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Breast Surgical Oncology
Breast Surgery Care at Renown Health Renown Breast Surgery Care, located within the Center for Advanced Medicine B, is a comprehensive, fully integrated breast surgery clinic, addressing a wide spectrum of breast problems ranging from benign to cancerous: Benign breast conditions such as fibroadenoma, phyllodes tumors, and nipple discharge Breast cancer risk assessment and genetics High risk breast lesions such as atypical ductal hyperplasia, atypical lobular hyperplasia, LCIS, papillary lesions, and radial scars Advanced breast cancer surgical techniques including oncoplastic surgery for best aesthetic outcomes possible and nipple sparing mastectomies, working closely with skilled plastic reconstructive surgeons. Our highly experienced breast surgical oncologists are continuing to expand our team to better meet the evolving needs of our community and beyond. We are excited to soon be incorporating an oncology wellness team who can further support our patients with focused nutritional guidance, functional assessments for prehabilitation needs prior to surgery or medical treatments, and guidance for development of physical activity and other exercise programs, for best outcomes in cancer treatment as well as future risk reduction. The National Accreditation Program for Breast Centers (NAPBC) is a rigorous process designed to ensure high quality care for breast centers by meeting thoughtfully created standards that are constantly being reviewed and updated for ongoing improvement of patient care. We are the only NAPBC-accredited program in Northern Nevada.
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Lung Cancer Screening and Early Detection
Lung cancer is the leading cause of cancer deaths in both men and women in the U.S. The good news is the five-year survival rate increases dramatically if lung cancer is treated before spreading to other parts of the body. Julie Locken, MD, of Renown Health Imaging, explains more. What are the signs and symptoms of lung cancer? As you might expect, most lung cancer symptoms appear in the chest and can affect your breathing. Watch for signs such as: Persistent cough Constant chest pain Shortness of breath Wheezing Bloody or rust-colored phlegm Hoarseness Swelling of the neck Pain or weakness in the shoulder, arm or hand Recurring pneumonia, bronchitis or other lung infections Loss of appetite and loss of weight can also be signs of lung cancer That said, there are usually no symptoms in the early stages of lung cancer, which means getting screened can truly be a lifesaver. If you have a history of smoking, you should get screened as a precaution. What are the risk factors of lung cancer? Around 80% of lung cancer cases stem from a history of smoking tobacco. But there are other known causes, such as secondhand smoke, radon, asbestos and diesel exhaust. It’s important to do what you can to eliminate exposure to all of these to reduce your lung cancer risk. People with an immediate relative – a parent, sibling or child – diagnosed with lung cancer and people between 50 and 80 years old are also at higher risk and may need to consider screening. People who are at the highest risk are those with a history of smoking tobacco, particularly smokers who averaged one pack of cigarettes per day for 20 years or more, as well as former heavy smokers who quit in the last 15 years.
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Senior Care Plus to Provide Affordable, High-Quality Healthcare
New collaboration in Clark County grants aging adults access to a premier health plan with a nationally-recognized care model. Senior Care Plus, the Medicare Advantage plan from Hometown Health, and nationally-recognized CareMore Health, have joined forces to serve Clark County seniors with two exclusive Medicare Advantage plans, designed to improve health outcomes for aging adults and those with complex health needs. Mientras más de medio millón de beneficiarios de Medicare en Nevada toman decisiones sobre su atención médica durante el período anual de inscripción abierta de Medicare, que comienza el jueves, 15 de octubre, los residentes del condado de Clark tendrán la opción de recibir atención personalizada para atender sus necesidades de salud únicas a través de dos nuevos planes de salud Senior Care Plus, con acceso a los proveedores y servicios de CareMore Health. Los beneficios competitivos del plan incluyen primas de $0, cobertura dental preventiva e integral, copagos nulos o bajos para los servicios de uso frecuente, gastos máximos de bolsillo bajos y programas y beneficios diseñados para ayudar a cada miembro a optimizar su salud. “CareMore’s mission and its successful value-based model aligns perfectly with our commitment to offer those with Medicare insurance, the highest-quality care,” said David Hansen, CEO of Hometown Health, the non-profit health plan offered through Renown Health, the state’s most trusted health care system. “Estamos orgullosos de anunciar nuestra nueva asociación y los planes exclusivos de Medicare Advantage disponibles para los residentes del condado de Clark para mejorar su salud y experiencia en atención médica”. Durante más de 25 años, el modelo centrado en el paciente de CareMore ha proporcionado una atención integrada y altamente coordinada para ayudar a cada miembro a lograr resultados de salud óptimos, incluso a aquellos con condiciones crónicas como la enfermedad pulmonar obstructiva crónica (EPOC), la diabetes y la insuficiencia cardíaca congestiva (ICC). The model continues to evolve, adding new programs to address important issues like food inequity, mental health and senior isolation. El sistema de prestación de atención médica de CareMore ha servido a la comunidad del condado de Clark durante 10 años. The CareMore model includes an integrated team of healthcare professionals, including doctors, nurses, pharmacists, behavioral health and other specialists who work collaboratively to address patients’ medical, physical, and overall health and help address barriers to accessing needed care. As part of the Senior Care Plus and CareMore Health collaboration, patients will receive care where and when they need it, including care delivered in their home, virtually, in CareMore’s three Care Centers, and if needed, in the hospital. In response to COVID-19, the care delivery system has ramped up its telehealth capabilities, in addition to safety measures put in place, to ensure everyone’s safety. “This new partnership will deliver a premier healthcare solution and proven care delivery model for Medicare recipients in Clark County, said Peter Emigh, General Manager of CareMore Health, Nevada. “El sistema de prestación CareMore ha servido a la comunidad del condado de Clark durante 10 años, y esperamos trabajar con Hometown Health para ayudar a los residentes del área a alcanzar sus objetivos de salud y, de este modo, mejorar la salud y el bienestar de la comunidad”. Senior Care Plus ha servido con orgullo a residentes del condado de Clark desde 2019, y ofrece opciones de beneficios competitivos, un servicio al cliente excepcional y administración de la atención experimentada. The partnership with CareMore Health is the latest example of Senior Care Plus’ commitment to Nevada’s Medicare beneficiaries. El período de inscripción abierta anual de Medicare se extiende del 15 de octubre al 7 de diciembre de 2020. Virtual enrollment meetings, as well as online and phone enrollment options are now available. Visit SeniorCarePlus.com for more information about Senior Care Plus coverage options. Acerca de Senior Care Plus y Hometown Health Senior Care Plus es el mayor plan de Medicare Advantage en el norte de Nevada y presta servicios a más de 17,000 miembros. Senior Care Plus is offered by Reno-based Hometown Health, Nevada’s largest not-for-profit health insurance company and the insurance arm of Renown Health. Originalmente llamada Hospital Health Plan, Hometown Health fue fundada en 1988 y ha crecido hasta tener más de 160,000 miembros. The Hometown Health name reflects the organization’s commitment to the communities in which it operates and its involvement in what matters most, the people it serves. To learn more about Senior Care Plus visit SeniorCarePlus.com and to learn more about Hometown Health, please visit HometownHealth.com. About CareMore Health CareMore Health is a physician-founded, physician-led integrated care delivery system that harnesses the power of teamwork to treat the whole person. Through a focus on prevention and highly coordinated care, its clinical model and designed-for-purpose approach to managing chronic disease proactively addresses the medical, social and personal health needs of its patients, resulting in clinical outcomes above the national average and ultimately, healthier people and communities. Over the past nine years, CareMore has expanded from one state to ten. And today, the CareMore delivery system provides care for enrollees in Medicare Advantage and Medicaid health plans in Arizona, California, Connecticut, Georgia, Iowa, Nevada, Tennessee, Texas, Virginia, and Washington, DC. CareMore also is participating in a dual demonstration project in parts of Los Angeles County in conjunction with state and federal regulators to coordinate care for people eligible for both Medicare and Medicaid. Para obtener más información sobre CareMore, visite www.caremore.com y síganos en Twitter y Facebook: @caremorehealth. Contacto con los representantes de CareMore Health: Charla Hawkins M: 562-480-2130 E: charla.hawkins@caremore.com
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Research Shows Genetic Approaches to Breast Cancer Screenings Yield More Accurate Results
Clinical researchers with the Healthy Nevada Project co-author research paper with findings that emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively. Breast cancer is a leading cause of cancer death among women in the United States. According to the American Cancer Society, about 1 in 8 women will develop breast cancer and about 1 in 39 women will die from breast cancer. Breast cancer is associated with increased age, hereditary factors, obesity, and alcohol use. Since 1990, breast cancer death rates have declined progressively due to advancements in treatment and detection. In Nevada there are an estimated 2,310 new breast cancer cases a year, and genetic mutations such as in the genes BRCA1 or BRCA2 remain a top risk factor for this prevalent disease. Recognizing the urgency for progress in breast cancer research, a collaborative effort between physicians, advanced practice providers and scientists from the Healthy Nevada Project® (HNP) and Helix have unveiled groundbreaking research. This study explores how genetic screenings are a necessary supplement to traditional testing methods, together offering more accurate insights into a patient's likelihood of developing breast cancer in the future. HNP is operated by Renown Genomic Medicine and the Institute for Health Innovation and is one of the largest community-based population health studies in the country. Their team works in collaboration with Helix, a leader in precision health that delivers comprehensive genomic solutions. Together, this dynamic partnership aims to understand breast cancer risk factors and pave the way for more effective preventative measures. The combined research team studied 25,591 female HNP participants to evaluate the performance of different genetic screening approaches to identify women at high risk of breast cancer. The results of this research suggest that a combined monogenic, or single-gene, and polygenic, or multi-gene, approach to breast cancer screenings helped produce more accurate results and more closely identify study participants who have a high genetic risk of developing the disease. "Based on this research, we are advocating a shift in approach which would improve breast cancer risk assessment through a combination of effective family history ascertainment and genetic screening,” said Joseph Grzymski, PhD, principal investigator of the Healthy Nevada Project, research professor at the University of Nevada, Reno School of Medicine and co-author of the breast cancer research paper. “This tailored approach, founded on the assessment of individual genetic risk, not only intends to elevate patient well-being but also will improve efficiency and equity in healthcare." Complementing the team’s research on leveraging genetics to identify women at low genetic risk of breast cancer that could safely defer mammogram screenings by five to 10 years that was released in late 2023 in JAMA Oncology, the study suggests that incorporating genetic information can assist in personalizing breast cancer screenings and optimizing the use of screening resources. "Existing disparities persist across various facets of breast cancer screening and treatment; however, genetic screening is clearly a powerful tool to help facilitate early intervention for those at higher risk,” said Jamie Schnell Blitstein, APRN, a primary care nurse practitioner at Renown Health and co-author of the breast cancer research paper. “By placing a heightened focus on risk, we underscore the pivotal role of preventative breast cancer screening.” Despite the availability of effective methods for early screening, co-authors of this research found that 78 percent of women with a family history of breast cancer had their risk ascertained only after a breast cancer diagnosis. The findings emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively. “These findings that can profoundly impact how healthcare is delivered were only made possible by all the participants who were willing to consent to research,” said Alex Bolze, PhD from Helix and co-author of the publication. “Broad-scale collaboration projects like these between Renown Health and UNR that engage large populations where participants share both their genetic information as well as electronic health records drive advancements in preventative medicine, as well as fundamental biological research.” The research paper was officially accepted on Jan. 29, 2024, and will be published by Elsevier, Inc. on behalf of the American College of Medical Genetics and Genomics. The contents of the paper will appear in the international journal Genetics in Medicine Open. Read the full article by visiting sciencedirect.com. The Healthy Nevada Project is currently recruiting new study participants. Free to all Nevadans with a saliva sample or blood draw, participants and their referring providers receive access to whole-exome sequencing and clinical grade results that help provide insight into their unique genetic risks tied to heart disease and certain cancers. If you are interested in enrolling in the study, schedule a Virtual Consent Appointment through MyChart or contact the Renown Institute for Health Innovation at RenownIHI@renown.org or (775) 982-6914 to be connected to a Genomic Representative. About Renown Health Renown Health is the region’s largest, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Renown is currently enrolling participants in the largest community-based genetic population health study, the Healthy Nevada Project®. To join the Renown Health team, visit renown.org/careers. Acerca de Helix Helix es la compañía líder en genómica y vigilancia viral de la población cuyas operaciones se basan en el cuidado clínico, la investigación y el análisis de datos. Helix enables health systems, life sciences companies, payers, and government partners to accelerate the integration of genomic data into patient care and public health decision-making. Learn more at helix.com.
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Seminario web gratuito que explica los aspectos básicos de Medicare
Senior Care Plus llevará a cabo un seminario web gratuito diseñado para ayudar a los participantes que están por cumplir 65 años a tomar decisiones informadas sobre su cobertura médica. Navigating the Medicare alphabet can sometimes be confusing and overwhelming, which is why the experts of locally-owned Senior Care Plus, a Medicare Advantage Plan, are hosting a free webinar on the ABCs of Medicare. There are four basic parts of Medicare: A, B, C and D. Each part helps patients pay for important healthcare services such as hospital visits, doctor visits and prescription drug coverage. El seminario web gratuito, programado para los miércoles 5 y 19 de agosto a las 6 p.m., cubrirá los aspectos básicos de Medicare y responderá preguntas frecuentes para ayudar a los asistentes a aprovechar al máximo su cobertura médica. Both webinars will cover the same topics, however, two dates are offered as an added convenience to attendees. Visite SeniorCarePlus.com o llame al 775982-3191 para inscribirse. “With unfamiliar words and ideas you’ve likely never come across before, learning about Medicare may feel like learning a new language at first,” said David Hansen, CEO of Hometown Health. “As you begin the process of becoming a Medicare recipient, Senior Care Plus is committed to helping you become fluent in Medicare and help you understand the basics so you can make the best decisions for your unique healthcare needs.” From the convenience of a computer or mobile device, participants will learn about: The parts of Medicare - A, B, C and D; Eligibility and enrollment options; How to personalize their Medicare options based on their healthcare needs Serving as a partner in health to both northern and southern Nevadans, Senior Care Plus is the statewide leader in helping people take advantage of Medicare Advantage. Además, con ventajas para los miembros, como eventos educativos virtuales y descuentos exclusivos en recursos de salud y bienestar de vanguardia, Senior Care Plus está decidido a ayudar a sus miembros a mantenerse sanos y activos. Para obtener más detalles sobre Senior Care Plus y sus opciones de Medicare, para asistir a una reunión informativa o para programar una consulta personal, visite seniorcareplus.com o llame al 775-982-3158. Acerca de Hometown Health Establecida en 1988, Hometown Health es la división de seguros de Renown Health y es la compañía de seguros de salud sin fines de lucro de propiedad local más grande del norte de Nevada. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. Para obtener más información, llame al 775-982-3000 o visite hometownhealth.com. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.
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Sterling Silver Club Hosts Virtual Stretching Lecture for 55+
La Dra. Kelly Winkel, fisioterapeuta de Renown Health, dirige un evento virtual para conectar a los adultos a través de ejercicios básicos de estiramiento y estrategias de movimiento útiles que ayudarán a un envejecimiento saludable. Para ayudar a los miembros de nuestra comunidad mayores de 55 a experimentar los numerosos beneficios de los estiramientos, el Sterling Silver Club de Renown llevará a cabo la conferencia virtual gratuita de ejercicios de estiramiento “Rise and Shine” el miércoles, 15 de julio de 10 a 11 a.m. Durante el evento en directo, Kelly Winkel, doctora en fisioterapia de Renown Physical Therapy, enseñará a los asistentes los principios básicos del ejercicio a medida que envejecemos y ofrecerá una demostración de ejercicios suaves de estiramiento y estabilización que lo ayudarán a comenzar el día. También compartirá su experiencia sobre algunas de las dolencias comunes que desarrollamos a medida que envejecemos y ofrecerá consejos para superarlas. Este evento virtual se celebrará a través de Microsoft Teams. Los interesados en asistir deben confirmar su asistencia en línea o por teléfono al 775-982-7787. A dial-in option is available for individuals who don’t have access to a computer. “A good morning stretching routine puts the body in motion and has the power to set the tone of your entire day,” said Dr. Winkel. “Plus, stretching becomes even more important as we age and our range of movement lessens and we wake up with more aches and pains. Improved flexibility, balance, muscle control and a reduced risk of injury are just a few of the wellness benefits of routine stretching, all contributing to a healthier lifestyle. There is no better way to start your day than with a few tried-and-true stretches.” Attendees are encouraged to wear comfortable workout attire and sturdy shoes so they can try the exercises out with the group. También se los invita a pedir aclaraciones o adaptaciones si es necesario. Todas las personas mayores de 55 están invitadas a unirse al Sterling Silver Club gratuito de Renown, creado para ayudar a las personas a vivir vidas felices y saludables todos los días. El Club es un programa del Renown Institute for Healthy Aging. Los miembros disfrutan de beneficios exclusivos que han sido diseñados teniendo en cuenta sus intereses. From social events and lectures to entertainment, special discounts, and health insights and tips, this club is a place for community members to shine and embrace the joys of healthy aging. While the Sterling Silver Club is not currently hosting in-person events during this time, it is hosting educational talks like this one to help aging adults stay healthy through its online channels. “The last few months have been difficult for many older adults as they stay indoors with little to no in-person contact with their loved ones,” said Tori DellaRocca, who oversees Renown’s Sterling Silver Club loyalty program. “The need to stay connected is more important now than ever. It has been a joy giving our members something to look forward to- a chance to learn, ask questions and share their stories. Seeing everyone tune in from their homes has been a powerful reminder that we truly are all in this together.” For more information on upcoming virtual events from Renown’s Sterling Silver Club and to sign up, please visit www.renown.org/SterlingSilver. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización cuenta con un centro de urgencias, dos hospitales de cuidados agudos, un hospital para niños, un hospital de rehabilitación, un grupo médico y una red de atención de urgencia, y la compañía de seguros sin fines de lucro de propiedad local más grande de la región, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.
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