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Your Top 5 Questions about TAVR Answered
Your heart is the muscle in charge of pumping blood to your entire body. This vital organ is made up of chambers, valves and blood vessels. Your heart valves work similarly to a one-way door: they open and close, controlling blood flow in the correct direction through the heart chambers. For patients who have been diagnosed with a heart-related condition like aortic valve stenosis (narrowing), it is important to know treatment options. Most might think open-heart surgery is the only way to treat a heart valve, but many hospitals, including Renown, also offer a minimally invasive procedure called a Transcatheter Aortic Valve Replacement (TAVR). Dr. Abhilash Akinapelli of Renown Institute for Heart & Vascular Health shares his answers to the top five TAVR questions: 1. What causes aortic valve stenosis? Aortic valve stenosis can be caused by a variety of factors. The main reasons being wear and tear of the valve due to aging; genetically abnormal heart valve (bicuspid aortic valve); long-standing high blood pressure; and other reasons like radiation exposure. 2. Am I a candidate for TAVR? Renown’s heart care teams are made up of your primary care provider, cardiologist and cardio thoracic surgeon. They will evaluate if patients are a good candidate for the TAVR procedure by performing a variety of screenings and tests. Some of these include: Echocardiogram Electrocardiogram (ECG or EKG) Chest X-ray Exercise tests or stress tests Cardiac computerized tomography (CT) scan Cardiac catheterization 3. What are the advantages of the TAVR procedure? The Transcatheter Aortic Valve Replacement (TAVR) procedure is much less invasive than open heart surgery, otherwise known as a Surgical Aortic Valve Replacement (SAVR). Patients can typically return to their normal lifestyles within a week after leaving the hospital. During the TAVR procedure, a stent valve mounted on a balloon is advanced to the heart through the blood vessels in the groin without any incision. Once in position, the balloon will be inflated to firmly expand the new valve inside the diseased old valve, pushing it away to the sides. Once the new valve is in place, it begins working immediately and the deflated balloon is removed. The surgical procedure is approximately one hour long. Patients can get up and walk after four hours and will be discharged the following day if no complications arise. Compared to a SAVR, recovery time is much shorter and less risky for patients above the age of 75. A big advantage for anyone who fits under the criteria for a TAVR. 4. Is the procedure painful? The TAVR procedure is not surgery, but you will still be asleep during the procedure. Since no incision is made, it is essentially a painless procedure. Patients may experience slight discomfort such as aches and pains at the entry site of the catheter. 5. Can I have an MRI and X-rays done after having a TAVR valve? Yes, patients can have MRI scans and X-rays after TAVR. For further questions and information about the TAVR procedure, please consult with your Renown heart care team at 775-982-2452 or through MyChart.
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Thomas S Dolan Pulmonary Rehabilitation Program
The program becomes first of its kind to be accredited in Nevada Renown Health is pleased to announce the certification of the Thomas S. Dolan Pulmonary Rehabilitation program at Renown South Meadows Medical Center by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). AACVPR certification demonstrates that an organization's Pulmonary Rehabilitation Program is aligned with current guidelines set by the American Association of Cardiovascular and Pulmonary Rehabilitation for appropriate and effective early outpatient care of patients with cardiac or pulmonary issues. Certification offers peace of mind, so that patients can feel confident in knowing that staff has the experience and skills necessary to coordinate the many issues faced by people receiving a life-changing cardiac or pulmonary diagnosis. Pulmonary rehabilitation programs help people with health issues such as asthma, chronic bronchitis, pulmonary fibrosis, or chronic obstructive pulmonary disease (COPD) recover faster and live healthier. “Having access to quality pulmonary rehabilitation services so close to home, staffed by a highly skilled group of compassionate care providers, truly is a gift to our community,” said Tony Slonim,MD, D.Ph., president and CEO of Renown. “We are extremely proud of the work being done in our pulmonary rehabilitation program, and also forever grateful for Tom Dolan’s donation to the program in 2019, which empowers Nevadans to improve both their health and quality of life.” “Thomas S. Dolan Pulmonary Rehabilitation is the only accredited pulmonary rehabilitation program in the state of Nevada,” said Renown South Meadows Medical Center and Rehabilitation Hospital Vice President Chris Nicholas. “We take pride in this distinguished honor from the AACVPR as it acknowledges and amplifies the life-changing work happening here. Our dedicated caregivers provide support to our patients every step of the way, helping them lead vibrant and fulfilling lives despite their health conditions.” The comprehensive pulmonary rehabilitation program at Renown South Meadows Medical Center offers treadmills, stationary bicycles, strength training and an education classroom to help patients achieve health goals. To earn accreditation, Renown’s pulmonary rehabilitation program participated in an application process requiring extensive documentation of the program’s practices. AACVPR Program Certification is the only peer-review accreditation process designed to review individual programs for adherence to standards and guidelines developed and published by AACVPR and other related professional societies. In November 2019, Tom Dolan, owner and founder of Dolan Auto Group, donated to the Pulmonary Rehabilitation at Renown South Meadows Medical Center after his personal experience thriving in pulmonary rehabilitation brought northern Nevada’s capabilities, and needs to his attention. His generous donation has allowed Renown to double the number of patients who receive treatment and increase the access to pulmonary rehab in our community. “As a former patient myself, I found so much benefit in my pulmonary rehab,” said Dolan. “I have always wanted to support this program and increase the number of people it serves. It’s great to see that we now have the only certified pulmonary rehab in Nevada. “The most essential component of lung health is breaking the cycle of inactivity associated with lung disease,” said Lung Critical Care Physician Dr. Farah Madhani-Lovely. “Our community is fortunate to have an accredited program like this to empower our patients.” About AACVPR Founded in 1985, the American Association of Cardiovascular and Pulmonary Rehabilitation is a multidisciplinary organization dedicated to the mission of reducing morbidity, mortality and disability from cardiovascular and pulmonary disease through education, prevention, rehabilitation, research and disease management. Central to the core mission is improving the quality of life for patients and their families. Learn more about AACVPR at www.aacvpr.org.
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The Art of Being Beth
Beth Macmillan is a work of art in her own right. This Sterling Silver Club featured member is also a one-time professional dancer who now takes center stage as the passionate leader of Artown, northern Nevada’s colorful and wonderfully diverse, month-long celebration of the arts –happening throughout Reno in July! So how might we paint a portrait of someone as unique as Beth? We thought an art-full Q&A was a good place to start. Question: Can you tell us how you came to Reno and to your post as executive director of Artown? “I was born in Johannesburg, South Africa and eventually moved to Reno, Nevada to dance in a show called ‘Hello Hollywood Hello!’ at the MGM Grand Resort (now known as the Grand Sierra Resort). I joined Artown in 2001, became executive director a year later and have thoroughly enjoyed my journey there – and here in Reno – every single day since.” Question: What do you love about the arts? “I love how the arts build creative minds in all of us. The arts spark our imagination and encourage innovation. We are all artists. We dress with creative intention, decorate our homes imaginatively and cook meals for ourselves and others to impress and satisfy through culinary artistry.” Beth’s Favorite Color: Green “I love the way green clothing looks on me and makes my eyes sparkle. Green is a calming color and my home is painted a soft and calming green on the interior.” Question: What is your personal vision and hope for the arts community in Reno/Sparks and northern Nevada? “My vision for the arts in our community is that we continue to build a cultural center in northern Nevada. We are a destination for the arts and should continue to build strength in that draw. Reno has become a place where artists are finding a home and are able to work and create artistry in every genre. My hope is that everything that is happening with the arts here is just the beginning.” Question: Do you think a person’s health can benefit from exposure to the arts? “I believe wholeheartedly that the arts are tied to health. Renown has a healing arts program which helps patients heal through creating art. I also know that Artown brings people together and out of isolation, which is one of the biggest culprits for depression. Artown encourages folks to come out and enjoy the outdoors, gatherings with friends and enjoyment of the arts – all of which build a healthy lifestyle. During COVID-19, Artown also helped heal of our community through our Heart own program, which encouraged creativity and inspiration. In short, I feel the arts are essential to our wellbeing, on many levels.” Question: What do you do to stay vibrant and healthy? “I always have a project going. I love to restore furniture, sew, paint, garden, knit and cook interesting meals for friends. I try to eat a healthy diet with tons of veggies and fruit. I also enjoy hiking, paddle boarding, gardening and yoga, all of which keep my working-out enjoyable and satisfying.” Beth’s Artown Highlight “When we brought Mikhail Baryshnikov to Reno… it made me proud of our community. It was one of the best performances I have ever seen and I didn’t have to go to a major market to see him perform.” Question: What do you appreciate most about your life at 55+ and what advice would you offer to other club members to help them live their best lives? “I lost my husband to cancer when he was young. His passing reminds me to cherish every moment of every day and take time to look around and be grateful for life. I am eternally grateful for my two sons. One is an engineer for a local construction company, the other is completing his studies in type theory in Gothenburg, Sweden. And I am in the arts – what a contrast!” Question: What excites you about partnering with the Sterling Silver Club for Artown? “I am excited for what Artown offers Sterling Silver Club members and our entire community. I want everyone to know that the best time in Reno to enjoy one another and the arts is in July, because we have Artown!” Question: Finally, how would you define the art of life? “The art of life is to create a world you want to read in a book, see in a painting, watch in a ballet, experience in a play and hear in music.” The Sterling Silver Club thanks Beth for being such an inspiring ambassador and for her tireless dedication to celebrating and supporting the arts in our community through Artown! Sterling Silver Club The Sterling Silver Club’s exclusive benefits are designed with you in mind. From social events and lectures to entertainment, special discounts, and health insights and tips. Sign Up for the Club!