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Neurosurgery
Renown Neurosurgery Using a collaborative approach, our experts use leading-edge diagnostic tools to identify neurological conditions and treat them with the most effective surgical and non-surgical treatment techniques available. What is a Neurosurgeon? A neurosurgeon is a doctor that specializes in surgical treatment and management of conditions for the nervous system, including the brain, spinal cord and nerves. In addition to the nervous system, neurosurgeons can also treat conditions that impact the surrounding supporting structures, including your skull, spinal vertebrae, spinal disks, and blood vessels. If your care team determines surgery is the best plan of treatment, you will be referred to a neurosurgeon for consult. Conditions We Treat
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Want to Recover from Surgery Faster? Get Moving!
To be on the move is a scary concept when you’re recovering from surgery. But did you know getting up and at ’em could be the key to a quicker recovery, post-surgery? Here’s some expert insight from Renown Surgical Services. The team at has some news for you: Rest and movement are important to prevent serious complications. Here are some tips about how to get mobile after your procedure — and why it’s fundamentally important. Tip 1: Start Simple While you’re in bed, move your legs and feet up and down. Be sure to ask the nurses to help you get out of bed and into the chair for all your meals, or walk to the bathroom when needed. If you feel up to it, take a walk in the hallways with the nursing staff. Tip 2: The Sooner, the Better This may be surprising, but too much rest is not necessarily a good thing. The old saying “You use it, or you lose it” rings very true to maintaining the strength needed to get yourself out of bed. Beginning the mobility process early in your hospital stay will not only help you maintain strength and function, it may also help you get home sooner. Though it may seem counter intuitive, lying in bed all day can delay your healing time and cause serious complications to arise, including pneumonia, deep vein thrombosis or blood clots, pressure ulcers and sometimes constipation. Tip 3: Mobilize Your Support System Getting out of bed, sitting in a chair for meals and walking around your room or hospital unit can help reduce your risk of complications. The nursing staff will help you out of bed the same day of your surgery if it’s cleared by your doctor. Tip 4: Safety First The nursing staff is here to keep you safe, so make sure you call them for assistance getting out of bed. Even if you think you can do it yourself, use your call light to notify the nursing staff you are ready to get up and move. In addition, new medications can sometimes impair our judgment, balance and safety, so it’s always better to have help even though you may not need it. This is also why you may have a “bed alarm” on, to remind you to call for help and keep you safe while you are recovering. Tip 5: Move, But Manage Your Pain Many people find that getting up and moving actually helps their pain, rather than making it much worse. Taking the right amount of medication at the right times will minimize your pain and help you to get moving. Your care team will work with you on how much pain medication is right to manage any postoperative pain, with the goal for you to be comfortable enough to be able to move and gradually increase your activity each day. Tip 6: Maintain that Momentum at Home Mobility doesn’t end once you’re discharged from the hospital. It’s key to keep moving to maintain health and function. When you first arrive home, it’s crucial to take frequent movement breaks throughout the day. Increase activity as it becomes more comfortable, and be sure to ease back into an active daily routine. If you have concerns about your mobility once home, be sure to discuss this with your doctor at your follow-up appointment. Renown Surgical Services | 775-982-3993 Ask your doctor if you have any questions about your medical condition or the specific surgical procedure planned, or contact the team at Renown Surgical Services. Learn More
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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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Why Can't I Eat Before Surgery?
If you’re having surgery on your shoulder, why does it matter what’s in your stomach? We asked Dr. Matthew Hoberg to explain more about pre-surgery directives, including fasting. If you have an upcoming surgery, your care team likely gave you instructions to fast before your procedure. But why? We asked Matthew Hoberg, M.D., medical director of Renown Surgical Services, to explain why it’s important to forgo food and drinks before surgery. Why are patients instructed to fast before surgery? Regardless of surgery type or site, we want the stomach to be empty before having anesthesia, because anesthesia can reduce your body’s ability to protect and prevent food or acids from the stomach from entering the lungs. Normally, your body is able to prevent this, but anesthesia medicines make it harder for your body to do so. When food or liquids from the stomach get into the lungs, doctors call it “aspiration.” This is rare, but can be dangerous if it does happen. Solid foods and liquids leave the stomach at different rates too. Solid food takes longer to empty from the stomach than liquids, so the time to stop eating solids (eight hours) is longer than that for clear liquids (two hours). The body has energy reserves to produce needed nutrients and fuel during fasting. Recently, studies have shown it is important to stay hydrated and have some carbohydrates in clear liquids up to two hours before surgery, so clear liquids are allowed until two hours before surgery. There are also special rules for babies and young children who need surgery. For example, you may give breast milk up to four hours before surgery. If your baby drinks formula, you should stop six hours before surgery, and all solid foods you should stop eight hours before. Your child’s doctor or nurse will give you exact instructions. What if you show up for surgery and have broken the no-eating rule? Will surgery be re-scheduled? If patients have not followed the fasting guidelines, surgery will be postponed or rescheduled due to the possible increased risk associated with not having an empty stomach. The exception would be emergency surgery that cannot be delayed in which case special precautions are taken to help prevent anything from getting into the lungs. What other pre-operative rules should be followed to the letter? All instructions given to patients before their surgery or procedure should be followed. There are specific medical reasons behind all the instructions and they are designed for safety — to minimize risks, lower complications like infections and enhance the recovery process to help patients get back to normal as quickly as possible. Also, many patients ask if they should continue taking medications before surgery. The answer is: It depends. Your doctor or nurse will tell you which medicines you should take and when. Some medicines need to be stopped before surgery. But for others, it’s important you keep taking them as usual. You may also get new medicines to take before surgery. You may be asked to take some medications before surgery as part of advanced pain management protocols. If you need to take medicine right before your surgery, you can take it with a sip of water.
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Surgical Services
Renown Surgical Services is with you every step of the way, providing the support, guidance and information you need throughout the entire surgical process — from preparation to recovery. Whether you need same-day surgery or an advanced procedure, our team helps you find the option that provides the best possible outcome. Need help with your pre-admitting appointment or a price estimate? Call 775-982-3993. Preparing for Your Procedure Now that you have your surgery scheduled, let’s help get you ready for your pre-admitting appointment. The following checklist provides steps for you to follow from the time it’s determined you need surgery. The checklist covers: How to prepare 1-28 days before your procedure How to prepare the night before your procedure How to prepare the day of your procedure How to take care of yourself after your procedure View the Checklist (English) Ver en Español