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Alzheimerâs Disease â How to Spot the Signs
Alzheimerâs disease is not normal forgetfulness as we age. Instead, it is a specific form of mental decline. And according to the Alzheimerâs Association it accounts for nearly 80 percent all dementia cases. Natasa Dragicevic, MD, PhD., behavioral neurologist and Alzheimerâs disease specialist with Renown Institute for Neurosciences, weighs in on diagnosing it and the importance of early medical action. How to Diagnose Alzheimerâs Disease In general, the signs of Alzheimerâs disease occur slowly, getting worse over time. For example, forgetfulness is a daily search â for shoes, keys and other misplaced items. Not only is memory affected, but also speech patterns and behavior. There is no single test for Alzheimerâs disease. âSpecifically, a neurologist should be the one to diagnose Alzheimerâs disease given differences in presentation,â clarifies Dr. Dragicevic. âAnd ideally a behavioral neurologist (Alzheimerâs sub-specialist) will be managing the treatment,â she adds. Brain Imaging Diagnosing Alzheimerâs disease involves multiple approaches and medical providers. In short, medical history is reviewed along with a physical exam, lab tests and other diagnostic testing. âA medical workup includes a variety of tests. These include MRI and other brain imaging, as well as neurological and psychological testing. Furthermore, a lumbar puncture is performed to look for markers of the disease,â she states. What Causes Alzheimerâs disease? Although no one knows the cause, researchers think many factors play a role. Uncontrollable risk factors include your genetics and having a family member with the disease. However, the controllable risk factors include: reducing the risk of head injury and keeping your heart healthy. Itâs important to realize that high blood pressure, high cholesterol, stroke and diabetes play a role in brain health. Blood loss to the brain causes vascular dementia, leading to long-term blood vessel damage. Symptoms of Alzheimerâs disease Generally speaking, the signs of this disease differ in each person. Yet noticeable behaviors include: ⢠Losing the way to familiar places ⢠Forgetting to pay bills ⢠Trouble finding the right words when talking ⢠Repeating questions ⢠General confusion ⢠Social withdrawal Alzheimerâs Disease â Benefits of Early Diagnosis Equally important, spotting Alzheimerâs disease early allows more time to benefit from medications and possible clinical trials. Likewise, nutrition and exercise changes can be made, increasing blood flow to the body, and perhaps delaying symptoms. Early diagnosis also allows for personal health decisions and quality-of-life conversations to take place.  According to the Alzheimerâs Association, these benefits include: 1. Medical advantage 2. Emotional and social comfort 3. Time to plan ahead 4. Cost savings A Brain Supporting Lifestyle âAt the present time, treatment is limited,â explains Dr. Dragicevic. âUsually Alzheimerâs is a progressive ongoing disease â any management at this time is purely symptomatic.â However, she states the following lifestyle changes can help support brain health: ⢠New hobbies such as painting, pottery, music classes or learning a new language ⢠Crosswords, puzzles and playing games, such as Scrabble ⢠Brain challenging mobile apps, such as Luminosity ⢠30-45 minutes of mild to moderate physical activity per day, such as walking ⢠Eating a Mediterranean diet (primarily plant based foods)
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Stroke Survival as a Warrior â Kimi's Story
It seemed like a normal Wednesday, except Kimi Woolsey was feeling really stressed. On Sept. 4, 2019 she was rushing to get ready for an appointment when suddenly, she could not feel her legs. Kimi immediately knew something was wrong and called out to her fiancĂŠ, Paul, for help. After seeing a bright light in her right eye, she felt a severe, sharp pain in her head traveling down into her leg. Paul quickly called 911, the EMTâs arrived and her stroke survival journey began. At first the medical team thought she had a complicated migraine, but one of them suspected a stroke. On the way to the hospital Kimi felt numbness and her face drooping, then instantly, no pain. For a moment she thought she was dying, going from pain to numbness and realizing she couldnât move or speak. Kimi didnât know she was having another massive stroke in transit. Each year nearly 800,000 people in the U.S. suffer a stroke, or âbrain attackâ â thatâs one every 40 seconds. Of those, about 75% occur in people over age 65. However, at only 45 years old, Kimi is proof that a stroke can happen at any age. Stroke Survival Begins for Kimi Upon arriving at the emergency department of Renown Regional Medical Center the Certified Comprehensive Stroke Center team went into action. Kimi received a brain MRI, then was wheeled into surgery for a thrombectomy (clot removal). She was in the intensive care unit for 11 days. She remembers someone telling her, âGenerally people donât survive this magnitude of stroke.â And a doctor saying, âYou are here for a reason.â Kimiâs comeback journey began with the comprehensive care team at Renown Rehabilitation Hospital. âLiterally I had the best day of my life that first day thereâŚI was so happy because I couldnât imagine being in a safer place with people that literally live for you,â she recalls. During her 41 days there, her biggest milestone was being able to get out of bed and walk. For Kimi the support she felt at the rehab hospital was key to her progress, âI still feel loved and appreciated and theyâre rooting for me still and I can feel it.â Although she left the rehab hospital on Oct. 18, 2019, she is still working on improving the left side of her body. Currently Kimi works with therapists in outpatient physical rehabilitation sessions, continuing to see improvement in both her hand and leg. Her advice to those currently in a rehab hospital setting is, âStay as long as you can to get the most out of it and push, push, push.â Kimiâs Stroke Survival as a Warrior âHaving a stroke is not for the faint of heart,â says Kimi. She experienced despair and felt discouraged. Many days she would ask herself, âWhy am I here?â Today she proudly calls herself a stroke warrior and refuses to be a victim of her stroke. Alongside her tenacious spirit, Kimi actively helps others on their stroke survival journey. Before her stroke she never dreamed of starting a non-profit foundation. Now, each day youâll find her texting inspiration to others, offering advice and connecting with other struggling stroke survivors on her Facebook page, Stroke Warrior Recovery Coach. Her goal is to become the person she needed to talk to after her stroke; she currently coaches several stroke survivors. âStroke survivors need to know that they arenât alone. Mental support and encouragement are so important for each personâs stroke journey,â Kimi said. Along with the physical changes, Kimi feels the stroke magnified her empathy. âI was always in a hurry in my life. People didnât go fast enough for me â on the road, at the grocery store, in a line. Now I have more patience with myself and others." Kimi realizes most people cannot wrap their brain around the concept of a stroke. In fact, the brain fog, physical challenges and frustration are hard to explain⌠unless youâve experienced them. âYou need to find your tribe,â she explains. âI have a passion for helping people through this process.â Most of all, she encourages people to keep going and never stop. After her stroke, Kimi has a greater appreciation for her family, health and life. She is one of the patients featured in the current âFight The Good Fightâ trauma and physical rehab advertising campaign. âI wake up every day and fight,â she asserts. âEach day you have to fight for your recovery and fight for yourself.â
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Heart Attack Survivor Fights the Good Fight
Something wasnât right. Even though it was the holiday season, on December 23, 2018, Mondo Corona didnât feel goodâŚnot to mention his sudden earache. Although Christmas was a happy celebration with his family. He still felt tired. Was it the flu? And that darn earache wouldnât go away. On that cool winter day, Mondo could not imagine he was near death. Or that he would become a heart attack survivor. Know Your Heart A few days later, on December 27, he wasnât feeling any better. He decided to go to the emergency room at Renown Regional Medical Center. Thatâs when a simple blood test revealed shocking results. âI thought about death a lot. I was calling people to ask them to help take care of my family if I wasnât going to be here anymore,â he emotionally confesses. Although Mondo loves his job as a railroad engineer, it involves on-call shifts and an erratic sleep schedule. At that time his exercise and eating habits werenât the best either. Yet he never imagined he would have a massive, often lethal, type of heart attack called âthe widowmaker.â In fact, his family had been concerned about his health for awhile. âHe worked so much and he didnât take care of himself and he didnât exercise â he was burning the candle at both ends,â shares his wife, Alison. His daughter Justice, an avid exerciser, was always encouraging him to join her at the gym, but could never quite convince him. Mondo remembers the time before he became a heart attack survivor. âI didnât have any exercise whatsoever in my life. At that point my eating habits were just terrible,â he shares. He went to the emergency room due to his earache, but nothing was found until one of the doctors ordered some tests. Specifically blood work showed high troponin levels. Troponin is a blood protein often released in large amounts when the heart muscle has damage, sometimes by a heart attack. Heart Attack Survivor âMy surgeon came in and told us that it was going to be a triple bypass â that three of the fourâŚmajor arteries were clogged 100 percent,â Mondo explains. Amazingly his heart was pumping on only 10 percent blood flow. Heart surgeon, Joseph Brandl, MD, told him he survived a widowmaker heart attack. This type of heart attack happens when there is a 100 percent blockage in the critical left anterior descending artery (LAD) of the heart. Frequently the symptoms can often be mistaken for the flu. According to the Centers for Disease Control and Prevention (CDC), every 40 seconds a person in the U.S. has a heart attack. And 1 in 5 heart attacks are âsilentâ â meaning you can be a heart attack survivor, but not know it. For Mondoâs children, seeing their strong father struggle after heart surgery was difficult. Justice tearfully shares, âIt was really hard seeing him so vulnerable. He really needed anybodyâs and everybodyâs help at that point.â A Heart Attack Survivor Program After leaving the hospital on January 5, 2019, he was extremely weak. On February 12, Mondo began Renown Healthâs Intensive Cardiac Rehabilitation (ICR) Program called the Healthy Heart Program. This program, requiring a doctor referral, includes 12 weeks of supervised exercise along with nutrition education and stress management skills. In spite of heart disease being the leading cause of death in the U.S. â more than all cancers combined, the risk can be lessened with daily lifestyle habits. Mondo credits the ICR program with motivating him and getting his focus back on his health. He saw the team members setting an example and also caring about his health. He describes one of his favorite recipes, âIn ICR Sara showed us how to make this incredible fruit salad, with jicama, watermelon, grapes, oranges, red onion, and ginger!â Of course, the recovery process was not overnight. âIt did take a long time to really realize that he was going to be back to normal, that he was going to be okay and that he was going to be that strong provider for me and my children,â Alison reflects. âMondoâs had an amazing outcome and heâs not limited in his activities at all and should hopefully have a life thatâs not limited at all from heart disease as weâre monitoring everything and everythingâs looking good,â reports his heart doctor Jayson Morgan, MD. Mondo describes his care experience being a heart attack survivor as life-changing. âThe care teams at both Renown and ICR were incredible. There wasnât a single person we came across who didnât immediately become a part of the family. They truly cared for us, all of us, including the extended family that came to visit. They were informative and supportive. I felt like I created lasting bonds with so many of them, especially the gang in ICR. What amazing people.â Lynice Anderson, Director of Intensive Cardiac Rehab, Healthy Heart Program, shares,â Mondo is one of the most genuine, thoughtful and humble people I have ever met. His love for his family is palpable. His impact on me personally and our team is forever.â She acknowledges family support is key to his success, âMondoâs family is his rock and they are his. I have never met a family that was so âall inâ in the support of their loved one. His new heart healthy lifestyle is modeled through his family every day.â Fighting The Good Fight Of course, Mondo may look familiar to you. Thatâs because he is featured in Renown Healthâs âFight The Good Fightâ brand campaign. For this reason, you may have seen him in advertising working out on a treadmill, shirtless, with his open heart surgery scar in full view. When asked how he feels about showing his scar he confidently says, âI donât mind showing it to people. I donât. I earned that scar.â He is a proud heart attack survivor. Today, heâs grateful to be alive and takes his health commitment seriously. âThings have a different feel now. The skies and lakes are bluer and the trees greener. My family is so much more a part of my day. We go on so many more outdoor adventures, trying to incorporate a little exercise into our fun. We watch what we eat more and are trying to teach our children and loved ones about healthy choices. And I think with a few weâve even been successful!â he observes. âDonât take life for granted.â âUnconditional love. I get nothing but support from my family without them I wouldnât be where Iâm at. What happened to me definitely makes me a fighter for sure. Iâm fighting for my life â the good fight â I think life is good,â he adds.
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Human Trafficking Happens in Nevada
Each month an average of 5,016 individuals are sold for sex in Nevada. Frequently the victims of human trafficking are women and children. Thatâs why Renown, along with other community groups, is leading efforts to help victims. Specifically identifying them and connecting them to the support services they need. The purpose is to restore their mental and physical health give them hope for a better life. Supporting Our Community Our goal is to identify victims, providing compassionate care for the complex needs of this vulnerable population. By building partnerships with key agencies and advocates in the community and creating policies around human trafficking, we also aim to transition victims safely to community-based services. Along with training, Renown healthcare workers are armed with pocket guides reminding them how to support human trafficking victims. To provide awareness about this crisis, Renown has implemented four key initiatives: Educate health care providers Execute policies and procedures to identify victims Build partnerships with local law enforcement, emergency services and local advocates Connect victims to crucial community resources Human Trafficking: How You Can Help Awaken acts to transform our community with the ultimate goal of ending commercial sexual exploitation. In 2020, Awaken worked with 173 women and children. Awakenâs programs include a drop-in center, an 18 to 24 month transitional housing program, an educational center for trafficked youth, rental assistance, recovery groups, therapy, tutoring, case management, mentorship, safety, and community. National Human Trafficking Hotline: 1-888-373-7888 Local Emergency: 911 Did You Know?
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From Cancer Survivor to Caregiver
Meet Haley Carroll Being a new nurse comes with many challenges and gaining experience is a journey, but Haley Carrollâs first day on the job was far from her first day in a hospital. Haley was diagnosed with lymphoma right before her senior year of high school, and she was declared cancer-free on December 2, 2015. Inspired by the incredible care she received during her cancer treatments and during her time at Renown Childrenâs Hospital, Haley enrolled in nursing school at the University of Nevada, Reno. She graduated in December 2020, just five years after beating cancer. âIâve always been interested in nursing,â Haley says. âBut once I was diagnosed and began to see everything that my nurses did for me, I knew that thatâs what I wanted to do for patients, too.â
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The Road to Recovery Close to Home
Meet Connor Smith Life was hectic for Connor Smith. He had just finished at the top of his class at both the fire academy and paramedic school and was looking forward to starting work in northern Nevada. It was winter 2019, and he was ready to have some fun. The plan was to ride ATVs at Sand Mountain with his brother Cody, dad Lance and some friends, but a jump would change everything. Connorâs ATV took off but landed awkwardly, and he remembers immediately knowing he was paralyzed. Connorâs mom, Dana Shugar, was at home when she received the upsetting call from Cody, who told her he had an accident. Connor was flown to Renown Regional Medical Center, the areaâs only Level II Trauma Center. After a seven-hour emergency surgery, Dana learned that Connor would live but only had a slight chance of walking again due to a spinal fracture. âThe surgeon saved his life. Itâs amazing how your life can change in a matter of seconds,â she said. Once his condition stabilized, Connor moved to the Renown Rehabilitation Hospital and began physical rehabilitation. âThank God for the people at rehab,â Dana said. âDr. Pence, the therapists, nurses and all the employees were a wonderful support system, explaining everything and answering all our questions. The kindness they showed got me through.â Connor agrees, calling the Renown rehab team nothing short of amazing.
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A Family's Legacy
Dr. Derek Beenfeldt first joined the Renown family in 2014 as a family medicine physician after graduating from University of Nevada, Reno, School of Medicine (UNR Med) in 2011. His son Davis was only 10 years old when Dr. Beenfeldt decided to change careers and attend medical school. Ten years later, Davis is following in his dadâs footsteps as a third year student at UNR Med. âI am proud of Davis for taking on the challenges and the commitment that I know goes along with attending medical school,â Dr. Beenfeldt said. âI also feel lucky that we have a medical school with such a great reputation and resources close to home.â The affiliation is a great source of pride for Dr. Beenfeldt. Not just because two important organizations in his life are joining forces, but he also sees it as both entities taking on an immense responsibility â the challenge to be better for incoming students, and subsequently to improve healthcare in Nevada. Davis is currently going through his rotations and spending countless hours a week at Renown Regional. His dad is right there by his side supporting him along the way. âIt has been really interesting to have discussions about the UNR medical school with Davis, I recognize the names of many of the professors and courses from when I was a student,â Dr. Beenfeldt said. âI tried to be empathetic, as I can relate to how difficult and stressful this time is for him. Dr. Beenfeldt currently works as chief medical officer for Renownâs insurance arm Hometown Health, and Davis is still browsing specialties. âI donât know what kind of medicine I want to focus on yet, but I feel lucky that I can attend medical school so close to home and have the option to continue helping my fellow Nevadans after I graduate.â UNR Med at a Glance UNRâs Medical School was established in 1969 Over the last 50 years, UNR Med has educated 3,900+ physicians More than 30% of UNR Med physician graduates continue to practice in Nevada UNR Med is the stateâs oldest medical school
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Reliable Care From Home
Renown Health has always been on the frontlines of technological advancement, and that innovation remained unwavering during the COVID-19 pandemic. Our telehealth teams heeded the call to provide home monitoring for our patients, transforming how we provide care. The care providers at Renown successfully monitored lower acuity COVID-19 patients from the comfort of their own homes. Bernard Lee was diagnosed with COVID-19 and pneumonia, and was able to return home to continue his recovery with a home monitoring system. While at home, Bernardâs health took a turn for the worse while he was sleeping, but thanks to the continuous monitoring of Health at Home, his worsening vitals did not go unnoticed. âThis monitoring system really saved my life,â Bernard said. âIt was telling me that my sats were low, but I didnât even feel the common COVID symptoms; I just felt tired.â Because of his low oxygen saturation (sats) and the continuous monitoring, he woke up to providers calling to check on him in the early morning. He was immediately transferred to the Renown Intensive Care Unit to be cared for and monitored by our expert care teams. Today Bernard is recovering, feeling great and continuously refers to the team and the home monitoring system as his guardian angels.
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The Salty Six: Are High-Sodium Foods Increasing Your Stroke Risk?
Excess amounts of sodium doesnât just increase your risk of a heart attack, it can also increase your risk of a stroke. Unfortunately, avoiding that saltshaker may not be enough. Did you know that the average American consumes 3,400 milligrams of sodium each day? Thatâs a dangerous number considering that the American Heart Association recommends limiting daily sodium intake to 1,500 milligrams (about half the weight of a penny) to reduce the risk of heart disease and stroke. The problem is not necessarily that youâre putting too much salt on your food, itâs that salt is already in the foods youâre regularly eating. To help keep your sodium intake at a healthy level, make sure youâre aware of âThe Salty Six,â six sneaky foods that are surprisingly high in sodium. Breads, Rolls and Tortillas: Although breads and tortillas may not initially appear to be high in sodium, we often consume several servings. Make sure to keep track of your total servings to see how they add up. Deli Meat, Cured Meats and Poultry: It may surprise you that six thin slices of deli meat can add up to more than half of your daily limit, so be mindful when building those sandwiches. Also, do your best to avoid cured meats, which often means the meat has been salted. Substitute uncured, skinless meats instead. Cheese: Salt is an important addition in the cheese-making process, as it prevents bacterial growth. Unfortunately, that added salt can increase your health risks. Limit the amount of cheese you add to meals to keep your sodium content down. Pizza: Take a quick look at the first three items above and it should be no surprise as to why pizza made the list. One slice and youâve met at least half of your daily limit. Go easy on the cheese and try adding more veggies instead of meat. Canned Soup: One cup of canned soup can be as high as nearly 1,000 milligrams of sodium. When shopping for canned soup itâs important to check the label â not just on sodium content but serving size as well. Always select low-sodium options when possible or cook your own soup at home. Sandwiches and Burgers: A sandwich or burger from your favorite restaurant can contain more than 100 percent of your daily sodium limit. When dining out, it is best to select low-sodium options or eat a half portion to limit the amount of salt. If some of your favorite foods are on this Salty Six list, donât panic. Although these foods can be high in sodium, it isnât necessary to cut these foods out of your diet completely. Itâs just important to eat them in moderation and be mindful of your daily sodium intake. Look for low-sodium options, use herbs and spices instead of table salt and do your best to stay under the recommended daily limit of 1,500 milligrams.â
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Dr. Max Coppes to Lead William N. Pennington Institute
Max Coppes, M.D., Ph.D., MBA who has served as Nell J. Redfield Chair of Pediatrics at the University of Nevada School of Medicine (UNR Med) and pediatrician-in-chief at Renown Childrenâs Hospital for the last six years has announced he is stepping down to lead Renownâs Pennington Cancer Institute on a full-time basis. Dr. Coppes will continue to serve as Professor of Pediatrics and Internal Medicine at UNR Med. âOur goal is to improve the health of Nevadans and reduce the burden of cancer,â said Thomas Graf, CEO of Renown Health. âHaving Dr. Coppes as our clinical leader for the William N. Pennington Cancer Institute on a full-time basis reflects Renown and UNR Medâs commitment to increase access to cancer care, foster a deeper partnership with UNR Med on clinical trials, collaborate on cancer research opportunities, and enhance medical education and post-graduate training. We are thrilled to have Dr. Max leading this important effort.â Todayâs announcement comes two weeks after the William N. Pennington Foundation announced a $15.5 million gift to the Renown Health Foundation to help establish the William N. Pennington Cancer Institute at Renown. Dr. Coppes, a pediatric oncologist by training, has experience in leading large-scale, nationally recognized academic cancer center teams in both the U.S. and Canada. Dr. Coppes came to Reno in 2014 from the British Columbia Cancer Agency in Vancouver, where he served as president with responsibility for six regional cancer centers and two cancer research centers. He was an attending physician at BC Children's Hospital and a professor of Medicine and Pediatrics at the University of British Columbia. During his career, Coppes served as senior vice president at Children's National Medical Center in Washington, D.C. and held positions at several prestigious facilities in the U.S. and Canada including The Hospital for Sick Children (SickKids) in Toronto, Georgetown University, The National Cancer Institute, and the Cleveland Clinic. Since 2016, Dr. Coppes has served in the joint leadership role as the Nell J. Redfield Chair of Pediatrics at UNR Med and pediatrician-in-chief at Renown Children's Hospital, a position made possible through generous philanthropic support from the Nell J. Redfield Foundation along with investments by Renown Health and the School of Medicine. In 2016, the Pennington Foundation recognized the need for enhanced care and expertise for pediatrics and donated $7.5 million to Renown Childrenâs Hospital to establish the William N. Pennington Fund for Advanced Pediatric Care. âAs the Nell J. Redfield Chair of Pediatrics at the University of Nevada, Reno School of Medicine and pediatrician-in-chief at Renown Children's Hospital, Dr. Coppes blazed the trail for the integration of academic and clinical missions at UNR Med and Renown. He demonstrated visionary leadership and undoubtedly will bring the same energy and vision as the clinical leader for the William N. Pennington Cancer Institute,â said Melissa Piasecki, Acting Dean of UNR Med and Chief Academic Officer for Renown Health. âDr. Max Coppes is an extraordinary leader. In the last six years he has done much to elevate the standard of pediatric care available in our community,â said Sy Johnson, President and Chief of Staff of Renown. âThanks to Dr. Coppesâ leadership, the generosity of the Pennington gift and other donors, 100,000 area children now have access to pediatric specialists and contemporary healthcare services at the regionâs only childrenâs hospital. Now, less than 3% of all pediatric patients and their families need to leave the area for specialty care. That is an incredible accomplishment.â Significant achievements made under Dr. Coppes leadership include: Advancing Renown Childrenâs Hospital, the only dedicated childrenâs 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 Childrenâs provides the areaâs only Childrenâs Emergency Room, Pediatric ICU (PICU), childrenâs imaging center and the largest neonatal ICU (NICU), a level III intensive care unit. Under his leadership, the following service lines were established; adolescent medicine, pediatric hematology/oncology, pediatric nephrology, pediatric infectious diseases, pediatric ophthalmology, pediatric orthopedic surgery, pediatric cleft and craniofacial surgery, pediatric urology, pediatric dentistry, and pediatric emergency medicine. Hiring and supporting a team of over 40 pediatric physician specialists. These clinicians provide 30,000 patient visits annually, offering an exceptional level of care to help families. As a testimony to the communityâs confidence in the care provided, market share for pediatric services at Renown Health is now close to 90%. Renownâs membership in the Childrenâs Oncology Group (COG), which gives local pediatric cancer patients access to the worldâs largest organization devoted exclusively to childhood cancer and most leading-edge treatments. Application to establish a 3-year accredited (by the Accreditation Council for Graduate Medical Education (ACGME) pediatric residency program in Reno. If approved in September 2022, Renown Health and UNR Med will start training four new pediatricians each year starting in July 2023. Successful application to the Nevada Governor's Office of Science, Innovation & Technology to receive financial support to fund a new Graduate Medical Education program. Renown Childrenâs Hospital was awarded $ 870,433 for the new pediatric residency program. 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 in-patient floor with increased capacity for 38 private patient and family rooms for a total capacity of 58 pediatric beds on Level 4 of Renown Regional Medical Center. In 2021, Dr. Coppes was named the Healthcare Hero Community Partner by Northern Nevada Business Magazine.
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