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Use Caution: Mixing Over-the-Counter Medications Can Be Harmful
With allergy season’s extended stay and cold and flu season having just begun, you may soon find yourself seeking relief through several different kinds of over-the-counter medications. Know what precautions you need to take when fighting multiple symptoms with multiple medications. When you’re too sick to go to work but not sick enough for a doctor’s visit, over-the-counter medicines are a welcome relief to help alleviate that fever, runny nose or allergies. But because those medicines aren’t signed off on or managed by your doctor and pharmacist, it’s crucial that you’re especially mindful of what you put into your body. Whenever you pop a pill, you want to make sure you’re taking the right dosage, waiting the right amount of time before taking another dose and not mixing certain medicines together. Recent stories like this one detail dangerous over-the-counter medicine combinations, and we’re following suit: Here is a quick go-to guide about potentially harmful over-the-counter combinations. Too Much Tylenol/Acetaminophen Tylenol — or acetaminophen — is a popular pain reliever for many, but too much can be bad for your liver. “Our bodies have a finite ability to metabolize Tylenol,” says Andy Wright, clinical pharmacist at Renown Rehabilitation Hospital. “When too much builds up in the liver, it becomes toxic. In patients with medical conditions like cirrhosis of the liver or hepatitis, this could be disastrous.” Remember, acetaminophen is in more than just Tylenol and generic pain relievers. You may also see acetaminophen in flu, cold and cough medicines, like Nyquil, and some prescription medications including Norco and Percocet. Keep a list of the medications you take, and limit daily acetaminophen use to 3,000 mg per day. When you’re scanning medicine bottle contents, remember acetaminophen is also referred to as APAP, AC, acetam or paracetamol. Mixing Painkillers When you’re dealing with pain and not getting any relief, taking a different medication may seem like the easy solution. Maybe you take some Aleve — a form of naproxen — for a headache, but it isn’t working, so you switch to Motrin, an over-the-counter form of ibuprofen. Not a smart idea. Ibuprofen and naproxen along with aspirin are known as nonsteroidal anti-inflammatory drugs (NSAIDS). Because these medicines work in similar ways, they should never be combined or used in larger doses or more frequently than directed. Otherwise your risk of side effects can increase, which range from mild nausea to severe gastrointestinal bleeding. It’s also important to consider your family history when taking NSAIDs because, “recent studies have shown NSAIDs may have greater cardiovascular risks for people taking blood thinners or those with hypertension,” explains Andy. “A good example is ibuprofen: It has a relatively low gastrointestinal bleed risk while it has a moderate to high cardiovascular risk. The opposite is true for naproxen.” Rather than experimenting with multiple medicines, figure out which drug works best for you. You may find muscle soreness improves with aspirin, whereas when a headache hits, naproxen is best. Keep in mind that these medications aren’t always best for everyone in the family. “Aspirin in children and teens is not recommended unless under the supervision of a doctor,” Andy says. And pregnant and lactating women should generally avoid NSAIDS due to risk of birth defects and bleeding. “In both of these cases, acetaminophen or Tylenol are preferred but only if approved by an OB/GYN.” Fighting Allergies Over-the-counter antihistamines like Claritin, Zyrtec and Allegra have made fighting itchy eyes and runny noses a little easier. But these daily medicines — when taken inappropriately or in the wrong combinations — can also have an adverse effect. Similar to acetaminophen, you need to watch for antihistamines in other products. Sleep aids — like Tylenol PM and Unisom — commonly use an antihistamine known as diphenhydramine, which may increase your risk of overdose. “Combining antihistamines, or overdosing, can cause many adverse effects including dry mouth, blurred vision — even arrhythmias,” Andy says. “Only take these medications on their own.” If you’re still struggling with symptoms, you can talk to your doctor about adding an over-the-counter nasal steroid. Andy confirms the importance of closely following the directions listed on antihistamine (and all medicine) bottles. He has seen extended release nasal decongestants cause significant arrhythmias requiring medical care after a patient took the medicine with warm fluids. “The decongestant in question is designed to slowly release, but it can dissolve suddenly in the presence of warm liquids like coffee,” Andy explains. “This can cause the pill to deliver 12 to 24 hours of medication all at once.” Taking an Antidiarrheal with Calcium Calcium supplements and antidiarrheal medicines are another harmful combination. Calcium firms up your stool, but if taken with an antidiarrheal, can cause severe constipation. If you need to take an antidiarrheal, take a break from your calcium for a few days until you’re back to normal. Another consideration when taking calcium supplements or calcium-based antacids is gas. “I’ve had several patients report cases of excessive gas using Tums or calcium carbonate-based supplements.” Andy suggests instead “trying Maalox or Mylanta for indigestion and Citracal as a supplement.” Talk with Your Doctor or Pharmacist About Your Medications If over-the-counter drugs aren’t providing the relief you need, it’s time to see your doctor. And remember, for your safety it is important to keep your doctor and pharmacist up-to-date with any medications — prescribed or over-the-counter — that you are taking.
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Name-Brand Medication vs. Generic: What's the Difference?
Most prescriptions meds are available in generic form. Find out the similarities and differences between the two and how to determine whether a generic is right for you. Approximately 80 percent of prescriptions sold today are generics. If you’re taking a prescription medication, chances are it’s a generic form of the brand-name drug. But are you getting the same quality in a generic medication? Do generics measure up? The answer in most cases is yes — generics, just like branded products, are regulated by the Food and Drug Administration. “To have a generic product approved by the FDA, the generic manufacturer must prove that its product is bioequivalent to the branded product,” explains Adam Porath, PharmD, BCPS AQ-Cardiology, BCACP and Vice President of Pharmacy Services. Basically, it has to function the same. “Generic products are extremely well tolerated and will provide the same results as using a branded product,” Porath says. Here’s how generics are the same as name-brand prescriptions: Generic products contain the same active ingredients. They produce the same desired clinical effect and accompanying side effects. Generics come in the same form as their branded counterparts: pill, liquid or inhaler, for example. Release into the bloodstream matches the name brand in timing and strength. Here’s how they differ: Generics generally cost less. Federal law requires generics have different names and look different: shape, size, markings and color. Generics contain different inactive ingredients, like binders, fillers and artificial colors. Different side effects with generics can usually be attributed to these additions. Why do generics cost less? When pharmaceutical companies develop a new drug, they are paying for research, development, clinical studies, marketing — in some cases it can cost more than $800 million and take 10 to 15 years to develop a new drug. “The manufacturers of branded medication products have to recoup their research and development costs,” Porath says. So companies are granted a limited patent to sell their drug without the competition of generic counterparts. “When patent exclusivity ends, the market is open for any generic manufacturer to make a competing product with FDA approval.” Without the same startup costs, companies can sell generics at 80 to 85 percent less. And because more than one company can produce the same generics, competition drives prices even lower.
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Ask the Expert: What is Scoliosis?
Posture is important, but for those children diagnosed with scoliosis (spinal curvature) it can be a difficult issue. The Washoe County School District Student Health Services Department screens 7th grade students for scoliosis as growth spurts often reveal the condition and, if diagnosed early, scoliosis can stop progressing. We asked Michael Elliott, MD, head of the Department of Pediatric Orthopedics and Scoliosis to answer some frequently asked questions about scoliosis. What is scoliosis? There are many types of scoliosis: early onset (occurs before age 10), congenital scoliosis is when the bones of the spine do not form correctly, neuromuscular scoliosis which is due to children’s neurologic and muscle disease, and the most common is Adolescent Idiopathic Scoliosis. The term “idiopathic “ means the exact cause is unknown, although we do know it runs in families. This type of scoliosis occurs in 2-3 percent of adolescents and is mainly seen during their growth spurt. This is why middle school screenings are recommended. Both genders get scoliosis but girls are 8 times more likely to have their curves progress and become larger. What are the signs that my child may have scoliosis? A few signs for parents to watch for are: One shoulder might be higher than the other. One leg may seem longer. A hip may be higher or look more prominent. The waist may not look the same from side to side (asymmetry). The trunk or rib cage may be more prominent on one side or shifted. When they bend forward they may have a bump on their back. How is scoliosis diagnosed? It can be noticed by a pediatrician at a physical, school screening nurse, PE teacher or parents. Once the curve is suspected the child is usually referred to a pediatric orthopedic surgeon scoliosis expertise. At the initial visit the doctor will perform a thorough physical including a complete neurologic exam to assess the amount of curvature. Once the exam is completed the physician will determine if a spinal x-ray is needed. The curve on the x-ray is measured utilizing the cobb angle (a measurement in degrees) which helps guide the treatment. What are common treatments for scoliosis? The treatment depends on the size of the spinal curve and the amount of growth the child has remaining. An x-ray of the child’s hand is used to determine the amount of growth remaining. This allows the determination of the child’s bone age, and based on the hands growth plates it can determined if the child is in their rapid phase of growth. Treatments include: Observation - For curves less than 20-25 degrees. This entails visits every 6-9 months with a repeat scoliosis x-ray. Since scoliosis curves increase only 1-2 degrees per month, and variations in measurements can be 3-5 degrees, an x-ray is not recommended before 6 months. If the curve remains less than 25 degrees the child is followed until their growth is completed (usually age 16-18). Progressing Curve - If growth is finished and the curve is less than 40 degrees, the risk of more curvature into adulthood is small. If growth is completed and the curve is over 45 degrees, the child is followed for several years as these curves can progress into adulthood. If the patient is still growing and the curve has progressed greater than 25 degrees but still in the non-operative range (less than 45-50 degrees) bracing is used to stop the progression of the curve. Bracing - Indicated for curves over 25 degrees but less than 45 degrees. If a brace is required you will be referred to an orthotist (bracing specialist). The orthotist assesses your child, reviews the x-ray and then fits the brace. (Having a brace made usually takes 2-3 weeks.) Once the brace is fit, your child will visit the scoliosis specialist for an x-ray in the brace to ensure it fits correctly. The primary goal of bracing is to halt progression of the curve and prevent the need for surgery. The brace must be worn for about 16 hours per day to be effective. In a recent bracing study 72% of the patients who wore their braces as prescribed prevented the need for surgery compared to the group who did not wear their brace. Surgery: When a curve reaches 45-50 degrees, and a child is still growing, surgery is usually recommended because the curve is likely to continue progress. If a curve is over 50 degrees and the child is done growing surgery also may be recommended. This is because when curves are over 50 degrees they tend to increase 1-2 degrees per year for the rest of your life. As curves get larger the amount of lung function tends to decrease which could cause breathing problems later in life. The goals of surgery are to stop the progression of the curve and safely correct any misalignment. This is accomplished by attaching implants (rods, screws, hooks and bands) to the spine. Bone graft is then placed around the implants to encourage the spine to fuse (grow together). This then forms a solid column of bone with metal rods in place, preventing the curve from changing. Most patients are back to their regular sports and activities six months post surgery.
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Free Virtual Event! Saving Money on Medications
According to a National Center for Health Statistics survey, about 8% of U.S. adults are not taking their medications because they can’t afford them. This means millions of adults aren’t taking their medication due to the high cost. Virtual Event with pharmacist, Adam Porath Thursday, July 23, 11 a.m. to Noon Attend Virtual Lecture 5 Ways to Cut Medication Costs Safely Cost might not be affecting your medication plan, but the following ways to save money on medication can help: 1. Questions to ask your prescribing provider Do I have to take this medication? This is particularly a good question when you’ve been taking a pill for some time and not sure if you should continue. Is there a way to combine my medications? A good example of this is for those who are taking blood pressure medications. Do I have to take this particular pill? Often there are generic choices in the same medication class. Can I get a larger supply? Basically, knowing the cost of a 30- vs 90-day supply is always a good idea. In other words, it could save you time and money. This generally works for medications you take long-term. Remember, asking questions can help you save money on medication, so communicate your concerns. 2. Research online Find the website for the medication and look to see if there are savings and support available through the drug company. 3. Consider a co-pay card Co–pay card programs offered by drug manufacturing companies are a direct way to lower out-of-pocket costs for prescription drugs for eligible patients. The cards can patients pay for the medications they, or their doctors, prefer. If you don’t qualify for a co-pay card, then you can look into patient assistance programs. 4. Consider patient assistance programs Drug companies sponsor these programs by income and they are often hard to find. The best way to find a patient assistance program is by asking your pharmacist. 5. If you’re on Medicare, consider updating your plan Medicare plans can change from year to year, which often times includes the medication they cover and the co-payments or deductible amounts. Annual Enrollment takes place October 15 – December 7, 2020. Most important, review the options and shop around for the best plan. Visit Senior Care Plus for information on Medicare Advantage Plans available to you. Want to ask a pharmacist more questions on how to save on medication? Join us for a Sterling Silver Club virtual event on Saving Money on Medication. To learn more about the Sterling Silver Club, visit our club website.
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Generic Drugs – What You Need to Know About Them
Without a doubt, taking medications can not only be expensive, but also confusing. In the United States, generic prescriptions are widely used, with 9 out of 10 people choosing them over a name brand. Pharmacists are a great resource to help us understand the benefits and side effects of any medication. We asked Adam Porath, PharmD, Vice President of Pharmacy at Renown Health, to answer some common questions about generic drugs. What is a generic drug? A generic drug has the same active ingredients of brand-name drugs. Brand-name drugs have a patent (special license) protecting them from competition to help the drug company recover research and development costs. When the patent expires other manufacturers are able to seek approval for a generic drug. However, the color, shape and inactive elements may be different. Per the U.S. Food & Drug Administration (FDA), a generic medicine works in the same way and provides the same clinical benefit as its brand-name version. Why do they cost less? Generic drug makers do not have the expense of costly development, research, animal and human clinical trials, marketing and advertising. This savings is passed on to the public. Also after a patent expires, several companies will compete on a generic version of a drug, further driving down prices.
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Renown Health Food Pantry Nourishes Patients in Need
Unfortunately, many in our community go to bed hungry. Thanks to the support of the Food Bank of Northern Nevada and other local partners, Renown’s food pantry is helping meet the food needs of homeless and low-income individuals in our community. Patients who qualify for the “Food is Medicine Prescription” can receive a bag of food for themselves and each member of their immediate family every week through a free assistance program. This project started last year when Renown began giving food support to hospital and emergency room patients who expressed the need. Food is also given out at the Healthcare Center, which provides affordable access to care for anyone in our community. Those who receive care at the Healthcare Center are also eligible for food assistance. Working Alongside the Community After receiving food deliveries from the Food Bank of Northern Nevada, Renown’s community health team collects an assortment of fresh produce, donated from local grocery stores and other community organizations. Then they put together one bag for each family filled with healthy foods, such as: Whole grain cereals Shelf stable milk Kid-friendly snacks (granola bars, popcorn, graham crackers Proteins (low-salt soups, stews, peanut butter) Seasonal produce Food is Medicine Prescriptions Continue Amidst the Pandemic Throughout the COVID-19 (coronavirus) pandemic, Renown’s community health workers have been working remotely. They continue to reach out to patients who need groceries from the Food is Medicine Prescription program. With this in mind, the food pantry staff is currently coordinating outpatient deliveries to those with a Food is Medicine Prescription. At present, Renown is working to get more refrigeration, shelving and staffing to expand the service to more Renown Medical Group patients in need of food.
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Celebrating Renown Health's Nursing Excellence Conference
Renown Health recently wrapped up the twentieth annual Nursing Excellence and Excellence in Critical Care Conferences, the conference theme was the Courageous Calling and over 400 nurses from specialty fields across the region attended to learn, reflect, build relationships and obtain continuing education units (CEUs). Celebrating The Courageous Calling During the first day of the Nursing Excellence Conference, local and national leaders presented topics including redefining resilience, documentation liability, transgender healthcare and caring for the homeless population. Among the list of impressive speakers were Chief Nurse Executive at Renown Health, Melodie Osborn, and Nora McInerny, writer and host of the "Terrible Thanks for Asking" podcast. On day two,speakers focused on the critical care specialties within nursing, including intensive care, emergency room, pediatric intensive care and neonatal intensive care. Topics covered included post-COVID-19 pulmonology with Dr. Graham, traumatic brain injuries with Dr. Demers, COVID-19 reflections with Anicia Beckwith, a discussion about "Mis C” with Dr. Healy, innovations in imaging with Dr. Rangaswamy and cardiology with Dr. Danaf. Thank you to our sponsors and raffle donors for making this event possible: Erik Olson and Larry Duncan, Jana Elliott, Melodie Osborn, Becky Haase, Lori Tuntland, Dr. Akbar, Dr. Lous, Mel Morris, Grand Sierra Resort, Renown Health Gift Shops, Renown Health Directors of Nursing, Renown Health Marketing & Communications Department, Renown Health Dermatology, Laser, & Skin Care and Renown Health Foundation. Learn more about finding purpose in the health of our community when working at Renown Health here.
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University Health
University Health—Operated by Renown Health Welcome to Nevada’s first integrated health system! The University of Nevada, Reno School of Medicine (UNR Med), and Renown Health have entered a joint affiliation designed to improve access to care. If you were a former patient of University Health, your access to the same providers and accepted insurance plans remain the same and are now available at Renown Health.
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Nevada System of Higher Education Board of Regents Approve Renown Health and University of Nevada, Reno School of Medicine Affiliation Agreement
Establishes first integrated health system in Nevada. The Nevada System of Higher Education (NSHE) Board of Regents voted today at its monthly board meeting to approve an affiliation agreement between the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health that will establish the first fully integrated health system in Nevada. The Board of Regents approval of the collaboration between Nevada's oldest medical school and one of its largest non-profit health care organizations comes after Nevada Governor Steve Sisolak signed Senate Bill 342 into law. The bill authorizes the NSHE Board of Regents to enter into an agreement to affiliate with a publicly or privately owned medical facility or related entity, whether for profit or not for profit, to further promote and enhance a medical education or health education program at a university. Nearly a year ago, UNR Med and Renown Health announced an intent to affiliate and create an enhanced health care network with increased access to clinical care, and expanded clinical training and clinical research programs. In September 2020, the Board of Regents unanimously endorsed a Letter of Intent between the two organizations, which advanced a period of due diligence to further define the relationship. In addition, the Renown Board of Trustees unanimously approved the agreement. “Thank you to the Board of Regents and Chancellor Rose for supporting UNR Med and Renown Health in this collaborative and generational partnership that will have historical impacts on health care delivery, clinical research development, and training for health care professionals in our state and our community,” says University of Nevada, Reno President Brian Sandoval. “This affiliation will help address Nevada’s access to health care and medical education challenges in new and innovative ways that proactively support the health and wellness of all.” The affiliation agreement details a 50-year commitment for combining the clinical practice, clinical teaching and clinical research programs of both institutions, including descriptions of purpose, structure, governance, funds flow, joint leadership roles and faculty positions, operational management, mission and culture. Renown Health and UNR Med aim to accomplish key strategic goals, including: Improving access to care, including creating new clinical services not currently available in the community; Creating new clinical training programs for UNR Med residents and medical students; Increasing UNR Med’s student class size, which currently accommodates 70 students per medical class; and Providing increased patient access to clinical trials and expanding research and employment capabilities. Like many medical schools and health care systems across the nation, UNR Med and Renown Health have collaborated for decades to advance a mutual commitment to improving the health of the community. Since mid-2020, the organizations have been exploring formalizing a high-level clinical integration. “I appreciate and am so pleased that the Nevada System of Higher Education Board of Regents, Governor Sisolak and the legislature have provided such incredible support for the affiliation of University of Nevada, Reno School of Medicine and Renown Health. We are excited to further our mission of supporting the health and healthcare of the people and communities we serve in local urban and rural communities, across our state and our nation, says Tony Slonim, MD, DrPH, President & CEO of Renown Health. “With this new level of integration, we will be able to drive innovation, research, medical education, grant funding for public health, clinical trials and integrate our medical practices to improve access and affordability of care. Together, we are excited to create a healthier Nevada.” “We are creating an integrated health system that brings together three complimentary initiatives - patient care, research and medical education - and melds them into a single mission, each enhancing the others synergistically, while benefitting the community and the state,” says UNR Med Dean Thomas L. Schwenk, M.D. “The affiliation with Renown Health enhances and leverages the fundamental missions of UNR Med as a state-funded, accredited public medical school governed by the Nevada System of Higher Education so as to remain accessible to Nevada residents and provide opportunities to serve the state in new and expanded ways. The affiliation helps both of our institutions contribute to outstanding health care in Nevada.” This is an affiliation between a 159-year old health care provider, the state’s original land grant university and the state’s oldest medical school. Over the last five decades, UNR Med has educated more than 3,900 physicians with over 30% percent practicing in Nevada, increasing access to care for Nevadans across the state. Equally rooted in the community, Renown’s long legacy of service started in 1862 as a county hospital, Washoe Medical Center. Now, Renown Health, a charitable, not-for-profit organization, serves the community by providing care through hospitals, outpatient medical offices, institutes and a health insurance plan, Hometown Health. UNR Med Public Relations Julie Ardito, APR M: 775-846-8445 E: jardito@med.unr.edu About Renown Health Renown Health is the region’s largest, locally governed, 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 region’s largest, locally owned not-for-profit insurance company, Hometown Health. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, 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 Health and the University of Nevada, Reno School of Medicine hosted affiliation agreement certificate signing event
Today, leaders from Renown Health, the Nevada System of Higher Education (NSHE) Board of Regents, the University of Nevada, Reno and the University of Nevada, Reno School of Medicine (UNR Med) converged for an affiliation agreement certificate signing event. The certificate signing commemorates the affiliation agreement - a 50-year commitment - between Renown Health and UNR Med establishing Nevada’s first integrated health system to advance health and health care through world-class medical education, clinical research and patient care for our community and our state. The certificate signing event comes after the NSHE Board of Regents approved the agreement on June 11, 2021 and after Nevada Governor Steve Sisolak signed Senate Bill 342 into law on May 10, 2021 authorizing the NSHE Board of Regents to enter into an agreement such as the one with Renown Health. A high resolution photo is available for download at med.unr.edu/news/archive/2021/affiliation-signing. About Renown Health Renown Health is the region’s largest, locally governed, 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 region’s largest, locally owned not-for-profit insurance company, Hometown Health. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org. About University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, 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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Governor Sisolak Signs Senate Bill 342
CARSON CITY, NV – Today, Nevada Governor Steve Sisolak signed Senate Bill 342 into law. The bill authorizes the Nevada System of Higher Education (NSHE) Board of Regents to enter into an agreement to affiliate with a publicly or privately- owned medical facility or related entity, whether for profit or not for profit, to further promote and enhance a medical education or health education program at a university. "Throughout the pandemic, we have relied on doctors, nurses and medical professionals to care for Nevadans in need. Legislation like this will help strengthen existing partnerships in the State so we can recruit, train and keep more medical professionals in Nevada,” said Gov. Sisolak. “I look forward to these continued partnerships to help our state for years to come.” Governor Sisolak was joined by University of Nevada Reno President and former Governor Brian Sandoval for the bill signing. “I wish to thank the members of the Nevada State Legislature and Governor Steve Sisolak for their support of this bill,” University of Nevada, Reno President Brian Sandoval said. “This collaborative and forward-thinking framework will provide cutting-edge patient care delivery, greater clinical research opportunities and will ensure that the next generation of medical providers in Nevada will receive the highest possible training. As the past year-plus has demonstrated, the health care environment in our state and throughout the country continues to be dynamic. The passage of this bill ensures that Nevada has the proactive tools to look to the future, so that we can meet our health care and medical education challenges.” “I appreciate and am so pleased that Governor Sisolak and the legislature approved Senate Bill 342 today, which provides support for integrating the University of Nevada, Reno School of Medicine with Renown Health,” said Anthony D. Slonim, MD, DrPH, FACHE, President and CEO, Renown Health, who was present at today’s signing. “This partnership will improve the health and healthcare of Nevadans and all of the communities that we serve. With this new level of affiliation, we will be able to drive innovation, research, medical education, grant funding for public health, clinical trials and integrate our medical practices to improve access and affordability of care. Together, we are excited to create a healthier Nevada.” “We are so appreciative of the unanimous support of the legislature and now the Governor’s signature and support of this bill that provides guidance to the NSHE Board of Regents as it considers the approval of this critical affiliation between UNR Med and Renown Health. We are excited to move to the next step of seeking approval from the Board of Regents for the affiliation and the establishment of an integrated health care system that will enhance medical care delivery and medical education, will improve health care, and will benefit the health and well-being of all Nevadans,” said University of Nevada, Reno School of Medicine Dean and Vice President, Health Sciences, Thomas L. Schwenk, M.D. “The opportunities to take medical care, medical education and clinical research in Nevada to an entirely new level are unlimited and we thank Governor Sisolak for moving us to the next step in this endeavor.” Photos from the bill signing can be requested from the Nevada Governor's Office. In addition, Governor Sisolak also signed the following bills today: Senate Bill 17 - Revises provisions governing the renewal of certain instruction permits to operate a motor vehicle or motorcycle. Senate Bill 23 - Revises the boundaries of the area from which certain members of the State Conservation Commission are appointed. Senate Bill 53 - Authorizes the Administrator of the Division of State Parks of the State Department of Conservation and Natural Resources to organize the areas under the jurisdiction of the Division into regions. Senate Bill 65 – Revises provisions relating to the composition and administration of the State Department of Agriculture. Nevada Governor's Office Public Relations Media Contact E: press@gov.nv.gov
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New Renown Health Scholarship Supports UNR Med Students - The Next Generation of Physicians and Health Care Professionals
Clinical affiliation to create more access to care for Nevadans. View the original press release by the University of Nevada, Reno School of Medicine. Nevada continues to face a physician shortage ranking No. 45 in the United States for active physicians per 100,000 population and No. 48 for primary care physicians per 100,000 population according to the Association of American Medical Colleges (AAMC) 2019 Nevada Physician Workforce Profile. A new clinical affiliation between the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health addresses the provider gap and increases access to care by developing new and innovative ways to train and retain the next generation of Nevada's health care professionals. A cornerstone of the affiliation is the Renown Health Scholarship, which was established by Renown to support UNR Med medical students and physician assistant students in their pursuit of a career in health care. The goal of the scholarship is to award $350,000 annually based on need and merit. In 2021-2022, the scholarship will be awarded to 20 first-year and third-year medical students, each receiving $15,000 for a total of $300,000; and five second-year physician assistant studies program students, each receiving $10,000 for a total of $50,000. "Students are at the core of what we do as a School of Medicine, and this incredibly generous scholarship is the best way possible for Renown Health to celebrate our partnership and support our students," says Melissa Piasecki, acting dean of UNR Med, a role that includes Chief Academic Officer at Renown Health. "We thank Renown Health for this gift that will benefit so many of UNR Med students on their journeys to becoming great doctors and physician assistants. "We are extremely proud to establish the Renown Health Scholarship with UNR Med providing annual support to students pursuing careers in health care," says Anthony D. Slonim, MD, DrPH, President & CEO, Renown Health." As Nevada's first integrated health care system, UNR Med and Renown are advancing health and health care through world-class medical education, clinical research and patient care for our community, our state and our nation, and supporting this first class of scholarship recipients is an important step in ensuring quality access to care for northern Nevada and the state in the future." The inaugural group of scholarship recipients epitomize Renown Health's and UNR Med's combined vision of A Healthy Nevada and mission of improving the health and well-being of the communities they serve. The students chosen for this scholarship further represent UNR Med's commitments to excellence and to a culture of diversity and inclusion in support of their goals of becoming physicians and physician assistants. "This scholarship will contribute greatly to my becoming a physician that can later serve those from lower socioeconomic statuses. I am humbled and honored by the fact that Renown believes that my hard work and determination are worth rewarding, I know it will alleviate some of the mental stress that finances play in my life, and I hope to make these funds count through hard work and dedication to my studies," says Eunice Aiyuk, first-year medical student at UNR Med, who was born in Yaounde, Cameroon, in West Africa, and has lived in Reno since she was three years old. Aiyuk graduated from McQueen High School and from the University of Nevada, Reno with a bachelor of science degree in neuroscience in 2018. Sergio Trejo, Jr., MPH, is a third-year medical student who grew up in Las Vegas and served as a Spanish interpreter at a community health center prior to earning his Master of Public Health degree from the University of Nevada, Reno in 2019, which instilled in him his desire to pursue a career as a primary care physician in pediatrics. "I'm interested in a career in pediatrics since I can combine my knowledge of medicine and public health to not only influence the health of children, but also the entire family, as they are ones that ultimately dictate their child's health outcomes," Trejo says. "This scholarship means the ability to fund my dream of helping alleviate health disparities in underserved communities, especially those who endure language barriers. It will help reduce the stress of funding resources that will help me be successful in my clerkships and beyond." As a second-year Physician Assistant Studies Program student at UNR Med, Benjamin "Benjie" Portillo-Dominguez's path to becoming a physician assistant started at a young age when he attended his parents' doctors' appointments so that he could interpret. He recalls his family's excitement when a health care provider could speak Spanish. "It made a world of difference because it maximized communication and helped them receive the care they needed. This helped develop in me a strong desire to pursue a career in health care, says Portillo-Dominguez, who graduated from the University with a bachelor of science degree in community health sciences in 2018. "In less than a year I will become a Physician Assistant. This has been a long-time goal of mine, but as a first-generation college graduate, this has been the dream of my parents since I was born." "Receiving this scholarship benefits me in my training because it allows me more time to focus on my studies and opens up opportunities to learn from experienced providers. Becoming the best provider I can be, allows me to strengthen this community that I was born and raised in. Having this unique perspective and being in this program allows me to be a solution to the lack of primary care providers in this area, especially with those who speak Spanish." The UNR Med student recipients of the 2021 Renown Health Scholarship were based on merit and need. They include: first-year medical students Eunice Aiyuk, Dakota Johnson, Aisha Masud, Isabella Rodriguez and Raquel Wescott; third-year medical students Davison Beenfeldt, Sara Bertram, Kaileigh Bingham, Curtis Duncan, Brooke Gantman, Alex Harper, Erin Kelley, Regina Kurapova, Ngantu Le, Otto Maurer, Keanu McMurray, Eric Nguyen, Hao To, Sean Torres and Sergio Trejo; and second-year physician assistant studies program students Ali-Marie Lostra, Margaret (Meg) Patterson, Benjamin (Benjie) Portillo-Dominguez, Preston Reugebrink and Ryan Swanson. The UNR Med/Renown Health affiliation is between a 159-year old health care provider, the state's original land grant university and the state's oldest medical school. Over the last five decades, UNR Med has educated more than 4,000 physicians with over 30% percent practicing in Nevada, increasing access to care for Nevadans across the state. Equally rooted in the community, Renown's long legacy of service started in 1862 as a county hospital, Washoe Medical Center. Now, Renown Health, a charitable, not-for-profit organization, serves the community by providing care through hospitals, outpatient medical offices, institutes and a health insurance plan, Hometown Health. Media Contact: Julie Ardito, APR Senior Director, Advancement and Engagement Email: news@med.unr.edu Office: 775-784-6006 About The University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, Nevada's first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Established in 1969, UNR Med is improving 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.