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For many cancer patients, a significant hurdle is simply getting to treatment. Patients from Nevada and California often face considerable financial and logistical challenges when traveling for care. Limited resources for transportation and lodging can result in missed appointments, treatment interruptions and delays in follow-up care. To address this crucial need, Renown Health Foundation partners with the American Cancer Society (ACS) to ensure our patients can access the care they need by reducing financial barriers many patients face ACS awarded $70,000 to Renown Health Foundation last year. These funds, distributed as gas cards and lodging support to qualifying patients, have proven to be a lifeline in assisting those in need. Fueling Hope with Gas Cards Through our partnership with ACS, Renown supported 128 cancer patients over the past year. This assistance provided 2,260 round trips, ensuring that patients from Nevada and California could attend their critical treatments at the William N. Pennington Cancer Institute at Renown. These patients, aged 15 to 94, traveled up to 320 miles, sometimes from remote areas such as Tonopah, Elko and Susanville, for their cancer care “We're deeply committed to supporting our patients through every step of their journey, and our partnership with the American Cancer Society is instrumental in making that happen,” said Jocelyn Mata, Oncology Social Worker at the Pennington Cancer Institute. “Without them, we wouldn't be able to provide the crucial financial assistance that many of our patients need.” Jocelyn works with qualifying patients to provide gas cards and accommodations at The Inn at Renown, a hotel at Renown Regional Medical Center. She ensures they can focus on their treatment without worrying about the financial burden. Lodging Support for Peace of Mind Along with transportation aid, we can provide safe and comfortable lodging for qualifying patients. "We encourage patients to rest and, if they have a long journey home, to stay overnight," said Dr. Max Coppes, Director of the William N. Pennington Cancer Institute. "Providing lodging support ensures they have a safe and comfortable place to recover before making the trip back." This assistance is crucial for those who travel far from home, allowing them to focus on healing without the added stress of finding and affording accommodation.

Read More About A Journey of Support: How Grants from the American Cancer Society Impact Patients at Renown

Chances are you or someone you know will deal with chronic pain at some point in life. In fact, in the U.S. alone, one in five adults have experienced chronic pain in recent years, according to the Centers for Disease Control and Prevention (CDC). The road to relief is a frequently traveled one that can be filled with twists and turns, so it’s important for patients to have a trusted provider by their side navigating that journey.  We interviewed Dr. Sharlene Su, a pain management physician with Renown Medical Group, who told us what patients can expect when seeking care with Renown Spine, Sports & Pain Management (RSSPM) and all about the variety of pain relief options available to patients.  What pain management treatment options are available outside of painkillers? This depends on someone’s root cause of pain. For example, for pain from arthritis of the spine or major joints, radiofrequency ablation can relieve most of the pain for six months to two years, which can be life changing. If someone is suffering from a pinched nerve in the neck or back, an epidural can be useful. Nerve stimulators can also be a great option to relieve pain for years. One of the advantages of the procedures we perform at RSSPM is that they reduce the need for painkillers, which are notorious for having side effects of their own. Physical therapy can also be a very helpful tool to treat pain.  It is an exciting time in the field of pain medicine right now because new advances are -constantly being made. At Renown, we pride ourselves on staying current with the most cutting-edge treatments to ensure our patients always have the best available to them.  What are some at-home tips and tricks that patients experiencing pain can do on their own for some relief? If pain is related to posture or physical activity, consider doing stretching and strengthening exercises. YouTube can be a great (and free) resource for this. In terms of medications, over the counter topical pain creams can be great. Tylenol is one of the safest pain medications for those without preexisting liver conditions. On a short-term basis, anti-inflammatory medications can often be used safely depending on one’s overall health. Ice and heat can both be useful for treating muscle pain.  Can you tell us more about the services Renown Spine, Sports & Pain Management offers? Our team specializes in identifying the root cause of each patient’s pain and partnering with them to develop a custom plan tailored to their individual needs, which can involve injections, physical therapy and medications. We treat patients ranging from top-level athletes, to weekend warriors, to grandparents who’d like to be able to keep up with their grandkids. Once we relieve a patient’s pain, our role then transforms into a coach, educating and guiding our patients on how to prevent their pain from coming back.  At RSSPM, you’ll see the same doctor every time, which means that your provider will get to know you very well, and you’ll receive the same high-quality consistent care whenever you come for a visit.  Renown has a unique pain management team called “Special Procedures” that not many people may realize is a great option for care. How does this team treat pain? Our Special Procedures team is crucial to the high-quality pain management care that we provide. We have an amazing staff that assists with X-ray guided procedures including epidurals, radiofrequency ablations, joint injections and nerve stimulators. Dr. Casey Keating, our division chief, and I work with this team to ensure that every procedure is done with the same precision, attention to detail and quality. The Special Procedures team regularly receives feedback from patients on how well taken care of they felt during their procedure.  If someone is experiencing pain from an injury or even an unknown reason, what should they do to get care for their concerns? Contact your primary care provider for a referral to have an evaluation with us! RSSPM accepts most insurance plans and are proud that our wait times are averaging less than one week to be seen as a new patient. Two more doctors will be joining us in the next few months, which should reduce our wait times even more.  There are so many targeted and effective ways to treat pain nowadays, and it is worth addressing to live the life you want to live.

Read More About Navigating Pain with Renown Spine, Sports & Pain Management

“A breast cancer diagnosis begins much like a jigsaw puzzle to be worked through. It’s an overwhelming mess of scattered pieces that make no clear sense, poured out of the box into a crumbling pile of confusion. But slowly with persistence, focus, determination, a positive attitude and working through the challenges day by day and piece by piece, they in time both become whole and beautiful again.” – Thonet LaBadie On Feb. 13, 2015, Thonet’s life as she knew it took a drastic turn. In just one moment, everything shifted. The happy and healthy wife, mother of 17-year-old twins, former teacher and immunization specialist was about to face the fight for her life. That fateful day nearly a decade ago was when she received the unsettling news: she had breast cancer, and it had metastasized to her lymph nodes.   Though she was faced with a daunting diagnosis, Thonet’s positive spirit and zest for life never wavered. Never did she think, “why me?” Nor did she think, “I’m not strong enough.” Her thought process was quite the opposite – “I am going to ride this rollercoaster until it stops, and I walk away cancer free.”  With her loving family and friends rallying behind her, as well as her expert Cancer Care teams at Renown Health and Cancer Care Specialists (formerly known as Reno Oncology Consultants), Thonet knew that her journey would not be traveled alone, and she was determined to defeat cancer once and for all. She promised her daughter Jourdyn she would stay strong and not give up the fight. The Unexpected Discovery Thonet did everything she believed was right in her preventative healthcare journey. She lived an active lifestyle, she filled her life with love and happiness, she did not have any genetic markers for breast cancer and never missed a preventive check-up. Someone like her shouldn’t develop such a debilitating disease, right?  As it turns out, she was told by professionals that with this disease, it’s become more often not about who develops breast cancer – but when.   Breast cancer makes up for about 30% of cancer diagnoses in women across the U.S. So, when Thonet felt a lump in her breast in Nov. 2014, she knew she had better play it safe than sorry. She took her concerns to her doctors, who ran all the necessary tests.  The unfortunate result: invasive ductal carcinoma (stage 2B), the most common form of breast cancer.  Though Thonet was terrified, she was also tenacious. She was ready to Fight the Good Fight right then and there.  Thonet chose to undergo a bilateral mastectomy. So that’s precisely what she did in April 2015 at Renown Regional Medical Center.  Thonet was ready to put breast cancer behind her, but unfortunately, the trek was just beginning. During her mastectomy, her care team tested her lymph nodes. Four were removed.  What came next was her most valiant fight of all: chemotherapy coupled with radiation, as well as more reconstructive breast surgeries along the way. Courageous Connections With 36 radiation treatments, 8 rounds of chemotherapy, 6 surgeries and 1 brave spirit, Thonet's healthcare journey has been nothing short of vigorous. Fortunately, she had an expert oncology team on her side every step of the way.  And it goes even further – Thonet’s college acquaintance Dr. Jennifer Sutton, an oncology physician at the William N. Pennington Cancer Institute (formerly the Renown Institute for Cancer), was her radiation oncologist. She felt comfort knowing that a significant aspect of her care was in the hands of a trusted physician and a team of loving nurses, cancer care navigators and radiation therapists, whom she calls the “Renown Radiation Rockstars.”  Thonet felt an immense connection not only to her warm and welcoming care team but also the other oncology patients she met along the journey. Patients facing cancer often receive radiation treatments several times a week, so Thonet had a chance to make close relationships with the other patients who were on a similar path as she was.  Throughout her treatment process, Thonet participated in cancer support groups, which she believes are vital for anyone diagnosed with the disease.  “Had it not been for my diagnosis, I would have never met all the amazing people I did at Renown and beyond,” she recalls. “At the end of my treatments, I knew I was going to miss them.”  The love and support of Thonet’s care team, fellow patients, family, friends and community helped her remain positive throughout the entire process, always focusing on the positive – even during the most physically and emotionally tolling parts of treatment. Crossing the Finish Line Every day brought a new obstacle to overcome, whether it was a treatment, a side effect or an emotional response to the intense journey. Thonet’s motto throughout it all was “day by day, one foot in front of the other, from start to finish.”  In Dec. 2016, Thonet finally made it to that finish line. With the completion of chemotherapy and radiation behind her, she walked out the front doors of the Pennington Cancer Institute, threw her fist in the air in excitement and finally got to revel in the fact that she had her health back. She had survived.  Inspired by her journey and her breast cancer “sisters” she met while in treatment, Thonet wanted to give the same level of care and attention she received back to her fellow community members battling cancer. She proudly serves as a breast cancer “angel,” offering comfort and support to those who need it most. Thonet is also looking forward to the completion of the Pennington Cancer Institute’s Conrad Breast Center, currently under construction at Renown South Meadows Medical Center, noting how important it is for breast cancer patients to have expanded access to crucial cancer care in south Reno.  Today, at nine years cancer-free, Thonet is thoroughly enjoying her life. She loves traveling, spending time with family and seeing her now-adult son and daughter thrive in their own lives. She also recently underwent hip replacement surgery and is proud to be back on her tandem bike with her loving husband of 33 years, Mike, who she credits for his never-ending support in sickness and in health.  “No looking back – only forward to healthy living. Onward!” Thonet exclaims.  And for anyone out there going through cancer treatments, Thonet has some words of wisdom to take to heart:  “Cancer chose the wrong person when it tried to tackle us. Stay strong and fight on, day by day. On even the most difficult, darkest day, remember that you are stronger than you know.”

Read More About The Pieces of the Puzzle: Thonet LaBadie’s Breast Cancer Journey

Many Renown Health employees have deep roots in the northern Nevada community and Haley Longfield is one of them. She’s a fifth-generation northern Nevadan currently living in Fernley and commuting to Reno three days a week for her job as a Radiation Therapist for the William N. Pennington Cancer Institute at Renown Health. She’s also a wife, mother of a 1-year-old, and an avid horseback rider who enjoys the western way of life. This year, Haley is excited to compete in the Reno Rodeo for a second time.   A Life-Long Passion Haley started riding horses in the fourth grade and quickly fell in love with it. A few years later, she started barrel racing and developed a profound love for the adrenaline-filled sport. “When I turned 18, my dad gave me all of the responsibility of owning a horse,” said Haley. “Ever since then, I’ve been paying for and taking care of my own horses.” As many who know and love horses would likely agree, Haley says they are therapeutic for the mind, body and soul. “Riding horses is a great way for me to use my brain and focus, or think about nothing at all,” said Haley.  Recently, Haley qualified to compete in this year’s Reno Rodeo in barrel racing with her 7-year-old mare named Hershey. “The first time I competed in the Reno Rodeo was quite a few years ago with my high school rodeo horse, and Hershey is the granddaughter of that horse,” said Haley. “The thing that I’m most excited about in competing at this year’s Reno Rodeo is getting to ride a homegrown horse in my hometown rodeo – she’s gorgeous, easy-going and gives it her all.”    Above: Haley Longfield on her horse Hershey at a barrel race Circle of Support  Haley feels grateful to have the support of her family, friends and team at Renown. “In addition to my family and friends, I have an incredible team at Renown that cheers me on both in my professional and personal endeavors,” said Haley. “I couldn’t do it all without them.” Alongside qualifying for the Reno Rodeo, Haley also recently received her bachelor's degree in applied science with an emphasis in radiation therapy.  Her career development goals consist of moving into leadership within her department. “My leader and team have been nothing but supportive of my goals. Our leader is invested in everyone’s personal development and aspirations, as well as our professional and career development,” said Haley. “I’m excited to one day follow in my leader’s footsteps and help employees in our department reach their own goals. I aspire to become a great leader like she’s been to us.”

Read More About Meet Haley Longfield: A Renown Radiation Therapist & Barrel Racer

When Jeromy Hughes became one of the 29 nursing students accepted into the first Gerald “Jerry” Smith Academic-Practice Partnership cohort, he almost couldn’t believe it. Life as both an Orvis School of Nursing student and a future nurse in our community was about to change. Not only was he about to receive full tuition support, but he also was set up for a guaranteed start to his career as a nurse at Renown Health.   The Academic-Practice Partnership was named in honor of Jerry Smith of the Nell J. Redfield Foundation. Supported by a generous gift from the Redfield Foundation and Stephanie Kruse, Foundation Board Director, the goal of this partnership is to help foster a lasting nursing workforce in northern Nevada, with nurses like Jeromy leading the charge.  From the Courtside to the Bedside Jeromy grew up playing basketball in his hometown of Las Vegas and was on the team at Bishop Gorman High School. His talent resulted in a scholarship to play basketball for Wenatchee Valley College in Washington, which would put him on a trajectory to play professionally – even though nursing was always in the back of his mind. Jeromy received a unique opportunity to play for De La Salle University in the Philippines, and with much excitement, he set off across the world.  Then, the COVID-19 pandemic hit.  When the world shut down, Jeromy had no choice but to stay in the Philippines, waiting to return to the Silver State. Three months later, he flew home to Las Vegas.  In those moments, Jeromy’s entire mindset shifted. A career in nursing was no longer in the back of his mind; it came right to the forefront. With a plan to now stay in-state, he set off to attend the University of Nevada, Reno (UNR).  “My whole family is involved in the healthcare field, and I’ve always been surrounded by healthcare in some way,” said Jeromy. “My parents own an elder care facility, my dad is a respiratory therapist in Las Vegas and my grandparents own a hospice facility down in southern California. My grandma was also a nurse for more than 50 years, and throughout her career, she worked in labor and delivery, psychiatry and medical-surgical units. I’ve always wanted to help people like my family has, and nursing resonated with me the most out of every option.”

Read More About Meet Future Renown Nurse Jeromy Hughes

Entering the emergency room (ER) is intimidating for any person, let alone when you’re unsure what condition or illness you might have. Many may also spend their time in the ER wondering if they will need to be admitted to the hospital.  Now, let’s say you don’t need to be admitted. That’s great news! But in order to figure out what’s going on in your body, you may need to stay a little longer – say, under 24 hours – for observation, tests or further treatment. This work is done swiftly by a specific team at the hospital to get you home sooner.  That team at Renown Health is the Clinical Decision Unit (CDU). These nursing and acute care professionals seamlessly fill in the gaps between inpatient and outpatient care, helping patients return home sooner through rapid tests and treatment.  Quick Interventions for Efficient Care The key goal at the forefront of the CDU’s patient care philosophy lies in their name: decisions. The team makes quick decisions in order to deliver timely, accurate assessments so they can treat patients efficiently and get them home. Not only do these efforts help reduce the amount of time patients have to stay in the hospital, but they also achieve cost savings for both the patient and our health system. And in cases where patients do end up needing to be admitted, the CDU walks them through everything they can expect during their stay.  The main duties of our CDU team include:  Observation and monitoring, where patients with conditions that are not immediately life-threatening but need closer monitoring Diagnostic testing, including blood work and imaging, to help providers gather critical information quickly Treatment and stabilization to receive treatments like IV fluids, medications or other therapies to prevent the need for inpatient admission Decision-making to determine whether the patient should be admitted for further care or discharged with follow-up plans  Think of the CDU as the ER and inpatient admission go-between. By diverting patients who don’t necessarily need emergency intervention away from the ER, the CDU helps relieve high patient volumes and reduce wait times.  “The CDU offloads patients from the emergency room who require slightly longer observation status to complete more complex testing or exams,” said Kristine Barnes, RN. “You could consider us a ‘limbo’ unit between the ER and admission to the hospital, if required.”  As with many other teams at Renown, every day is different for this team. They enjoy the variety of cases they see and solving the puzzles that present with patient care.  "The CDU is always fast moving, with discharges and admissions all day,” said Tyler Cathcart, Acute Care Technician-Advanced. “As an observation unit, we function as both an extension of the ED and PACU, with Medical, Telemetry and post-op patients. We have a wide range of patients and responsibilities to keep the unit moving quickly.”  “We see a variety of patients and enjoy the variety each day brings,” added Angie Marrale, Acute Care Technician-Basic. “A day in the life as a tech on CDU is full of surprises because we have such a wide variety of patients. It requires all team members to be attentive, hardworking and communicative in order to provide our patients with the care they need.”  If you’re ever looking for an example of a team that moves and acts quickly, the CDU is a shining example of that. Due to their hyper-focused attention, patients are able to embrace better outcomes and higher satisfaction.  “We move quickly to get today's group of patients comfortable, complete the tests ordered, make the appropriate interventions and get them discharged back home or transferred in less than 24 hours; then, we refill the unit, and each patient receives excellent, expedited care,” said Tyler Cathcart. “Efficient patient care within 24 hours is our goal, and we strive to meet that goal daily.”  A place to get extra care and attention without needing to stay for a long time while also having a team of professionals solely dedicated to figuring out what is going on in your body? Sign us up!

Read More About Department Spotlight: Clinical Decision Unit

Janelle Wood’s life has been filled with moves across several states, travel, different jobs, multiple hobbies and best of all – her big family. She is very close to and proud of her entire family, including her six children, six grandchildren and extended family members. New Chapters Janelle was born in 1950 in Fayetteville, Arkansas. She lived there her entire childhood and attended the University of Arkansas, Fayetteville where she received her Associate degree in Accounting. She then moved a few different times to various states including Louisiana and Arizona. In 1981, she and her family moved to Reno where she worked for a construction and mining supply company. In 1993, they relocated to a small town in southern Georgia called Thomasville, where Janelle worked for another mining and manufacturing company. “I was ready for a change of scenery and wanted to explore living in a new area,” said Janelle. “I was intrigued by moving to a smaller town to raise my children.” She and her family lived there for about 10 years when she eventually got transferred to Chicago for her job, to work at the company’s headquarters. “I was once again excited for another change and was happy to experience living in a big city,” said Janelle. “I loved my job and getting to travel as much as I did.” Janelle worked for the company in Chicago until 2014 when she decided to retire and move back to Reno to be closer to her son, daughter and grandchildren. Living to the Fullest Today, Janelle lives in Damonte Ranch in south Reno. She loves spending time outdoors, especially in the mountains and by the water. Her other hobbies include reading, cooking, doing puzzles, playing computer games antique shopping and something very unique – exploring old graveyards. “I love how they’re full of history and each one is different – I also enjoy reading what the headstones say, and the stories they tell,” said Janelle. “When I travel, I like to explore the old cemeteries that are nearby.” Janelle’s son even bought her a book called 129 Cemeteries to Visit Before You Die. She’s been to a few of them. As for traveling, Janelle’s favorite destination she’s been to is Catalina Island – she loves the history there. She also loves Chicago, Portland, Seattle, Canada and Mexico. “I’m always up for going someplace new,” said Janelle .  Janelle Wood hiking to Rainbow Falls in Mammoth, CA When Christmas rolls around, Janelle loves to decorate. Her family finds it interesting just how crazy about Christmas she is. “I have 31 totes of Christmas décor and a dozen large decorations,” said Janelle. “My entire storage room is full of Christmas decorations. I start decorating the day after Thanksgiving and it takes me about 2 to 3 days to put everything up.” Janelle said Halloween is her second favorite holiday, which she also loves to decorate for. Family Values Above all else, Janelle’s favorite thing about being retired is having so much free time to spend with her children and grandchildren who live here in Reno. “I love helping my grandkids with their schoolwork and attending their sports and activities,” said Janelle. She has been volunteering at her grandchildren’s schools here in Reno ever since her now 14-year-old grandson started kindergarten. “Family is the highlight of my life,” said Janelle. She also makes sure to stay in contact and visit as often as possible with all of her family that lives out of state, including three of her children, one of her grandkids and some of her extended family. “One of my great nieces, Madison Marsh, was recently crowned Miss America, and another one of my great nieces, Madeline Bohlman, will be competing this summer for the title of Miss USA, as the current Miss Arkansas USA,” said Janelle. “I’m very proud of both of them for using their platforms to further such important issues; pancreatic cancer research and mental health, respectively.”

Read More About Meet Janelle Wood: Family, Hobbies & Everything In Between

Abdominal pain is one of the most common reasons for an Emergency Room visit. The abdomen is an area that encompasses multiple organs and functions. So how would you know when the pain you are feeling is an ovarian cyst or something else, and when should you seek medical attention? Dr. Carilyn Hoffman, at Renown Women's Health, explains. Ovarian Function Defined Located on each side of the uterus, the ovaries are part of the female reproductive organs and produce eggs (ova), released during the menstrual cycle, allowing for fertilization and pregnancy. They also produce hormones such as estrogen and progesterone, which play an important role in female traits, bone health, cardiovascular health and pregnancy. Symptoms of an Ovarian Cyst Cysts are solid or fluid-filled masses. Ovarian cysts can be in the ovary or on its surface. When cysts are enlarged or rupture, they can create a dull ache or sharp pain below the belly button. Besides discomfort and pain, other symptoms of ovarian cysts may include bloating, fullness, pressure or heaviness. "Ovarian cysts are common; most are physiologic and will go away on their own. They are frequently found incidentally on ultrasound and are present in the middle of the menstrual cycle," says Dr. Hoffman. "However, if a woman experiences sudden and severe pelvic pain they should seek immediate medical attention. Sometimes ovarian cysts can become large and twist on themselves. This is called ovarian torsion and is a surgical emergency. Other times, cysts can rupture and bleed. This is called a hemorrhagic cyst and can also be a surgical emergency." Diagnosis and Treatment If an ovarian cyst is suspected, your doctor will perform a pelvic exam and order an ultrasound. There are certain ultrasound findings that suggest that the cyst is benign. There are other ultrasound findings that are concerning for cancer. Small simple cysts often resolve on their own, whereas solid or very large cysts may require surgery.

Read More About What is an Ovarian Cyst, and How is it Treated?

Do you find yourself struggling to stay awake during the day or having no energy? You’re not alone. Whether you’re a full-time employee, a student or retiree, that “I’m tired” feeling comes in all shapes and sizes. What’s even more frustrating is not knowing the source of your exhaustion.  Dr. Brandon Flores, a sleep medicine physician with Renown Medical Group, breaks down nine key reasons why you may be feeling so fatigued.  You did not get enough sleep, or your quality of sleep is poor. This may seem obvious, but in today’s “rise and grind” culture, sleep can be considered a luxury rather than what it really is: a necessity. Ensuring you get adequate hours of sleep between 6-9 hours and quality sleep is essential. You may not be breathing well during sleep. Interruptions to your breathing, such as snoring, can decrease airflow at night causing your sleep to be less restorative. This is often due to Obstructive Sleep Apnea (OSA). OSA can lead to daytime fatigue and sleepiness and can also impact other chronic health conditions, such as hypertension, diabetes, acid reflux, migraines and heart rhythm. You are not getting enough regular exercise, or you are exercising too much. Incorporating at least 30 minutes a day of physical activity can help keep you energized throughout the day. It has also been shown to increase deep slow wave sleep, which is often associated with feeling rested. On the other hand, getting too much exercise can tire you out more easily and heighten stress levels. You drink too much caffeine. This one may seem counterintuitive – caffeine is supposed to keep you awake, right? Well, overdoing it with your favorite coffee or soda could affect your sleep quality. Pay attention to your caffeine limits and have a cut-off time, as most caffeine should not be consumed past noon. You have a food allergy or intolerance. If you find yourself feeling especially tired after eating a lot of a certain food, you could have an allergy or intolerance to it – and vice versa. Consider speaking with your primary care provider (PCP) about a food allergy test or being referred to an allergist. You’re drinking too many alcoholic beverages. Alcohol is a depressant, which as the word implies, can make you feel especially tired during the day. It can also affect your breathing at night and disrupt your sleep cycle. Cutting back on alcoholic drinks may be beneficial to your overall health. You are anemic. This is the leading cause of fatigue in women but can affect people of all genders. It can be associated with low iron. Eating foods high in iron, including leafy greens and many different meats, can help your iron levels. A blood test ordered by your PCP can help you understand if you are iron deficient. You are experiencing depression or anxiety. Emotional exhaustion can be just as taxing as physical exhaustion. Prolonged feelings of sadness, hopelessness, nervousness or panic can be signs and symptoms of depression or anxiety. Speak with your provider about the many resources available to help you. You have an underactive thyroid. Feeling fatigued can also be a symptom of hypothyroidism, which affects your metabolism and energy levels. Medication can help get your thyroid back to normal. Your PCP can order a blood test to determine your thyroid levels.  If you experience severe exhaustion that lasts six months or longer, worsens after physical or mental exertion and does not get better after resting, it could be a sign of myalgic encephalomyelitis, otherwise known as chronic fatigue syndrome (CFS). This is a diagnosis of exclusion, and other causes must be ruled out. While there are no tests that detect CFS, your provider can order blood and urine tests to rule out other causes of your fatigue and help develop a care plan. © Africa Images via Canva.com

Read More About Why Am I So Tired? 9 Reasons for Your Chronic Exhaustion

Meet newly minted Dr. Majid Khan, PhD., a native of Reno, and current MD-PhD candidate and first-generation medical student at the University of Nevada, Reno School of Medicine, who is on his way to a career as a Neurosurgery. While most graduate students often choose between pursuing a medical degree (MD) or a doctorate in philosophy (PhD), Majid has boldly picked both. He is one of three medical students currently in the UNR Med MD-PhD Program run by Dr. Caroline Cobine, PhD and Dr. Violeta Mutafova-Yambolieva, MD, PhD. "Research is not merely an act of sitting at a computer and reading papers – it's about answering the thought-provoking questions about things we come across on a daily basis. By critically evaluating these ideas we can implement solutions to enhance various aspects of the medical field and patient care with an overall goal of improving patient outcomes," Majid said. Majid recognizes that modern research extends beyond academia and holds significant value for hospitals. “Research contributes to improving patient outcomes. By reviewing the data from peer-reviewed research studies, medical professionals can be better prepared to deliver effective care following the most up-to-date guidelines and data,” he said. Majid's journey to pursuing his MD-PhD with a goal of becoming a physician-scientist-surgeon began following a summer in the PathMaker Cancer Research Program at the Huntsman Cancer Institute at the University of Utah. "It was by fate that I stumbled into this field – ever since I saw my first brain surgery, I haven’t been able to look back," Majid said. Here are some of the valuable lessons that Majid has learned along the way. 1. Beyond the 9 to 5, Embrace both 5 to 9s To avoid burnout and nurture personal passions, make your time spent outside of work and school intentional. Harness any free time to reconnect with friends, pursue hobbies and engage with mentors and mentees. 2. Collaboration is Key Work collectively with colleagues locally, nationwide and even worldwide. Cultivate environments to share knowledge and innovation, as well as wisdom, which will evidently lead to more impactful outcomes. 3. Shine a Spotlight on Your Colleagues Acknowledge and celebrate your colleagues in group settings when you notice something outstanding that they’ve said or done – it could anything big or small. Shining the spotlight onto those who are making positive changes within the hospital can inspire a beautiful culture of academic healthcare, which ultimately improves patient outcomes. 4. Redefine Mentorship Mentorship does not need to be confined to traditional frameworks. Seek out guidance in unexpected and untraditional places; sometimes, the most enlightening lessons and opportunities emerge from the most unlikely sources. 5. Diversify Your Experiences Embracing a diverse range of experiences enriches one's medical acumen. You never know when a seemingly unrelated job or experience will help in a scenario in your career. 6. Live By the Mamba Mentality Follow the late Kobe Bryant’s approach to life and work, the Mamba Mentality. This includes planning long-term goals, placing meaning in everything, striving for constant personal growth, following your passions and focusing on the process rather than the end goal. 7. Make Time for Your Loved Ones Don’t forget who helped you get to where you are in your life, specifically your family, friends, teachers and mentors. By making time for the most important and loving people in your life, you will be surrounded by positivity which will help propel you to new heights. 8. Plan your Next Five Moves We all have the ability to come from nothing and become something. Take the time to plan out everything and execute your moves with careful precision. Majid has plans to return to the Biggest Little City after completing Neurological Surgery Residency Program. If you would like to get in touch with Majid, please reach out to him via email at majidk@med.unr.edu.

Read More About Eight Lessons from an MD-PhD Candidate at UNR Med

Dana and Mark Combs met through mutual friends and had a long friendship before they became a couple in 2009. They were married in 2011 in a private ceremony at a small Reno chapel, and a few months later had a big celebration with their family and friends.   Encouraging Others to Succeed  Over the years, the happy couple has spent much of their time volunteering and giving back to others in their community. Twenty-six years ago, Mark became a bilateral lower limb amputee. For the past 10 years, he has been a prosthetic consultant, helping other amputees learn how to cope with various challenges and encouraging them to keep living life to the fullest. “Mark is great with helping people,” said Dana.   Dana also does a lot of rewarding work through a Philanthropic Educational Organization (P.E.O). She is an advocate for raising money to help women ages 18 and up gain an education. Dana also enjoys tutoring English as a second language.   Enjoying Quality Time, Hobbies & Travel When Dana and Mark aren’t helping others, they are spending time with their family and friends, their dog Mia (a 3-year-old Maltipoo) or enjoying one of their many hobbies. Some of Mark’s favorite things to do include playing Solitaire and strumming on his guitar.  “I love to garden and play crossword puzzles and word games,” said Dana. “I’m really looking forward to the springtime to spend more time in the garden.” She loves to work out and has a membership at the UFC gym in Reno through her Senior Care Plus gym benefit. Dana also has her own online Etsy store, where she sells homemade jam jars, candle holders and vintage dolls. “Last summer I sold my first edition Barbie that I got when I was 9 years old,” said Dana. “I made quite a profit on it.”

Read More About Sterling Silver Club Shining Stars: Mark & Dana Combs

Ring in the New Year and the rest of the holiday season by celebrating Renown’s Float Pool team!  After coming out of the COVID-19 pandemic, it's no mystery that healthcare across the country has shifted and adapted to the growing needs and new demands of our patient populations. Renown Health is no different. As the largest not-for-profit health system in the region, we are no stranger to change, even when change presents challenges. Who do we call on when a unit needs more team members in the eleventh hour? Who can help when our patient volume spikes up with seconds to spare?  This is where the Float Pool at Renown comes to the rescue. Skilled in a wide variety of healthcare specialties, from acute care nursing and critical care to care aiding and patient safety, this is the team that can seamlessly step in to provide crucial patient care to the units that need it most, whether a team is understaffed for the day or needs extra all-hands-on-deck for a specific patient or procedure. Float Pool team members are equipped to work in virtually any clinical area at Renown, making a genuine difference with every patient they encounter.  A Pool of Relief Teams across Renown can breathe a sigh of relief knowing that Float Pool has their back in times of need. As the backbone of our health system, these dedicated team members possess a wealth of clinical knowledge and the ability to navigate diverse medical environments. Their flexibility allows them to fill staffing gaps and provide essential support to many different units.  “We fill in the gaps of staffing to make everyone's day better,” said Patti Crepps, Critical Care Float Pool RN. “A float nurse has to be flexible and able to adapt to different situations and places – basically, ‘go with the flow.’ Patient care is basically the same all over; we make patient care possible by being familiar with all the various specialties and providing the specific care needed depending on the population we are taking care of on that shift.”  “Float Pool staff members are like healthcare chameleons, transitioning between different departments,” added Shelby Riach, Acute Float Pool RN. “We incorporate flexibility, teamwork and a commitment to ensuring patients receive the best care, regardless of the setting or circumstances.”  This team thrives in uncertainty; in fact, no workday is the same in Float Pool – and that’s exactly the way they like it. Working with many different teams across a multitude of specialties, these Care Aides, RNs, Critical Care Techs, Patient Safety Assistants (PSAs), Certified Nurses Assistants (CNAs) and more enjoy facing change, while they all share a goal of providing the best patient care possible.  “No day looks the same; since we are the Float Pool, we are assigned a different assignment on Smart Square every day, whether it be as a care aide, a patient safety assistant, a unit clerk or patient transport,” said Melina Castenada, Care Aide. “If we are assigned as a care aide on the floor, we help assist with call lights and help with whatever nurses and CNAs may need, including feeding, transporting, walking, helping patients use the restroom, etc. When we are assigned as a PSA ‘sitter,’ we sit for the patient to help keep them safe. If we are assigned as unit clerk, we help answer phones and direct patients appropriately, file paperwork, answer call lights if needed and assist with office work.”  “I love that every day is a different floor with different tasks and a different atmosphere,” added Julia Chappell, Critical Care Technician. “I find out which floor that I will be on right before my shift starts and head to the floor to find out my assignment for the day. Depending on the specialty, such as the medical-surgical floor versus an intensive care unit (ICU), my daily job tasks can vary.”  When it comes to high-risk patients, who require special attention, PSAs within Float Pool step in to help.  “The PSA role within Float Pool largely consists of adverse event prevention for our high-risk patients, and being a Float Pool employee allows us to work wherever we are needed,” said Dimitri Macouin, Patient Safety Assistant. “Whether it be in the emergency department, neurology or pediatrics, the PSA will be the eyes and ears for the nurses working with this patient population.”  “Great strides have been made to ensure that PSAs remain vigilant and are recognized as an integral part of the patients' care team rather than 'just a sitter,’” added Karla Phillips, Patient Safety Assistant.  Float Pool also oversees our Discharge Lounge, which offers patients and their families a dedicated space to reconnect and prepare for their discharge from the hospital.  “The increase in utilization of the Discharge Lounge is something we are very proud of,” said Kara Abshier, Care Aide. “We assist in discharging patients from all over the hospital to help the floor and get new patients into rooms.”  Every day brings a new challenge for Float Pool. As these team members wake up with uncertainty, they are ready to embrace the diverse demands of caring for patients of all ages.  “The fact that Float Pool exists is amazing,” said Hannah Luccshesi, Acute Float Pool RN. “We wake up with no clue as to whether we will be working with babies, children or adults and then fill in the needs of the hospital.”

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