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Jakob’s Journey at Renown Children’s Hospital
In August 2016, six-year-old Jakob was admitted to Renown Children's Hospital with what seemed like a common ear infection. Jakob's condition quickly progressed, and he started experiencing neurological symptoms such as difficulty speaking and a full-body shutdown. Doctors, neurologists and specialists from Renown worked with doctors from Stanford, where he was ultimately diagnosed with Bickerstaff brainstem encephalitis (BBE). BBE is a rare, autoimmune response that attacks the nerves in the body due to an acute illness such as a cold, flu or, in Jakob's case, an ear infection. Jakob could not breathe or eat and experienced paralysis on the side of his face, throat, stomach, bowels, lungs and legs. In addition, he started to rapidly lose weight as well as body function. Jakob lost half his body weight which resulted in the need for a Gastrostomy tube. This device is placed surgically and gives direct access to the stomach to give the child the nutrition needed. He also needed occupational therapy, and after three and a half months of ICU respiratory therapy, surgeries and treatments, he was released home to regain his strength. Forever Grateful Anica, Jakob's mom, said, "If it were not for the quick response and unconditional support and compassion from the team at Renown, Jakob would not be here today." Jakob's family is forever grateful to the staff, community and expertise at Renown for their unwavering commitment to their son and family during their most trying time in life. "When I met Jakob on the first day of his illness, so much was unknown. My team and I were worried, as his symptoms were very unusual. His rapid deterioration, after being a perfectly healthy child, was clearly terrifying for his parents. Handing over a child's care to a team of strangers is one of the scariest things that can happen to parents,” said Dr. Kris Deeter, Physician in Chief at Renown Children’s Hospital. “However, Anica and Jeremiah were also very clear that they did not want Jakob transferred somewhere else. So, we used all our resources to care for him, arrive at a diagnosis, and start aggressive therapies. They listened to every word we said, educated themselves, and became partners in Jakob's care. We all became part of Team Jakob, and soon, he proved to us just how strong he was." Today, Jakob is 13 years old and thriving in every aspect of his life. He is currently on the honor roll in school and finds joy in his newfound passion for the violin. He loves spending his free time learning about mixing music, making new friends and traveling to different parts of the country. This summer, he will travel to Europe to explore his passion for culture. The family says, "We owe it all to the family and staff at Renown."
Read More About Jakob’s Journey at Renown Children’s Hospital
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Departamento destacado: Children’s Infusion Services
Help us celebrate the holiday season by sharing joy with our Children’s Infusion Services team! Thinking about blood can make any of us squeamish, and seeing it can be even more intimidating to the children in our lives. Being treated for a condition that requires blood transfusions or chemotherapy infusions is no easy feat, especially during the holiday season. This time of year, we are proud that we can offer our pediatric patients the power of proximity and excellence by having access to high level care close to home. The Children’s Infusion Services (CIS) department at Renown Children’s Hospital is committed to bringing the gift of quality care to our community’s youngest patients. Whether they are caring for a child with a blood disorder or giving expert infusion care for a child battling cancer, no team does what they do better than these expert nurses, medical assistants, intake coordinators and physicians. ‘Tis the Season to Bring Hope As the only pediatric oncology and hematology program in the region, the CIS department has a lot of responsibility on their shoulders. From inpatient chemotherapy to outpatient infusion services, this team treats a long list of pediatric blood conditions including: Pediatric cancers Anemias Immune-mediated blood disorders Sickle-cell disease Bone marrow failure syndromes Bleeding disorders “Our team provides a large variety of services from labs draws, sedations for procedures, infusions for diagnoses such as Crohn's disease, blood transfusions, as well as chemotherapy,” said Jen Torres, RN. “Our team works extremely well together. We try to go above and beyond for our patients every day. It may be something as simple as a hug to comfort a parent or a special birthday gift for a patient.” “My job allows me to work with several departments and providers when coordinating care for our littlest of patients,” added Jane Strawn, Intake Coordinator. “I assure proper authorizations are in place for the care that is needed, I communicate with our families when scheduling appointments, I organize End of Treatment Celebrations, as well as birthday shout outs and work closely with our Child Life team to help make the challenging appointment little easier.” To best serve their patients, the team thrives on being expert multitaskers. Central line care, chemotherapy administration, blood transfusions, medication management, preventative injections, lab draws, lumbar punctures, biopsies, imaging – you name it, they do it. And they do it all with the utmost focus on safety and support. “Our days have a lot of variation, as we perform a number of different services,” said Meagan Bertotti, RN. “We provide infusions for patients with chronic or acute medical conditions and chemotherapy/biotherapy treatment to patients undergoing cancer treatments. Overall, though, we work as a team to make these difficult procedures and treatments as easy as possible for the patients and families by providing engagement and support.” “While we handle a lot of chemotherapy treatments for pediatric patients, we also do other infusions and transfusions as well such as blood and platelet transfusions, enzyme replacement therapies, different types of injections such as Rabies vaccine or Synagis for high-risk babies who need that extra protection during the RSV season, and lab draws,” said Chelsea Angues, RN. “We care for patients that get their therapies from outside hospitals, but the patient lives within the Reno area. We receive orders from those outside hospitals to care for those patients, so they can still be with their families and not have to travel.” As members of the Children’s Oncology Group, a highly-regarded clinical trials group where over 90% of pediatric cancer patients across the U.S. receive treatment, teams like CIS in Renown Children’s Hospital deliver the highest standard of care. This partnership is a true testament to the devoted collaboration and relationship-building this team commits to on behalf of their patients every day. "One of the biggest accomplishments of our team is the fact that we became a member of the Children’s Oncology Group, and the Children's Infusion Center and Pediatric Oncology became one unit,” said Shelby Nolte. "Instead of being a clinic on one side and an infusion center on the other, we really came together to make it a whole unit that collaborates on almost everything.” “We've put much time into trying to understand other departments, their flow, their rationales and their processes so we can come to a solution that benefits our patients the greatest,” added Tiffany Macie, RN. “We've taken the last few years to really build our relationships with our pharmacy staff, our lab staff and our central supply resources. Our relationship building extends beyond the walls of the Renown building as well and out to the community providers too. In the past few years, we've been able to build relationships with the providers in the community where they trust they can send us their patients for treatment and lab draws. Finally, we've spent much time working on the relationships as a team. It's emotional work we do on our unit, and these families become our family. It's important to us that we take the time to be together outside of our shifts to enjoy one another and laugh!” In the compassionate realm of pediatric healthcare, CIS knows that the complexities of a cancer or blood disorder diagnosis can take an emotional toll on their patients and families. The team firmly believes that emotional support can be as important as the physical and medical support throughout each patient’s unique care journey, striving to be a comforting presence during daunting times. “The most important part of my day is collaborating with the Children's Infusion team to make life manageable for the families that are going through this experience,” added Shelby Nolte, Senior Medical Assistant. “We work as a team to make life easier for the blow of a cancer diagnosis. We are there for our families in every way. If they need a shoulder to cry on, an ear to listen or just someone to play cards with or tell a funny story too, we are there.” “One of the things our team does extremely well to help our patients and their families with new diagnoses is to simply meet them where they are,” said Tiffany Macie. “That looks different for every family and every patient. We work in an environment where can build relationships with our patients and their families. This allows us the unique opportunity to really get to know them. We learn their fears, their joys, their worries, what their family lives are like, and we learn how to best meet them where they are.” Transcending the conventional boundaries of care, the CIS department closely supports each patient, offering them solace tailored to the unique fabric of each family's life.
Read More About Department Spotlight: Children’s Infusion Services
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Why I Give: Sarah’s Story
As an avid soccer player, Sarah saw her fair share of doctors growing up. However, it wasn’t until she was diagnosed with celiac disease, an autoimmune disease affecting how the body ingests gluten, that she became passionate about healthcare. “I couldn’t figure out what was going on,” Sarah said. “I was getting sick, and my symptoms were getting worse.” Thankfully, after seeing a handful of doctors, she was on the path to recovery. “I remember being so relieved, and still am! Now I can focus on getting better,” said Sarah. The most important change people make after being diagnosed with celiac disease is the shift to a gluten-free diet. For many, Sarah included, living gluten-free is a lifestyle change. Thankfully, Sarah sees significant improvements in her health after adjusting her diet. “No one should just accept their symptoms as part of life,” said Sarah. Her increased awareness of health and nutrition motivated Sarah to study biology at the University of Nevada, Reno (UNR). “I want to be a pediatrician so I can help patients, especially kids, figure out treatment plans.” said Sarah who credits her experience living with celiac disease as her inspiration. Dancing for Kids’ Health Currently a senior at UNR, Sarah is a member of Phi Delta Epsilon, a co-ed international medical fraternity. Together with her classmates, she is bringing new energy and ideas to philanthropy. Sarah and the members of Phi Delta Epsilon are doing things differently and in many ways redefining what it means to give. This year, they are on a mission to raise funds for kids’ health at Renown Children’s Hospital. And they are doing this by dancing. The UNR Dance Marathon is part of the Miracle Network Dance Marathon, a student-led, year-round philanthropic movement that unites students across the United States and Canada. Collectively, they raise critical funds for Children's Miracle Network Hospitals. And Renown Children’s Hospital is our northern Nevada CMN partner hospital. Since 1991, over 400 college campuses and thousands of students have raised $300 million for kids. Sarah is the executive director of UNR’s chapter. “So far this year we’ve already raised $10,000 for Renown," said Sarah. Most of the fundraising happens on the day of the dance marathon. But throughout the school year, students hold mini fundraisers on campus and in the community. One hundred percent of the funds raised stay local, impacting Renown’s youngest patients. For every dollar donated, 18% helps provide charitable care, 15% goes to life-saving equipment, 12% supports medical research and 55% provides education, patient services and advancement services. “It's inspiring that we banded together to help kids in our community,” said Sarah. Last year they raised over $18,000. They are hoping to exceed that number at this year’s dance marathon in April.
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Tummy Trouble? Renown Children’s Hospital Adds Another New Specialty, Pediatric Gastroenterology
Two pediatric gastroenterologists bring life-saving care to kids and make Renown their new home The Renown Children’s Hospital team and our community is celebrating the addition of a new life-saving pediatric specialty to its practice serving children and families in northern Nevada. Parents and guardians will now be able to seek professional pediatric gastroenterologist care with the addition of Drs. Juan Gregory and Kathleen Holland to Renown Medical Group. “Recognizing the importance of diagnosing and caring for children who have conditions that affect the organs in the digestive system, including the stomach, liver and bowel, while also helping children who have issues feeding and eating, is critically important to us at Renown,” said Kristina Deeter, MD, MBA, FAAP, Chair of Pediatrics, University of Nevada Reno School of Medicine (UNR Med) and Physician-in-Chief, Renown Children’s Hospital. “Both Drs. Gregory and Holland are superb clinicians, we are excited to have them join Renown Children’s Hospital to offer pediatric gastroenterology services, including a wide range of complex and vital procedures and screenings, endoscopies and colonoscopies.” Juan Carlos Gregory, MD, has 18 years of experience caring for children in northern Nevada. He is a clinical associate professor of pediatrics at UNR Med with a special interest in celiac disease, abdominal pain, and gastroesophageal reflux in children. Gregory earned his undergraduate degree at Texas Christian University in Fort Worth, TX before completing his medical training, including a residency in pediatrics at the University of San Diego in Pediatrics and fellowships in Pediatric Gastroenterology and Nutrition at both Children’s National Medical Center in Washington, DC, and at the National Institutes of Health, Digestive Disease Section in Bethesda, MD. He is board-certified in Pediatric Gastroenterology and speaks Spanish. Kathleen Holland, MD, MPH brings a global health perspective to her work caring for children. A graduate of the University of Nevada Reno School of Medicine (UNR Med) with her medical doctorate and her master’s in public health with a social and behavioral health emphasis, she has donated her skills to providing international medical relief for children in Uganda and Nicaragua. Holland earned her undergraduate degree at University of Nevada Reno in Biology, Health Ecology and Healthcare Ethics before completing her medical training and residency in Pediatrics and a fellowship in Pediatric Gastroenterology at Indiana University School of Medicine in Indianapolis, IN. Her research and scientific interests include vaccination rates and family barriers among children with inflammatory bowel disease, Crohn’s and colitis, pediatric autoimmune pancreatitis, and cystic fibrosis. How Pediatric Gastroenterologists Help Children and Families The Pediatric Gastroenterology Program at Renown Children’s cares for children experiencing common GI-related problems of childhood; nausea, vomiting, abdominal pain, diarrhea, constipation, reflux, colic, milk protein allergy, poor growth and feeding difficulties, and sees patients from infancy to 18 years old. “As specialists in the care of children with gastrointestinal and liver problems, we focus on the diagnosis and treatment of these issues,” said Larry Duncan, MD, Vice President of Pediatrics and Surgery & Administrator of Renown Children’s & Women’s Services. “Our physicians play an active role in teaching and research. We have several areas of expertise including prevention, diagnosis and treating disease of the digestive tract including the esophagus, gallbladder, stomach, pancreas, colon, small intestine and liver disease.” Special expertise includes: Pediatric feeding and growing disorders Aerodigestive disorders Food and hypersensitivity disorders Inflammatory bowel disease Celiac disease Liver diseases Children requiring parenteral and enteral nutrition Renown Children’s Hospital is the only dedicated children’s hospital in northern Nevada, offering programs and services for families from a 100,000 square mile area, from Sacramento, CA to Salt Lake City, Utah. Renown Children’s provides the area’s only Children’s Emergency Room, Pediatric ICU (PICU), children’s imaging center and the largest neonatal ICU (NICU), a level III intensive care unit. Specialty Children’s Care at Renown Today, over 90% of families in northern Nevada seek care from the experts at Renown Children’s Hospital. “We are so grateful to the William N. Pennington Foundation for its support in establishing the William N. Pennington Fund for Advance Pediatric Care in 2016, which allowed us to hire our first 15 pediatric specialists,” said Dr. Deeter. “Today we have over 40 pediatric physician specialists at Renown Children’s Hospital who provide care in adolescent medicine, pediatric endocrinology, pediatric hematology/oncology, pediatric pulmonology, pediatric neurology, pediatric nephrology, pediatric infectious diseases, pediatric ophthalmology, pediatric orthopedic surgery, pediatric cleft and craniofacial surgery, pediatric urology, pediatric dentistry, pediatric emergency medicine, and now, pediatric gastroenterology. Our clinicians provide 30,000 patient visits annually, offering an exceptional level of care. The Pennington gift is truly a gift that keeps giving to the families in our area.” Now Being Constructed: Expanded Inpatient Care at Renown Children’s Hospital New construction of an expanded Neonatal Intensive Care Unit (NICU) with increased capacity to 49 bassinets, an expanded Pediatric Intensive Care Unit (PICU) with increased capacity to 16 private patient and family rooms, and a new Renown Children's Hospital inpatient floor with increased capacity for 38 private patient and family rooms for a total capacity of 58 pediatric beds are currently being constructed on Tahoe Tower, Level 5 of Renown Regional Medical Center. It is expected that the new units will open to patients and families in April 2023. In the most recent US News & World Report Best Hospital rankings, Renown Regional Medical Center was named as the number one hospital in Nevada. Ningún otro hospital del estado cumplió con sus estrictos estándares para el ranking de 2021. Renown Health is High Performing, its highest rating possible, in eight procedures and conditions including Heart Failure, Colon Cancer Surgery and Chronic Obstructive Pulmonary Disease, Hip Replacement and Knee Replacement. A hospital's score is based on multiple data categories, including patient outcomes, safety, and volumes. Los hospitales calificados como sobresalientes eran significativamente mejores que el promedio nacional. Renown Medical Group is an in-network provider for Hometown Health and other health plans. Drs. Gregory and Holland are pleased to see new patients at their location at the Renown Children’s Subspecialty Clinic inside Renown Regional Medical Center at 75 Pringle Way, Suite 505, Reno, Nev. Ask your pediatrician for a referral to a medical specialist when further evaluation of a particular issue is necessary. About Renown Health Renown Health is Nevada’s largest, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in a community-based genetic population health study, the Healthy Nevada Project®. About UNR Med The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents, and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu.
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Renown Children’s Hospital se une a Children’s Oncology Group
Dr. J. Martin Johnston, Renown Health's Chief of Hematology and Oncology. Renown now home to northern Nevada's only Children's Oncology Group institution, giving local pediatric cancer patients access to the most cutting-edge treatments. Renown Children's Hospital announced today that it is now a member of the Children's Oncology Group (COG), the world's largest organization devoted exclusively to childhood cancer. Membership in the COG allows Renown to enroll its youngest patients in the latest clinical trials, including ground-breaking treatments for many childhood cancers, studies to better understand these diseases, and trials focused around supportive care and survivorship. Renown is now enrolling pediatric patients in clinical trials through the COG. Through this process, many childhood cancer patients will be eligible to receive newly-developed therapies. For example, some trials employ immunotherapeutic drugs in addition to conventional chemotherapy, in hopes that adding the immunotherapy results in better health outcomes for pediatric cancer patients. "As a pediatric intensivist by training, I understand how quickly advancements are made in pediatric medicine," said Tony Slonim, MD, DrPH, President & CEO of Renown Health. "As a member of the COG, pediatric oncology patients of Renown Children's Hospital now have access to the latest and most cutting-edge treatment options in addition to commonly prescribed treatments. I am proud of the highly-skilled caregivers at Renown who are constantly expanding their knowledge and contributing research to give our pediatric patients and their families hope for the future." "Until now, we have been able to offer treatments at Renown based on the current standard of care, which means the treatment is based on published trial results that may not reflect the latest research in the field," said Renown's Chief of Hematology/Oncology, J. Martin Johnston, MD. "Previously, a pediatric oncology patient could only enroll in a COG trial if the family had the capacity to temporarily relocate to the Bay Area or Salt Lake City, for example. Now, our patients will have the opportunity to enroll in these trials without the need to travel so far from home." "When faced with pediatric cancer, the last thing parents should worry about is traveling great lengths to receive the best in cancer care," said Larry Duncan, Vice President of Pediatrics and Surgery and Administrator, Renown Children's. "We are proud to now offer the most advanced childhood cancer treatment options here at Renown, close to home and convenient for area patients and their families. We always strive to see more patients beat cancer, and being part of the COG helps our expert team of pediatric oncologists implement innovative and new ways to make that happen." Austin, el hijo de Brenda Milligan, residente de Carson City, tenía 5 años cuando le diagnosticaron leucemia y recibió tratamiento en el Renown Children’s Hospital. As an active participant in her now 10-year-old son's treatment plan, Brenda shares that she regularly sought out advice from COG providers across the country and is pleased that northern Nevadan parents of children being treated for leukemia can now take full advantage of the COG right at home. "The COG allows Renown's providers to have access to treatment plans that weren't available when Austin was receiving treatment," said Brenda. "It comforts me to know that not only can children receive cancer treatment right at home, but their parents can now elect for them to participate in trials and plans that are at the forefront of cancer treatment today." Según el COG, más del 90 % de 14,000 niños y adolescentes estadounidenses con diagnóstico anual de cáncer reciben atención en instituciones miembro del COG. Como institución miembro del COG, Renown se une a más de 200 instituciones, entre ellas Stanford, UCSF y Kaiser Permanente, en este prestigioso honor. El COG está compuesto por más de 9,000 expertos en todo el mundo y tiene alrededor 100 de estudios clínicos traslacionales activos que se llevan a cabo de manera simultánea. Research from the COG has drastically transformed children's cancer outcomes. Hace solo 50 años, se pensaba que el cáncer pediátrico era intratable; mientras que hoy, tiene una tasa de supervivencia combinada a cinco años del 80 %. "The key to ending childhood cancer is through extensive scientific research and clinical trials," said Max Coppes, Cancer Center Director at Renown Institute for Cancer. "As a COG member institution, our doctors will have the opportunity to collaborate with other pediatric oncologists around the world who share a common goal—to cure all children of cancer. At Renown, we are proud to be at the forefront of life-saving research and treatments for pediatric oncology patients throughout our region." “También agradecemos a William N. Pennington Foundation por su apoyo para establecer el Fondo William N. Pennington para la atención pediátrica avanzada en 2016, que nos permitió contratar a más de 15 pediatras especializados, incluso en oncología/hematología, lo cual fue crucial para nuestra solicitud para la membresía del COG”. About Renown Children's Hospital Renown Children's Hospital is the only dedicated children's hospital in northern Nevada, and offers a variety of programs and services designed specifically to care for families in our community. It has the region's only pediatric ER and ICU. Renown Children's Hospital is not-for-profit and relies on philanthropic support. Visit renown.org/give to support Renown Children's Hospital. For more information on programs and services, visit renown.org/children.
Leer más About Renown Children’s Hospital se une a Children’s Oncology Group
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Kristina Deeter, MD, MBA, FAAP Appointed Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital
Kristina Deeter, MD, MBA, FAAP has been promoted from Vice Chair of Pediatrics to Chair of Pediatrics, University of Nevada Reno School of Medicine (UNR Med) and Physician-in-Chief, Renown Children’s Hospital, effective 15 de julio de 2022. Dr. Deeter follows Dr. Max Coppes who recently stepped down to lead Renown’s Pennington Cancer Institute on a full-time basis. Dr. Coppes will continue to serve as Professor of Pediatrics and Internal Medicine at UNR Med. In her new role, Dr. Deeter will be responsible for leading a growing team of over 40 pediatric physician specialists and 15 general pediatric providers at Renown Children’s Hospital who provide over 30,000 patient and family visits annually for families across northern Nevada, Lake Tahoe and northern California. Larry Duncan, MS, Vice President of Pediatrics and Surgery & Administrator of Renown Children's & Women’s Services will serve as dyad partner with Dr. Deeter. “Together, Dr. Deeter and Larry Duncan will be responsible for the strategic direction, operations, fiscal management and recruitment of professionals to Renown Children’s,” said Sy Johnson, MBA, president and chief of staff for Renown Health. “As one of Renown’s ‘Destination Health’ service lines, Dr. Deeter and Larry will continue to support an integrated leadership model that puts the youngest patients- and their families- at the center of all that we do.” As Physician-in-Chief for Renown Children’s Hospital, Dr. Deeter will serve as a senior clinical leader with oversight for the healthcare system’s pediatric medical and surgical services, academic advancement, research and teaching programs. “Dr. Deeter is an energetic, collaborative physician, researcher and mentor who cares deeply about improving the health and well-being of children everywhere,” said Thomas Graf, MD, CEO of Renown Health. “This is an exceptionally exciting time to shape the future of pediatrics in this community, and we are so excited that she is embarking on this new role. I know her talent, energy and inspiring leadership will further elevate our mission of outstanding care, exceptional training, innovative research and impactful advocacy in children’s health.” Dr. Kris Deeter is a highly accomplished physician leader with over twenty years of experience in children’s hospitals and outpatient settings, including federal, academic and private practices. Locally, Dr. Deeter has served as Vice Chair of Pediatrics for Renown Children’s while also leading the ICU teams of Pediatrix National Medical Group as their Specialty Medical Officer since August 2021. For the past six years, she has been the Medical Director of the Pediatric Intensive Care Unit (PICU) and Pediatric Hospitalist teams for Renown and Pediatrix. Since 2017, Dr. Deeter has served as an Educator for REMSA and other Northern Nevada counties, providing pediatric education for Care Flight teams, paramedics and fire departments. Dr. Deeter also recently completed her MBA from the University of Nevada, Reno. “The School of Medicine is delighted to appoint Dr. Deeter as the new Chair of Pediatrics at UNR Med and Physician-in-Chief, Renown Children’s Hospital, says, Melissa Piasecki, MD, UNR Med Acting Dean. “She brings extensive experience in medical education, a positive leadership style and unwavering commitment to the community. We look forward to the ongoing development of medical education and research opportunities in pediatrics.” Dr. Deeter has a passion for service. Coming from an underserved background, her education started in a Head Start preschool. Years later, she received a full-ride scholarship to the University of California, Berkeley where she double-majored in biology and psychology. Dr. Deeter found her true calling in pediatrics while at medical school at New York Medical College. There, she developed an interest in pediatric HIV and infectious diseases while volunteering to help during the HIV/AIDS crisis. Her medical training was primarily funded through a government scholarship that allowed her to start her career as a pediatrician caring for underserved children with the National Health Service Corps. After residency, she and her military husband followed orders and educational opportunities and moved around the country. She worked in a Federally Qualified Health Center (FQHC) in San Antonio with predominantly Spanish-speaking patients and led one of the first academic pediatric hospitalist programs at the University of Texas. Early on, Dr. Deeter developed a passion for medical education developing a new curriculum for students and transitioning residents to new work hour rules. After a move with the military to Ft Benning, Georgia and a busy private practice, she was recruited to Seattle Children’s/University of Washington School of Medicine for ICU fellowship training. There, she joined a large DKA study group and launched her own research into sedation andcomfort practices for critically ill children, publishing in top journals in pediatrics. She later transitioned to clinical practice in a large CICU/PICU in South Florida where she continued her academic collaborations with Florida Atlantic University. Dr. Deeter volunteers her time locally and internationally, including many visits to help improve the only PICU in Haiti after the earthquake there in 2012. She was a board member for a women and children’s hospital in Bangladesh while also supporting local children’s organizations like Head Start. She has served in leadership positions throughout her career, both in academic and private settings, including terms as vice president of the Broward County (FL) medical society, legislative positions with the TMA and FMA, and chairing the hospital’s peer review committee. The Deeter family moved to Reno in 2016 for an opportunity to move closer to family and for what she calls her “dream job” as a leader at Renown Children’s Hospital. “Dr. Deeter is a highly competent and passionate care giver, dedicated teacher, and fierce advocate for the health and well-being of children and their families,” said Max J. Coppes MD, former Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital. “We are fortunate to have her step up to this new role. Her extensive experience will springboard our Children’s Hospital, our membership in Children’s Oncology Group, and if approved in September 2022, a new 3-year accredited pediatric residency program in Reno. She is an inspiration to all, and will help encourage UNR Med students who choose pediatric specialties to excel as pediatricians and eventually practice in northern Nevada, our rural communities and our state.” Dr. Deeter is a member of the Society of Critical Care Medicine: Pediatric section; American Academy of Pediatrics, Nevada Chapter; AAP Section Membership: Critical Care; Pediatric Trauma Society; Pediatric Sedation Society and the American Medical Association. She is a frequent contributor to national and local media on topics regarding pediatrics and child health. The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Desde 1969, UNR Med ha capacitado a más de 3,900 estudiantes, residentes y becarios. La UNR Med continúa mejorando la salud y el bienestar de todos los residentes de Nevada y sus comunidades mediante excelencia en la educación estudiantil, capacitación de posgrado y atención clínica, investigación con impacto local, nacional y global, y una cultura de diversidad e inclusión. For more information, visit med.unr.edu. Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoeand 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. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, 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®.
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Children's ER, Urgent Care or Wait it Out? Here's Your Guide
We’ve all been there: Your child gets sick right after urgent care closes — or worse, in the middle of the night. So do you wait it out, or do you load up and head to the Children’s ER? Pediatric Emergency Physician Joey Gassen, MD, with Northern Nevada Emergency Physicians, has insight. As parents, we often wish we had all the answers. And while a short-and-sweet comprehensive parenting guide is elusive, we can help if your questions involve whether to go to the children’s ER or wait it out. Here, a pediatric emergency physician explains when you should take your child to the Children’s ER at Renown Children’s Hospital, and what makes a children’s ER different. How do you know when it’s time to take your child to the ER? Having a sick or injured child is stressful. If you have a true emergency, you should go straight to the ER or call 911. When to go to the ER: Allergic reactions Asthma or severe shortness of breath Fever (infants less than two months old) Choking or poisoning Coughing up or vomiting blood Fainting, confusion or seizures Fractures or broken bones Head injuries Severe bleeding If you determine your child’s condition isn’t life-threatening but needs to be taken care of right away, urgent care is the best choice. Those conditions include: Cold and flu Coughs and sore throat Fevers Vomiting, diarrhea, stomach pain Cuts and severe scrapes Minor injuries and burns What is different about Renown Children’s ER compared to the adult ER? The difference starts when you first bring your child in. We have a lobby dedicated to our community’s smallest patients. The 24/7 lobby incorporates a child-friendly atmosphere with vibrant colors to help decrease anxiety that can accompany emergency situations. Our children’s ER also has equipment sized just for kids of any age. We offer a distraction machine, as well as games and movies, to help children cope with what can be a traumatic experience, like getting an IV. In addition, we have Child Life Specialists available to provide the emotional support to both children and their families. Why is it important to have an emergency room and lobby open 24/7 dedicated to children? Children aren’t just little people. They have special needs that require specialized care. Our children’s ER is staffed with skilled physicians and pediatric nurses certified in advanced pediatric emergency care to give your child the highest level of support. Renown Children’s Hospital From newborns to teens, Renown Children’s Hospital offers many different services and treatments designed specifically to take care of our community’s children. We provide a range of specialized services — from a dedicated Children’s ER and Pediatric ICU to a children’s imaging center and child’s asthma program. Explore Children’s Services
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Cómo hacer que sus hijos duerman sin pantallas
If you’re a parent, you’ve probably been there — the sometimes-nightly struggle to get your little ones off to bed. Elaina Lantrip, an APRN with Renown Pediatrics, offers some tips and explains how your child’s electronics may be getting in the way of a good night’s sleep. These days, kids are consuming media from a very early age on all types of devices — from tablets and phones to TVs. While they can benefit from some media use, it can have a negative impact on bedtime. We asked Elaina Lantrip, an advanced nurse practitioner with Renown Pediatrics, for some advice on downloading a better bedtime routine. What are the most important practices for parents to establish for their children’s bedtime routines? I often have parents tell me that their child won’t go to bed — or to sleep. Parents frequently ask for tips on bedtime routines that work. My first question is whether their regular bedtime routine involves television, iPad, tablet, phone or anything with a screen. It’s very important that bedtime includes a bath, reading a story, talking, singing and bonding with young ones, rather than using any devices. Why shouldn’t children have a device at bedtime? A growing body of research supports that screen time at bedtime contributes to delays in a child’s falling to sleep; overall inability to reach the important REM, or deep sleep; waking up during the night; nightmares and night terrors. For older youth, engaging with social media before bedtime can bring up stresses, emotions and relationship issues with peers that don’t exactly create peaceful bedtime thoughts. Bedtime should be a screen-free, stress-free, peaceful time of day. It’s a great time for parents to promote self-esteem, talk through things going on in the child’s life, to encourage and build them up. Children grow up fast — bedtime is a great the opportunity with younger children to cuddle up and read a story or sing a lullaby. What are other major considerations in making bedtime smooth and relaxing for kids and their parents? Another factor that contributes to positive sleep habits includes children getting enough activity during the the day so they’re genuinely tired at night. Also helpful are ambient noise makers, peaceful music, avoiding sugar two hours prior to bedtime, consistency in bedtime routine, comfortable pajamas and comfortable temperature in the home. Is it important to keep the child’s bedroom dark? Dimming the lights is important, regardless of the time of year. This is another reason to ban screens, as they emit light that stimulates wakefulness.
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Renown Children's Oncology & Hematology
Renown Health is the only pediatric cancer and hematology program in northern Nevada. We provide inpatient chemotherapy and outpatient infusion services on-site, as well as consultations and management for non-malignant hematologic conditions. As a member of Children’s Oncology Group, Renown is proud to offer our youngest patients quality care close to home. This membership gives local pediatric cancer patients access to the world’s largest organization devoted exclusively to childhood cancer and most leading-edge treatments.
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17ago
Class fee includes partner. This class helps prepare parents for emergencies that may occur in baby’s first year. Along with car seat safety and basic baby proofing, discussion will include prevention and treatment of common injuries. Students will also learn and practice the skills necessary to perform infant CPR (cardiopulmonary resuscitation), as well as the skills necessary to assist a choking infant. The American Heart Association Family & Friends “Infant CPR and Choking” (birth to one year) course is for those who want to learn Infant CPR but do not need a course completion card in CPR for their job. Grandparents and other caregivers are welcome to attend. This class covers the following topics: Car seat safety education Safe sleep Baby proofing your home Basic first aid Infant CPR & Choking If this class is sold out and you need to take a class please email Chris.Marlo@Renown.org or leave a message at 775-982-4352.
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14dic
Class fee includes partner. This class helps prepare parents for emergencies that may occur in baby’s first year. Along with car seat safety and basic baby proofing, discussion will include prevention and treatment of common injuries. Students will also learn and practice the skills necessary to perform infant CPR (cardiopulmonary resuscitation), as well as the skills necessary to assist a choking infant. The American Heart Association Family & Friends “Infant CPR and Choking” (birth to one year) course is for those who want to learn Infant CPR but do not need a course completion card in CPR for their job. Grandparents and other caregivers are welcome to attend. This class covers the following topics: Car seat safety education Safe sleep Baby proofing your home Basic first aid Infant CPR & Choking If this class is sold out and you need to take a class please email Chris.Marlo@Renown.org or leave a message at 775-982-4352.
Leer más About Clase de seguridad para bebés
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