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El equipo de Renown Urgent Care lo prepara para mantenerse alerta y seguro en esta temporada y está disponible para la asistencia médica los 7 días de la semana, en 11 ubicaciones en todo el norte de Nevada. In June, staffers at the Centers for Disease Control and Prevention sent a Health Advisory requesting that clinicians and caregivers watch for the respiratory syncytial virus, usually known as RSV, an infection that puts thousands of toddlers and senior citizens in the hospital each year with pneumonia and deep lung inflammation. Según los CDC, el VRS provoca aproximadamente 58,000 hospitalizaciones y entre 100 y 500 muertes cada año entre niños menores de cinco años, así como 177,000 hospitalizaciones y 14,000 muertes entre adultos mayores de 65 años. La agencia advirtió que el VRS estaba apareciendo en 13 estados del sur y el sureste, y que los médicos debían hacer pruebas para detectar el virus si los niños presentaban estornudos, sibilancias o poco apetito y la garganta inflamada. Usually a winter infection, RSV is usually gone by June. Instead, this year, it is spreading—and has since continued to spread across the country, and to northern Nevada. “Sabemos que muchos de los buenos hábitos de higiene que desarrollamos para defendernos de la COVID-19 alteraron el panorama viral en los últimos 16 meses, y suprimieron las infecciones de casi todos los patógenos. Now RSV’s out-of-season return tells us that we need to continue to be on the alert,” says Robert Thole, MD, a physician with Renown Urgent Care. “We are surprised to be seeing so many kids with RSV right now.” “We ask parents and caregivers to keep a watchful eye out for a respiratory syncytial virus (RSV) infection. Symptoms are usually mild and resemble those of the common cold. RSV infection sometimes leads to bronchiolitis, pneumonia, or both. Symptoms of these complications include; difficulty breathing; wheezing; coughing that is getting worse; lethargy, increased tiredness, decreased interest in surroundings, or loss of interest in food,” explains Dr. Thole, who is board certified in family medicine. Catching and spreading the virus People with RSV infection may spread the virus through their secretions (saliva or mucus) when they cough, sneeze, or talk. You can catch the virus by: Touching an object or surface contaminated with the virus and then touching your nose, eyes, or mouth without first washing your hands. El virus puede sobrevivir durante más de 6 horas en las encimeras y otras superficies firmes, como los picaportes, y durante 30 minutos en las manos, la ropa o el papel tisú. Close contact. If an infected person coughs or sneezes near you, you could breathe in RSV that is in his or her saliva or mucus. The virus spreads easily in crowded settings, such as childcare facilities, preschools, and nursing homes. Children attending school often spread the virus to their parents and siblings. El período de incubación (el tiempo que transcurre desde la exposición al VRS hasta que tiene síntomas) varía entre dos y 8 días, pero generalmente es de entre 4 y 6 días. Las personas tienen más probabilidades de contagiar el virus durante los primeros días tras el inicio de los síntomas de la infección por VRS y siguen contagiando durante 8 días. Los bebés y los niños pequeños pueden propagar el virus durante 3 o 4 semanas como mínimo. Most children and adults feel better after a week or two. Treatment For an otherwise healthy child who has symptoms of an upper respiratory infection, such as a cough or runny nose, home treatment usually is all that is needed. It is important to watch for signs of complications, such as dehydration. Watchful waiting may not be a good choice when your child with an upper respiratory infection has an increased risk for complications. Watch your child closely if there are symptoms of an upper respiratory infection. If symptoms get worse or new symptoms develop, see a doctor right away. There is no vaccine and few specific treatments aside from supportive care, such as administering pain relievers and fluids. In the most severe cases, some children or adults might need additional oxygen. Not just in kids, older adults at risk Dr. Thole explains, “RSC is not only seen in children. Los adultos mayores de 65 años tienen un mayor riesgo de complicaciones tras la infección por el VRS. Pneumonia is a particular risk, especially if other health problems exist, such as chronic obstructive pulmonary disease (COPD) or heart failure. It may take older adults longer to recover from RSV infection and its complications than people in other age groups.” Llame 911 a los servicios de emergencia de inmediato si ocurre alguna de las siguientes situaciones: Your child has severe trouble breathing. Your child's breathing has stopped. Start rescue breathing. Call your doctor now if your baby or child has moderate trouble breathing. Call a doctor if your child: Breathes slightly faster than normal and seems to be getting worse. La mayoría de los niños sanos respiran menos de 40 veces por minuto. Has cold symptoms that become severe. Has shallow coughing, which continues throughout the day and night. Has a poor appetite or is being less active than usual. Has any trouble breathing. Hospitalization Doctors sometimes give a monoclonal antibody treatment to high-risk babies throughout the respiratory season to prevent them from catching the virus or developing a severe infection. Some hospitals have started to increase use of the prophylaxis in response to the recent uptick in RSV cases. “Those kids were being protected,” said Kristina Deeter, MD who was quoted in a July 1st Wall St. Journal article on this topic. Dr. Deeter is a pediatric intensivist and medical director at Renown Children’s Hospital Pediatric Intensive Care and Hospitalist Medicine. Dr. Deeter, who also oversees Pediatrix Medical Group’s critical-care team in dozens of pediatric intensive care units across the country, said hospitals are also considering taking additional precautions in the neonatal intensive-care unit similar to some wintertime protocols. At Renown Children’s Hospital, there were no children hospitalized with RSV throughout the winter season, Dr. Deeter said, when there are normally hundreds of cases in our county- many of which do not need to be hospitalized.” Se ha informado un total de 31 casos en el condado de Washoe, Nevada, desde abril, y 26 de estos casos ocurrieron dentro de las últimas tres semanas. Preventing infection To prevent infection, or at least to mitigate them, wear masks, stay home when sick, and washing hands could make a difference in how the next viral season unfolds. For more information on RSV, visit renown.org. Renown Urgent Care Renown Urgent Care está disponible para proporcionar asistencia médica los 7 días de la semana en 11 ubicaciones de todo el norte de Nevada, y brinda tratamiento para una amplia variedad de lesiones leves, enfermedades e inquietudes médicas que son urgentes, pero no suponen un riesgo para la vida. Si requiere atención médica en el mismo día, puede evitar los tiempos de espera prolongados y los altos precios de la sala de emergencias en 13 ubicaciones convenientes, incluidas Reno, Sparks, Carson City, USA Parkway, Fallon y Fernley. You can walk-in or book ahead online. Acerca de Renown Health Renown Health es una red de atención médica integrada de administración local y sin fines de lucro que brinda servicios al norte de Nevada, Lake Tahoe y el noreste de 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 tiene una larga trayectoria y un compromiso de larga data con la mejora de la atención y la salud de nuestra comunidad. Visite renown.org para obtener más información.

Leer más About ¿Tiene tos, secreción nasal, dolor de garganta y fiebre? It Might Be RSV Virus

The University of Nevada, Reno School of Medicine (UNR Med) and Renown Health are pleased to announce members of the first resident class of the new UNR Med Pediatric Residency Program. The four new Pediatric Residents will be working at Renown Children’s Hospital and in Renown outpatient pediatric clinics starting on 1ro de julio de 2023. The following four residents have matched.    Megan Dinges  Megan spent her childhood in Omaha, attending college at the University of Nebraska and medical school at the Des Moines University College of Osteopathic Medicine in Iowa. Megan is a passionate patient advocate with clinical care experience as a Certified Nursing Assistant and ICU tech prior to medical school. She has been a leader amongst peers and volunteered in a homeless shelter working with children. Megan is a first-generation college graduate.  Jason Lundy, DO  Dr. Lundy was raised in California, attending UC Santa Barbara for undergraduate school, and completing graduate school at San Diego State University with a Chemistry degree. He completed his medical training at the Alabama College of Osteopathic Medicine and is currently doing a preliminary intern year in surgery in Cincinnati, Ohio. Jason realized that his true love is Pediatrics after having two small children of his own.  Krista Luntsford, DO  Dr. Luntsford graduated from the Pacific Northwest University of Health Sciences College of Osteopathic Medicine with her Doctor of Osteopathic Medicine (DO) in 2022 and is currently completing a transitional year in surgery in New Jersey. Notably, she was awarded the Gold Humanism Award, served in student government, and led the Pediatrics Club in medical school. Originally from Washington state, she is excited to return to the west coast. Erin Whepley  Erin grew up in Kansas, attended the University of Puget Sound for undergraduate school and will be graduating with her Doctor of Medicine degree from the University of Kansas School of Medicine this spring. Erin is resilient and inspiring and has always known that she wants to serve others through pediatrics.  These four newly trained physicians will be the inaugural members and first class of the new three-year Pediatrics Residency Program with the Accreditation Council for Graduate Medical Education (ACGME) that announced last September. The residency will help shape future pediatric practices – and fill a state and nation-wide physician specialist shortage. Over a three-year period, four physicians will be selected each year for a total complement of twelve residents over a three-year period.  “This new residency is an opportunity to train the next generation of pediatricians who will want to continue providing care in northern Nevada,” said Kristina Deeter, M.D., MBA, FAAP, UNR Med Chair of Pediatrics and Physician-in-Chief at Renown Children’s Hospital. “Our community continues to grow. This new Pediatric residency-training program allows Nevada to have a supply of outstanding, compassionate physicians, now and into the future. With our exceptional team of existing pediatricians, pediatric specialists, medical teams and support staff, we are committed to providing a comprehensive and rewarding educational experience for our trainees.” “Creating a Pediatric Residency Program for our community has been a dream more than five years in the making,” says Dr. Deeter, “Formerly, UNR Med students interested in becoming pediatricians had to leave the state to complete their residency training elsewhere. This program creates a pipeline of much needed pediatricians for our state-especially under-served and rural areas – to serve vulnerable children and families of Nevada with high quality, affordable care.”  The vision to grow pediatric services into a full-fledged Children’s Hospital with a robust Department of Pediatrics as academic partner in Reno began in 2014. Today, 100,000 area children now have access to more than 60 pediatricians, including those specializing in adolescent medicine; anesthesia; cardiology; craniofacial surgery; dentistry; ear, nose and throat conditions; emergency medicine; endocrinology; gastroenterology;  general pediatrics; hospitalist medicine; intensive care; neonatology; neurology; oncology; ophthalmology;  orthopedics; psychiatry; psychology; pulmonology; surgery; urology and other subspecialties previously lacking in the community, as well as a pediatric emergency room, pediatric ICU and contemporary healthcare services at Renown Children’s Hospital. Prior to 2016, about 30% of all pediatric patients had to leave northern Nevada to receive the specialty care they needed. Now, Renown estimates that 97% of all pediatric patients and their families can receive both general and specialty pediatric care locally. The next nearest children’s hospital in the state is 7 hours or 438 miles away in Las Vegas. Paul Hauptman, MD, Dean of the University of Nevada, Reno School of Medicine, and Chief Academic Officer for Renown, explains, “Residencies are specialty training programs for doctors after they graduate from medical school. Before becoming licensed physicians, medical school graduates train for three or more years learning from more experienced ‘attending’ physicians.”  He adds, “Our new pediatric residency program is a tremendous step forward for the UNR Med and Renown Health affiliation- and for our entire community. It advances a mutual commitment to recruit and retain skilled and compassionate physicians and health care professionals, improves access to health care, and invests in clinical research that improves the health of this generation and the next. Within the UNR Med-Renown affiliation, we created an integrated Graduate Medical Education Consortium Council (GME-CC) to provide strategic oversight and growth of residency programs within the affiliation. In this agreement, UNR Med is the sponsoring institution for accreditation and Renown Health (and the VA) is the clinical training partner. This is a great addition to our existing residencies at UNR Med, which include family medicine, internal medicine, psychiatry and behavioral sciences, and provides our students with a great training opportunity in pediatrics.” Nevada’s shortage; ranks 45th for physicians and 47th in the U.S. for pediatricians.  Nevada faces a severe physician workforce shortage, ranking 45th in the nation for active physicians per 100,000 people. The physician workforce shortage is especially critical for pediatricians, with Nevada ranking 47th in the country with fewer than 10 pediatricians for every 100,000 people. The northern Nevada community is growing rapidly and Washoe County faces additional pediatrician shortages as local physicians approach retirement.  “It truly is a dream come true. Dr. Deeter and I are indebted to the comprehensive team that has built the structure, recruited faculty to support the training program and successfully recruited a Program Director, Dr. Caroline Barangan, and Associate Program Director, Dr. Shilpi Garg, a 2012 UNR Med alumna (’12), and Pediatric Residency Coordinator, Jorge Pulido-Rubio. Their hard work and time spent has ensured a successful match.” says Lawrence Duncan, M.S., VP and Administrator for Renown Women & Children’s Hospital.  “Residency programs in pediatrics recruit and train students completing medical school and seeking residency training to become a pediatrician,” says Caroline Barangan, MD, Pediatric Residency Program Director, Renown Health and UNR Med. “Workforce research consistently shows that students who complete a residency tend to stay and practice in the communities where they completed their residency training program. For those who complete medical school and residency in the same place, over 75% stay to practice in that community.” “This new community-based program will provide residents with a strong foundation in primary care pediatrics as well as broad, in-depth exposure to all pediatric subspecialties. This will create graduates equally well prepared for careers in general pediatric practice, service to the state’s rural and underserved communities or in academics," adds David Carlson, MD, UNR Med Associate Dean, Graduate Medical Education; Designated Institutional Officer. “Through the program, pediatric residents will spend their 36-month residency focused on children’s care and complete a primary care-focused clinical training program with rotations that allow them to learn while caring for children in both inpatient and outpatient settings with supervising pediatricians and pediatric specialists at Renown Children’s Hospital.”  “The Pediatrics Residency Program is a wonderful opportunity to continue a tradition of academic excellence alongside Renown Health’s record of clinical excellence,” said Brian Sandoval, President, University of Nevada, Reno. “This is one more way our affiliation, signed in 2021 to establish the first fully integrated health system in Nevada, is helping to expand clinical training and clinical research programs as well as improve access to clinical care for all Nevadans.”  “We are proud to partner with UNR Med to bring this new residency program to our community,” says Brian Erling, MD, MBA, Chief Executive Officer, Renown Health, “Attracting and retaining talent is a key component of our drive for excellence and our mutual goal of improving the health of our community. We are fortunate to have the strong infrastructure necessary to create this program and a team of highly-skilled physicians who can train the next generation of pediatricians.”  For the 2023 residency application cycle, UNR Medicine participated in the National Resident Matching Program (NRMP) and encourages applicants to visit the UNR Med GME website for more information.  About the University of Nevada, Reno School of Medicine 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. 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. About Renown Health Renown Health is Nevada’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,200 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. Renown is currently hiring exceptional members to join our team. Visite renown.org para obtener más información.

Leer más About First Pediatric Physician Residents Accepted Into New Program

The University of Nevada, Reno School of Medicine (UNR Med) and Renown Health are pleased to announce the accreditation of a new three-year Pediatrics Residency Program with the Accreditation Council for Graduate Medical Education (ACGME). The inaugural cohort of pediatric residents will start next summer, in July of 2023. The new residency will help shape future pediatric practices – and fill a state and nation-wide physician specialist shortage. Over a three-year period, four newly trained physicians will be selected each year for a total complement of twelve residents. “Creating a Pediatric Residency Program for our community has been a dream more than five years in the making,” says Max Coppes, MD, PhD, MBA, former Nell J. Redfield Chair of Pediatrics at the UNR Med and pediatrician-in-chief at Renown Children’s Hospital. “Currently, UNR Med students interested in becoming pediatricians must leave the area to complete their residency training elsewhere. The William N. Pennington Foundation has paved the way for this program, which will create a pipeline of much-needed pediatricians for our state, especially in under-served and rural areas – to serve vulnerable children and families of Nevada with high-quality, affordable care.” The vision to grow pediatric services into a full-fledged children’s hospital with a robust academic department of pediatrics in Reno began in 2014 when Renown Health and UNR Med agreed to recruit an academic pediatrician who would serve both as Chair of Pediatrics at UNR Med and as Pediatrician-in-Chief of Renown Children’s Hospital. The Nell J. Redfield Foundation donated $1.5M towards this initiative and expressed the hope to see a pediatric residency program established for the community. After the recruitment of Dr. Max Coppes for this role in 2016, The William N. Pennington Foundation recognized the need for enhanced care and expertise for pediatrics and donated $7.5 million to Renown Children’s Hospital to establish the William N. Pennington Fund for Advanced Pediatric Care. Through these gifts, 100,000 area children now have access to more than 15 specialized pediatricians, including those specializing in oncology, orthopedics, pulmonology, emergency medicine, urology and other subspecialties previously lacking in the community, as well as a pediatric emergency room, pediatric ICU and contemporary healthcare services at Renown Children’s Hospital. Prior to 2016, about 30%of all pediatric patients had to leave northern Nevada to receive the specialty care they needed. Now, thanks to donor support, Renown estimates that 97% of all pediatric patients and their families can receive both general and specialty pediatric care locally. The next nearest children’s hospital in the state is 7 hours or 438 miles away in Las Vegas. Melissa Piasecki, MD, Acting Dean of UNR Med and Chief Academic Officer for Renown, explains, “Residencies are specialty training programs for doctors after they graduate from medical school. Before becoming licensed physicians, medical school graduates train for three or more years learning from more experienced attending physicians.” She adds, “This new residency is a tremendous step forward for the UNR Med and Renown Health affiliation – and for our entire community. This pediatric residency program advances a mutual commitment to recruit and retain skilled and compassionate physicians and healthcare professionals, improve access to healthcare and invest in clinical research that improves the health of this generation and the next. Within the UNR Med andRenown affiliation, we created an integrated Graduate Medical Education Consortium Council (GME-CC) to provide strategic oversight and growth of residency programs within the affiliation. In this agreement, UNR Med is the sponsoring institution for accreditation and Renown Health and the VA are the clinical training partners. The process moved so smoothly; within six months of the affiliation, the GME-CC voted to support a new pediatric residency. This is a great addition to our existing residencies at UNR Med, which include family medicine, internal medicine, psychiatry and behavioral sciences, and provides our students with a great training opportunity in pediatrics.” Nevada faces a severe physician workforce shortage, ranking 45th in the nation for active physicians per 100,000 people. The physician workforce shortage is especially critical for pediatricians, with Nevada ranking 47th in the country with fewer than 10 pediatricians for every 100,000 people. The northern Nevada community is growing rapidly and Washoe County faces additional pediatrician shortages as local physicians approach retirement. “This new residency is an opportunity to train the next generation of pediatricians who will want to continue providing care in northern Nevada,” said Kristina Deeter, MD, MBA, FAAP, Interim UNR Med Chair of Pediatrics and Physician-in-Chief at Renown Children’s Hospital. “Our community continues to grow. This new pediatric residency-training program will allow Nevada to have a supply of outstanding, compassionate physicians, now and into the future. With our exceptional team of existing pediatricians, pediatric specialists, medical teams and support staff, we are committed to providing a comprehensive and rewarding educational experience for our trainees.” “It truly is a dream come true. We are indebted to the comprehensive team that has built the structure, recruited faculty to support the training program and successfully recruited a Program Director, Dr. Caroline Barangan, and Associate Program Director, Dr. Shilpi Garg, a 2012 UNR Med alumna,” says Lawrence Duncan, MS, VP and Administrator for Renown Women & Children’s Hospital. “Between now and summer 2023, we will add the foundational pieces needed to ensure the success of the program including recruiting a Chief Resident, ongoing faculty development and ensuring that all components are in place for recruiting, teaching, supervising and mentoring residents.” “One of the main obstacles for increasing the number of physicians to care for our growing community is the relative lack of pediatric residency programs in the state and the absence of a program in northern Nevada. Residency programs in pediatrics recruit and train students completing medical school and seeking residency training to become a pediatrician,” says Caroline Barangan, MD, Pediatric Residency Program Director, Renown Health and UNR Med. “Workforce research consistently shows that students who complete a residency tend to stay and practice in the communities where they completed their residency training program. For those who complete medical school and residency in the same place, over 75% stay to practice in that community.” “In August, recognizing the need to grow the state’s physician workforce in high-needs specialties, Nevada Governor Steve Sisolak and the Office of Science, Innovation and Technology announced the funding of five graduate medical education residency and fellowship programs, including $870,433 for the UNR Med Pediatrics Residency Program,” said Christine Bosse, Chief Government Affairs Officer for Renown Health. “Nevada produces more undergraduate medical students than it has available residencies and fellowships. Additionally, Nevada lacks fellowships in some specialties that are of interest to students. As a result, many highly educated students must leave the state for further training at a time when they are beginning real-world application of their advanced education. We appreciate that the GME Grant funding will assist the state and our community, in attracting, educating and retaining more doctors for Nevada.” “This new community-based program will provide residents with a strong foundation in primary care pediatrics as well as broad, in-depth exposure to all pediatric subspecialties. This will create graduates equally well prepared for careers in general pediatric practice, service to the state’s rural and underserved communities or in academics," adds David Carlson, MD, UNR Med Associate Dean, Graduate Medical Education, Designated Institutional Officer. “Through the program, pediatric residents will spend their 36-month residency focused on children’s care and complete a primary care-focused clinical training program with rotations that allow them to learn while caring for children in both inpatient and outpatient settings with supervising pediatricians and pediatric specialists at Renown Children’s Hospital.” “The Pediatrics Residency Program is a wonderful opportunity to continue a tradition of academic excellence alongside Renown Health’s record of clinical excellence,” said Brian Sandoval, President, University of Nevada, Reno. “This is one more way our affiliation, signed in 2021 to establish the first fully integrated health system in Nevada, is helping to expand clinical training and clinical research programs as well as improve access to clinical care for all Nevadans.” “We are proud to partner with UNR Med to bring this new residency program to our community,” says Thomas Graf, MD, interim Chief Executive Officer, Renown Health, “Attracting and retaining talent is a key component of our drive for excellence as a care leader and our mutual goal of improving the health of our community. We are fortunate to have the strong infrastructure necessary to create this program and a team of highly-skilled physicians who can train the next generation of pediatricians.” For the 2023 residency application cycle, UNR Med will participate in the National Resident Matching Program (NRMP) and encourages applicants to visit the UNR Med GME website for more information.  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. Desde 1969, UNR Med ha capacitado a más de 3,900 estudiantes, residentes y becarios. 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. About Renown Health Renown Health is Nevada’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 6,500 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. Renown is currently enrolling participants in a community-based genetic population health study, the Healthy Nevada Project®.

Leer más About Approval of New Pediatric Physician Residency Program Helps Improve Care for Children and Families in Nevada