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Renown Recognized for Quality Care for Heart Attack & Failure
American Heart Association awards shine national spotlight on care offered in northern Nevada. Renown Regional Medical Center has been honored once again by the American Heart Association (AHA) for high quality heart care. Renown’s focus on quality and applying the most up-to-date, evidenced-based treatment guidelines improves patient outcomes, getting people home sooner and back to doing what they love. “We are pleased to recognize Renown for their commitment to heart failure care,” said Lee H. Schwamm, M.D., national chairperson of the Quality Oversight Committee and Executive Vice Chair of Neurology, Director of Acute Stroke Services, Massachusetts General Hospital, Boston, Massachusetts. “Recognizing the significance of preventing, diagnosing and caring for people with heart and vascular disease, which continues to be on the rise and taking far too many lives, is of critical importance to us at Renown,” says Tony Slonim, M.D., DrPH, FACHE, president and CEO, Renown Health. “We are proud of our incredible team for providing the highest-quality clinical care, and thank the American Heart Association for this national recognition.” Renown Regional was awarded The Get with the Guidelines – Heart Failure Gold Plus Quality Achievement award for continually ensuring heart failure patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, as well as AHA’s Mission: Lifeline Gold Receiving honor for the treatment of patients who suffer severe heart attacks. “Renown offers the most highly-skilled and experienced heart and vascular team and the most advanced heart center in the region. Having national recognition for being the region’s heart care leader is critical to a Destination Health strategy,” said Josiah "Sy" Johnson, MBA, chief of staff for Renown Health. “We at Renown are proud to bring a high level of world-class care providers, leading-edge care and new delivery approaches to meet the needs of people in northern Nevada through our Institute for Heart & Vascular Health.” Por qué este reconocimiento es importante para usted: atención del ataque cardíaco Cada año, más de 250,000 personas experimentan un infarto de miocardio con elevación del segmento ST (STEMI), el tipo más mortal de ataque cardíaco, causado por un bloqueo del flujo sanguíneo al corazón que requiere tratamiento oportuno. Renown earned the award by meeting specific criteria and standards of performance for quick treatment to re-establish blood flow to blocked arteries in heart attack patients. “Our expert staff treat problems that extend from mild to the most critical of emergencies,” said Christopher M. Kozlowski, MD, MHA, vice president and medical director of Renown Institute for Heart & Vascular Health. “Specialized physicians including cardiologists, interventional radiologists, heart and vascular surgeons, emergency medicine and trauma surgeons, primary care providers, nurses and other clinicians work as a team to determine the best treatment plan for each patient. We encourage all patients to discuss with their care team whether they should undergo formal screening for early heart disease.” Por qué este reconocimiento es importante para usted: atención de la insuficiencia cardíaca De acuerdo con la AHA, más de 6.5 millones de adultos en los Estados Unidos experimentan insuficiencia cardíaca. Heart failure patients can lead full, enjoyable lives when their condition is managed with proper medications or devices and with healthy lifestyle changes. “Renown’s reputation as the region’s heart care leader has been built over many years. We performed the area’s first open-heart surgery, angioplasty, stent and valve replacements decades ago. Renown Regional offers incredible advancements like trans-catheter aortic valve replacement (TAVR) and trans-catheter mitral valve repair (TMVr) with MitraClip therapy, lifesaving alternatives to open-heart surgery for patients considered high-risk or inoperable,” said Erik Olson, chief executive officer of Renown Regional Medical Center. “Al ofrecer el más alto nivel de cuidado completo a los pacientes que sufren enfermedades cardíacas y vasculares, Renown desarrolló su primera división de cirugía cardiotorácica dedicada a los pacientes elegibles para cirugía cardíaca en 2019”. The Renown Institute for Heart & Vascular Health program now offers a Diagnostic Electrophysiology Lab; a Chest Pain Center using the D-SPECT® heart camera; multiple Interventional Labs; Heart Failure Program; several Cardiac Catheterization Labs; Interventional Cardiology and Cardiac Surgery when necessary; and the only Pritikin-certified Healthy Heart Program in the West, creating individualized rehabilitation plans tailored to each patient’s needs, so they can exercise safely, eat healthy, manage stress and cook nourishing, balanced meals, all while gaining a healthy mindset. Renown se encuentra entre los hospitales de mejor desempeño del país para el tratamiento de ataques cardíacos y es uno de los únicos 105 hospitales de todo el país en recibir el premio ACTION Registry Silver Performance Achievement Award del Colegio Estadounidense de Cardiología, que reconoce el éxito en la implementación de un estándar de atención más alto para pacientes con ataques cardíacos. Renown’s Roseview, Sierra and Cardiac Intensive Care Units (ICUs) are the only ICUs in Nevada to receive the Beacon Award of Excellence from the American Association of Critical Care Nurses. U.S. News and World Report’s Best Hospital rankings recently named Renown hospitals as best in the state of Nevada. Los pacientes que necesitan atención cardíaca avanzada pueden hablar con su proveedor de atención médica sobre la atención de especialidad del Renown Medical Group, con el que puede comunicarse llamando al 775-982-6270 o si visita renown.org/HeartCare. 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. About Mission: Lifeline The American Heart Association’s Mission: Lifeline program helps hospitals and emergency medical services develop systems of care that follow proven standards and procedures for STEMI patients. The program works by mobilizing teams across the continuum of care to implement American Heart Association/American College of Cardiology Foundation clinical treatment guidelines. For more information, visit heart.org. About Get With The Guidelines Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with the latest research-based guidelines. Desarrollado con el objetivo de salvar vidas y acelerar la recuperación, Get With The Guidelines ha influido en la vida de más de 9 millones de pacientes desde 2001. For more information, visit heart.org.
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La gratitud toma vuelo en Renown Health durante la celebración de la Semana del Personal de Enfermería y del Hospital
La Unidad de Cirugía General de Renown estrena un par de alas de ángel elaboradas por el personal y sus familias para conmemorar la Semana del Personal de Enfermería y del Hospital, del 4 al 10 de mayo. Una obra de arte especial en la Unidad de Cirugía General de Renown Health aporta color y alegría a todos los que pasan por allí. The unit’s new angel wings backdrop is made up of individually-decorated feathers – created by Renown nurses, certified nursing assistants, unit clerks, supervisors, staff’s family members and anyone else who wanted to contribute their creativity. Este adorno angelical se creó para celebrar la Semana del Personal de Enfermería y del Hospital en Renown, que se celebra del 4 al 10 de mayo, y arroja luz sobre algunas de las cosas por las que nuestro personal de enfermería está más agradecido. “This art project was a month in the making,” said nurse manager of Renown’s general surgical unit, Deanna Olson. “A true collaborative effort, our staff, and even some of their children, would use their breaks and downtime to cut out and decorate feathers. Some focused on using bright, vibrant colors, while others wrote about what they are grateful for and the things that make them happy.” Doodles of pets, names of family members and inspirational quotes are just a few of the things featured on the feathers. Los nombres de los 110 empleados que trabajan en la unidad también se pueden encontrar en las alas de ángel. The idea behind the backdrop theme was inspired by nurse Melissa Vierra, who spent her last night as part of the general surgical unit working with a few team members to build the angel wings. Vierra now serves as a nursing administrative manager for Renown. “It takes an angel to be selfless enough to devote oneself to the care of others,” said Vierra. All our angels are as unique as the feathers in the wings, but together, we are united as a team to provide the best care possible for our patients. I am extremely grateful for my nursing family and all the lives they touch, including mine, every day.” A few Renown nurses joined Vierra in expressing their gratitude: “I am grateful that I have a job and for everything I have in my life.” – Elizabeth Rios, CNA “I am grateful for my family.” – Jena Smith, RN “I am grateful for my health.” – Mary Gutierrez, UC “I am grateful that I am not sick.” – Barby Workman, CNA “I am grateful for my life.” – Sierra Genz, RN “I am grateful for my health.” – Alyssa Daly, RN “I am grateful to be working.” – Skye Sauls, RN “I am grateful for my pets and my family.” – Colette Chapman, RN “I am grateful for the Bob Ross-esque landscapes.” – Tahni Murphy, RN “I am grateful for my family, my health and having a job that I love.” – Deanna Olson, RN During times of uncertainty, it’s these things, coupled with our amazing patients and teammates that keep us going,” added Olson. “I’m lucky to have the angel wings right outside my office. Seeing our angels from all departments take photos in front of the wings and hearing the love and happiness in their voices gives me hope to look towards the future – our community is in amazing hands.” ### 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 es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000 empleados. 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. Visite renown.org para obtener más información. Media Contact: Public Relations M: 775-691-7308 E: news@renown.org
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Dé la bienvenida a un programa quincenal de llamadas diseñado para ayudar a los adultos mayores a superar la ola de COVID-19
New, virtual community gatherings from ‘The Hello Project’ help older adults stay connected and informed during uncertain times. When The HELLO Project received a BUILD Health Challenge grant back in November to address social isolation and loneliness amongst elderly adults in Reno, they had no idea how timely and relevant the program would be. Rising to the challenge, The HELLO Project has fast-tracked programs to engage and enrich the lives of older adults sheltering in place. It Starts with Hello, The Hello Project’s bi-weekly virtual community gathering place, takes place Tuesdays and Thursdays at noon, and people can attend by calling in or joining on their computer via Zoom (See viewing information here). Each show will feature a timely topic, factual information, a chance to chat with others in the community, and ends with some good news – The Daily Dandelion. The first episodes of the virtual series featured Dr. Coard from Renown Health’s Stacie Mathewson Behavioral Health and Addiction Institute. During these informative sessions, Dr. Coard discussed anxiety and helpful strategies to deal with the stress of this pandemic. The HELLO Project also produced a four-page resource guide to direct the community to resources for staying socially engaged during these challenging times. “While we keep referring to this period of isolation as social distancing, it really should be thought of as physical distancing,” said Kindle Craig, Director of Renown Health’s Healthy Aging Institute. “Yes, to keep each other safe we need to keep our physical distance, but there is no reason we have to be socially isolated. In fact, now, more than ever, it’s important that we foster our social connections. It Starts with Hello is about just that - we feature local experts talking about everything from mental health to nutritious cooking, and then we open it up and allow time for community conversation.” A partnership between Truckee Meadows Healthy Communities, Renown Health, and the Washoe County Health District, The HELLO Project, formerly known as CARE, was initially started due to the rate of suicide in Washoe County. “La tasa de suicidio del condado de Washoe es dos veces el promedio nacional para personas mayores de 65 y cuatro veces el promedio nacional para personas mayores de 85¹”, comentó Sharon Zadra, directora ejecutiva de Truckee Meadows Healthy Communities. “We couldn't ignore the statistics. We had to try a new approach.” Para obtener más información sobre It Starts with Hello y sobre cómo unirse a la conversación, visite www.hellostartsnow.org e ingrese su dirección de correo electrónico. From there, you will receive information on how to attend the virtual community gatherings. 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 es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 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. Visite renown.org para obtener más información. About Truckee Meadows Healthy Communities Truckee Meadows Healthy Communities is a collaborative of thought leaders and influencers who seek to make an impact on the health of their community. The collaborative seeks to build a model where all community members strive toward a culture of health in the Truckee Meadows. This model will include the intersection of the health, education and community development sectors in our region. Truckee Meadows Healthy Communities seeks to create a healthier community through a collective impact project. About the Washoe County Health District The Washoe County Health District has jurisdiction over all public health matters in Reno, Sparks, and Washoe County through the policy-making Washoe County District Board of Health. The District consists of five divisions: Administrative Health Services, Air Quality Management, Community and Clinical Health Services, Environmental Health Services and Epidemiology & Public Health Preparedness. More info can be found here. Fuente: 1. Perfil de salud conductual de la región de Washoe, (2018). Figura 54: Muerte debido a suicidio/autodaño intencional por grupo etario, condado de Washoe, Nevada y Estados Unidos, 2012-2016. Datos globales: pp. 42.
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La comunidad reconoce a los homenajeados con el premio Northern Nevada Nurses Of Achievement 2020
Renown Health nurses are being celebrated for going above and beyond for their patients and care team colleagues. Every year, the Northern Nevada Nurses of Achievement Committee recognizes registered nurses (RNs) from across the community to celebrate their accomplishments and further the nursing profession. El Comité acaba de anunciar a los 2020 galardonados, entre los que se incluyen siete enfermeros de alto desempeño de Renown Health. El personal de enfermería está al frente de los equipos de atención que trabajan para combatir la pandemia de COVID-19, y el 2020 fue declarado acertadamente como el “Año Internacional del Personal de Enfermería y Partería” por la Organización Mundial de la Salud. Celebrar a nuestro personal de enfermería este año es más importante que nunca, y Renown se enorgullece de ser el hogar de siete de los ganadores del premio Northern Nevada Nurses of Achievement 2020 en las siguientes categorías: Clinical Leadership: Jenny Garcia, RN, BSN, supervisor of nursing in the orthopedics unit at Renown Regional Medical Center; Critical Care: Olivia Cartwright, RN, BSN, bedside nurse in the intensive care unit at Renown Regional Medical Center; Lifetime Achievement: Cheryl Jameson, RN, bedside nurse in the general surgical unit at Renown South Meadows Medical Center; Office & Outpatient: Kathleen Neilan, RN, BCN, OCN, cancer nurse navigator at Renown Institute for Cancer; Oncology and Infusion Services: Paola Espinoza, RN, BSN, supervisor of nursing in the cancer nursing unit at Renown Regional Medical Center; Rookie of the Year: Tamara Slater, RN, BSN, bedside nurse in the general surgical unit at Renown Regional Medical Center;Renown Facility Winner: Chelsea Zielinski, RN, MSN, clinical nurse educator in the neonatal intensive care unit at Renown Regional Medical Center. De un grupo de más de 400 enfermeros nominados públicamente que prestan cuidados en los centros de atención y hospitales del norte de Nevada, el Comité anunció un total de 14 ganadores de premios durante una celebración virtual de premios el viernes, 28 de agosto. Anthony D. Slonim, RN, MD, DrPH, FACHE; President and CEO of Renown, who worked as a registered nurse in an Emergency Department earlier in his career says, “We appreciate the work that every nurse does every day, not only for the patient in the hospital, but in all of the other settings where people come to learn how to live healthier lives. Los enfermeros tienen una influencia directa en los resultados de cada paciente, y felicito a los 14 enfermeros por sus logros excepcionales”. He adds, “The real winners are those patients, families, colleagues and community members who are cared for by these exceptional nursing professionals.” “We’re proud to celebrate our community’s nurses and all they do to care for patients and their loved ones,” said Jana Elliott, Associate Chief Nursing Officer, Acute Care Services. “Nursing is a true calling to serve others and there are so many incredible ways nurses go beyond their duty to provide the best care despite the intense nature of the pandemic.” “Nurses are at the core of our care teams; they provide compassionate care and advocate for patients and their loved ones in a time of need,” said Melodie Osborn, Chief Nursing Officer, Health Services. “The Northern Nevada Nurses of Achievement awards are a longstanding way of honoring our community’s most compassionate nurses.” Oportunidades de entrevista Un 2020 miembro del personal de enfermería que recibió el premio Nurses of Achievement y un representante del equipo de liderazgo de enfermería de Renown estarán encantados de hablar sobre este prestigioso honor, así como también sobre lo que significa ser enfermero durante estos tiempos sin precedentes. Envíe un correo electrónico a news@renown.org o llame al 775691-7308 para programar una entrevista. 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. Acerca de Northern Nevada Nurses of Achievement El Comité de Northern Nevada Nurses of Achievement, que ha destacado la profesión de enfermería desde 1999, trabaja para honrar a sus colegas y para aumentar la concienciación sobre la enfermería como profesión. The committee also supports the growth of the profession in awarding scholarships for nursing students.
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8 Financial & Wellness Benefits for Employees
Escuchamos las principales necesidades actuales y futuras de los empleados; nos aseguramos de que las familias estén sanas y tengan seguridad financiera La semana pasada, la Reserva Federal aumentó la tasa de interés de referencia por primera vez desde marzo de 2020. Esto significará un costo más alto para los endeudamientos con tarjetas de crédito, los préstamos para estudio y vivienda, el financiamiento de automóviles, entre otras. También podría representar mayores ganancias en las cuentas de ahorros, según la institución. Esta noticia, junto con las inquietudes sobre la salud mental y el bienestar físico de los cuidadores a medida que superan la pandemia, ha presentado a los líderes de Renown una oportunidad única de reformular los enfoques sobre cómo ayudar a sus empleados a crecer, a sentirse apoyados económicamente e involucrarse como parte de un equipo saludable y pujante. Después de escuchar a los empleados, el Departamento de Recursos Humanos de Renown Health anunció una serie de beneficios adicionales para promover formas de aumentar el equilibrio entre el trabajo y la vida personal, apoyar estrategias de descanso y recuperación, y brindar nuevos recursos financieros fundamentales para que los equipos estén satisfechos y tengan un alto desempeño. Renown Health está contratando personas para ocupar puestos clave para apoyar la salud y el bienestar de nuestra comunidad, y alienta a aquellos a quienes les apasiona el sector de servicios a unirse a la familia de Renown y luchar por la causa justa. Para ello, deben postularse en línea en careers.renown.org Los beneficios nuevos y ampliados de 2022 para los empleados incluyen los siguientes: 1. Beneficios ampliados del plan de salud física, del plan médico y del dental. El programa MOBE, que se ofrece sin cargo, brinda a cada empleado una Guía de salud personal para apoyar cuatro elementos centrales de la salud: dieta, sueño, movimiento físico y bienestar emocional, con el fin de ayudarles a desarrollar hábitos saludables, impulsar una vida mejor, cargarse de energía y promover la sanación. Este año, Renown amplió su cobertura del plan médico al agregar nuevos beneficios, sin aumentar las tasas que pagan los empleados. Renown ofrece beneficios de seguro de salud a través de Hometown Health, la única y más grande compañía de seguros sin fines de lucro de propiedad local del norte de Nevada con cobertura médica de amplio alcance. Hometown Health ofrece acceso a la red más grande de servicios clínicos de la mayor calidad prestados por 1,200 médicos y especialistas en 150 centros de atención, incluidos los del Renown Medical Group: los centros de atención de urgencia, los servicios de laboratorio y de diagnóstico por imágenes, y los mejores hospitales del estado según el Us News & World Report, el Renown Regional Medical Center (2022) y el Renown South Meadows Medical Center (2021). Los nuevos beneficios médicos que se agregaron este año incluyen visitas de telesalud con un copago de $0; recetas de Renown Pharmacy sin deducible y, si los empleados y sus familias necesitan viajar fuera del área para recibir atención esencial, ahora se ofrece un estipendio para viajar al University Medical Center en Las Vegas o al University of Utah Health. La organización también redujo el costo de las primas del seguro de salud que pagan los empleados a tiempo parcial (entre 20 y 30 horas). Además de las mejoras en los beneficios para la salud, la red dental se amplió con MetLife Dental, sin aumentos en las primas de las tasas del plan dental que pagan los empleados en 2022. Como organización sin fines de lucro, Renown puede ofrecer a los empleados la capacidad de establecer cuentas de gastos flexibles como una forma de usar dinero libre de impuestos para pagar gastos médicos que no cubren otros planes de salud. 2. Mejoras en los programas de apoyo para el bienestar y la salud mental. Renown Health es el hogar del Stacie Mathewson Behavioral Health & Addictions Institute. Como líderes, están trabajando para eliminar el estigma y las barreras al uso de servicios de salud mental cuando se necesitan. Para ello, hacen énfasis en que buscar ayuda demuestra fortaleza, no debilidad. Esto incluye alentar a los miembros del equipo a tomarse un día libre para renovarse y recargar energía o aprovechar las visitas de consejería de salud mental que son confidenciales y sin cargo. Renown actualizó su política para incluir el bienestar mental y emocional como categoría elegible para el uso de la licencia por enfermedad. Durante la pandemia, para asegurarse de que los empleados contaran con el tiempo necesario llegado el caso, el equipo de liderazgo agregó 80 horas de licencia por enfermedad a la licencia por enfermedad a la que tienen derecho los empleados, así como un copago de $0 para sesiones de salud conductual y servicios de nutrición de Teladoc (servicio virtual). Renown fomenta el buen estado físico y estimula la salud y el bienestar de los empleados al apoyar la participación en carreras (a pie o en bicicleta) en sus comunidades. Los empleados que participan en carreras, que corren, caminan, que participan en triatlones o realizan ciclismo pueden solicitar un reembolso por el cargo de una entrada individual de hasta $100. 3. Aprecio y participación de los empleados. Es posible que muchos equipos ahora estén trabajando en el lugar, de manera híbrida o de forma remota, lo que significa que reunirse para crear nuevos recuerdos resulta más difícil. Los líderes de Renown Health continúan generando camaradería y vínculos en el lugar de trabajo al invertir en realizar eventos mensuales de orgullo para el personal, y organizar todo tipo de encuentros, desde reuniones sociales en línea hasta noches de juegos, con el fin de ayudar a restablecer los vínculos. En Renown, la participación de los empleados también adopta la forma de programas de reconocimiento. El programa Everyday Amazing alienta a los empleados a darse las gracias unos a otros por un servicio excepcional mediante una plataforma en línea, y a obtener certificados y puntos para tarjetas de regalo y premios. Employee and organization-led leadership and career education programs are encouraged, as well as paid volunteer opportunities (four hours each quarter), and matches of up to $1000 for non-profit organization boards on which Renown Health employees serve. Renown ofrece eventos y anuarios para ayudar a los empleados a celebrar su historia y logros. También organiza Celebrate Amazing, un evento especial para celebrar los hitos de servicio y honrar a los galardonados como “Mejores Talentos” y “Mujeres de Logros”. Renown apoya a la comunidad e invita a los proveedores médicos y a los empleados para que asistan a eventos de los Reno Aces, a partidos de fútbol y básquetbol de la UNR, a la Great Reno Balloon Race y a cientos de eventos de la comunidad cada año. 4. Vivir sin deudas con programas de bienestar financiero. Hay disponible un programa gratuito de bienestar financiero de Salary Finance para los empleados, con un préstamo vinculado al salario. Este beneficio permite a los empleados tomar préstamos o ahorrar dinero directamente a través de su cheque de pago. Los préstamos vinculados al salario permiten a los empleados acceder a crédito asequible que pueden pagar fácilmente mediante su salario, lo cual les ayuda a pagar deudas existentes o a evitar el uso de tarjetas de crédito con altos intereses, los cargos por sobregiro o los préstamos de días de pago. Salary Finance ofrece opciones de préstamo asequibles para momentos de necesidad, así como un componente de educación financiera que ayuda a los empleados a comprender su nivel actual de contenido financiero específico según sus necesidades. Desde su lanzamiento, más del 40 % de los empleados ha participado en la oferta de Salary Finance, y más de 500 han accedido a créditos asequibles a través del Financial Wellbeing Hub de Salary Finance para Renown. “Ha tenido un impacto maravilloso y ha disminuido el estrés frecuente que sentía respecto a mi deuda”, expresó un empleado de Renown inscrito en el programa. En total, se calcula que los empleados han ahorrado casi $275,000 en intereses, y esa cifra continúa aumentando a medida que más empleados aprovechan el beneficio. El programa Greater Perks de Greater Nevada Credit Union, la cooperativa de crédito oficial para empleados de Renown, ofrece una serie de beneficios que incluyen un bono de $100 por abrir una nueva cuenta corriente, $25 por abrir una nueva cuenta “I Can Save”, $500 de crédito por una valoración para un préstamo para vivienda, tasas bajas para préstamos personales a corto plazo y préstamos para automóviles, además de seminarios regulares sobre bienestar financiero en línea. No se requiere ser miembro de la cooperativa de crédito para aprovechar las ofertas de Greater Nevada Mortgage. Además, los donantes han aportado, mediante la Fundación de Renown Health, fondos para ayudar a los empleados que han sufrido una catástrofe financiera personal y necesitan financiamiento de emergencia para pagar facturas, sin necesidad de pago. 5. Reembolso de asistencia educativa, pago de préstamo estudiantil y educación continua para estudiantes. Renown valora y alienta a los empleados a continuar estudiando y apoya las aspiraciones y metas profesionales. El programa de asistencia educativa ofrece oportunidades de reembolso y pago de préstamos, así como orientación educativa y financiera de expertos. Se proporciona reembolso de matrícula, certificación y certificado a los empleados que actualmente están inscritos en una universidad/facultad o están trabajando por obtener una certificación o certificado profesional. Además, la organización apoya a los empleados que han completado su educación anteriormente y que ahora enfrentan la carga de los préstamos estudiantiles. Los empleados también tienen la opción de invertir en un plan de ahorros para la universidad 529, un programa de inversión diseñado para ayudar a las personas a ahorrar para gastos educativos futuros de hijos/dependientes en casi cualquier universidad privada o pública o institución de educación superior acreditada. 6. Asistencia para el cuidado infantil y de adultos en el lugar. Organizar el cuidado infantil ha sido un obstáculo para los padres que trabajan a lo largo de la pandemia. Renown es uno de los pocos sistemas de salud que ofrecen cuidado infantil en el lugar. En Renown Health Child Care Center, se recibe a los hijos de los empleados que tienen entre seis semanas y seis años (que aún no asisten al jardín de infantes). El centro está autorizado para 176 niños y cuenta con 11 aulas: tres aulas para bebés, cuatro para niños pequeños y cuatro aulas para niños en edad preescolar. El personal ayuda a los padres con recursos para buscar cuidado infantil en el lugar o con proveedores de servicio de guardería autorizados en la comunidad. Los empleados cuidan cada vez más de los adultos mayores en sus familias. Como organización sin fines de lucro, los empleados pueden contribuir en sus cuentas FSA con ahorros libres de impuestos que cubran el cuidado de niños y adultos mayores. 7. Horarios y ubicaciones flexibles. Renown ahora brinda a los proveedores médicos y a los empleados la posibilidad de trabajar en el lugar, de manera híbrida o remota. Este año, dado que muchos empleados que trabajaban de forma remota se mudaron del estado para estar más cerca de sus amigos o familiares, Renown no se quedó atrás y contrató a una organización de empleo profesional llamada Tri Net, en un modelo de empleo conjunto para obtener ayudar con los beneficios y la administración de impuestos a nivel nacional. Ahora, Renown puede reclutar y conservar empleados que trabajan de forma remota en ubicaciones que van desde Maine hasta Minnesota y ofrecer, para una amplia variedad de puestos de TI, servicios de apoyo de finanzas y otros tipos, horarios remotos y flexibles que resultan atractivos para muchos empleados en todo el país. Los médicos ahora cuentan con una gran variedad de puestos disponibles en más de 100 ubicaciones en todo el estado. El 7 de marzo, Renown aumentó el límite del diferencial de turno a 10 % hasta $6 por ahora y agregó un diferencial de fin de semana para el personal de hasta un 5 %. En los hospitales de Renown, hay puestos de trabajo disponibles las 24 horas, los 7 días de la semana para servir a la comunidad. Otros proveedores y empleados aprovechan las opciones de semana laboral comprimida, turnos de 12 horas, entre otras, que les permiten tener flexibilidad para llevar la vida que desean en el trabajo y en el hogar. 8. Plan de ahorros para la jubilación de Renown. Hay disponibles planes de ahorro para la jubilación, incluido el plan 401(k) completo a través de Vanguard, para que los empleados ahorren para el momento de jubilarse. Los empleados pueden contribuir entre el 1 y el 75 % del pago antes de aplicados los impuestos (hasta el límite anual que establece el IRS) y recibir una contribución equivalente de Renown del 4 % cuando aportan un 4 % o más a un plan 401(k). Se pueden hacer traspasos de planes 401(k), 403(b), 457 u otros planes calificados de un empleador anterior a un plan de Vanguard en cualquier momento. Además, se permiten retiros en servicio la edad de 59 años y medio 2de la cuenta 401(k) y se agregó una nueva opción de Roth 401(k). Únase al equipo de Renown: Renown Health está contratando personas para ocupar puestos clave en la organización para apoyar la salud y el bienestar de nuestra comunidad. Para unirse a la familia de Renown y luchar por la causa justa, postúlese en línea en careers.reown.org. Acerca de Renown Health Renown Health es la red de atención médica integrada de administración local y sin fines de lucro más grande de la región, que presta servicios a Nevada, Lake Tahoe y el noreste de 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. 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.
Leer más About 8 Financial & Wellness Benefits for Employees
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Renown Dermatology
At Renown Dermatology, Laser & Skin Care, our experienced providers offer a wide range of services, coupled with advanced medical technology. Skincare services include dermatology and competitively-priced treatments and procedures. Our professional and compassionate staff focuses on promoting lifelong health and wellness in a relaxing, modern atmosphere.
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Snakes! 3 Safety Tips for Outdoor Adventures
Seeing a snake while exploring northern Nevada’s trails is somewhat rare and the chance of a snakebite is even less common. However, it’s important to make sure you’re ready for snakes and know what to do in case of a snakebite. Hiking the rugged, stunning and varied landscapes of northern Nevada is a huge draw for many who live here. But it’s important to stay alert and be prepared while you’re out exploring the natural habitats of wildlife, especially if you encounter a snake or get a snakebite. As you prep for your next outdoor adventure, remember these three tips to stay safe in Nevada’s wilderness. 1. Leave snakes alone In general, if you don’t mess with snakes, they won’t mess with you. Seeing a snake is fairly uncommon because of their body camouflage and secretive nature, which are their first defenses in evading predators. According to the Nevada Department of Wildlife (NDOW), most snakebites happen when a person tries to capture or kill the snake. Nevada is home to 52 species of snakes and reptiles, according to NDOW. Only six can be dangerous to people and pets: Western Rattlesnake (this is the most common type of venomous snake in northern Nevada, especially around Yerington and Fallon) Sidewinder Mohave Rattlesnake Speckled Rattlesnake Western Diamondback Gila Monster (these live in southern Nevada’s Mojave Desert) Venomous snakes, like the rattlesnakes, have a wide head and thick body. Non-venomous snakes are usually more slender and have a narrow head. If you see a snake on the trail and you aren’t sure if it’s venomous or not, it’s best to be safe and leave it alone by moving away slowly. 2. Wear the right gear and take care where you walk NDOW and the U.S. Department of Agriculture suggest doing the following to decrease your chances of a snakebite: Wear over-the-ankle boots, thick socks and loose-fitting long pants. Stick to trails and stay out of the bushes or tall grass. Don’t step where you can’t see. If going over a fallen tree or large rock, step on it. Don’t jump over it. A snake might be lying on the other side. Always check stumps or logs for snakes if you’re going to sit on it. If you see one or hear a rattle, move away from the area slowly. Don’t run or make any sudden movements. Don’t handle or move a recently-killed snake as it can still inject venom. And for your dog, the best way to prevent a snake bite is to keep it on a leash. 3. Know what to do (and not do) if you get a snakebite Renown Health primary care physician Aaron A. Bertalmio, MD, reminds us the odds of getting a snakebite are very low. Roughly 7,000 to 8,000 people get bitten annually and only 5 percent die according to the U.S. Food and Drug Administration. But in the event of a snakebite, here’s what to do: Get medical help as soon as possible Stay calm to help keep your heart-rate low Remove constrictive clothing or jewelry Clean the wound with soap and water if available Cover the snakebite with dry, sterile cloth or adhesive bandage if available Keep the bite snakebite area level and below your heart if possible WHAT NOT TO DO IF YOU GET A SNAKEBITE: Apply a tourniquet (a tool used to stop arm or leg blood flow) Ice the bitten area Suck out the venom You’re now prepped and ready on what you need to know about Nevada’s slithery friends so you can stay safe and enjoy the outdoors!
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Pandemic Pals and Sterling Silver Club Members
A Friendship Gone Viral When a friendship is strong enough, it can survive just about anything – even a pandemic! Sterling Silver Club members and longtime friends, Marlene and Kim, are living and thriving proof of that. Career & Community Cohorts With successful careers in the Reno area and a common passion for community involvement, it’s no surprise the women knew of each other even before their friendship developed. The first time they actually worked together was in 2001 at TMWA (Truckee Meadows Water Authority), where Marlene’s company was brought on board to steer communications and Kim was heading up the then-new utility’s customer relations department. TMWA was where these colleagues became cohorts who have since become the best of friends. Now retired, Kim’s favorite job these days is being a doting “Noni” to her two granddaughters who live nearby and who she keeps up with by staying active. Kim enjoys practicing yoga and loves to spend time walking and hiking in the great outdoors – with two enthusiastic dogs that are always ready to join her. Marlene is still working and running her nearly 40-year-old public engagement and outreach company, GoodStanding. Her “fun and interesting” projects help to build community engagement for her clients and often focus on water resource management and conservation. The Rotary Club of Reno, known as the “downtown club,” is also an important part of both women’s lives. Marlene was just the third woman to join the historically male organization in 1991 and made it her mission to recruit and sponsor female members – like Kim. Today, women make up nearly half of the membership and Marlene and Kim are both heavily involved in the club and its initiatives, including its scholarship program and community beautification projects along Riverside Drive. A Friendly Q & A To learn more about the friends and maintaining friendships in these socially distanced times, we asked them some questions. What drew you to each other as friends? Kim: Marlene’s honesty, integrity and ethics. Marlene always does what is best for her clients, no matter what. Marlene: Kim and I communicate very well. It’s hard to explain, but sometimes we are both way ahead of our words. How would you describe each other in a single word? Marlene: Focused. Don’t put anything in front of Kim that you don’t want done, and done expertly. Also, helper. She thrives on helping people and working through their problems. Kim: Creative! Marlene came up with many unique ideas to promote and publicize TMWA. And her house the most cozy spaces to sit and visit. Do you have a favorite “That’s so her” moment to share? Kim: Burning Man! Marlene had friends with a camp at Burning Man and she invited me to join them for three days a number of years ago. We rode our bikes, admired the art and did our best to sleep through the techno music that played through the night. It was an amazing time. Marlene: Kim’s involvement in Rotary’s Achievement Beyond Obstacles (a support and scholarship program for deserving local high school students). She has a heart for kids facing challenges, she is a great leader and she loves to help and make a difference. How has COVID-19 affected your friendship, how have things changed and how have things stayed the same? Kim: We don’t see each other in person quite as much. However, Marlene has made sure that many of our girlfriends are able to stay in touch. Marlene: I don’t take for granted we are going to see each other, so we plan it. I am the instigator of walks, socially distanced get-togethers in our green space and Zoom meetings. This new normal has also given me permission to stay home and work. Now, it’s OK to do some gardening or take a walk in the middle of the day. I suppose that’s one pleasant side effect of COVID-19. Why did you become members of the Sterling Silver Club and why would you encourage others to join? Kim: So many friends and family members had nothing but good things to say about Renown that I decided to switch providers. I also really liked what Renown was doing with the Healthy Nevada Project. So, when I saw the Sterling Silver Club, it seemed to me to be just another extension of all the good things Renown has to offer! Marlene: This Club sounded interesting because it would allow me to focus more on my health with like-minded people in my age group. And, I’m with Kim, Healthy Nevada Project is very intriguing for how it could potentially improve health care for all of us. What is the secret to a lasting friendship? Kim: Have patience. Don’t take things personally. Be flexible. And just enjoy one another’s company. Marlene: Respect and grace, equally. We are not perfect and we are all different. So give your friends respect always, grace when they flub up and support when they need help. Thanks to Kim and Marlene for being such generous collaborators and ambassadors of the Sterling Silver Club. Friend Fun Fact: Kim helped Marlene find her new house a few years ago – and more recently, a new dog! Marlene and “Levi” have been inseparable ever since.
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Meet Ann Sterling Silver Club Member
If Sterling Silver Club member Ann had an official motto, it would be, “I love to learn new things.” Ann has been a Reno resident for about 25 years after making her way to the Silver State from Arizona and before that, her birth state of Indiana. All along the way, she’s been growing, exploring and learning. Meet Ann From her days as a Girl Scout to her cherished roles as mother and grandmother and her time spent working for the federal government, Ann has enjoyed the adventures she’s had, the people she’s met and the learning opportunities that continue to be an important part of her life’s journey. “Learning never has to end,” Ann says wisely. Today, Ann lives a life full of learning — and giving. She is a member of the Osher Lifelong Learning Institute (OLLI) at UNR, which offers classes and events for people who are 50 and older. She has also been a foster grandparent for Seniors in Service and has tutored troubled teens at the Jan Evans Juvenile Detention Center and helped out at Title 1 schools. Volunteer Extraordinaire Her volunteer résumé continues with work for the Reno Police Department’s SAVE program through Retired Senior Volunteer Program (RSVP) for Sanford Center for Aging and time spent with VISTA for AmeriCorps, helping victims of domestic violence and refugees. And with her recent appearance in Ky’s Kab, a segment of Aging & Awesome — the popular 55+ show airing Saturdays at 7 p.m. on local CBS affiliate, KTVN Channel 2 — she’s a bit of a celebrity to boot! Through all of her experiences, Ann has learned something about herself and others. She looks forward to the new memories and friendships her latest membership to the Sterling Silver Club will bring. “I love being a member of the Sterling Silver Club because it’s another opportunity for me to grow, have fun, learn and socialize,” she says. And everyone at Renown is thrilled to help her do those things — and live a happy, healthy life. Please join us in welcoming Ann, one of our first members of the Sterling Silver Club. Today we have more than 2,800 members and we’re happy to be featuring members and getting to know you all along the way!
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8 Local Hiking Trails You Need to Explore
Need fresh hiking trails? These hiking trails offer new views, a different route or the motivation you need to get outside. Of course, whatever you’re looking for this summer, these trails were made for sunshine in Reno-Tahoe. Easy Hiking Trails Oxbow Nature Study Area Nature Trail Location: 3100 Dickerson Road, at the Truckee River. Parking: There is a parking lot onsite. Time Out and Back: 30 minutes Items to Bring: Water, sunscreen and a hat. Although this loop is just under one mile, it’s the perfect escape in the heart of Reno. And this riverside trail is accessible for all skill levels. Bird watcher? Certainly, keep an eye out for black-crowned night herons, red-shouldered hawks, mule deer, beavers and more wildlife in the area. Tahoe-Pyramid Bikeway – Sections 2 to 4 Location: West Reno to Sparks Parking: Woodland Drive, Crissie Caughlin Park, Idlewild Park, 1st Street, Rock Park and Spice Island Drive. Time Out and Back: 2-4 hours (each section, out and back) Items to Bring: Water, sunscreen and a hat. From west Reno to Sparks, this paved portion of the trail stretches more than 8 miles. And it is easy to find as it runs along the Truckee River. As one of the easiest hiking trails in the region, it includes numerous parking access points and you can walk as long or short as you desire. In particular, one great route is from Rock Park on S. Rock Boulevard to Cottonwood Park on Spice Island Drive in Sparks. It’s an easy walk for all hiking levels. Notably many evening hikers explore this area to view the bats living under the McCarran Bridge. Additionally, an array of birds and river views can also be found along this enjoyable path. For maps for sections of this path, visit Tahoe-Pyramid Bikeway’s website. Cave Rock Hiking Trail Location: South Lake Tahoe; turn right on Cave Rock Drive from Highway 50, just prior to the tunnel. Parking: Park on Cave Rock Drive. Time Out and Back: 30 minutes Items to Bring: Water and sunscreen. Not only does this short trail have breathtaking views of Lake Tahoe, but it is also meaningful. Chiefly the rock was created more than three million years ago. Equally important, it is still considered sacred to the Washoe Native Americans. Also, leashed dogs are welcome on the trail. Moderate Hiking Trails Steamboat Ditch Trail Location: To get to the trailhead, take Mayberry Drive in west Reno. Then turn south on Plateau Road and right onto Woodchuck Circle. Parking: There is a dirt area for limited parking. Time Out and Back: 3-5 hours Items to Bring: Water, layers, sunscreen and a hat. Of all the hiking trails listed, this one offers some of the best views of downtown Reno and the surrounding hillsides. Built by Chinese laborers in the late 1870s, the Steamboat Ditch is the longest ditch in the Truckee Meadows region. In fact, the water serves as a vital source for ranchers and farmers south of Reno. First, start behind the Patagonia in northwest Reno at the Tom Cooke Trail or park off of Woodchuck Circle. Next head west to find the “Hole in the Wall.” Surprisingly this is a tunnel engineered through the hill, so the ditch could supply water to the Truckee Meadows. This hike is a little over 8 miles with the halfway point just under 4½ miles. With this in mind, if you’re thinking of hiking with your four-legged friend, remember to bring your leash because rattlesnakes can be spotted. Usually there’s also little shade, so plan accordingly by bringing a hat and dressing in layers. Thomas Creek Trail Location: Head out on Mt. Rose Highway going west to Timberline Road. Then drive 1.3 miles past the end of the pavement, stay on Timberline and you will see the trail head on your left shortly after you cross the bridge. Parking: There is a paved parking area on Timberline Drive. Time Out to Back: 2-6 hours Items to Bring: Water, layers, food and a phone with GPS or map. Definitely put he Thomas Creek Trail on your hiking trails list. Located off of Mt. Rose Highway, it is a very scenic hike winding along Thomas Creek into a Jeffrey pine forest. You may choose to hike to what appears to be the end of the trail (where it meets the road) or continue further up for 1/8 of a mile into the Mt. Rose Wilderness. Hiking up the trail to the creek crossing, and then taking the dirt road back down is a great way to see the entire canyon. While this hiking trail is closer to 5 miles, it can be shortened by turning around at any point. Another option is to look for signs to turn off the Thomas Creek Trail at the junction for Dry Pond Loop. Dry Pond is a 4½-mile, out and back hiking trail from the Timberline parking lot. Ultimately you may see a pond or hilltop meadow, depending on the season and weather. Overall it is possible to go anywhere from 2 to 6 miles (or more), based on what you choose to hike. The gain along the creek is minimal, with an 800-foot gain at the top part of the trail. In particular, watch for mountain bikers, as this is also a very popular biking trail. Hunter Creek Trail Location: Go west on Mayberry Drive to Plateau Road. Then turn left and go up the hill to Woodchuck Drive. Lastly, turn right and follow Woodchuck to the hiking trail head. Parking: Paved parking on Woodchuck Drive with a bathroom and benches. Time Out and Back: 2-5 hours Items to Bring: Water, layers, a snack, sturdy shoes and sunscreen. The Hunter Creek trail is about a 7-mile day hike with a little over 1,000 feet of overall gain leading to a waterfall. Ultimately it’s totally worth the trip! This hiking trail winds up Hunter Canyon through sagebrush, Jeffrey pines and interesting rock formations. The waterfall is a great place to sit on shaded logs and enjoy lunch. This trek is very rocky and narrow at times, so good trail shoes are recommended. Furry friends should also be leashed, as rattlesnakes and wildlife are common along the trail. Difficult Hiking Trails Hidden Valley Loop Location: Hidden Valley Regional Park; drive east on Pembroke Drive and turn left on Parkway Drive. The park is at the end of the road. Parking: Park on the east side of the park, closest to the hills. Time Out and Back: 3-6 hours Items to Bring: Water, sunscreen, shoes with good traction and a lunch or snack. Overall this 6-mile loop has about 1,800 feet of gain and is located east of Hidden Valley. We recommend starting the hike from Hidden Valley Regional Park. First, head southeast on a dirt road and then turn east onto a very steep trail that winds over red dirt for about a half mile. In fact, this is the steepest part and it’s a leg burner. Once you get past the climb, the trail gradient decreases. Then you wind along the south side of a big bowl lined with pinyon pine and juniper trees. The hiking trail continues up to the ridge line where there are incredible views of the Truckee Meadows and Mt. Rose. You can hike back down from this point, but it is best to continue on the trail along the ridge line to where it isn’t as steep with incredible views. Frequently you may see wild horses while hiking in this area. Mount Tallac Location: Southwestern side of Lake Tahoe, between Emerald Bay and Camp Richardson. Turn south on Mt. Tallac Road from Highway 89. Parking: Follow Mt. Tallac Road to the parking lot. Time Out and Back: 6 hours Items to Bring: Water, layers, lunch or snacks, sunglasses, hat, sturdy shoes and sunscreen. Definitely a big hike with an even bigger reward — an incredible view of the Desolation Wilderness and Lake Tahoe. This hiking trail is 10.5 miles out and back with a 3,500-foot elevation gain. If you’d like to explore the area without the 6-hour commitment, hike 1.7 miles out to Floating Island Lake or 2.3 miles out to Cathedral Lake. Day use permits are required and you can fill one out for free at the trailhead.
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Testosterone, Men and Health: lo que necesita saber
You probably know testosterone (T) plays an important role in how boys physically develop into men. But is that all you know? What happens when a man's T levels are off? Are there symptoms men should look for? And what are the treatment options? Dr. Bobby Kahlon, MD, Renown Medical Group provides answers in a Testosterone Q&A. What does testosterone do for men? "Testosterone is known as the 'manly hormone' for a reason," says Dr. Kahlon. "Though women also naturally produce small amounts of it, men produce testosterone at much higher concentration levels. And it affects men in more physical and obvious ways. How much hair a man has on his chest, how deep his voice is, or how muscular he is are all attributable in some way to testosterone. It's also responsible in large part for sex drive and bone strength and affects how men think, learn and experience their surroundings." Testosterone in men: Powers virilization (male physical characteristics) and sexual function Builds muscle mass and strength Supports bone density Improves cognition T Trivia: Discover Magazine reveals that “manly” testosterone and other sex hormones evolved long before we did — 500 million years ago — from the ultimate “female” hormone, estrogen. Can you have too much or too little testosterone? Though high testosterone isn't a concern for most men, low testosterone or low T occurs more frequently and develops for two primary reasons. Dr. Kuhadiya explains, "Subnormal testosterone concentrations occur either due to pituitary or testicular failure and the causes for each need to be discussed with your physician." Pituitary failure: Approximately one-third of men with obesity, type 2 diabetes, or metabolic syndrome (which includes increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels) have low free — or "bioavailable" — testosterone. These health conditions can cause the pituitary gland to "fail" to release follicle stimulating hormone (FSH) and luteinizing hormone (LH) which are essential for triggering testosterone and sperm production. And that can cause low testosterone (hypogonadism). Testicular failure: Though less common than pituitary failure, testicular failure may also be responsible for low T. It's caused by diseases or illnesses affecting the testicles, injury or trauma to the testicles, or certain medicines and treatments such as chemotherapy or opioid pain medication. Providing your complete medical history to your doctor is always the first step toward a proper diagnosis. What are the symptoms of low T? The following indicators could be a sign that you have low T, say the doctors. Lack of motivation and determination, including mild depression Loss of physical endurance and muscle strength Loss of or diminished early morning erections Reduced libido (sex drive) Erectile dysfunction (ED — difficulty achieving or maintaining an erection) Gynecomastia (male breasts) Small testes T and Time: T levels in men naturally begin to decline by about 1% a year starting at age 30. How do you test for low T? "There are different methods for testing testosterone levels," says Dr. Kuhadiya. "Each approach uses a blood sample to evaluate total testosterone, which includes free and attached testosterone that combines with proteins albumin and sex hormone-binding globulin (SHBG). For the most accurate results, testing is based on samples collected in the morning after fasting, and from tests on two different days." What treatment options are available? "Well, your best natural option may be YOU," says Dr. Kahlon. "Men with pituitary failure are often able to treat their low T by losing weight to increase levels of the hormone. And even if you don't lose weight, exercise can help boost your testosterone. Unfortunately, if you have testicular failure, weight loss and exercise may not have the same effect." So, are there other options? "You may want to consider Testosterone Replacement Therapy (TRT)," says Dr. Kuhadiya. "TRT is only available to men who are hypogonadal — with a clinical diagnosis of low T. Injection, gel, skin patch and nasal spray are available TRT options. The best option is the one that works best for the patient. Convenience, insurance coverage and cost are all factors to consider." Dr. Kahlon's TRT preference? Daily gel treatments, which are applied directly to the skin. On the other hand, Dr. Kuhadiya recommends intramuscular injections, which take place once a week or every two weeks. But both doctors agree on this: physicians and their patients need to weigh the benefits and risks of TRT before proceeding with treatment — especially if your low T condition may require lifelong treatment. "In my clinical practice, I have seen some very good long-term results with an improved quality of life," says Dr. Kuhadiya. "However, in certain situations, TRT may increase the risk of heart disease and is not recommended for men with a history of prostate cancer." Dr. Kahlon adds, "Patients receiving any type of hormone therapy need to be closely monitored throughout the treatment process for any changes in their health." How do you feel about steroids and T boosters? "I don't recommend them, certainly not for hypogonadism," advises Dr. Kahlon. "There is no evidence to support anabolic-androgenic steroids or testosterone boosters as a safe or effective treatment for low T in men." "In fact, there continues to be emerging evidence they may lead to side effects that could potentially harm the liver and the pituitary and endocrine functions of the body," warns Dr. Kuhadiya. "And that damage may be irreversible."
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