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Your heart is the muscle in charge of pumping blood to your entire body. This vital organ is made up of chambers, valves and blood vessels. Your heart valves work similarly to a one-way door: they open and close, controlling blood flow in the correct direction through the heart chambers.   For patients who have been diagnosed with a heart-related condition like aortic valve stenosis (narrowing), it is important to know treatment options. Most might think open-heart surgery is the only way to treat a heart valve, but many hospitals, including Renown, also offer a minimally invasive procedure called a Transcatheter Aortic Valve Replacement (TAVR). Dr. Abhilash Akinapelli of Renown Institute for Heart & Vascular Health shares his answers to the top five TAVR questions:  1. What causes aortic valve stenosis?  Aortic valve stenosis can be caused by a variety of factors. The main reasons being wear and tear of the valve due to aging; genetically abnormal heart valve (bicuspid aortic valve); long-standing high blood pressure; and other reasons like radiation exposure.   2. Am I a candidate for TAVR?  Renown’s heart care teams are made up of your primary care provider, cardiologist and cardio thoracic surgeon. They will evaluate if patients are a good candidate for the TAVR procedure by performing a variety of screenings and tests. Some of these include:   Echocardiogram  Electrocardiogram (ECG or EKG)  Chest X-ray Exercise tests or stress tests  Cardiac computerized tomography (CT) scan  Cardiac catheterization  3. What are the advantages of the TAVR procedure?  The Transcatheter Aortic Valve Replacement (TAVR) procedure is much less invasive than open heart surgery, otherwise known as a Surgical Aortic Valve Replacement (SAVR). Patients can typically return to their normal lifestyles within a week after leaving the hospital.   During the TAVR procedure, a stent valve mounted on a balloon is advanced to the heart through the blood vessels in the groin without any incision. Once in position, the balloon will be inflated to firmly expand the new valve inside the diseased old valve, pushing it away to the sides. Once the new valve is in place, it begins working immediately and the deflated balloon is removed. The surgical procedure is approximately one hour long. Patients can get up and walk after four hours and will be discharged the following day if no complications arise. Compared to a SAVR, recovery time is much shorter and less risky for patients above the age of 75. A big advantage for anyone who fits under the criteria for a TAVR.  4. Is the procedure painful?  The TAVR procedure is not surgery, but you will still be asleep during the procedure. Since no incision is made, it is essentially a painless procedure. Patients may experience slight discomfort such as aches and pains at the entry site of the catheter.   5. Can I have an MRI and X-rays done after having a TAVR valve?  Yes, patients can have MRI scans and X-rays after TAVR.   For further questions and information about the TAVR procedure, please consult with your Renown heart care team at 775-982-2452 or through MyChart.

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A Friendship Gone Viral  When a friendship is strong enough, it can survive just about anything – even a pandemic! Sterling Silver Club members and longtime friends, Marlene and Kim, are living and thriving proof of that.  Career & Community Cohorts  With successful careers in the Reno area and a common passion for community involvement, it’s no surprise the women knew of each other even before their friendship developed. The first time they actually worked together was in 2001 at TMWA (Truckee Meadows Water Authority), where Marlene’s company was brought on board to steer communications and Kim was heading up the then-new utility’s customer relations department. TMWA was where these colleagues became cohorts who have since become the best of friends.  Now retired, Kim’s favorite job these days is being a doting “Noni” to her two granddaughters who live nearby and who she keeps up with by staying active. Kim enjoys practicing yoga and loves to spend time walking and hiking in the great outdoors – with two enthusiastic dogs that are always ready to join her.  Marlene is still working and running her nearly 40-year-old public engagement and outreach company, GoodStanding. Her “fun and interesting” projects help to build community engagement for her clients and often focus on water resource management and conservation.  The Rotary Club of Reno, known as the “downtown club,” is also an important part of both women’s lives. Marlene was just the third woman to join the historically male organization in 1991 and made it her mission to recruit and sponsor female members – like Kim. Today, women make up nearly half of the membership and Marlene and Kim are both heavily involved in the club and its initiatives, including its scholarship program and community beautification projects along Riverside Drive.  A Friendly Q & A  To learn more about the friends and maintaining friendships in these socially distanced times, we asked them some questions.   What drew you to each other as friends?  Kim: Marlene’s honesty, integrity and ethics. Marlene always does what is best for her clients, no matter what.  Marlene: Kim and I communicate very well. It’s hard to explain, but sometimes we are both way ahead of our words. How would you describe each other in a single word? Marlene: Focused. Don’t put anything in front of Kim that you don’t want done, and done expertly. Also, helper. She thrives on helping people and working through their problems.  Kim: Creative! Marlene came up with many unique ideas to promote and publicize TMWA. And her house the most cozy spaces to sit and visit.  Do you have a favorite “That’s so her” moment to share? Kim: Burning Man! Marlene had friends with a camp at Burning Man and she invited me to join them for three days a number of years ago. We rode our bikes, admired the art and did our best to sleep through the techno music that played through the night. It was an amazing time.  Marlene: Kim’s involvement in Rotary’s Achievement Beyond Obstacles (a support and scholarship program for deserving local high school students). She has a heart for kids facing challenges, she is a great leader and she loves to help and make a difference.  How has COVID-19 affected your friendship, how have things changed and how have things stayed the same? Kim: We don’t see each other in person quite as much. However, Marlene has made sure that many of our girlfriends are able to stay in touch.  Marlene: I don’t take for granted we are going to see each other, so we plan it. I am the instigator of walks, socially distanced get-togethers in our green space and Zoom meetings. This new normal has also given me permission to stay home and work. Now, it’s OK to do some gardening or take a walk in the middle of the day. I suppose that’s one pleasant side effect of COVID-19.  Why did you become members of the Sterling Silver Club and why would you encourage others to join?  Kim: So many friends and family members had nothing but good things to say about Renown that I decided to switch providers. I also really liked what Renown was doing with the Healthy Nevada Project. So, when I saw the Sterling Silver Club, it seemed to me to be just another extension of all the good things Renown has to offer!  Marlene: This Club sounded interesting because it would allow me to focus more on my health with like-minded people in my age group. And, I’m with Kim, Healthy Nevada Project is very intriguing for how it could potentially improve health care for all of us.  What is the secret to a lasting friendship?  Kim: Have patience. Don’t take things personally. Be flexible. And just enjoy one another’s company. Marlene: Respect and grace, equally. We are not perfect and we are all different. So give your friends respect always, grace when they flub up and support when they need help.  Thanks to Kim and Marlene for being such generous collaborators and ambassadors of the Sterling Silver Club.  Friend Fun Fact:  Kim helped Marlene find her new house a few years ago – and more recently, a new dog! Marlene and “Levi” have been inseparable ever since.

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If Sterling Silver Club member Ann had an official motto, it would be, “I love to learn new things.” Ann has been a Reno resident for about 25 years after making her way to the Silver State from Arizona and before that, her birth state of Indiana. All along the way, she’s been growing, exploring and learning. Meet Ann From her days as a Girl Scout to her cherished roles as mother and grandmother and her time spent working for the federal government, Ann has enjoyed the adventures she’s had, the people she’s met and the learning opportunities that continue to be an important part of her life’s journey. “Learning never has to end,” Ann says wisely. Today, Ann lives a life full of learning — and giving. She is a member of the Osher Lifelong Learning Institute (OLLI) at UNR, which offers classes and events for people who are 50 and older. She has also been a foster grandparent for Seniors in Service and has tutored troubled teens at the Jan Evans Juvenile Detention Center and helped out at Title 1 schools. Volunteer Extraordinaire Her volunteer résumé continues with work for the Reno Police Department’s SAVE program through Retired Senior Volunteer Program (RSVP) for Sanford Center for Aging and time spent with VISTA for AmeriCorps, helping victims of domestic violence and refugees. And with her recent appearance in Ky’s Kab, a segment of Aging & Awesome — the popular 55+ show airing Saturdays at 7 p.m. on local CBS affiliate, KTVN Channel 2 — she’s a bit of a celebrity to boot! Through all of her experiences, Ann has learned something about herself and others. She looks forward to the new memories and friendships her latest membership to the Sterling Silver Club will bring. “I love being a member of the Sterling Silver Club because it’s another opportunity for me to grow, have fun, learn and socialize,” she says. And everyone at Renown is thrilled to help her do those things — and live a happy, healthy life. Please join us in welcoming Ann, one of our first members of the Sterling Silver Club. Today we have more than 2,800 members and we’re happy to be featuring members and getting to know you all along the way!

Read More About Meet Ann Sterling Silver Club Member

Whether watching a 4th of July celebration from her father’s boat on the Saint Johns River or sneaking a peek at a post-game display over Gator Bowl Stadium from her parents’ bedroom window, the fondest childhood memories of Sterling Silver Club featured member are of fireworks. “I love watching fireworks,” says Rhogenia. “And I get just as excited by them now as I did then.” Well, fireworks are certainly a fitting introduction to this Sterling Silver Club member who shines with a spectacular collection of accomplishments, adventures and interests. A Passion for Teaching Rhogenia remembers herself as a happy, carefree child “who read all the time” while growing up in Jacksonville, Florida with her younger sister, Rosemary, and her father and mother, who was a public school teacher. It’s easy to see how this natural enthusiasm for reading (and learning), along with her mother’s influence, would spark Rhogenia’s calling – and passion – for teaching. After earning her bachelor’s degree in education, Rhogenia spent the first 2 years of her career as a kindergarten teacher in a “one traffic light” town in her home state. She then moved to Oakland, California where she taught kindergarten and first grade classes at various schools for 4 years. The Biggest Little City in the World came next, and her stay there would last much longer. In Reno, Rhogenia added a master’s degree to her credits and found a home for her teaching career at Grace Warner Elementary School – where she taught first and second grade for 20 years! During that time, she also took on the additional role of adjunct professor, teaching graduate students for the University of Phoenix, College of Education.   “A great teacher never stops learning,” explains Rhogenia. “I believe the art of teaching is the act of facilitating discovery, for students and also for myself.” In recognition of her efforts, Rhogenia received the Reno Gazette Journal’s Best of Education Award, the Washoe County Teachers Association Distinguished Performance Award, and was also awarded a grant from Learn and Serve America to help her support student programs that gave back to the community. Rhogenia’s favorite quote: “One hundred years from now it will not matter what my bank account was, the sort of house I lived in, or the kind of car I drove. But the world may be a little better, because I was important in the life of a child.” – Adapted from an essay by Forest Witcraft Commissions, Councils & Space Camp Life outside the classroom also kept Rhogenia busy – and inspired – throughout her career. In 1998, she was selected to participate in an educator externship, and in 1999, was chosen to be a teacher consultant to the Alliance Summer Geography Institute. These opportunities allowed Rhogenia to return to her students with exciting lessons to share about different types of industries and the importance of geography, respectively. In 2002, the governor appointed her commissioner for the state of Nevada’s Commission on Professional Standards in Education. And Rhogenia followed that up with an appointment to the National Council for Accreditation of Teacher Education in 2004. She also got to travel. Rhogenia was one of two teachers from Nevada chosen to participate in the Japan Fulbright Memorial Fund Teacher program on its 50th anniversary. Originally established in 1946 to foster mutual understanding between the U.S. and Japan, the trip allowed Rhogenia to represent her state, her country and her race to Japanese dignitaries, business people and students alike. For over three weeks, she toured schools, universities, factories, temples, art galleries and museums, and stayed in the home of a Japanese family for a few days – which she calls the highlight of her trip.  Oh, and then there was the time she went to space camp! The Nevada Teacher in Space Program sent Rhogenia to join teachers from across the county at the out-of-this-world camp in Huntsville, Alabama. On “Team Endeavor,” she learned what it would be like to deliver payloads and perform experiments at the International Space Station, and took a seat in flight simulators and an antigravity chair. The goal of the program was to inspire teachers to help their students learn about the infinite possibilities of math and science. Time for What Matters These days, Rhogenia enjoys spending time on the things that matter most to her. Personally, that means diving into hobbies like genealogy, music, reading, writing, cooking and the occasional card or board game. She also continues to learn and broaden herself through Osher Life Long Institute (OLLI) classes and Retired Living Truth Series seminars. But her greatest joy comes from spending time with family – four generations of her own family, her church family, retired teachers from Warner Elementary and the many acquaintances and friends she’s come to know over the years. Other things worthy of Rhogenia’s time: Giving back to the community, rainbows, sunsets and sometimes, just watching the clouds roll by. Membership & Senior-ship What does Rhogenia think about being a Sterling Silver Club member and a senior? She told us. “Before COVID, it was the face-to-face club events that I liked most,” recalls Rhogenia. “At the Silver Stars Gala, I had such a wonderful time chatting with old and new friends… the fashions, decorations and the food were delightful.” Over the past year, she also found things to love about the club’s virtual events and regularly attends lectures, cooking and yoga classes and weekly meditation sessions – from her home! It Starts with Hello offers some of her favorite club events. “It reminds me of the television show, Cheers, where everybody knows your name!” she grins. “We meet at noon on Tuesdays and Thursdays. There are a variety of topics and guest speakers, and with the virtual events, I feel like the presenters are talking directly to me… I have the best seat in the house.” As far as being a senior goes, Rhogenia is living her best life and has some advice to help others do the same. “As a senior, I have the time to explore and take advantage of the many opportunities available out there,” she says. “I live life in the present and to the fullest. I make the most of each day because tomorrow, it will be the past.” Rhogenia feels that the biggest challenges for seniors today are health and isolation, and wants people to know there’s help if they need it. “Sometimes we need a little help to make everyday activities a little easier, or just need a person to talk with,” she explains. “My advice is never be too proud to ask for help with anything! Most people are glad to help or guide you to someone who will.” “Lastly, to seniors, I would like to say this: Love yourself and make peace with who you are and where you are at this moment in time,” Rhogenia continues. “And give yourself a big hug!” The Sterling Silver Club thanks Rhogenia for dazzling us with her story, her friendship and her collaboration – and we send her and all of our members a “BIG hug.”

Read More About Simply Spectacular Sterling Silver Member Rhogenia

Looking for the most delicious plant-based, protein-rich salad to add to your recipe repertoire? Look no further. We asked our registered dietitian, Caitlin Bus, with Renown Healthy Heart Program for the one recipe that all her class participants rave about. Caitlin’s popular recipe offers a bounty of fiber and protein. This dish is a showstopper because quinoa is a healthy grain. A cup contains 8 grams of protein and 5 grams of fiber, compared to 4 grams of protein and only 1 gram of fiber in a cup of white rice. With the perfect amount of citrus flavor combined with corn, bell pepper, and beans this dietitian approved quinoa salad will be a staple for all occasions. Enjoy!

Read More About Citrus Black Bean Quinoa Salad