage of the many opportunities available out there,â she says. âI live life in the present and to the fullest. I make the most of each day because tomorrow, it will be the past.â Rhogenia feels that the biggest challenges for seniors today are health and isolation, and wants people to know thereâs help if they need it. âSometimes we need a little help to make everyday activities a little easier, or just need a person to talk with,â she explains. âMy advice is never be too proud to ask for help with anything! Most people are glad to help or guide you to someone who will.â âLastly, to seniors, I would like to say this: Love yourself and make peace with who you are and where you are at this moment in time,â Rhogenia continues. âAnd give yourself a big hug!â The Sterling Silver Club thanks Rhogenia for dazzling us with her story, her friendship and her collaboration â and we send her and all of our members a âBIG hug.â
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Improving the Way we Deliver Quality Rural Healthcare
One of the most pressing issues in modern medicine is the need to improve rural healthcare. This challenge hits particularly close to home, as Renown Health is the only provider covering 100,000 square miles in northern Nevada, an area thatâs mostly rural. People in rural areas suffer from chronic diseases such as heart disease, cancer and respiratory disease, at higher rates than the general population. One of the largest contributors to these health disparities is a lack of access to health services. Many rural communities have fewer providers and care facilities. This forces residents to travel farther to receive preventive care and medical treatment. We must identify ways to better support the health needs of the millions of Americans who live in rural communities. Ideas for improving rural healthcare Health systems must identify innovative ways to leverage existing resources and new technologies to care for patients in these communities. For example, telehealth can help diminish a personâs need to travel long distances to receive specialty care. Similarly, online classes can help educate patients about preventive behaviors. Remote monitoring technology also allows patients to track their health conditions from home. Additionally, we can address physician shortages by empowering health professionals such as nurse practitioners, physician assistants and technologists to care for patients. These providers receive excellent training and have demonstrated success in improving health outcomes. Renown Health cares for people from diverse backgrounds and we are dedicated to caring for patients in every community we serve. Renown Telehealth Weâre leading the region in using video conferencing technology to provide the best care possible â no matter where you are. Renown Telehealth is telemedicine that gives you access to top-level care and better outcomes with less stress and fewer travel costs. Learn More
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Stroke Survival as a Warrior â Kimi's Story
It seemed like a normal Wednesday, except Kimi Woolsey was feeling really stressed. On Sept. 4, 2019 she was rushing to get ready for an appointment when suddenly, she could not feel her legs. Kimi immediately knew something was wrong and called out to her fiancĂ©, Paul, for help. After seeing a bright light in her right eye, she felt a severe, sharp pain in her head traveling down into her leg. Paul quickly called 911, the EMTâs arrived and her stroke survival journey began. At first the medical team thought she had a complicated migraine, but one of them suspected a stroke. On the way to the hospital Kimi felt numbness and her face drooping, then instantly, no pain. For a moment she thought she was dying, going from pain to numbness and realizing she couldnât move or speak. Kimi didnât know she was having another massive stroke in transit. Each year nearly 800,000 people in the U.S. suffer a stroke, or âbrain attackâ â thatâs one every 40 seconds. Of those, about 75% occur in people over age 65. However, at only 45 years old, Kimi is proof that a stroke can happen at any age. Stroke Survival Begins for Kimi Upon arriving at the emergency department of Renown Regional Medical Center the Certified Comprehensive Stroke Center team went into action. Kimi received a brain MRI, then was wheeled into surgery for a thrombectomy (clot removal). She was in the intensive care unit for 11 days. She remembers someone telling her, âGenerally people donât survive this magnitude of stroke.â And a doctor saying, âYou are here for a reason.â Kimiâs comeback journey began with the comprehensive care team at Renown Rehabilitation Hospital. âLiterally I had the best day of my life that first day thereâŠI was so happy because I couldnât imagine being in a safer place with people that literally live for you,â she recalls. During her 41 days there, her biggest milestone was being able to get out of bed and walk. For Kimi the support she felt at the rehab hospital was key to her progress, âI still feel loved and appreciated and theyâre rooting for me still and I can feel it.â Although she left the rehab hospital on Oct. 18, 2019, she is still working on improving the left side of her body. Currently Kimi works with therapists in outpatient physical rehabilitation sessions, continuing to see improvement in both her hand and leg. Her advice to those currently in a rehab hospital setting is, âStay as long as you can to get the most out of it and push, push, push.â Kimiâs Stroke Survival as a Warrior âHaving a stroke is not for the faint of heart,â says Kimi. She experienced despair and felt discouraged. Many days she would ask herself, âWhy am I here?â Today she proudly calls herself a stroke warrior and refuses to be a victim of her stroke. Alongside her tenacious spirit, Kimi actively helps others on their stroke survival journey. Before her stroke she never dreamed of starting a non-profit foundation. Now, each day youâll find her texting inspiration to others, offering advice and connecting with other struggling stroke survivors on her Facebook page, Stroke Warrior Recovery Coach. Her goal is to become the person she needed to talk to after her stroke; she currently coaches several stroke survivors. âStroke survivors need to know that they arenât alone. Mental support and encouragement are so important for each personâs stroke journey,â Kimi said. Along with the physical changes, Kimi feels the stroke magnified her empathy. âI was always in a hurry in my life. People didnât go fast enough for me â on the road, at the grocery store, in a line. Now I have more patience with myself and others." Kimi realizes most people cannot wrap their brain around the concept of a stroke. In fact, the brain fog, physical challenges and frustration are hard to explain⊠unless youâve experienced them. âYou need to find your tribe,â she explains. âI have a passion for helping people through this process.â Most of all, she encourages people to keep going and never stop. After her stroke, Kimi has a greater appreciation for her family, health and life. She is one of the patients featured in the current âFight The Good Fightâ trauma and physical rehab advertising campaign. âI wake up every day and fight,â she asserts. âEach day you have to fight for your recovery and fight for yourself.â
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