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Giving birth expends as much energy as running a marathon. And just like you would only run a marathon with training beforehand, there are exercises you can do to prepare for birth. But instead of a coach, you'll have your birth team. Your birth team exists to help you navigate pregnancy and labor and support your choices. Let's say you've never put together a birth team before and are wondering where to start. Today we'll go over the three main positions to fill for your birth team's starting lineup. Birthing Person The birthing person is the leader of the team. After all, you can't have a birth team without someone giving birth. This person could be the baby's mother, gestational surrogate, birth parent before adoption, a transgender father or a non-binary parent. If you are not the birthing person, don't presume to know what the ideal labor and birth circumstances should be. And if you are the birthing person, don't allow anyone else to tell you what you want. This is your body and your birth; you are the boss in the birth room. Doula No birth team is complete without a doula, and although doulas have increased in popularity lately, many people still don't know what a doula is. Simply put, a doula is a birth professional – not a medical provider – who offers emotional, physical and informational support during pregnancy, labor and beyond. Most doulas' services include at least one prenatal visit and one postpartum visit, as well as continuous care throughout active labor. Some doulas provide more than one prenatal/postpartum visit, so be sure to ask what is included in their fee. Even if you have a partner who will support you during labor, studies have shown that a doula can significantly increase your likelihood of a positive birth outcome. Even the most supportive partner needs to rest, and a doula can ensure that you still get the care you need while your partner gets a break. Midwife or Obstetrician Finally, you'll want to choose the medical professional who will attend your birth. Many folks choose to give birth with the OB/GYN who does their annual check-ups, but there are many reasons someone might choose a different provider for their birth. The first step to finding the best attending provider for your birth is to decide which model of care aligns closest to your values and goals: the Midwifery Model of Care or the Medical Model of Care. .tg {border-collapse:collapse;border-spacing:0;} .tg td{border-color:black;border-style:solid;border-width:1px;font-family:Arial, sans-serif;font-size:14px; overflow:hidden;padding:10px 5px;word-break:normal;} .tg th{border-color:black;border-style:solid;border-width:1px;font-family:Arial, sans-serif;font-size:14px; font-weight:normal;overflow:hidden;padding:10px 5px;word-break:normal;} .tg .tg-gqvw{background-color:#ffffff;color:#56266d;font-family:Arial, Helvetica, sans-serif !important;font-weight:bold; text-align:left;vertical-align:top} .tg .tg-8vim{background-color:#ffffff;color:#56266d;font-family:Arial, Helvetica, sans-serif !important;font-size:18px; font-weight:bold;text-align:left;vertical-align:top} .tg .tg-qm8j{background-color:#ffffff;color:#56266d;font-family:Arial, Helvetica, sans-serif !important;text-align:left; vertical-align:top} .tg {border-collapse:collapse;border-spacing:0;} .tg td{border-color:black;border-style:solid;border-width:1px;font-family:Arial, sans-serif;font-size:14px; overflow:hidden;padding:10px 5px;word-break:normal;} .tg th{border-color:black;border-style:solid;border-width:1px;font-family:Arial, sans-serif;font-size:14px; font-weight:normal;overflow:hidden;padding:10px 5px;word-break:normal;} .tg .tg-gqvw{background-color:#ffffff;color:#56266d;font-family:Arial, Helvetica, sans-serif !important;font-weight:bold; text-align:left;vertical-align:top} .tg .tg-8vim{background-color:#ffffff;color:#56266d;font-family:Arial, Helvetica, sans-serif !important;font-size:18px; font-weight:bold;text-align:left;vertical-align:top} .tg .tg-2rvk{background-color:#ffffff;color:#000000;font-family:Arial, Helvetica, sans-serif !important;text-align:left; vertical-align:top} Midwifery Model of Care Medical Model of Care Philosophy Birth is physiological. Birth is potentially pathological. Interventions Medical interventions can cause more complications, and therefore are only used as needed. Medical interventions should be used, even in non-emergency situations and sometimes as preventative measures. Decisions Birthing person is the key decision maker. Medical professional is the key decision maker. Provider’s Role Providers monitor labor and will intervene or transfer to hospital if needed. Providers assess and control the birthing process.

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Colorectal cancer is the second-deadliest cancer in the United States – largely because it goes undiagnosed. Dr. Christi Matteoni, Division Chief of Gastroenterology at Renown Health, discusses the symptoms and key screenings used to detect this type of cancer, along with risk factors and lifestyle changes that could affect the likelihood of getting the disease. What are some of the signs and symptoms of colorectal cancer?  Many cases go undiagnosed because polyps can develop and become cancerous without any symptoms. Additionally, since colorectal cancer begins as small polyps, symptoms usually aren’t seen until later stages. This is why screenings are especially important.  For those who do experience symptoms, the signs are often tied to your bowel habits. This can include changes such as constipation or diarrhea, narrow or dark stool, rectal bleeding, abdominal cramping, weakness and fatigue or unintended weight loss.  What are some of the risk factors associated with this type of cancer?  There are risk factors that can and cannot be controlled. Uncontrollable factors include age, race, personal and family histories as well as certain genetic syndromes that are important to discuss with your provider.  This type of cancer is more common in people over the age of 50, African Americans and those of eastern European Jewish (Ashkenazi) descent. This type of cancer is also more common in those who have been diagnosed with polyps, Crohn’s disease, ulcerative colitis and long-term inflammatory bowel disease. important to discuss any of these risk factors with your provider.  There are also lifestyle factors that can help reduce your risk. Factors include being overweight, having a diet high in red and processed meat, as well as smoking and consuming excess alcohol.  Conversely, diets high in fruits and vegetables and a regular exercise routine can help lower your risk.  If someone has some of these risk factors, what should they do? Do they need to get tested?  If you are 45 or older and have any of these risk factors, we recommend you speak with your primary care provider about a formal colorectal risk assessment.  The most common form of screening is colonoscopy. This screening lets your doctor examine the length of your colon, map out any potential problem areas and remove polyps. For most people, colonoscopies are recommended every 10 years starting at age 50. However, depending on your results and risk factors, you may need to begin screening sooner or get screened more frequently.  What do diagnosis and treatment look like for this type of cancer?  There are several diagnostic options for colorectal cancer, including endoscopic ultrasound; CT, MRI and PET scans; and biopsy and pathology reports. These technologies allow your doctor to get images of your colon and evaluate what treatment is needed, as well as how the treatment is progressing.  Treatment varies for each individual working with their doctor. In the case of colorectal cancer treatment, the William N. Pennington Institute for Cancer offers chemotherapy, radiation therapy, surgery and clinical trials.

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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!

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Don’t worry, there’s still time to enroll in a Medicare plan! You’ve probably noticed all the advertisements lately encouraging Medicare beneficiaries to enroll before AEP ends on Dec. 7. But what is AEP, and how can you ensure the best decision for Medicare enrollment? If you’ve been asking yourself this same question, you’re in the right place. Here we’ll explore some of the most important things you need to know before you choose your Medicare plan for 2023. What is AEP? AEP stands for Annual Enrollment Period, and for Medicare this takes place Oct. 15 – Dec. 7 every year. You might hear people refer to AEP as Open Enrollment or the Fall Enrollment Period. All Medicare beneficiaries can enroll during this time, and their new policy will take effect on Jan. 1 of the following year. If you’re already enrolled in Medicare Parts A & B, you can use AEP to enroll in a Medicare Supplemental or Advantage Plan. You can also choose to drop your Supplement or Advantage Plan and revert to traditional Medicare.

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