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Neurosciences Clinical Trial Opportunities

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What is Physiatry? Physiatry (fuh·zee·a·tree) encompasses the diagnosis, prevention and treatment of all disabilities related to the brain, nerves, bones and muscles.  The goal is to maximize physical functioning, significantly decrease or eliminate pain, foster independence and improve the quality of life for those with a disability, chronic pain and physical impairments.

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Getting a shot can be scary for kids and anxiety-inducing for parents and caregivers. With flu shot season well underway and children's COVID-19 vaccine clinics in full swing, we wanted to share ways to reduce the stress for you and your child. Plan Ahead and Be Honest A few days before the scheduled appointment, casually mention to your child that you’re both going to the doctor’s office (or vaccine clinic, or pharmacy) soon for their vaccine. Explain to them that this will help protect them and will only take a second. Being honest is important, telling your child that it will hurt for a moment. If possible, try and schedule the vaccine at a kid-specific vaccine clinic, your pediatrician's office or a school-based site. Remember that words are powerful. Take notice if you are using a word that might make them more upset, such as prick, jab, needle or shot. You can interchange words such as vaccine, immunization or injection. Bring Toys Don’t be afraid to let your child bring one of their favorite toys or stuffed animals to the appointment. This can make them feel more comfortable and provide distraction. Ask for Pain Reliever/Numbing Agent If you know from past experience (or suspect) that your child has a needle phobia, talk to the vaccination location ahead of time and ask if they can use a pain reliever or numbing agent before administering the vaccine. Distract. Distract. Distract. Sing a song, tell them a joke, make a funny face. If you can pull your child’s attention away from the needle and make them laugh, they won’t focus all their energy on worrying about the shot. Lead By Example If you haven't gotten your flu shot, COVID shot or COVID-19 booster yet, ask the facility ahead of time if you can also get a shot before your child. Show them that the shot is no big deal and that they will have no problem getting it themselves. Celebrate Don’t be afraid to celebrate this victory with your child once it is over – bring them to the park, go out for an ice cream cone, let them pick what’s for dinner. This reward will show that you’re proud of them for being brave and may also make the next time your child is due for a shot easier.

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Parkinson’s disease – you may have heard of it because Neil Diamond and Ozzy Osbourne were recently diagnosed with it. Or perhaps you know Michael J. Fox is a strong advocate and funds research through his foundation. Neurologist Jonathan Spivack, MD, discusses this disease, while physiatrist Stephanie Jones, DO, explains how physical therapy can help as a supplemental treatment. According to the Parkinson’s Foundation about ten million people worldwide currently have this disease. What is Parkinson’s Disease? “Parkinson’s disease is a neurodegenerative disease that progresses slowly and definitely, though at variable rates,” explains Dr. Spivack. “Symptoms go beyond the classic motor changes. It results from a loss of specific dopamine-producing brain cells. Specifically, this loss is likely due to a mix of genetic and environmental factors,” he adds. Dopamine allows communication between particular nerve cells responsible for movement. If you have Parkinson’s dopamine levels gradually drop, causing a loss of motor skills. Generally, most patients with the disease are over age 65. Early Signs and Symptoms Diagnosing Parkinson’s can be difficult as some of the symptoms happen during the natural aging process. The Parkinson’s Foundation identifies the following 10 early signs of PD: Tremors or shaking of your hand, fingers or chin Small handwriting Loss of smell Sudden movements during sleep Stiffness when walking or moving Constipation Softer or lower voice volume Mad facial expression Feeling dizzy or faint Hunching or stooping posture A single sign may not point to the disease, but if you (or a loved one) has multiple signs, talk to your healthcare provider.

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Renown Neurosurgery Using a collaborative approach, our experts use leading-edge diagnostic tools to identify neurological conditions and treat them with the most effective surgical and non-surgical treatment techniques available.    What is a Neurosurgeon? A neurosurgeon is a doctor that specializes in surgical treatment and management of conditions for the nervous system, including the brain, spinal cord and nerves. In addition to the nervous system, neurosurgeons can also treat conditions that impact the surrounding supporting structures, including your skull, spinal vertebrae, spinal disks, and blood vessels. If your care team determines surgery is the best plan of treatment, you will be referred to a neurosurgeon for consult. Conditions We Treat

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The Neurodiagnostics team at Renown Health offers a wide range of comprehensive imaging, electrical impulse detection, and other neurodiagnostic procedures to help doctors quickly and accurately diagnose neurological conditions, allowing them to create an effective treatment plan. Using neurodiagnostics, our neurologists can diagnose a variety of dysfunctions in the nervous system, such as: Autonomic disorders Brain tumors Epilepsy Head trauma Movement disorders, such as Parkinson’s disease Multiple sclerosis Neuromuscular diseases Peripheral nerve injuries Sleep and breathing disorders Spinal cord injuries Stroke Vascular disease

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How We Can Help You may benefit from treatment for neuromuscular (nerve, muscle and bone) disorders – that cause pain and impair normal functions. But, first, consult your primary care physician for a referral to Renown Health's Spine, Sport & Pain Management. Dr. Keating, Medical Director and his colleagues, Dr. Su and Dr. Storm, will customize a treatment plan that best suits your needs and lifestyle while providing the most effective care possible. For more information: Call 775-982-3608 | Fax 775-982-8001

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Physiatry (fi-zahy-uh-tree), also referred to as physical medicine and rehabilitation, encompasses the diagnosis, prevention and treatment of disabilities or injuries related to the brain, nerves, bones and muscles. The goal of this specialty is to maximize physical functioning, greatly decrease or eliminate pain, foster independence and improve quality of life for those suffering with a disability, chronic pain and physical impairments. Who Is It for? Physiatry can help patients with functional deficits and secondary medical conditions as a result of the following: Amputation Brain Injury Osteoarthritis Spasticity and Movement Disorders Spinal Cord Injury Spine Pain Sports-Related Injuries Stroke Some of these medical conditions can often cause chronic pain or impede physical functioning, ultimately affecting a person’s overall well-being and making it difficult for them to sustain a desired quality of life.

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The Acute Care Rehab Therapists at Renown Regional and South Meadows serve a wide variety of patients and their families with varying acuity levels and diagnoses. The 2 departments (inpatient and outpatient) are made up of around 80 employees, including 14 therapists with over 20+ years of experience and over 700 years of combined experience.    What is Acute Care Therapy? The acute care setting is a very fast paced environment with a high volume of therapy orders and fluctuating census.  The therapists are considered a consult service with a primary goal of helping with discharge planning and moving patients throughout our system.  Depending on location, the therapists generally cover 1-3 floors within the hospital and manage a daily caseload of about 15-20 patients.  Our general population ranges from Neonates to Geriatrics. The therapists provide comprehensive diagnostic and therapeutic rehabilitative services (Physical Therapy, Occupational Therapy, and Speech Language Pathology for the treatment of patients with various disorders and related medical conditions. Treatment may include a variety of activities and exercises to maximize a patient’s functional independence.  Renown Outpatient Rehab Therapy Services Outpatient Physical, Occupational, and Speech Therapy services to help individuals improve & regain function to allow for higher quality of life and a more active lifestyle. We provide treatment for: Orthopedic Conditions Nerve Injuries Spinal Cord Injuries Sport-Related Injuries Worker’s Compensation Injuries Trauma and Post-Surgical Recovery Vestibular Dysfunction Hand Injuries Speech/Language Difficulties Swallowing Dysfunctions Cognitive Issues Specialty Services Include: Lymphedema Therapy Dry Needling Chronic Pain LSVT Big and LSVT Loud Modified Barium Swallow Studies (MBSS) South Meadows Campus Lite Gait & Solo Step Systems Pre-Driving Assessments and Computer Driving Simulation Wheelchair Evaluations-Basic and Complex Custom Splinting All treatments are one-on-one with a licensed Outpatient Therapist

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Grab your skis, goggles, coat – and don’t forget that helmet. Skiing and snowboarding are fun activities for all ages but come with the risk of injury. Read on for tips to make it a safe day on the mountain. Daydreaming about your next trip to the slopes? We talked to Jared Worchel, DO, about his top tips for gearing up. Get the Gear Before you head out to ski or snowboard, make sure you have all your gear ready and in good condition. Everything should fit correctly so that it keeps you as safe as possible. Wearing proper gear will also help keep you warm. Items to check on before you head out include: Boots Bindings Goggles Poles Helmet Outwear Gloves Pack water and snacks in case the drive takes longer than you except due to weather or traffic. You’ll also want to make sure that your cell phone is fully charged before you head out in case you need to contact friends of staff for help while on the mountain.  Helmet, Helmet, Helmet Having a helmet that fits correctly is the most important thing you can do to prepare for a safe day on the mountain. According to a National Ski Areas Association study, helmet use has increased over the last 15 years, with 80 percent of skiers and snowboarders using helmets. Schubert would like to see that number increase to 100 percent. “If you have a head injury it could take you out for the rest of your life,” Dr. Worchel said. “The most important things to think about when fitting a helmet are making sure that it really fits you appropriately. You want to go into a store and try on as many different helmets as they have available. I know it’s tempting to buy one online, but you’re never going to know if it fits correctly.” If you are in an accident, your helmet’s fit can help protect you. Dr. Worchel has some tips on fitting: A helmet should fit low and snug over the head. Make sure that the helmet doesn’t wiggle or feel loose. Look for a model that has adjustability in the back, which will help you make sure it fits snugly. F ind a helmet with a chin strap that will help it stay in place throughout the day.

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It’s true there is no cure for dementia, yet studies suggest your life choices today can reduce brain decline in the future. How important is diet to brain health? Food is the foundation of your body. Fats, carbs and protein provide the energy for your cells and metabolism. So the quality and amount of food you eat directly affects your brain. Specifically, researchers are paying special attention to the link a high sugar diet and/ or an unhealthy fat diet may have on your brain. Your brain on sugar According to the Alzheimer’s Association, when too much sugar is in the bloodstream for long periods of time, it can damage the brain cells. Many people with diabetes may develop brain abnormalities, and these changes may increase chances of dementia — research is still being done to understand this connection. Many U.S. adults have prediabetes with blood sugar higher than normal. Insulin resistance often leads to diabetes. Insulin resistance has been linked to metabolic syndrome, which is a precursor for cardiovascular and cerebrovascular disease (heart attack, stroke). Some signs of metabolic syndrome include: Large waist size (40 inches or more for men, 35 inches and up for women) Low HDL (good) cholesterol level Higher than normal blood pressure — 130/85 and above Current research suggests too much sugar in the blood causes inflammation, which can damage brain cells. High carbohydrate foods, such as sweetened beverages, chips, white rice, white potatoes, bagels, cereals and desserts, have been shown to raise blood sugar. Although anyone can get diabetes, Hispanic Americans and African Americans are at greater risk.

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