2024-11-14-Health-Care-Quarterly-(Vol.-46)-Fall-2024

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Since plans can change from year to year, please confirm your coverage – even if you are renewing your same plan from last year. Before you enroll, verify that the specialists you trust, like your oncologist, are covered under your plan.

Comprehensive Cancer Centers is a participating provider in the following Medicare Advantage plans: • Alignment Health Plan Medicare Advantage HMO

• Cigna Medicare Advantage

• Anthem Blue Cross Blue Shield Blue Medicare Advantage PPO

• Molina Healthcare

• Astrana Care Partners of Nevada Medicare Advantage

• United Healthcare Group Medicare

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EDITORIAL + ART Special Publications Editor SI ER RA SMART Managing Editor/News DAVE MONDT Sta ff Writers KY L E CHOU I NAR D GRACE DA R OCHA, HI L LARY DAVI S, HAAJ RAH G I LANI , KATI E ANN MCCARVER , AY DEN RU NNEL S, I L I ANA WI LLIA M S Copy Ed i tor ABRAHAM KOBY LANSKI Photo Coord inator BR I AN RAMOS Sta ff Photog ra p hers CHRISTOPHER DEVARGAS, STEVE MARCUS, WADE VANDERVORT

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From the editor

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f the approximately 8 billion people on the planet, between 65-70% use the internet daily. About 90% of the data on the internet has been added in the past ten years, meaning that we have more information at our fingertips than ever before.

And yet, the internet continues to grow every day as people and businesses (and even artificial intelligence) create more content. This amazing and new resource has helped and hindered the flow of information from reliable sources.

Medical information is part of this.

I love that a simple search can tell me how many muscles are in my body (more than 600), or uncover a laparoscopic video of the invasive surgery recommended by my brother’s cardiologist. However, I can also be inundated with thousands of opinions on the efficacy of vaccines, conspiracies about prevalent diseases and maybe even harmful advice for self-treatment of various ailments. It can be so hard to differentiate between solid medical advice and rumor.

With Health Care Quarterly, we do our best to source accurate information, relying heavily on local health care professionals and experts to share their knowledge. I am always thankful for the wisdom and generosity of our contributors who genuinely want to make our community healthier.

In this issue of Health Care Quarterly, you’ll find a section debunking common medical misconceptions. From plastic surgery to chiropractic care to birth control, practicing health care professionals pull back the curtain on their techniques and philosophies.

Of course, the best way to fight misinformation is with truth and proper education. Health care providers and institutions around the Valley partner

with universities such as the Kirk Kerkorian School of Medicine at UNLV and Touro University Nevada to provide clinical rotations and residencies, offering medical students to gain the necessary experience to become doctors, physician assistants, occupational therapists and more. Neil Gokal, the medical director of clinical education at Southwest Medical, Part of Optum, weighs in on these programs and their importance.

Another health issue that weighs heavy on the hearts of thousands of Nevadans is the opioid crisis. According to the CDC, the death rate due to drug overdose has increased year over year, and intervention is crucial in prevention and treatment. Roseman University of Health Sciences and SilverSummit Healthplan both shared details about programs that have been enacted to provide help and healing to individuals suffering from substance use disorder.

Despite the many challenges we face, I hope comfort is found in the innovation and resiliency evident in our community. It’s a gift to live in a time and place where information is more accessible than ever before, and it is my hope that Health Care Quarterly can be among your trusted resources for health care information.

Wishing you a happy and healthy holiday season,

Sierra Smart Special Publications Editor sierra.smart@gmgvegas.com

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Medical News MEDICAL LICENSES SURGE IN NEVADA In 2024, the number of medical licenses issued in Nevada have surged compared to the previous year. The Nevada State Board of Medical Examiners attributes this to improved processes and says that it reflects the growth of quality health care statewide. In data issued summer 2024, medical licenses now number 16,760, an increase of 1,011. The number of traditional, noncompact medical doctors’ licenses issued during the first six months of 2024 is 493, up 93% year-over-year.

Medical doctor license applications that are approved and awaiting registration payments have jumped 113% from 2023.

MAGNETIC PULSES FOR TREATING DEPRESSION AND OCD Transcranial magnetic stimulation, a neuromodulation treatment that involves placing an electromagnetic coil against the scalp, is now available at Nevada Mental Health. During the TMS procedure, magnetic pulses from the coils stimulate nerve cells in specific brain regions where activity levels are diminished by major depression, OCD or the biomechanisms that fuel smoking urges. It’s noninvasive— there is no surgery or implanting of electrodes involved. (Courtesy)

Inside this issue

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As microplastics in the body become more prevalent, the effects are unknown Debunking common medical myths

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Male breast cancer survivor combines outer space and awareness

Community partners addressing substance use disorders

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Exploring treatments for common foot ailments

News and updates from the Las Vegas medical community

Advertorial presented by Dignity Health – St. Rose Dominican

Dignity Health Siena Hospital - Growing to serve the healthcare needs of southern Nevada.

AUTHOR DIGNITY HEALTH ST. ROSE DOMINICAN

HENDERSON - While appearing calm from outside, it’s been a busy year at Siena Hospital. The flagship facility of the Dignity Health-St. Rose Dominican system is opening an additional floor to its Dominican Tower and accomplished it without cranes, concrete, or major disruptions.

The opening of the new fifth floor makes available 36 new inpatient beds, bringing Siena to 362 licensed beds. Siena remains the largest hospital in Henderson and the sixth largest in southern Nevada.

“This project was first set in motion years ago, due

to the foresight of hospital leadership,” said Katherine Vergos, President and CEO of Siena Hospital and Dignity Health Nevada. “Original plans called for construction of a four-floor tower. Anticipating growth in this area, leaders chose to build out an unfinished fifth floor to streamline future growth.”

The new space will be the new home of the Dominican Tower’s existing Intermediate Care Unit. The existing intermediate care space will be transitioned to new medical/ surgical beds. Both are slated to be completed ahead of schedule and in time for the busy winter season.

“Adding patient beds, of course, allows us to care for more

patients,” said Josederic Scott, Siena’s Chief Operating Officer.

“But the most significant benefit is how it helps decompress Siena’s Level III Trauma Center - one of the busiest Emergency Departments in southern Nevada.”

When unit beds are unavailable, incoming patients continue to receive care in the ER, which creates a staffing demand that impacts incoming ER patients.

Katherine Vergos said, “This new unit is crucial in our efforts to increase patient flow throughout the hospital.

Patients can be moved upstairs more quickly and ER staff can provide care for incoming patients.”

Along with the additional rooms, Siena has added

additional parking in a new surface lot on the west side of the hospital campus.

Siena is also in the process of building a $5.1-million Extracorporeal Membrane Oxygenation (ECMO) program made possible by a grant from the Leona M. and Harry B. Helmsley Charitable Trust.

ECMO devices provide support for patients with severe failure of the heart, lungs, or both.

“Dignity Health-St. Rose Dominican has maintained a commitment to the Henderson community for almost 80 years,” said Vergos. “We’re planning, and building, to continue that tradition.”

Digitization of radiology is revolutionizing our health care system DAVID STEINBERG, MD

T David Steinberg, MD, is a radiologist and co-founder of Steinberg Diagnostic Medical Imaging

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echnological advances have driven profound shifts in radiology. The move from traditional media, like films and CDs, to advanced digital portals marks a significant milestone. This digital revolution is not just changing how we store and share images, it is fundamentally transforming how we deliver patient care.

In today’s fast-paced health care environment, digital image sharing is becoming the gold standard because it offers ease and speed of access to diagnostic information. Gone are the days when patients had to physically transport films or CDs containing their medical images from one doctor’s office to another.

Now, patients and providers rely on the seamless convenience of digital portals. These platforms empower physicians to access, share and manage medical images with unprecedented efficiency, which fosters collaboration and improves patient outcomes.

Digital portals offer a comprehensive solution for health care providers by enabling the ability to view, print, and save reports, access high-quality diagnostic images, and collaborate with colleagues across the country in real-time. This capability is particularly crucial for patients who require specialized care or seek second opinions. The ability to share images and diagnostic information quickly ensures that patients receive timely and accurate treatment, regardless of their location.

The transition to digital image sharing is possible thanks to strategic partnerships with leading technology platforms. These collaborations integrate with existing systems. The result is a coordinated approach to managing patient information

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and delivering care across different locations.

At Steinberg Diagnostic Medical Imaging, providers focus on patient care and technological innovation. By integrating digital platforms into operations, SDMI has not only streamlined the patient experience but set a new standard for efficiency and reliability in medical imaging.

As radiology continues to evolve in the digital direction, the future of health care is linked to technology-driven patient care. By adopting innovative solutions, the radiology community is setting benchmarks for managing and sharing medical imaging. These advancements ensure that images and information are always accessible, accurate and secure, which is crucial for providing high-quality patient care.

Another exciting development is the integration of artificial intelligence into radiology modalities. AI has the potential to revolutionize how we interpret and analyze medical images. By automating routine tasks and enhancing image analysis, AI can improve patient care by helping detect abnormalities earlier and more accurately.

SDMI has implemented AI-driven tools that assist in diagnosing conditions quickly and precisely, allowing providers to deliver more personalized and effective care to patients.

For health care providers looking to stay ahead in this rapidly evolving field, engaging with digital platforms is no longer optional; it is essential.

These technologies, including the growing role of AI, offer a glimpse into the future of medical imaging, where technology and patient care go handin-hand. The result is faster, more efficient, and more effective health care with improved patient outcomes.

Digital image sharing is becoming the gold standard because it offers ease and speed of access to diagnostic information.

NOVEMBER 2024

Embracing Discovery Roseman University is training the next generation of compassionate and highly competent healthcare providers in pharmacy, nursing, dental medicine and graduate studies to thrive in the ever-changing world of healthcare.

With more than two decades of building from a firm foundation to a broad universe of healthcare education, Roseman continues to develop innovative programs that train a diverse student body to be exceptional leaders in their chosen fields. We look ahead to the limitless promise of the future, in providing our communities unparalleled patient care, scientific discovery, and commitment to improving healthcare outcomes in our region and beyond.

HOW DO WE EMBRACE DISCOVERY? Through Roseman-supported and externally funded research and grants Via human subjects research support, with HHS-endorsed IRB oversight Through collaborations formed through academic programs and industry partners Through technology, innovation and resource synthesis

Learn more at roseman.edu Transforming Education. Reimagining Healthcare.

Embracing Discovery. Committed to Community.

roseman.edu | @rosemanuhs

Educating the next generation of health care providers

BY NEIL GOKAL, MD

S Neil Gokal, MD, is Medical Director of Clinical Education at Southwest Medical, part of Optum

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outhwest Medical, part of Optum, collaborates with several of the community’s institutions to improve the local health care system and increase the number of skilled quality care clinicians in Southern Nevada.

In my role, I spend part of my time in clinical practice and the remainder working closely with our education teams. This includes residency programs for physicians, clinical internships for APRNs and PAs, and an onboarding program for residents who choose to join the practice after residency.

Interns log hundreds of hours reviewing case studies, discussing symptoms, reviewing the medical charts of incoming patients, performing clinical exams and gathering information on symptoms and concerns. They learn by obtaining the patient’s health history, working alongside a supervising doctor and taking readings and making determinations. Southwest Medical’s ongoing health care provider pathway programs were designed in partnership with local health care educators to directly integrate providers-in-training into professional practice. These programs include: n The PA Pathways Program with Touro University: Southwest Medical and Touro University partnered to educate and prepare physician assistants for full-time practice in primary care.

Clinical rotations are completed at Southwest Medical, except emergency medicine and behavioral health. Fifty-four interns have graduated from the program with six more currently in place. n The APRN Pathways Program with UNLV: Southwest Medical and UNLV partnered to educate and prepare three APRNs per year for next-generation population health models. Clinical rotations are completed at Southwest Medical, and interns receive instruction on community-based efforts for

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improving health outcomes. There is core teaching that occurs monthly to supplement clinical exposure and guide career development. Specialties include cardiology, gastroenterology, rheumatology, neurology, pain management, wound care, urology and podiatry. Fourteen providers have graduated from the program with three more in place. n The Physician Pathways Program for Third-Year Resident Physicians: This program begins each fall. Optum team members educate and prepare third-year residents for the latest in population health models and maintain a close mentorship during the final year of residency training. This customized program supports residents to supplement their clinical exposure with a stronger understanding of metrics, tools and resources needed to improve care outcomes. n The Valley Health System Family Medicine Residency Program: In partnership with the Valley Health System, this program was developed in July 2019 and is currently the largest family medicine residency program in Nevada. During residency, physicians immerse themselves in the community and become familiar with the local health system, the patient population and the resources available in Las Vegas. They build strong relationships with fellow residents and attending physicians while developing their patient panel. Each physician becomes a key member of an interdisciplinary team providing comprehensive care to patients. Southwest Medical serves as the primary outpatient continuity clinic for these physicians in training. The program currently has 30 residents and will soon graduate the third class of eight family physicians.

Southwest Medical has also assisted Year 1, Year 2 and Year 3 medical students in support of their clinical immersion, in partnership with the deans of the Kirk Kerkorian School of Medicine at UNLV and TUN School of Medicine.

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AS MICROPLASTICS ARE DISCOVERED IN THE FAR-REACHING C O R N E R S O F T H E B O D Y, LONG-TERM HEALTH EFFECTS REMAIN UNKNOWN Microplastics are tiny plastic particles that range from the size of a small pebble to nanoplastic that is so microscopic you cannot see it with the human eye. Over the last few decades, researchers have been raising flags over the amount of plastic and microplastic polluting the environment, but recent research suggest it’s also accumulating in the human body. In 2022, Italian researchers discovered microplastics in breastmilk, and in the same year, researchers in the Netherlands found it in blood. Earlier this year, microplastics were found in human and animal testicles, human hearts, livers, kidneys and more, and there’s little clarity on what its pervasive presence may mean for our health.

WHERE DOES MICROPLASTIC COME FROM? Microplastic is commonly categorized into two main groups:

Primary microplastics

Secondary microplastics

Microbeads: Tiny plastic beads used in personal care products like exfoliating scrubs, toothpaste and cosmetics. Plastic microbeads are banned in the United States and several other countries.

Fragmented plastics: Large plastic waste, such as bottles, bags and containers, that have degraded into smaller pieces.

Intentionally manufactured small plastic particles that are less than five millimeters in size. Common sources include:

Nurdles: Small pellets used as raw materials in the production of plastic products, often lost during transportation and manufacturing.

Created from the breakdown of larger plastic pieces through processes like weathering, abrasion and photodegradation. Common sources include:

Synthetic fibers: Tiny fibers released from washing synthetic textiles, such as polyester and nylon, that can enter wastewater systems and eventually reach waterways.

Both types of microplastics pose significant environmental challenges, affecting ecosystems and impacting human health through the food chain and water supply. Additionally, microplastics can serve as carriers for harmful pollutants and toxins, further exacerbating their effect on the environment, wildlife and human health.

There are several toxic chemicals that are associated with microplastics and are currently being examined for their possible health consequences, including PFAS, often known as “forever chemicals.”

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WHAT DOES IT MEAN FOR HUMAN HEALTH? The effect of microplastics on human health is an active area of study and not yet entirely understood. We know that microplastics can accumulate in the body, which can potentially cause inflammatory responses, and that they often carry toxic chemicals which have a host of different consequences including reproductive issues, cancer and nervous system disorders. Researchers at the Harvard T.H. Chan School of Public Health have reported particular concern about nanoplastics because they can enter cells and get into the cell nuclei. Other research has connected microplastics to oxidative stress, metabolic disorders, organ dysfunction and DNA damage.

The potential for microplastics to aggravate respiratory issues when inhaled is another area of concern, especially in urban environments where air quality is already compromised. As research into the health impacts of microplastics continues, it becomes increasingly important to reduce plastic use.

Limiting microplastic exposure involves making conscious lifestyle changes. Here are some strategies:

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Choose natural fibers: Opt for clothing and textiles made from natural fibers like cotton, linen or wool instead of synthetic materials such as polyester or nylon. This reduces the shedding of microplastics during washing.

Support sustainable brands: Choose brands and products that prioritize sustainability and offer biodegradable or plastic-free options, especially in household items and personal care products.

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Use a washing bag or filter: When washing synthetic fabrics, consider using a microfiber filter bag or a specialized filter that can capture microplastics released during the washing process. This can help reduce their release into waterways.

Filter your water: Consider using a water filter that can remove microplastics from drinking water. Look for filters with specific capabilities to address microplastics.

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Be cautious with personal care products: Check labels on cosmetics, shampoos and other personal care items for synthetic ingredients. Choose products that prioritize natural ingredients and avoid ingredients like polyethylene, terephthalate and polypropylene.

Reduce fast fashion consumption: Limit purchases from fast fashion retailers because their products often contain synthetic materials and contribute to microplastic pollution. Instead, invest in quality clothing made from natural fibers that will last longer.

Avoid single-use plastics: Reduce single-use plastics such as straws, bags and bottles. Use reusable alternatives made from stainless steel or glass.

Stay informed and advocate: Keep informed about microplastic pollution and support policies that aim to reduce plastic production and waste.

Advocacy can help drive systemic changes in plastic use and waste management.

COMMON TOXINS A S S O C I AT E D W I T H P L A S T I C There are many harmful chemicals associated with plastic and microplastic, but here are some of the most known.

BPA

Bisphenol A is a synthetic chemical commonly used in the production of plastic and resin. It is found in a variety of consumer products, including water bottles, food containers and the linings of metal cans. It is a known endocrine disruptor. Research has also linked BPA exposure to various health concerns including reproductive disorders, developmental issues in children and an increased risk of certain cancers. As awareness of these potential risks has grown, many manufacturers have started producing BPAfree alternatives, though concerns about the safety of these substitutes continue to be an area of active research.

PFAS

Per- and polyfluoroalkyl substances are a group of man-made chemicals known for their water- and grease-repellent properties. These substances have been widely used in various industrial applications and consumer products, including non-stick cookware, water-repellent clothing, stain-resistant carpets and food packaging. PFAS are often referred to as “forever chemicals” because they do not break down easily in the environment or in the human body, leading to accumulation over time.

Research has raised concerns about their potential health effects, which may include immune system disruption, hormonal imbalances, and increased risks of certain cancers.

PHTHALATES

Phthalates are a group of chemical compounds commonly used as plasticizers, which are substances added to plastics to increase flexibility, transparency, durability and longevity. They are primarily used in PVC products and can be found in a wide range of consumer goods, including toys, vinyl flooring, medical devices and personal care products like lotions and perfumes.

Phthalates are endocrine disruptors and exposure to phthalates has been associated with various health issues including reproductive and developmental problems, asthma and certain types of cancer. Due to these health risks, many countries have implemented regulations to limit the use of specific phthalates, particularly in products intended for children.

HEAVY METALS

Microplastics can absorb and carry heavy metals including lead, mercury and others.

These metals can adhere to the surfaces of microplastics, allowing them to travel long distances in water bodies and potentially enter the food chain. Research is ongoing to better understand the extent of this issue and the potential health implications associated with exposure to heavy metals carried by microplastics.

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MICROPLASTICS IN CONSUMER GOODS Not only are we exposed to microplastics through food and water, but many everyday products contain microplastics and associated toxins. Common sources of microplastics in our daily lives include:

DRINKING WATER

Studies have detected microplastics in tap and bottled water. Researchers at Penn State found that 325 plastic particles were found in one liter of bottled water compared to 5.5 plastic particles found in one liter of tap water. The levels of microplastics in tap water can vary depending on geographical location and local water management practices.

PERSONAL CARE PRODUCTS

Many shampoos, conditioners, scrubs and cosmetics contain synthetic polymers and PFAS. Some of the most common sources of PFAS are in personal care products including tampons, toilet paper, contact lenses and dental floss.

SYNTHETIC TEXTILES

HOUSEHOLD ITEMS

FOOD PACKAGING

NONSTICK KITCHENWARE

Clothing made from polyester, nylon, and acrylic sheds microplastics during washing, which can then enter water systems.

Some food packaging materials, like plastic containers and wrappers, can release microplastics into food, especially when heated.

Carpets, furniture, mattresses and other products made from synthetic materials can release microplastics over time.

Nonstick kitchenware is a common source of microplastics and PFAS which are released into food during cooking.

MICROPLASTIC IN THE ENVIRONMENT Microplastics have become a pervasive threat to ocean ecosystems and have infiltrated even the most remote marine environments. It’s frequently found in ocean waters, on beaches and in marine sediments.

Additionally, many marine species mistake plastic for food and ingest it, which affects their health and disrupts entire food webs. Predators, including humans, that consume contaminated prey may also consume microplastics and associated toxins.

Additionally, microplastics pose a significant threat to biodiversity and habitat health. Plastic can smother sensitive marine habitats like coral reefs and can alter the properties of ocean water, affecting nutrient cycling and ecosystem dynamics.

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Outside of the ocean, microplastics are increasingly found in soil. As plastic waste breaks down, microplastics can enter soil through various pathways including agricultural runoff. Microplastic can alter the physical and chemical properties of the soil, affecting structure, water retention and nutrient availability. This hinders plant growth, reduces crop yields and compromises soil health, ultimately impacting food production and agricultural sustainability. The presence of microplastic in soil also may pose risks to soil organisms, including earthworms and beneficial microbes, both of which play crucial roles in nutrient cycling and maintaining ecosystem balance.

Your heart is in the

right place.

Debunking common

medical myths Does an apple a day keep the doctor away? Do our joints crack during a chiropractic adjustment, and if so, why? Does the flu shot give you the flu?

Society is rife with medical myths—everything from common adages to old wives’ tales to outright misinformation. But repeating something time and time again doesn’t necessarily make it true. Here are some common medical myths and the science, or lack thereof, behind them.

Is it dangerous to hold in a sneeze?

A sneeze is a forceful burst of air from your lungs and your body’s way of removing irritants from your nose or throat. While holding in a sneeze occasionally is not likely to cause damage, you should avoid doing so when you can. According to the Cleveland Clinic, holding in a sneeze can cause damaged blood vessels, vertigo, ruptured ear drums or hearing loss. (And yes, contrary to another common myth, you can keep your eyes open during a sneeze, if you really try.)

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Are 10,000 steps a day optimal for health?

The idea of walking 10,000 steps a did not come from medical research or any hardline study—it originated from a 1964 Japanese marketing campaign for pedometer. While this claim may not have been rooted in evidence, walking 10,000 steps a day is still a meaningful health goal that may help lower the risk of dementia, relieve symptoms of depression and anxiety and decrease cardiovascular disease.

NOVEMBER 2024

Does the flu shot give you the flu?

According to the Centers for Disease Control and Prevention, the influenza vaccine contains either inactive influenza virus strains or a particle designed to mimic the flu in your immune system, but it does not cause the flu. Some people develop mild flu-like symptoms following the vaccine, but this is likely a side effect of the body producing antibodies that offer protection from the flu.

Does an apple a day keep the doctor away?

Though it is perhaps one of the most often repeated health adages, unfortunately there is no evidence to support the idea that an apple a day keeps the doctor away. However, an apple is high in water, soluble fiber, and key nutrients like potassium, making it a great healthy snack regardless of whether or not it may limit visits to the doctor.

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DEBUNKING MEDICAL MYTHS

Social media is changing the traditional trust paradigm in medicine social media is clear. The traditional patient-physician relationship and unencumbered trust is being tested and, in some instances, has gone on trial. Trust in doctors, allied health professionals and the health care system as a whole has been eroded like never before.

New formats of communication have impressively morphed from isolated trends to permanent presence and are the harbingers of ongoing challenges.

BY WOLFGANG GILLIAR, DO, FAAPMR

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e are living in one of the most transformative moments in medicine and society at large. Digital and virtual communication holds tremendous benefits and bears perilous risks of misinformation and outright false information.

There has been an explosion of new ways to communicate through increasingly immersive and innovative social Trust, truth media platforms and the nearly unfathand taking action omable power of artificial intelligence.

As quickly as we become drawn toward Truth and scientific evidence remain the immense potential of these modthe unfaltering foundation of medicine. ern technologies, we are faced with the Mitigation frameworks against disinforreality of their risks and danger of abuse. mation and fraudulent claims must be The pandemic taught us scientific facts developed on a large scale, from various no longer stand on their own and remain health professionals and their communeutral; evidence-based information nities to supportive public communities quickly gave way to self-proclaimed and socio-economic initiatives on both Wolfgang Gilliar, DO, “experts” who identify themselves as the federal and state level. Potential FAAPMR, is Dean of the “influencers.” sources of misinformation and fake College of Osteopathic On various social media platforms, we materials need to be countered by Medicine at Touro now have terms such as “medfluencers,” public figures, creative public health University Nevada individuals who claim, independent of initiatives, the medical and health care any affirmative expertise, to be opinion leaders in the community and others. In a way, we will need to create medicine and health care space. In the aggregate, we a form of meta-communication that brings the many find ourselves immersed in a novel “infodemic,” where stakeholders together. the spread of fake information transmits more quickly To this end, medical and health care students are than facts on social media. We see false information motivated and dedicated to the betterment of comshared about weight loss management, mouth taping munity health. They are stepping up in ways that and more that claim to cure or reduce symptoms, with we should be proud of. They stand poised to put into no proof or regard to safety. Humans often feel the action the smart next steps that will influence how a need to search for quick and easy fixes but choosing to healthy and health-minded society best communicates. clear a sinus infection, for example, by putting garlic Together we must support their vision of creating cloves in your nostrils could have larger health implica- better health for all. Today’s students will create trust tions and we need to be aware of the consequences. and truth in the future: they are the “doers,” quickly The effect of medical misinformation spread on becoming society’s much needed change agents.

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Does going out in the cold give you a cold?

Going out in the cold, leaving the house with wet hair or forgetting to wear a hat in the winter will not give you a cold. Colds are caused by one of more than 200 different viruses that cause a similar cluster of symptoms, including a runny nose, sore throat and headache.

Rhinoviruses are the most common culprits. While being cold does not cause colds, more colds occur during fall and winter.

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DEBUNKING MEDICAL MYTHS

Social media rife with incorrect, sometimes dangerous birth control advice Medical school researchers analyze hundreds of TikTok videos, revealing startling levels of misinformation regarding oral contraceptives

BY PAUL JONCICH

L

eanne Free, MD, is an assistant professor at the Kirk Kerkorian School of Medicine at UNLV, where she was part of a team of physicians and medical students whose research regarding birth control misinformation on social media was published in the American Journal of Obstetrics and Gynecology.

She recently talked about the project.

Paul Joncich, is manager of media relations at Kirk Kerkorian School of Medicine at UNLV

Leanne Free, MD, is a board-certified obstetrician-gynecologist and fellowship-trained specialist in complex family planning

Do patients come in misinformed because of social media?

As an OB-GYN, I frequently encounter patients who come in with misinformation due to social media or anecdotal experiences from friends and family. This is particularly common regarding topics like birth control, HPV, sexually transmitted infections, effects of labor induction and augmentation, and breast and cervical cancer screening. The research team became very aware that social media has increasingly become a major source of consumer health information and has expanded into becoming the primary search engine for adolescents and young adults.

How many videos did the team analyze?

1,000 videos were screened for inclusion in the study and ultimately 574 videos

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were analyzed. The most common reasons for videos being excluded from the study were that they weren’t relevant, they were in a language other than English or they were on private accounts.

What topics were discussed most often?

The most common topic in the videos were the effects of oral contraceptives, including intended effects and adverse effects (62%), followed by pregnancy prevention (21%). Most of the videos analyzed were educational or informational (63%), followed by patient testimonials or “seeking advice” (29%). Sixty-five percent of videos were posted by non-health care professionals.

What is an example of bad advice you found?

One example was, “I heard from a friend that taking oral contraceptives will completely ruin your fertility forever.

Once you start them, you will never be able to get pregnant again, no matter what. It is better to avoid them altogether and stick with non-hormonal, natural methods.” This is incorrect. There is no evidence that oral contraceptives cause any type of infertility. Additionally, it is important to remember that when you come off oral contraceptives, the ovaries are stimulated, increasing the chances of pregnancy.

Was any of the misinformation dangerous?

Do you really need eight hours of sleep a night?

Generally, most healthy adults need 7-9 hours of sleep each night, while children need more and elderly adults need less. Some research indicates that women may need more sleep than men.

Are babies born with more bones than adults?

Babies are born with about 300 bones and adults have 206. Some of the bones that babies are born with will fuse together. For example, babies have “soft spots,” or fontanelles, on their heads where the bones are open, and they slowly fuse together during the first few years of their lives. At birth, a baby has five skull bones that eventually develop into a single hard skull.

Can fingernails indicate disease?

Fingernails may indicate many different things about our health, including vitamin deficiencies, digestive issues, and even underlying illness such as kidney disease or diabetes.

Yes, one example was that, “you do not need to take the oral contraceptive pills every day if you are using them to skip your period. Just take them when you remember, and it should still work fine.

Skipping pills is okay as long as you are not having a period.”

In fact, pregnancy is one of the most common reasons for a missed period. Other things such as stress, weight gain/ loss, and use of certain types of birth control can also cause a missed period, but the potential for pregnancy must always be evaluated.

Going forward, how should one filter out bad medical advice on social media?

Did you get the feeling that any videos were intentionally incorrect?

I do not believe any videos intentionally portrayed incorrect or harmful information, but videos posted by non-health care professionals tended to discuss individual or even personal experiences rather than what we know in a greater context based on well-conducted research and decades of data.

What were the key findings?

Social media platforms like TikTok are significant sources of contraceptive information, but the reliability and quality of this information vary widely. Health care professionals provide more reliable contraceptive information on social media compared to non-health

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care professionals, yet their content receives less engagement. Poor-quality contraceptive information on social media poses challenges for health care providers in counseling and educating patients about reproductive health. Strategies to improve patient education and counseling should include targeted efforts to address misinformation on social media, as well as enhancing access to accurate and reliable resources. Insufficient contraceptive education in the U.S. prompts individuals to turn to other avenues for information, underscoring the critical need for comprehensive sex education programs.

I recommend following credible sources including health care professionals like doctors, nurses, nurse practitioners or pharmacists. Verify the qualifications of the person or organization sharing the information; professionals usually have credentials listed in their profiles, like MD, RN, or other relevant certifications.

Credible sources will generally provide reliable and up-to-date information. High-quality information is often backed by scientific research or clinical studies, so look for posts or articles that cite sources or provide references. Be wary of bias and avoid content that uses dramatic language or scare/fear tactics. Reliable health information is usually presented in a straightforward, non-sensational manner.

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Does coffee stunt your growth?

There is no evidence that coffee can stunt your growth. An article published

by Harvard Medical School speculates that this myth may have originated from dated studies that linked caffeine intake to osteoporosis, which can reduce a patient’s height. Though caffeine may increase the body’s elimination of calcium, its effect is minimal and other lifestyle factors among coffee drinkers may lead to lower dietary intake of calcium.

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DEBUNKING MEDICAL MYTHS

Chiropractic care

BY JOSEPH NICOLA, DC

T

here are many myths and untruths about chiropractic care. Here are some of them and the reality behind these claims.

Chiropractors aren’t real doctors.

Adjustments hurt.

Chiropractic care in skilled hands is typically very comfortable. Some patients may feel temporary discomfort, but that is not common and can be minimized through different techniques. If any pain is felt during an adjustment, inform the chiropractor and request re-evaluation.

If you do not hear a crack, it doesn’t work.

The audible crack is a side effect of the adjustment. It is commonly associated with a skilled adjustment, but chiropractic adjustment aims to improve joint motion, reduce muscle or nerve tension, decrease pain and increase function. Those goals can occur without the audible sound.

The sound heard during an

Chiropractors are licensed physicians. They are not adjustment is bones cracking. medical doctors who can prescribe but they can diagThe popping or cracking sound is gas bubbles being nose and treat ailments and are licensed to order labs, released from the synovial fluid within the joints. In other x-rays and other imaging modalities similar to medical words, a small “space” opens and releases built-up pressure doctors. within the joint. It is not the sound of bones cracking.

Chiropractors must complete at least three years of undergraduate premedical Chiropractic does not do study and earn a Doctor of Chiropractic anything. degree from an accredited college. ChiChiropractic care is routinely rated with ropractic school is 10 semesters of study, higher patient satisfaction for neck and which can be completed in three and a back care than other modalities. Research half to five years, depending on the pace on neck and back pain and chiropractic care of classwork. During this time, they will continues to grow and shows its benefits. In study anatomy, embryology, physiology, 2017, the American College of Physicians biochemistry, diagnosis and orthopedics added spinal manipulation to its guidelines and complete internships. Once they for the treatment of low back pain. have graduated, chiropractic physicians must pass the National Board of ChiMedicine is superior ropractic Examiners exam and attain a Joseph Nicola, DC, is for treating neck state licensure. the owner of NuSpine

Getting adjusted is dangerous and could paralyze you.

Chiropractic, Nicola Chiropractic and Complete Injury Management

Chiropractors’ malpractice insurance rates are usually lower than those of medical doctors or doctors of osteopathy. This is because chiropractic risk is traditionally deemed low. To minimize risk, a chiropractor should take a thorough medical history of the patient, rule out any red flags and determine if adjustments are the right path for the patient. While no doctor can reduce therapeutic intervention to zero, care with a skilled chiropractor is typically safe and effective, providing a reassuring sense of security to the patient.

and back pain.

Whether to treat back pain with chiropractic or surgical intervention depends upon the severity of the pain. Chiropractic is less invasive and requires no drugs or surgery. Often, neck and back pain can be treated with consistent manual adjustments and lifestyle changes, whether exercising more, losing weight or even restructuring the office and home to be more ergonomic. Chiropractic care can help with cases where the pain has been chronic and there do not appear to be any underlying medical issues. If the pain is sudden and causes neurological symptoms, including but not limited to numbness or loss of bodily control, this could be a more serious issue, potentially requiring medical attention.

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DEBUNKING MEDICAL MYTHS

Only women get plastic surgery Plastic surgery has traditionally been more common among women but that’s changing. In recent years, there has been an increase in the number of men seeking plastic surgery. Procedures like gynecomastia surgery (male breast reduction), liposuction, facial rejuvenation and rhinoplasty are becoming increasingly popular among male patients.

Plastic surgery

Plastic surgery is dangerous

BY CHRISTOPHER COSTA, MD

T

he plastic surgery world is still shrouded in misconceptions and harsh judgments that may cause hesitation and confusion about aesthetic procedures.

But cosmetic surgery is about enhancing natural beauty, improving quality of life and prioritizing patient safety.

Plastic surgery is about vanity Surgical procedures fulfill a spectrum of needs. While plastic surgery can enhance appearance, it also serves a vital role in reconstructive surgery, helping patients regain function and confidence after trauma, illness or congenital conditions. From breast reconstruction after a mastectomy to facial reconstruction following an accident, plastic surgery can be life-altering in many ways. It’s not about chasing perfection or looking like a celebrity, it can be about restoring balance, enhancing self-esteem and improving overall well-being.

Plastic surgery leaves scars and has long recovery times

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Plastic surgery looks fake or overdone Most plastic surgery procedures are subtle and designed to enhance natural beauty, not create an artificial appearance. The best plastic surgery results leave people wondering if you’ve had work done at all. A successful procedure should enhance your features in a way that feels authentic and true to you.

Christopher Costa, MD, is a board-certified plastic surgeon and founder of Platinum Plastic Surgery in Las Vegas, specializing in advanced surgical and non-surgical procedures

Incisions are inevitable but modern techniques, careful planning and working with a seasoned surgeon can minimize scarring and even accelerate healing.

For example, in procedures like no-scar breast augmentation, we use transaxillary incisions, meaning the incisions are strategically made in the underarm and leave the breasts scar-free. Similarly, with rhinoplasty and facial contouring, strategic incisions are hidden in natural creases or inside the nose, making them virtually invisible once healed.

These modern surgical techniques have advanced significantly, allowing for smaller, more discreet scars and even quicker recovery times depending on the procedure.

While more extensive surgeries may require a longer recovery, many modern plastic surgery procedures have faster recovery times than people may expect.

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Safety is the top priority for a reputable board-certified plastic surgeon. Advancements in technology and surgical techniques have made procedures safer than ever before.

It is important to choose a surgeon who is certified by the American Board of Plastic Surgery and who operates in accredited surgical facilities. Board certification ensures that your surgeon has undergone extensive training and adheres to the highest safety standards.

Surgeons must do their due diligence through consultations and pre-operative assessments to ensure that the patient is a good candidate for surgery, including discussing the risks and benefits of the procedure, reviewing medical history and developing a plan to minimize potential complications.

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Educating and empowering patients Plastic surgery is a deeply personal choice.

Whether it is for aesthetic or reconstructive reasons, deciding to undergo surgery should always be about feeling good in your own skin.

Myths vs. misinformation There is no shortage of medical mythology, and though often inaccurate, many of these myths are harmless and easily dispelled. But what happens when medical myths lean into something more insidious like misinformation spread on the internet? This misinformation may influence personal medical decisions, encourage dangerous behaviors, and erode trust in our health system. As a result, an increasing number of public health organizations and researchers are fighting the ongoing spread of false information online and creating the framework for how medical information will be most effectively communicated in the future.

Do you really need eight glasses of water a day?

Eight glasses of water, or 64 ounces, or two liters, is often considered a suitable goal for many people, though some will need more and others will need less. However, the U.S. National Academy of Sciences, Engineering, and Medicine recommends 15.5 cups of fluids a day for men and 11.5 for women. The amount of water an individual should drink in a day depends on weather, physical activity, overall health, and special conditions like pregnancy or disease. About 20% of our daily fluid intake comes from food, which can count toward daily hydration goals as well.

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Blue Zones How research can evolve and debunk

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wenty years ago, journalist Dan Buettner, National Geographic, and a team of demographers and scientists traveled to different regions of the world where residents were reported to live incredibly long lives. These regions were eventually dubbed Loma Linda, California the “Blue Zones,” and the concept became an instant phenomenon. Countless articles, a small library of books and a Netflix series followed. The concept was compelling—many Blue Zone centenarians drank wine, indulged in flavorful food, and lived purpose-driven and community-centered lives. It was also a highly marketable hook that gave way to a lifestyle brand selling nine key pillars of longevity—called the Power 9, a registered trademark—with several lucrative product verticals. But in the two decades since the original research came out, some members of the scientific community have cast doubt on the integrity of the Blue Zones project.

Nicoya, Costa Rica

Understanding Blue Zones In the original 2004 study, Buettner and his team identified four locations they termed Blue Zones: Ikaria, Greece; Sardinia, Italy; Okinawa, Japan and Nicoya, Costa Rica. Loma Linda, California, a large Seventh-Day Adventist community, was added in 2008. Today, Adventist Health, a faith-based health system affiliated with the Seventh-Day

“The Power 9”

The nine commonalities across the Blue Zones that may contribute to the longevity of the region residents are:

MOVE NATURALLY Blue Zone centenarians walk regularly, work in their gardens, and do house and yard work without mechanical tools.

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PURPOSE

DOWNSHIFT

80% RULE

PLANT SLANT

Why do you get out of bed in the morning? Adults who have an answer to this question live up to seven years longer than their peers, according to Buettner.

Stress is a normal part of life, but how we deal with is can determine our quality of life.

People living in Blue Zones have routines that alleviate stress.

Sardinians do happy hour. Adventists pray.

Ikarians nap.

People in the Blue Zones stop eating when they’re 80% full, satisfying their hunger without overeating.

Many Blue Zoners center their diets around vegetables, specifically legumes, and infrequently eat meat if at all.

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DEBUNKING MEDICAL MYTHS

The critiques of the Blue Zones project

Sardinia, Italy Ikaria, Greece

Adventist Church, owns the Blue Zones brand, Blue Zones LLC, after acquiring it in 2020.

The team developed different longevity indexes that they used to identify high-longevity regions.

They surveyed the centenarians of these regions and studied their lifestyles, ultimately observing nine commonalities that they attributed to the longevity trends in the region.

The Blue Zones research did not include controlled studies of the centenarians and the diet and lifestyle recommendations were based on observation, not proven science. Further, doubt has been cast on the legitimacy of the data used to determine centenarians and supercentenarians in the regions.

Earlier this year, Oxford University demographer Saul Newman published a study exposing fundamental flaws in the demographic research used by the Blue Zones team. Newman identified data patterns that indicate errors in the age-reporting of the regions and that fraud, clerical errors and incomplete record-keeping may be to blame as the vast majority of supercentenarians do not have birth certificates.

Okinawa, Japan He hypothesizes that the individuals surveyed in some of the Blue Zone areas may have had incentives to overstate their age, including receiving earlier pensions or insurance benefits.

Newman also notes some data contradictions. For instance, Loma Linda is the only Blue Zone in the United States and the project claims its residents have a lifespan that is 10 years older than the rest of the country, but the Centers for Disease Control and Prevention puts the area’s lifespan in the 27th-75th percentile. He also takes aim at the some of the lifestyle claims about longevity and contradicting data there. For instance, Okinawa has a high elderly suicide rate which could contradict some of the social claims made by the Blue Zones team.

Are the Blue Zones a myth?

WINE AT 5

BELONG

Except for Seventh-Day Adventists, people in Blue Zones drink alcohol “moderately and regularly,” with friends or with a meal.

Nearly 99% of centenarians who were interviewed during the Blue Zone study belonged to a faithbased community. Religion may provide resources for coping with the difficulties of life or simply instill a sense of belonging with like-minded people.

LOVED ONES FIRST For many people living in Blue Zones, putting loved ones first looks like multigenerational homes and communities. It is also exhibited by committing to a life partner and spending time with children.

RIGHT TRIBE Centenarians in the Blue Zones engaged in social circles that supported healthy behavior and took care of each other.

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The evidence supporting Blue Zones is thin and not peer-reviewed science. If Newman’s research is accurate, Blue Zones are not hotbeds for centenarians or supercentenarians, and the “Power 9” is not the playbook for longevity. This showcases that data can be interpreted and presented to draw different conclusions. Science evolves as new discoveries are unearthed. But sometimes, even skewed data still provides useful takeaways. In this instance, prioritizing meaningful relationships, eating healthfully and being active does align with the recommendations from most health care professionals and can be pillars to a healthy life.

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Local male breast cancer survivor combines outer space and awareness

BY RUPESH J. PARIKH, MD

I Rupesh J. Parikh, MD, medical oncologist at Comprehensive Cancer Centers of Nevada

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n 2007, Allen Herbert was diagnosed with stage 2 breast cancer, and as a man, he admits the news was unexpected.

At 48-years-old, he underwent surgery, endured numerous chemotherapy sessions and began a strenuous medication regimen.

According to the American Cancer Society, less than 1% of all breast cancer occurs in men. It is the rarest form of cancer in men with a lifetime risk of only 0.1% for developing the disease. To put it in perspective, in the United States, 1 in 2 men will develop cancer in their lifetime, 1 in 16 will develop lung cancer, 1 in 244 will develop testicular cancer, and 1 in 726 men will develop breast cancer.

Following his breast cancer diagnosis, Herbert learned from his geneticist that both he and his sons are also at an elevated risk for prostate cancer because of their West African heritage. The American Cancer Society reports that Black men with prostate cancer face a poorer prognosis compared to their white counterparts. This statistic resonated deeply with Herbert, driving him to actively participate in conversations about cancer, its effects and the critical need for awareness, particularly within the African American community.

Despite challenges in his cancer journey, including his cancer advancing to stage 4, Herbert was the Vice President of Business Development and Strategy of Nanoracks and General Manager of StarLab Oasis LTD from 2014 to 2017. His team introduced space agriculture to the United Arab Emirates, notably sending the first palm tree into space, and was developing the first space agriculture research firm in the UAE. He helped facilitate 18 experiments for the first Emirati astronaut on the space station and he even assisted in sending the first oven into space, which was used to bake the first space cookie.

In 2022, Herbert’s cancer spread further into his lungs, and he returned to the U.S. as his cancer

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resurged once more. He chose to settle in Las Vegas to be closer to family, where he now receives care from Comprehensive Cancer Centers of Nevada.

Despite the recurrence of his cancer, Herbert remains dedicated to raising global awareness about the disease. His work in space exploration has shaped a unique belief that the distinct environment of space holds potential solutions to Earth’s most pressing problems, including cancer.

His journey has inspired him to delve deeper into how space research can advance cancer treatments. He recognized the promising intersections between cancer and space research, noting that drugs developed in space have shown potential in treating cancer. Herbert continues to share his experience and passion for space-related cancer research with various groups including oncologists who are often unaware of these advancements. He is enthusiastic about the White House’s Cancer Moonshot initiative and committed to working closely with NASA, other government agencies, private sector partners and cancer organizations.

While reflecting on his journey, Herbert finds that the conundrums of space exploration and his personal health battles share a striking parallel.

“Both are daunting yet filled with limitless possibilities. Especially when you combine them for space cancer research,” he said. He is committed to speaking up and actively contributing to the global fight against cancer, ensuring advancements benefit everyone.

Herbert advocates for three key actions. First, he urges everyone to take control of their health by staying informed, undergoing regular screenings and being proactive about testing. Second, he encourages those diagnosed with cancer to approach their journey as they would an exploration of space. “Treat your battle with cancer as a mission—study the disease as if you’re preparing for a space expedition,” he said. Finally, Herbert calls on everyone to endorse increasing resources and supporting space-based cancer research.

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The hand condition that the Pope and Captain Hook have in common

BY RYAN GRABOW, MD

D Ryan Grabow, MD, is founder and Medical Director of Concierge Carpal Tunnel and Hand Surgery and the Grabow Hand to Shoulder Center

upuytren’s disease is known by many names including Viking’s disease, The Curse of the MacCrimmons, and Celtic hand. Though common, affecting at least 10 million Americans, it might be the weirdest hand condition that you have probably never heard of.

Named after Guillaume Dupuytren, a famous French surgeon of the 19th century, Dupuytren’s disease, or palmar fibromatosis, is the most common cause of a bent finger that cannot be straightened. It affects the tissue, called fascia, under the skin of the palm and fingers. For most people with the disease, it simply causes a slight thickening or puckering in the palm that many assume is a callus.

Why is it called Viking’s disease?

At one time, Dupuytren’s was called Viking’s disease because it is prevalent in Northern European countries, including Iceland, Norway and Sweden. In some areas of Norway, it affects more than 30% of people 60 and older, and in Iceland it affects more than 40% of those aged 70 and older. While it most commonly affects Caucasians, it has also been found in mummified Egyptian remains that predate the Vikings. While it occurs spontaneously in people of all ancestry, it is uncommon in those of African, Asian, Indian, Polynesian, Mexican and Latin American descent.

The Curse of the MacCrimmons

Originating in Scotland in the 16th century, the MacCrimmons were the official bagpipers to the chiefs of Clan MacLeod on the Isle of Skye. Legend has it that an angry

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woman cursed the MacCrimmons and said they would cease to be the official pipers to the MacLeods. As the male pipers aged, they all developed severe Dupuytren’s Disease and could no longer play. To this day, any piper who suffers from Dupuytren’s Contracture will say they have The Curse of the MacCrimmons. Of course, the Vikings settled heavily in Scotland, and this is likely the reason for a high prevalence of Dupuytren’s amongst the Scottish today.

What Captain Hook and the Pope have in common

J.M. Barrie, the author of Peter Pan, suffered from a severe Dupuytren’s “hook” contracture of his right ring and little fingers, which is commonly believed to be the inspiration for Captain Hook’s character.

“The Benediction sign” or “hand of benediction” is a gesture used by the pope and other clergy of the Roman Catholic Church that involves the ring and little fingers clasped in the palm and the index and long fingers extended. It has been captured in art and religious history around the world. While the exact origin has various theories, it is widely believed to be a classic representation of severe Dupuytren’s disease.

One theory suggests this gesture was adopted by the early Christian Church from the hand of Sabazios, representing a pagan god of ancient Thrace and Phrygia – the modern-day Balkan Peninsula region and Turkey, respectively. Both areas have a high percentage of Dupuytren’s contracture in older males. Hand of Sabazios sculptures display the classic Dupuytren’s contracture, including thickened tissue and cords in the palm. When Christianity took over those regions, they absorbed the pagan hand symbolism into their imagery,

WHO IS MOST LIKELY TO DEVELOP DUPUYTREN’S DISEASE? Men are five-times more likely than women to develop Dupuytren’s 60 years and older with European ancestry People with a family history There is some association with diabetes, epilepsy, alcoholism, and heavy smoking

artwork and ceremony.

The other theory is much simpler: It is believed that an early Pope suffered from severe Dupuytren’s in his right hand and could not use the open palm for blessings because of his contracture. Future popes and other clergy adopted this hand gesture based on the example he set.

How bad can it get?

Among those with Dupuytren’s, 1 in 5 will experience a thickening of the fascia in the palm and finger(s) that leads to a progressive contracture. The ring and little fingers are most often affected, but the thumb or any finger may be as well. While many patients have only mild

contractures, others develop severe contractures which may result in a hook-like appearance of the ring and little fingers.

Problems associated with Dupuytren’s contracture include: n Shaking hands n Difficulty grasping tools or playing instruments n Difficulty wearing gloves n Cannot wear a ring

How is it prevented and treated?

Unfortunately, Dupuytren’s disease cannot be prevented or cured.

All treatment methods are based on relieving problematic contractures of the fingers. No matter what method is chosen, recurrence of the

disease and contracture is almost inevitable. Treatment options include: n Open surgery (fasciectomy) is the removal of the affected contracted tissue in the palm and finger. n Minimally invasive needle release (fasciotomy) involves the percutaneous lengthening of the contracted tissue. n Minimally invasive Xiaflex injection (chemical fasciotomy) involves injecting a collagen dissolving enzyme to weaken the contracture so the finger can be stretched straight.

To learn more about Dupuytren’s Disease and treatment options, visit nosedationhandsurgery.com

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UMC Children’s Hospital establishes life-saving car seat program

BY EMILY ANTUNA

A

Emily Antuna is a Public Relations Coordinator at UMC

simple trip to the store could have ended in tragedy. “My life could have been so different,” Perla Gutierrez said while she smiled at her infant daughter, Areti. Gutierrez’s mother was involved in a vehicle crash that sent their car into the air. “It was upside down and my baby was in the back seat,” Gutierrez said. Thanks to a properly installed car seat, Areti was just fine.

Car seats significantly reduce the risk of death for children involved in crashes but recent studies have found many families are misusing car seats or not using them at all.

According to AAA, nearly 75% of car seats are installed incorrectly.

“The numbers are frightening,” said Brittany Van Roy, Nurse Supervisor in the UMC Children’s Hospital Pediatric Emergency Department. Southern Nevada’s only designated pediatric trauma center, UMC Children’s Hospital treats the Valley’s most critically injured children including hundreds involved in crashes each year. “More than half of the patients we were seeing after motor vehicle crashes didn’t have a car seat. We wanted to know why and what we could do to fix this,” Van Roy said.

Life-saving partnership

In April 2023, Van Roy and other nurses in the Pediatric Emergency Department at UMC Children’s Hospital formed a partnership with the Healthy Living Institute at UMC to bring vital child passenger safety resources directly to families impacted by crashes.

From complicated instructions to confusing recalls and costly options, Van Roy said families tell her they face a myriad of obstacles

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when it comes to keeping their children safe in the car. “I once had a mother tell me it was a choice between buying a car seat and feeding her child. Parents shouldn’t have to make choices like that, especially after a crash,” Van Roy said.

At UMC Children’s Hospital, families involved in motor vehicle crashes now receive a brand-new car seat and are taught how to install it in their vehicles by a certified passenger safety technician before they leave the hospital. “I’ve seen families experience a complete sense of relief when our nurses offer this help,” said Johnn Trautwein, MD, Medical Director of the Pediatric Emergency Department at UMC Children’s Hospital.

Since the program launched, more than 150 car seats have been distributed. “It’s kind of funny, we are one of the only specialties where we try to put ourselves out of business by preventing the injuries we take care of,” Trautwein said. “We don’t want to see these children back in our emergency room if we can help it.”

Children who are unrestrained or not properly restrained in the event of a crash can face life-changing injuries, including damage to internal organs and brain trauma if they are lucky enough to survive, according to Trautwein. He encourages families to take the proper safety precautions before they end up in the emergency room.

Help is here

“My daughter is alive because I asked for help,” Gutierrez said. When Areti was born, Gutierrez turned to the Healthy Living Institute at UMC for assistance in obtaining a car seat and learned how to install it in her family’s cars. She made this life-changing decision just two weeks before her family was involved in the crash. “There was so much I didn’t know, but I am so glad I learned how to protect my

baby,” Gutierrez said.

For more than two decades, the Healthy Living Institute at UMC has been assisting parents and caregivers with complimentary car seat education, inspections and installations. “We find that many families just don’t know what they are doing wrong, and they are hungry for the information,” said Amy Runge, Clinical Nurse Manager at the Healthy Living Institute. “Our goal as the hometown hospital is to provide a judgement-free space for parents and caregivers to learn the vital skills they need to protect their children before the unthinkable happens.”

“I am so thankful for them,” Gutierrez said. Her family not only received help from the Healthy Living Institute, but after her crash, UMC’s Pediatric Emergency Department made sure Areti went home safely in a brand-new car seat.

Courtesy

Protecting more children

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UMC Children’s Hospital and the Healthy Living Institute are working to expand their injury prevention initiatives to save more lives. In the summer of 2024, they launched Helmets for Healthy Heads to encourage proper helmet use for children riding bicycles, scooters and skateboards. Modeled after the successful car seat program, this initiative ensures children treated following bike crashes and similar accidents receive properly fitted helmets before they leave UMC Children’s Hospital.

“It all goes back to giving Nevada’s highest level of care,” said Trautwein. “We care for our community the best we can, both inside and outside of the hospital.”

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Low-dose radiation therapy may offer relief for osteoarthritis

BY MICHAEL J. ANDERSON, MD

O Michael J. Anderson, MD, is a radiation oncologist at Comprehensive Cancer Centers of Nevada

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steoarthritis is the most common type of arthritis and affects 500 million people worldwide. A study published in The Lancet Rheumatology estimates that by 2050, nearly one billion people will be living with this degenerative joint disease.

OA occurs when protective cartilage wears down and erases the cushioned layer between bones, causing them to rub against one another. This results in pain, swelling and decreased mobility that can become crippling. The disease targets key joints in the hands, knees, hips and spine, turning everyday tasks into daunting challenges. Simple actions like opening a jar, climbing stairs or even walking can become increasingly difficult as the disease advances. Chronic pain not only limits mobility but also discourages physical activity, creating a vicious cycle of discomfort and progressive muscle weakness.

In the search for new therapies, treatments that have withstood the test of time may be overlooked. While modern medicine often focuses on innovation, many older methods still hold significant value, particularly when managing chronic conditions like OA. Low-dose radiation therapy is one such approach that has the potential to offer effective relief for patients, despite being put on the backburner for newer interventions in recent years.

Common treatment options for OA range from non-steroidal anti-inflammatory drugs, like ibuprofen or naproxen, to complementary therapies and even invasive methods such as surgery. When considering these alternatives, it is clear why a non-invasive technique like low-dose radiation therapy would make a resurgence.

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Low-dose radiation therapy has been used for decades to manage pain and inflammation in joint disorders. Until the 1980s, low-dose radiation therapy was a common approach to treat OA worldwide. According to the Cleveland Clinic, a global survey in 1998 found that more than 1,300 institutions worldwide were using radiation for the treatment of benign disease, yet less than 10% of U.S. providers reported using radiation to treat OA compared with more than 85% in Central European countries.

Though its popularity waned with the rise of pharmacological and surgical interventions, physicians are now circling back to low-dose radiation therapy with a renewed interest.

This is, in part, thanks to researchers in Europe continuing to publish strong literature sharing favorable outcomes with the treatment. Doctors at Comprehensive Cancer Centers recognize this pattern and have re-evaluated the treatment due to its potential benefits.

Low-dose radiation therapy is a recommended alternative treatment for older patients with refractory OA who have not experienced effective pain relief with other treatments.

Treatment can be applied to many of the most commonly affected areas including the hands, feet, ankles, knees and the sacroiliac joint. The sacroiliac joint, between the tailbone and the hip, is extremely difficult to assess surgically, making it a prime candidate for the use of lowdose radiation therapy.

Prospective patients can schedule an appointment with a radiation oncologist at Comprehensive to start the process. First, a physical exam is conducted and then a CT simulation is performed if it is determined that the patient is a candidate for low-dose radiation therapy. The treatment is straightforward and can typically begin within one week

LOW-DOSE RADIATION THERAPY IS A RECOMMENDED ALTERNATIVE TREATMENT FOR OLDER PATIENTS WITH REFRACTORY OA WHO HAVE NOT EXPERIENCED EFFECTIVE PAIN RELIEF WITH OTHER TREATMENTS. TREATMENT CAN BE APPLIED TO MANY OF THE MOST COMMONLY AFFECTED AREAS INCLUDING THE HANDS, FEET, ANKLES, KNEES AND THE SACROILIAC JOINT.

of the initial exam. A low dose of radiation, likened to one fraction of the radiation that is given to a cancer patient, is divided and given over two weeks. It is often administered on Monday, Wednesday and Friday.

This treatment is recognized and approved by most insurance plans. If the patient does not notice immediate benefits, they can consider undergoing the treatment again in 12 weeks.

Research shows that about half of all patients who receive treatment choose to undergo a second course.

The treatment is considered to have no reported acute side effects, with long-term review finding that roughly 1 in 1,000 patients developed a very mild skin irritation or redness at the treatment site. For those concerned about long-term effects of radiation, including radiation-induced malignancies, these have not been reported in NOVEMBER 2024

the literature to date.

Patients who experience positive results often enjoy pain relief and an increase in mobility. Research shows a pain improvement rate of more than 70%, and more than 65% of patients report that pain relief lasts two years after initial treatment. Low-dose radiation therapy is proof that tried-andtrue treatments can still be remarkably effective, even decades later.

Comprehensive is a resource for leading-edge radiation treatments and is also proud to offer already established methods with proven benefits. To learn if low-dose radiation therapy is right for you, talk with your provider or visit one of Comprehensive’s four locations where low-dose radiation therapy is available: Northwest, Central Valley; Twain, Henderson; Siena, Southwest; Southern Hills.

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Community partners addressing substance use disorder for most vulnerable

S

ubstance use disorder touches millions of Americans every day. In 2022, the Substance Abuse and Mental Health Services Administration estimated that the prevalence of past-year substance use disorder in Nevada was 9.5% compared to the national average of 7.4%. While many people suffering with substance use disorder are underserved, several organizations in Nevada are working to improve and increase care for vulnerable populations.

BY NEYDIS VANEGAS MORALES, RN, MSN, AND FARZAD KAMYAR MD, MBA

I Neydis Vanegas Morales, RN, MSN, is Director of Maternal/Child Health for SilverSummit Healthplan

n Nevada, a critical and often overlooked population faces profound challenges: pregnant women struggling with opioid use disorder. The Maternal Opioid Treatment Health Education Recovery, or MOTHER, program, supported by SilverSummit Healthplan, represents a pioneering effort to address this pressing issue. The program, designed to serve high-risk pregnancies in Clark and Washoe counties, is breaking new ground by providing a comprehensive, integrated approach to maternal care that combines medication-assisted treatment, specialized maternal fetal medicine, and behavioral health services. This initiative is not just a response to a health care gap but a vital lifeline for many families in need.

The critical need for the MOTHER program

Farzad Kamyar MD, MBA, is director of Collaborative Care for the High-Risk Pregnancy Center

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Opioid use disorder during pregnancy poses significant risks to both the mother and her baby. According to the Nevada Department of Health and Human Services, the rate of neonatal abstinence syndrome in Nevada has increased markedly over the past decade, mirroring national trends. Neonatal abstinence syndrome occurs when babies are born dependent on opioids due to their mothers’ use during pregnancy, leading to withdrawal symptoms that require specialized care.

In response to this pressing issue, the MOTHER Program was established to provide a multifaceted solution. This community-based outpatient program—which is direly needed in

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Nevada—addresses the complexities of OUD in pregnant women by integrating various services in a collaborative care setting.

Comprehensive care under one roof

The MOTHER Program is distinguished by its comprehensive approach. Unlike other programs in northern and southern Nevada, which may focus on one aspect of care, the MOTHER Program integrates several important services: n Medication-Assisted Treatment: The program offers MAT using Buprenorphine and Naltrexone, which are critical for managing opioid dependency. MAT is proven to reduce the risk of relapse and improve outcomes for both mothers and babies. n Advanced Maternal Fetal Medicine: Specialized MFM care is essential for monitoring and managing high-risk pregnancies. The program provides advanced prenatal care to ensure both maternal and fetal health, addressing complications that may arise from opioid use. n Behavioral Health Services: Psychiatry and substance abuse counseling are integral components of the MOTHER Program. These services support mental health and help mothers navigate the psychological aspects of addiction and recovery. n Peer Recovery Support Services: Peer support is a powerful element of recovery. The MOTHER Program includes peer recovery specialists who provide mentorship and encouragement, helping mothers stay engaged in their treatment. n Educational Support: The program emphasizes education for mothers, providing

them with the knowledge and skills necessary for a healthier pregnancy and postpartum period.

Addressing health disparities

Historically, the intersection of opioid use disorder and pregnancy has been underserved in Nevada. The lack of integrated services for maternal opioid treatment and specialized care has created a significant health disparity. The MOTHER Program’s approach not only addresses this gap but also sets a new standard for how care can be delivered to this vulnerable population.

Data from the Nevada Department of Health and Human Services highlights that the state has seen a rise in opioid-related hospitalizations and a growing need for specialized maternal care. By providing an integrated model of care, the MOTHER Program helps bridge the gap between opioid use treatment and maternal health, improving outcomes and providing much-needed support.

Tips for supporting mothers facing opioid use disorder

For those involved in supporting pregnant women with opioid use disorder, whether as healthcare providers, family members, or community members, here are some key tips: n Encourage early and ongoing care. The earlier a pregnant woman receives integrated care, the better the outcomes for both mother and baby. Encourage regular visits to health care providers who are experienced in managing high-risk pregnancies and opioid use. n Promote support networks.

Building a strong support network is crucial. Encourage participation in support groups and connect mothers with peer recovery services that can provide emotional and practical support. n Educate about MAT options.

Understanding the benefits and

options of medication-assisted treatment is vital. Educate mothers about how MAT can support their recovery and improve pregnancy outcomes. n Address mental health needs. Opioid use disorder often coexists with mental health issues.

Ensure that comprehensive behavioral health services are part of the care plan to address both addiction and mental health. n Provide resources for family support. Support from family members can significantly impact a mother’s recovery and pregnancy outcomes. Offer resources and education to family members to help them provide the necessary support.

The program is funded in part by a $75,000 Community Investment Grant provided by SilverSummit Healthplan. Unique in its approach, this grant program is designed to improve SilverSummit’s members’ health outcomes by reducing barriers they face in achieving “whole person care”—not just focusing on physical health needs but also addressing each member’s emotional well-being and socioeconomic needs. By partnering with the High Risk Pregnancy Center to support the MOTHER program, SilverSummit is working to identify and address social and environmental barriers that hinder members and their families in this target population from living the healthiest lives possible.

The MOTHER Program represents a groundbreaking approach to tackling a complex issue. By integrating medication-assisted treatment, advanced maternal fetal medicine, and behavioral health services, it provides a comprehensive solution that addresses the needs of pregnant women with opioid use disorder. As the program continues to evolve, it will serve as a model for addressing similar health disparities in other regions, demonstrating how collaborative, evidence-based care can make a true difference in the lives of both mothers and their babies.

NOVEMBER 2024

SBIRT: A vital tool in combating substance use disorders

BY JASON ROTH

I

magine a world where seeking help for substance use is as normal as getting a check-up.

This vision is becoming reality thanks to an approach called Screening, Brief Intervention, and Referral to Treatment. For many individuals struggling with substance use disorders, especially pregnant and new mothers, SBIRT has become a crucial lifeline.

SBIRT is a proactive approach that integrates screening and early intervention into various health care settings. By identifying individuals with an active SUD or at risk of developing an SUD, and providing timely support, SBIRT can significantly improve outcomes. The approach is grounded in the understanding that SUD is a treatable health condition, akin to other chronic diseases.

Critically, SBIRT must be implemented in a non-judgmental manner.

Andria Peterson, PharmD, Executive Director and Co-founder of EMPOWERED at Roseman University College of Medicine, emphasizes this point.

“It’s vital that we recognize substance use disorder for what it is – a chronic disease, not a moral failing or a lack of willpower. Like other chronic conditions such as diabetes or hypertension, SUD requires ongoing management and support.

This understanding is fundamental to our approach at EMPOWERED and crucial for society’s perception of Continued on page 40

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Continued from page 39 individuals struggling with substance use,” Peterson said. “SBIRT is most effective when it provides access to resources that the patient is willing to accept in the moment. It’s not about pushing a one-size-fits-all solution, but about meeting people where they are and offering the support they are ready and willing to receive.”

The benefits of SBIRT are well-documented. Studies have shown that brief interventions can decrease substance use, reduce the risk of developing dependence, and improve overall health. By identifying SUD early, health care providers can prevent the devastating consequences that often accompany untreated SUD, such as overdose, job loss and family breakdown.

“SBIRT allows us to intervene at a critical juncture. By identifying substance use issues early, we can often prevent the progression to more severe stages of addiction. This early intervention is particularly crucial for vulnerable populations, such as pregnant women, where the stakes are incredibly high,” said Jason Roth is Vice PresiFarzad Kamyar, MD, a dent of Communications psychiatrist with EMand Partnerships with Roseman University of POWERED who is board Health Sciences. certified in Psychiatry and Addiction Medicine.

The EMPOWERED program represents how SBIRT principles can be effectively implemented and expanded upon. Founded in 2018, EMPOWERED provides resources and support to pregnant and postpartum individuals in recovery from substance use disorders, with a primary focus on opioids and stimulants.

“EMPOWERED goes far beyond simply treating the SUD itself. We offer a comprehensive suite of wraparound services designed to address the myriad challenges faced by mothers struggling with SUD,” Peterson said. “These services include connections to medical treatment, individual and group therapy, peer support, access to community resources, housing assistance, educational support, basic living supplies, job placement services, baby care supplies and education.”

Importantly, EMPOWERED embodies the principle of meeting clients where they are in their recovery journey. “When a client comes to us, we first address their area of greatest need. This could be housing, medical care, mental health support or something

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else entirely. By focusing on their most pressing needs first, we build trust and create a foundation for addressing their SUD. We recognize that if a client is homeless or struggling to feed their family, addressing substance use might not be their most immediate concern,” said Peterson.

This holistic approach aligns perfectly with the SBIRT model, which emphasizes not just screening but also brief intervention and referral to treatment.

By addressing the full spectrum of a client’s needs, EMPOWERED increases the likelihood of successful recovery and long-term stability.

“The SBIRT model, when combined with comprehensive support programs like EMPOWERED, creates a powerful synergy. We’re not just identifying problems; we’re providing immediate support and connecting individuals with the resources they need to overcome their challenges,” Kamyar said.

Despite its proven effectiveness, SBIRT is not yet universally implemented. Many health care providers remain unaware of this valuable tool, and barriers such as lack of training and resources can hinder its adoption. To address these challenges, health care institutions must prioritize training professionals on SBIRT and allocate sufficient funding to support its implementation.

“With more than 100 active clients, at EMPOWERED we’ve seen firsthand the transformative power of early intervention and comprehensive support,” Peterson said. “It’s crucial that we work to make SBIRT a standard practice across all health care settings. This isn’t just about treating addiction; it’s about saving lives and strengthening families and communities.”

Furthermore, breaking down the stigma surrounding SUD is essential. By fostering a culture of understanding and compassion, health care providers can encourage individuals to seek help without fear of judgment. It is crucial to create a supportive environment where individuals feel comfortable discussing their substance use and accessing the care they need.

“Stigma is one of the biggest barriers we face in treating SUD,” Kamyar said. “SBIRT helps normalize conversations about substance use, making it a routine part of health care. This can go a long way in reducing shame and encouraging people to seek help early.”

“Through the power of compassion, understanding and holistic care, we’re proving that recovery is possible, and that every individual deserves the chance to write their own success story, free from the weight of societal stigma,” Peterson said. “SBIRT is a vital tool in this mission, and its widespread adoption could revolutionize how we approach substance use disorders in health care.”

Make every moment count The right care at the right time can make all the difference to those living with lifelimiting illness. That is why we offer patient-centered hospice unique to your needs.

Doctors, nurses, chaplains, volunteers, and grief counselors are available 24/7 for physical, emotional, and spiritual care services. Care continues even after passing, with bereavement support for loved ones. Make every moment special. Get the individualized, compassionate care you deserve.

Call 702.671.1111 or visit smalv.com/hospice

©2024 Southwest Medical Associates, Inc. All rights reserved. Any person depicted is a model.

The company does not discriminate on the basis of race, color, national origin, sex, age, or disability in health programs and activities. We provide free services to help you communicate with us. Such as, letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call 702-877-5199 TTY 711.

ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al 702-877-5199 TTY 711.

(Chinese), 702-877-5199 TTY 711

Is something unusual happening with your Medicaid number?

BY KATIE ROSE WAECHTER

M Katie Rose Waechter is a health care writer and advocate owner of Watch Media Group

edicaid began in 1967, two years after President Johnson signed Medicare and Medicaid into law.

In 1977, President Carter signed the Medicare-Medicaid Anti-Fraud and Abuse Amendments to help prevent and prosecute fraud on a federal level.

Medicaid is a joint state and federal program, and every state has its own Medicaid system to provide for its low-income citizens. In Nevada, more than 811,000 people are enrolled in the health insurance program, nearly a quarter of the state population. Medicaid services include personal care, durable medical equipment, dental, optometry, behavioral and mental health, and physician services. The Medicaid Fraud Control Unit investigates and prosecutes Medicaid fraud in Nevada and has tackled millions of dollars’ worth of fraud across the state.

Medicaid sends payments directly to health care providers, which is where fraud often occurs. Common types of fraud include billing for services that weren’t provided or performing unnecessary tests or referrals—sometimes known as “ping-ponging” the patient.

“Over the years, we’ve seen a number of cases where both providers and recipients had no knowledge that services were being billed under their respective numbers. Fraud was being committed, and they were sitting in the dark,” said Andrew Schulke, the Chief Deputy Attorney General of the MFCU.

Medicaid fraud among providers

Since 2005, all HIPAA-covered health care providers, including Medicaid providers, are required to obtain a National Provider Identifier.

NPIs are used to track billing and services, making them valuable to bad actors who may use them to defraud the system.

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When this occurs, providers would have no idea that their information is being used illegally and it may appear as if they’re providing exorbitant amounts of service—a red flag for Medicaid. This risks their Medicaid enrollment, could result in fraud investigations and possibly even lead to their licenses being revoked. However, according to the MFCU, the general policy is that a self-reporting provider will not be prosecuted on criminal fraud charges.

“Reporting fraud can instantly transform you from a possible suspect or target into a witness,” said Schulke.

Medicaid recipients should be wary too

Medicaid recipients can be vulnerable to fraud as well. Nevada’s Medicaid program only provides an explanation of benefits upon request, partly to save money for printing and partly because their return rate is historically low, allowing bad actors to charge unrendered services to Medicaid recipients without their knowledge.

If you are a Medicaid recipient, be wary of providers promising a bunch of services just to get your Medicaid ID number. Once a fraudulent provider has a recipient ID, they can bill Medicaid for services not rendered and/or sell those numbers to others trying to commit fraud.

As a Medicaid recipient, it is up to you to submit an explanation of benefits request.

Preventing fraud is not just about doing the right thing — your number being fraudulently used can negatively impact your ability to get services when you need them. For example, if a fraudulent provider accessed your Medicaid ID and billed Medicaid for new dentures, your request may be denied or delayed.

If you think something fishy is happening Medicaid NPI or recipient number, report it to the Nevada Attorney General by visiting bit.ly/4dfeEvY. You can call 775-684-1191 or 702-486-3187 with questions.

TEACHING FOR TOMORROW. CARING FOR TODAY. unlv.edu/medicine

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DR. TIFFANY M. SMITH, DNP Integrative & Functional Psychiatric Nurse Practitioner 702.907.7924 | www.AFNPsych.com

The road to better starts here.

Searching for a higher level of healthcare in Las Vegas? At ArchWell Health, you’ll enjoy a community of caring that’s totally focused on you and your needs as an older adult. Plus, we’re: • Right in your neighborhood • Ready to see you today • On a first-name basis with our members

Start your journey at ArchWellHealth.com or call (725) 269-3368.

Primary Care for Las Vegans Age 60+

There are many methods for treating common foot ailments

BY JEREMY WOOD, DPM

E

very year, more than 60 million Americans see a podiatrist as part of their health care. Jeremy Wood, a local doctor of podiatry answers questions about common diagnoses and their treatments and prevention.

Jeremy Wood, DPM is a podiatrist at Sunrise Foot and Ankle

What does a podiatrist do?

Podiatrists treat medical conditions of the foot and ankle and are certified through the American Board of Foot and Ankle Surgery, the American Board of Podiatric Medicine or the American Board of Multiple Specialties in Podiatry and earn the title DPM for doctor of podiatric medicine.

What are common issues you treat?

Flatfeet, diabetic ulcers, bunions, ingrown toenails and heel pain.

What is flatfeet?

Pediatric flatfeet is a condition where a child’s foot is flatter than normal. Often neglected, and when left untreated, it can lead to a sedentary lifestyle, knee pain and lower back pain. If addressed while the patient is young with the proper shoes and orthotics, many of these conditions can be prevented. As the child’s foot grows, the foot can be molded into the proper position to avoid future surgery and or chronic pain. If the child fails conservative treatment, there is a minimally invasive surgery called a subtalar joint arthroreisis that can correct the flatfoot and get the child back on their feet as quickly as the same day. Treatments for flatfeet can start as early as three years old.

What causes diabetic ulcers and how are they treated?

Diabetic ulcers are a serious complication caused by a combination of poorly controlled

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blood sugars, poor circulation (peripheral vascular disease), decreased nerve sensation to the feet (neuropathy) and a bony prominence. One third of all diabetics will form a diabetic ulcer at some time in their life. There are 1.6 million diabetic ulcers diagnosed annually. The increasing numbers of diabetic ulcers is due to diabetics living longer lives thanks to the new advancements in medicine to control their blood sugars. With longer life expectancy comes new complications that are now becoming more common, such as diabetic kidney disease, diabetic retinopathy and diabetic foot ulcers. If the diabetic ulcer is not treated properly, it can lead to a toe, foot, or leg amputation.

Can diabetic ulcers be prevented?

Diabetic ulcers can be prevented by proper shoe gear, diabetic inserts, daily inspections of one’s feet and routine check up by your podiatrists. It is a misnomer that you have to spend a great deal of money to get a shoe that will protect your foot. There are many budget-friendly options that will give you the space and protection you need to keep your feet safe. Sometimes there are even minor surgical procedures that can be performed to relieve the pressure on the foot and allow the ulcer to heal.

What are bunions and what causes them to form?

Bunions are a bony prominence that forms at the base of the great toe. The most common cause is narrow tight fitting shoes, but there are also many other factors that contribute to forming a bunion such as genetics, flatfeet, trauma, foot types and pregnancy. Conservative treatments are wide shoes, toe spaces and oral medications. These treatments do not correct the deformity, but they do help alleviate the symptoms. If conservative treatments fail, the only way to correct a bunion is through surgery.

ENTC of of Nevada Nevada ENTC CON GR AT U L AT I O N S Ear, Nose and TO PThroat D O C Consultants TO R S

of Nevada is proud to introduce to

PHONE: (702)792-6700 WEBSITE AND SELF-SCHEDULING: entc.com

E N TC W E LC O M E S

the practice Dr. Allen Young.

Dr. Young will be joining ENTC in September, 2023.

Dr. Young specializes in hearing loss, tinnitus, tympanic membrane repair, chronic ear disease, dizziness and Eustachian tube dysfunction.

If you would like toGoll schedule an appointment with Frederick III, MD, Ashley Sikand, MD. F.A.C.S.,

W.W. Schroeder, F.A.A.P, Jonathan Salinas, MD Dr. Young or any ofMD, ourF.A.C.S, fine physicians pleaseB.call

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General ENT, Sleep Medicine and Surgery, Henderson and Southwest locations

Megan Foggia Jensen, MD General ENT, Smoke Ranch location

702-792-6700 or visit ENTC.com.

SMOKE RANCH OFFICE: 7040 Smoke Ranch Road, Las Vegas, NV 89128 HENDERSON OFFICE: 3195 St Rose Parkway, Suite 210, Henderson, NV 89052 SOUTHWEST OFFICE: 8840 W. Sunset Road, Suite A, Las Vegas, NV 89148

SPECIALIZING IN MINIMALLY INVASIVE ROBOTIC JOINT SURGERY For Appointments: (702) 848-8708 doclv.com kanghipandknee.com

PARMINDER S. KANG, M.D. Board Certified Orthopaedic Surgeon Hip Arthroscopy and Total Joint Replacement Fellowship Director

+ HCQ Notes Nevada Donor Network partnered with the Las Vegas-Clark County Library District to bring awareness about how organ donation saves lives. More than 1,000 books will be distributed to 25 library branches across the Valley.

The donated books include the Howl the Owl series of children’s books, including titles “Howl Gets a Heart” and “Howl Learns about Kidneys and Dialysis.”

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Jeri Flores, APRN, of Southwest Medical, part of Optum, presented heart failure clinic data at the European Society of Cardiology Congress in London. A volunteer-led, notfor-profit medical society, the European Society of Cardiology is a world leader in the discovery and dissemination of best practices in Flores cardiovascular medicine.

UNLV Health, the associated multi-specialty academic medical practice of the Kirk Kerkorian School of Medicine at UNLV, opened a clinic in northwest Las Vegas at 2724 North Tenaya. This is the new home for UNLV Health Family Medicine and is the second location for general surgery, plastic and reconstructive surgery. The facility features 23 exam rooms and more than a dozen procedure rooms, designed to handle a variety of outpatient procedures that do not require general anesthesia.

The hospitals of the Valley Health System were nationally ranked as high performing facilities for seven different medical conditions by U.S. News and World Report in their 2024-2025 “Best Hospitals” report. These include: ■ Centennial Hills Hospital: heart failure, chronic obstructive pulmonary disease (COPD), hip replacement, stroke.

In a separate review cycle, Centennial Hills also has a high-performing rank in maternity care.

■ Henderson Hospital: heart failure, hip replacement ■ Spring Valley Hospital: heart failure, COPD, heart attack, hip replacement, kidney failure ■ Summerlin Hospital: heart failure, kidney failure, Leukemia-Lymphoma-Myeloma ■ Valley Hospital: heart failure, heart attack, kidney failure

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U.S. News and World Report evaluated each hospital’s performance on objective measures, such as risk-adjusted mortality rates, preventable complications and level of nursing care.

Touro University Nevada’s Pierce Autism Center partnered with City of Henderson Parks and Recreation department to offer a training program for part- and full-time staff members involved with city’s youth programs.

The 90-minute course aims to teach employees specific skills when navigating behaviors that can occur during interactions with children enrolled in City of Henderson youth and after-school programs, ultimately fostering a more supportive and effective environment.

A new 90,000 square-foot health care facility, Badura Clinic, was announced in May. The new building, located in southwest Las Vegas, will house numerous clinics and services, including pediatrics, women’s health, adult primary care, senior primary care, and cancer care that includes radiation and oncology.

Adam’s Place, a nonprofit children’s bereavement resource, announced Camp Cope Peer Support Groups will now be held monthly at Summerlin Hospital, Centennial Hills Hospital and in Henderson at 1305 W. Horizon Ridge Parkway. These groups offer support for youths ages 5-18 and their parent/caregiver who are coping with loss and grief.

Southern Hills Hospital and Medical Center opened its new sixth floor.

The expansion project began in 2022 and has 46 patient rooms and 35,000 square-feet. This unit will offer individualized care for hospitalized patients, including illness, surgical recovery and oncology treatment.

The College of Osteopathic Medicine at Touro University Nevada partnered with the City of Henderson Fire Department during an interpersonal education event at Touro’s Michael Tang Regional Center for Clinical Simulation. Medical

SUPPORT STUDENT VISIONARIES OF THE YEAR!

Who is The Leukemia & Lymphoma Society?

LLS has been around for 75 years and their mission is to cure blood cancer and improve the quality of life for patients and their families.

What does LLS do?

LLS takes a holistic approach and provide 360 degree care for patients who have been diagnosed with a focus on three things: research, patient education and support, and advocacy.

WHY SUPPORT?

High school students embark on an exciting 7-week fundraising journey with a goal to create a world without blood cancer Building personal and professional skills while funding lifesaving research for LLS

LOCAL IMPACT

$68,300 awarded to 199 patients through Patient Financial Assistance Program $1,481,000 awarded to 142 patients through copay assistance 648 patients and caregivers served by Education & Services

DONATE TODAY! @LLSLASVEGAS

+Notes continued The St. Rose Dominican Health Foundation was the recipient of the first-ever donation from the newly established Robert Thomas Bigelow Medical Foundation. The $152,000 grant enables an expansion of the Helping Hands of Henderson program. Operating from the Dignity Health Rose de Lima Hospital campus, Helping Hands supports seniors by providing essential transportation, food deliveries, and other support services.

Touro University Nevada College of Osteopathic Medicine and Health and Human Services hosted two dedicated white coat ceremonies—almost 180 medical students from the College of Osteopathic Medicine and almost 140 students from the physician assistant studies, physical therapy, occupational therapy and nursing programs. (Courtesy)

students and fire department personnel received one-on-one training from licensed providers who shared their experiences through hands-on scenarios.

Touro University Nevada College of Osteopathic Medicine and Health and Human Services appointed Nicole Wessendorf to director of communications and public relations. In this role, Wessendorf will oversee all aspects of the company’s communications strategy, including media relations, corporate messaging, crisis communication and public outreach. Touro University Nevada also appointed Steven Peralta Peralta to chief strategic development officer. Peralta is responsible for planning, implementing and evaluating Touro Nevada’s development strategies in support of the university’s mission.

Touro University Nevada College of Osteopathic Medicine celebrated the

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Engelstad Research Complex, made possible with the support of a $1.3 million investment from the Engelstad Foundation. The Engelstad Research Complex houses laboratory space for cell culture, cutting-edge equipment for performing immunology, proteomics, cell biology and molecular biology experiences, human performance research and more.

Cleveland Clinic Lou Ruvo Center for Brain Health neurologist, Zoltan Mari, MD, was elected president of the Clark County Medical Society. Mari is the Ruvo Family Chair and director of the parkinson’s disease and movement disorders program at the Lou Ruvo Center for Brain Health, where he leads a parkinson’s foundation center of excellence.

Psychiatrist Lakeshia Gibson, MD, joined the Lou Ruvo Center for Brain Health where she will treat patients living with cognitive disorders.

Nevada Donor Network’s Team Nevada had a successful showing at the 2024 Donate Life Transplant Games of America. They won 27 medals (14 gold, 10 silver, and three bronze medals). Held in Birmingham, Alabama, Team Nevada

+Notes continued Intermountain Health was recognized as the top health care employer in Nevada in the 2024 Forbes Best Employers. This is the first time Intermountain Health landed on the list. The health care system has more than 65 clinics in Southern Nevada.

athletes—comprised of transplant recipients and living donors—competed in events such as swimming, track and field, and bowling. Team Nevada member Dinorah Arambula was honored as the female athlete of the year.

The Nevada Transplant Institute announced the inauguration of its Board of Directors, marking a significant milestone in its mission to revolutionize access to life-saving transplantation services in Nevada and the region: ■ Joe Ferreira, founding chair ■ Brian Erling, MD, MBA, president and CEO, Renown Health ■ Jim DeVolld, managing director, Commercial Banking, First Independent Bank ■ Thiago Beduschi, MD, chief of the University of Florida division of transplantation and hepatobiliary surgery and director of the UF Health Abdominal Transplant Center The team also includes Ernesto P. Molmenti, MD, PhD, MBA, as director and

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Find out how we keep your life in rhythm at DignityHealth.org/NVCVT. Dignity Health Cardiovascular & Thoracic Surgery 7190 S. Cimarron Rd. Las Vegas, NV 89113 (702) 675-3240

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NOVEMBER 2024

executive vice president, and consulting NTI faculty members, David Mulligan, MD, and Harrison Pollinger, DO. Nevada Donor Network announced that Miles Lanning has joined the senior leadership team as chief quality officer.

Lanning will serve as an advocate and resource for quality assurance, regulatory compliance, risk management and performance improvement throughout Nevada Donor Network and its partners.

Timothy Jeider, MD, co-founder of Nevada Mental Health, assumed the role of president for the Nevada Psychiatric Association, the Nevada chapter of the American Psychiatric Association.

Jeider was voted president by NPA chapter members and previously served as treasurer and president-elect. Jeider will continue to update and modernize the organization’s financial systems and practices, while finding the best ways to use funds for community support as well as legislative initiatives.

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