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  • Pulmonary and Sleep Medicine

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

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    • Pulmonary and Sleep Medicine
    • Asthma
    • Lung Health
    • Prevention and Wellness

    Stay Inside When Skies Are Smoky

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

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    • Asthma
    • Kid's Health
    • Pediatric Care

    Understanding and Managing Childhood Asthma

    Dr. Shipra Singh, a Pediatric Pulmonologist, outlines the challenges of diagnosing asthma in children due to symptoms resembling other respiratory issues. It's particularly difficult to identify in infants and young children, who may not clearly exhibit breathing difficulties. Asthma, often confused with bronchitis, croup, or allergies, is a significant chronic illness causing school absenteeism, as per the CDC. Risk factors include prenatal smoking and family history of allergies or asthma. Infants and toddlers are more susceptible due to smaller airways and respiratory viruses, which can exacerbate conditions like colds and bronchitis. How can I tell if my child has asthma? Unfortunately small children are unable to describe their symptoms, making asthma difficult to diagnose. Your child may even be active, playing and smiling, although they are experiencing chest tightness or labored breathing. Observe your child and let the child’s doctor know if: Your child’s breathing behavior has changed (coughing, wheezing, rapid breathing) Your child’s breathing pattern changes (day vs. night, with rest or activity, inside vs. outside) You have a family history of asthma or allergies Your child’s breathing is triggered by any foods or allergies With your help, your child’s doctor can make the best diagnosis to determine if your child has asthma. A pediatric pulmonologist (lung specialist) or pediatric allergist may also have to be consulted for special testing. Tests may include lung function testing, allergy tests, blood tests and X-rays for an accurate diagnosis. What is the treatment for infants and toddlers? Young children can use many of the same medications as older children and adults, although the way they take them and the dosage will differ. A nebulizer (or breathing machine) creating a medicated mist for your child to breathe through a mask may be used. An inhaler with a small spacer tube connected to a mask is also common to help your child breath medication into their lungs. Either of these options are effective. Asthma in children is treated with both fast-acting and long-term medicines to open up airways quickly for easy breathing and also to lessen asthma symptoms over time. Communicate with your child’s medical providers to create a personalized asthma management plan for them. How can I manage my child’s asthma? Recognize your child’s breathing habits and be aware of worsening symptoms. Consult with your child’s doctor on a daily asthma action plan to recognize worsening symptoms and track medications. Here’s an example of an asthma action plan provided by the U.S. Department of Health and Human Services’ National Institutes of Health). Be consistent with the plan and talk to your doctor before changing it. Have an emergency plan in case of a serious asthma attack. Know where the closest ER is and know who can take care of your other children. Also know what the medical treatment coverage is under your insurance plan. Dr. Singh explains, "Discussing asthma with your child may be difficult. Some kids find the subject frightening or confusing. Others, especially the older kids, may resent the treatment and may not be interested in doing it. Talk to your doctor about advice to build an open and trusting relationship regarding your child's asthma care."

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    • Community Partnerships
    • Food Drive
    • Renown Health
    • Food and Nutrition

    Renown Health Food Pantry Nourishes Patients in Need

    Unfortunately, many in our community go to bed hungry. Thanks to the support of the Food Bank of Northern Nevada and other local partners, Renown’s food pantry is helping meet the food needs of homeless and low-income individuals in our community. Patients who qualify for the “Food is Medicine Prescription” can receive a bag of food for themselves and each member of their immediate family every week through a free assistance program. This project started last year when Renown began giving food support to hospital and emergency room patients who expressed the need. Food is also given out at the Healthcare Center, which provides affordable access to care for anyone in our community. Those who receive care at the Healthcare Center are also eligible for food assistance. Working Alongside the Community After receiving food deliveries from the Food Bank of Northern Nevada, Renown’s community health team collects an assortment of fresh produce, donated from local grocery stores and other community organizations. Then they put together one bag for each family filled with healthy foods, such as: Whole grain cereals Shelf stable milk Kid-friendly snacks (granola bars, popcorn, graham crackers Proteins (low-salt soups, stews, peanut butter) Seasonal produce Food is Medicine Prescriptions Continue Amidst the Pandemic Throughout the COVID-19 (coronavirus) pandemic, Renown’s community health workers have been working remotely. They continue to reach out to patients who need groceries from the Food is Medicine Prescription program. With this in mind, the food pantry staff is currently coordinating outpatient deliveries to those with a Food is Medicine Prescription. At present, Renown is working to get more refrigeration, shelving and staffing to expand the service to more Renown Medical Group patients in need of food.

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    • Thursday, May 14, 2020

    Renown Health Food Pantry Is Nourishing Patients at No Cost

    Patients who qualify for a “Food is Medicine Prescription” can receive a bag of food for themselves and each member of their family every week through this free assistance program. Renown Health is proud to offer supplementary food to patients in need through its food pantry. Established nearly a year ago, patients who identify as food- insecure are working with Renown’s community health workers to receive fresh produce, canned goods, non-perishable items and other pantry staples to help nourish themselves and their family at no cost. Thanks to the support of the Northern Nevada Food Bank and other local community partners, Renown’s food pantry is helping meet the food needs of homeless and low-income individuals in our community. “Patients’ responses to our food pantry has been amazing,” said Renown community health worker Seth Rubin. “They are extremely grateful when we give them a bag of food. Their eyes light up knowing that they will have enough food to eat for the week without having to worry about finding a source of food for their family.” To make this assistance program possible, Renown’s food pantry receives food deliveries every Wednesday from the Northern Nevada Food Bank. The Food Bank meets Renown’s team of community health workers, along with churches and other medical organizations, with a semi- truck loaded with a variety of foods. After receiving a pallet with their food order, Renown’s community health team collects an assortment of fresh produce, donated from local grocery stores and other community organizations. After that, the food is unloaded into Renown’s food pantry located inside The Healthcare Center. Renown’s community health workers serve patients in the hospital and emergency rooms, as well as individuals who receive care in The Healthcare Center, which provides affordable access to care for anyone in our community. After expressing a need for food assistance, patients are offered a Food is Medicine Prescription. Through this prescription, they can go to a participating food pantry once a week to receive one bag of food per person in their household. Pantry Continues Amidst Pandemic Since the beginning of the COVID-19 pandemic, Renown’s community health workers have worked remotely, but that hasn’t stopped them from reaching out to patients who benefit from this program. “We’re currently coordinating outpatient deliveries to our patients,” said Rubin. “Every Tuesday and Thursday, we deliver a bag of food to the patient’s house. It has been a great way to continue providing healthy food to our patients while continuing to provide safe care to the patients we see in person at our clinic. Despite our operations being a little different, our patients’ feelings of gratitude and relief remains the same. This is extremely rewarding work and we are proud to continue serving our community throughout these challenging times.” Renown’s food pantry is currently available to patients of The Healthcare Center. Renown is working to get more refrigeration, shelving and staffing to expand the service to more Renown Medical Group patients. Renown patients who qualify for a Food is Medicine Prescription, yet aren’t patients of The Healthcare Center, are encouraged to visit these participating food pantries once a week. The Healthcare Center accepts all Medicaid plans in addition to other healthcare plans. To learn more, visit Renown’s website. For b-roll on this story, please click here.     About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, 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

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    • Urgent Care
    • Asthma
    • Respiratory

    Tips for Coping with Smoke-Related Health Problems

    Millions of people across the west live in areas where air pollution can cause serious health problems. In addition, local air quality can affect our daily lives.  Who is Affected? Kouros Farro, MD, a physician with Renown Urgent Care, advises that certain people are more likely to be affected when fine particle pollution reaches an unhealthy level. People who have asthma or other breathing conditions like chronic obstructive pulmonary disease (COPD). People who have heart disease or high blood pressure. Children and older adults. People of all ages who are doing extended or heavy physical activity like playing sports or working outdoors. “Everyone should take precautions when the air quality is unhealthy. Air pollution can aggravate heart and cardiovascular disease as well as lung diseases like asthma and COPD. When the air quality is unhealthy, people with these conditions may experience symptoms like chest pain, shortness of breath, wheezing, coughing, or fatigue. If you are experiencing any of these symptoms, use your inhalers as directed and contact your health care provider,” says Dr. Farro, who is board certified in family medicine and practices at Renown Urgent Care at 975 Ryland St. in Reno. “If you do not have a health care provider, there is a Renown Urgent Care office on almost every corner, with providers ready to see you.” Dr. Farro advises the following: Take it easy and listen to your body. Limit, change or postpone your physical activity level. If possible, stay away from local sources of air pollution like busy roads and wood fires. If you have asthma or other breathing conditions like COPD, make sure you have your relief/rescue inhaler with you. People with asthma should review and follow the direction in their written asthma action plan. Make an appointment to see your health provider to be sure you have an asthma action plan. Getting Same-Day Care Renown Urgent Care provides same-day treatment for a wide range of minor injuries, illnesses and medical concerns that are urgent but not life-threatening. Avoid the long wait times and high emergency room prices at 11 convenient sites, including Reno, Sparks, Carson City, USA Parkway, Fallon and Fernley. You can walk in or book ahead online. Make an Urgent Care Appointment Community Health Resources The Washoe County Health District offers online health information on its Smoke Smart website, including fire information, daily air quality information, fire and smoke maps and how to protect yourself. In addition, an online subscription page allows you to sign up for EnviroFlash, notifying you about air quality.

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    • Friday, Mar 25, 2022

    Food is Love! Nine Career Options at Renown to Satisfy Coffee Enthusiasts & Foodies

    Passionate about food and coffee? Interested in serving patients and health care heroes? Courteous and diplomatic? Have a high school diploma? Read on to discover the career for you. When you think about the word LOVE, do you think about delicious FOOD or a mug of hot COFFEE? When you talk with friends, do your conversations start and end discussing a new recipe, a new restaurant or TV food show?  Do you get great satisfaction from preparing a great meal? Do you dream about being able to make a steaming hot latte with almond milk in minutes? Are you a nurturer who envisions creating and delivering a hot, delicious, nutritious meal to someone recovering from a surgical procedure or recovering from an illness? Would you enjoy making a special celebration meal for a family who has just delivered a baby, a cake for a wedding at a patient’s bedside, or for a family reunited with papa after receiving good news about his cancer recovery?  Are you looking for some career options to keep you connected to great food and coffee? Renown Health is now offering a number of career options that encourage you to satisfy your love for food; earn money, paid vacation/sick time, great health benefits; have a regular schedule; advance your career and earn a college or university degree at the same time.  There are some outstanding benefits to working in food-related careers at the region’s top employer and the region’s largest non-for-profit, charitable organization. Renown employees work every day to make a genuine difference in the lives of others, and we are looking for you to join us.  Many food services professionals started their careers in entry-level positions and worked their way up. Other benefits to working at Renown include transferable career skills, free or discounted food and the opportunity to give back and serve your community.  Whether you are just starting your career or looking for a new challenge, you are sure to find something that is perfect for you. Many positions require only a high school diploma or a GED. Start exploring today with our list of nine terrific food and beverage-related careers available today at Renown Health and apply online at renown.org.  1) Be a Barista at Starbucks; Renown Regional Medical Center, full/part time, all shifts If you love talking to people, have a good sense of humor and like to move fast, then this job is a great fit for you. You will meet people from every field and make friends with many of them. You will learn to be an expert in handcrafting delicious, perfect beverages—while proudly wearing the green Starbuck’s apron. You will be a part of the first Starbuck’s in the area to operate 24 hours a day, 7 days a week. Average Starbucks barista hourly pay is at the national average of approximately $12.32. In addition, you will receive paid training, tips, a full Renown Health medical, retirement, paid vacation/sick time benefit package and access to internally posted positions. You will need a high school diploma or GED; however, experience is not necessary for this entry-level position. Starbuck’s employees can drink as many lattes as they want—as most beverages are free for employees during work breaks! 2) Chef It Up as a Hospital Cook & Cook Lead; Renown Regional Medical Center, Renown Rehabilitation Hospital, full/part time, all shifts.  If you love preparing nutritious, appetizing food for others, understand the importance of individual requirements for medical and cultural diets, this may be the perfect job for you. Most people landing a job as a Cook in a hospital have five or more years of experience working in a restaurant but do not have a college degree, yet they are able to earn an average salary range: $26,860 – $61,870. Benefits include a predictable schedule, which may mean more time with your family and at home. You will also receive vacation and sick days, and health, vision and dental benefits. In addition, you would be fueling physicians, nurses and others to get through a long workday, making a genuine difference in the lives of others and having a positive impact on society.  3) Special Delivery! Food Servers; Renown Regional Medical Center, full/part time, all shifts. If you love assembling and serving meals to patients, this is the job for you. You will setup, prepare and clean up for patient meal service and may serve as the link between Nutrition Services and patients. You may also transport food carts to the patient room floors and help with kitchen general cleaning and sanitation. 4) Show Your Creative Side as a Food Prep Artist; Lead Sandwich Artist; Renown Regional Medical Center, full/part-time, all shifts In this role, you will make and serve salads, desserts, and sandwiches with fresh ingredients and promptly serve them to hungry and happy customers. Lead Sandwich artists are in demand at the Subway restaurant located within Renown Regional Medical Center.  5) Making it Just for You! Nutrition Representative; Renown Regional Medical Center; per diem, all shifts In this role, you will meet with patients, help them review their meal options, and ensure their special and customized meal is delivered to their room. As a customer service agent, you will answer the phone for food orders, enters the meal choices into the computer system and understand menus, diet restrictions, recipes and food inventory.  6) Cashing In as a Food Services Cashier; Renown Regional Medical Center; full/part-time, all shifts 7) Food as Medicine as a Clinical Dietitian; Renown Regional Medical Center; part time, days Patients recovering from illness need to fuel their bodies with the most nutritious foods. In this role, you will provide nutrition education and counseling, clinical nutrition assessments, planning and evaluation of infants, children, adolescents, adults and geriatric patients, and work to meet the patient's physical, cognitive and psychosocial needs through proper nutrition and education.  8) The Answer is YES! Manager of Hospitality; Renown South Meadows Medical Center; full time As our manager, you would deliver exceptional customer service in all aspects of food and environmental services. You would get to build, hire, train and lead an engaged team and provide the highest quality service to meet the needs of patients, employees, visitors, and physicians. 9) Customer Service Fanatic? Retail Food and Beverage Supervisor; Starbucks You would be very popular-leading the operations of Starbucks and Subway franchises at Renown Regional Medical Center. You would ensure lead and empower and train your team to be the best- and be sure you budget is balanced and the customer service is exceptional.  At Renown Health, we share a boundless vision that inspires us to learn, grow and exceed expectations for patients, their families and one another. A career with us offers you: • An uplifting and progressive environment focused on community health and wellness initiatives. • A culture that values your contributions and supports your personal and professional development. • Affiliations with the University of Nevada, Reno, Desert Research Institute and other organizations that help spur innovation and opportunity. To apply for these career opportunities and others, please visit us online at https://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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    • Wednesday, Jul 14, 2021

    Where There is Smoke; There May Be More Headaches, Nausea and Coughing

    Renown Urgent Care team prepares you to stay safe this season and is available seven days a week at 11 locations across northern Nevada Millions of people across the West live in areas where air pollution can cause serious health problems. Local air quality can affect our daily lives. Like the weather, it can change from day to day. The Northern Sierra Air Quality Management District issued an Air Quality Health Advisory for Plumas County, to notify the public of the possibility of poor air quality conditions resulting from the Beckwourth Complex Fire in addition to other wildfires in northern California. In addition, there is the potential for wind shifts to carry smoke to other parts of Plumas County from the Beckwourth and several other regional wildfires.  Air quality is expected to vary greatly depending on fire behavior and weather conditions, with smoke settling in low areas at night and in the early mornings as long as these fires are active. The advisory mentions, “Exposure to elevated PM2.5 (fine particulate matter in smoke) concentrations can result in eye and throat irritation, headaches, nausea, shortness of breath, congestion, coughing, impaired lung function and chest pain, especially among sensitive individuals such as the elderly, children, people with asthma, people with heart or lung conditions, pregnant women and anyone who is exercising or working hard outdoors.” Kouros Farro, MD, a physician with Renown Urgent Care advises that there are people who are more likely to be affected when fine particle pollution reaches an unhealthy level. People who have asthma or other breathing conditions like chronic obstructive pulmonary disease (COPD). People who have heart disease or high blood pressure. Children and older adults. People of all ages who are doing extended or heavy, physical activity like playing sports or working outdoors. “Everyone should take precautions when the air quality is unhealthy. Air pollution can aggravate heart and cardiovascular disease as well as lung diseases like asthma and COPD. When the air quality is unhealthy, people with these conditions may experience symptoms like chest pain, shortness of breath, wheezing, coughing, or fatigue. If you are experiencing any of these symptoms, use your inhalers as directed and contact your health care provider,” says Dr. Farro, who is board certified in family medicine and practices at Renown Urgent Care at 975 Ryland St in Reno. “If you do not have a health care provider, know we have a Renown Urgent Care office on almost every corner, with providers ready to see you.” Dr. Farro advises the following: Take it easy and listen to your body. Limit, change, or postpone your physical activity level. If possible, stay away from local sources of air pollution like busy roads and wood fires. If you have asthma or other breathing conditions like COPD make sure you have your relief/rescue inhaler with you. People with asthma should review and follow guidance in their written asthma action plan. Make an appointment to see your health provider to be sure you have an asthma action plan. “Even just one hour of smoke exposure can affect our lungs and hearts, and these consequences can reach people far beyond the direct area endangered by the fire. Children, older adults, pregnant women, people with preexisting cardiopulmonary disease, communities of color, economically disadvantaged communities, and people with preexisting chronic health conditions like asthma, diabetes, and obesity are all especially vulnerable to the air pollution that wildfires cause," says Dr. David Lemak, Division Chief of Urgent Care at Renown. Renown Urgent Care provides treatment for a wide range of minor injuries, illnesses and medical concerns that are urgent but not life-threatening, that require same-day medical attention and avoid the long wait times and high prices of the emergency room at 11 convenient sites, including Reno, Sparks, Carson City, USA Parkway, Fallon and Fernley. You can walk-in or book ahead online. You can get the latest fire and smoke information at the Washoe County Health District’s Be Smoke Smart webpage.  It includes information about air pollution levels and how to protect yourself from the smoke. An on-line subscription page allows you to sign up for EnviroFlash, notifying you about air quality.     About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, 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.

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