2021-02-25 - Health Care Quarterly (Vol. 31) - Winter 2021 - Health Care Headliners

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Our healthcare heroes work tirelessly to serve our communities and create better healthcare outcomes for all. Roseman University of Health Sciences congratulates all the 2021 Health Care Headliners. We also congratulate all the heroes working tirelessly to serve and protect our communities, including the nurses and pharmacists on the frontlines delivering COVID vaccines. We see you and we are grateful to you. Roseman University has been proudly educating Nevada’s healthcare workforce for twenty years. There has never been a better time to become a part of the frontlines. We need the next generation of highly qualified, empathic, solutions-oriented students to join us in providing quality care to all. Now is the time. Learn more at roseman.edu

COLLEGE OF DENTAL MEDICINE COLLEGE OF NURSING

COLLEGE OF PHARMACY

COLLEGE OF MEDICINE (CURRENTLY IN DEVELOPMENT)

11 Sunset Way | Henderson, NV 89014 | 702-990-4433 10530 Discovery Drive | Las Vegas, NV 89135 | 702-802-2841 10920 S. River Front Parkway | South Jordan, UT 84095 | 801-302-2600 roseman.edu | @rosemanuhs


Tracy Wakefield, M.D. Board Certified Regional Medical Director

Caring for Seniors is our Specialty At Partners in Primary Care, you'll experience care that makes you feel good about your choice of doctors. You'll leave every appointment knowing you were heard, and all your questions were answered. Getting in to see the doctor is easy and if you need to talk to a doctor after hours don't worry — Partners in Primary Care is there for you 24-hours a day.

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Your Partner in Good Health Partners in Primary Care is dedicated to helping you reach your health goals. We offer a team approach to healthcare with you and your goals at the center of everything we do. Your doctor and Care Team will develop a personalized care plan and provide you with the time and attention you deserve. To support your wellness goals, we created My Wellness Journey, a personalized well-being program backed by our doctors and Care Team to help our patients reach their wellness goals, while earning gift cards along their way.

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From the editor

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iving through a global health pandemic has certainly been disruptive to our daily routines.  It has also encouraged us to slow down and given us the opportunity to spend time with family and reflect.  However, this hasn’t been the case for everyone. The past year has placed exorbitant pressure on health care workers who have been operating in extreme conditions and under immense stress to provide care to our community. This makes this issue of Health Care Quarterly featuring our 2021 Health Care Headliners even more special.  The Health Care Headliners awards reach across the medical field—spotlighting physicians, nurses, EMTs, administrators, educators and more. These honorees not only stepped up during the pandemic, but are constantly going above and beyond to serve the most marginalized and underserved members of our community. They are working hard to ensure everyone in Southern Nevada has equal, accessible health care. As you read about the 10 honorees, you’ll learn about their groundbreaking science and research, and innovative technologies and techniques. You’ll feel their passion for treating patients and bettering the lives of others. Their work not only improves the health care available in the Las Vegas Valley, but contributes to the advancement of the entire medical industry. Perhaps unsurprisingly, we received a record number of nominations—a testament to our community’s desire to show its support and appreciation to health care professionals. That also made the job of our judging panel all the more difficult. In fact, for the first time ever we are including runners-up in each of the 10 categories as a way to acknowledge even more of our deserving nominees.  I’d like to extend my gratitude to our judges, Dr. Nilesh Gokal of Southwest Medical, Dr. Amy Tongsiri with LIBERTY Dental Plan and Dina Patel from HealthySunrise Foundation. As former honorees and prominent medical practitioners, they are uniquely

qualified. We are incredibly grateful to have them involved in the process.  Thank you to our sponsor, Comprehensive Cancer Centers, which year-after-year has supported our special Health Care Headliners publication and helped us recognize the leaders in our health care community. As we celebrate our 10 honorees, we can’t forget the effort of all of our local health care workers over the past year. Health Care Quarterly wanted to provide you with tangible ways you can continue to support the medical community in Southern Nevada. From donating medical supplies to getting vaccinated, every decision you make creates a ripple effect that ultimately reaches these dedicated professionals. We also asked our friends at Southwest Medical how the medical business community can support its staff and create a more sustainable environment during this incredibly stressful and overwhelming time. The result is an impressive checklist of numerous actionable items organizations can consider implementing.   As we focus on the importance of caring for others and self-care, we invited Hope Means Nevada and Ignite Teen Treatment to share about teen mental health during the pandemic—including what signs to look for to keep teens safe from self-harm and how to best communicate during this highly volatile time. It’s a must-read for all parents and caregivers. Let’s work together to keep our community strong. From our youngest residents to our fearless health care teams, we can all use a helping hand from time to time. We truly are stronger together.

Jennifer Inaba Special Publications Manager & Editor jennifer.inaba@gmgvegas.com

FEBRUARY 2021

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From the sponsor

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omprehensive Cancer Centers is proud to continue to support the Vegas Inc Health Care Headliners publication each year. We feel privileged to help recognize the outstanding professionals who are honored for their commitment to patient care and to our health care community. We would also like to recognize and congratulate a physician from our own medical oncology team, Dr. Anu Thummala, who is this year’s runnerup in the Research/Science category. It has been inspirational to see all the front-line heroes putting themselves at risk to protect others this past year, many of whom are being honored within these pages. We know it is more important than ever to continue these efforts of putting our patients first. Comprehensive has treated patients with cancer in our community for more than 40 years. We consider it an honor to serve our community as an essential business during these challenging times. We are eternally committed to delivering the most advanced cancer treatment to patients in our community and to all those who travel to us from out of state for care. Comprehensive always looks for ways to enhance the patient experience by recruiting the best providers, investing in technology, serving

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as a steward to the community and offering the latest treatments and services. Our practice also prides itself on the development of an extremely robust research program, which provides patients access to the latest advancements in cancer treatment right here in Southern Nevada. In fact, last year alone, Comprehensive was the first site in the world to open two new groundbreaking clinical trials, enrolling the first patients on treatments. Through our research, Comprehensive has helped develop more than 100 FDA-approved cancer therapies which are now being used worldwide. Particularly in these times, it’s important to remember that cancer does not pause for a pandemic. Neither will Comprehensive, pushing forward for the vitality of our community. To all of the headliners, congratulations! We look forward to hearing the continued, positive headlines we make together as medical practitioners. And to our patients, we are here for you, just as we have been through the decades.

Jon Bilstein Chief Executive Officer Comprehensive Cancer Centers



Medical News Leading the charge against COVID-19 University Medical Center continues to serve as the statewide leader in COVID-19 testing, with more than 830,000 tests performed by the hospital. Early in the pandemic, UMC built a second on-site laboratory dedicated solely to COVID-19 testing. Utilizing a space formerly occupied by a physical therapy gym, UMC’s COVID-19 Lab offers a capacity of 10,000 tests per day. In addition to supporting UMC’s public testing locations in Southern Nevada, this large-scale laboratory also helped UMC become the first and only hospital in the state to provide COVID-19 testing to every hospitalized patient.

NEW IN-OFFICE TEST DETECTS EYE DISEASE IN DIABETES PATIENTS Nevada company, Trinoveon, released a new testing service to help save sight for diabetics. The FDAapproved triScan is used during a routine check-up in the diabetes doctor’s office and takes on average 2-3 minutes to complete. The test accurately detects treatable high-risk disease before vision is lost. Sensors are placed on the lower eyelids, a handheld device with a soft cup is placed over the eye and a series of blinking lights are shown. Like an EKG, the device measures the eye’s electrical activity and sends test data to a reading center for interpretation and results are reported overnight. Diabetes is a leading cause of vision loss, but most patients are not tested. Trinoveon’s triScan service helps solve this problem.

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UMC CEO Mason Van Houweling speaks with team members in the hospital’s dedicated COVID-19 laboratory. (Courtesy)

ADVANCED ROBOT FIRST IN STATE FOR CORRECTING SPINE CONDITIONS In December, Southern Hills Hospital and Medical Center became the first hospital in Nevada to have the Mazor Surgical Robot. “Mazor”, which means “to heal” in Hebrew, is a highly advanced robot used for correcting spine conditions. Utilizing the robot, surgeons can create a 3D computerized plan individualized for each patient before even stepping into the operating room. The Mazor allows surgeons to improve surgical accuracy leading to smaller incisions, less risk for surgical complications and quicker recovery time. “This is an exciting time for our hospital,” Chief Operating Officer for Southern Hills Hospital, Cullen Brown said. “We believe in the care and improvement of human life and the Mazor robot is another tool that will aid us in our mission.”

Health Care Headliners

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Support health care workers by doing these things

3D BREAST BIOPSY IS NOW AVAILABLE IN SOUTHERN NEVADA Steinberg Diagnostic has introduced the Hologic Affirm and Brevera systems at their N. Tenaya Way location—the first in Nevada. Paired together, the speed and efficiency of breast biopsy is accelerated, reducing patients’ time under compression. Real-time imaging allows for immediate confirmation of the sample and increased accuracy with the ability to biopsy small areas of interest that may not be visible with other imaging techniques. These advantages translate into a more positive patient experience and more accurate transfer of samples to pathology, giving physicians the results they need. “SDMI is pleased to offer this to our community,” said Dr. Aanshu Shah, director of women’s imaging at SDMI. “This system represents a transformation to breast biopsy.” FEBRUARY 2021

Fostering mental health in teens during the pandemic The relationship between your diet and cancer

Medical notes from across the Las Vegas Valley

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Nevada’s state-based exchange stable despite national ACA turmoil BY HEATHER KORBULIC

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Heather Korbulic is executive director of the Silver State Health Insurance Exchange.

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hile 2020 is now in our rearview mirror, we can’t help but continue to feel its shock waves and reflect on the astounding year. If the pandemic made us realize anything, it’s that health is the new wealth, especially when quality health care coverage is within reach for just about any American because of the Affordable Care Act. In Nevada, ACA-compliant health plans are offered through Silver State Health Insurance Exchange, which operates Nevada Health Link, the online marketplace for ACA plans that cover the 10 essential health benefits, including all COVID-19 diagnosis and treatment services. Despite the ongoing uncertainty about the ACA created by political turmoil in Washington, D.C., and a U.S. Supreme Court hearing in which oral arguments were made challenging the constitutionality of the ACA, I am happy to report that it is alive and well. We expect it to be for some time because of the Biden administration’s support for ensuring as many Americans as possible have access to quality health care coverage. Regarding that Nov. 10 Supreme Court hearing questioning the ACA’s constitutionality, we know that three liberal justices and two conservative justices indicated they may be leaning toward finding only one portion of the federal health care law unconstitutional: the mandate requiring individuals to purchase health insurance. If that happens, we don’t expect any measurable change to the exchange in Nevada. We base that belief on the fact that in 2017, the U.S. Supreme Court zeroed out the individual mandate, yet enrollment was relatively unaffected. If the Supreme Court were to rule in a broader fashion and strike down the entire ACA as uncon-

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stitutional, the court is likely to pass it to lower courts to determine the mechanisms on how to implement changes and determine timelines. This would be a lengthy process and most likely not affect enrollment in 2021 for 2022. Of course, all this conjecture is before factoring in significant support of the ACA from the new administration. Given the economic, social and health crisis caused by the pandemic, a full repeal of the ACA would create chaos in already fractured health care systems at the state and national level. There has never been a “normal” or stable year of enrollment given the ongoing drama that has surrounded the ACA since its creation in 2010. Fortunately, Nevada transitioned off the federal platform, healthcare.gov, in 2019. As a state-based exchange, it is fully autonomous and can create special enrollment periods as was done during the pandemic. Nevada was also able to extend its most recent open enrollment by 30 days. Even with the crazy health care landscape of 2020, the Silver State still did well during open enrollment that closed Jan. 15 for coverage during 2021 — nearly 82,000 Nevadans enrolled. Going without health insurance is similar to not wearing a mask during a pandemic. Being uninsured or underinsured is not only risky for you and your family, it’s consequential to public health. Health insurance also protects you from financial ruin should you need significant care that requires hospitalization or extensive treatment. Most importantly, a quality health care plan gives you better access to better care. While open enrollment won’t return for another several months, Nevadans who are experiencing a qualifying life event, such as job loss, marriage or birth of a child, can enroll at any time. Connect with a Nevada Health Link broker or navigator at NevadaHealthLink.com for coverage now.


More education key to understanding breast reconstruction options BY JOSHUA J. GOLDMAN, MD

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any patients visit my clinic with limited prior exposure to breast reconstruction, and the overwhelming majority are unfamiliar with the most vanguard surgical options. One in 8 women will develop breast cancer during their lifetime, and as such, breast cancer has touched the lives of nearly every American. Incredible strides have been made in treatment, indicated by five-year survival rates for local and regional disease of 99% and 86%, respectively. One year ago, there were 3.8 million people alive with a history of breast cancer. The ubiquity of the disease is reflected in the strength of its lobby, funding and health policy successes. The Women’s Health and Cancer Rights Act of 1998 federally mandated insurance coverage of breast reconstruction after mastectomy, including contralateral procedures for symmetry. Mastectomy, or removal of the breast, has been demonstrated to cause depressed mood, anxiety and negative effects on body image and sexual function. Breast reconstruction is well-known to mitigate some of these psychosocial elements and yield improved quality of life. Still, breast reconstruction utilization remains low overall and is subject to racial, ethnic, socioeconomic and geographic disparities (Nevada previously placed in the second-lowest tier nationally in rates of reconstruction). The most significant barriers to reconstruction are access and education. A recently published article in Annals of Surgical Oncology found that the most commonly cited reason for opting out of breast reconstruction was to “avoid [a] foreign object in the body.” This finding correlates with growing patient concerns about breast implants and highlights the health care community’s failure to educate patients on advances in reconstructive options.

Examples of lesser-known advances include the evolution of perforator flap reconstruction (tissue-based reconstructions using only skin and fat), neurotization (the coaptation of nerves to provide improved sensory recovery), and lymphedema prophylaxis and treatment (an important and historically marginalized topic in longitudinal breast cancer care). Not all reconstruction is equal. Free tissue transfer, such as the Deep Inferior Epigastric Perforator (DIEP) flap (the most common microsurgical breast reconstruction), requires that a well-trained surgeon meticulously dissect tissue, transfer it from the abdomen to the chest, and suture 2-3-millimeter vessels together, under a microscope, with suture finer than hair. The procedure is complex, requires longer surgery and incurs more up-front recovery. Still, autologous reconstruction (using the body’s own tissues) has consistently outperformed implant-based reconstruction across several large studies assessing patient-reported outcomes, such as general and aesthetic satisfaction. The value of autologous reconstrucion is even more pronounced in patients who have undergone radiation therapy as part of their treatment, with some advantages not recognized until several years from reconstruction, when, in contrast to its longterm stability, alloplastic reconstruction (relying on silicone or saline devices) may require revision, replacement or conversion because of the prostheses themselves or the body’s response to them. While autologous reconstruction may sound like a surgery of the future, more than 10,000 DIEP flaps were performed in 2019. If you or a loved one has received a diagnosis of breast cancer and have questions about reconstructive options, ask your breast surgeon or oncologist for a referral to a board-certified or board-eligible plastic and reconstructive surgeon who offers autologous reconstructive options, can discuss them with you, or can refer you to someone who does, if the option interests you.

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Joshua J. Goldman, MD, is an assistant professor of Plastic & Reconstructive Surgery at UNLV School of Medicine.

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Couples experiencing infertility can find joy in journey of adoption BY ALEXANDRA HOOPS

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Alexandra Hoops is director of adoptions at Loving Hearts Adoption Services, a child-placing agency in Nevada.

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ithin the walls of a child adoption agency, there are countless stories of adoptive parents rejoicing as they realize they’ll finally be able to take home a baby. Though as joyous as those moments are, the road to arrive at that juncture can often be drawn out, difficult and emotionally painful. Adoption is a journey and experience filled with mixed emotions that sometimes bring back feelings of loss and grief. There are numerous reasons to adopt. From a health care perspective, many adoptive parents have experienced the grueling issue of infertility. The typical definition of infertility is when a woman (under 35) has not been able to get pregnant after trying for at least 12 months. For women 35 and older, that time period is reduced to six months. Affecting 12-15% of couples, infertility is triggered by male and female reproductive issues equally. In some cases, the cause is unknown, which often further perpetuates frustration and confusion. Many choose to engage with medical options in response to experienced infertility. Treatment options, as recommended by a doctor, can include medication, or more intrusive procedures, such as intrauterine insemination, and/ or assisted reproductive technology treatments, such as in vitro fertilization. Some may choose to go through rigorous treatments for years, while others choose not to pursue some or all treatment options. Many of

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the couples that experience the more demanding treatment options report exhaustion with regard to physical, emotional and financial well-being during and after treatments. While this route is commendable for any couple willing to endure, it’s a worthwhile consideration to look into adoption as another way for interested parents to grow their family. New babies are born into the world constantly, and through an adoption agency, adoptive parents have ample support and resources to attain what they’re looking for — all while serving a greater purpose to provide love and a wonderful future to a valuable human life. For couples experiencing infertility who are interested in adopting an infant but not quite sure where to start, it’s highly encouraged that you speak with helpful staff at your local adoption agency. Entering the process can seem overwhelming or intimidating, but there are trained professionals available to educate about options, goals and the basic guided steps needed to get things going. Of course, the process does not come without its own strain, as adoption requires perseverance and commitment. Time and energy must be dedicated toward an extensive process. Families seeking to adopt show they are willing and able to enter a situation with very limited control. That being said, many of those who find the infertility process to be a mentally, physically and emotionally taxing experience know that an equally or more satisfying experience can come through the journey of adoption.

For couples experiencing infertility, interested in adopting an infant and not quite sure where to start, it’s highly encouraged that you speak with helpful staff at your local adoption agency.

FEBRUARY 2021


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In search of relief: Don’t let chronic migraine rule your life BY SUZAN HADWAN, DO

P Suzan Hadwan, DO, is a board-certified neurologist at Nevada Neurosciences Institute at Sunrise Hospital & Medical Center, specializing in the treatment and management of intractable headache.

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ainful, debilitating, unbearable. Some studies estimate that 12% of adults in the U.S. are living with this nightmare daily: chronic migraine. Can relief be found? Chronic migraine can be so severe for some that they will miss work, school and time with family. The condition can affect sleep patterns, physical and mental health and general well-being. It is no surprise that chronic migraine, or intractable migraine, is the sixth most common cause of disability in the world. There are ways to manage and reduce the frequency and severity of symptoms, including an FDA-approved treatment that may surprise you. Botulinum neurotoxin is the only FDA-approved neurotoxic protein in use as a treatment for chronic migraine headache in patients 18 years and older. Although not a cure, people who receive the injection notice an improvement to their symptoms and quality of life after just a few treatments.  Botulinum injection is a proven, preventive method known to significantly reduce the frequency and severity of chronic migraine headaches with few and very mild side effects. A chronic migraine is defined as experiencing at least 15 headache days a month, with at least eight days of having headaches with migraine features, for more than three months. Many chronic migraine sufferers also concomitantly suffer from status migraine, a condition of severe headache exceeding four hours in a 24hour period that can last several days. Common symptoms that occur with migraine can include nausea and/or vomiting, changes in vision, sensation and speech, as well as sensitivity to light and sound. This neurological disorder can severely alter a person’s quality of life and ability to perform daily activities. Although the treatment is relatively safe, there

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are risks you should discuss with your physician. At the injection sites, there have been reports of irritation because of the location and the nature of treatment. Other areas could have injection spread and may have muscle weakness and/or paralysis. Reactions may include temporary eyelid drooping or a change in facial expression, resulting in the loss of forehead lines. These changes are extremely rare, temporary and resolve on their own once the medication effect dissipates.  Treatment is not recommended for those with muscle weakness conditions, such as Amyotrophic lateral sclerosis (ALS) and Myasthenia Gravis. Although mild injection-related irritation is sometimes reported, body-wide reactions are rare. After a treatment, patients can typically return to work or any normal activity with no restrictions.  Treatment is administered by a neurologist trained in using these injections specifically for migraine. There are 31 injection sites in seven muscles around the head and neck. Injections are scheduled every 12 weeks.  Botulinum neurotoxin acts as a roadblock stopping the neurotransmitters that carry pain signals from the brain. Those neurotransmitters carry chemicals that are involved in pain transmission. The first injection may not provide immediate relief; this particular treatment can take up to a few weeks or even months for the patient to feel a difference in the frequency and severity of their chronic migraines. The treatment binds to specific proteins at the motor endplate that sends chemical messages to tell the muscle to move. This does not always occur immediately and may require several days to take full effect. The most amazing benefit of botulinum neurotoxin for migraine? Less is more (relief). The treatment severely reduces headache days while allowing for patients to decrease their other preventive and abortive migraine medications taken and relied heavily upon by most migraine sufferers.


extends its thanks to all

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Early stages of the vaccine rollout signified a turning point in the fight against COVID-19, especially for health care professionals who were given first priority. The Southern Nevada Health District began distributing more than 12,000 doses of the Pfizer vaccine to hospitals across the Valley, and University Medical Center was the first in Nevada to begin administering them. On December 14 and during the two days that followed, UMC inoculated more than 1,000 frontline workers. The distribution of the Moderna-developed vaccine in Southern Nevada began shortly thereafter. To date, more than 390,000 vaccine doses have been administered in Nevada.

Dr. Myron Kung receives the COVID-19 vaccine from registered nurse Darlene Roberts at VA Southern Nevada Healthcare System in North Las Vegas on Dec. 16. (Steve Marcus/Staff)

BY HEALTH CARE QUARTERLY STAFF America’s front-line health care workers have been selflessly battling the COVID-19 pandemic for nearly a year. Day in and day out, the demand placed on the health care industry has been unprecedented. The arrival of the vaccine offers much-needed relief, but the fight isn’t over. The following outlines just a few of the many ways you can support Southern Nevada’s front-line health care professionals working tirelessly for our community.

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Nevada’s COVID-19 vaccine rollout plan prioritizes groups within the workforce, as well as the general population—front-line and public safety workers are being given first priority, as are individuals 70 and older.

As the COVID-19 vaccine rollout continues, stay up to date on guidelines, and make an appointment to receive the vaccine as soon as you’re eligible. The Southern Nevada Health District keeps current information about qualifying groups on its website and allows you to make appointments at locations throughout the Valley.

Also make sure you and your children are current with other vaccines, including the flu shot. Flu season generally occurs from November through February, so experts advise it’s best to get the vaccine at the end of September through early October. However, getting it late — even during winter months — is better than not at all, as some flu seasons extend into May. For inoculated individuals who still get sick, the shot can lessen flu symptoms. One of the most powerful things you can do to support health care workers during the pandemic is to stay healthy and not endanger others. Whenever possible, stay home to avoid risk of exposure and follow state-mandated guidelines. Limit private gatherings. When out, make sure to wear a mask properly and wash it regularly. Maintain six feet of distance from others. Wash your hands thoroughly and often.

Both the Pfizer and Moderna vaccines are delivered in two separate doses to reach their full, respective efficacy. The CDC recommends the second dose be administered within three to four weeks of the first dose, but as the vaccine rollout continues, there is an ongoing trend of individuals not receiving their second shot. The vaccine is only about 50% effective with the first dose alone, but it still maintains its overall efficacy if a second dose is administered after the recommended timeframe. Moral of the story: Be sure to make that second appointment as recommended, and if you’re late, you should still schedule as soon as possible.

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*Centers for Disease Control and Prevention ** University of Washington’s Institute for Health Metrics and Evaluation

COVID-19 “super strains” are being reported around the globe, sparking concerns about further overwhelming the health care industry. Though most of these strains are not believed to cause more severe symptoms, they are speculated to be much more contagious—possibly by as much as 50%. While some of these continually mutating strains may not be more dangerous in their individual onset, a strain that is substantially more contagious means an increase in hospital stays and death for some COVID-19 patients.

Many local hospitals, clinics, ambulance companies, care providers and other front-line health care organizations are accepting donations. Donations may be in the form of financial support, medical supplies, or food and other necessities for workers. Reach out to the organization to see what it’s looking for; its needs and guidelines may shift over time, so make sure to confirm what it’s currently accepting.

Words of support, appreciation and encouragement are a great way to express your gratitude to health care professionals. Pen a thank-you letter to any nurse, doctor, EMT, medic, etc., who has helped you personally, or to an organization or group as a whole. This can also be an excellent opportunity to teach your children about the sacrifices front-line workers are making during this complicated time—dig out the art supplies and start creating!

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BY JOHN RHODES, MD The emotional, physical and professional demands placed on health care providers as a result of the pandemic have been unequaled in modern times. It wouldn’t be surprising to see an increase in emotional distress and other related issues affecting providers when the pandemic ends. Health care workers are there for us when we need them most. We need to be there for them now, and in the future when they need help and understanding. All of us will carry the effects of the COVID-19 pandemic with us for the rest of our lives. John Rhodes, MD, is senior medical director and family medicine physician with Southwest Medical, part of OptumCare.

Caring for our health care providers

Burnout in the health care industry has been a concern for many years. As Nevada’s largest multispecialty medical group, we encourage our counterparts to assist providers and support staff with tangible programs and aid, as well as expressions of gratitude and solidarity. We need to provide a safe and healthy environment so professionals can deliver the best care possible—be that in a hospital, nursing home, clinic or virtually. We need to structure a workplace that allows health care professionals to spend more time caring for patients, while reducing managerial and cumbersome tasks. We need to build and maintain

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proper staffing levels to reduce stress on physicians. We should also implement strategies to delegate tasks that don’t require clinical expertise and experience.

Meditation, mindfulness, more

Invest time and resources to help providers improve their overall physical, emotional and spiritual health. Conceived by Optum and implemented by Southwest Medical early in 2019, Moment Health is a monthly, web-based mindfulness presentation that is available to all employees to use during the workday. Topics have included gratitude in the workplace, problem-solving with mindfulness, enhancing workplace effectiveness, resiliency, eating mindfully during the workday, and mindfulness, trauma and loss. The sessions are recorded and available any time. At several of our locations, we’ve created a “respite room” for doctors stocked with art and comfortable furnishings. It’s a dedicated space to retreat, meditate or simply decompress. We also provide on-demand, free premium access to Sanvello, a one-stop well-being app that offers resources and assistance for self-care, peer support, therapy, coaching and other forms of support needed to help improve mental health. This is in addition to our standard Employee Assistance Program, which offers help from trained professionals 24/7.

Pandemic response

We rolled out several new programs and initiatives to provide tangible support, including: n Providing appropriate personal pro-

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tective equipment and implementing safety measures for all of our providers and those working the front lines n Making sure our clinics are safe so patients can continue receiving care n Making sure our front-line workers have access to vaccines n Providing paid time off for those instructed to isolate during their quarantine period n Offering an emergency childcare subsidy for those affected by stay-athome orders or pandemic-related scheduling challenges n Waiving co-pays and co-insurance for COVID-19 care, as well as prior authorization to access care n Providing ways to give back to the community n Providing solutions for employees who need flexible work options, and understanding how this pandemic is affecting professionals

Simple kindness

Find ways to recognize staff and health care providers. We held several drive-thru appreciation events for our COVID-19 curbside testing teams, physicians, and APRNs in area hospitals and skilled-nursing facilities. Isolation contributes to the stress and burnout. Our provider dinners went virtual in 2020—meeting casually online with food provided and family members in attendance. We have also been working diligently with local media outlets to recognize individuals from all practices and health care organizations.

Onward

It is important that we remember and are grateful for the positive efforts of our health care teams. Each member is giving their most during this difficult time. We are working hard to care for our people and patients as we battle this virus. This includes protecting the physical safety mental health of those who deliver and support care—such as physicians, clinicians, nurses and team members—so we are able to continue serving the community and patients who depend on us.


We We are are Proud Proud to to Honor Honor and and Support Support our our Local Local Heroes Heroes We Weare areinspired inspiredbybythe thededication dedication ofofour ourcommunity’s community’sfront frontline line workers workersand andare areforever forever grateful gratefulfor fortheir theirsacrifice. sacrifice. #VegasStrong #VegasStrong

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For 15 years, Vegas Inc’s Health Care Headliners has honored some of the most dedicated and innovative doctors, nurses, EMTs, administrators and other medical professionals working day in and day out to ensure the best health care can be found right here in Southern Nevada. These 10 headliners are leading the way—and making a mark in the industry and the health of our community as they forge their path.

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Manager of Clinical Services & Quality Cure 4 the Kids Foundation Years in health care: 12 First job in the industry: Certified Nursing Assistant hen the pandemic hit, Tamara Saldana, RN, jumped into action to ensure her primary patients—immunosuppressed children fighting cancer—could count on safe and continued care. As a gatekeeper for the Cure 4 the Kids Foundation clinic, Saldana maintains compliance and regulatory standards and oversees infection prevention and control measures. More often than not, you’ll find her in the parking lot coordinating COVID-19 testing for patients, families and employees. This organized process ensures prompt test results so patients can safely receive chemotherapy and other treatments. Saldana is also responsible for cleaning and disinfection practices within the clinic, successfully preventing COVID-19 transmissions to date. Saldana finds great satisfaction in developing procedures that will improve quality of care. With an extensive background in quality assurance, risk management and patient safety, Saldana created a detailed, 73-page report outlining scenarios and risks, as well as procedures to continue essential operations needed by cancer patients. This included instituting a screening process staffed by certified nursing assistants and qualified nursing students to monitor for potential concerns. This formal checklist for managing the outbreak quickly became an essential educational tool, not only for the clinic but the entire community, with the local health department using it as an example for other organizations. Saldana may have never thought she’d be an infection control nurse during a pandemic, but there’s no one better suited for such a role in keeping Nevada’s most vulnerable children safe.

Bobbi Ready, MBA, MSN, RN Executive Director, On Demand Medicine Southwest Medical Associates

Christopher DeVargas/Staff

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Clinical Nurse Manager, COVID-19 Testing Site Manager University Medical Center of Southern Nevada Years in health care: 24 First job in the industry: Orthopedics espite her immense responsibility managing one of the state’s largest COVID-19 testing sites, Amy Runge maintains her unique ability to truly connect with community members, offering her undivided attention and unwavering compassion. Runge’s holistic approach to nursing and health care has led to a career working in community nursing—something Southern Nevada has greatly benefited from this past year. Under Runge’s leadership, UMC’s testing site at the Las Vegas Convention Center provided more than 65,000 COVID-19 tests to local workers, supporting the health of our workforce while allowing the economy to safely reopen. It’s no surprise Runge would step up to this role. Prior to the pandemic, her work focused primarily on providing community members with access to free health classes and training, including life-saving Stop the Bleed courses, parenting classes and CPR training through the Healthy Living Institute at UMC and the UMC Wellness Center.

Through education, outreach, health promotion and injury prevention, Runge and her team provide patients with valuable tools and empower them to take charge of their health and wellness. Once a school nurse, Runge has always been a committed patient advocate and educator. During a time marked by widespread fear and uncertainty, she has worked tirelessly to put patients at ease, offering reassurance and detailed information about the testing process, in addition to useful education to prevent the spread of COVID-19. Runge even found creative ways to reach the community. She organized the community’s largest drive-thru Halloween celebration, providing nearly 1,000 children with a safe alternative to traditional trick-or-treating, and a Thanksgiving drive-thru event offering free holiday meals to local senior citizens—all while educating attendees about the importance of avoiding large gatherings amid the pandemic.

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Raquel Cruz-Juarez Director of Public Affairs Planned Parenthood of the Rocky Mountains

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Plastic Surgeon Director and Founder, Gender Surgery Program UNLV School of Medicine Years in health care: 14 First job in the industry: Medical Student/ Plastic Surgery Resident r. John Brosious doesn’t back down from a challenge. In fact, he doubles down. When Dr. Brosious saw the transgender community struggle to access health care in Southern Nevada, specifically access to gender-affirming surgeries, he made it his mission to create a gender surgery program that could dramatically improve surgical care and provide life-changing services for these individuals. The daily challenges and his ability to be a creative problem solver is what Dr. Brosious likes most about being in the field of reconstructive surgery. He frequently handles cancer reconstruction, trauma patients, and is often called on to apply his skill to cosmetic surgery—from facelifts to liposuction. While a successful plastic surgeon, he was faced with perhaps his biggest challenge with his first gender-affirming surgery. Dr. Brosious researched and read nearly every article published on genital gender affirmation surgery, reviewed every textbook

and attended conferences in order to learn more about these operations, even traveling to an out-of-state institution to observe transfeminine (male-to-female) vaginoplasty. In 2020, Dr. Brosious performed the first-ever gender-affirming genital surgery in the state of Nevada, creating a fully functional vulva and vagina with the ability to have penetrative sex and achieve orgasm. Dr. Brosious is on pace to perform about 100 gender-affirming chest surgeries annually, and the list for genital surgeries keeps growing. Dr. Brosious is not stopping there. His ultimate goal is to create a one-stop, multi-specialty gender health care program where patients can be seen by surgeons, mental health professionals, hormone specialists, social workers and others—all in one physical setting. Creating an environment full of knowledgeable providers would streamline access, improve outcomes, and provide the respectful and dedicated care all patients deserve.

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Holly Lyman Director of Community Health Dignity Health – St. Rose Dominican Hospitals

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Senior Medical Director of Palliative Care Nathan Adelson Hospice Years in health care: 55 First job in the industry: Private practice in medical oncology hile many doctors enter the medical profession to save lives, Dr. Warren Wheeler finds gratitude in giving patients a peaceful, comfortable death. As a pioneer in the field of hospice and palliative care, Dr. Wheeler’s philosophy remains steadfast: caring for the dying is with the knowledge that we are caring for the living. After medical school, Dr. Wheeler served in the Vietnam War before returning to finish his medical residency. Two years into his oncology practice, he experienced a moment that would forever change his career trajectory. The daughter of a cancer patient asked, “how can you let our mother suffer and endure pain like this?” It was then that Dr. Wheeler decided to pursue training for end-of-life treatment. Dr. Wheeler is a trailblazer—fighting for better pain management systems for oncology and terminal patients, and advocating for legislation and education for hospice and palliative care on a national level. He has lectured nationally and published several original papers in medical journals on palliative care, hospice and cancer pain. In his role with Nathan Adelson Hospice, Dr. Wheeler spearheaded an osteopathic fellowship in the hospice and palliative care medicine program— a first-of-its-kind fellowship program in Nevada and one of only 11 osteopathic fellowship programs in the nation. Dr. Wheeler and the NAH team promote the concept of palliative care with the hope of mandating that hospice and palliative care be taught in all the professional schools of pharmacy, nursing and medicine. He takes pride in helping medical students learn extensively about these fields and finds his biggest joy in mentoring them—planting seeds of care that will enable the hospice community for years to come and ensure no one ends their journey of life alone, afraid or in pain.

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Mary Bondmass, Ph.D., RN, CNE Associate Professor in Residence UNLV School of Nursing

Wade Vandervort/Staff


C O N G R AT U L AT I O N S CLARENCE DUNAGAN, MD! The Sunrise Health System honors Dr. Clarence Dunagan, MountainView Hospital, Chairman Emergency Department, for his dedication to his patients and our community, and for being recognized as a Finalist in the Emergency Services category, Healthcare Headliners.

MOUNTAINVIEW-HOSPITAL.COM


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Professor and Chair, Department of Orthopaedics, UNLV School of Medicine Chief of Orthopaedics, University Medical Center of Southern Nevada Medical Director, OptumCare Orthopaedics and Spine Years in health care: 26 First job in the industry: Private practice orthopaedic spine surgeon s a board-certified orthopaedic surgeon, Dr. Michael Daubs specializes in treating adult and pediatric spinal disorders, but outside of the operating room, you’re likely to find him in a classroom. Thirty years ago, he set a career goal to return to his hometown of Las Vegas and start an orthopaedic program—and he has. Dr. Daubs founded the first orthopaedic surgery residency training program in Nevada, which he calls the highlight of his career. He built a comprehensive orthopaedic department consisting of well-trained surgeons with hopes of recruiting and training the next generation of orthopaedic surgeons right here in Southern Nevada—so our community can receive high-quality care. The first class of four fully trained, board-eligible orthopaedic surgeons will graduate from UNLV School of Medicine in June. As a dedicated surgeon and educator, Dr. Daubs believes we are only as healthy as the least healthy in our city. Through teaching and mentoring the next

generation of surgeons, Dr. Daubs wants to set the standard for quality of care, while gaining the community’s trust through respectful and compassionate care, leadership, research, transparency and continued improvement. He is leading the charge by creating an educational foundation for medical students and working to increase the number of doctors in Las Vegas. Dr. Daubs has published over 100 scientific journal articles and medical textbook chapters related to the treatment of the spine. He is active in several national and international academic teaching and research organizations, including the Cervical Spine Research Society, Scoliosis Research Society, Lumbar Research Society, North American Spine Society and the American Orthopaedic Association. He was recently named director-elect of the American Board of Orthopaedic Surgery, serves as a board member of the Kenny Guinn Center for Policy and as chair of AO Spine North America.

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Joshua J. Goldman, MD Assistant Professor of Plastic & Reconstructive Surgery UNLV School of Medicine

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Chief Medical Director SilverSummit Healthplan Years in health care: 26 First job in the industry: EMT r. Jeffrey Murawsky provides medical leadership for managed Medicaid, Medicare Advantage and Marketplace health plans. But his focus is on improving the health of the community, one person at a time. A health care executive for more than 15 years, Dr. Murawsky knows how to streamline processes and create bridges between various members of a health care team—from physicians and hospitals to health plans and pharmacies. He serves as an advocate for patients and providers, health care systems and health plans. Dr. Murawsky believes that community access to high-quality care should be one of Southern Nevada’s top priorities. Before joining SilverSummit, Dr. Murawsky served as the CMO for Sunrise Hospital and Medical Center, and Sunrise Children’s Hospital. It was during this time that he received the Nevada Chapter of American College of Physicians as the Laureate Award for his role as the incident commander at Sunrise Hospital during the Oct. 1 mass shooting, managing hospital operations that provided care to more than 250 patients during the event. Dr. Murawsky was appointed by the governor as one of three physician members to the Board of Health, where he serves a vice chair. He is responsible for reviewing health-related regulations implemented by the Department of Health and Human Services, Department of Public and Behavioral Health, and Board of Education for Health Professions. He also provides advice to the Nevada State Legislature on proposed health-related legislation and policy oversight, helps oversee the implementation of Medicaid expansion across the state and provides guidance for relevant regulations in the Nevada Revised Statutes. Even with all his responsibilities, Dr. Murawsky makes time to volunteer at the Southern Nevada Veterans Affairs Hospital as an internal medicine provider. It’s just another way he continues to contribute to the community to make Las Vegas and Nevada stronger.

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Mike Mikich Senior Regional Vice President, Operations and Strategic Initiatives OptumCare

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Founder and Executive Director Future Smiles Years in health care: 37 First job in the industry: Dental Assistant or someone who has always loved science and wanted a career that could better the lives of others, dental hygiene offered the perfect opportunity for Terri Chandler. Through her nonprofit, Future Smiles, Chandler saw her calling fulfilled beyond her dreams. Future Smiles serves children with critical dental needs who lack access to dental care. With a dedication to serving her community and sharing the importance of good oral health, Chandler works daily to reinforce that dental care is essential to overall health and well-being. Chandler asserts that dental health is a right for all people, not a privilege for a select few. She believes that one of the most important health care priorities for Southern Nevada is our need for more dental health care options for our uninsured or underinsured residents. Future Smiles is one of very few community programs to meet this critical dental health need. Future Smiles observes that 7 out of 10 children are suffering from tooth decay in Southern Nevada. Left untreated, tooth decay and dental infections can be life-threatening. Chandler wants to get these children out of pain and prevent it from occurring when possible through dental sealant prevention treatments. The sealant acts as a barrier on the tooth and releases fluoride to mineralize the tooth throughout the child’s young life. Future Smiles placed nearly 21,000 dental sealants in just one school year. Chandler works closely with the Clark County School District to identify children in need of emergency dental care. Future Smiles now serves more than 50 schools and has the NWP Dental Wellness Center to address all dental health needs. Under Chandler’s direction, Future Smiles has helped more than 120,000 local children.

Christina Demopoulos, DDS, MPH Associate Professor of Biomedical Sciences UNLV School of Dental Medicine

Courtesy photo

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Chief, Division of Pulmonary/Critical Care Medicine UNLV School of Medicine Years in health care: 32 First job in the industry: Physician ulmonary medicine has never been so critical than during a pandemic caused by a respiratory virus. Dr. Angelica Honsberg has played a central role in coordinating and providing care for many of the most critically ill COVID-19 patients in UMC’s Intensive Care Unit. She is also taking her first-hand experience and using it to further the knowledge and treatment of patients across the country. Dr. Honsberg and her team at UMC have been sharing important data with researchers at Harvard University and the Mayo Clinic for one of the earliest clinical studies of COVID-19 patients in the United States. The studies seek to reveal the best treatment regimens for critically ill patients. Constantly staying abreast of clinical trials for medications that may be used to fight COVID-19, Dr. Honsberg seeks to provide the best treatment for those fighting to survive. She is a dedicated physician who works to educate the Las Vegas community about smoking cessation, lung cancer screening, air quality, managing chronic lung problems and the importance of vaccinations for both influenza and COVID-19. She is active in UNLV medical student education and clinical teaching for the UNLV internal medicine residents and the pulmonary/critical care fellows, while always emphasizing compassionate patient care. For the past 10 years, Dr. Honsberg has served as director for the Southern Nevada Cystic Fibrosis Center Adult Clinic. While COVID-19 has required much of her recent attention, she has never lost focus of her patients who have cystic fibrosis. When a new class of medications was released, resulting in improvements in the health of 90% of patients with the disease, Dr. Honsberg proactively sought to ensure all eligible patients would have access to this life-changing medication. Dr. Honsberg may wear many hats—physician, educator and researcher—but regardless of the role, she never considers it work.

Helga F. Pizio, MD, FACS Ophthalmologist/Eye Surgeon New Eyes

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Photos by Wade Vandervort/Staff


Mobile Assessment Supervisor Seven Hills Hospital Years in health care: 18 First job in the industry: Outpatient Mental Health Therapist uicide is consistently ranked among the leading causes of death in the United States—one of few that is 100% preventable. Zdenka Prus spends long, 14-hour days driving around the Valley to meet with suicidal individuals and put them on a path of recovery before they become another tragic statistic. By its very nature, the job of a mobile mental health assessor is challenging. Prus has worked with individuals impacted by 9/11, and on the night of the October 1 shooting, she became a first responder to counsel victims. Now in the midst of a global pandemic, she visits as many as 14 emergency departments everyday—evaluating patients and assisting ER staff with next steps in their care. Although she considers Las Vegas her home now, Prus was born in the Czech Republic, where her family fled communism to gain freedom and opportunity in the United States. She has since spent more than 15 years in the behavioral health field, with a mission to bring compassionate care to adults, adolescents and seniors suffering from mental health issues, alcoholism and drug abuse. Prus and her team at Seven Hills Hospital are dedicated to breaking the stigma that surrounds mental illness. Last year, they partnered with local nonprofits like Nevada PTA and Henderson Chamber of Commerce to offer free educational workshops about managing pandemic stress, and dealing with changes in our work and home lives. To support the growing COVID-19 caseload across the Valley, Prus volunteered to evaluate patients at Southern Nevada Adult Mental Health during her off hours. She did the same for Harmony Healthcare. Bridging the gap between medical and clinical services in the fast-paced emergency room setting is what Prus enjoys most about Clarence Dunagan, MD her job. Her innate ability to comfort and calm Chairman, ER & Past Chief of Staff patients in crisis is what makes her great at it. MountainView Hospital

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Assistant Professor UNLV School of Nursing Years in health care: 20 First job in the industry: Childbirth Educator r. Jennifer Vanderlaan is dedicated to building a maternity care system that provides families with safe and appropriate options for care. Not only does she train advanced practice nurses and advocate to expand the midwifery workforce in Nevada, she also completes vital research necessary to improve care for the entire population. Dr. Vanderlaan is a nurse midwife and family nurse practitioner, and holds a master’s degree in public health. She researches maternal health from a health systems perspective—integrating clinical outcomes, health economics and health policy to identify ways to improve access to quality maternal care. Her recent projects explore regionalization of maternal care, effects of childbirth education and the use of hydrotherapy for pain management during labor and delivery. As the early challenges of COVID-19 persisted, Dr. Vanderlaan suspected it would cause changes in maternity care. Her COVID-19 and Maternity Services project followed the changes in maternity care in the United States during the first weeks of the pandemic. This project allowed her team to track the barriers to safe care and the ways midwives changed practice to reduce transmission risk. Dr. Vanderlaan presented this project to the Royal Society of Medicine. Appointed by the governor, Dr. Vanderlaan serves on the Nevada Maternal Mortality Review Committee. This committee identifies the causes of death during pregnancy and within a year of giving birth, and makes recommendations on how to reduce maternal mortality in the state. Dr. Vanderlaan also participated in a series of Nevada Community Engagement in Reproductive Health stakeholder meetings to inform legislative action on reproductive health. She currently serves as chair of the Lamaze International Research Workgroup. Dr. Vanderlaan’s extensive nursing research has put a spotlight on maternity care and midwifery, but most importantly, it has allowed her to identify changes needed to improve the health of Nevada families.

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Anu Thummala, MD Medical Oncologist and Hematologist Comprehensive Cancer Centers

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Susan A. Reisinger, MD

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r. Susan Reisinger is one of the area’s leading radiation oncologists specializing in breast and brain malignancies. She has been a member of the medical community in Southern Nevada since 1998. Dr. Reisinger’s special interests include breast brachytherapy and stereotactic radiosurgery for brain tumors. Dr. Reisinger has received numerous awards and honors for her work in the Las Vegas community, including Las Vegas Life’s “Top Doctor” and Vegas Inc’s “Women to Watch.” Dr. Reisinger completed her residency in radiation oncology at Memorial Sloan-Kettering Cancer Center in New York City. She has several areas of interest and expertise, including prostate, breast, lung, colorectal, skin, head and neck, gynecologic malignancies and brain malignancies.

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r. Dustin Boyer, board certified by the American Board of Radiology, has over 15 years of experience treating cancer patients. As a direct commission from the Army, Dr. Boyer completed medical school at the Uniformed Services University of Health Sciences in Bethesda, Maryland, and went on to serve as clinic chief at a number of Army Medical Centers across the nation, earning “Best of The Best” for Army Specialty Care Providers. Dr. Boyer completed residency training in radiation oncology at the combined National Institutes of Health, National Cancer Institute and NCC program. He is passionate about treating a broad range of conditions including lung, prostate, breast, brain, colorectal, head and neck, pediatric, lymphoma and gynecologic malignancies.

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r. Paul Treadwell has been practicing in the Southern Nevada community for nearly 20 years. Dr. Treadwell is a leading expert in the local community for his work in treating the pediatric oncology population, and attends numerous hospital tumor boards within the community to discuss difficult cases. Dr. Treadwell’s clinical interests include head and neck cancers, pediatric oncology and the treatment of gynecological cancers using all forms of high dose rate brachytherapy. Dr. Treadwell received his Doctor of Medicine at the University of Nevada School of Medicine in Reno and completed his residency at the University of California Irvine Medical Center in radiation oncology.

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achel Shirley, DO is a breast surgeon at Comprehensive Cancer Centers who treats patients with cancer and non cancer-related diseases of the breast. She is impassioned about educating the community about breast health and early detection of breast cancer, as well as surgical options and different treatments for those who have been diagnosed. Dr. Shirley aims to provide the highest standard of care to all patients. She believes it is important for patients to understand the treatment process but to also know all their options regarding their breast cancer care. Dr. Shirley received a Doctor of Osteopathic Medicine from the University of North Texas Health Science Center: Texas College of Osteopathic Medicine and completed a five-year residency in general surgery at Louisiana State University Health Science Center. Dr. Shirley is specialty trained in breast surgery, having completed a fellowship in breast surgery at Grant Medical Center in Columbus, Ohio.

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laudine Bae, MSN, APRN, FNP-BC is a cancer genetic nurse practitioner at Comprehensive Cancer Centers. She works as part of the cancer genetic counseling team to identify patients who may be at risk for developing cancer based on their family history. She offers thorough consultations and comprehensive medical care plans tailored to the individual. Inherited cancer syndromes account for approximately 5-10% of all cancers. Cancer genetic counseling examines inherited cancers and how gene mutations are passed within families. Claudine and the cancer genetic counseling team can provide individuals and families with risk assessment information and treatment before a cancer even occurs. Claudine obtained her Bachelor of Science in nursing and Master of Science in nursing, in the family nurse practitioner program, from UNLV. She received her training from the intensive course in cancer risk assessment program at City of Hope.

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Khin Win, MBA, MB, BS

K

hin Win, MBA, MB, BS is director of research operations at Comprehensive Cancer Centers. With more than 15 years of research program leadership experience, he leads the practice’s research team, bringing first-in-theworld and other groundbreaking clinical trials to Southern Nevada. Khin has helped Comprehensive develop a robust clinical research program, providing patients the latest in cancer treatment right here in our community. In the past year, Comprehensive was the first location in the world to open two new groundbreaking clinical trials, enrolling the first patients on novel treatments. The practice participates in more than 170 Phase I, Phase II and Phase III clinical trials annually and has helped develop more than 100 FDA-approved cancer therapies. Comprehensive conducts clinical trials through the U.S. Oncology Research Network, leading pharmaceutical companies, academic institutions such as UCLA TRIO-US, USC and MSK Cancer Center, and through NCORP, NCI-funded Nevada Cancer Research Foundation.

COMPREHENSIVE CANCER CENTERS 3920 S. Eastern Ave., Ste. 202 Las Vegas, NV 89119 702-952-3834 cccnevada.com

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sleep hygiene with daily expectations without proper coping skills to manage.

Bolstering teen mental health in a pandemic era BY CAROLINE EDGEWORTH

S

uicide is the No. 1 killer of Nevadans age 11-19, and it’s the secondleading cause of death among individuals 20-49. According to the Nevada Office of Suicide Prevention, 1 in 5 middle and high school students have considered, planned or attempted suicide. The COVID-19 pandemic has only amplified this issue. Hope Means Nevada, with its mission is to eliminate teen suicide in the Silver State, is actively working with young people to develop and execute solutions to address mental health issues. I discussed this issue and ways for teens to cope and ask for help with licensed clinical social worker, Noel Reid.

How is COVID-19 and the pandemic affecting teens’ mental health?

Caroline Edgeworth, 17, top, is a student at Bishop Gorman High School and serves as co-chair of the Hope Means Nevada Teen Committee. Noel Reid, LCSW, has over 16 years of experience working with children, adolescents and families, and serves as clinical director of Seeds2Succeed Therapy Group in Henderson.

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Talk openly and honestly. Express concern. Validate their feelings. Saying “that sounds hard” can help. Be available without being intrusive. Asking how to help shows you care and takes the guesswork away. Specific statements might include: “I’ve noticed that you have a lot on your mind lately. I’m here to talk or listen.” “You seem [stressed/sad]. Is something going on that we can talk about?” Be direct if you are concerned about suicide. “Are you thinking about ending your life?”

What are signs that teens are struggling mentally?

Signs include changes in mood or irritability, increased isolation, canceling plans, withdrawal, delayed responses to messages, changes in hygiene, sleeping/eating more or less, declining grades, excessive worrying, trouble concentrating, fatigue, low energy and lack of motivation, decreased interest in activities, headaches/stomachaches, feelings of hopelessness, talking about being a burden to others, self-harming and risky behavior, and sudden or increased drug and alcohol use. If you think something is wrong, express concern. Be direct and nonconfrontational.

According to the Nevada Office of Suicide Prevention, 1 in 5 middle- and high school students have considered, planned or attempted suicide.

Teenagers are the most vulnerable demographic. They thrive on structure and social connection and struggle with impulsivity, self-esteem and mood regulation. Their lives were disrupted by the pandemic. Anticipated social activities and events were canceled—sports, prom, graduation. A loss of consistent connections with friends leads to increased isolation, depression and loneliness. Teenagers lost the structure of in-person schooling, which left many to navigate daily tasks independently. Consequently, this has led to increased anxiety caused by a lack of routine and added responsibilities. The pandemic has challenged teens to balance good

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What specific questions or phrases can we use to begin a conversation with a teen who needs help?

When is the appropriate time to seek therapy? How should teens approach adults about mental health?

Trust your gut; any time is a good time for therapy. There is nothing wrong with asking for help. Many teens are afraid to bring it up; however, parents are almost always more understanding than teens imagine. Pick a lowkey moment. It’s easier to talk when everyone is comfortable. Explain how you’re feeling. Words such as “depressed” or “anxious” feel uncomfortable. “Feeling stressed,” “not feeling like myself” or “feeling like something is off” might be easier. Say you want help and don’t analyze why you’re feeling this way. Just say, “I want to see someone who can help.” Don’t delay. The sooner you ask for help, the sooner you’ll start feeling less alone.


What habits or practices in our everyday lives can help maintain positive mental health?

Go offline— take a break from social media; set limit for healthy use

Establish a consistent routine and daily/weekly schedule

Get creative— journal, draw, color, paint, bake, etc.

Connect with friends and family

Participate in enjoyed activities

Stay hydrated; limit caffeine intake Regular sleep Personal hygiene Healthy eating

Exercise Practice meditation/ mindfulness

Go outside, get fresh air

Listen to motivational or energetic music

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How to help teens choose mental health treatment BY MENDI BARON, LCSW

T Mendi Baron, LCSW, is founder and CEO of Ignite Teen Treatment.

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eens know everything. This is a simple fact. And this is before the potential mental health, addiction and other behavioral issues that they struggle with. So how does one get a teen’s “buyin” to go to rehab and avoid the painful process of forcing the issue? It all starts with a simple concept: choice. Today your teen has the choice to have choices. There are many roads before them. There is potential. There are options. It’s something they often don’t account for. Their current status, however, and the situation in which they are in, and which you as their parent are in, is simply untenable. This means that if they don’t make the right choice, then eventually, and likely very soon, those choices will be limited or even made for them. This can be by virtue of

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the parents choosing to send them to treatment against their will (and even to a locked facility), getting into issues with the law and losing rights, getting hurt or hurting others, and so on.  The simple fact is that the right choice today will go a long way in ensuring that choices remain open to them in the future. It helps that many programs now are state of the art and are located in well-appointed, beautiful homes with amazing staff and amenities, such as pools, gyms and more. At Ignite Teen Treatment, we also incorporate experiential therapies, such as music, art, boxing, equine therapy, hiking and more, which goes a long way in showing your teen that getting help does not have to be institutional or exceedingly dry and medical. Simply put, this choice ain’t all that bad. The choice approach works in 99% of the cases I see and requires one key ingredient to be successful: parental commitment. As parents, you must be fully committed to following through with getting your teen the help they need. When it is clear to your teen that, out of love, you will do whatever it takes to ensure they are safe (whether they like it or not), the rest of the “choice” process is clear.  There can be no wavering. There can be no negotiating. There is only a set of choices and the freedom to choose while you still can.


Dr. Ronald Hillock Osseointegration Expert

What is Osseointegration? Osseointegration (also known as OI) is a process of anchoring an implant into bone and coupling through the skin to an external device. OI was first developed in dentistry as a way to anchor a prosthetic tooth to the bones of the jaws. OI has been used in extremity amputations for the last 30 years in Europe. I have been working with an expert team of surgeons and engineers toward the development of an OI system for US amputees for the last 10 years.

What is your interest in OI? The first years of my career were as a surgeon in the US Army. I participated in several combat deployments and treated many battle casualties. The battle amputee is near to my heart. They have given a limb for their service to our freedom and we owe them whatever can be done to improve their quality of life. I saw OI and its many advantages while stationed in Europe and have been working to bring this technology to the US since.

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Are there problems with conventional suction socket systems for amputees? Amputees almost universally share the problem of skin irritation in the area where the socket is in contact. They develop calluses and blisters on the amputated residual limb due to friction from the socket against the skin routinely. If the amputee’s weight changes by as little as 5 pounds up the socket will be too tight, or 5 pounds lost the socket will be too loose and slip or fall off the limb.

Who qualifies for treatment with an OI system? • Transfemoral level amputees (above the knee) • Transtibial level amputees (below the knee) • Transhumeral level amputees (above the elbow arm amputees) The patient must be an adult, over 18 years of age and otherwise healthy.

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Exploring the connection between diet and cancer

F

BY MATTHEW M. SCHWARTZ, MD

Matthew M. Schwartz, MD is a radiation oncologist at Comprehensive Cancer Centers.

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ollowing a year like no other, we felt it important to touch on the topic of diet to ensure a better, healthier 2021. For some, the lockdowns, quarantines and societal pauses during COVID-19 have shifted dietary habits in a positive direction. For others, the guard has been let down. According to a recent Atkins study, 33% of participants said their eating habits became healthier amid COVID-19, whereas 20% said their habits have been less healthy. Sales of processed snacks have increased, and Campbell Soup Company sales have skyrocketed nearly 60%, according to The New York Times. In the realm of cancer prevention and treatment, your diet is a critical factor. More than 600,000 Americans die each year from cancer, reported the American Cancer Society. Of these deaths, 16% are related to bad eating habits, lack of physical activity and/or being overweight. Excess body weight is a strong risk factor for colorectal, liver and pancreatic cancers, among others. Regular intake of processed meats can increase the risk for non-cardia gastric cancer. Alcohol increases the risk for both pre- and post-menopausal breast cancer. These examples are just the tip of the iceberg in terms of specific scenarios. For those navigating a cancer diagnosis,

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it’s best to discuss a tailored dietary plan with your oncologist. For those looking to stay one step ahead of a prospective diagnosis, here are a few best practices.

Healthy habits

A healthy weight is generally defined as having a Body Mass Index below 25. Whether or not you have nailed that figure, there are some general recommendations to help you maintain a healthy lifestyle. Let’s talk about superfoods. Grapes, blueberries, green leafy vegetables, salmon and acai berries are high in antioxidants and considered cancer superfoods, which boost the immune system and fight free radicals and cancer-causing molecules. Prioritize superfoods and steer clear of foods with refined sugars and/or trans fat. Trans fat is high in “bad” cholesterol, increases inflammation and lowers “good” cholesterol within the body that fights several diseases. These foods include but are not limited to sweetened sodas, frozen pizza and cooking ingredients, such as shortening, oil and margarine. A local preventive tip: Hydrate! Water and liquids are essential to good health, particularly in a desert environment. It is generally recommended to drink eight 8-ounce glasses of water a day. For those battling cancer, calories are critical. Many patients will experience weight loss during or following a treatment. To maintain or increase body weight, they must increase their caloric intake. As part of that intake, it is advised to stick to lean foods high in protein, such as legumes, eggs, poultry and fish. Lean protein can help resist further infections, sustain immune systems and repair damaged body tissue. Cancer patients prone to infection should take special care in the way they handle and prepare food. The National Cancer Institute recommends scrubbing all raw fruits and vegetables with a brush and water, putting leftovers in the refrigerator, and soaking foods (such as berries) that may not be easily scrubbed. Limiting alcohol consumption is also recommended. Alcohol has been linked to an increased risk of several types of


cancers, including mouth, throat, liver, breast, colon and more. Many individuals believe they need multiple vitamin supplements to achieve the right daily nutritional balance. In reality, vitamin-specific supplements can contain 10,000% of a nutrient’s recommended daily value, which can counteract the helpful effects of radiation, among other detrimental reactions. A single daily multivitamin offers a happy medium. Perhaps equally as important as a healthy diet is exercise. The American Cancer Society recommends that adults get 150 to 300 minutes of moderate activity per week, 75 to 150 minutes of vigorous activity throughout the week, or a combination of the two. With the widespread emergence of Fitbit, Apple Watch and fitness-centric devices, ensuring you get the right amount of exercise and limit sedentary behavior is much easier. The mantra “diet and exercise are important” has been around for quite some time. We’ll continue to receive new data about specific foods and habits, but that general sentiment remains the same. Amid a global pandemic, cancer hasn’t paused, and it’s never been more important to stay proactive and healthy.

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HCQ Notes Roseman Medical Group, the medical practice of Roseman University of Health Sciences, hired in-house clinical pharmacist KayLynn Bowman, PharmD, to assist patients in managing chronic diseases — such as diabetes, high blood pressure and high cholesterol — and to provide medication therapy Bowman management and consultation.

OptumCare, was recognized as the Clinician Experience Project 2020 clinician leader of the year by Practicing Excellence. The project was founded in 2013 and now comprises more than 50 health systems Gokal and 20,000 clinicians. It works to deliver skill-building programs to enhance the patient experience, fuel team collaboration and develop clinical leadership in the health care field.

Lia Harris, a Master of Science in Nursing student at Touro University Nevada, was presented with a scholarship from the Nevada Nursing Foundation during the organization’s ‘Shining Stars of Nursing in Nevada Annual Awards’ virtual gala.

Centennial Hills Hospital increased its licensed bed capacity to 336 beds following the approval of a 36-bed medical surgical nursing unit by the State of Nevada. The nursing unit will be used for patients who need medical/surgical and intermediate-level medical care, with future plans to be used as a dedicated orthopedic nursing unit with its own therapy gym. The hospital also completed a five-story patient tower expansion. In addition to adding 72 patient beds, the new tower also includes two floors of shell space for an additional intensive care unit and intermediate and medical surgical units.

Harris

Julie Taylor, RN, MBA, MSN, FACHE, was hired as MountainView Hospital’s new chief executive officer. A 35-year health care veteran and nursing Taylor leader with more than 20 years in executive leadership roles, Taylor brings a wealth of knowledge and a variety of experience to MountainView.

Nathan Adelson Hospice expanded its lifesaving and healing collaboration with longtime community partner, Nevada Donor Network. Members of Nathan Adelson Hospice’s interdisciplinary team now can provide brief information about organ, eye and tissue donation to patients and their families as well as offer the opportunity to register. One donor has the power to save up to eight lives through organ donation and heal 75 or more through tissue and cornea donation.

CAMCO (Complete Association Management Company) Nevada offered free flu shots and other critical vaccines to employees and their families. A nearby Albertson’s pharmacy helped administer the vaccines to employee dependents under the company insurance plan and to employees with or without company insurance. Tetanus, shingles and pneumonia shots were also available.

Henderson Hospital was awarded an ‘A’ in the fall 2020 Leapfrog Hospital Safety Grade, for the fifth consecutive time. The national distinction recognizes Henderson Hospital’s achievements protecting patients from harm and providing safer health care. Henderson Hospital also was named a top teaching hospital nationally by The Leapfrog Group. The award is widely acknowledged as one of the most competitive awards American hospitals can receive.

Neil Gokal, MD, medical director of clinical education for Southwest Medical, part of

Seven Hills Hospital announced two new

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Rivera

Duerr

additions to its leadership team. Wesley Rivera brings nearly 40 years of nursing management experience to her role as Seven Hills’ chief nursing officer. Rivera is a licensed forensic nurse, and previously served as an auditor for the Bureau of Prisons in a federal program aimed at eliminating inmate sexual assault. John Duerr joins Seven Hills Hospital as director of clinical services. Duerr is a licensed marriage and family therapist and has been a part the Acadia Healthcare family since 2013, previously serving as a therapist and clinical director for Harmony Healthcare. Nevada Medical Center hired Ciera Bellavance as executive director of the nonprofit organization. Bellavance will be responsible for developing, managing and implementing the Hope Means NeBellavance vada initiative by supporting its mission to eliminate teen suicide in Nevada. OptumCare Cancer Center has partnered with Southwest Medical to create a 24/7 oncology urgent care for its oncology patients. OptumCare Cancer Care patients get direct access with check-in right at bedside. Southwest Medical’s Rancho Urgent Care makes these patients a priority — the urgent care physician coordinates with their oncologist and the patient is seen in a care suite designed for their comfort. Team members at the Rancho Urgent Care are specially trained to provide optimal care for oncology patients.

Continued on page 50


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HCQ Notes continued In a joint effort to provide preventive oral health care to children throughout Southern Nevada, LIBERTY Dental Plan of Nevada partnered with UNLV School of Dental Medicine to offer a free preventive dental services clinic. Housed in UNLV’s pediatric dentistry area, the clinic provides dental care for Clark County children who would have otherwise been served by UNLV’s school-based sealant program, which has been suspended due to the pandemic. During appointments, dentists will provide children with an oral health assessment, preventive services such as fluoride varnish and sealants, and recommend follow-up care. Appointments can be made by calling 702-7742461. On Nov. 12, outside of City National Arena, Comprehensive Cancer Centers and Vegas Golden Knights’ star defenseman Shea Theodore announced the details and purpose of a new initiative, “Kay’s Power Play.” The fund is named in Kay Darlington’s memory, Theodore’s grandmother and a beloved breast cancer patient at Comprehensive. In partnership with Susan G. Komen Nevada, the initiative will raise awareness and early detec-

tion to combat breast cancer, particularly for those uninsured, underinsured and patients under 40, whose mammograms are not covered by insurance. Virendra Mishra, Ph.D., was promoted to associate staff at Cleveland Clinic Lou Ruvo Center for Brain Health. The promotion came alongside another professional achievement: a prestiMishra gious R01 Grant from the National Institute of Neurological Disorders and Stroke at the National Institutes of Health. The five-year grant is expected to total $3.8 million and aims to use biomarkers spanning imaging, blood, cerebrospinal fluid and genetics to develop a predictive mathematical model to identify Parkinson’s disease patients who may develop dementia as their disorders progress.

vada’s social behavioral health intervention services department spearheaded a holiday drive as part of its mission to provide quality health care and support for people without access to health care in Southern Nevada. Thanks to the generosity of volunteers, donors and staff, they were able to provide gifts to more than 52 patients and their families. VMSN’s Social Services staff also made home deliveries to those unable to come to the clinic. Southern Hills Hospital and Medical Center welcomed Dr. Kornelis Poelstra as a practicing board certified orthopedic surgeon. Dr. Poelstra is a world-renowned expert in robotic-assisted, Poelstra spinal surgery and has performed more than 1,000 complex robotic cases, more than any other spine surgeon in the world.

Volunteers in Medicine of Southern Ne-

Congratulates Dr. Warren Wheeler on his Lifetime Achievement Award!

A PLACE OF HEALING At Boulder City Hospital, our priority is to provide a safe and equitable healthcare experience for all.

Specialty Physician Opportunities Available Inquire at information@bchnv.org

QUALITY CARE CLOSE TO HOME Boulder City Hospital, established in 1954, is a private, nonprofit 501(c)(3) charitable organization committed to providing compassionate, quality care for our patients and the communities we serve.

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Thank you for so many years of helping us realize our vision that no one ends the journey of life alone, afraid or in pain.

Visit www.nah.org or call 702.733.0320 for more information.


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Our response began before the crisis did.

COVID-19 changed everything. But UMC was ready. Our team of infectious disease doctors had prepared for this moment their entire careers. We’d practiced pandemic drills over and over. Our stockpile of critical equipment was ample and robust. And we blazed new trails in large-scale testing, including every patient we admit, making us the safest hospital in the state. When Nevada needed us, we were there. Just as we’ve always been. Just as we always will.

Highest Level of Care in Nevada

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