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    • Surgical Services
    • Weight Loss

    Is Bariatric Surgery Right for You?

    You’ve likely heard about bariatric surgery — and perhaps even have friends who’ve done it. But is it a potential solution for you? Here, Dawn Remme, RN, Metabolic Bariatric Surgery Program Manager, provides insight. You may have been struggling with excess weight for years. You’ve tried high-protein diets, low-carb diets and more. Most patients considering weight loss surgery have tried numerous dieting methods. The truth is, some patients who suffer with obesity are successful dieters. Unfortunately though, excess weigh often returns. This impacts their health and the quality of their life. It can be a disheartening battle. Weight loss surgery is a big decision. In making this decision, keep in mind that surgery is only one step toward your goal of achieving better health. It is neither magic, nor is it the “easy way out.” Weight loss surgery can offer you a TOOL to help you become more successful in controlling the disease of morbid obesity. By combining this tool with a lifelong commitment to important lifestyle changes, medical follow-up and nutritional modifications, you have the potential to become a healthier you. Bariatric Surgery By the Numbers Exploring the facts about obesity, how it impacts your health, and how surgery can resolve or significantly improve your chronic medical conditions is the first step to making a decision. Obesity is medically defined as “excess body fat” and is measured by a mathematical ratio known as the Body Mass Index (BMI). To calculate your BMI, we consider your height, weight, age, gender and body build. Here are the standards: “Normal” BMI: less than 25 Overweight: 25 – 29.9 Obese: BMI of 30 – 39.9 Morbid obesity: BMI of 40 or more Morbid obesity (BMI over 40) is a lifelong, progressive disease, and the prevalence of morbidly obese Americans (100 or more pounds over a healthy weight) is increasing rapidly. According to the CDC, the disease of obesity affects 78 million Americans. Further estimates indicate about 24 million have morbid obesity. Serious medical problems known as co-morbidities often occur when someone is morbidly obese. Studies tell us conditions such as type 2 diabetes, high cholesterol, sleep apnea, high blood pressure and degenerative arthritis increase in severity as the BMI is increasing in patients. When may weight loss surgery be an option? When someone has a BMI greater then 40. If a person’s BMI is 35 – 39.9 and they have significant health problems such as type 2 diabetes, high blood pressure, high cholesterol, sleep apnea, or other diagnosed health conditions related to obesity. Gastric Sleeve, Gastric Bypass Explained To resolve or significantly reduce these health conditions, bariatric surgery can be done when diet and exercise haven’t worked. Weight loss surgery makes changes to your digestive system to help you lose weight. The gastric sleeve limits how much you can eat, whereas gastric bypass limits how much you can eat and reduces the absorption of certain nutrients. Other Benefits of Surgery You can greatly increase life expectancy by resolving or significantly improving conditions like diabetes, high cholesterol, high blood pressure, sleep apnea, and obesity itself. Infertility can also be positively affected. A significant weight loss and relief from serious health conditions and diseases will greatly improve your quality of life. Studies tell us that type 2 diabetes is resolved or significantly improved in 84 percent of patients following bariatric surgery. Cholesterol levels dropped in 95 percent of patients. And hypertension and sleep apnea showed improvement in 68 and 80 percent of patients, respectively, following bariatric surgery. Bariatric Surgery at Renown In making the decision to move forward to better health, it is important to remember: Obesity is a disease, and the desire to have a healthier, longer, more fulfilling life is possible. If you are interested in learning more, please visit the Bariatric Surgery Program page to view more information about Renown Regional Medical Center’s MBSAQIP accredited bariatric program, as well as information about upcoming educational seminars. Or call 775-982-RSVP (7787) to reserve your seat. Learn More

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    • Wednesday, May 04, 2022

    56 Anesthesiologists Join Renown Health to Provide High Quality Services to Area Patients and Surgeons

    Innovative anesthesiology practice improves diagnosis, medical management and quality of life for patient. If you are preparing for a surgical procedure, you have probably given a lot of thought to the education, training and experience of the surgeon performing the procedure. But you may not have thought much about the physician anesthesiologist or the importance of his or her medical expertise in your procedure — before, during and after — to keep you safe and comfortable. "Our leadership team has thought a lot about physician anesthesiologists over the past year,” says Sy Johnson, MBA, President and Chief of Staff for Renown Health. “As the region’s only not-for-profit integrated healthcare network and trauma center, we are trusted and chosen by patients as the top provider of inpatient care, including surgeries, for northern Nevada, Lake Tahoe and northeast California. To serve the needs of hundreds of surgeons and thousands of patients with safe, high quality and effective anesthesia coverage, we now employ fifty-six anesthesiologists through our Department of Surgery and have established Renown Medical Group Anesthesiology, a new local practice for northern Nevada.” “Renown Medical Group anesthesiologists provide 24 hour surgical and procedural coverage based on clinical skill sets, surgeon preference and patient preference. Patients who choose Renown for their care can feel certain that they are receiving anesthesia care from a physician anesthesiologist who has attained board certification. Renown Health hospitals are pleased to provide patient care exclusively by physician anesthesiologists,” says Thomas Graf, MD, FAAFP, CEO, Chief Clinical & Quality Officer of Renown Health and Senior Associate Dean for Clinical Affairs at the University of Nevada, Reno School of Medicine. “We are the doctors trained to administer and manage anesthesia given to a patient during a surgical procedure to ensure anesthesia care is as safe and effective as possible,” says Nariman Rahimzadeh, MD. Dr. Rahimzadeh serves as Medical Director and Chief of Staff for Renown South Meadows Medical Center, is a member of the new group and has practiced in Reno for fifteen years. “We also play a key role in taking care of patients who are having minor surgery or who may not require general anesthesia, such as women in labor who need to be awake and alert but require effective pain management.” “Our innovative anesthesiology practice is now staffed by fifty-six anesthesiologists. We are serving patients and surgeons at Renown Health hospitals with one fully integrated model of care to improve diagnosis, medical management and quality of life,” says Christos Galanopoulos, MD, MBA, MSc, FACS; Chair, Department of Surgery and Vice President at Renown Health. “We strive to advance anesthesia through clinical excellence, education, innovation and people. Our nationally recognized medical staff and dedicated support team perform the majority of anesthesia procedures in our market, and evaluate, monitor, and supervise patient care before, during, and after surgery to deliver effective anesthesia and ensure optimal patient safety.” “Physician anesthesiologists have 12 to 14 years of education, including medical school, and 12,000 to 16,000 hours of clinical training,” adds Scott Parkhill, MD, FASA, who serves as a Medical Director and Vice Chief of Staff at Renown Regional Medical Center and is a member of the new group. “Physician anesthesiologists in the United States complete a four-year undergraduate college degree that includes satisfying pre-med requirements. Like other medical doctors, they must follow undergraduate education with four years of medical school. After medical school, a physician specializing in anesthesiology completes a four-year anesthesiology residency program. Following completion of a residency program, residents are eligible to sit for the American Board of Anesthesiology (ABA) exam. We are pleased that all of our Renown Medical Group anesthesiologists are board certified.” Adds Kelsey Larsen, MBA, Chief Operating Officer for Renown Medical Group, “We are thrilled to welcome and employ forty-two physician anesthesiologists who started with us on April 1. An additional nine physicians joined last week and five other physicians have requested to start over the summer for a total of 56 anesthesiologists that have joined Renown Health to provide services to patients.” Patients served include those at Renown Regional Medical Center, the only Level II Trauma Center between Sacramento and Salt Lake City, and named #1 Hospital in the State of Nevada by U.S. News and World Report Best Hospital Rankings for 2021. Physician anesthesiologists will also provide services to patients at Renown South Meadows Medical Center, named #1 Best Hospital for 2020 by U.S. News & World Report; and to patients at Renown Rehabilitation Hospital, northern Nevada’s only Commission on Accreditation of Rehabilitation Facilities (CARF) accredited hospital, specializing in the treatment of patients with brain injury, spinal cord injury and stroke. Renown Health is integrated with the University of Nevada, Reno School of Medicine, Nevada’s first medical school, which serves to enhance the health of the community through increased access to care, innovative health care delivery, expansion of clinical research and training for the next generation of physicians and health care professionals. 51 ANESTHESIOLOGISTS WHO JOINED RENOWN IN APRIL 2022: Samuel Beck, MD Heber Becker, MD  Peter Billharz, MD  Kara Bjur, MD  Brian Brewer, MD Brian Buehler, MD Carrie Buehler, MD Catherine Burton, MD Joshua Cartinella, MD  Nicholas Cirac, MD  Gordon Curry, MD  Scott Dougan, MD  JoAnn Ellero, MD  Daryl Fenio, MD  Dirk Fletcher, MD  Tobey Gansert, MD  Benjamin Garol, MD  Jeffery Grudzinski, MD  Keith Hanson, MD  Min Hein, MD  Mark Janes, MD  Scott Jeannes, MD  Kevin Lasko, MD  Sarah Lim, MD  Jay Markin, MD John Marshall, MD  Eric Moody, MD  John Mortensen, MD  Jobin Nash, MD Mel Nutter, DO      Scott Parkhill, MD   Nariman Rahimzadeh, MD   Suresh Raman, MD   Shaina Richardson, MD   Alan Sarabia, MD   Heidi Sarabia, MD   Mitch Seman, MD   Daniel Sorensen, MD   Ryan Stites, MD   Aaron Wallace, MD   Duncan Browne, MD   Tyler Hartley, MD   Jie Lan, MD  Pamela Russell, MD  Scott Reineck, MD   Brian Landreth, DO      Kara Sievert, MD   Chiaki Nakanishi, MD  Philip Phu, MD  Matthew Sabatini, MD   Robert Kyper, MD  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. 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

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